Medical devices and methods for making and using the same are disclosed. An example medical device may include a fixed wire balloon catheter. An example fixed wire balloon catheter may include a core wire. An inner tubular member may be attached to the core wire. The inner tubular member may have a plurality of slots formed therein. A catheter shaft may be disposed about the inner tubular member. An inflation lumen may be defined between the catheter shaft and the core wire. A balloon may be coupled to the catheter shaft. The balloon may have a distal portion. A crossing tip may be coupled to the distal portion of the balloon.