Abstract: Medical devices as well as methods for making and using medical devices are disclosed. An example medical device may include a steerable crossing catheter system. The steerable crossing catheter system may include an elongate catheter shaft having a proximal end region, a steerable distal end region, and a lumen extending therethrough. A core may be disposed within the lumen. The core may have a distal end. A penetrating member may be coupled to the distal end. A sensing assembly may be disposed adjacent to the distal end. The sensing assembly may be configured to estimate the location of the core within a body lumen.

Abstract: Embodiments of a deployment system may include a catheter having a distal end and a proximal end. An actuator may be disposed at the distal end of the catheter and may be operatively connected to electrical connectors extending longitudinally along the catheter from the proximal end to the actuator. The electrical connectors may be configured for transmission of signals to the actuator. One or more connections may be coupled to the actuator and to a deployable medical device disposed at the distal end of the catheter.

Abstract: An extravenous valve may include a constricting member configured to surround a body lumen or blood vessel and actuate between a lumen or vessel-occluding configuration and a non-lumen or non-vessel-occluding, configuration, the constricting member including a base material and a shape memory material coupled to the base material, a power source in communication with the constricting member, and a controller configured to receive bio-feedback from a patient. The controller may reversibly actuate the constricting member between the lumen or vessel-occluding configuration and the non-lumen or non-vessel-occluding configuration in response to the bio-feedback. The constricting member may be sized and configured to be delivered to the treatment location through the body lumen or blood vessel.

Abstract: A cryotherapy balloon catheter includes a compliant cryotherapy balloon comprising a distal balloon section dimensioned for placement within a renal artery and a proximal balloon section dimensioned to abut against an ostium of the renal artery and extend into at least a portion of the abdominal aorta. The compliant balloon has a diameter that varies non-uniformly along a length of the compliant balloon, such that a diameter at the proximal balloon section is larger than a diameter of the distal balloon section. The cryotherapy balloon catheter may be configured to deliver cryogenic therapy to at least the ostium of the renal artery sufficient to irreversibly terminate renal sympathetic nerve activity, such as by causing neurotmesis of renal nerve fibers and ganglia at the ostium of the renal artery.

Abstract: An intravascular filter having centering capabilities and a device for manipulation of the filter within a vessel. The manipulation device includes a grasping member disposed at the distal end of an elongate shaft, wherein the grasping member may be used to engage a portion of the filter.

Abstract: A radio frequency ablation apparatus having an application wand which is articulating and self-locking in a selected configuration. The wand has a handle having a thumb wheel apparatus. A threaded bore extends coaxially through the thumb wheel. A threaded tube received in the threaded bore translates a wire which extends to the distal end of the wand. At the distal end of the wand, the wire passes over a bendable section in the wand. Pushing or pulling the wire bends the distal tip through a range of angles on both sides of a neutral linear position. The distal tip remains self-locked in a selected position when the thumb screw is not turned.