The present disclosure can improve durability (particularly, sliding durability) of a surface lubricating layer while maintaining flexibility of a medical instrument. The medical instrument can include: a base whose surface is partially made of a polyester resin; an intermediate layer formed on at least a part of the surface of the base and containing a (meth)acrylic-modified polyester resin and a polyurethane resin; and a surface lubricating layer formed on an upper part of the intermediate layer and containing a block copolymer having a structural unit (A) derived from a hydrophobic monomer and a structural unit (B) derived from a hydrophilic monomer, in which at least one of the hydrophobic monomer and the hydrophilic monomer has a (meth)acryloyl group.

A guide wire includes a core shaft formed of superelastic metal, where the core shaft has a tapered portion having a diameter decreasing from its proximal end toward its distal end, an intermediate portion that is cylindrical and is adjacent to the proximal end of the tapered portion, and a proximal portion adjacent to a proximal end of the intermediate portion and having a maximum diameter larger than a diameter of the intermediate portion; a coil body covering at least a part of the intermediate portion and the tapered portion of the core shaft, the coil body having an outer diameter of 0.36 mm or less; and a distal tip disposed at a distal end of the coil body and forming a distal end of the guide wire, the diameter of the intermediate portion being 0.22 to 0.24 mm.

A guide wire includes: a first core shaft made of a superelastic material, and a second core shaft made of a material more plastically deformable than the first core shaft and is joined to a distal end portion of the first core shaft. On the distal end portion to which the second core shaft is joined in the first core shaft, breaking elongation attributed to a tensile load is shorter compared to portions on a proximal end side with respect to the distal end portion.

Disclosed herein are guidewires including a distal section, a proximal section and a middle section disposed between the distal section and the proximal section, wherein the middle section has a flexural stiffness that is greater than a flexural stiffness of both of the distal section and the proximal section. The distal section is configured for insertion into a vasculature of a patient. A diameter of the middle section may be greater than a diameter of the distal section. The guidewires may include a tapered distal transition portion disposed between the distal section and the middle section and a solid core wire extending a length of the guidewire, the solid core wire including a first diameter extending along the distal section, a second diameter extending along the proximal section, and a third diameter extending along the middle section, wherein the third diameter is greater than the first and second diameters.

The disclosure includes a catheter system comprising an inner catheter and an outer catheter configured to at least partially receive the inner catheter. In some embodiments, the inner catheter comprises a proximal hub, a distal portion, and a pusher wire extending between the proximal hub and the distal portion. The distal portion of the inner catheter may comprise a hypotube. In some embodiments, the inner surface of the hypotube is coated with a lubricious coating.

According to one aspect, a guidewire assembly for positioning within a body of a patient may include a guidewire shaft having a proximal section and a distal section. The distal section may be configured to move within the body of a patient when the guidewire assembly is in a first operating state. The distal section may be configured to expand radially outward when the guidewire assembly is in a second operating state to engage an interior surface of the body and inhibit movement of the guidewire shaft.

The disclosure relates to medical devices and methods of assembling medical devices, such as MRI-compatible interventional wireguides. An example of a wireguide includes a series of individual segments, a plurality of connectors, and a plurality of spacers. Each segment in the series of individual segments has a first end and a second end. Each connector of the plurality of connectors joins adjacent segments in the series of individual segments to one another such that a first end of a first segment and a second end of a second segment in the series of individual segments are attached to a connector of the plurality of connectors. A spacer of the plurality of spacers is disposed between each pair of adjacent segments in the series of individual segments. Each of the segments in the series of individual segments is electrically insulated from an adjacent segment in the series of individual segments.

An endovascular device may include (a) a proximal end, configured for communicating a pressure signal to a receiver; (b) a distal end comprising a pressure sensor that is based on (i) a piezoelectric polymer layer; and (ii) first and second electrodes, electrically insulated from each other, each contacting the piezoelectric polymer layer, wherein the pressure sensor derives the pressure signal from the first and second electrodes; and (c) a device body, which provides one or more conductors to carry the pressure signal from the distal end to the proximal end.

An elongated medical instrument includes: a base material part; and an outer layer part made of a resin based on a resin suspension that is coated on an outer peripheral surface of the base material part; where a surface of the outer layer part has irregularly disposed recesses formed from cracks generated by drying of the resin suspension, and protrusions formed with an outer peripheral surface formed on an outer peripheral side of the recesses.

A method of making a medical guidewire including providing a wire having a length that includes a proximal length and a distal length. The method further includes applying cold work to the distal length and not applying cold work to the proximal length, thereby imparting to the distal length a diameter that is smaller than the proximal length diameter; and applying a reducing process to the wire whereby the proximal length is reduced to have an outer diameter that is the same as the outer diameter of the distal length. The proximal length has an inner diameter and the distal length has an inner diameter that is less than the inner diameter of the proximal length.