A sensor guide wire for intravascular measurements of at least one physiological or other variable in a living body, comprising a proximal region, a distal sensor region, and a tip region, and at least one sensor element arranged in said sensor region and configured to measure the variable and to generate a sensor signal in response to the variable. The sensor guide wire further comprises a core wire, with a tip core wire portion, wherein at least part of the tip core wire portion comprises a shape memory material, and the composition of the shape memory material is such that the transformation temperature of the shape memory material is above the body temperature of the living body.

The present disclosure describes devices, systems, and methods for intravascularly delivering an implantable device to a targeted anatomical site such as the mitral annulus. A delivery system includes a delivery member coupled to a handle assembly and extending distally from the handle assembly. A delivery catheter is concentrically positioned within an outer member and configured to advance the intravascular device relative to the outer member. The delivery catheter includes a distal can structure configured to house at least a portion of the intravascular device in a compressed, pre-deployed position.

Drug delivery systems and methods are disclosed herein. In some embodiments, a drug delivery system can be configured to deliver a drug to a patient in coordination with a physiological parameter of the patient (e.g., the patient's natural cerebrospinal fluid (CSF) pulsation or the patient's heart or respiration rate). In some embodiments, a drug delivery system can be configured to use a combination of infusion and aspiration to control delivery of a drug to a patient. Catheters, controllers, and other components for use in the above systems are also disclosed, as are various methods of using such systems.

A guidewire configured to reduce the incidence of medical accidents when using guidewires including, but not limited to, the incidence of guidewires accidentally being pushed completely into a patient through a needle in the patient, guidewires accidently being left inside patients after the placement of central venous (and other) catheters, and guidewires accidently being left inside patients after removal of the catheter (at the end of an operation of other medical procedure). In particular, an intermediary portion (in the form of a new shape (referred to herein as an obstruction portion), an impeding portion, or an alternate (e.g., more flexible) material) of the guidewire inhibits further advancement into the needle with pushing motion. (The intermediary portion can be implemented as an additional portion connected between the patient-side portion and the doctor-side portion of the guidewire as well.)

The present disclosure relates to core-wire joints for micro-fabricated medical devices, such as guidewires. A hybrid guidewire device includes a core (102) having a joint (105) between a proximal section (110) and a distal section (112) of the core and a tube structure (104) surrounding the joint. The proximal section of the core is made of or includes stainless steel and the distal section is made of or includes a superelastic material such as nitinol. Further, the terminal, distal portion of the proximal section of the core includes serrations (116), and a terminal, proximal portion of the distal section of the core includes complementary serrations (118) sized and shaped to interlock with serrations (116). The distal end of the proximal section mechanically interlocks with a proximal end the distal section to form the joint.

A trans-atrial septal catheter system for delivery of a steerable sheath into the left atrium contains three components. The first component is a three-segmented needle-guide wire composed of a distal needle designed to flex sharply in relation to the conjoined looped guide wire segment after fossa ovalis puncture and needle advancement. The distal guide wire loops are advanced into the left atrium maintaining the angled needle in a central location relevant to the loops for preserving an atraumatic position while stabilizing the loops in the left atrium. The elongated proximal extra stiff guide wire segment is conjoined to the looped segment which crosses the fossa ovalis and extends proximally to become externalized to the femoral vein. This segment is extra stiff and significantly elongated to permit catheter and device exchanges. The guide wire serves as a support rail over which the dilator and sheath can be advanced into the left atrium. This transseptal system is uniquely forward looking and permits cautious and iterative delivery of the dilator into the fossa ovalis for tenting by way of a proximal sheath activator that interacts with the dilator. The proximal externalized GW is then advanced to permit puncture of the fossa ovalis. After puncturing a precise location of the fossa ovalis, the needle and coiled guide wire loops are further advanced into the left atrium. With the proximal activator, the dilator is advanced across the fossa ovalis into the left atrium using single-handed maneuvering for separate dilator advancement and steering of the sheath by way of turning or actuating the sheath handle.

A connection structure includes a multi-thread coil formed by winding first metal element wires formed of a first metal and second metal element wires formed of a second metal arranged between a first metal body including the first metal and a second metal body including the second metal. The first metal body is connected to the first metal element wires of the multi-thread coil, and the second metal body is connected to the second metal element wires of the multi-thread coil. The connection structure imparts improved flexibility to the connection between the first and second metal bodies, and an appropriate connection can be provided even when the first and second metal bodies are made of dissimilar metals.

An integrated guidewire includes a wire and an optical fiber. The wire is sized and shaped to move in an anatomical material transportation system of a patient. The optical fiber has proximal and distal ends, the proximal-end is coupled to a device external to the patient, the optical fiber is configured to transfer optical signals between the distal-end and the device, and the wire and the optical fiber are intertwined with respect to one another.

Guidewires and methods of use of guidewires having improved atraumatic tips that can distribute force to lessen trauma as well as anchor the guidewire to facilitate improved catheter exchange.

A looped wire is provided for placing an endograft into a blood vessel. The looped wire comprising a flexible guidewire with one or more loops distributed along its length. The one or more loops have an inner diameter that is larger than the thickness of a suture or wire for threading the suture or wire through. The one or more loops is adapted for sliding along the suture or wire. Endograft system comprising the looped wire, and methods of using the looped wire are also provided.