Wires, catheters, endoscopes, etc. and their methods that have flow directed distal ends, which allow and facilitate management of these devices during use are disclosed. Additionally instant invention allows for distal anchoring so that the device will remain in a location once it has arrived and its method for use. Further, the instant invention describes an apparatus and method for a tensioning characteristic to be applied along the device once it is place that will facilitate the passing of another member along the initially placed member. Last, a novel occluder is disclosed and its method of use.