Abstract: A medical device for the diagnosis or treatment of tissue in a body and method for fabricating the same are provided. The device includes an elongate, tubular, deformable shaft comprising a proximal end and a distal end. The device also includes an electronic subassembly (54) disposed within the shaft and a conductor (76, 78) coupled to and extending from the electronic subassembly. The electronic subassembly includes a flexible substrate (72) and an electronic device (74). The flexible substrate comprises an interior side (84) and an exterior side (86) opposite the interior side. The flexible substrate also defines a first conductive area (92, 94). The electronic device is mounted on the interior side of the flexible substrate, is coupled to the first conductive area, and is at least partially enclosed within the flexible substrate.

Abstract: A system for registering a group of images of an anatomical region of a patient in a coordinate system of a medical system is disclosed. The system includes an object disposed in a known position in the coordinate system. In one embodiment, the object has a first state in which the object is visible in at least one image and a second state in which the object is invisible in at least another image. In another embodiment, the object is substantially invisible to the eye in each image, but detectable by image processing. The system includes an electronic control unit configured to process the images to identify an image location of the object, create a transformation model responsive to the image location and the known position of the object in the coordinate system, and register the group of images in the coordinate system using the model.

Abstract: Various embodiments of the present disclosure can include a medical device assembly. The medical device assembly can comprise an elongate hollow cylindrical body that extends along a longitudinal axis. A distal cap portion can extend along the longitudinal axis. A proximal end of the distal cap portion can be connected to a distal end of the elongate hollow cylindrical body. A wire management port can be defined in the distal cap portion.

Abstract: A method and device for determining the transmurality and/or continuity of an isolation line formed by a plurality of point contact ablations. In one embodiment, a method for determining the size of a lesion (width, depth and/or volume) is disclosed, based on contact force of the ablation head with the target tissue, and an energization parameter that quantifies the energy delivered to the target tissue during the duration time of the lesion formation. In another embodiment, the sequential nature (sequence in time and space) of the ablation line formation is tracked and quantified in a quantity herein referred to as the “jump index,” and used in conjunction with the lesion size information to determine the probability of a gap later forming in the isolation line.

Abstract: A catheter configured for use with a magnetic field-based localization system includes a distributed location sensor that includes a plurality of individual location sensing coils electrically connected in series. The distributed location sensor has an effective magnetic center based on the individual characteristics of each location sensing coil. The effective magnetic center can be located in a space occupied by another structure such as an irrigation fluid delivery tube. The plurality of individual location sensing coils are generally smaller, thereby easing placement, and collectively, when connected in series, output a relatively strong and noise-free signal.

Abstract: An apparatus for transmitting electrical signals is disclosed. The apparatus includes a substrate and a twisted pair of conductors located on the substrate. The twisted pair of conductors has a first layer comprising conductive material, a second layer comprising nonconductive material, and a third player comprising conductive material. The first layer has a plurality of segments separated by a plurality of gaps. The second layer is positioned in said gaps and electrically insulates a portion of the segments positioned within the gaps. The third layer is positioned over the second layer. The third layer is configured to electrically connects an end of one segment to an end of another segment. The twisted pair of conductors formed by the three dimensional structure comprises two electrically isolated conductors twisted about each other.

Abstract: A removable navigation system for a medical device configured for insertion within a lumen in a body is provided. The removable navigation system includes a sheath operatively configured to cover at least a portion of the medical device, a positioning sensor affixed to the sheath and a deformable fixation element disposed between the sheath and the medical device. The deformable fixation element is operatively deformed to temporarily fix a position of the medical device relative to the sheath and positioning sensor.

Abstract: A bi-directional steerable catheter that, for a given tip deflection angle, generates a first articulation radius in a first lateral direction and a second articulation radius in a second lateral direction, the second articulation radius being different than the first articulation radius. The catheter includes two pull wire portions that can be individually and selectively put under tension to cause deflection of the tip in a corresponding lateral direction. Actuation of a first of the pull wire portions causes a shift in the neutral axis of the catheter over a portion of the steering section, resulting in articulation over a shorter length of the steering section and thus a smaller bend radius. Actuation of a second of the pull wire portions does not result in a neutral axis shift, so that articulation is over substantially the entire length of the steering section, resulting in a larger bend radius.

Abstract: A method for determining and graphically marking a position within a lumen of the body of a patient indicative of occlusion includes providing a user interface, using a processor, configured to allow a user to select an occlusion percentage threshold, determining, using the processor, a percentage of occlusion in the lumen, comparing, using the processor, the determined percentage of occlusion with the selected occlusion percentage threshold and identifying a region of the lumen that is occluded more than the selected occlusion percentage threshold, and designating, using the processor, the identified region on an image of the lumen with at least one mark.

Abstract: A magnetic field generator assembly (44) is configured to be associated with a table (20) supporting a body. The magnetic field generator comprises magnetic field transmitters (57A) that are thin (of minimal height) and transparent, or substantially transparent, to x-ray radiation. The magnetic field transmitters (57A) are configured to minimally obstruct components of an imaging system and to minimally interfere with image quality. A plurality of transmitters is arranged in a first layer of the assembly. Each transmitter (57A) comprises an elongate conductive element, such as a wire, arranged in a spiral form, such as a coil.

Abstract: An apparatus includes a positioning system and a patient reference sensor (PRS). The positioning system acquires a plurality of raw PRS readings over time, which can indicate the position and orientation of the PRS. A filter is configured to process the raw PRS readings and output filtered PRS readings. The filter outputs filtered PRS readings as a baseline value while the raw PRS readings stay within a predetermined range and output filtered PRS readings as unchanged raw PRS readings when the raw PRS readings reach or vary outside of the predetermined range. A motion compensation function generated based on at least the filtered PRS readings can be used to correct a subject position and orientation (P&O) to compensate for the motion of the moving region of interest over time.

Abstract: An elongate medical device having an axis comprises an inner liner, a jacket radially outward of the liner, a braid comprising metal embedded in the jacket, a sensor, and at least one wire electrically connected to said sensor. The at least one wire is one of: embedded in the jacket and optionally disposed helically around the braid; extending longitudinally within a tube which extends generally parallel to the device axis and wherein the tube is embedded in the jacket; and disposed within a lumen, wherein the lumen extends longitudinally within the jacket.

Abstract: A method for emulating prerecorded images may comprise acquiring at least one organ timing signal reading representing an activity state of an organ with at least one organ timing signal detector, acquiring a plurality of images with a medical imaging system, associating each of the plurality of images with an organ timing signal reading, removing any of the organ timing signal readings and associated images that are not representative of a normal organ configuration, and outputting a sequence of the representative images for a display.

Abstract: A method for registering a three dimensional (3D) coordinates system with a Medical Positioning System (MPS) coordinate system and with a two dimensional (2D) coordinate system, includes acquiring at least one 2D image of a volume of interest, the volume of interest including at least one tubular organ within the body of a patient. The 2D image is associated with the 2D coordinate system, and a plurality of MPS points is acquired, within the at least one tubular organ. The MPS points are associated with the MPS coordinate system, the MPS coordinate system being registered with the 2D coordinate system. A 3D image model is extracted of the at least one tubular organ form a pre-acquired 3D image of the volume of interest.

Abstract: A method for enhancing a three-dimensional (3D) reconstruction of an object comprises obtaining a signal indicative of a static 3D reconstruction of an object disposed in a tracking space, co-registering the 3D reconstruction to the 3D tracking space, collecting enhancement data from a tracked tool disposed in the 3D tracking space, and adding real-time features of the object to the static 3D reconstruction using the enhancement data. A system for enhancing data obtained by a medical system includes an electronic control unit configured to receive a first signal for a static 3D reconstruction of an organ, co-register the static 3D reconstruction to a 3D tracking space for a tracked tool, receive a second signal for enhancement data generated by the tracked tool operating within a region of interest of the organ, and add real-time features of the area of interest to the static 3D reconstruction using the enhancement data.

Abstract: A method and apparatus that utilizes a force-time integral for real time estimation of steam pop in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and an energization parameter delivered to the ablation probe. The exerted force and energization parameter can be utilized to provide an estimation of the probability of steam pop. In one embodiment, the force and energization metrics can be used as feedback to establish a desired contact force and energization level combination to prevent steam popping.

Abstract: A method and apparatus that utilizes a force-time integral for real time estimation of lesion size in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and integrates the force over an energization time of the ablation probe. The force-time integral can be calculated and utilized to provide an estimated lesion size (depth, volume and/or area) in real time. The force-time integral may also account for variations in the power delivered to the target tissue in real time to provide an improved estimation of the lesion size. In one embodiment, the force metric can be used as feedback to establish a desired power level delivered to the probe to prevent steam popping.

Abstract: An apparatus for transmitting electrical signals is disclosed. The apparatus includes a substrate and a twisted pair of conductors located on the substrate. The twisted pair of conductors has a first layer comprising conductive material, a second layer comprising nonconductive material, and a third player comprising conductive material. The first layer has a plurality of segments separated by a plurality of gaps. The second layer is positioned in said gaps and electrically insulates a portion of the segments positioned within the gaps. The third layer is positioned over the second layer. The third layer is configured to electrically connects an end of one segment to an end of another segment. The twisted pair of conductors formed by the three dimensional structure comprises two electrically isolated conductors twisted about each other.

Abstract: The present disclosure relates generally to medical systems and methods for combining and synergizing information in an expedient format for viewing on a display screen. In one embodiment, a method for combining and synergizing data from different medical systems comprises obtaining from a first medical system an image disposed relative to a first coordinate system, obtaining from a second medical system supplemental data; synchronizing first and second clocks of the first and second medical systems, respectively, and displaying in synchronicity the supplemental data combined with the image. In other embodiments, coordinate systems of the first and second medical systems can be co-registered. In another embodiment, sensor integration time and spatial accuracy of the first and second medical systems can be used with an algorithm to produce synergized information.

Abstract: In a medical apparatus including a medical imaging system and a medical position and navigation system (MPS), the medical imaging system including an imaging transmitter, periodically emitting imaging radiation and an imaging detector, the medical position and navigation system including at least one MPS transmitter periodically transmitting MPS radiation and at least one MPS detector, the MPS radiation electromagnetically interfering with at least one mode of operation of the imaging detector, a device for eliminating interference to the imaging detector caused by positioning radiation, the device comprising a synchronizer, coupled with the medical imaging system and with the medical position and navigation system, synchronizing the imaging detector and each the at least one MPS transmitter, so that neither of the at least one MPS transmitter transmits during the at least one mode of operation of the imaging detector.