Abstract: When transesophageal echocardiography is used to obtain a transgastric short axis view of the left ventricle of the heart, the best place to position the transducer is in the fundus of the stomach, aimed up through the left ventricle. The probes disclosed herein facilitate placement of the transducer in the optimum position within the fundus, despite wide variations in the distance between the lower esophageal sphincter and the fundus among different subjects. In one preferred embodiment, the ultrasound probe uses a bending section with a series of vertebrae and stiffening that is more flexible proximally and less flexible distally, which causes the probe to bend relatively sharply at the point where the probe exits the lower esophageal sphincter. The flexibility of the proximal-most portion of the bending section is preferably greater than or equal to the flexibility of the interface between the bending section and the shaft.

Abstract: In a method for re-entry from extraluminal space into the central lumen of a vessel, a guidewire is advanced into the extraluminal space of the vessel, and then a directional catheter is advanced over the guidewire through the extraluminal space. Thereafter, the guidewire is removed from the directional catheter, an ultrasound device is placed through the directional catheter, and the ultrasound device is advanced through the extraluminal space into the central lumen and then activated.

Abstract: The present invention provides scanning mechanisms for imaging probes for imaging mammalian tissues and structures using high resolution imaging, including high frequency ultrasound and/or optical coherence tomography. The imaging probes include adjustable rotational drive mechanism for imparting rotational motion to an imaging assembly containing either optical or ultrasound transducers which emit energy into the surrounding area. The imaging assembly includes a scanning mechanism including a movable member configured to deliver the energy beam along a path out of said elongate hollow shaft at a variable angle with respect to said longitudinal axis to give forward and side viewing capability of the imaging assembly. The movable member is mounted in such a way that the variable angle is a function of the angular velocity of the imaging assembly.

Abstract: A catheter includes a sheath insertable inside a body lumen and provided with a window portion permeable to inspection waves, a detection unit movable in the axial direction of the sheath inside the sheath and which detects the inspection waves, and a reinforcement tube positionable to cover the inner surface or the outer surface of the window portion and movable in the axial direction of the sheath.

Abstract: The invention relates to a catheter device for performing atherectomy, comprising an atherectomy catheter, an IVMRI sensor, position sensors and an image-processing unit which is fashioned for generating combined 2D and/or 3D image recordings based on the data from the sensors.

Abstract: A catheter assembly for an intravascular ultrasound system includes a catheter, an imaging core, and a shield-coupling capacitor. The catheter defines a lumen extending along a longitudinal length of the catheter. The imaging core is configured and arranged for inserting into the lumen. The imaging core includes a rotatable driveshaft, one or more transducers, one or more conductors, and a conductive shield. The one or more transducers are mounted to the rotatable driveshaft. The one or more conductors are coupled to the one or more transducers and extend along the driveshaft. The conductive shield is disposed around the one or more conductors. The shield-coupling capacitor is electrically coupled to the conductive shield and includes one or more rotating capacitors. The one or more rotating capacitors include one or more rotating plates and one or more stationary plates. The shield-coupling capacitor is configured and arranged for coupling to a system ground.

Abstract: A catheter assembly for an intravascular ultrasound system includes a catheter and an imaging core. The catheter includes a lumen extending along the longitudinal length of the catheter from the proximal end to the distal end and the imaging core is configured and arranged for inserting into the lumen. The imaging core includes a rotatable driveshaft, at least one transducer mounted to the distal end of the rotatable driveshaft, and a twisted wire cable coupled to the at least one transducer. In addition, a number of different transducer arrangements and methods of making transducers are presented.

Abstract: An ultrasound catheter system and a method for operating an ultrasonic catheter at a treatment site within a patient's vasculature or tissue are disclosed. The method of operating an ultrasonic catheter comprises advancing a catheter with at least one ultrasonic element to a treatment site in a patient's vascular system or tissue, driving the at least one ultrasonic element to generate ultrasonic energy, delivering a therapeutic compound to the treatment site through the catheter, and varying a power parameter and a physiological parameter of the ultrasonic element by ramping the power parameter and the physiological parameter between two set of minimum and maximum values.

Abstract: A method of mounting a transducer to a driveshaft which eliminates the need for a transducer housing, the improved method directly attaches the transducer to a rigid distal tip of a driveshaft which is part of a rotatable imaging core of a catheter assembly. The method contemplates heat treating the distal tip of the driveshaft to make it rigid, machining the distal tip to be dimensioned to hold the transducer, and attaching the transducer to the distal tip by clamping, crimping, or an adhesive.

Abstract: Forward-looking ultrasound transducers are positioned at the tip of a transseptal catheter to facilitate transseptal puncture and interventions within the left atrium, pulmonary veins and mitral valve. Catheter devices and systems are guided by forward-looking ultrasound or optical coherence tomography imaging for penetrating from one location within a mammalian patient's body to another location, and/or performing diagnostic or therapeutic interventions. A penetrator, diagnostic, or interventional device (eg. probe, biopsy apparatus, electrode, needle) is positioned at the catheter tip and is advanceable from the catheter to a target location outside of the lumen in which the catheter is positioned. The imaging probe uses forward-looking ultrasound or optical coherence tomography that allows one to locate both the target and the medical device.

Abstract: Actuators employable for oscillating movement of a load. An improved actuator may include at least a first shape memory member that is actuatable to affect at least a portion of the oscillating movement of the load. The actuator may further include a second shape memory member actuatable to affect at least a second portion of the oscillating movement of the load. The utilization of one or more shape memory members facilitates the realization of controllable and reliable oscillating movement of a load in a compact manner. Such actuators may be used in imaging catheters having an ultrasound transducer disposed for oscillating movement to scan across an internal region of interest. Such imaging catheters may be used in generating three dimensional and/or real-time three dimensional (4D) images.

Abstract: The invention relates to a catheter device for treating a blockage of a vessel, with the catheter device featuring a treatment catheter for treating the vessel blockage which is embodied as an integrated unit with front-mounted stent.

Abstract: An image diagnostic system controls a probe to perform rotational and axially-moving scanning within a body cavity and to acquire reflected signals through the probe. Based on the acquired reflected signals, the system forms and outputs tomographic image of the body cavity and biotissue surrounding the body cavity. The system is provided with a detection unit which detects a direction of movement of the probe in the axially-moving scanning and a control unit which controls the rotational speed of the probe in the rotational scanning. The control unit includes a determination unit which determines whether or not the rotational speed of the probe is to be changed upon detection of movement of the probe toward the distal direction within the body cavity, and changes the rotational speed of the probe upon determination of a change at the determination unit.

Abstract: A method and an instrument for ultrasound imaging using an array of transducer elements which is connected to the instrument with a limited number of wires, where focusing of the transmit beam improves image signal to noise ratio above state of the art methods. This allows the use of higher ultrasound frequencies providing improved image resolution.

Abstract: An interventional medical device that incorporates an imaging system may be minimally invasive and equipped with an anchoring portion that may be slidable and fixed in a predetermined position of its elongate body outside the human body, the device further comprising deployable first and second balloons for also securing the device to an internal wall, for example, within a human body. The medical device can be in the form of a catheter, a sheath or comprise interventional devices, particularly those suitable for minimally invasive procedures in the pericardium. The dual sealing/locking balloons may comprise a slidably moveable assembly for moving from a first position over an inflation channel to a second position over one inflation/deflation channel for separately inflating a distal balloon and then a proximal balloon to the patient's skin surface.

Abstract: A remotely manipulatable ultrasound transducer element or transducer array permits an operator of an ultrasound system to be remotely located from a patient and yet remotely control the location of the element or array on a patient's body such as on the skin surface or within a body cavity. The transducer element or transducer array associated with motors and control circuits comprises an assembly within a housing for fixation to or within a human body. The transducer assembly may be fixed to a ring surrounding an image guided catheter and may rotate about the image guided catheter or move along its length to an anchoring position proximate the surface skin. Two embodiment systems for pericardial access may comprise surface and internal vision or ultrasound guidance systems that are wireless or wired one operating on suction and another on mechanical grasping of the pericardial lining.

Abstract: Ultrasonic catheters and methods for determining and/or monitoring reflux volumes during gastroesophageal reflux events.

Abstract: The invention relates to a medical system for introducing a catheter into a blood vessel of a patient, having a computer and control unit, a means for creating a transparent general view of the position of the vessel, a catheter with a reversible inflatable balloon located in the front area, to the outside of which a stent can be fitted for implanting into the vessel, a position locating system for the catheter with position and location sensors that can determine the position and location of the catheter, the system with at least one OCT (optical coherence tomography) sensor at a catheter end for the close-up area, with at least one IVUS (intravascular ultrasound) imaging sensor at a catheter end for the remote area and the computer and control unit having image processing and image display functions for the image sensors.

Abstract: Apparatus for intravascular ultrasonic imaging comprises a catheter having an ultrasonic transducer array fabricated at least in part from an electrostrictive material, wherein the electrostrictive material is non-polymeric.

Abstract: The present invention relates to an acoustic device for ultrasonic imaging of an object (21). The device comprises an acoustic transducer (10 and an acoustic lens (20) arranged to variably refract the said acoustic pulse to and/or from the acoustic transducer. The acoustic lens comprising a first (L1) and a second fluid (L2) being separated by an acoustic interface (7), the normal of the said acoustic interface forming a relative angle of incidence (AI) with the said acoustic pulse, e.g. an electrowetting lens. The first and the second fluid of the acoustic lens (20) are specifically chosen so that the acoustic interface (7) has a reflection minima at a non-zero relative angle of incidence (AI). The invention is advantageous for obtaining an improved acoustic device having a substantially lower reflection in a broader interval of incidence angles as compared to hitherto seen ultrasonic imaging utilising acoustic lenses with two or more fluids as the active acoustic refracting entities.

Abstract: An image diagnostic system controls a probe to perform radial scanning within a body cavity and to acquire reflected signals through the probe. The system produces data based on the signals, constructs and outputs tomographic images of the body cavity and biotissue surrounding the body cavity. The system includes an extraction unit for extracting portions of the produced data on the basis of a frame rate upon successively outputting the tomographic images, and a first output control unit for forming, based on the extracted data, real time tomographic images of the body cavity and biotissue which are outputted in real time during radial scanning. A storage device stores the produced data, and a second output control unit forms, subsequent to the radial scanning, tomographic images of the body cavity and biotissue based on the stored data which are then outputted.

Abstract: Methods for displaying a vessel with the aid of intravascular ultrasound images and current location and cycle information provided by detectors and sensors. A sequence of intravascular ultrasound images are stored and indexed-by location and by heartbeat and breathing phase. During a subsequent medical intervention, ultrasound images that correspond to the current phase and location of an object of interest such as a catheter can be selected and displayed on a monitor in real time along with an x-ray image of the vessel, the display showing the geometric position of the ultrasound images with reference to the x-ray image.

Abstract: An electronic radial ultrasonic probe comprising an electronic radial array which comprises a plurality of ultrasonic transducers being continuously arrayed circularly around an insertion axis as center and also for which a transmission/reception of an ultrasonic wave is controlled by electronically selecting the plurality of ultrasonic transducer, comprises: a support member equipped on the electronic radial array; a lock member featured with a cavity in which the support member is inserted and with a lock groove for locking a balloon which is mounted in a manner to cover the electronic radial array and in which an ultrasonic medium is filled; and a filler member which is constituted by an adhesive material converting from a fluid state to a solid state, and is filled in the cavity.

Abstract: A catheter has a proximal end and a distal end and comprises an outer tube having a proximal end, an inner sheath slidingly received within the outer tube and extending distally from the outer tube, and a rotatable shaft extending from the proximal end of the outer tube to within the inner sheath. The rotatable shaft is axially fixed with respect to the outer tube and axially moveable within and with respect to the inner sheath. The rotatable shaft includes a proximal substantially rigid section and a distal flexible section. The catheter further includes a working element carried on the distal flexible section of the rotatable shaft.

Abstract: Devices for assessing the size, shape, and topography of vessel lumens and hollow portions of organs are described. The devices are particularly adapted for determining the size, shape, topography, and compliance of the native heart valves to facilitate the later implantation of a prosthetic heart valve. The devices are typically catheter-based having an assessment mechanism fixed to a distal end of the catheter. The assessment mechanism generally includes an expandable member, such as a balloon. The assessment mechanism may also include an imaging member, a physical assessment member, an electronic mapping construction, an alignment mechanism, a valvuloplasty balloon, or any combination thereof.

Abstract: A rotationally vibrating imaging catheter and method of utilization has an array of ultrasound or optical transducers and an actuator along with signal processing, display, and power subsystems. The actuator of the preferred embodiment is a solid-state nitinol actuator. The actuator causes the array to oscillate such that the tip of the catheter is rotated through an angle equal to or less than 360 degrees. The tip is then capable of rotating back the same amount. This action is repeated until the desired imaging information is acquired. The rotationally vibrating catheter produces more imaging points than a non-rotating imaging catheter and eliminates areas of missing information in the reconstructed image. Rotationally vibrating catheters offer higher image resolution than stationary array catheters and greater flexibility and lower costs than mechanically rotating imaging catheters.

Abstract: A method and system for ultrasound treatment utilizing a multi-directional transducer to facilitate treatment, such as therapy and/or imaging or other tissue parameter monitoring, in two or more directions. In accordance with an exemplary embodiment, a multi-directional transducer comprises at least two transduction elements configured to provide for ultrasound energy, such as radiation, acoustical energy, heat energy, imaging, positional information and/or tissue parameter monitoring signals in two or more directions. The transduction elements can comprise various materials for providing ultrasound energy or radiation, such as piezoelectric materials, with and without matching layers. In addition, the transduction elements can be configured for substantially uniform, focused and/or defocused radiation patterns, as well as for single, multiple-element and/or multiple-element array configurations.

Abstract: Methods for processing two-dimensional ultrasound images from an intracardiac ultrasound imaging catheter provide improved image quality and enable generating three-dimensional composite images of the heart. Two-dimensional ultrasound images are obtained and stored in conjunction with correlating information, such as time or an electrocardiogram. Images related to particular conditions or configurations of the heart can be processed in combination to reduce image noise and increase resolution. Images may be processed to recognize structure edges, and the location of structure edges used to generate cartoon rendered images of the structure. Structure locations may be averaged over several images to remove noise, distortions and blurring from movement.

Abstract: A method for discriminating particle groups comprises generating, by a particle analyzer, a particle characteristic distribution histogram in which the abscissa indicates respective channels for representing the characteristics of the particles, and the ordinate indicates the particle count; setting a valid area selection height in the particle characteristics distribution histogram; and generating an equivalent negative histogram based on the set height and the particle characteristic distribution histogram.

Abstract: An imaging transducer assembly is combined with a sensor of a medical positioning system, forming a transducer/sensor assembly. In one embodiment, the sensor includes a coil proximally coupled with the imaging transducer. A cable having first and second wires are proximally coupled to the coil. A non-conductive potting layer is wrapped around the coil. Traces are formed in the non-conductive potting layer that are used to electrically couple the imaging transducer with the first and second wires of the cable.

Abstract: A system and method are provided for significantly reducing or substantially eliminating angular geometric distortions in devices designed for imaging and/or inspection of an interior portion or surface of a cavity. A series of processing steps or methods may be employed to eliminate Non-Uniform Rotational Distortion (NURD) in such devices, for example, unidirectional and bi-directional intravascular ultrasonic (IVUS) imaging systems. The system may include a processor and an electronic module which control operation of a transducer assembly provided at a distal end of a catheter assembly. The system invokes a first processing step or method to collect and store raw angle and line data, as well as one or more of second and third processing steps or methods which adjust for NURD experienced during backlash of a bi-directional imaging system and a fourth processing step or method which performs a line-to-line correlation function.

Abstract: An ultrasonic diagnostic apparatus includes plural ultrasonic transducers, a catheter signal detection unit and a position detection unit. The plural ultrasonic transducers are arrayed two-dimensionally for transmitting and receiving ultrasonic waves to and from an object. The catheter signal detection unit is configured to acquire a reception signal of a frequency modulated continuous wave from reception signals from at least three of the plural ultrasonic transducers. The frequency modulated continuous wave is transmitted from a catheter inserted in the object. The position detection unit is configured to detect a position of the catheter based on the acquired reception signal of the frequency modulated continuous wave.

Abstract: Devices and methods for assessing the orientation and shape of vessel lumens and hollow portions of organs are described. The devices and methods are particularly adapted for determining the orientation and shape of the native heart valves to facilitate the later implantation of a prosthetic heart valve. The devices are typically catheter-based having an expandable member fixed to a distal end of the catheter. Located within the expandable member is an ultrasonic imaging probe and an acoustic reflective material. The methods typically comprise deploying the balloon percutaneously to a target location, expanding the balloon, and determining the orientation and shape of a lumen, particularly a cardiac valve.

Abstract: An ultrasound catheter probe assembly capable of scanning a three-dimensional volume is provided. The ultrasound catheter probe assembly contains a plurality of ultrasonic transducers disposed along a central axis of the ultrasound catheter probe assembly. The plurality of ultrasonic transducers is disposed on a mechanism operable to reciprocally pivot the plurality of ultrasonic transducers enabling the plurality of ultrasonic transducers to scan a three-dimensional volume. A helically disposed electrical interconnection member may be disposed about a pivot axis of the plurality of ultrasonic transducers and may electrically interconnect the plurality of ultrasonic transducers to an ultrasound imaging system. The ultrasound transducer catheter probe assembly may be fluid-filled and contain bubble position control and fluid expansion compensation features.

Abstract: A medical device removal system includes a vessel filter repositioning or removal device to remove and/or reposition a medical device, such as a vessel filter. The system includes a gripper to grip a medical device that is located within a body vessel, and a detector, linked to the gripper, to detect the proximity of the medical device to the gripper. The system may also include an output to indicate a signal from the detector.

Abstract: An intravascular ultrasound catheter system is provided and enables a simplified, economical technique for ultrasound visualization of a blood vessel. The catheter may include a spark ablation system for crossing chronic total occlusions and severe stenoses. The catheter is advanceable and is oriented entirely under manual control of the clinician and the application of radiofrequency energy for spark erosion of the stenosis also is controlled manually by the clinician. The system enables the clinician to observe an ultrasound image sufficiently to determine where to orient the ablation electrode so as to reduce the risk of dissection or perforation of the blood vessel. The ultrasound image is generated in response to manual rotation of the catheter and the ablation spark is generated only when the physician is satisfied as to the orientation of the electrode within the vessel.

Abstract: A medical system includes an inner core and an imager located at the distal end of the inner core, wherein the imager is extendable from within an elongated tubular member and configured to penetrate a body tissue within a living body. The elongated tubular member is configured to slideably receive the inner core. The inner core is configured to rotate radially around a longitudinal axis of the elongated member, and the imager can be configured to image a body tissue and output an image signal to an imaging system communicatively coupled with the imager. The imaging system is configured to generate an image of the body tissue from the image signal of the imager when the imager is rotated and placed into contact with the body tissue.

Abstract: An ultrasound catheter is described herein for insertion into a cavity such as a blood vessel to facilitate imaging within a vasculature. The catheter comprises an elongate flexible shaft, a capacitive microfabricated ultrasonic transducer, and a sonic reflector. The elongate flexible shaft has a proximate end and a distal end. A capacitive microfabricated ultrasonic transducer (cMUT) is mounted to the shaft near the distal end. The reflector is positioned such that a reflective surface redirects ultrasonic waves to and from the transducer. In other embodiments, the catheter comprises a plurality of cMUT elements and operates without the use of reflectors. In further embodiments, integrated circuitry is incorporated into the design.

Abstract: An imaging transducer assembly is combined with a sensor of a medical positioning system, forming a transducer/sensor assembly. In one embodiment, the sensor includes a coil proximally coupled with the imaging transducer. A cable having first and second wires are proximally coupled to the coil. A non-conductive potting layer is wrapped around the coil. Traces are formed in the non-conductive potting layer that are used to electrically couple the imaging transducer with the first and second wires of the cable.

Abstract: A self-propelled robotic device moves through bodily and other passageways by inflating regions of an overlying bladder along the length of the robotic device in a sequence that imparts motion to the device. The regions of the overlying bladder are inflated by energizing a plurality of coils, which are surrounded by a ferrofluid, in a sequence. The ferrofluid responds to the magnetic field created by an energized coil by creating a bulge in the side wall of the overlying bladder.

Abstract: Methods for determining the size, pathology, and volume of embolic debris captured in an embolic protection filtering device. The methods may include providing an embolic protection filtering device and scanning the filtering device with a computed tomography scanner. The methods may also include analyzing digital images produced during the scanning step.

Abstract: A system and method for providing a vascular image are disclosed wherein a single composite display simultaneously provides a first view of a patient including an angiogram image and a second view including an intravascular image rendered from information provided by an imaging probe mounted on a distal end of a flexible elongate member. A cursor, having a position derived from image information provided by a radiopaque marker proximate the imaging probe, is displayed within the angiogram image to correlate the position of the imaging probe to a presently displayed intravascular image and thus provide an easily discernable identification of a position within a patient corresponding to a currently displayed intravascular image. The resulting composite display simultaneously provides: an intravascular image that includes information about a vessel that is not available from an angiogram and a current location within a vessel of a source of intravascular image data from which the intravascular image is rendered.

Abstract: An optical scanning probe is provided and includes a housing, a diaphragm disposed in the housing, a rotor, a conduit, an optical fiber module, and a reflector disposed on the rotor, wherein the diaphragm and the housing forms a chamber. The rotor is movably disposed in the chamber and has several fans. The conduit is disposed in the housing to conduct fluid into the chamber, thus impelling the fans and the rotor. The optical fiber module is disposed in the housing and through the diaphragm to transmit a light beam. The reflector rotates with the rotor and reflects the light beam for 360° scanning.

Abstract: An image of an electro-anatomical map of a body structure having cyclical motion is overlaid on a 3D ultrasonic image of the structure. The electro-anatomical data and anatomic image data are synchronized by gating both electro-anatomical data acquisition and an anatomic image at a specific point in the motion cycle. Transfer of image data includes identification of a point in the motion cycle at which the 3-dimensional image was captured or is to be displayed.

Abstract: An ultrasound catheter is described herein for insertion into a cavity such as a blood vessel to facilitate imaging within a vasculature. The catheter comprises an elongate flexible shaft, a capacitive microfabricated ultrasonic transducer, and a sonic reflector. The elongate flexible shaft has a proximate end and a distal end. A capacitive microfabricated ultrasonic transducer (cMUT) is mounted to the shaft near the distal end. The reflector is positioned such that a reflective surface redirects ultrasonic waves to and from the transducer. In other embodiments, the catheter comprises a plurality of cMUT elements and operates without the use of reflectors. In further embodiments, integrated circuitry is incorporated into the design.

Abstract: A method for minimizing tracking system interference caused by a motor driven ultrasonic imaging device is disclosed herein. The method includes providing an ultrasonic imaging device adapted to obtain a generally real time three-dimensional image. The ultrasonic imaging device includes a motor configured to rotate a transducer array within a catheter housing. The method for minimizing tracking system interference also includes estimating a noise signal produced by the motor, selecting a tracking system signal strength and/or frequency adapted to minimize a tracking system interference, and implementing a field generator to produce a tracking system signal at the selected tracking system signal strength and/or frequency.

Abstract: The present invention is generally directed towards an imaging transducer assembly. Generally, the imaging transducer assembly includes an imaging transducer located within the lumen of a sheath, wherein the sheath is configured such that an energy beam emitted from the imaging transducer narrows as it exits the sheath, resulting in an image with a higher resolution.

Abstract: Within the tip portion of a cylindrical shaped sheath a capacitive ultrasonic transducer which is an array type two-dimensionally arrayed on the outer surface of the cylindrical face is disposed. Capacitive ultrasonic transducer units employ m capacitive ultrasonic transducer elements arrayed in the longitudinal direction of the cylindrical face as a division unit, thereby providing an arrangement wherein the respective capacitive ultrasonic transducer units are readily disposed in the circumferential direction, whereby radial scanning or the like can be performed within a body cavity.

Abstract: An apparatus and method is provided for preventing biofilm formation associated with an indwelling medical device. The method involves applying nanovibrational acoustic waves to surfaces of a medical device utilizing a piezo resonator to generate the waves.

Abstract: A method for visualizing one or more objects of interest within a volume of imaging data includes the steps of receiving a volume of imaging data and displaying the one or more objects of interest within the volume by adaptively changing the amount of information displayed from the volume based on (1) a viewing direction of the volume, (2) a position of the one or more objects of interest within the volume, and (3) importance values of materials within the volume.