A guide wire includes a core shaft, a coil body disposed around an outer periphery of the core shaft, and a joining portion joining a distal end of the core shaft to a distal end of the coil body 3, An outer periphery of the joining portion has, at its proximal end, an uneven shape in a longitudinal direction of the guide wire. The outer periphery may include a protruded portion that protrudes proximally in the longitudinal direction, and a recessed portion that protrudes distally in the longitudinal direction. The guide wire has improved joining strength between the joining portion and the coil body, preventing the joining portion from detaching from the coil body.

A guidewire comprises an elongate metal core, an inner layer, an optical core, and an outer layer. The metal core is configured to communicate torsional motion from a proximal end of the metal core to the distal end of the metal core. The inner layer extends about the metal core and has a first index of refraction. The optical core is disposed about the inner layer, wherein the optical core is configured to transmit light along the length of the guidewire. The optical core has a second index of refraction, which is greater than the first index of refraction. The outer layer is disposed about the optical core and has a third index of refraction. The third index of refraction is less than the second index of refraction.

A vascular access instrument may be configured to insert through a vascular access device, such as, for example, a catheter assembly. The vascular access instrument may include a wire, which may be monolithically formed as a single unit. The wire may include a coil portion, which may include multiple loops wound around a central axis. The wire may include a core portion extending through the coil portion and aligned with the central axis. In some embodiments, the wire may include a bent portion connecting a distal end of the coil portion with a distal end of the core portion. The bent portion may be blunt and atraumatic.

The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section extends into the tube structure. The tube structure includes a plurality of bypass cuts formed tangentially within the tube structure to increase the flexibility of the tube structure and to reduce the tendency of resilient forces from the tube structure to disrupt a shaped distal tip of the guidewire device.

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.

A vascular access system may include a catheter assembly, which may include a catheter adapter and a catheter extending distally from the catheter adapter. The vascular access system may include an instrument advancement device coupled to the catheter assembly. The instrument advancement device may include a vascular access instrument. The vascular access instrument may include a coil formed by a flat wire wound around an axis into multiple loops. The instrument advancement device may be configured to advance the vascular access instrument from a retracted position to an advanced position beyond a distal end of the catheter. The distal end of the catheter may include a distal opening. The coil may extend through the distal opening of the catheter in response to the vascular access instrument being in the advanced position.

The disclosure relates to medical devices and methods of assembling medical devices, such as MRI-compatible interventional wireguides. An example of a wireguide includes a series of individual segments, a plurality of connectors, and a plurality of spacers. Each segment in the series of individual segments has a first end and a second end. Each connector of the plurality of connectors joins adjacent segments in the series of individual segments to one another such that a first end of a first segment and a second end of a second segment in the series of individual segments are attached to a connector of the plurality of connectors. A spacer of the plurality of spacers is disposed between each pair of adjacent segments in the series of individual segments. Each of the segments in the series of individual segments is electrically insulated from an adjacent segment in the series of individual segments.

Guide wire apparatuses and methods. Guide wires may be utilized for guiding a delivery apparatus, for example a transcatheter mitral valve delivery apparatus to replace a native mitral valve. A guide wire may include a core body having a length, and an outer layer having a length and extending around the core body and along the length of the core body. A guide wire may include an intermediate layer positioned between the core body and the outer layer and configured to be retracted relative to the core body and the outer layer along the length of the core body and the length of the outer layer.

A delivery system for an implantable medical device includes an outer shaft defining an outer shaft lumen and an inner shaft translatable within the outer shaft lumen, the inner shaft defining a lumen extending through the inner shaft. An actuation mechanism extends through the lumen and includes a coupler, a force translation rod that extends proximally from the coupler and a plurality of push pull rods that extend distally from the coupler and that releasably couple to the implantable medical device. The force translation rod includes a transition in electromagnetic permeability. The delivery system includes an inductive coil disposed relative to the force translation rod and positioned to detect a change in inductance resulting from the transition in electromagnetic permeability passing through the inductive coil.

An inserter, a medical elongated body set, and a method of using an inserter can effectively remove air remaining inside a distal portion of a medical elongated body by effectively performing priming on the distal portion of the medical elongated body. An inserter assists a medical elongated body to be inserted into a medical device. The inserter includes a tubular portion having a proximal opening portion into which the medical elongated body is inserted and a distal opening portion that guides the medical elongated body to the medical device, and having a main lumen through which the proximal opening portion and the distal opening portion communicate with each other, and a connector that communicates with the main lumen of the tubular portion, and connects a liquid injection tool.