Guidewire-management devices and systems thereof are disclosed herein. A guidewire-management device can include a guidewire, a first sleeve, and a second sleeve. The first sleeve can be configured for distally feeding the guidewire out of the guidewire-management device. The first sleeve can also be configured for proximally feeding the guidewire into the guidewire-management device. The second sleeve can be proximal of the first sleeve in the guidewire-management device. The second sleeve can be configured for feeding the guidewire in concert with the first sleeve. At least a length of the guidewire extending between the first sleeve and the second sleeve can be disposed within a sterile barrier configured to maintain sterility of the guidewire.

An intravascular device (1) is configured such that a first end section (1a) is disposed in a blood vessel of an organism, and an electrode for detection or stimulation of nerve tissue located outside the blood vessel is provided to the first end section (1a). The intravascular device (1) includes: an electrically-conductive wire member (10); at least one electrode member (20) that is provided on the first end section (1a) side and that is electrically connected to the wire member (10); and difference reduction sections (30, 40) that reduce a level difference caused by an outer diameter difference between the outer diameter of the electrode member (20) and the outer diameter of the wire member (10). The electrical resistance between the electrode member (20) and a second end section (1b) of the wire member (10), which is on the side opposite from the first end section (1a), is 100? or less.

A medical guidewire includes a flexible spiral coil, a fiber, and a strengthening element. The coil is configured to guide a medical device into a patient body. The fiber extends along at least part of the coil, is coupled to the at least part of the coil at one or more first predefined locations and is configured to mechanically strengthen the at least part of the coil. The strengthening element is coupled to one or more second predefined locations along a distal section of the coil, and is configured to mechanically strengthen the distal section.

Systems and methods for extending a guidewire from an insertion tool are disclosed. A guidewire assembly includes a slider configured to engage a guidewire carrier. The guidewire carrier defines a lumen configured to receive a guidewire therein. The guidewire carrier is biased to a non-linear, coiled resting state and can elastically transition to a linear extended state. As the guidewire assembly and slider are urged distally, the slider transitions the guidewire carrier from the non-linear state to the linear extended state. A distance travelled by the slider is less than a distance travelled by a tip of the guidewire as the guidewire carrier transitions from the coiled state to the linear state.

A lumen re-entry system includes a helically wound coil having open proximal and distal ends, and defining a longitudinal movement axis. The helically wound coil includes a distal segment that is relaxed relative to a proximal segment. A tip deflection wire is attached to the relaxed distal segment and coaxially disposed relative to the helically wound coil. Movement of the tip deflection wire moves the lumen re-entry system from an advancement configuration in which the open distal end of the helically wound coil is substantially aligned with the longitudinal movement axis to a deflected configuration. The lumen re-entry system also includes a puncture wire slidably received within the helically wound coil and having a distal puncture tip.

An endoscope includes: a bending portion, a wire, and a coil sheath, including a single element wire, an outer peripheral face of which is formed to be a curved face on one side of the outer peripheral face and to be a flat surface on another side of the outer peripheral face, the coil sheath being passed inside by the wire and configured by being helically wound by the element wire along a longitudinal direction such that the outer peripheral face formed to be the curved face and the outer peripheral face formed to be the flat surface are in contact with each other.

Provided is a guide wire having a novel structure, with which it is possible to improve production efficiency and to effectively prevent large irregularities from forming on an outer circumferential surface of a core wire. Further provided is a guide wire having a novel structure, with which it is possible to more meticulously set bending rigidity to a distal end portion thereof. In a guide wire having a coil externally mounted about a distal end portion of a core wire, a proximal end portion of the coil is integrally joined to the core wire during formation of the coil. Furthermore, in a guide wire having a coil externally mounted about a distal end portion of a core wire, a cross-sectional shape of a wire that constitutes the coil varies in a lengthwise direction of the coil.

Apparatus, including a guidewire, having a distal end dimensioned to penetrate into a nasal sinus and a balloon, which is fitted over the guidewire in proximity to the distal end. There is an inflation channel, which runs along the guidewire and is coupled to convey a pressurized fluid into the balloon so as to inflate the balloon. The apparatus also includes a first electrode, fixedly attached to a distal tip of the guidewire, and a second electrode, fixedly attached to the guidewire at a location proximal to the distal tip. There are conductive leads running along the guidewire and coupled to apply an electrical potential between the first and second electrodes.

A catheter insertion device and method for insertion. The catheter insertion device can include a housing, a needle attached to a needle carrier, a catheter including a catheter shaft attached to a catheter hub, and a guidewire. The guidewire can include a coil tip positioned in a lumen of the needle. The method for insertion can include inserting a distal end of the needle and the catheter shaft into a blood vessel of a patient, advancing the coil tip out of the needle lumen and into the blood vessel, advancing the catheter over the guidewire, and withdrawing the guidewire and the needle from the catheter. The coil tip can include a straightened configuration and a coiled configuration. The coil tip can transition from the straightened configuration in the needle lumen to the coiled configuration in the blood vessel.

Apparatus, including a guidewire, having a distal end dimensioned to penetrate into a nasal sinus and a balloon, which is fitted over the guidewire in proximity to the distal end. There is an inflation channel, which runs along the guidewire and is coupled to convey a pressurized fluid into the balloon so as to inflate the balloon. The apparatus also includes a first electrode, fixedly attached to a distal tip of the guidewire, and a second electrode, fixedly attached to the guidewire at a location proximal to the distal tip. There are conductive leads running along the guidewire and coupled to apply an electrical potential between the first and second electrodes.