| CPC A61B 34/20 (2016.02) [A61B 5/068 (2013.01); G01D 5/3538 (2013.01); G02B 6/02042 (2013.01); A61B 2034/2061 (2016.02)] | 12 Claims |

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1. A medical device system for detecting malposition of a medical device within a vasculature of a patient, the system comprising:
the medical device configured for advancement through the vasculature of the patient, wherein the medical device comprises a multi-core optical fiber having a plurality of core fibers, each of the plurality of core fibers including a plurality of sensors distributed along a longitudinal length of a corresponding core fiber and each sensor of the plurality of sensors being configured to (i) reflect a light signal of a different spectral width based on received incident light, and (ii) change a characteristic of the reflected light signal for use in determining a physical state of the multi-core optical fiber; and
a console including one or more processors and a non-transitory computer-readable medium having stored thereon logic, when executed by the one or more processors, causes operations including:
receiving one or more signals from the medical device representing one or more parameters indicative of a location of a distal tip of the medical device within the vasculature of the patient, wherein the one or more signals correspond to reflected portions of a propagating light signal;
processing the one or more signals to determine the location of the distal tip, and
determining whether the medical device has deviated from a target advancement path and has entered an Azygos vein of the patient based on the one or more signals.
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