The present invention discloses a steering device for use in a body lumen of a patient. The steering device comprises a flexible tube; a plurality of spaced-apart elements positioned along at least a portion of the tube; wherein the plurality of spaced-apart elements and the tube form a single integrated unit; and at least two steering wires having at least a portion passing through the spaced-apart elements and at least a portion passing within the tube. According to another broad aspect of the present invention, there is provided a steering device for use in a body lumen of a patient, comprising: a flexible tube; at least two steering wires having at least a portion passing within the flexible tube; at least two spring-like sleeves; each spring-like sleeve at least partially enclosing a steering wire respectively; wherein the spring-like sleeve has a variable pitch along its length; such that the flexible tube comprises at least two portions having different bending properties.

In a bending tube for endoscope on which torsion preventing tab mechanisms are provided on the respective middle parts of first and second slots for bending located in an area from the proximal end of a bending tube body to a predetermined position on the distal end side (the torsion suppressing area), and the bending tube body being permitted to bend by the first and second slots for bending, the torsion preventing tab mechanism of at least any one of the first and second slots for bending arranged on the proximal end side of each of arrays (first and second arrays), other than the first and second slots for bending located at the most proximal end, among the first and second slots for bending arrayed in a same line, respectively, along a longitudinal direction of the bending tube body, is removed.

A system for accessing a central pulmonary artery includes an elongate, flexible tubular catheter, having a proximal end, a distal end and a catheter hub on the proximal end. An elongate, flexible rail has a proximal end, a distal end and a rail hub on the proximal end. The rail has a distal advance segment which extends at least about 10 cm beyond the distal end of the catheter when the catheter hub is adjacent the rail hub.

The present invention is an access sheath comprising a tube or sheath with a passageway primarily for endoscopic procedures accessing the ureter through the bladder. The sheath has a bend limiting feature to limit the bend angle or bend radius. The sheath exhibits flexibility up to this limit at which point it becomes rigid. Excessive force is required to bend the sheath beyond the bend limit and would result in the kinking of the tubular frame.

The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.

An elongated member which is deflectable and hollow and which is configured for deflection that follows the shape of a biological organ for smooth movement within the organ. The elongated member includes: an operating member configured to deflect the elongated member or deform the elongated member into a linear state; and a deflection mechanism at least including a guide portion having a grooved portion formed thereon, an engaging portion engageable with the grooved portion and a supporting portion configured to support the engaging portion for relative movement on the guide portion; a gap being formed between the guide portion and the engaging portion so as to allow movement of the engaging portion in the grooved portion.

An instrument for endoscopic applications, including a tubular member having a handling end portion having a flexible portion and actuating devices located at the other end portion, and longitudinal elements for transferring the movement of the actuating devices to the handling end portion resulting in a change of orientation thereof, whereby the handling end portion includes at least two independent flexible portions, whereby the actuating end portion has a corresponding number of actuating devices, and whereby each actuating device is connected by its own set of longitudinal elements to a part of the handling end portion for effecting a change of orientation of one of the flexible portions.

An elongated catheter includes a tissue-engaging device configured to be urged to move and contact a first surface of the first biological wall. The tissue-engaging device extends from the distal catheter section. The tissue-engaging device is configured to be urged to puncture through the first biological wall. The tissue-engaging device is also configured to be urged to contact the first biological wall without impinging the second biological wall, after the tissue-engaging device has punctured through the first biological wall.

A transseptal needle or punch wherein the distal end of the transseptal needle is able to articulate laterally out of the longitudinal axis of the steerable transseptal needle. The transseptal needle further comprise a blunted distal end configuration that is minimally traumatic. Under control by the user or a computer, at the proximal end of the transseptal needle can be articulated to generate various curves with high bending force. The transseptal needle is configured for use within a transseptal introducer.

A device, a method of making a device and a method of inserting a device into a tubular path. The device includes a tubular sheath with one or more helical slots formed therein and a control element that fits within the sheath. In one form, the device is an endoluminal device that simultaneously improves flexibility and structural rigidity though variations in one or both of slot width along the length of the slot and slot pitch along the length of the tubular sheath. When the operator pulls at the proximal end of the control element while holding the outer sheath in place, the slots will tend to close in a preferential manner such that more precise control of device length and bending is enabled, while simultaneously providing improvements in structural rigidity during device insertion and navigation through a body lumen or related tubular member where tortuous paths may be encountered along the member path.