| CPC A61B 17/3478 (2013.01) [A61B 18/1492 (2013.01); A61B 90/39 (2016.02); A61B 2017/00247 (2013.01); A61B 2017/003 (2013.01); A61B 2017/22042 (2013.01); A61B 2017/3488 (2013.01); A61B 2018/00351 (2013.01); A61B 2090/3966 (2016.02)] | 25 Claims |

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1. A medical device for puncturing a septum of a heart, the medical device comprising:
an elongate member including a wire, the elongate member having a proximal section, a distal section including an electrode, and a rail section between the proximal and distal sections;
the electrode operable to deliver energy to create a puncture through the septum; and
the rail section being configured to both act as a rail for supporting installation of one or more tubular members thereupon as well as to be maneuverable for enabling access to the septum;
wherein the distal section comprises a curved portion and a straight portion, the straight portion being distal to the curved portion;
wherein an outer diameter of the wire in the straight portion at a distal end of the straight portion is greater than an outer diameter of the wire in the curved portion at a distal end of the curved portion;
wherein the distal section is configured to automatically form a J-shape in a deployed state for anchoring the distal section being advanced through the puncture.
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