Abstract: A medical system configured for cannulation of a lumen having a stricture is provided. The medical system includes an elongate sheath having a proximal portion, a distal portion and a first lumen at least partially extending through the sheath. The medical system also includes a wire guide having a cutting portion, a non-cutting tip portion, and a non-cutting shaft portion proximal to the cutting portion. The wire guide extends at least partially through the first lumen and at least a portion of the cutting portion is positionable outside the sheath to cannulate the stricture. A method of cannulating a stricture is also provided.