Apparatus, including a probe having a distal end insertable into a nasal sinus of a human patient, and a location sensor positioned within the distal end. A sinuplasty balloon is positioned on the distal end at a selected opening of the nasal sinus. A processor receives first signals from the location sensor while the distal end is inserted into the nasal sinus and prior to positioning of the balloon at the selected opening, and generates a first map of the sinus. The processor inflates the balloon when it is at the selected opening, so as to enlarge the selected opening, and subsequently deflates the balloon. The processor then receives second signals from the location sensor and generates therefrom a second map of the sinus. The processor registers the first map with the second map and generates from the registered maps a numerical increase in size of the selected opening.

A dilation apparatus includes a handle assembly, a dilator, a guidewire, and a steering assembly. The dilator is connected to the handle assembly and is configured to transition between an unexpanded state and an expanded state. The guidewire is longitudinally fixed relative to the dilator. The steering assembly is configured to laterally deflect at least a portion of the guidewire relative to the handle assembly. The steering assembly includes an actuator coupled with the handle assembly and a pull wire extending between the actuator and guidewire. A portion of the pull wire is attached to the guidewire. The actuator is configured to move the pull wire relative to the handle assembly in order to laterally deflect the at least a portion of the guidewire.

A catheter includes a shaft having a first lumen inside thereof, an expansion/contraction portion that is disposed on a distal end portion of the shaft and is expandable and contractible in a radial direction, and an actuation portion that expands and contracts the expansion/contraction portion. The expansion/contraction portion has a fixed portion fixed to the shaft, a sliding portion capable of sliding in a longitudinal direction of the shaft on an outer peripheral face of the shaft, and a suspension portion extending in the longitudinal direction of the shaft that connects the fixed portion with the sliding portion. When the sliding portion is slid toward the fixed portion by the actuation portion, the suspension portion expands in a radial direction of the shaft.

A catheter comprises a shaft, an extended shaft portion, and an electrode disposed on an outer circumferential surface of the shaft. The shaft has a first lumen and a second lumen that is arranged adjacent to the first lumen. The extended shaft portion is provided on a distal end portion of the shaft, has the first lumen, and has a distal end portion located on a distal end side of a distal end portion of the second lumen, in the shaft.

Devices, systems, and methods are disclosed that help deliver catheters or other medical devices to locations within a patient's body. The device includes a transporter catheter having a proximal end and a distal end, at least a first balloon located at the distal end, substantially at a tip of the transporter catheter, and at least a second balloon located between the distal end and the proximal end of the transporter catheter. The first balloon is an orienting balloon and the second balloon is an anchor balloon. The transporter catheter may include a single lumen or more than one lumen. The transporter catheter may have a shaft including an inner layer and an outer layer, the inner layer may be made of a material more flexible than the material of the outer layer. The outer layer may also include a braided wire assembly, said braided wire assembly being formed by braiding a plurality of flat wires or circular wires. The braided wire assembly may wrap around the inner layer. The transporter catheter may have a shaft that may include a plurality of segments of varying degrees of hardness. The degree of hardness of the segment of the shaft of the transporter catheter located between the first balloon and the second balloon may be less than the degree of hardness of the segment of the shaft between the second balloon and the proximal end of the catheter.

Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the thrombectomy system. The system can include a catheter having a distal portion configured to be positioned adjacent to a thrombus in a blood vessel, an electrode disposed at the distal portion of the catheter, and an interventional element configured to be delivered through a lumen of the catheter. The electrode and the interventional element are each configured to be electrically coupled to an extracorporeal power supply.

A method may include accessing an artery in communication with an ophthalmic artery of a subject, and advancing a microcatheter along the accessed artery so as to align a distal end of the microcatheter with an ostium of the ophthalmic artery, wherein the microcatheter includes a lumen having a guidewire positioned therein. In addition, the method includes proximally withdrawing the guidewire relative to the microcatheter so as to enable a distal portion of the microcatheter to assume a curved relaxed configuration, and cannulating the ostium with the distal portion of the microcatheter when the distal portion is in the curved relaxed configuration.

A method of manufacturing tubing suitable for use as a component of a medical device, such as a catheter body, and the real-time adjustment of characteristics of the tubing as it passes from one reel to another reel during manufacture. Thus, a length of tubing is manufactured that includes a plurality of segments of different flexibilities and the length of tubing is then cut into a plurality of sub-lengths of tubing that are suitable for use as a component of a medical device. In one embodiment, a method of manufacturing a length of catheter tubing comprises: extruding a base layer; overlaying a braided layer on the base layer; overlaying a sub-jacket layer over the braided layer; overlaying an outer jacket on the jacket sub-layer; and heating at least a portion the jacket sub-layer to change a characteristic of the length of catheter tubing.

An apparatus comprises a shaft, an expandable dilator, and at least one ventilation pathway. The shaft defines a longitudinal axis and comprises a distal and proximal ends with at least one shaft lumen. The expandable dilator comprises body with its own proximal and distal ends. The body is configured to transition between a contracted state and an expanded state. The body is configured to dilate a Eustachian tube of a patient in the expanded state. The at least one ventilation pathway is configured to provide ventilation from the distal end of the body to the proximal end of the body when the body is in the expanded state. In some examples, the ventilation pathway comprises a set of transversely oriented vent openings formed through the shaft. In some other examples, the ventilation pathway comprises a space defined between one or more radially outwardly protruding features of the expandable dilator.

A medical probe includes a hollow guidewire, a balloon, and a magnetic position sensor. The hollow guidewire is configured for insertion into a channel of an organ of a patient. The balloon is fixed to a distal end of the hollow guidewire, is configured to be inserted into the channel using the hollow guidewire, and is further configured to be inflated by pumping of fluid through the hollow guidewire. The magnetic position sensor is fitted at the distal end of the hollow guidewire.