In some embodiments, the disclosure describes a catheter system for applying energy to a vessel, such as a vein. The system may include an elongate catheter shaft having a distal end and a proximal end opposite the distal end, and an energy application device coupled to the distal end of the elongate catheter shaft. The energy application device may be configured to apply energy to the vessel. The system may also include a gauge positioned relative to a working surface. The gauge may be configured to determine a distance that the elongate catheter shaft travels with respect to a treatment zone.

The present disclosure describes delivery systems for intravascularly delivering one or more interventional devices to a targeted treatment site within a patient's body. A proximal end of a delivery catheter is coupled to a handle. One or more control lines extend from the handle through the delivery catheter to a coupler disposed at or near the distal end of the delivery catheter. Tensioning of the one or more control lines manipulates the coupler to form or adjust a compound curve in the delivery catheter.

A catheter has a distal assembly with at least one loop with ring electrodes. A single continuous puller wire for bidirectional deflection is pre-bent into two long portions and a U-shape bend therebetween. The U-shape bend is anchored at a distal end of a deflectable section which is reinforced by at least one washer having at least two holes, each hole axially aligned with a respective lumen in the deflectable section. Each hole is centered with a lumen so that each puller wire portion therethrough is straight and subjected to tensile force only. A proximal end of the support member is flattened and serrated to provide a better bonding to the distal end of the deflectable section.

For rotation compensation in a catheter, a rotation sensor senses rotation of the handle or catheter. Motors are controlled to change the bend in response to sensed rotation. As the tip rotates due to handle rotation, the motors change the bend to maintain the bend and tip position relative to the patient. This steering in the patient reference frame may be more intuitive, easier to learn, and allow rotation to change an imaging field of view without moving the bending planes.

Introducer sheaths are described. In one embodiment, an introducer sheath comprises a sheath hub, a fixed housing coupled to the sheath hub, a rotating element rotatably coupled to the fixed housing, a sheath tube fixedly coupled to the rotating element, and a lock coupled to the rotating element. The lock is capable of preventing the rotating element and the sheath tube from rotating with respect to the sheath hub.

A pre-curved steerable catheter includes a catheter body (102) having a distal end portion. The distal end portion includes a permanently curved flexible end portion (110). A pull wire (108) is disposed in a pull wire lumen within the catheter body. The pull wire extends from the distal end portion to a proximal end portion of the catheter body wherein the pull wire, when tensioned, provides a change in an angle of the curved flexible end portion of the catheter body.

A system for accessing a body cavity, such as a paranasal sinus, may include a sinus access member and a handle. The sinus access member may include a rigid support tube, a curved shape memory member slidably disposed at least partially within the rigid support tube, a flexible tube slidably disposed over at least part of the curved shape memory member, and proximal coupling end. The handle may include an engagement mechanism at a distal end for releasably attaching to the proximal coupling end of the sinus access member, a housing for gripping with a hand, a curving slider for extending and retracting the curved shape memory member, and an extension slider for extending and retracting the flexible tube relative to the curved shape memory member and the rigid support tube. The handle may be reusable, and the sinus access member may be disposable.

Deflectable guide catheters and methods, including methods for using defectable guide catheters to perform transnasal procedures within the ear, nose, throat, paranasal sinuses or cranium. Some deflectable guide catheters of the present invention comprise a substantially rigid tube, a helical spring attached to and extending from the distal end of the substantially rigid tube, a tubular plastic inner jacket, an outer plastic jacket substantially covering at least the helical spring member. The spring member is deflectable to cause the distal portion of the guide catheter to deflect to a curved configuration. In embodiments for transnasal use the deflectable guide catheter may have a length of less than 25 cm.

Balloon catheters that includes inner and outer elongate shafts, each of which is secured relative to an end of an inflatable member. The inner and outer elongate shafts are secured relative to one another at one more discrete connection locations. The balloon bonding locations are disposed radially inward relative to an outer dimension of the outer elongate shaft.

Disclosed are a sheath adjustable in multiple directions and a transcatheter interventional system. The sheath that can be adjusted in multiple directions includes: a body section, a bending section, connected with the distal end of the body section, the bending section is a multi-layer composite tube body and includes a plurality of segments, the middle layer of the multi-layer composite tube body is a woven mesh, and the density of the woven mesh of the plurality of segments is gradually reduced in the direction from the proximal end to the distal end; and at least a pair of traction mechanisms, each pair of the traction mechanism respectively passes through the bending section and the body section, to adjust the bending angle of the bending section to different directions.