Abstract: Expandable laser catheters for utilizing laser energy to remove obstructions from body passages are described. In one embodiment, the laser catheter includes a shaftway having a distal end including a flexible portion configured in a series of radial folds. Multiple optical fibers, configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon is attached to the catheter within the flexible portion. In use, the catheter is inserted into a body passage such as an artery, and advanced until the distal end is adjacent to an obstruction. The balloon is inflated to expand the flexible portion and to bring the optical fibers nearer the inner wall of the body passage. Laser energy is directed by the optical fibers toward targeted regions of the obstruction. As the catheter is advanced and the process repeated, a core is formed from the obstruction and contained within the flexible portion.

Abstract: Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having a optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element.

Abstract: Expandable laser catheters for utilizing laser energy to remove obstructions from body passages are described. In one embodiment, the laser catheter includes a shaftway having a distal end including a flexible portion configured in a series of radial folds. Multiple optical fibers, configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon is attached to the catheter within the flexible portion. In use, the catheter is inserted into a body passage such as an artery, and advanced until the distal end is adjacent to an obstruction. The balloon is inflated to expand the flexible portion and to bring the optical fibers nearer the inner wall of the body passage. Laser energy is directed by the optical fibers toward targeted regions of the obstruction. As the catheter is advanced and the process repeated, a core is formed from the obstruction and contained within the flexible portion.

Abstract: Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having a optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element.

Abstract: A catheter for controlling the advancement of a guide wire includes a catheter body having a central lumen, a first side lumen and a second side lumen. A pair of opposing control wires extend the length of the catheter body through the side lumens. The catheter body includes a proximal portion coupled to a less rigid distal portion. A control handle coupled to the proximal ends of the control wires produces opposing motion of the control wires along the length of the catheter body, causing the distal portion of the catheter body to deflect relative to the proximal portion of the catheter body, thus directing the guide wire. In one embodiment, the control handle includes a guide wire advancement mechanism for controlling the advancement of the guide wire through the catheter.

Abstract: A method and apparatus which uses ultrasonic techniques to inspect critical pipe joints and other critical industrial areas that are normally inaccessible. A waveguide including one or more flexible fibers is embedded in concrete or whatever else embeds the piping which includes the critical area. One end of the waveguide is accessible so that an ultrasonic transducer can be used to transmit ultrasonic signals along the waveguide and receive reflected echoes to provide an ultrasonic image of the critical area. In a case where the area to be inspected is submerged, the waveguide takes the form of a flexible fiber bundle which is manipulated until its end is adjacent to the critical area. Some of the fibers in the bundle can be used to illuminate the critical area, and other fibers can transmit optical images for display on a video monitor. In an alternative embodiment, a single optical fiber waveguide is used to transmit illumination, optical signals and ultrasonic signals.

Abstract: A control system and method for controlling tissue ablation uses optical time domain reflectometry data to differentiate abnormal tissue from normal tissue, and to control ablation of abnormal tissue by controlling a tissue ablative apparatus. Using data provided by an interferometric apparatus, the control system provides control signals to the tissue ablative apparatus, controlling activation of the tissue ablation apparatus so that normal tissue is left untreated while abnormal tissue is ablated.

Abstract: Systems and methods for guiding the advancement of a guide wire through body tissue are described. In one embodiment, the guide wire has a first end, a second end, or guide wire head, a bore extending between the first and second ends, and includes an interferometric guidance system. The interferometric guidance system includes a low coherent illumination source, an optical beam splitter, a first optic fiber, a second optic fiber, and a photodetector. Each optic fiber includes a first end and a second end, and is wrapped around a piezo electric transducer (PZT). The second optic fiber has a fixed reflector on the second end. The photodetector is configured to determine interference between a first reflected light beam propagating through the first optic fiber and a second reflected light beam propagating through the second optic fiber. In one embodiment, the guide wire second end is inserted into a blood vessel so that the first optic fiber second end is inserted in the vessel.

Abstract: Apparatus and methods especially useful for facilitating grafting of healthy blood vessel tissue onto the internal wall of a blood vessel are described. In one embodiment, the apparatus includes a vascular graft secured to an expandable, wire mesh endovascular stent. The vascular graft is a partial thickness section taken through the thickness of the graft donor tissue and includes the intimal layer composed of endothelial cells. The partial thickness section facilitates regeneration of an endothelial cell layer. The vascular graft may be an autograft or homograft, and may have been prepared earlier and cryogenically frozen. The combination of stent and vascular graft is inserted into a blood vessel having damage to an internal wall. The stent is expanded in position at the site of damage, and the vascular graft grafts onto the damaged internal wall of the blood vessel while being supported by the stent. The stent also provides structural support for the blood vessel wall.

Abstract: Expandable laser catheters for utilizing laser energy to remove obstructions from body passages are described. In one embodiment, the laser catheter includes a shaftway having a distal end including a flexible portion configured in a series of radial folds. Multiple optical fibers, configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon is attached to the catheter within the flexible portion. In use, the catheter is inserted into a body passage such as an artery, and advanced until the distal end is adjacent to an obstruction. The balloon is inflated to expand the flexible portion and to bring the optical fibers nearer the inner wall of the body passage. Laser energy is directed by the optical fibers toward targeted regions of the obstruction. As the catheter is advanced and the process repeated, a core is formed from the obstruction and contained within the flexible portion.

Abstract: Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having a optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element.

Abstract: Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element.

Abstract: Catheters for photoablating plaque build-up in blood vessels are described. In one form, the catheter includes a catheter body having a first group of optic fibers and a second group of optic fibers. The first group of optic fibers is adjacent the second group of optic fibers, and each group of optic fibers includes at least one optic fiber having a first end and a second end. The second ends of the respective optic fibers form a substantially rounded hemispherical catheter head. A control element is coupled to the catheter body and is configured to selectively transmit energy through either the first group of optic fibers, or the second group of optic fibers, or both the first and second groups of optic fibers.

Abstract: Systems and methods for advancing a guide wire through body tissue are described. In one form, the guide wire includes an interferometric guidance system and a tissue removal member. The interferometric guidance system is coupled to the guide wire and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and extends through a guide wire bore so that the second end is adjacent the guide wire second end. The second optic fiber of the guidance system similarly includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The detecting element is configured to determine interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber. The tissue removal member also is coupled to the guide wire and is configured to create a path through body tissue so that the guide wire may be advanced therethrough.

Abstract: A medical catheter for treating atherosclerotic plaque and other abnormalities includes optical fibers for applying laser energy to the plaque and an ultrasonic transducer system for sensing the location and configuration of the plaque. The optical fibers and electrical wiring for the transducers extend through a probe which is rotatable inside of the catheter tube to provide universal directional control of the fibers and transducers. A reflective system includes a curved reflector in the probe which can be axially adjusted to vary the directions of the ultrasonic signals. Alternative forms of the invention include different reflector schemes, an angled ultrasonic transducer having a conical signal output that varies with frequency, and various different systems for rotating the transducers and fibers.

Abstract: A graft assembly is provided for placement in a body passage having a generally tubular inner wall of predetermined diameter. The graft assembly includes an elongated outer tubular graft presenting inner and outer graft surfaces, and first and second outer stents secured to the graft. The first outer stent has expanded and contracted conditions and possesses a spring force that urges the first outer stent toward the expanded condition. When in the expanded condition, the first stent presents an outer diameter greater than the predetermined diameter of the inner wall of the body passage. The second outer stent also has expanded and contracted conditions and possesses a spring force that urges the second outer stent toward the expanded condition.

Abstract: A vascular graft is held in a collapsed state on a pair of stents which take the form of flexible sheets wound around a spool. A sheath is fitted closely around the graft to hold it in its collapsed state and to retain the stents in rolls tightly wound on the spool. After the spool has been inserted into a damaged vessel and advanced to the area of vascular damage, the sheath is withdrawn. The stents then unwind and expand to press the ends of the graft against healthy parts of the vessel on opposite sides of the damaged area. An alternative embodiment of the invention includes a Y-shaped graft for application to a branched part of a vessel. In place of a sheath, control cords with slip knots are used to retain the stents in their contracted conditions while the graft is being positioned in the vessel.

Abstract: A medical catheter which includes one or more optical fibers, each of which transmits both ultrasonic signals for imaging of the treatment area and laser energy for treatment of a medical condition. Different embodiments of the invention make use of different ways to utilize the same fiber for both ultrasonic and laser transmission.

Abstract: A stent/sensing device is provided by attachment of an in vivo sensor such as a blood glucose sensor to the inner surface of the multiple layer roll. Electrical leads extending from the sensor device pass through an elongated groove provided in the inner supporting spool for the stent.

Abstract: A stent for reinforcing a damaged wall in a body passage such as a vascular passage. The stent takes the form of a sheet or metal foil wound tightly around a spool in a multiple layer roll and held in a contracted state by a sheath sleeved around the roll. The spool is inserted into the body passage until the stent is adjacent to the area of the damaged wall. The spool and stent are then advanced while the sheath is held stationary. This pushes the stent out the end of the sheath and releases the stent such that the roll unwinds and expands against the damaged vessel wall.