An axial support structure for a flexible elongate device includes a plurality of rigid links coupled by pin joints. Each of the plurality of rigid links comprises a shaft, a pair of male joint connectors extending axially from a first end of the shaft, and a pair of female joint connectors extending axially from a second end of the shaft opposite the first end. The female joint connectors are complementary to the male joint connectors and are rotated by 90 degrees relative to the male joint connectors. Each of the plurality of rigid links is rotated by 90 degrees with respect to neighboring links among the plurality of rigid links, thereby aligning each pair of male joint connectors with a neighboring pair of female joint connectors to form the pin joints.

Disclosed herein are expandable introducer sheaths and methods of making and using the same. The sheaths minimize trauma to a patient's vasculature by allowing for temporary expansion of a portion of the sheath state after passage of the device. The sheath includes a rolled inner member having a detachable flap structure at its distal tip that facilitates expansion of the sheath lumen to increase diameters. Also, the flap structure reduces the number of layers at the tip, lowering push forces. An elastomeric free end of the tip helps reduce push and retrieval forces for balloons and implants. The expandable sheath includes an elastic outer layer that compresses the inner member and flap back into the rolled, compressed condition after the passage of the device.

A lavage catheter for the treatment of a maxillary sinus is described. The catheter comprises a proximal portion and a distal portion. The distal portion comprises an irrigation tip. The irrigation tip has a tip opening through which fluid may be delivered by one handed operation of the catheter. A method for lavaging the maxillary sinus includes inserting the lavage catheter into a patient's anatomy and advancing the irrigation tip into the maxillary sinus using one hand.

A steerable-catheter handle includes an outer housing with a multilumen catheter body extending generally distally therefrom. An internal track, including at least one track-defining lateral edge element, is disposed between distal and proximal terminal ends of the outer housing, which also houses a manifold engaged with the catheter body, a working-channel port member in fluid and mechanical communication with at least a first catheter lumen, a vacuum channel port member in fluid communication with at least one catheter lumen via one or both of the working channel port member and the manifold, and a generally proximal catheter port open to the internal track, where a distal endmost portion of the catheter mechanically communicates with one or more control surfaces so that the distal endmost portion of the catheter is deflectable along at least two intersecting axes, and where a portion of the catheter body extends removably through the internal track.

A secure attachment method and structure for a wire (including non-metallic fiber, yarn, cable, etc.) is provided within a steerable catheter that includes a proximal end, a distal end, and an intermediate catheter body length therebetween, with at least a first catheter lumen extending longitudinally through the catheter body, at least a first elongate wire disposed longitudinally through the first catheter lumen, and an adhesive substantially within, and securing the wire to, a dilated distalmost length of the first longitudinal lumen, where at least a lengthwise portion of the wire is frayed or otherwise at least partially disaggregated. The structure and method provides for robustly secure affixation that will allow steering/deflection control by manipulation of another portion of the wire.

A spool and gear mechanism for tensioning and manipulating the steering/deflection control wires of a steerable catheter device provides for a desired level of tension that will allow operation of the device without too little or too much tension in those wires. In a wire-tensioning mechanism for a steerable catheter, the mechanism includes at least a first and second steering/deflection control wire each attached to the spool by winding around its own detent-engaged rotatable gear in the spool and extending out through a radial wall of the spool to engage into a steerable catheter body. In a multi-spool system, the wire-tensioning/winding gears of each spool preferably are accessible for adjustment via apertures of an adjacent spool.

A coagulation suction device having an insulation cover and first and second bipolar wires. The insulation cover has a distal end and a distal opening formed at the distal end, and a hollow cavity configured to receive a hollow suction tube. The first and second bipolar wires are encapsulated within the insulation cover and extend along the insulation cover to the distal end. The first and second bipolar wires extend distally beyond a distal-most surface of the insulation cover, and each have an exposed distal end. The exposed distal ends are bent toward each other and terminate adjacent to and spaced apart from each other.

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.

An apparatus device features a housing; an input/output (I/O) interface, and one or more control logic units deployed to operate within the housing and communicatively coupled to the I/O interface. Each of the one or more control logic units can be configured to (i) control operations of at least one medical device controlled by a control logic unit of the one or more control logic units when the medical device is communicatively coupled to the I/O interface, and (ii) collect a subset of data acquired at least during placement of a vascular access device within a vasculature of a patient.

A method may include accessing an artery in communication with an ophthalmic artery of a subject, and advancing a microcatheter along the accessed artery so as to align a distal end of the microcatheter with an ostium of the ophthalmic artery, wherein the microcatheter includes a lumen having a guidewire positioned therein. In addition, the method includes proximally withdrawing the guidewire relative to the microcatheter so as to enable a distal portion of the microcatheter to assume a curved relaxed configuration, and cannulating the ostium with the distal portion of the microcatheter when the distal portion is in the curved relaxed configuration.