An ENT tool has a tool chassis having a chassis channel and a tool chassis distal end. A tubular probe is dimensioned to be inserted into a human patient orifice, the probe is rotatable about a probe axis of symmetry, and the probe has a probe proximal end rotatingly connected to the tool chassis distal end. A balloon insertion mechanism is slidingly located within the chassis channel, and is configured to fixedly accept a balloon sinuplasty mechanism penetrating the tubular probe. A guidewire adjustment section is fixedly attached to the balloon insertion mechanism, and the section has a rotatable enclosure. A plurality of rollers are disposed within the enclosure and are configured so that on rotation of the enclosure the rollers grip and rotate a guidewire positioned between the rollers, and, absent rotation of the enclosure, release the guidewire and permit distal and proximal translation of the guidewire.

Pressure sensing guidewires and methods for making and using pressure sensing guidewires are disclosed. An example pressure sensing guidewire may include a tubular member having a proximal region and a housing region. An optical fiber may be disposed within the tubular member and extend to the housing region. The optical fiber may have a distal end region with a cavity formed therein. A polymeric member disposed within the cavity. A reflective surface disposed along the polymeric member.

Pressure sensing guidewires and methods for making and using pressure sensing guidewires are disclosed. An example pressure sensing guidewire may include a tubular member having a proximal region and a housing region. An optical fiber may be disposed within the tubular member and extend to the housing region. The optical fiber may have a distal end region with a cavity formed therein. A polymeric member disposed within the cavity. A reflective surface disposed along the polymeric member.

A system and method include operation of a device coupled to a base to hold a catheter to the base, the catheter defining a lumen in which a portion of an elongated medical device is disposed, and a portion of the catheter being disposed in a hemostasis valve, movement of the base relative to the hemostasis valve along a first path while the catheter is held to the base such that the catheter moves relative to the hemostasis valve, and operation of a mechanism coupled to the base to maintain a position of the elongated medical device within the lumen relative to the hemostasis valve while the base and the mechanism are moved along the first path and the catheter is held to the base.

A guidewire support accessory includes one or more hollow tubular sections, each of the hollow tubular sections including a first end and an opposing second end for individually supporting a plurality of medical guidewires. A connector is disposed at the first end. Each of the one or more hollow tubular sections is sized and configured to receive a medical guidewire maintained in a coiled arrangement. The accessory includes at least one clamp configured to releasably retain a guidewire in the coiled arrangement, as well as at least one wiping or cleaning feature.

A guidewire support accessory includes one or more hollow tubular sections, each of the hollow tubular sections including a first end and an opposing second end for individually supporting a plurality of medical guidewires. A connector is disposed at the first end. Each of the one or more hollow tubular sections is sized and configured to receive a medical guidewire maintained in a coiled arrangement. The accessory includes at least one clamp configured to releasably retain a guidewire in the coiled arrangement, as well as at least one wiping or cleaning feature.

The present disclosure provides a guide wire system comprising (a) a guide wire having a distal end and a proximal end, wherein the guide wire comprises a superelastic material, (b) a first connector coupled to the proximal end of the guide wire, (c) a second connector coupled to the guide wire between the distal end and the proximal end, (d) an electromagnetic sensor coupled to the distal end of the guide wire, and (e) a polymeric tube surrounding the guide wire and at least a portion of the electromagnetic sensor.

The present disclosure provides a guide wire system comprising (a) a guide wire having a distal end and a proximal end, wherein the guide wire comprises a superelastic material, (b) a first connector coupled to the proximal end of the guide wire, (c) a second connector coupled to the guide wire between the distal end and the proximal end, (d) an electromagnetic sensor coupled to the distal end of the guide wire, and (e) a polymeric tube surrounding the guide wire and at least a portion of the electromagnetic sensor.

A stent graft delivery system. The system includes a stent graft cover having a central longitudinal axis. The stent graft cover houses a first guidewire lumen extending along a first guidewire lumen axis and configured to track along a first guidewire. The first guidewire lumen axis is offset the central longitudinal axis. The stent graft delivery system further includes a tapered tip extending distally from the stent graft cover and defining an offset through-channel extending within the tapered tip along a tapered tip offset axis and configured to track along the first guidewire. The first guidewire lumen axis and the tapered tip offset axis extend along a common axis.

Medical delivery devices, such as catheters, and their methods of use and manufacture. The medical delivery devices are adapted to facilitate the delivery of an agent into a patient. The medical delivery devices may have one or more deformable lumens, each of which has a collapsed configuration and an open configuration. The medical delivery devices may include one or more agent delivery ports, any one of which may be proximal or distal to an expandable device, such as a balloon.