Medical Guidewire Assembly and / or Electrical Connector

Abstract

Disclosed is a flexible medical guidewire assembly configured to be inserted into a confined space defined by a living body. The sensor assembly is securely supported by the flexible medical guidewire assembly. This is done so that once the flexible medical guidewire assembly is inserted into and moved along the confined space defined by the living body, the sensor assembly and the flexible medical guidewire assembly are movable along the confined space defined by the living body. Also disclosed is an electrical connector assembly having a connector terminal. The connector terminal is configured to be electrically connectable with a terminal portion of the flexible medical guidewire assembly. The terminal portion is electrically connected to the sensor assembly of the flexible medical guidewire assembly via an electrical wire.

Description

[Technical field]

[0001] This document relates to (and is not limited to) the technical field of medical devices, (more specifically) this document relates to (and is not limited to) the technical field of medical guidewire assemblies (and / or methods therefor), and (even more specifically) this document relates to (and is not limited to) the technical field of electrical connectors for medical guidewire assemblies (and / or methods therefor). [Background technology]

[0002] Known medical devices are configured to facilitate medical procedures and to assist medical personnel in diagnosing and / or treating medical conditions in medical patients. Summary of the Invention

[0003] It will be appreciated that a need exists to alleviate (at least in part) at least one problem associated with existing (known) medical devices (also referred to as existing technology). After much research and experimentation with existing (known) medical devices, an understanding of the problem and a solution thereto have been (at least in part) identified and (at least in part) articulated as follows:

[0004] Cardiac catheterization is a medical procedure for the insertion of a catheter into a (patient's) cardiac chamber or blood vessels of the heart. This may be performed for diagnostic and / or interventional purposes. A common example of cardiac catheterization is coronary catheterization, which involves the catheterization of the coronary arteries for the treatment of coronary artery disease and myocardial infarction (heart attack). Catheterization may be performed in a special laboratory equipped with fluoroscopy and a highly maneuverable table (the special laboratory may be equipped with various sizes of catheters, stents, balloons, etc. cabinets to improve the operational efficiency of the special laboratory). Monitors may show (display) fluoroscopic imaging, electrocardiogram (ECG or EKG) data, pressure wave images, etc.

[0005] Transseptal catheterization is a medical procedure used by interventional cardiologists to gain access to the left atrium of the patient's heart. This medical technique was first introduced for left-sided pressure measurements and has been integrated in a variety of procedures, including left atrial ablation and percutaneous mitral valvuloplasty, among others.

[0006] Cardiac ablation is a medical procedure to scar or destroy tissue in the heart where improper electrical signals cause abnormal heart rhythms. Diagnostic catheters are threaded to the heart where blood vessels are used to map the heart's electrical signals.

[0007] Transseptal puncture (TSP) is a medical procedure used to gain access for catheter ablation, hemodynamic evaluation of the left heart, left ventricular assist device implantation, percutaneous left atrial appendage closure, or mitral valve repair during childhood and adulthood.

[0008] A transseptal catheter procedure may require several device exchanges between a known transseptal needle (and any equivalent thereof), also referred to as a scarring device, and a known guidewire. Known transseptal needles may be utilized to access the transseptal left heart for medical diagnostic and / or interventional procedures, among others.

[0009] A catheter is a flexible medical tube configured to be inserted into a body cavity (of a patient) through a narrow opening, such as the bladder (or other) to remove fluids. First, a known guidewire is attached to the patient, and then the catheter is pushed along and guided by the known guidewire (once the catheter is positioned, the guidewire can be removed from the patient's body). Every device exchange and repositioning of the catheter involves uncertain and / or potentially dangerous exposure to x-ray radiation to the patient and / or physician (it may be desirable to keep x-ray radiation exposure to a minimum).

[0010] A problem with transseptal puncture devices is that they may not be compatible with non-fluoroscopic imaging modalities, and specifically may not be optimized to maximize the utility of electroanatomical (EAM) mapping and / or other electrophysiology (EP) collection systems (and any equivalents thereof).

[0011] Fluoroscopy is an X-ray procedure that allows viewing of internal organs in motion. Fluoroscopy uses X-rays (which are radioactive) to generate real-time video images. To reduce and / or eliminate the need for fluoroscopy, it may be worthwhile to visualize the tip of a medical device (such as a tissue puncturing device, electrode, etc.) on a map (volume map or view of the patient's interior) generated by an electroanatomic mapping (EAM) system, which may also be performed while augmenting any imaging provided by an ultrasound system (using tools such as ICE (intracardiac echocardiography)).

[0012] It may be of value to obtain information regarding the spatial location of a medical device (such as a tissue puncture device, transseptal needle, etc.) attached to the distal portion of the guidewire, and it will be appreciated that some physicians may require the use of fluoroscopy at times to ensure that the starter guidewire has been safely tracked from the inferior vena cava (IVC) leading into the heart to the superior vena cava (SVC) of the (patient's) heart. Additionally, after removal of the transseptal needle, it may be necessary to confirm the path of the guidewire on the left side of the heart (due to the uncertainty associated with the distal position of the guidewire).

[0013] It may be beneficial to provide a guidewire that is configured to function as a tissue piercing device while being optimized for utilization in a non-fluoroscopic imaging mode for exchange steps associated with a medical procedure (e.g., for exchange of a medical device over a known guidewire, etc.).

[0014] The following are some identified problems: known diagnostic catheters (e.g., including needles or puncture devices within known catheters) (A) may feature hubs that may not be usable for catheter exchange (medical device exchange), (B) may not be rigid enough to be utilized in procedures to perform transseptal punctures, e.g., for cardiac cases, etc., and / or (C) are utilized for low voltage applications (whereas a potential solution may in some cases use a relatively high voltage delivery device, e.g., to function as an electrosurgical device, etc.).

[0015] It may be beneficial to provide a flexible medical guidewire configured for utilization in minimally invasive medical procedures. A physician may need to deploy an additional diagnostic catheter (over the medical guidewire) to perform a desired medical task, such as an electrophysiology study (EPS) as part of a medical therapy. It will be appreciated that the wire may be used to deliver the diagnostic catheter, and sometimes the wire may be used to deliver a sheath that may ultimately lead to the diagnostic catheter.

[0016] It may be beneficial to provide a medical guidewire configured to sense signals (electrical, magnetic, etc.) for input into a signal recording system for subsequent signal analysis. The signals (preferably relatively high accuracy signals) may be correlated with an electrocardiogram (ECG) in any configuration, such as unipolar or bipolar configuration, etc.

[0017] It may be beneficial to provide a medical guidewire with at least one or more sensor devices (such as multiple electrodes, etc.) supported by the medical guidewire. The sensor devices may improve spatial resolution, simplify workflow, and / or provide material savings. For example, after a catheterization procedure of a ventricle is completed with a catheterization device attached to the tip of the medical guidewire, the medical guidewire may then be repositioned (or temporarily placed) in another region of the heart to facilitate recording of signals (provided as sensor output signals from sensors attached to the medical guidewire) during treatment. Particular regions of the heart that may require signal recording (such as during electrophysiology studies) may include the right atrium (RA), right ventricle (RV), and / or coronary sinus (CS), among others. It may also be beneficial to provide a medical guidewire configured to emit (transmit or transmit) signals in a predetermined manner, such as in a bipolar and / or monopolar manner (preferably, in addition, the medical guidewire is configured to receive signals). Diagnostic electrophysiology (EP) catheters (also called EP diagnostic catheters) can be used for temporary intracardiac sensing, recording, stimulation, and mapping. EP diagnostic catheters may be indicated for both recording and pacing (or as needed) cardiac tissue. Additionally, known electroanatomical mapping (EAM) systems may require the emission of a sensing signal from an emitter device (signal source) and the signal to be sensed by another device (signal receiving device), such as a receiver pad placed on the patient, etc.

[0018] It may be beneficial to utilize at least one embodiment in research and development projects and / or in a medical clinical environment.

[0019] It may be beneficial to provide a medical guidewire that adds at least one medical function that may be performed by multiple separate medical devices.

[0020] To at least partially alleviate at least one problem associated with the existing technology, an apparatus is provided (according to a main aspect). The apparatus includes, but is not limited to, (comprises) a synergistic combination of a flexible medical guidewire assembly and a sensor assembly. The flexible medical guidewire assembly is configured to be inserted into an enclosed space defined by a living body. The sensor assembly is securely supported by the flexible medical guidewire assembly. This is done such that once the flexible medical guidewire assembly is inserted into and moved along the enclosed space defined by the living body, the sensor assembly and the flexible medical guidewire assembly are movable along the enclosed space defined by the living body. It will be understood that the detailed description provides a description of an embodiment of the flexible medical guidewire assembly.

[0021] To at least partially alleviate at least one problem associated with the existing technology, a method is provided (according to a main aspect). The method includes (including but not limited to) the following steps (operations): (A) providing a flexible medical guidewire assembly configured to be inserted into an enclosed space defined by a living body; and (B) providing a sensor assembly securely supported by the flexible medical guidewire assembly such that once the flexible medical guidewire assembly is inserted into and moves along the enclosed space defined by the living body, the sensor assembly and the flexible medical guidewire assembly are movable along the enclosed space defined by the living body. It will be understood that the detailed description provides a description of an embodiment of the flexible medical guidewire assembly. Preferably, a method for utilizing a flexible medical guidewire assembly, the method comprising: (A) providing a flexible medical guidewire assembly configured to be inserted into an enclosed space defined by a living body, wherein there is a sensor assembly securely supported by the flexible medical guidewire assembly; (B) inserting the sensor assembly and the flexible medical guidewire assembly at least partially into the enclosed space defined by the living body; and (C) moving the sensor assembly and the flexible medical guidewire assembly at least partially along the enclosed space defined by the living body once the flexible medical guidewire assembly is inserted into the enclosed space defined by the living body.

[0022] To at least partially alleviate at least one problem associated with existing technology, an apparatus is provided (in accordance with a principal aspect). The apparatus includes, but is not limited to, an electrical connector assembly having a connector terminal. The connector terminal is configured to be electrically connectable with a terminal portion (wire terminal) of a flexible medical guidewire assembly. The flexible medical guidewire assembly is configured to be inserted into a closed space defined by a living body. The terminal portion is electrically connected to a sensor assembly of the flexible medical guidewire assembly via an electrical wire. It will be understood that the detailed description provides a description of an embodiment of the electrical connector assembly.

[0023] To at least partially alleviate at least one problem associated with existing technology, a method is provided (in accordance with a principal aspect). The method includes, but is not limited to, providing an electrical connector assembly having a connector terminal. The connector terminal is configured to be electrically connectable with a terminal portion of a flexible medical guidewire assembly. The flexible medical guidewire assembly is configured to be inserted into an enclosed space defined by a living body. The terminal portion is electrically connected to a sensor assembly of the flexible medical guidewire assembly via an electrical wire. It will be understood that the detailed description provides a description of an embodiment of the electrical connector assembly. Preferably, the method is a method utilizing an electrical connector assembly, comprising: (A) providing an electrical connector assembly having a connector terminal configured to be electrically connectable with a terminal portion of a flexible medical guidewire assembly, the flexible medical guidewire assembly being configured to be inserted into a closed space defined by a living body, the terminal portion being electrically connected to a sensor assembly of the flexible medical guidewire assembly via an electrical wire; and (B) electrically connecting the connector terminal of the electrical connector assembly to the terminal portion of the flexible medical guidewire assembly.

[0024] To at least partially alleviate at least one problem associated with existing technology, a method is provided (in accordance with a principal aspect), the method including (including but not limited to) the following steps (actions): action (A), action (B), action (C), and action (D). Action (A) includes utilizing a medical imaging system (such as an intracardiac echocardiography (ICE) system, an electroanatomical mapping (EAM) system, or the like, and any equivalent thereof) to generate (register, display, or the like) a medical image (such as a voltage map, a shape capture system configured to capture tissue shapes, or the like, and any equivalent thereof) of a patient's relevant anatomical structure (such as the right atrium of the heart, the septum separating the right and left atria of the heart, or the like). Operation (B) includes inserting (deploying, advancing, moving, etc.) the flexible medical guidewire assembly toward the relevant anatomical structure of the patient (i.e., inserting the flexible medical guidewire assembly toward the relevant anatomical structure of the patient along a closed space defined by the living body) once the medical image has been generated by the medical imaging system and displayed to the physician performing the procedure. Operation (C) includes utilizing the medical imaging system to detect the spatial position of a sensor assembly (fixedly attached to a portion of the flexible medical guidewire assembly) (while the flexible medical guidewire assembly is being inserted into the patient toward the relevant anatomical structure of the patient) such that the spatial position of a portion of the flexible medical guidewire assembly (such as the tip) can be identified (detected) by the medical imaging system (i.e., the position of the portion of the flexible medical guidewire assembly can be displayed to the physician while the flexible medical guidewire assembly is being inserted into the patient toward the relevant anatomical structure of the patient).Operation (D) includes (once the physician has determined that the portion of the flexible medical guidewire assembly has reached or is located proximate to the patient's relevant anatomical structure and the flexible medical guidewire assembly is held spatially immobile relative to the patient's relevant anatomical structure) directing the insertion of the medical instrument (along the length of the flexible medical guidewire assembly) toward the patient's relevant anatomical structure (i.e., the medical instrument is moved along the closed space defined by the living body toward the patient's relevant anatomical structure now that the flexible medical guidewire assembly has reached a position disposed proximate to the patient's relevant anatomical structure), in this manner the medical instrument may be actuated (or utilized) for medical treatment of the patient's relevant anatomical structure. It will be appreciated that other operations may include reversing the operational steps described above, such as for deactivating and / or withdrawing the medical instrument from the patient, and withdrawing the flexible medical guidewire assembly from the patient. It will be appreciated that if the flexible medical guidewire assembly includes a heating device, and that additional operations may include activating the heating device (once the physician has determined (based on generated medical images provided by a medical imaging system) that a portion of the flexible medical guidewire assembly has reached or is positioned proximate to the patient's relevant anatomical structure, and the flexible medical guidewire assembly is held spatially stationary relative to the patient's relevant anatomical structure). It will be appreciated that further operational steps may be added in view of the detailed description.

[0025] To at least partially alleviate at least one problem associated with existing technology, a method is provided (in accordance with a principal aspect), the method including (including but not limited to) the following steps (actions): action (A), action (B), action (C), and action (D). Action (A) includes utilizing a medical imaging system (such as an intracardiac echocardiography (ICE) system, an electroanatomical mapping (EAM) system, or the like, and any equivalent thereof) to generate (register, display, or the like) a medical image (such as a volume map, a shape capture system configured to capture tissue shapes, or the like, and any equivalent thereof) of a patient's relevant anatomical structure (such as the right atrium of the heart, the septum separating the right and left atria of the heart, or the like). Operation (B) includes inserting (deploying, advancing, moving, etc.) the flexible medical guidewire assembly toward the relevant anatomical structure of the patient (i.e., inserting the flexible medical guidewire assembly toward the relevant anatomical structure of the patient along a restricted space defined by the living body) once the medical image has been generated by the medical imaging system and displayed to the physician performing the procedure, etc. Operation (C) includes utilizing the medical imaging system to detect the spatial position of a sensor assembly (fixedly attached to a portion of the flexible medical guidewire assembly) (while the flexible medical guidewire assembly is being inserted into the patient toward the relevant anatomical structure of the patient) such that the spatial position of a portion of the flexible medical guidewire assembly (such as the tip) can be identified (detected) by the medical imaging system (i.e., the position of the portion of the flexible medical guidewire assembly can be displayed to the physician while the flexible medical guidewire assembly is being inserted into the patient toward the relevant anatomical structure of the patient). Operation (D) includes activating a heating device (disposed and fixedly positioned proximate to the portion of the flexible medical guidewire assembly) once the physician has determined that the portion of the flexible medical guidewire assembly has reached or is positioned proximate to the patient's relevant anatomical structure and the flexible medical guidewire assembly is held spatially immovable relative to the patient's relevant anatomical structure.It will be understood that the medical instrument for this method may or may not be deployed in conjunction with the deployment of the heating device, in that deployment of the medical instrument is optional for this method. It will be understood that other actions may include reversing the operational steps described above, such as to stop and / or withdraw the medical instrument from the patient (if a medical instrument is utilized) and / or withdraw the flexible medical guidewire assembly from the patient. It will be understood that further operational steps may be added in view of the detailed description.

[0026] Other aspects are identified in the claims. Other aspects and features of the non-limiting embodiments may now become apparent to those skilled in the art upon review of the following detailed description of the non-limiting embodiments with the accompanying drawings. This summary is provided to introduce concepts in a simplified form that are further described below in the detailed description. This summary is not intended to identify potentially significant features or possible essential features of the disclosed subject matter, nor is it intended to describe each disclosed embodiment or every implementation of the disclosed subject matter. Many other novel advantages, features, and relationships will become apparent as this description proceeds. The figures and the following description more particularly exemplify exemplary embodiments. [Brief description of the drawings]

[0027] Non-limiting embodiments may be more fully understood by reference to the following detailed description of non-limiting embodiments when taken in conjunction with the accompanying drawings.

[0028] [Figure 1A] 1 illustrates a side perspective view of an embodiment of a flexible medical guidewire assembly. [Figure 1B] 1 illustrates a side perspective view of an embodiment of a flexible medical guidewire assembly. [Figure 1C] 1 illustrates a side perspective view of an embodiment of a flexible medical guidewire assembly. [Figure 1D] 1 illustrates a side perspective view of an embodiment of a flexible medical guidewire assembly.

[0029] [Figure 2A] 1A, 1B, 1C and / or 1D show front views of embodiments of the flexible medical guidewire assembly. [Figure 2B] 1A, 1B, 1C and / or 1D show front views of embodiments of the flexible medical guidewire assembly.

[0030] [Diagram 3] 1E shows a front perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0031] [Figure 4] 1E shows a front perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0032] [Diagram 5] 1E shows a front perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0033] [Figure 6A] 6A and 6B show axial (FIG. 6A) and radial (FIG. 6B) cross-sectional views of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 6B] 6A and 6B show axial (FIG. 6A) and radial (FIG. 6B) cross-sectional views of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0034] [Figure 7A] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 7B] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 7C] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 7D] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 7E] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0035] [Figure 8A] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 8B] 1E shows a radial cross-sectional view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0036] [Figure 9A] 1E shows a side view of the embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0037] [Figure 9B] 9B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 9A. [Figure 9C] 9B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 9A. [Figure 9D] 9B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 9A. [Figure 9E] 9B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 9A. [Figure 9F] 9B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 9A.

[0038] [Figure 10A] 1E shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 1D. [Figure 10B] 1E shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 1D.

[0039] [Figure 11A] 1E shows a perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D. [Figure 11B] 1E shows a perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0040] [Figure 11C] 11C shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 11A and / or FIG. 11B.

[0041] [Figure 12A] 1E shows a perspective view of an embodiment of the flexible medical guidewire assembly of FIG. 1D.

[0042] [Figure 12B] 12B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 12A. [Figure 12C] 12B shows a side view of an embodiment of an electrical connector configured to be connectable to the flexible medical guidewire assembly of FIG. 12A.

[0043] The drawings are not necessarily to scale and may be shown in phantom lines, schematic diagrams, and partial views. In certain instances, details unnecessary for understanding the embodiments (and / or details that make other details difficult to perceive) may be omitted. Corresponding reference characters indicate corresponding components throughout the several views of the drawings. Elements in the various figures are shown for simplicity and clarity and are not drawn to scale. Dimensions of some of the elements in the figures may be exaggerated relative to other elements to facilitate understanding of the various embodiments disclosed. Additionally, common and well-understood elements useful in commercially viable embodiments are often not shown to provide an unobstructed view of the embodiments of the present disclosure.

[0044] List of reference numbers used in the drawings Flexible medical guidewire assembly 102 Sensor Assembly 104 Core Elements 106 Core terminal part 106A Core insulation layer 106B Jacket elements 108 Jacket Portal 108A First Jacket Channel 109A Second Jacket Channel 109B nth jacket channel 109N Tip part 110 Heating Devices 112 Heating Wire 113 Magnetic Sensor Device 402 Electrical Sensor Device 404 First Electrical Sensor Device 404A nth electric sensor device 404N Electric wire 405 First Wire 405A Second Wire 405B nth wire 405N Braided elements 406 First Wire Insulation Layer 407A Second Wire Insulation Layer 407B nth wire insulation layer 407N Terminal part 409 First terminal part 409A Second terminal part 409B nth terminal part 409N Electrical Connector Assembly 810 Connector terminal 811 First connector terminal 811A Second connector terminal 811B Third connector terminal 811D nth connector terminal 811N Connector Wire 812 First connector wire 812A Second connector wire 812B 4th Connector Wire 812D nth connector wire 812N Handle 814 Housing Assembly 816 Spring material 818 Push button 820 Conductor 822 Connector Channel 824 Complementary Contours 826 First pole 828A Second Pole 828B Wire Connection 832 Spring material 833 Leaf spring 836 Mating slot 838 Connector terminal 840 Medical Equipment 900 Living organism 902 Signal Measurement System 904 Sensor Interface System 906 Grounding element 908 Flat radial end face 911 DETAILED DESCRIPTION OF NON-LIMITING EMBODIMENTS

[0045] The following detailed description is merely exemplary and is not intended to limit the described embodiments or the application and uses of the described embodiments. As used, the word "exemplary" or "exemplary" means "serving as an example, instance, or illustration." Any implementation described as "exemplary" or "exemplary" should not necessarily be construed as preferred or advantageous over other implementations. All of the implementations described below are example implementations provided to enable one of ordinary skill in the art to make or use embodiments of the disclosure and are not intended to limit the scope of the disclosure. The scope of the claims is defined by the appended claims (which claims may be amended during patent prosecution after the filing of this application). For purposes of description, the terms "upper," "lower," "left," "rear," "right," "front," "vertical," "horizontal," and derivatives thereof, shall refer to the examples oriented in the drawings. No binding is intended by any expressed or implied theory in the preceding technical field, background, abstract, or the following detailed description. It should also be understood that the devices and processes illustrated in the accompanying drawings and described in the following specification are example embodiments, aspects, and / or concepts defined in the appended claims. Therefore, dimensions and other physical characteristics related to the disclosed embodiments should not be considered limiting unless the claims expressly state otherwise. The phrase "at least one" is understood to be equivalent to "one (a)". Aspects (examples, modifications, variations, alternatives, variations, embodiments, and any equivalents thereof) are described with respect to the drawings. It is understood that the invention is limited to the subject matter provided by the claims, and that the invention is not limited to the specific aspects shown and described. It is understood that the scope of the meaning of a device configured to be coupled to an article (i.e., connected to an article, interacting with an article, etc.) is to be interpreted as the device being configured to be coupled to an article either directly or indirectly. Thus, "configured to" may include the meaning of "either directly or indirectly" unless otherwise specified.

[0046] 1A, 1B, 1C, and 1D show side perspective views of an embodiment of a flexible medical guidewire assembly 102. FIG.

[0047] With reference to the embodiment as shown in FIG. 1A, a device is shown that includes, but is not limited to, a synergistic combination of a flexible medical guidewire assembly 102 and a sensor assembly 104. The flexible medical guidewire assembly 102 is configured to be inserted into an enclosed space defined by a living body 902. An embodiment of the living body 902 is shown in FIG. 2A or FIG. 2B. The living body 902 may include a human body, among others. The sensor assembly 104 is securely supported by (configured to be supported by) the flexible medical guidewire assembly 102. This is done such that once the flexible medical guidewire assembly 102 is inserted into and moved along the enclosed space defined by the living body 902, the sensor assembly 104 and the flexible medical guidewire assembly 102 are movable along the enclosed space defined by the living body 902. The flexible medical guidewire assembly 102 may include any type of flexible material. The sensor assembly 104 may include any type of sensor assembly.

[0048] Referring to the embodiment as shown in FIG. 1A, the flexible medical guidewire assembly 102 includes a sensor assembly 104 (preferably) configured to respond to a stimulus (such as heat, light, sound, pressure, magnetism, or specific motion thereof, and any equivalent thereof) and transmit a resultant signal (such as an impulse for measuring a signal or for operating a control function, and the like). Preferably, the flexible medical guidewire assembly 102 is configured to include (support) the sensor assembly 104. The sensor assembly 104 may include a radiation emitter, an energy emitter, an energy receiver, a magnetic flux emitter, a rare earth magnet, and the like, and any equivalent thereof. According to an embodiment, the flexible medical guidewire assembly 102 and the sensor assembly 104 are configured to be selectively attachable to one another and selectively detachable from one another.

[0049] With reference to the embodiment as shown in FIG. 1A, the flexible medical guidewire assembly 102 is (preferably) configured to guide the insertion of a medical instrument 900 (such as a catheter, etc. and any equivalent thereof) into a closed space defined by the living body 902 (as shown in FIG. 2A or FIG. 2B) once the flexible medical guidewire assembly 102 is inserted into the closed space defined by the living body 902. The flexible medical guidewire assembly 102 is (preferably) configured to facilitate catheter exchange (exchange of a medical device or removal and insertion of a medical device). The flexible medical guidewire assembly 102 (preferably) includes a relatively thin flexible wire (elongated flexible shaft) configured to be inserted into a closed or tortuous space (such as the closed space defined by the living body 902). The flexible medical guidewire assembly 102 (preferably) provides a guide for the subsequent insertion of the medical instrument 900. The medical instrument 900 may include a relatively stiff and / or bulky medical device such as a catheter, etc. The medical device has a relatively stiff stiffness compared to the stiffness of the flexible medical guidewire assembly 102. The catheter provides (includes) a flexible tube (made from a medical material) configured to be inserted through a narrow opening into a body cavity space (a closed space defined by the living body 902), such as the bladder, to remove fluid therefrom. The catheter may be configured to be inserted into the body to treat a disease or perform a surgical procedure. By varying the material or adjusting the way the catheter is manufactured, it is possible to tailor catheters for cardiovascular, urinary, gastrointestinal, neurovascular, and ophthalmic applications. The catheter may also be configured to allow drainage, administration of fluids or gases, access by surgical instruments, and performance of a wide variety of other tasks. The process of inserting a catheter is a catheterization procedure. The catheter may include a thin flexible tube (soft catheter), and the catheter may be available in various levels of stiffness depending on the medical task or application.It will be appreciated that when the catheter is too soft, the catheter may be inserted into the body cavity by first inserting the flexible medical guidewire assembly 102 into the (same) body cavity, and then having the flexible medical guidewire assembly 102 guide the catheter as it is pushed into the body cavity.

[0050] With reference to the embodiment as shown in FIG. 1A, the flexible medical guidewire assembly 102 is configured for insertion into a confined space defined by a living body 902 in a manner assisted (preferably) only by a user (doctor or technician) or by any medical device previously inserted and positioned in the confined space defined by the living body 902, among others. The flexible medical guidewire assembly 102 is (preferably) impermeable to bodily fluids disposed in the confined space defined by the living body 902 (once the flexible medical guidewire assembly 102 is inserted into the confined space defined by the living body 902). According to a preferred embodiment, the flexible medical guidewire assembly 102 has an outer diameter (preferably) of about 2 millimeters (mm) and an elongated length of about 30 inches to about 90 inches, it being understood that other dimensions of the flexible medical guidewire assembly 102 are possible. According to an embodiment, the flexible medical guidewire assembly 102 has an elongate length of (preferably) about 150 centimeters (cm) to about 260 cm, and an outer diameter of about 0.025 inches to about 0.035 inches.

[0051] 1B, flexible medical guidewire assembly 102 includes a synergistic combination of (preferably) core element 106 and jacket element 108 (also referred to as a jacket portion, envelope, outer coating, etc.) that surrounds core element 106 (also referred to as a mandrel). Core element 106 and jacket element 108 extend along an elongate length of flexible medical guidewire assembly 102. Flexible medical guidewire assembly 102 (preferably) has a circular cross-sectional section or profile (it will be understood that other profile shapes may be utilized).

[0052] 1B, the core element 106 includes a (preferably) rigid inner mandrel. The core element 106 provides additional rigidity to the (preferably) flexible medical guidewire assembly 102.

[0053] With reference to the embodiment as shown in FIG. 1B, the core element 106 (preferably) comprises SAE (Society of Automotive Engineering) standard 304 stainless steel according to an alternative. SAE standard 304 stainless steel contains both chromium (15%-20%) and nickel (2%-10.5%) metals as the main non-ferrous components. The core element 106 (according to another alternative) comprises superelastic nitinol. Nitinol alloys exhibit two closely related unique properties: shape memory effect (SME) and superelasticity (SE; also called pseudoelasticity or PE). Shape memory is the ability of nitinol to deform at a temperature and then recover its original undeformed shape upon heating above its transformation temperature. Superelasticity occurs in a narrow temperature range just above its transformation temperature, where no heating is required to recover the undeformed shape, and the material exhibits a very large elasticity, about 10-30 times that of normal metals.

[0054] 1B, the core element 106 (preferably) provides a combination of electrical and mechanical properties. It will be appreciated that the core element 106 may not need to be electrically connected or act as a power line.

[0055] With reference to the embodiment as shown in FIG. 1B, the core element 106 has a degree of stiffness that is (preferably) constant along the length of the flexible medical guidewire assembly 102 (providing constant stiffness), or the degree of stiffness can vary along the length of the flexible medical guidewire assembly 102 (variable stiffness).

[0056] With reference to the embodiment as shown in FIG. 1B, the core element 106 may include a hollow tube, such as a hypotube stiffener. A hypotube is a long metal tube with micromachined features along the length of the tube. According to an optional embodiment, the hollow tube is configured to receive and house electrical wires 405. The hollow tube may provide a modular configuration, and the hollow tube may provide cutouts to control (adjust) the flexibility (stiffness) of the hollow tube, etc.

[0057] 1C, the flexible medical guidewire assembly 102 (preferably) includes a sensor assembly 104. The sensor assembly 104 (preferably) includes a magnetic sensor device 402. The magnetic sensor device 402 may include a rare earth magnet, a permanent magnet, and / or an electromagnet. The magnetic sensor device 402 includes a material configured to exhibit at least one property of magnetism, such as attracting other ferrous objects, aligning itself in an external magnetic field, etc.

[0058] With reference to the embodiment as shown in FIG. 1C, the sensor assembly 104 includes an electrical sensor device 404 (biosensor, etc.) configured to transmit a signal (preferably), which may be transmitted via an electrical wire 405 and / or via a wireless transmitter device (not known and not shown). The electrical sensor device 404 is configured to transmit (emit) an electrical signal (biosignal) and / or receive an electrical signal (biosignal). The electrical sensor device 404 is configured to detect events and / or changes in its environment and transmit (transmit) information to other electronic equipment (such as a computer processor, etc.). A biosensor is an analytical device configured to detect chemicals and may combine biological components with physicochemical detectors. A biosignal is a signal in a living body that can be continuously measured and monitored, which may refer to a bioelectrical signal and may refer to both electrical and non-electrical signals (both may be time-varying signals). It will be appreciated that according to a preferred embodiment, the sensor assembly 104 may include a synergistic combination of an electrical sensor device 404 and a magnetic sensor device 402.

[0059] With reference to the embodiment as shown in FIG. 1C, the flexible medical guidewire assembly 102 (preferably) includes an electrical wire 405 extending along (the length of) the flexible medical guidewire assembly 102. The electrical wire 405 is electrically connected (either directly or indirectly coupled) to the sensor assembly 104. The electrical wire 405 extends from the sensor assembly 104 toward a terminal end of the flexible medical guidewire assembly 102 (e.g., a proximal end of the flexible medical guidewire assembly 102) and terminates (at a terminal point or terminal contact) at the terminal end of the flexible medical guidewire assembly 102. The electrical wire 405 may be referred to as a power line. If the sensor assembly 104 includes multiple sensors, multiple electrical wires 405 are deployed (once for each deployed or attached sensor assembly). The wire 405 may include miniaturized wire (such as about 34 to about 44 AWG (American Wire Gauge)) to free up cross-sectional space disposed within the flexible medical guidewire assembly 102. The wire 405 may include copper, stainless steel, nitinol, and the like. The wire 405 may include a flat ribbon wire having a rectangular cross-section with a thickness (e.g., about 0.002 inches or less), preferably to minimize the effect on the overall wire outer diameter, and the like. The wire 405 may have a minimized total end-to-end DC resistance. The wire 405 may have a total end-to-end DC resistance (e.g., about 20 ohms or less).

[0060] 1C, the flexible medical guidewire assembly 102 is adapted to (preferably) not include electrical wires 405, and the sensor assembly 104 includes a wireless transmitter (not shown) configured to transmit a wireless signal. The wireless transmitter is located on the sensor assembly 104 (the wireless transmitter is an option to not use electrical wires 405). It will be understood that the wireless transmitter is the equivalent of the electrical wires 405.

[0061] With reference to the embodiment as shown in Figure ID, the flexible medical guidewire assembly 102 (preferably) includes a synergistic combination of a core element 106 and a jacket element 108. The core element 106 (also called the mandrel) is electrically conductive. The jacket element 108 is electrically insulating and surrounds the core element 106.

[0062] Referring to the embodiment as shown in FIG. 1D, the tip portion 110 is positioned at the end section of the core element 106 and the jacket element 108. A heating device 112 is attached to the tip portion 110 of the flexible medical guidewire assembly 102. The heating device 112 is electrically connected (and is electrically conductive for this embodiment) to the core element 106. A heating wire 113 is electrically connectable (and disconnectable) to the proximal end (user accessible end) of the core element 106. According to a preferred embodiment, the heating device 112 includes (and is not limited to) an RF (radio frequency) emitter. The RF emitter is configured to provide (radiate) a sufficient amount of thermal energy to remove, cauterize and / or puncture (preferably by a process of cauterization) adjacently located tissue of the (patient's) body (the tissue is located adjacent (proximate) to the heating device 112 once the flexible medical guidewire assembly 102 is inserted into the enclosed space defined by the living body 902 and once the heating device 112 is activated accordingly). Cauterization involves the administration (application and / or removal) of thermal energy adjacent to the living tissue for the purpose of sealing blood vessels in the living tissue and preventing unwanted bleeding from the living tissue while forming voids, channels and / or passages through the living tissue (thereby facilitating healing). Preferably, the proximal end of the core element 106 is configured to be electrically connectable to the heating wire 113 (the heating wire 113 is configured to supply electricity to the heating device 112 via the core element 106).According to a preferred embodiment, a flexible medical guidewire assembly 102 is provided with at least one sensor assembly 104 in combination with a radio frequency emitter (which is a tissue piercing device), configured to emit a sufficient amount of thermal energy to cauterize tissue (tissue wall) located in close proximity to the radio frequency emitter (thereby forming a hole or passage through the tissue or tissue wall), which provides a technical solution for using less fluoroscopy techniques and systems during medical procedures and / or treatments (this arrangement may reduce or eliminate the need for a switch between sensing and energy delivery). According to an embodiment, the heating device 112 is further configured to receive and / or record electrical signals and / or for electrosurgical purposes.

[0063] With reference to the embodiment as shown in FIG. 1D, the jacket element 108 may be referred to as an outer layer or an insulating layer (electrically insulating material or electrically insulating material). The jacket element 108 has, houses, or includes the electrical wires 405. For example, the jacket element 108 may include PTFE (extrusion of PTFE) and any equivalents thereof. Polytetrafluoroethylene (PTFE) is a synthetic fluoropolymer of tetrafluoroethylene. The jacket element 108 may include (define) at least one or more lumens (elongated gaps) configured to receive the electrical wires 405, etc.

[0064] With reference to the embodiment as shown in FIG. 1D, the heating device 112 (preferably) includes an electrode (also referred to as a distal electrode, a radio frequency (RF) electrode, etc.). The electrode may include stainless steel, nitinol, platinum, and iridium alloys (blends), or mixtures thereof. The electrode (preferably) may form a hemispherical dome geometry having a diameter (e.g., about 0.015 inches to about 0.032 inches, more preferably about 0.024 inches in diameter). The exposed metal (conductive) region is preferably sized from about 1.2 millimeters (mm^2) to about 2.4 mm^2 to ensure a relatively high current density when about 270 Vrms (Volts Root Mean Square) to about 400 Vrms is delivered in a monopolar manner (i.e., to a grounded patient) to achieve tissue puncture (RF puncture) of adjacently positioned tissue of the patient (once the flexible medical guidewire assembly 102 is inserted into the enclosed space defined by the living body 902 and once the heating device 112 is activated). The electrodes may be configured to provide a smooth surface so that the electrodes do not inadvertently mechanically puncture the tissue. The electrodes are preferably effectively sharpened (to remove tissue) once RF energy is applied to the electrodes and transferred to the tissue.

[0065] With reference to the embodiment as shown in FIG. 1A, FIG. 1B, FIG. 1C, and FIG. 1D, the following describes additional technical features for the embodiment of the flexible medical guidewire assembly 102. It will be understood that these are preferred embodiments and are not required for the flexible medical guidewire assembly 102. Preferably, the flexible medical guidewire assembly 102 is configured for medical device exchange (such as catheter exchange). Preferably, the working length of the flexible medical guidewire assembly 102 can be sufficient for medical device exchange (the guidewire length can be doubled as long as the medical device is exchanged by utilizing the flexible medical guidewire assembly 102). Preferably, the flexible medical guidewire assembly 102 is configured for transseptal exchange. Preferably, the flexible medical guidewire assembly 102 has a bending stiffness (preferably, about 0.001 Nm2 (Newtons per square meter pressure unit) to about 0.002 Nm2 along the majority of the length of the flexible medical guidewire assembly 102). Preferably, the flexible medical guidewire assembly 102 has a stiffness similar to (equivalent to) a standard 304 spring-tempered stainless steel wire (e.g., about 0.018 inch diameter) in the region of the flexible medical guidewire assembly 102 positioned across the atrial septum (of the heart). It will be appreciated that this preference may depend on many anatomical and environmental conditions, and some procedures benefit from higher stiffness and some from lower stiffness. Preferably, the flexible medical guidewire assembly 102 may include a core element 106 (also referred to as a rigid core mandrel) with a jacket element 108 (also referred to as a flexible jacket layer) placed or positioned thereon (of the core element 106) to improve shape retention (of the flexible medical guidewire assembly 102) and / or to provide a smooth overall elongated profile (of the flexible medical guidewire assembly 102). According to embodiments, core element 106 has an outer diameter range (eg, about 0.015 inches to about 0.030 inches). According to embodiments, core element 106 comprises stainless steel and / or Nitinol.According to embodiments, jacket element 108 comprises a material that provides a minimal contribution to the stiffness of flexible medical guidewire assembly 102. According to embodiments, jacket element 108 comprises an electrically insulating material, such as PTFE (polytetrafluoroethylene). According to embodiments, jacket element 108 comprises a flexible steel coil. According to embodiments, jacket element 108 has a thickness such that the outer diameter of flexible medical guidewire assembly 102 ranges from about 0.032 inches to about 0.035 inches.

[0066] According to an embodiment, the distal end of the flexible medical guidewire assembly 102 is curved and flexible to protect the (patient's) tissue during advancement of the flexible medical guidewire assembly 102 through the (patient's) blood vessel. According to an embodiment, the flexible medical guidewire assembly 102 includes a radioactively visible material. According to an embodiment, the flexible medical guidewire assembly 102 is configured to withstand handling (such as user and / or environmental forces, etc.) experienced during a medical (cardiac) procedure (therapeutic or diagnostic procedure). According to an embodiment, the flexible medical guidewire assembly 102 complies with international medical standards mandated for a minimum tensile force, such as about 10 N (Newtons), for medical guidewires sized in the range of about 0.032 inches to about 0.035 inches (preferably without loosening or separation of segments or portions of the flexible medical guidewire assembly 102). According to an embodiment, the electrical connections of the flexible medical guidewire assembly 102 (at the distal end) require sufficient electrical insulation end-to-end to mitigate interference (environmental interference). According to an embodiment, the flexible medical guidewire assembly 102 complies with international medical standards for electrosurgical devices that provide a minimum electrical insulation performance of the guidewire (for the protection of the patient and / or medical technician). According to an embodiment, the flexible medical guidewire assembly 102 includes a radio frequency (RF) device (also referred to as a heating device) configured to deliver approximately 270 Vrms to 400 Vrms (Vrms root mean square) (preferably in a monopolar configuration) for distal tissue puncture or tissue removal. According to an embodiment, flexible medical guidewire assembly 102 includes a jacket element 108 that includes an insulating material having a thickness of about 0.00275 inches (e.g., PTFE) or greater, and that is positioned over any voltage conducting conductors (such as core element 106, or other wires, etc.) positioned within flexible medical guidewire assembly 102 to meet current leakage requirements. For example, the maximum dimension of core element 106 may be about 0.029 inches such that the outer diameter of flexible medical guidewire assembly 102 (preferably) remains less than about 0.035 inches.According to an embodiment, the jacket element 108 includes a relatively thick electrical insulation (for ease of manufacture). The thickness can be sized to vary the effective outer diameter of the flexible medical guidewire assembly 102. For example, if the core element 106 has a diameter of (preferably) about 0.018 inches and includes a stainless steel material. The jacket element 108 includes a relatively thick PTFE layer to make the outer device diameter of the flexible medical guidewire assembly 102 about 0.035 inches (preferably). According to an embodiment, a sensor device (medical sensor, electrode, etc.) is positioned in the flexible medical guidewire assembly 102. For example, the sensor device may be configured for low voltage electrical communication (such as for ECG recording), where a relatively thick insulation is not required and may be protected from primary energy sources and interference (preferably end-to-end). According to an embodiment, the flexible medical guidewire assembly 102 may be biocompatible, steerable, and robust.

[0067] 2A and 2B show front views of an embodiment of the flexible medical guidewire assembly 102 of FIGS. 1A, 1B, 1C and / or 1D.

[0068] With reference to the embodiment as shown in FIG. 2A, the signal measurement system 904 (also referred to as a signal analysis system) is configured to be electrically connectable (selectively electrically connectable, coupled) to the sensor interface system 906. The definition of "electrically connected" includes electro-magnetically connected, magnetically connected, acoustically connected, optically connected, and the like. The signal measurement system 904 may include, for example, an electromagnetic system, an electro-anatomical mapping system (3D or 2D), or an electro-anatomical non-fluoroscopic mapping system, and the like. The sensor assembly 104 includes the magnetic sensor device 402 (e.g., according to and as shown in FIG. 2A). The sensor interface system 906 is configured to interface with the sensor assembly 104. The sensor interface system 906 is configured to exchange (receive and / or transmit) signals (information) with the sensor assembly 104 (once the sensor interface system 906 is interfaced with the sensor assembly 104 and once the sensor assembly 104 is activated). The exchange of signals may include having the sensor interface system 906 transmit signals to and / or receive signals from the sensor assembly 104. For embodiments such as that shown in FIG. 2A, the sensor assembly 104 includes a magnetic device and the sensor interface system 906 is configured to magnetically interact with the sensor assembly 104.

[0069] Referring to the embodiment as shown in FIG. 2B, the flexible medical guidewire assembly 102 includes electrical wires 405 (not shown in FIG. 2B, but shown in the embodiment of FIG. 1C). The sensor assembly 104 includes (preferably) an electrical sensor device 404. The flexible medical guidewire assembly 102 includes an electrical connector 810. An embodiment of the electrical connector 810 is shown in FIGS. 9B, 9C, 9D, 9E, 9F, 10A, 10B, 11A, 11B, 11C, 12A, 12B, and 12C. The electrical connector 810 is configured to be electrically connected (selectively connected and disconnected) to the electrical wires 405 of the flexible medical guidewire assembly 102. The electrical connector 810 is configured to be electrically connected (selectively connected and disconnected) to the sensor interface system 906. The sensor interface system 906 is configured to condition the signal received from the sensor assembly 104 and (then) provide the conditioned signal to the signal measurement system 904 (also called a signal analysis system). According to one option, the sensor interface system 906 is configured to be electrically connected (selectively connected and disconnected) to the signal measurement system 904. According to another option, the sensor interface system 906 is electrically connected to the signal measurement system 904. The electrical connector 810 is configured to be in electrical communication with the sensor assembly 104 (such as via the electrical wire 405 as shown in FIG. 1C) once connected thereto (operably connected thereto). The electrical connector 810 is also configured to be electrically connectable with the sensor interface system 906. Preferably, the grounding element 908 (grounding pad) is configured to be removably adhered or in intimately and removably contacted with the living body 902 (preferably to the skin of the living body 902). The grounding element 908 is spaced apart from the sensor assembly 104. The ground element 908 is (preferably) positioned proximate to the sensor assembly 104 (in the zone of interest for acquiring a signal via the sensor assembly 104).The sensor interface system 906 is configured to electrically communicate with the sensor assembly 104 once (A) the sensor interface system 906 is electrically connected to the electrical wires 405 (via the electrical connector 810) and (B) the grounding element 908 is placed to mimic physical contact with the living body 902.

[0070] FIG. 3 shows a front perspective view of an embodiment of the flexible medical guidewire assembly 102 of FIG. 1D (some of the technical features as shown in FIG. 3 may be applicable to embodiments as shown in FIGS. 1A, 1B and 1C, where applicable).

[0071] With reference to the embodiment as shown in FIG. 3, the flexible medical guidewire assembly 102 is configured to provide (include) a heating device 112 (according to a preferred embodiment). The heating device 112 is configured to emit RF (radio frequency) energy from (the distal end of) the flexible medical guidewire assembly 102 and into adjacently positioned tissue of the living body 902 (e.g., as shown in the embodiment of FIG. 2B). The core element 106 provides a relatively stiff electrically conductive material (positioned along a central radial axis extending along the length of the flexible medical guidewire assembly 102). The jacket element 108 includes an electrically insulating material (preferably a polymer layer) covering the core element 106. The jacket element 108 further includes (preferably) an outer polymer layer covering the jacket element 108 (optionally). For example, the jacket element 108 may comprise a plastic material with electrical insulation properties suitable for electrical shielding duty, and / or wiring, cable, and / or electrical shielding duty, with sufficient performance characteristics (dielectric strength, thermal performance, insulation and corrosion, water and heat resistance) for safety performance to comply with industrial and regulatory safety standards. For considerations in selecting suitable materials, see the following publication: Plastics in Medical Devices: Properties, Requirements, and Applications, 2nd Edition, Author: Vinny R. Sastri, Hardcover ISBN: 9781455732012, Published: November 21, 2013, Publisher: Amsterdam [Pays-Bas]: Elsevier / William Andrew,

[2014] . The core element 106 terminates in (and electrically connects to) a heating device 112 (also referred to as a smooth dome-shaped electrode) located at the distal end of the flexible medical guidewire assembly 102. The heating device 112 is configured (once activated accordingly) to pierce tissue of the living body 902. The core element 106 further includes a core terminal portion 106A extending from a proximal end of the core element 106. The core terminal portion 106A is exposed (at least partially not covered by an electrically insulating material).The core terminal portion 106A is configured to be electrically connected to auxiliary equipment (known and not shown, such as an RF generator, etc.). The flexible medical guidewire assembly 102 (as shown in FIG. 3) is configured to perform (form) an RF (radio frequency) puncture (useful for forming a transseptal puncture, etc.) in the tissue of the patient. A technical effect or technical advantage of the heating device 112 is that the heating device 112 may reduce the number of medical device exchanges (insertion and removal of the flexible medical guidewire assembly 102 in a closed space defined by the living body 902), as may be required for, for example, TSP (transseptal puncture) and cardiac catheterization procedures (which require the heating device 112). It may be in the interest of both the patient (living body 902) and the physician to minimize medical device exchanges in the patient's body to reduce the risk of undesired medical occurrences or conditions, such as air embolism, etc. For the preferred embodiment as shown in FIG. 3, the core element 106 is electrically conductive and the heating device 112 is electrically connected to the core element 106.

[0072] With reference to the embodiment as shown in Fig. 3, the jacket element 108 is configured to electrically insulate (provide electrical insulation) to the core element 106. To provide electrical safety to the patient and user (such as a physician or medical technician handling the flexible medical guidewire assembly 102) and additionally to provide effective current delivery to the heating device 112 (such as a distal electrode configured for radio frequency (RF) tissue ablation and / or tissue cauterization, etc.), the core element 106 (or an equivalent alternative high voltage wireline) may require a significant amount of electrical insulation. PTFE is a preferred material for high voltage RF insulation due to its relatively high electrical performance, biocompatibility, and flexibility. PTFE is also available as a heat shrink material (form) to ensure conformal adhesion to the core element 106 (electrically energized mandrel) for efficient use of available space in the flexible medical guidewire assembly 102 (i.e., reducing space consumed by the gap between the wires and the hollow elongated extrusion cavity or lumen extending therein along the longitudinal length of the flexible medical guidewire assembly 102). The flexible medical guidewire assembly 102 may have an outer diameter of about 0.035 inches and may require an effective insulation of about 0.003 inches wall thickness of PTFE material to meet the current (amperage) leakage requirements of electrosurgery medical standards. Preferably, the maximum inner diameter of the core element 106 is about 0.029 inches (subject to what may be allowed within manufacturing tolerances).

[0073] With reference to the embodiment as shown in FIG. 3, the sensor assembly 104 includes at least one electrical sensor.

[0074] With reference to the embodiment as shown in FIG. 3, the sensor assembly 104 (electrical sensor, etc.) includes a first electrical sensor device 404A (also referred to as a proximal electrode) and an Nth electrical sensor device 404N (N is 1, 2, 3, or any other integer). The first electrical sensor device 404A and the Nth electrical sensor device 404N are spaced apart from each other and fixedly positioned along the longitudinal length of the flexible medical guidewire assembly 102 (each of the electrical sensor devices are spaced apart from each other). According to a preferred option, the first electrical sensor device 404A and the Nth electrical sensor device 404N are (preferably) placed on the outer surface of the jacket element 108. A first electrical wire 405A is electrically connected to the first electrical sensor device 404A (etc.). The first electrical wire 405A is embedded in the flexible medical guidewire assembly 102. The first electrical wire 405A extends along the length of the flexible medical guidewire assembly 102 from the first electrical sensor device 404A to the proximal end of the flexible medical guidewire assembly 102 (terminal end), as well as the other electrical wires. The Nth electrical wire 405N (Nth electrical wire) is electrically connected to the Nth electrical sensor device 404N. The Nth electrical wire 405N (Nth electrical wire) extends along the length of the flexible medical guidewire assembly 102 from the Nth electrical sensor device 404N to the proximal end (terminal end) of the flexible medical guidewire assembly 102. The Nth electrical wire 405N is embedded within the flexible medical guidewire assembly 102. The jacket element 108 (electrical insulation layer) covers and electrically insulates the first electrical wire 405A and the Nth electrical wire 405N. The first electrical wire 405A and the Nth electrical wire 405N are aligned in parallel with the core element 106. The first electrical wire 405A and the Nth electrical wire 405N terminate at the core terminal portion 106A. According to a preferred embodiment (as shown in FIG. 3), the heating device 112 and the plurality of electrical sensor devices (404A, 404N) are electrically isolated from each other (to avoid electrical and / or magnetic interference between these devices).For considerations in the selection of suitable materials for electrical insulation, reference is made to the following publication: Plastics in Medical Devices: Properties, Requirements, and Applications, 2nd Edition, Author: Vinny R. Sastri, Hardcover ISBN: 9781455732012, Published: November 21, 2013, Publisher: Amsterdam [Pays-Bas]: Elsevier / William Andrew,

[2014] .

[0075] With reference to the embodiment as shown in Figure 3, the core terminal portion 106A (proximal electrical connection) is disposed at the terminal end of the core element 106. The core terminal portion 106A is exposed for electrical connection to a measurement system (via electrical wiring) as shown in the embodiment of Figure 2B. Preferably, the core terminal portion 106A extends (extending axially) from the end section of the core element 106.

[0076] With reference to the embodiment as shown in FIG. 3, the electrical sensor device (404A, 404N) may include a conductive ring configured to fit over an outer surface of the jacket element 108.

[0077] The electrical sensor devices (404A, 404N) may be swaged or bonded to the outer surface of the flexible medical guidewire assembly 102.

[0078] The electrical sensor devices (404A, 404N) may include gold and / or steel.

[0079] With reference to the embodiment as shown in FIG. 3, the sensor assembly 104 (electrical sensor device) may include at least one exposed portion of the electrical wire 405, such as the portion of the electrical wire (405A, 405N) exposed to (or positioned on) the exterior surface of the flexible medical guidewire assembly 102. The exposed portion of the electrical wire 405 is exposed without the jacket element 108 being positioned over the exposed portion of the electrical wire 405. In this manner, the exposure of the electrical wire 405 to tissue (e.g., the patient's bloodstream) may provide electrical communication and signal sensing capabilities for use with other medical instruments (e.g., electrocardiogram machines, etc.). It will be appreciated that in cases where the electrical wire 405 persists within and along the length of the flexible medical guidewire assembly 102, a window is formed through the jacket element 108 that may expose the electrical wire 405 to function as the sensor assembly 104 (electrode, etc.). In this manner, the sensor assembly 104 may include an exposed portion of the electrical wires 405 (ie, the electrical wires 405 are exposed outside of the jacket element 108).

[0080] 3, the sensor assembly 104 includes an exposed portion of an electrical wire 405 that is exposed on an outer surface of the flexible medical guidewire assembly 102 (according to one embodiment). The electrical wire 405 extends along the length of the flexible medical guidewire assembly 102. The electrical wire 405 extends toward a terminal end of the flexible medical guidewire assembly 102. The electrical wire 405 terminates (electrically connects) at a terminal contact located or disposed at an end portion of the flexible medical guidewire assembly 102.

[0081] FIG. 4 shows a front perspective view of an embodiment of the flexible medical guidewire assembly 102 of FIG. 1D (some of the technical features as shown in FIG. 4 may be applicable to embodiments as shown in FIGS. 1A, 1B and 1C, where applicable).

[0082] With reference to the embodiment as shown in FIG. 4, the first electrical sensor device 404A and the Nth electrical sensor device 404N are countersunk (positioned) under the outer diameter (outer surface) of the jacket element 108. The technical effect of this arrangement is to allow relatively easy sliding movement of the flexible medical guidewire assembly 102 along the enclosed space defined by the living body 902 (as shown in the embodiment of FIG. 2A or FIG. 2B). In this embodiment (as shown in FIG. 4), the first electrical sensor device 404A and the Nth electrical sensor device 404N are configured to communicate signals to an external environment (for electrical recording by an external medical instrument, etc.) via electrical wires (405A, 405N) through spatially separated windows (voids) formed in the outermost layer (on) of the jacket element 108.

[0083] FIG. 5 shows a front perspective view of an embodiment of the flexible medical guidewire assembly 102 of FIG. 1D (some of the technical features as shown in FIG. 5 may be applicable to embodiments as shown in FIGS. 1A, 1B and 1C, where applicable).

[0084] With reference to the embodiment as shown in FIG. 5, the flexible medical guidewire assembly 102 further includes (and is not limited to) a braided element 406 .

[0085] The braided element 406 is positioned internally within the body of the flexible medical guidewire assembly 102. The braided element 406 may include a metal alloy. The braided element 406 is elastically flexible (elastically deformable). The braided element 406 includes braided wire having strands of wire braided together. The braided element 406 is positioned below the outer surface of the flexible medical guidewire assembly 102. The braided element 406 is spaced apart from (and surrounds) the core element 106. The braided element 406 is configured to improve the stiffness and / or torqueability of the flexible medical guidewire assembly 102. For example, the braided element 406 may restore some of the stiffness of the flexible medical guidewire assembly 102 when the diameter of the flexible medical guidewire assembly 102 (and thus the stiffness of the core element 106) needs to be minimized.

[0086] Figures 6A and 6B show axial (Figure 6A) and radial (Figure 6B) cross-sectional views of an embodiment of the flexible medical guidewire assembly 102 of Figure 1D (some of the technical features as shown in Figures 6A and / or 6B may be applicable to embodiments as shown in Figures 1A, 1B and 1C, if applicable).

[0087] 6A and 6B, the stiffness of the flexible medical guidewire assembly 102 is provided by the wires, such as a combination of wires (first wire 405A, second wire 405B, and Nth wire 405N) (preferably), and not by the core element 106 (or the core element 106 is not provided as an alternative). That is, the first wire 405A, second wire 405B, and Nth wire 405N are relatively large in size (to add more stiffness to the flexible medical guidewire assembly 102), and the core element 106 may or may not be included in the flexible medical guidewire assembly 102. If the core element 106 is included (deployed), the core element 106 may be reduced in diameter to improve manufacturability and positioning of the first electrical sensor device 404A (proximal electrode) and the Nth electrical sensor device 404N (proximal electrode), etc. The core insulation layer 106B is positioned over the core element 106. A jacket portal 108A (void) is formed in a central zone of the jacket element 108 such that the core element 106, the first electrical wire 405A, the second electrical wire 405B, and the Nth electrical wire 405N are all positioned in the jacket portal 108A. The technical effect of this embodiment is that once the flexible medical guidewire assembly 102 is bent, the electrical wires can bend and flex without electrically breaking or shorting or otherwise.

[0088] According to the embodiment shown in FIGS. 6A and 6B, the diameter of the core element 106 (also referred to as the primary mandrel) is (preferably) reduced. For example, the core element 106 comprises an elongated wire (relatively thinner wire for lower voltage capability) that extends along the longitudinal length of the flexible medical guidewire assembly 102. The core element 106 comprises a relatively low surface area and / or diameter, and this arrangement provides additional room for other components (to be placed within and along the elongated length of the jacket element 108 (also referred to as the insulation layer). The outer dimension (diameter) of the first wire 405A may be increased to provide increased mechanical stiffness for the flexible medical guidewire assembly 102. To balance the stiffness profile of the flexible medical guidewire assembly 102 (to provide a relatively resilient tip portion, a relatively stiff proximal body portion, etc.), the core element 106 and / or The profile (outer diameter) of the wires 405 may vary along the longitudinal length of the flexible medical guidewire assembly 102. For example, longer instances of the core element 106 may include reduced outer diameters and cross-sectional areas along their lengths to provide desired flexibility (local flexibility) for selected portions of the flexible medical guidewire assembly 102. For example, the outer diameter of the core element 106 may increase toward the distal tip (of the flexible medical guidewire assembly 102) to improve fixation and stiffness at the most distally positioned medical device (such as a medical sensor device).

[0089] Figures 7A, 7B, 7C, 7D and 7E show radial cross-sectional views of an embodiment of the flexible medical guidewire assembly 102 of Figure 1D (some of the technical features as shown in Figures 7A, 7B, 7C, 7D and / or 7E may be applicable to embodiments as shown in Figures 1A, 1B and 1C, if applicable).

[0090] 7A, a first wire insulation layer 407A is disposed over the first wire 405A and for each wire. A second wire insulation layer 407B is disposed over the second wire 405B. An Nth wire insulation layer 407N is disposed over the Nth wire insulation layer 407N. The core element 106 has an outer diameter larger than the outer diameters of the first wire 405A, the second wire 405B, and the Nth wire 405N. The core element 106, the first wire 405A, the second wire 405B, and the Nth wire 405N are disposed within the jacket portal 108A and are coaxially arranged along the length (longitudinal axis) of the flexible medical guidewire assembly 102. According to an embodiment, the core element 106, the first wire 405A, the second wire 405B, and the Nth wire 405N are (preferably) electrically insulated from each other (and from the patient, etc.). According to another embodiment, the first wire 405A, the second wire 405B, and the Nth wire 405N are (preferably) electrically insulated from each other and from the patient (for the case where the core element 106 is not electrically conductive). The flexible medical guidewire assembly 102 (preferably) has an outer diameter of about 0.032 inches to about 0.035 inches. The core element 106 (preferably) has or includes an outer diameter of about 0.018 inches (preferably of SAE 304 spring tempered stainless steel). An electrical insulation layer (such as core insulation layer 106B as shown in FIG. 6B, also referred to as primary insulation) is positioned over the core element 106 and (preferably) has a thickness of about 0.003 inches. The wires (405A, 405B, 405N, etc.) may have any suitable cross-section or profile, such as a circular or rectangular cross-section. The wires (405A, 405B, 405N, etc.) may have a thickness dimension (diameter contribution) of about 0.002 inches. A wire insulation layer placed over each of the wires (405A, 405B, 405N, etc.) may have a thickness of about 0.003 inches (or greater).

[0091] There is sufficient space in or on the flexible medical guidewire assembly 102 to allow a sensor device (also referred to as a ring electrode, e.g., as shown in FIG. 6A) to be placed. According to an embodiment, the sensor device (proximal electrode) may be placed (positioned) in a relatively resilient section of the flexible medical guidewire assembly 102 where the outer diameter of the core element 106 is reduced to improve its resilience. The resilient region (of the flexible medical guidewire assembly 102) may include a stainless steel material (elongated mandrel) in the range of about 0.006 inches to about 0.010 inches (diameter). In this case, the diameter constraint is reduced to provide additional space for terminating a connector to the sensor device (proximal electrode), etc.

[0092] 7B, the core insulation layer 106B is positioned over the core element 106. The jacket portal 108A is disposed between an outer surface of the core insulation layer 106B and an inner surface of the jacket element 108. A first electrical wire 405A, a second electrical wire 405B, and an Nth electrical wire 405N are positioned in the jacket portal 108A (between the jacket element 108 and the core insulation layer 106B). The jacket portal 108A forms a multi-sided geometric shape (e.g., having multiple angled cross sections with the wires positioned at the vertices of the multi-sided geometric shape (e.g., a triangle)).

[0093] Referring to the embodiment as shown in FIG. 7C, the core insulation layer 106B defines recesses configured to receive the respective wires (405A, 405B, 405N) therein. The outer shape of the core insulation layer 106B has a circular or circular cross-sectional shape. The inner shape of the jacket element 108 has a circular or circular cross-sectional shape that matches the outer shape of the core insulation layer 106B. The core insulation layer 106B surrounds the core element 106.

[0094] With reference to the embodiment as shown in FIG. 7D, this embodiment provides a similar embodiment as shown in FIG. 7B with electrical wires (405A, 405B, 405N) each having a respective electrical insulation layer thereon (as shown in the embodiment of FIG. 7A).

[0095] 7E, the jacket element 108 defines (provides) jacket channels (first jacket channel 109A, second jacket channel 109B, and Nth jacket channel 109N). Each of the electrical wires (405A, 405B, 405N) is received in a respective jacket channel (109A, 109B, 109N), respectively. It will be understood that the core insulation layer 106B is optional in this embodiment.

[0096] According to the embodiment shown in Figures 7A-7E, the increased relative movement (and / or slack therefor) between the wires (405A, 405B, 405N) may provide additional flexibility for the flexible medical guidewire assembly 102. The core element 106 (which may be conductive, also referred to as a mandrel) is configured to provide the majority of the mechanical stiffness (with respect to the jacket element 108 and the wires (405A, 405B, 405N)). The jacket element 108 (also referred to as a coating) is configured to provide sufficient electrical insulation to withstand relatively high voltages and / or currents for the core element 106. The wires (405A, 405B, 405N) are electrically insulated (electrically isolated) from each other and from the core element 106. The wires (405A, 405B, 405N) may be configured to handle relatively low voltages or relatively high voltages, etc. The jacket element 108 may be flexible and may be lubricious (smooth and slippery with oil or a similar substance).

[0097] 8A and 8B show radial cross-sectional views of an embodiment of the flexible medical guidewire assembly 102 of FIG. 1D (some of the technical features as shown in FIG. 8A and / or FIG. 8B may be applicable to embodiments as shown in FIG. 1A, FIG. 1B and FIG. 1C, if applicable).

[0098] Referring to the embodiment as shown in FIG. 8A, the jacket element 108 defines (forms) a jacket portal 108A (having a circular cross-sectional profile). The core insulation layer 106B is placed over the core elements 106, each having a semicircular cross-sectional profile. The core elements 106 form an offset (non-circular) shape. The core element 106 and the core insulation layer 106B are received in at least a portion of the jacket portal 108A, and a portion of the jacket portal 108A is open and available to receive the wires (405A, 405B, 405N). Each of the wires (405A, 405B, 405N) has an electrical insulation layer (such as the first wire insulation layer 407A, etc.). The core elements 106 form a shape configured to provide additional space to improve manufacturability and scalability of the wires (405A, 405B, 405N).

[0099] Referring to the embodiment as shown in Figure 8B, the core insulation layer 106B forms a cavity configured to receive the wires (405A, 405B, 405N). The core insulation layer 106B forms two cavities, one cavity for receiving the core element 106 and the other cavity for receiving the wires (405A, 405B, 405N).

[0100] Figure 9A shows a side view of an embodiment of the flexible medical guidewire assembly 102 of Figure 1D (some of the technical features as shown in Figure 9A may be applicable to the embodiments as shown in Figures 1A, 1B and 1C, where applicable). Figures 9B, 9C, 9D, 9E and 9F show side views of an embodiment of an electrical connector 810 configured to be connectable to the flexible medical guidewire assembly 102 of Figure 9A.

[0101] 9A, the core terminal portion 106A extends (extends axially) from an end portion (proximal or user-accessible portion) of the core element 106. The core terminal portion 106A is exposed (for electrical connection if the core terminal portion 106A is conductive). The flexible medical guidewire assembly 102 includes at least one terminal portion 409. The terminal portion 409 may include the core element 106 (if the core element 106 is required to be conductive).

[0102] 9B and 9C, an electrical connector 810 is configured to be selectively electrically connected (clip) to the core terminal portion 106A. The electrical connector 810 may include a clip connector, an alligator clip, etc., and any equivalents thereof. The electrical connector assembly 810 includes a connector terminal 811 (electrical connector contact, jaw portion, etc.), such as a pair of opposing jaws (normally closed, spring-loaded, etc.). According to an embodiment, the electrical connector assembly 810 is configured to connect to an electrical terminal (terminal portion 409, electrical connection) located at a proximal end of the flexible medical guidewire assembly 102. The electrical terminal is electrically connected to an electrical sensor device 404A and / or a medical device (such as a heating device 112) as shown in FIG. 3, etc., attached to a portion (such as a distal portion) of the flexible medical guidewire assembly 102. The electrical connector assembly 810 is also configured to connect an electrical terminal of an external device (known and not shown, a signal generator or signal recording system, etc.) to the electrical terminal (at least one or more instances of terminal portion 409) of the flexible medical guidewire assembly 102. This is preferably done so that the nominal diameter of the flexible medical guidewire assembly 102 may be maintained (e.g., about 0.032 inches to about 0.035 inches, etc.). Preferably, the electrical connector assembly 810 provides conductive pins configured to enable (facilitate) electrical connection with the electrical terminal (terminal portion 409) of the flexible medical guidewire assembly 102 with a single user action (for convenience). Alternatively, the electrical connector assembly 810 is configured to provide conductive pins configured to enable (facilitate) electrical connection between the electrical terminal of the flexible medical guidewire assembly 102 and multiple selective independent connections, etc.

[0103] Referring to the embodiment as shown in FIG. 9D, the core terminal portion 106A extends axially from an end portion of the core element 106. The core terminal portion 106A is exposed for electrical connection (if the core terminal portion 106A is conductive or otherwise). At least one terminal portion (409A, 409B, 409N) (also referred to as a proximal electrical connector or wire terminal) is electrically coupled to a respective electrical sensor device (404A, 404N) as shown in any one of the embodiments of FIG. 3, FIG. 4 and / or FIG. 5. For example, the first terminal portion 409A (wire terminal, proximal connection) is electrically coupled to the first electrical sensor device 404A (via the first electrical wire 405A as shown in FIG. 3). The second terminal portion 409B (proximal electrode) is electrically coupled to a second electrical sensor device (not shown, but easier to visualize considering the first electrical sensor device 404A) via a second electrical wire 405B. The Nth terminal portion 409N (proximal connection) is electrically coupled to the Nth electrical sensor device 404N (via the Nth electrical wire 405N). The terminal portions (409A, 409B, 409N) are spaced apart (axially spaced apart) from one another along the length of the jacket element 108 and positioned on the outer surface of the jacket element 108 proximate to the end portion (near the location of the core terminal portion 106A) of the flexible medical guidewire assembly 102. According to a preferred embodiment, the flexible medical guidewire assembly 102 is configured to facilitate catheter exchange by having a proximal end (user access end portion) without a handle to allow a catheter to pass through the length (full length) of the flexible medical guidewire assembly 102; if a handle is positioned at the proximal end, then the catheter may not be able to pass through the length of the flexible medical guidewire assembly 102. According to a preferred embodiment, the flexible medical guidewire assembly 102 includes multiple instances of the sensor assembly 104, where the sensor assembly 104 is connectable to a measurement device (as shown in FIG. 2A or FIG. 2B ).

[0104] 9E and 9F, the electrical connector assembly 810 has a connector terminal 811. The connector terminal 811 is configured to be selectively electrically connectable to (and selectively electrically disconnectable from) at least one terminal portion 409 of the flexible medical guidewire assembly 102. The flexible medical guidewire assembly 102 is configured to be inserted into a closed space defined by a living body 902 (as shown in FIG. 2A or 2B). The terminal portion 409 (also referred to as a wire terminal) is electrically connected to (supported by) the sensor assembly 104 of the flexible medical guidewire assembly 102 (as shown in FIG. 1C or 1D, among others) via an electrical wire 405.

[0105] 9E and 9F, the electrical connector assembly 810 is configured to selectively electrically connect (and selectively electrically disconnect) to the terminal portions (409A, 409B, 409N, 106A) (electrical terminals, exposed electrical terminals) of the flexible medical guidewire assembly 102 (preferably). The terminal portions may include, for example, the core terminal portion 106A (when the core terminal portion 106A is conductive) and the terminal portions (409A, 409B, 409N) (also referred to as electrical portions, multiple proximal electrodes, etc., that may be utilized for sensor devices, etc.). When the core terminal portion 106A is not needed (not deployed as an electrical wire), the electrical connector assembly 810 is configured to selectively electrically connect (and selectively electrically disconnect) to the terminal portions (409A, 409B, 409N), or at least one or more terminal portions, connected to at least one electrical sensor device 404 (as shown in FIG. 3). The electrical connector assembly 810 includes connector wires 812, such as connector wires (812A, 812B, 812D, 812N). The connector wires 812 are (preferably) of sufficient length to provide a sufficient amount of slack for spatial movement of the flexible medical guidewire assembly 102 (i.e., to provide a breakout for a radio frequency generator, a signal recording system, or other auxiliary medical instrument). The connector wires 812 (preferably) include multiple connector wires (812A, 812B, 812D, 812N). Selective disconnection and removal of the electrical connector assembly 810 from the terminal portions (409A, 409B, 409N, 106A) of the flexible medical guidewire assembly 102 allows the flexible medical guidewire assembly 102 to be utilized with a medical instrument 900 (as shown in FIG. 1 ) and / or with other medical devices, such as catheters (such as catheter exchange duty, etc.), etc.

[0106] 9E and 9F, the electrical connector assembly 810 has connector terminals 811 (such as a first connector terminal 811A, a second connector terminal 811B, and an Nth connector terminal 811N). The connector terminals 811 are configured to be electrically connectable with at least one terminal portion 409 of the flexible medical guidewire assembly 102. The flexible medical guidewire assembly 102 is configured to be inserted into a closed space defined by a living body 902 (as previously described and shown in FIG. 2A or 2B). The terminal portion 409 is exposed (electrically exposed) for electrical connection to the connector terminals 811. The terminal portion 409 (electrical terminal) is electrically connected to the sensor assembly 104 (e.g., as shown in the embodiment of FIG. 3) via an electrical wire 405. The terminal portion 409 is located at a proximal end of the flexible medical guidewire assembly 102. Terminal portion 409 is exposed for selective electrical connection to electrical connector assembly 810. Sensor assembly 104 and electrical wires 405 are supported by flexible medical guidewire assembly 102 (such that once flexible medical guidewire assembly 102 is inserted into and moved along the enclosed space defined by living body 902, sensor assembly 104 and flexible medical guidewire assembly 102 are movable along the enclosed space defined by living body 902).

[0107] 9E and 9F, the connector terminal 811 (of the electrical connector assembly 810) preferably includes connector terminals (811A, 811B, 811N, 811D) for each terminal portion (409A, 409B, 409N, 106A). The core terminal portion 106A may be utilized or deployed as an electrical wire when a heater device or other medical device is deployed in or with the flexible medical guidewire assembly 102. For example, the connector terminals (811A, 811B, 811N, 811D) preferably include a first pair of jaws (for electrical connection with the first terminal portion 409A), a second pair of jaws (for electrical connection with the second terminal portion 409B), an Nth pair of jaws (for electrical connection with the Nth terminal portion 409N), and a pair of core jaws (for electrical connection with the core terminal portion 106A). The connector wires (812A, 812B, 812D, 812N) (connector wires) are electrically connected to the connector terminals (811A, 811B, 811N, 811D), respectively. The first connector wire 812A is electrically connected to the first connector terminal 811A. The second connector wire 812B is electrically connected to the second connector terminal 811B. The Nth connector wire 812N is electrically connected to the Nth connector terminal 811N. The fourth connector wire 812D is electrically connected to the third connector terminal 811D (to connect to the core terminal portion 106A).

[0108] 9E and 9F, the electrical connector assembly 810 includes a side-loading removable electrical connector. The electrical connector assembly 810 may include and support, for example, a plurality of spaced apart alligator clips attached to (or extending from) the electrical connector assembly 810.

[0109] Referring to the embodiment as shown in FIG. 9F, electrical connector assembly 810 includes an asymmetrical hair clip style connector with hard stops and variable gaps formed in the alligator teeth to mitigate misconnections and ensure proper electrical connection to electrical sensor devices (404A, 404N), as shown in FIG. Connector terminal 811A is keyed for keyed connection to first terminal portion 409A. Third connector terminal 811D (jaw, etc.) is keyed for keyed connection to core terminal portion 106A. When core terminal portion 106A is not deployed as a wire, third connector terminal 811D is not utilized, etc.

[0110] 9F, an electrical connector assembly 810 includes a handle 814 extending from a housing assembly 816. A first connector terminal 811 is supported by the housing assembly 816. A connector wire 812 is supported by the housing assembly 816.

[0111] 10A and 10B show side views of an embodiment of an electrical connector 810 configured to be connectable to the flexible medical guidewire assembly 102 of FIG. 1D (some of the technical features as shown in FIG. 10A and / or FIG. 10B may be applicable to embodiments as shown in FIG. 1A, FIG. 1B, and FIG. 1C, where applicable).

[0112] Referring to the embodiment as shown in FIG. 10A, the electrical connector assembly 810 is configured to electrically interface with an end portion (proximal end portion) of the flexible medical guidewire assembly 102. The electrical connector assembly 810 is configured to back load (back connect) to the flexible medical guidewire assembly 102. The electrical connector assembly 810 defines (provides) a connector channel 824 configured to receive (at least partially, axially receive) a length of the end portion of the flexible medical guidewire assembly 102. The electrical connector assembly 810 includes a push button 820 positioned on a surface (e.g., top surface) of the electrical connector assembly 810. The electrical connector assembly 810 includes connector conductors 822 (electrodes, etc.). Push button 820 is configured to (A) be actuated by a user (physician, etc.) to selectively move connector conductors 822 and (B) selectively connect connector conductors 822 with a terminal portion (such as core terminal portion 106A) of flexible medical guidewire assembly 102 once an end portion of flexible medical guidewire assembly 102 is received in connector channel 824 (and push button 820 is actuated accordingly).

[0113] With reference to the embodiment as shown in FIG. 10A, the electrical connector assembly 810 is also configured to provide an over-the-wire connector. The top case of the electrical connector assembly 810 is shown in a loaded position (not actuated) where the push button 820 is not depressed or actuated by a user (such as a physician). The bottom case of the electrical connector assembly 810 is shown in a locked and engaged position where the push button 820 is engaged or actuated. In the top case of the electrical connector assembly 810, the push button 820 is ready to be depressed (by a user or physician). Once the push button 820 is depressed (as shown in the bottom case of the electrical connector assembly 810), the connector conductors 822 are clamped (electrically engaged) to the terminal portion 409 (such as the core terminal portion 106A) with the assistance of the spring member 818. It will be appreciated that the same mechanism may be utilized if multiple cases of the terminal portion 409 are present. Each unique electrical connection (i.e., for each instance of terminal portion 409) may require independent movement to ensure full connection between each connector face and the respective terminal portion of flexible medical guidewire assembly 102. Alternatively, a biased connection to terminal portion 409 (such as core terminal portion 106A) may ensure that connection is possible only after other terminal portions (of flexible medical guidewire assembly 102) have made electrical contact with electrical components of electrical connector assembly 810, etc.

[0114] 10B, the upper case of the electrical connector assembly 810 is shown in a loaded position (i.e., the electrical connector assembly 810 is ready to receive an end portion of the flexible medical guidewire assembly 102). The lower case of the electrical connector assembly 810 is shown in a locked and engaged position (the electrical components of the electrical connector assembly 810 are in electrical contact with the terminals of the flexible medical guidewire assembly 102). The connector channel 824 is formed as a complementary contour 826. The complementary contour 826 has a shape that is complementary to the outer contour of the end portion of the flexible medical guidewire assembly 102. The push button 820 is configured to move (in tandem) the upper electrical terminal including a first pole 828A (for use with the first terminal portion 409A) and a second pole 828B (for use with the core terminal portion 106A). The first pole 828A and the second pole 828B are spaced apart from each other.

[0115] According to the embodiment shown in Figures 10A and 10B, each unique electrical connection can be provided with an independent movement to ensure a (complete) electrical connection with each connector face (of the wire). Alternatively, a bias connection can be provided to the core element 106 to ensure an electrical connection that is only possible after the other poles have been contacted.

[0116] Figures 11A and 11B show perspective views of an embodiment of the flexible medical guidewire assembly 102 of Figure 1D (some of the technical features as shown in Figures 11A, 11B and / or 11C may be applicable to the embodiments as shown in Figures 1A, 1B and 1C, where applicable). Figure 11C shows a side view of an embodiment of an electrical connector 810 configured to be connectable to the flexible medical guidewire assembly 102 of Figures 11A and / or 11B.

[0117] 11A and 11B, the end portion (proximal or user-accessible portion, etc.) of the flexible medical guidewire assembly 102 includes (provides) a flat radial end surface 911. The flat radial end surface 911 faces axially along an axial axis extending outwardly from the end portion of the flexible medical guidewire assembly 102. The first terminal portion 409A includes a first ridge (axially extending post) that extends axially (i.e., extends from the jacket element 108) from (away from) the flat radial end surface 911. The second terminal portion 409B includes a second ridge (axially extending post) that extends axially (i.e., extends from the jacket element 108) from (away from) the flat radial end surface 911. The Nth terminal portion 409N includes an Nth protuberance (axially extending post) (extending from the jacket element 108) that extends axially from (away from) the flat radial end surface 911. The first terminal portion 409A, the second terminal portion 409B, and the Nth terminal portion 409N are each electrically connected to an associated electrical sensor device (electrical sensor device 404A as shown in FIG. 3, etc.) and are spaced apart from one another (preferably in an equidistant relationship with respect to one another). The core terminal portion 106A extends axially from the core element 106 and away from the flexible medical guidewire assembly 102 (along the same direction as the alignment of the terminal portions (409A, 409B, 409N)).

[0118] 11B, the end portion (proximal portion) of the flexible medical guidewire assembly 102 includes a flat radial end surface 911 (back plane, end surface, etc.) that faces along an axial axis extending from the end portion of the flexible medical guidewire assembly 102. The first terminal portion 409A includes a first flattened end terminal portion that extends (at least partially) radially along the flat radial end surface 911. The second terminal portion 409B includes a second flattened end terminal portion that extends (at least partially) radially along the flat radial end surface 911. The Nth terminal portion 409N includes an Nth flattened end terminal portion that extends (at least partially) radially along the flat radial surface 911.

[0119] Referring to the embodiment as shown in FIG. 11C, the electrical connector assembly 810 is configured to interact (electrically interface) with the terminal portions (409A, 409B, 409N) of the embodiment as shown in FIG. 11A and / or FIG. 11B. The terminal portions (409A, 409B, 409N) are positioned on the flat radial end surface 911 as shown in FIG. 11A and / or FIG. 11B. The electrical connector assembly 810 includes axially extending wire connections 832 (spring-loaded conductive elements or rods) each having a respective spring member 833. Each respective spring member 833 is configured to bias an extension of the axially extending wire connection 832 outwardly away from the electrical connector assembly 810. Each respective spring member 833 is positioned within a connector channel 824 defined by the electrical connector assembly 810.

[0120] 11C, push button 820 is mounted on the exterior of the housing of electrical connector assembly 810. Push button 820 is configured to selectively lock (and selectively unlock) to an end portion (proximal end) of flexible medical guidewire assembly 102. It will be appreciated that in some embodiments, flexible medical guidewire assembly 102 includes core terminal portion 106A that is electrically conductive, where core element 106 is also electrically conductive, etc. Once push button 820 is actuated (by a user or physician, etc.), push button 820 selectively locks (securely connects) electrical connector 810 to the end portion of flexible medical guidewire assembly 102, causing radially extending wire connections 832 to make electrical contact with terminal portions (409A, 409B, 409N, 106A), etc. A spring member 818 (also referred to as a compression spring) is positioned in the electrical connector 810 and is configured to bias the connector conductor 822 (across the axial axis of the flexible medical guidewire assembly 102) to the core terminal portion 106A (once the end portion of the flexible medical guidewire assembly 102 is inserted into the connector channel 824 of the electrical connector 810).

[0121] Figure 12A shows a perspective view of an embodiment of the flexible medical guidewire assembly 102 of Figure 1D (some of the technical features as shown in Figures 12A, 12B and / or 12C may be applicable to the embodiments as shown in Figures 1A, 1B and 1C, where applicable). Figures 12B and 12C show side views of an embodiment of an electrical connector 810 configured to be connectable to the flexible medical guidewire assembly 102 of Figure 12A.

[0122] Referring to the embodiment as shown in FIG. 12A, the flexible medical guidewire assembly 102 includes a plurality of terminal portions (409A, 409B, 409N, 106A) positioned (preferably) at a terminal end portion (proximal end portion or user accessible portion) of the flexible medical guidewire assembly 102. According to a preferred embodiment, the plurality of terminal portions (409A, 409B, 409N, 106A) includes a first terminal portion 409A electrically connected to a first electrical sensor device 404A as shown in FIG. 3. The second terminal portion 409B is electrically connected to another electrical sensor device (not shown). The Nth terminal portion 409N is electrically connected to the Nth electrical sensor device 404N as shown in FIG. 3. The core terminal portion 106A is electrically connected to the core element 106. At least some of the terminal portions (409A, 409B, 409N) are attached to (and extend axially along) an outer surface of the jacket element 108. At least some of the terminal portions (409A, 409B, 409N) extend along a radially extending direction (at least partially) along a flat radial end surface 911 (of the flexible medical guidewire assembly 102). The flat radial end surface 911 is positioned at an end portion (section) of the flexible medical guidewire assembly 102. At least some of the terminal portions (409A, 409B, 409N) are spaced (angularly spaced) from one another along the outer surface of the jacket element 108.

[0123] 12A, the core terminal portion 106A (preferably) extends axially from the end portion of the core element 106 from the end portion of the flexible medical guidewire assembly 102. The core terminal portion 106A (preferably) forms an elongated post (conductive post) having a keyed outer contour (such as a semicircular outer contour, etc.). The core terminal portion 106A (preferably) forms an outer end flat side that extends axially.

[0124] Referring to the embodiment as shown in FIG. 12B, an electrical connector assembly 810 is configured to interface (electrically interface) with a plurality of terminal portions (409A, 409B, 409N, 106A) as shown in FIG. 12A. A push button 820 is attached to the electrical connector assembly 810 and configured to selectively electrically connect the internal electrical components of the electrical connector assembly 810 to the plurality of terminal portions (409A, 409B, 409N, 106A). The electrical connector assembly 810 forms (provides) a connector channel 824 (preferably a keyed connector channel). The connector channel 824 (keyed connector channel) is configured (formed or keyed) to receive a keyed (correspondingly keyed) terminal portion (preferably a proximal end) of the core terminal portion 106A as shown in FIG. 12A or other flexible medical guidewire assembly 102. The leaf spring 836 is positioned on an inner surface (of the electrical connector assembly 810) facing the connector channel 824 (keyed connector channel). The leaf spring 836 is configured to bias the terminal portions (409A, 409B, 409N, 106A) of FIG. 12A toward a relatively secure electrical connection (and mechanical connection) between the terminal portions (409A, 409B, 106A) and corresponding electrical contacts provided by the electrical connector assembly 810. The channel 824 (keyed connector channel) includes a keyed mating groove 838 (keyed slot) configured (preferably) to mate (slidably receive) the core terminal portion 106A of FIG. 12A. The electrical connector assembly 810 (with assistance from the leaf spring 836) is configured to enable an axial sliding interface connection between the terminal portions (409A, 409B, 106A) and the electrical connector assembly 810.

[0125] Referring to the embodiment as shown in FIG. 12C, the electrical connector assembly 810 is configured to provide a keyed over-the-wire connection. This arrangement provides (facilitates) keyed alignment between the terminal portions (409A, 409B, 409N, 106A) (also referred to as proximal electrode terminals) with spacing between the terminal portions. This arrangement reduces the risk of incorrect electrical connection. The connector terminal 840 (of the electrical connector assembly 810) is disposed within the connector channel 824 (keyed connector channel) and is configured to electrically connect with the terminal portions (409A, 409B, 409N, 106A) once the end portion of the flexible medical guidewire assembly 102 is inserted into the connector channel 824 of the electrical connector assembly 810.

[0126] The following is proposed as a further description of embodiments in which any one or more of the optional technical features (described in the detailed description, abstract, and claims) can be combined with any one or more of the optional technical features (described in the detailed description, abstract, and claims). Each claim in the claim paragraph is understood to be an open-ended claim unless otherwise specified. Unless otherwise specified, the relevant terms used in these specifications should be interpreted to include certain tolerances that a person skilled in the art would recognize to provide equivalent functionality. As an example, the term vertical is not necessarily limited to 90.0 degrees, but may include variations thereof that a person skilled in the art would recognize to provide equivalent functionality for the described purpose for the relevant member or element. Terms such as "about" and "substantially" in the context of a configuration generally relate to an arrangement, configuration, or configuration that is exactly or sufficiently close to the arrangement, configuration, or configuration of the relevant elements to maintain the operability of the elements within the invention without substantially altering the invention. Similarly, unless made clear from the context, numerical values ​​should be interpreted to include certain tolerances that a person skilled in the art would recognize as not substantially altering the operability of the invention and therefore of negligible importance. It will be understood that the description and / or drawings identify and describe embodiments of the device (either explicitly or inherently). The device may include any suitable combination and / or permutation of the technical features identified in the detailed description, as may be needed and / or desired to serve a particular technical purpose and / or technical function. It will be understood that, where possible and preferred, any one or more technical features of the device may be combined (in any combination and / or permutation) with any other one or more technical features of the device. It will be understood that a person skilled in the art will know that the technical features of each embodiment may be deployed in other embodiments, even if not explicitly set forth above. A person skilled in the art will understand that other options for the configuration of the components of the device are possible, adjusting to manufacturing requirements, and remaining within the scope of at least one or more of the claims. This specification provides embodiments, including the best mode, and also enables a person skilled in the art to make and use the embodiments.The patentable scope may be defined by the claims. The written description and / or drawings may aid in understanding the scope of the claims. It is believed that all important aspects of the disclosed subject matter are provided herein. In this specification, the word "includes" is understood to be equivalent to the word "comprising" in that both words are used to indicate a non-limiting list of antecedents, components, parts, etc. The term "comprising", which is synonymous with the terms "including", "containing", or "characterized by", is inclusive or open-ended and does not exclude additional, unrecited elements or method steps. Comprising (comprised of) is an "open-ended" phrase, allowing for the scope of the technology to employ additional, unrecited elements. When used in the claims, the word "comprising" is a transitive verb (transitional term) that separates the antecedents of the claims from the technical features of the present invention. The foregoing has outlined non-limiting embodiments (examples). The description is made with reference to certain non-limiting embodiments (examples). It is understood that the non-limiting embodiments are merely illustrative as examples.

Claims

1. 1. An apparatus comprising: a flexible medical guidewire assembly configured to be inserted into a confined space defined by a living body; a sensor assembly, the sensor assembly being securely supported by the flexible medical guidewire assembly such that once the flexible medical guidewire assembly is inserted into and moved along the enclosed space defined by the living body, the sensor assembly and the flexible medical guidewire assembly are movable along the enclosed space defined by the living body; the flexible medical guidewire assembly includes a core element that is electrically conductive; the flexible medical guidewire assembly also includes at least one electrical wire extending along a length of the flexible medical guidewire assembly, the at least one electrical wire having an outer diameter that varies along a longitudinal length of the flexible medical guidewire assembly; The apparatus, wherein the sensor assembly is electrically connected to a proximal terminal portion of the flexible medical guidewire assembly via the at least one electrical wire, and the sensor assembly and the at least one electrical wire are electrically isolated from the core element.

2. The apparatus of claim 1 , wherein the sensor assembly and the at least one electrical wire are electrically isolated from the core element by an insulating layer disposed over the core element.

3. The apparatus of claim 1 , wherein the sensor assembly includes at least one electrode.

4. a radio frequency emitter carried by the flexible medical guidewire assembly; The device of claim 1 , wherein the radio frequency emitter is configured to ablate tissue.

5. the flexible medical guidewire assembly including a distal end portion; The device of claim 4 , wherein the radio frequency emitter is attached to the tip portion.

6. The device of claim 5 , further comprising a sharp attached to the tip portion, the sharp configured to cut tissue.

7. The flexible medical guidewire assembly comprises: a jacket element surrounding the core element; The apparatus of claim 1 , wherein the core element and the jacket element extend along an elongate length of the flexible medical guidewire assembly.

8. The apparatus of claim 7 , wherein the flexible medical guidewire assembly comprises Society of Automotive Engineering Type stainless steel.

9. The device of claim 1 , wherein the core element includes an outer diameter that varies along a longitudinal length of the flexible medical guidewire assembly.

10. The apparatus of claim 1 , wherein the core element comprises a hollow tube configured to receive and house an electrical wire.

11. The sensor assembly includes: The apparatus of claim 1 , comprising a magnetic sensor device or an electrical sensor device.

12. The sensor assembly includes: The apparatus of claim 1 comprising an electrical sensor device configured to transmit an electrical signal.

13. The apparatus of claim 1 , wherein the at least one electrical wire terminates in a terminal contact located at a terminal end of the flexible medical guidewire assembly.

14. a sensor interface system configured to interface with the sensor assembly; the sensor interface system is also configured to exchange signals with the sensor assembly; a signal measurement system, The apparatus of claim 1 , wherein the sensor interface system is also configured to be electrically connectable to the signal measurement system.

15. the flexible medical guidewire assembly comprising a distal electrode; the distal electrode comprises a radio frequency emitter, and is configured such that once the flexible medical guidewire assembly is inserted into the enclosed space defined by the living body and once the distal electrode is activated, the radio frequency emitter provides an amount of energy to pierce tissue of the living body located adjacent to the distal electrode; the sensor assembly comprising a plurality of electrical sensor devices spaced apart from one another and fixedly positioned along a longitudinal length of the flexible medical guidewire assembly; a plurality of terminal portions positioned at a proximal end of the flexible medical guidewire assembly; the plurality of terminal portions are electrically coupled to respective ones of the plurality of electrical sensor devices; The apparatus of claim 1 , wherein the plurality of terminal portions are configured to be selectively electrically connectable to and removable from an electrical connector assembly.

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