In a medical guide wire having a connecting structure formed by three members: a tubular connector; a first core; and a second core, when a torsional rigidity of one member is lower than the torsional rigidity of the materials of both end portions, for example, the twist is unevenly generated between the members and the rotation transmission performance to the distal end side is significantly reduced. In such a case, there is a technical problem for improving the rotation transmission performance to the distal end side. In the connecting structure formed by three members, as a result of focusing on the torsional rigidity of the three members and considering the torsional rigidity ratios between the members, the technical problem for improving the rotation transmission performance to the distal end side can be solved when the torsional rigidity ratios satisfy a predetermined relation.

A bending and extending device 1 comprises an elastic hollow guide unit 2 and a movable part 3 to be movably inserted into the guide unit 2. The movable part 3 is constituted, either partially or entirely, of a plurality of belt-like flexible parts 30a and 30b, which extend in the axial direction of the guide unit 2 and the flexible parts 30a and 30b are connected at distal ends. The bending and extending device 1 is characterized in that, when, by the sliding operation of the flexible parts 30a and 30b, a cross-section in which a contact point T of the flexible part 30a and the inner surface of the guide unit 2 is present on an extending line Y extending from a line segment connecting the centroid P of the flexible part 30b and the axial center G of the guide unit 2 and in which the flexible part 30a and the second flexible part 30b are in contact with each other is generated, and when the cross-section is divided into two ranges by a predetermined straight line X, the centroid P of the flexible part 30b is not positioned in a range in which the contact point T is present; and the predetermined straight line X is a line that passes through the axial center G of the guide unit 2, and that orthogonally crosses the extending line Y.

A shape sensing enabled instrument includes a flexible guide wire or support rod including an outer surface which encapsulates interior features. The interior features include an optical fiber lumen (105) configured to receive one or more optical fibers for optical shape sensing, and a guide wire support rod or the support rod forming a hollow extending longitudinally along the instrument. The guide wire support rod or the support rod is configured to receive the optical fiber lumen therein to permit rotation and translation of an optical fiber and to protect the optical fiber.

The disclosure provides a system and method for a programmable medical wire that can be preprogrammed, and controlled and reshaped upon command. The system can include a power supply, a controller, and a multilayered wire assembly. The wire assembly includes a core conductor, actuator conductors coupled to the core conductor, selective conductors formed adjacent the core conductor and the actuator conductors, and a protective biocompatible shield around the layers. The selective conductors can be energized to activate the actuator conductors and cause the actuator conductors to bend or twist in a preprogrammed manner. By selectively controlling the direction of movement of the actuator conductors, the wire assembly can be remotely guided through body passageways to the target. Auxiliary equipment such as sensors, micro cameras, detectors, cutters, and other equipment can also be coupled to the wire assembly, and controlled and communicated with through one or more of the selective conductors.

The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section of the core extends into and distally beyond the tube structure. The portion of the core extending distally beyond the tube forms a shapeable tip. One or more coils also extend distally beyond the tube. The tip is configured to reduce the tendency of resilient forces from the tube structure to disrupt a customized shape of the tip.

The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section extends into the tube structure. The tube structure includes a plurality of bypass cuts formed tangentially within the tube structure to increase the flexibility of the tube structure and to reduce the tendency of resilient forces from the tube structure to disrupt a shaped distal tip of the guidewire device.

A catheter assembly is disclosed, which includes a catheter, a catheter hub, a guide wire, and a guide wire hub. The guide wire has a guide wire rigidity changing portion that gradually decreases in rigidity from a proximal side toward a distal side, and the catheter has a catheter rigidity changing portion 85 that gradually decreases in rigidity from a proximal side toward a distal side. In the catheter assembly, the catheter hub and the guide wire hub are connected to each other in a state where the distal side of the guide wire is exposed from a distal end of a lumen of a shaft portion and a guide wire rigidity changing point and a catheter rigidity changing point are aligned with each other in an axial direction.

A guide wire includes a plurality of segments which can interlock rotatably relative to one another. A locking element extends through a lumen of the segments. When the locking element is in an unlocked condition the segments are able to rotate relative to one another. In this mode, the guide wire is very flexible. The locking element can be tightened to cause the segments to lock in engagement with one another and to fix the guide wire in position. In practice, the guide wire can be fixed in a curved or bent configuration, which enables the guide wire to provide a rigid support for a microcatheter or other element of an introducer assembly. The guide wire therefore can exhibit both extreme flexibility and stiffness.

A guidewire for a medical device is disclosed. The guidewire includes an elongate body, a proximal connector assembly, a corewire, and a sensor assembly. The body has an annular wall that defines an interior lumen. The proximal connector assembly is coupled to the body and is configured for connection to a medical positioning system. The corewire extends through the lumen. The sensor assembly located on a distal end of the corewire is electrically connected to the proximal connector assembly. The sensor assembly is configured to generate an electrical signal indicative of a position of the sensor assembly in a reference coordinate system defined by the medical positioning system. The body includes a helical cutout extending over a predetermined length of the body. The helical cutout is configured to increase the flexibility of the body over the predetermined length of the body.

Various embodiments of a steerable sheath or catheter are disclosed. The sheath or catheter may comprise a preformed curve or angle proximate the distal end of the sheath or catheter and may comprise either an outer straighter or an inner straightener to deform, or control, the degree of curvature. Other embodiments comprise at least two lumens axially along the sheath or catheter wall that are anchored proximate the distal end of the sheath or catheter and extend proximally to the operator, allowing either pushing or pulling control of the region of the sheath or catheter located distal to the anchoring points of the push or pull wires. The push/pull wires may be used to deform, or at least partially straighten, a precurved section of the sheath or catheter or may be use deform, or at least partially curve a straight section of the sheath.