A guide wire includes a core shaft, a coil body disposed around an outer periphery of the core shaft, and a joining portion joining a distal end of the core shaft to a distal end of the coil body 3, An outer periphery of the joining portion has, at its proximal end, an uneven shape in a longitudinal direction of the guide wire. The outer periphery may include a protruded portion that protrudes proximally in the longitudinal direction, and a recessed portion that protrudes distally in the longitudinal direction. The guide wire has improved joining strength between the joining portion and the coil body, preventing the joining portion from detaching from the coil body.

An instrument includes a handle assembly, a shaft, a dilation catheter, and a position sensor. The shaft extends distally from the handle assembly. The shaft includes a distal end that is configured to be introduced into an anatomical passageway within a head of a human. The dilation catheter includes an expandable dilator and is configured to advance distally relative to the shaft. The position sensor is configured to generate signals indicating a position of the position sensor within the head. The position sensor is configured to advance distally between at least first and second positions. The position sensor is disposed adjacent the distal end of the shaft in the first position, and is configured to be carried further distally by the dilation catheter to the second position. In the second position, the position sensor is separated a distance from the distal end of the shaft.

A urinary catheter is readily removed and replaced with a second urinary catheter without introducing foreign matter or contaminants into the bladder. The first urinary catheter includes an extra lumen that houses a sheath, which sheath seals the extra lumen from introduction of fluids. The sheath seals an opening or third hole at or near the tip of the catheter. After the sheath seal is broken and the sheath is extracted from the catheter, a guidewire is threaded through the extra (third) lumen and into the patient's bladder. The first urinary catheter is withdrawn from the patient, leaving the guidewire in the patient. A second urinary catheter is inserted into the patient over the guidewire, with the guidewire present in the urine lumen of the second urinary catheter. The guidewire then is extracted from the patient. The second urinary catheter may also have an extra or third lumen and a sheath with a break-away seal so that the second urinary catheter may be removed and replaced in like manner.

A vascular access instrument may be configured to insert through a vascular access device, such as, for example, a catheter assembly. The vascular access instrument may include a wire, which may be monolithically formed as a single unit. The wire may include a coil portion, which may include multiple loops wound around a central axis. The wire may include a core portion extending through the coil portion and aligned with the central axis. In some embodiments, the wire may include a bent portion connecting a distal end of the coil portion with a distal end of the core portion. The bent portion may be blunt and atraumatic.

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 guide wire is disclosed for guiding a tubular elongated body to be inserted into a living body can include: an elongated shaft portion that has flexibility; a puncture portion that is disposed at a distal end portion of the shaft portion and forms a hole in a biological tissue; and a cover portion that is formed of a wire member wound in a spiral shape, has a contraction portion that is contractible, and covers the puncture portion. The contraction portion is capable of causing the puncture portion to protrude from the cover portion by contracting the contraction portion in a linear state. When the contraction portion is in a curved state, the contraction portion is restricted in contraction so that the puncture portion does not protrude from the cover portion by contact of adjacent wire members on a concave side.

A stop-movement device is configured to be mounted to a first elongated medical assembly and a second elongated medical assembly. The stop-movement device has a body configured to stop, at least in part, relative movement between the second elongated medical assembly and the first elongated medical assembly.

A catheter insertion device and method for insertion. The catheter insertion device can include a housing, a needle attached to a needle carrier, a catheter including a catheter shaft attached to a catheter hub, and a guidewire. The guidewire can include a coil tip positioned in a lumen of the needle. The method for insertion can include inserting a distal end of the needle and the catheter shaft into a blood vessel of a patient, advancing the coil tip out of the needle lumen and into the blood vessel, advancing the catheter over the guidewire, and withdrawing the guidewire and the needle from the catheter. The coil tip can include a straightened configuration and a coiled configuration. The coil tip can transition from the straightened configuration in the needle lumen to the coiled configuration in the blood vessel.

A guidewire made from a drawn-filled tube composite wire is described. The composite wire has a stainless steel outer sheath jacketing a nitinol core wire. The drawn-filled tube composite wire is ground at its distal end to expose the nitinol core, which has superelastic and kink resistant properties that are desirable for the distal end of a guidewire. The proximal end of the drawn-filled tube is not ground or if ground, the outer sheath of stainless steel is not removed to an extent sufficient to expose the nitinol core.

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 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.