A dilator assembly comprising an elongated body having a proximal end and a distal end, a first lumen extending along the body, a second lumen extending along the body so that it is a parallel to the first lumen, and a joint lumen disposed adjacent the distal end of the body, wherein both the first lumen and second lumen are in fluid communication with the joint lumen. A guidewire has a first end and a second end, and the first end of the guidewire is slidably received in the first lumen and the second end of the guidewire is slidably received in the second lumen.

A rooter includes a rotatable element, an actuator for causing the rotatable element to rotate, and a coupling feature for rotatably coupling an elongated medical instrument to the rotatable element. The rotatable element may be at least partially contained within the interior of a housing or another element that remains substantially stationary as the actuator causes the rotatable element to rotate. The rooter may be used with a variety of elongated medical instruments, such as wires, mascerators, needles, drill bits, trocars, catheters, tubes and other elongated instruments that are used to enable or effect medical procedures within the body of a subject. The rooter may be used for a variety of purposes, including, without limitation, the introduction of an elongated medical instrument into the body of a subject or its removal from the subject's body; removing, breaking up, or eliminating obstructions (e.g., blood clots, plaques, etc.) from the body of a subject; and obtaining samples from a subject's body.

Hypo-tube based support catheter (1) for treating blood vessels, such as below the knee (BTK) blood vessels and other blood vessels (e.g., coronary, pediatric), which are partially or totally occluded. The tip of the support catheter (1) of the invention is shapeable to any desired shape before the insertion of the device into the blood vessel. The disclosed device enables improved angioplasty treatment of blood vessels, especially with a retrograde approach.

A dilation catheter comprises a handle, a guidewire, a dilation catheter, a guidewire movement mechanism, and dilation catheter movement actuator. The guidewire movement mechanism is configured to translate to thereby cause translation of the guidewire relative to the handle. The dilation catheter movement mechanism is configured to translate to thereby cause translation of the dilation catheter relative to the handle. The guidewire movement mechanism also includes a rotation mechanism configured to impart rotation upon the guidewire. The rotation mechanism may include features configured to limit the amount that the guidewire may rotate. The rotation mechanism may also include features configured to convert linear movement of an actuator into rotational movement of the guidewire. The dilation catheter may include features configured to provide for side entry of the guidewire into the dilation catheter.

A guide wire control device and methods of use are described herein. A novel method for optimizing a guide wire for a patient is described. The method includes steps of scanning a patient's anatomy and then fabricating, or selecting, a guide wire with optimal geometry for a particular patient and/or procedure. The guide wire may optionally be secured to a guide wire control device for improved control during transcatheter surgical procedures.

For surgical and/or medical instruments, a smart handle for easily and more accurately manipulating an elongated functional system inside the body of a subject, including a handle body extending along a longitudinal axis having a first electrical interface including at least two electrical connectors, a second electrical interface with at least two circular conductive elements and a chamber for receiving a power supply; the power supply being connected to one of the electrical interfaces, at least one first external command being arranged on the outer surface of the handle body, and when activated, the first external command allows to flow an electrical current through the electrical connectors; the electrical connectors being maintained in contact with the other electrical interface by a spring force, the electrical connectors including at their distal end a round tip for ensuring a permanent contact between the electrical connectors and the circular conductive elements during rotation.

A device to assist with the ease and sterility of insertion of catheters and other elongate, flexible medical devices is disclosed. It includes two one-way valves that may be reciprocated with respect to each other. Some variations may include a demount gap which may be continuously opened or may be controllable opened and closed.

Example medical devices are disclosed. An example medical device includes a handle having a distal end region, a proximal end region and an inner chamber. The medical device also includes a guidewire brake including an actuation member coupled to a first gripping member and a second gripping member. The first gripping member and a second gripping member are disposed within the inner chamber of the handle and at least a portion of the actuation member is positioned along an outer surface of the handle. Further, the first gripping member and the second gripping member are configured to shift between an unclamped configuration and a clamped configuration.

Disclosed is an intraluminal catheter that includes a flexible elongate shaft configured to be positioned within a body lumen of a patient, and an intraluminal sensor disposed at the distal portion of the shaft that is configured to sense a characteristic within the body lumen. The shaft further comprises a plurality of wires disposed around a lumen, wherein the wires are helically twisted. The wires can be helically twisted in a single direction to form a cylindrical shape. This helical structure is configured to stiffen the flexible elongate shaft for movement into an obstruction within the body lumen without kinking.

A delivery device for delivering an instrument into a catheter assembly may include a syringe, which may include a barrel and a plunger movable within the barrel. The plunger may include a handle and a stopper coupled to a distal end of the handle. The stopper may include a channel. The delivery device may include a guidewire disposed within the barrel and extending through the channel. In response to depression of the plunger, the guidewire may move through the channel and a first end of the guidewire may be advanced in the distal direction. A second end of the guidewire may be fixed.