A system for locating the tip of a catheter inside a human body is provided. The system includes a sound sensor for sensing the magnitude wave form generated by sound pressure as a PICC is progressed toward a heart of a patient. The systems also includes a monitor operably coupled to the sensor for measuring the magnitude of wave form generated by the sound sensor.

A medical device includes at least one ionic electroactive polymer actuator, the actuator including at least one polymer electrolyte member defining at least a surface and a plurality of electrodes disposed about the surface of the at least one polymer electrolyte member, an elongate, flexible portion defining a proximal end and a distal end secured adjacent to the ionic electroactive polymer actuator and the elongate, flexible portion further comprising a core and a sleeve surrounding the core and a plurality of electrically-conductive wires, each having a proximal end and a distal end coupled to at least one of the plurality of electrodes, wherein the at least one polymer electrolyte member deforms asymmetrically in response to the application of an electrical potential supplied through at least one of the plurality of electrically-conductive wires to at least one of the plurality of electrodes.

In some examples, a catheter includes an elongated body that includes a proximal portion and a distal portion, and one or more electroactive elements in at least one of the proximal portion or the distal portion of the elongated body. The one or more electroactive elements each include a contractive material configured contract in response to an application of an electrical signal to the respective electroactive element. The contraction of the electroactive elements is configured to change a dimension or a shape of the elongated body. The electroactive elements may be distributed around the elongated body at the distal portion of the elongated body, such as in different axial or radial positions. The electroactive elements may comprise a nickel titanium (NiTi) alloy having a Ni:Ti composition of about 50:50.

The presence of the pull wire ring in the distal end portion leads to limited functionality of the distal end of a steerable medical device. A steerable medical device (1) includes a pull wire ring (100a-e) for imparting a bending movement on the steerable medical device. By providing the pull wire ring (100a-e) with an eccentric recess (105a-f) which defines a passage between a first end face (101) and a second end face (105) of the ring, it becomes possible to guide ancillary elements such as electrical lines, data cables and fiber optics past the pull wire ring (100a-e) further towards the distal end of the steerable medical device. By this measure, functionality of the distal end of the medical device is enhanced without obstructing a main lumen of the device.

A device for performing intervention procedures includes an elongated body having a first end and a second end. The elongated body includes a hollow tool channel extending through the elongated body from the first end to the second end. The tool channel is configured to receive an intervention tool and a length-adjusting element disposed at the first end or the second end of the elongated body. The length-adjusting element is configured to enable a length of the elongated body to be adjusted. The elongated body includes an angle-adjusting element disposed along the length of the elongated body. The angle-adjusting element is configured to enable the elongated body to be bent . The device includes an imaging system disposed at the first end or the second end of the elongated body. The imaging system includes an imaging device and an illumination device.

A catheter for ablation, mapping, injection, and directional control by an external magnetic system has a catheter body, an intermediate section, and a tip section having a tip electrode with an omnidirectional distal end and a concentric needle port. The tip electrode houses a magnetic device and a position sensor in an integrated configuration that facilitates a path in the tip section for extension and retraction of a component, including an injection needle, with reduced stress and friction. The integrated configuration is an efficient use of space in the tip electrode that allows the tip section to carry both the position sensor and the necessary volume of magnetic or magnetizable material to accomplish magnetic navigation. The catheter also includes a very soft and flexible intermediate section and an even softer and more flexible distal transitional section carrying additional magnetic members to facilitate remote magnetic navigation.

A magnetically controllable linkage based medical device for interventional medical procedures includes a magnetic tip subassembly including magnet elements thereon; a plurality of linkage body elements connected in sequence, a distal linkage body element coupled to the magnetic tip subassembly, wherein each linkage body element is configured for deflection in at least one deflection direction; a linkage base element coupled to a proximal linkage body element; a support body connected to the linkage base element; at least one pair of control wires passing to the magnetic tip subassembly; wherein the device is configured such that an externally-generated magnetic field deflects the magnetically-controlled linkage-based device in at least one deflection direction, and wherein selectively tensioning the control wires can hold the magnetically-controlled linkage-based device in a desired orientation. The device is configured such that the externally-generated magnetic field which deflects the magnetically-controlled linkage-based device is less than 40 millitesla.

A method of making magnetically controllable devices for interventional medical procedures comprises the steps of: Manufacturing a medical device for interventional medical procedures having magnetic materials which are without permanent magnetization; and establishing permanent magnetization within the magnetic materials subsequent to manufacturing, wherein the permanent magnetization allows the medical device to be magnetically controllable. The method may further including the step of packaging and sterilizing the medical device, wherein establishing permanent magnetization occurs after packaging and sterilization. The establishing permanent magnetization within the magnetic materials may include providing different magnetic orientations to distinct portions of the magnetic materials. The magnetic material includes one of a platinum alloy or a palladium alloy.

A catheter system utilizing one or more sensors is described. The catheter can be used as part of an embolic coil system, guidewire system, or combined embolic coil/guidewire system where the devices interact with the catheter system. A variable detachment embolic coil system and guidewire system are also described.

A device comprises a tubular member with a longitudinal axis having a proximal end and a distal end, at least one partial cut located at, along or near the distal end of the tubular member, the at least one partial cut comprising an orientation that is angled relative to both the longitudinal axis and an axis transverse to the longitudinal axis, a pusher member positioned within an interior of the tubular member and configured to selectively advance the distal end of the tubular member longitudinally, wherein the distal end of the tubular member is configured to at least partially rotate when the pusher member is advanced relative to the tubular member so at to facilitate placement of the distal end in a particular branch of a subject's intraluminal network, wherein the distal end of the tubular member is configured to longitudinally elongate along or near an area of the at least one partial cut.