Implantable leads of a cardiac stimulus system are disclosed, as well as methods for implanting leads of a cardiac stimulus system. The lead may be comprised of a proximal portion having a coupler for coupling to an implantable pulse generator, an intermediate portion comprising a plurality of electrodes disposed thereon, and a distal portion. The intermediate portion may have a first diameter and the distal portion may have a second diameter. The distal portion may also have an attachment feature for attaching to a lead pulling tool for delivery to an ITV and an intercostal vein. Methods may include pulling a lead from a first position to a second position within the vasculature, exiting the vasculature at the second location, and attaching a portion of the lead that exits the vasculature to an electrode or implantable device for use with the lead.

A medical guidewire assembly is movable through a guidewire introducer. A piercing stylet device extends from the medical guidewire assembly. The piercing stylet device is configured to puncture tissue of a patient in response to movement of the medical guidewire assembly through the guidewire introducer toward tissue. An identification device is mounted to the medical guidewire assembly. The identification device is spaced apart from the piercing stylet device. The identification device is configured to enhance the detectible visibility of the piercing stylet device.

Intravascular delivery system for deployment of a therapeutic device (such as a stent, and/or other therapeutic devices including balloon catheter(s), laser catheter(s), intravascular ultrasound (IVUS), Optical coherence tomography (OCT), drug delivery catheter(s), coil delivery catheter(s), etc.) as required by a particular surgical procedure, in a controlled and robust manner is supported by a lockable balloon catheter equipped with a locking mechanism configured to lock in vivo to a delivery component, such as a guidewire. The lockable balloon catheter can be controllably transitioned between locked and unlocked modes of operation by inflation/deflation of the balloon of the lockable balloon catheter. The system provides an enhanced interlocking interface between the delivery component and an inner shaft by a unique configuration of the inner shaft. Connection of the inner shaft/guidewire and/or outer shaft/inflation lumen to the balloon is by an extended “neck” at the end(s) of the balloon which snuggly envelopes the portions of the inner and/or outer shaft(s) entering/exiting the balloon, thus avoiding the bonding and simplifying fabrication process. Being in the locked mode of operation, the lockable balloon catheter facilitates delivery of the therapeutic device along the delivery component to a target site while enhancing the stability of the delivery component, especially near the target site.

Disclosed is a guidewire having a core wire and an outer tube within which the distal section of the core is inserted. The outer diameter of the tube is greater than the outer diameter of the proximal section of the core wire. The guidewire also includes a proximal coil and a distal, radiopaque coil each disposed over the distal section of the core. A bushing coil is disposed over the proximal coil and distal coil. The proximal coil, distal coil, and bushing coil aid in filling the annular space between the core and the tube and thereby centering and aligning the core and tube.

A guide wire has a core shaft. The core shaft includes a body portion and a layered portion. The body portion contains a nickel-titanium-based alloy as a main component, the nickel-titanium-based alloy having a superelastic property. The layered portion includes an inner layer formed on a part of an outer peripheral face of the body portion and containing a nickel alloy as a main component, and an outer layer formed on the inner layer and containing a titanium oxide as a main component.

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.

A guide wire deployment system that can be utilized as a pre-surgical procedure without the need for radiology imaging. The clip marker would include light and sonic sensors to determine angular orientation and distance from the needle. Wireless communication between the handheld insertion device and the clip marker would provide information to guide the needle to the clip marker location. The guide wire would then be pushed from the needle and laid in a path to outside the patient.

A medical probe includes a guidewire, a magnetic position sensor, and an ultrasound (US) transducer. The guidewire is configured for insertion into a blood vessel of a patient. The magnetic position sensor is fitted at a distal end of the guidewire and is configured to produce signals indicative of a position of the distal end. The US transducer is fitted at the distal end of the guidewire and is configured to transmit US waves inside the blood vessel, and acquire respective US echoes indicative of blood velocity in the blood vessel.

A system comprising: a fluid supply configured for the delivery of a fluid; a hollow body in fluid-communication with the fluid supply, the hollow body configured to be disposed between a first biological surface and a second biological surface; and a mechanism configured to control delivery of fluid from the fluid supply and through the hollow body to create separation between the first biological surface and the second biological surface.

A guidewire includes: a shaft having a proximal end, a distal end, and a body extending from the proximal end to the distal end; a blunt tip; and a sleeve; wherein the body of the shaft comprises at least a segment that is surrounded by the sleeve, the segment coupled to the blunt tip; and wherein the segment of the body of the shaft comprises a flat portion having one or more openings extending through a thickness of the flat portion.