Apparatus and methods for clearing obstructions from a medical tube are disclosed. In an exemplary embodiment, a spool drive system is disclosed for actuating a guide wire within a medical tube. The spool drive system can be a hand held, disposable device having a spool housing with a spool therein for alternately advancing and withdrawing a guide wire through an inlet of the spool housing. A track can be spaced from and extend about a perimeter of the spool to direct the guide wire onto or off of the spool as the spool is rotated. Other embodiments and devices for actuating the guide wire, and methods therefor, also are disclosed.

A method of treating an occlusion in a body lumen of a patient is described. The method uses advancing a first end of a wire guide through the body lumen of the patient from an entry point towards a first side of an occlusion. The method also advances the first end of the wire guide through the occlusion to a second side of the occlusion. The method further advances the first end of the wire guide through a second entry point and out of the lumen. The method involves removing a portion of the first end of the wire guide extending outside the second percutaneous entry point to expose a modified terminal end of the wire guide.

A method for removing material within a body lumen of a patient is disclosed. The method include introducing a distal end of a tubular member into a body lumen. The tubular member has a guide member extending distally from the distal end. Next, the tubular member is positioned such that the distal end is disposed adjacent material to be removed and a distal tip of the guide member is disposed beyond the material. One or more lumen clearing elements are then deployed from the distal tip of the guide member. Each lumen clearing element includes an expandable structure that expands from a contracted condition within the guide member to an expanded condition when deployed from the distal tip. Then, the deployed one or more lumen clearing elements are retracted along a track of the guide member to engage the material disposed adjacent the distal end of the tubular member and draw the material into a lumen of the tubular member.

Intravascular devices, systems, and methods are disclosed. In some embodiments, side-loading electrical connectors for use with intravascular devices are provided. The side-loading electrical connector has at least one electrical contact configured to interface with an electrical connector of the intravascular device. A first connection piece of the side-loading electrical connector is movable relative to a second connection piece between an open position and a closed position, wherein in the open position an elongated opening is formed between the first and second connection pieces to facilitate insertion of the electrical connector between the first and second connection pieces in a direction transverse to a longitudinal axis of the intravascular device and wherein in the closed position the at least one electrical contact is electrically coupled to the at least one electrical connector received between the first and second connection pieces.

The present document describes a pressure guidewire. It comprises a shaft tube having a proximal section and a sensor housing having a distal end, the proximal section and the sensor housing being the continuity of the same shaft tube. A fiber optic pressure sensor is embedded in the sensor housing and comprises an optical fiber extending within the sensor housing, the sensor adapted to measure a pressure of a fluid which is substantially applied in an axis collinear with the longitudinal axis of the guidewire. A marker band, to help in localizing the pressure guidewire in a patient's vessels, is embedded inside the sensor housing and fixed to the optical fiber for holding the pressure sensor inside the sensor housing.

A sheath is transluminally introduced a sheath into an atrium of a heart of a subject. A guide member is advanced out of the sheath and to a chorda tendinea of the heart, the guide member having a proximal portion that includes a longitudinal element, and a distal portion that includes a helical chord-engaging element. The chord-engaging element is wrapped around the chorda tendinea. While the chord-engaging element remains wrapped around the chorda tendinea, (i) the chord-engaging element is slid over the chorda tendinea toward a papillary muscle that is coupled to the chorda tendinea; and (ii) subsequently, a tool is moved out of the sheath and toward the papillary muscle by sliding the tool along the longitudinal element. Other embodiments are also described.

An instrument includes a handle assembly, a shaft, a dilation catheter, and a position sensor. The shaft extends distally from the handle assembly. The shaft includes a distal end that is configured to be introduced into an anatomical passageway within a head of a human. The dilation catheter includes an expandable dilator and is configured to advance distally relative to the shaft. The position sensor is configured to generate signals indicating a position of the position sensor within the head. The position sensor is configured to advance distally between at least first and second positions. The position sensor is disposed adjacent the distal end of the shaft in the first position, and is configured to be carried further distally by the dilation catheter to the second position. In the second position, the position sensor is separated a distance from the distal end of the shaft.

An apparatus includes a handle assembly, a guide member extending distally from the handle assembly, and a dilation catheter slidably disposed relative to the guide member. The dilation catheter includes an expandable element configured to dilate a paranasal sinus ostium of a patient. A navigation sensor is movably disposed at the distal end of the guide member and is operable to generate a signal corresponding to a location thereof within the patient. The navigation sensor is configured to translate distally with the dilation catheter relative to the guide member when a distal end of the dilation catheter translates distally beyond the distal end of the guide member. The navigation sensor is further configured to assume a position at the distal end of the guide member when the distal end of the dilation catheter retracts proximally of the distal end of the guide member.

In an embodiment, an intraluminal device is disclosed. One embodiment of the intraluminal device comprises a flexible elongate body comprising a distal portion configured to be positioned within a body lumen of a patient and a functional device disposed at the distal portion of the flexible elongate body, the functional device configured to obtain physiological data or perform a treatment within the body lumen. The intraluminal device further comprises a stiffening member moveably disposed within and along a longitudinal length of the flexible elongate body without extending beyond a distal end of the flexible elongate body, the stiffening member being moveable during an intraluminal procedure to selectively vary a stiffness of the intraluminal device.

A medical device and its method of use includes a catheter, at least two electromagnetic sensing coils located within the distal tip of the catheter, and a multi-element planar ultrasound transducer array located within the distal tip of the catheter and configured to transmit and receive ultrasonic energy. The device also includes an imaging system coupled to the ultrasound transducer and is used for creating an image of tissue in a first target plane that extends orthogonally from the catheter body. The medical device also includes a backscatter evaluation system for use in receiving and evaluating the acoustic spectral characteristics of tissues within a second target area within the first target plane.