Abstract: A medical device includes a handle including an actuating device, a shaft extending from the handle and having a longitudinal axis, a cam rotatably connected to the handle, wherein the cam includes a first section and a second section, and wherein a distance between a radially outer surface of the first section and a center of the cam is different from a distance between a radially outer surface of the second section and the center of the cam; and an actuation wire extending from the cam to a distal end of the shaft. Rotation of the actuating device rotates the cam, causing the actuating wire to wrap around the first section and the second section to deflect the distal end of the shaft.

Abstract: A method for performing a medical procedure may comprise advancing a first device through a first body lumen. A distal portion of the first device may include a magnet. The method may further comprise advancing a second device through a second body lumen. The second device may include a magnetic field sensor. The method may further comprise receiving a signal from the magnetic field sensor. The signal may be indicative of a magnetic field measured by the magnetic field sensor. The method may further comprise, if the received signal matches a magnetic field of the magnet, identifying a position of the magnet.

Abstract: A medical device includes a handle including an actuating device, a shaft extending from the handle and having a longitudinal axis, a cam rotatably connected to the handle, wherein the cam includes a first section and a second section, and wherein a distance between a radially outer surface of the first section and a center of the cam is different from a distance between a radially outer surface of the second section and the center of the cam; and an actuation wire extending from the cam to a distal end of the shaft. Rotation of the actuating device rotates the cam, causing the actuating wire to wrap around the first section and the second section to deflect the distal end of the shaft.

Abstract: A medical device comprising a knob with a recessed first portion and a shaft with an articulation section. A control rod is received within the first portion of the knob and the knob is configured to actuate an articulation wire. Actuation of the knob is configured to move the articulation section. The knob is configured to transition between a first state, in which the knob is fixedly coupled to the control rod, and a second state, in which the knob is moveable relative to the control rod. The knob is configured to transition from the first state to the second state when a threshold torque value is applied to the knob.

Abstract: A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

Abstract: A medical device includes a handle including a port that includes a port lumen. The medical device includes a shaft extending from a portion of the handle. A first portion of the shaft includes a plurality of first lumens and a second lumen, and a second portion of the shaft includes only the second lumen. The second portion of the shaft is proximal to the first portion of the shaft. The medical device also includes a coupling assembly that couples a proximal end of the second portion of the shaft to the port. The coupling assembly forms a seal between the proximal end of the shaft and the port to fluidly connect the port lumen to the second lumen.

Abstract: Sphincterotomes and methods for making and using sphincterotomes are disclosed. An example sphincterotome may include an elongate shaft having an outer surface and a distal end region. The sphincterotome may also include a sphincterotome wire assembly having a distal end coupled to the distal end region of the elongate shaft and a body portion extending along the outer surface of the elongate shaft. The sphincterotome wire assembly may be designed to shift the distal end region of the elongate shaft between a first configuration and a curved configuration. The body portion of the sphincterotome wire assembly may include a cutting region and a non-conductive region.

Abstract: A method for performing a medical procedure may comprise advancing a first device through a first body lumen. A distal portion of the first device may include a magnet. The method may further comprise advancing a second device through a second body lumen. The second device may include a magnetic field sensor. The method may further comprise receiving a signal from the magnetic field sensor. The signal may be indicative of a magnetic field measured by the magnetic field sensor. The method may further comprise, if the received signal matches a magnetic field of the magnet, identifying a position of the magnet.

Abstract: According to one aspect, a medical device may be configured for use with an endoscope and may include a tool. The tool may include an actuator, at least one extension at a distal portion of the actuator, and a distal end. The at least one extension may extend radially outward from the actuator and may have an edge configured to fragment debris within a body. The medical device may also include a cap configured for coupling to a distal end of the endoscope, and the cap may include a body defining an opening and a cavity. The opening may be configured to align with optics of the endoscope, and the at least one extension may be positioned within the cavity of the body.

Abstract: A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

Abstract: A medical device may comprise a handle and a shaft extending distally from the handle. The shaft may include a proximal portion configured to remain external to a body lumen of a subject and a distal portion configured to be inserted into the body lumen of the subject. The proximal portion of the shaft may have a greater stiffness than the distal portion of the shaft.

Abstract: Sphincterotomes and methods for making and using sphincterotomes are disclosed. An example sphincterotome may include an elongate shaft having an outer surface and a distal end region. The sphincterotome may also include a sphincterotome wire assembly having a distal end coupled to the distal end region of the elongate shaft and a body portion extending along the outer surface of the elongate shaft. The sphincterotome wire assembly may be designed to shift the distal end region of the elongate shaft between a first configuration and a curved configuration. The body portion of the sphincterotome wire assembly may include a cutting region and a non-conductive region.

Abstract: A medical device including a handle and a distal tip. The distal tip includes an elevator configured to change an orientation of an accessory device. The elevator is rotatable about a first axis and a second axis. Rotation of the elevator about the first axis raises or lowers the elevator. Rotation of the elevator about the second axis angles the elevator to the right or left. The medical device includes a first wire attached to a first side of the elevator and a second wire attached to a second side of the elevator. Moving the first wire and second wire the same distance proximally or distally relative to the distal tip rotates the elevator about the first axis. Moving one of the first wire and second wire a distance relative to the other of the first wire and second wire rotates the elevator about the second axis.

Abstract: A medical device may comprise a sheath configured to be inserted into a body lumen of a patient. A distal end of the sheath may include an elevator for changing an orientation of a medical device. A handle may include an actuator. The actuator may be operably connected to the elevator. Activation of the actuator may cause movement of the elevator. An engaging portion may, in at least one configuration of the handle, protrude from a surface of a handle body toward the actuator. A force exerted by the user on at least one of the actuator or the engaging portion may cause the handle to transition between (a) a first configuration in which the engaging portion interacts with the actuator to inhibit movement of the actuator relative to the engaging portion and (b) a second configuration in which the actuator is movable relative to the engaging portion.

Abstract: According to one aspect, a device may include a shaft having a distal end and a lumen, the lumen terminating in a distally-facing opening. An instrument may be inserted through the shaft and may extend through the lumen and out of opening. The device may further include an elevator for engaging the instrument. The elevator may include an actuator extending through at least a portion of the shaft; and a body may be coupled to the actuator. A portion of the body may be configured to extend within the lumen and to apply a force to the instrument and move the instrument into contact with a surface of the lumen when the actuator is moved.

Abstract: A medical device may comprise a sheath configured to be inserted into a body lumen of a patient. A distal end of the sheath may include an elevator for changing an orientation of a medical device. A handle may include an actuator. The actuator may be operably connected to the elevator. Activation of the actuator may cause movement of the elevator. An engaging portion may, in at least one configuration of the handle, protrude from a surface of a handle body toward the actuator. A force exerted by the user on at least one of the actuator or the engaging portion may cause the handle to transition between (a) a first configuration in which the engaging portion interacts with the actuator to inhibit movement of the actuator relative to the engaging portion and (b) a second configuration in which the actuator is movable relative to the engaging portion.

Abstract: Medical devices and related methods are described. The medical device may include a shaft, a handle housing a proximal portion of the shaft, and a lock having a first configuration and a second configuration. In the first configuration of the lock, the shaft may be rotatable about a longitudinal axis of the shaft relative to the handle, and, in the second configuration of the lock, the shaft may be stationary relative to the handle.

Abstract: A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

Abstract: A method for performing a medical procedure may comprise advancing a first device through a first body lumen. A distal portion of the first device may include a magnet. The method may further comprise advancing a second device through a second body lumen. The second device may include a magnetic field sensor. The method may further comprise receiving a signal from the magnetic field sensor. The signal may be indicative of a magnetic field measured by the magnetic field sensor. The method may further comprise, if the received signal matches a magnetic field of the magnet, identifying a position of the magnet.

Abstract: Medical devices and related methods are described. The medical device may include a shaft, a handle housing a proximal portion of the shaft, and a lock having a first configuration and a second configuration. In the first configuration of the lock, the shaft may be rotatable about a longitudinal axis of the shaft relative to the handle, and, in the second configuration of the lock, the shaft may be stationary relative to the handle.