A catheter including a loop member adjustment mechanism for adjusting a diameter of a loop member is provided. The catheter further includes a longitudinally-extending catheter shaft including a proximal end portion and a distal end deflectable portion, wherein the distal end deflectable portion includes the loop member. The loop adjustment mechanism includes a loop member pull wire, wherein a distal end of the loop member pull wire is attached to the loop member, and a sliding member, located within the handle, wherein the sliding member is configured to translate within the handle, and wherein a proximal end of the pull wire is attached to the sliding member.

A medical device system may include a structure including a first elongate member, a line including a plurality of flexible members, and an actuator coupled to the line to selectively transmit force to at least the first elongate member. The structure may include a delivery configuration in which at least a portion of the structure is arranged to be percutaneously delivered to a bodily cavity. Respective portions of the flexible members may be intertwined together to form a braided portion of the line, and the line may include an unbraided portion secured at least to the first elongate member. The braided portion of the line may be located between the actuator and the first elongate member.

A microminiature electro-magnetic coil sensor pull ring with a pull wire attached thereto is used in changing the angle of a distal end of a medical catheter. The tubular pull ring has a connection recess with a flat bottom machined into the full wall thickness and located proximal to a coil wrap area. Circuit wires are electrically connected to the two lead ends of the coil within the connection recess, such that neither the circuit wires nor the lead ends stand proud of the full wall thickness. The coil wrap area is also recessed, and can have side walls defining an offset angle for the turns of the coil. In another aspect, a coil is wound around one of the pull wires for the pull ring.

A catheter (700) includes a tubular member (702) having a lumen and an outer surface, a sleeve (704) configured to be positioned in the lumen in a retracted configuration and to evert over at least a portion of the outer surface in an everted configuration, and a filament (700) configured to retract the sleeve (702) into the retracted configuration. The catheter includes an aperture (774) proximal of a distal end, where the filament (770) extends through the aperture (774) from the lumen. A pull member (772) may be on a distal end of the filament (770). The filament (770) may be looped, coiled, and/or bunched in the catheter (700) when the sleeve (704) is in the retracted configuration. A shuttle (718) may be attached to a distal end of the sleeve (704), where the shuttle (718) includes a tubular member configured to maintain patency of the sleeve (704), and the filament (770) engages the shuttle (718) to retract the sleeve (704) into the lumen.

A delivery member is provided for delivering and deploying an intravascular medical device. The delivery member includes a flexible distal portion including a wound wire coil surrounded by a flexible sleeve and inhibited from extending lengthwise by a stretch resistant member positioned through the lumen of the coil. The delivery member can include hypotubes positioned on either side (distally and proximally) from the wound wire coil to which the stretch resistant member and the wound wire coil can be attached.

Aspects of the disclosure are directed to methods and/or apparatuses involving the deployment and coupling of catheters. As may be implemented in accordance with one or more embodiments, each of first and second catheters extend from a proximal end to a distal end and has a magnet. The catheters may be deployed, and the distal ends of the respective catheters can be aligned and connected via magnetic coupling of the magnets to one another. A shaft structure is configured and arranged to extend within the first catheter and into the second catheter, through the connected distal ends of the respective catheters.

A catheter device for repositioning or explanting an implantable medical device comprises an outer catheter, and a steerable catheter extending through the outer catheter, wherein the outer catheter is axially movable with respect to the steerable catheter. A snare catheter extends through the steerable catheter, wherein the snare catheter is axially movable relative to the steerable catheter. A mandrel may extend through the snare catheter and comprising a distal end, wherein the mandrel is axially movable relative to the snare catheter. A snare may be arranged on the distal end of the mandrel for establishing a connection to the implantable medical device, wherein the snare, by moving the mandrel with respect to the snare catheter, is at least partially retractable into the snare catheter.

Described are catheters having a distal catheter tube region that can be secured in an anchoring profile by a locking engagement of a filament at a catheter hub. The catheter hub can include a locking arm that cooperates with a hub body to provide a locked position that compresses and positionally fixes a portion of the filament between a fixing surface of the locking arm and a fixing surface of the hub body. The locking arm can define a cutting notch in its outer surface through which a further portion of the filament passes in the locked position, and the further portion of the filament can be cut to release the secured condition of the anchoring profile as the locked position of the hub is maintained. The locked position defined between the hub body and the locking arm can leave at least portions of the respective fixing surfaces of the locking arm and the hub body spaced from one another a distance, when in a relaxed or unstressed condition. The locking arm can include first, second and third holes for routing the filament between the inner and outer surfaces of the locking arm, which can provide a filament path extending through the cutting notch and between the fixing surfaces of the locking arm and hub body. The locking arm can define a cinching notch for cinching and thereby securing a proximal-most segment of the filament.

Methods and devices described for improved catheters including those having a deflectable section to allow for expansion while maintaining flow through a vessel.

Catheter exchange systems and methods may use a cutting tool to sever an encrusted catheter. The cutting tool may include a flexible cannula to encompass and move along the encrusted catheter. A sheath may selectively cover the cutting tool. The cutting tool may selectively transition between a first position in which the cutter is within the sheath and a second position in which the cutting tool is extended beyond the sheath to sever a suture of the catheter. A locking stylet may be used to secure the position of the encrusted catheter and remove the encrusted catheter.