The present disclosure relates to a sheath that is usable with a medical device, particularly to a sheath that is useable with a medical device and which sheath is expandable in the regions that the medical device is positioned in the sheath, and more particularly to a sheath that is useable with a medical device and which sheath is expandable in the regions that the medical device is positioned in the sheath and which sheath reforms to its same or similar size and shape after the medical device has passed through a portion of all of the sheath. The sheath is used to protect the body passageway of a patient as a medical device is inserted into and/or through the body passageway and to a treatment site.

An elongate medical device having an axis comprises an inner liner, a jacket radially outward of the liner, a braid comprising metal embedded in the jacket, a sensor, and at least one wire electrically connected to said sensor. The at least one wire is one of: embedded in the jacket and optionally disposed helically around the braid; extending longitudinally within a tube which extends generally parallel to the device axis and wherein the tube is embedded in the jacket; and disposed within a lumen, wherein the lumen extends longitudinally within the jacket.

Methods, systems, and devices for accessing tissue outside a bronchus and marking the location of a biopsy are provided. The method includes loading a navigation plan into a navigation system with the navigation plan including a CT volume generated from a plurality of CT images, inserting an extended working channel (EWC) including a location sensor into a patient's airways, registering a sensed location of the EWC with the CT volume of the navigation plan, and selecting a target in the navigation plan located outside the periphery of a patient's airways. The method further includes navigating the EWC and location sensor proximate the target, inserting a piercing catheter into the EWC, piercing through an airway wall to reach the target, storing a position of the location sensor in the navigation system as a biopsy location, and performing a biopsy at the stored biopsy location.

The disclosure sets forth various exemplary embodiments of systems, methods, and/or medical apparatuses including but not limited to: a sheath; and a balloon disposed at a working distal end of the sheath. According to one example embodiment the medical device can include where the sheath can include woven wire reinforcing axial and longitudinal strength, side holes, a one direction distal valve, and can include an inflator. According to one example embodiment the medical device can include where the sheath can include a narrow cross-section of, e.g., 7-8 Fr and balloon of length of, e.g., 12 cm.

The medical device may comprise an elongate body having a proximal portion, a distal portion, and defining a lumen therethrough. Also, the medical device may include an expandable element coupled to the distal portion of the elongate body and in fluid communication with the lumen. The expandable element may define a first end and a second end, the second end being proximal to the first end. The medical device may further include a cannula surrounding at least a portion of the elongate body and the cannula may define a proximal end and a distal end. The distal end of the cannula may be disposed proximal and adjacent to the second end of the expandable element. An outer dimctcr diameter of the cannula may be substantially equal to or lesser than an outer diameter of the expandable element when inflated. The medical device may be maneuvered through a patient's body.

A braided tube includes a hollow cylindrical inner resin layer made of thermoplastic polyurethane resin, a braided wire including braided strands made of nylon and being provided over a periphery of the inner resin layer, and an outer resin layer made of thermoplastic polyurethane resin and being provided to cover peripheries of the inner resin layer and the braided wire. A width of a void formed around the strand of the braided wire in a cross section perpendicular to a tube longitudinal direction is 30 μm or less.

The invention relates to an indwelling venous cannula (1) for application to a living being, having a venous catheter (2), wherein a puncture needle (3) can be guided in a longitudinally movable manner in the venous catheter (2). The puncture needle (3) is designed as a hollow needle over a portion of its length, wherein at least part of an additional portion of the length of the puncture needle (3) is solid.

An implant catheter has a highly flexible portion. The highly flexible portion includes a liner positioned adjacent to a catheter coil. Some implementations of the implant catheter include sections where a portion of the coil layer is free from all material of the outer jacket. In some implementations, a portion of a layer internal to the catheter is omitted. Some implementations include a coil formed form wire with a self-aligning cross-section.

Steerable catheters are provided, some of which include an axial member incorporated in an elongate shaft member, where, in some instances, different edge portions of the axial member exhibit different radii of curvature. In some instances, a furthest-apart pair of points on an external boundary of a cross-section of the axial member is closer to an interior edge than an exterior edge of a tubular member of the elongate shaft member.

In some examples, a system includes a catheter comprising an elongated shaft defining a lumen, and a tether assembly. The tether assembly may include an elongate body, a tether head assembly attached to a distal end of the elongate body, where the tether head assembly includes an attachment mechanism configured to releasably attach to an attachment member of a medical device, and a positioning element fixedly positioned over the elongate body and configured to align the attachment mechanism with the attachment member when the tether head assembly is extended distally out of the lumen. The positioning element may include a distal end, a proximal end, and a length between the distal end and proximal end that is less than a length of the elongate body. The tether head assembly, elongate body, and positioning element may be movable within the lumen of the elongated shaft.