Medical devices including optical connector cable assemblies are disclosed. An optical connector cable assembly may include an optical connector cable having a first optical fiber extending therefrom. The optical connector cable may include a distal connector configured to connect to a guidewire. The distal connector may include an inner housing and a guidewire locking mechanism. The distal connector may also include an actuator. Actuation of the actuator may move the inner housing from a first position to a second position. When the inner housing is in the first position the guidewire locking mechanism is configured to secure the guidewire and the guidewire is rotatable with respect to the optical connector cable. When the inner housing is in the second position the guidewire locking mechanism is in an open state for receiving or removing the guidewire.

Provided is a treatment method and a medical device that can intentionally and locally administer a drug to a lesion area appearing in a narrow blood vessel such as a retinal blood vessel and a spinal blood vessel. The treatment method has an introduction step of introducing a medical elongated body having a drug holder for holding a drug into a living body, an arrangement step of arranging the drug holder at a treatment target inside the living body, and a discharge step of discharging the drug to the treatment target by releasing the drug held by the drug holder.

A guide wire comprising an elongate, flexible core having a proximal region, a proximal end, a distal region, and a distal end; and a plurality of wire strands wrapped helically parallel to one another and disposed on at least a portion of the distal region of the core.

Shapeable guide wire devices and methods for their manufacture. Guide wire devices include an elongate shaft member having a shapeable distal end section that is formed from a linear pseudoelastic nickel-titanium (Ni—Ti) alloy that has linear pseudoelastic behavior without a phase transformation or onset of stress-induced martensite. Linear pseudoelastic Ni—Ti alloy, which is distinct from non-linear pseudoelastic (i.e., superelastic) Ni—Ti alloy, is highly durable, corrosion resistant, and has high stiffness. The shapeable distal end section is shapeable by a user to facilitate guiding the guide wire through tortuous anatomy. In addition, linear pseudoelastic Ni—Ti alloy is more durable tip material than other shapeable tip materials such as stainless steel.

The invention relates to evaluation of maturity of arteriovenous (AV) fistula using guidewires that measure intravascular blood flow and/or pressure. The invention provides methods of evaluating AV fistula maturation using an instrumented guidewire to measure intravascular flow and/or pressure. By using a small diameter guidewire that does not interfere substantially with the flow, an accurate measurement can be made that is useful for identifying when a fistula is mature and therefore ready to be used for hemodialysis. The flow of blood through the fistula is measured using the guidewire and the measured flow and/or pressure of blood is used to determine if the fistula is mature.

A guidewire for use in penetrating through complex and stenosed lesions. The distal tip of the guidewire has a roughened surface to increase frictional engagement with calcified and fibrous tissue to increase the penetration of the distal tip and the guidewire into and through the lesion and reduce the likelihood of deflection of the guidewire tip. The average surface roughness of the distal tip is in the range from 1 micron to 200 microns.

A stylet for placing a catheter in a vasculature of a patient is disclosed. The stylet can include an ECG sensor assembly having an electrode, a magnetic assembly producing a magnetic field, a core wire and a coil defining a lumen. A portion of the core wire can be disposed within the lumen of the coil. An intravascular catheter is disclosed that includes the stylet disposed within a lumen of the catheter. A method of placing a catheter within a superior vena cava of a patient is provided, including inserting the stylet within a lumen of the catheter, connecting the ECG sensor assembly to an ECG system, advancing the catheter along a patient vasculature, discontinuing advancement of the catheter upon an indication via an ECG signal that a tip of the stylet is disposed within the superior vena cava, and removing the stylet from the lumen of the catheter.

A guidewire has a distal-most end portion that retains its desired shape. The guidewire includes a first brazing member joining a distal end of a core shaft to a distal end of an outer coil, and a second brazing member provided adjacent to and on a proximal side of the first brazing member. The guidewire also includes an outer coil surrounding an outer periphery of the core shaft, and an inner coil provided between the outer coil and the core shaft. The second brazing member is provided between the outer coil and the inner coil, but is not provided between the inner coil and the core shaft. The melting point of the first brazing member is higher than the melting point of the second brazing member.

A guide wire configured for intravascular insertion includes a core wire having a flattened portion configured to allow the core wire to preferentially bend in at least one plane that passes through a longitudinal axis of the core wire. A distal most end of the flattened portion is spaced from a distal most end of the core wire. The guide wire may further include a sensor element configured to measure a physiological variable in a living body and a coil surrounding a portion of the core wire.

A guide wire includes a wire main body that has a plate-like portion in a distal end portion of the wire main body and a reinforcement portion that is provided on at least one surface of the plate-like portion and reinforces the plate-like portion. The reinforcement portion is made up of two wire rods, and both end portions of the reinforcement portion are fixed to the plate-like portion. The plate-like portion is formed in a ribbon shape, and the reinforcement portions are diagonally provided on the same plane of the plate-like portion, and intersect each other. The guide wire has a coil that covers the plate-like portion and the reinforcement portion.