Abstract: An infusion array ablation apparatus includes an elongated delivery device having a lumen and an infusion array positionable in the lumen. The infusion array includes an RF electrode and at least a first and a second infusion member. Each infusion member has a tissue piercing distal portion and an infusion lumen. At least one of the first or second infusion members is positionable in the elongated delivery device in a compacted state and deployable from the elongated delivery device with curvature in a deployed state. Also, at least one of the first or second infusion members exhibits a changing direction of travel when advanced from the elongated delivery device to a selected tissue site. At least one infusion port is coupled to one of the elongated delivery device, the infusion array, the first infusion member or the second infusion member.

Abstract: Cytochrome P-450 assay methods and kits for the methods are provided employing a cytochrome P-450 enzyme, substrates characterized by having an oxidizable methylene group oxidized to an aldehyde and a fluorescent hydrazine. A fluorescent hydrazine is added to the reaction mixture and the resulting hydrazone analyzed by capillary electrophoresis. The method finds use in evaluating compounds for enzyme modulating activity.

Abstract: A tissue ablation apparatus comprises a first elongated delivery device including a lumen and an obturator with a tissue piercing distal end. The obturator is positionable in the lumen of the first elongated delivery device. A second elongated delivery device is positionable in the lumen of the first elongated delivery device. An energy delivery device is positionable in the second elongated delivery device. The energy delivery device includes at least a first and a second RF electrode each with a tissue piercing distal portion. The first and second RF electrodes are positionable in the second elongated delivery device in a compacted state and deployable from the second elongated delivery device with curvature in a deployed state. The first and second RF electrodes exhibit a changing direction of travel when advanced from the second elongated delivery device to a selected tissue site.

Abstract: A method of creating a lesion in tissue with infusion includes providing an apparatus comprising a first elongated delivery device with a lumen, an obturator with a second elongated delivery device and an energy delivery device positional in a lumen of the first elongated delivery device. The energy device includes at least a first and a second RF electrode each with a tissue piercing distal portion, the first and second RF electrodes being deployable from the first elongated delivery device with curvature in a deployed state. The energy delivery device includes an infusion lumen and at least one infusion port. The obturator and second delivery device are introduced to a selected tissue site. The obturator is removed from a lumen of the second delivery device and the first delivery device and energy delivery device are introduced into the lumen of the second delivery device. The first and second RF electrodes are advanced from the first delivery device to at least partially surround a target tissue site.

Abstract: Devices and methods are provided using microfluidic devices for manipulating small volumes and determining a variety of chemical and physical events. The devices rely upon an opening to the atmosphere of a small volume in a zone, where a sample is placed in the zone where evaporation can occur. The zone is maintained in contact with a liquid medium that serves to replenish the liquid in the zone and maintain the composition of the mixture in the zone substantially constant. The diffusion of components in the zone is restricted during the course of the determination by the liquid flux into the zone.

Abstract: Ablation devices and associated methods are provided for use in palliative treatment of a bone tumor on or in a compact bone region. The bone treatment devices include an elongate probe having a distal end. A proximal end of the probe supports placement in a location at or adjacent to the bone tumor. Electrodes are carried within the probe for deployment from the distal end into the bone tumor. The electrodes may be shapable to create, upon deployment, an array of electrodes that defines a geometric area within the bone tumor. Application of energy, for example energy from a radio frequency (RF) source, to the area of the bone tumor via the electrodes destroys at least a portion of the nerve receptors located in or adjacent to the tumor and produces a reduction in pain associated with the bone tumor.

Abstract: A method for phase shifting the circadian pacemaker or treating seasonal affective disorder in a subject is disclosed. The method includes exposing the subject's eye region to a given-intensity light flash having a flash duration of between about 1-500 msec, at a periodicity of at least about one flash per minute, over a selected time period effective, were the subject exposed to a continuous light pulse of the same intensity for this period, to phase shift the circadian pacemaker or treat the seasonal affective disorder in the subject. Also disclosed is a device for practicing the method.

Abstract: Multilevel microfluidic structures and their use are provided for performing operations using electrokinetic or pneumatic force for moving sample components through and between levels. The devices have flow systems comprising microstructures including reservoirs, channels and vias, where each of the levels or lamina has a plurality of microstructures, and where the microstructures may communicate between levels.

Abstract: Integrated microfluidic devices comprising at least an enrichment channel (10) and a main electrophoretic flowpath (12) are provided. In the subject integrated devices, the enrichment channel and the main electrophoretic flowpath are positioned so that waste fluid flows away from said main electrophoretic flowpath through a discharge outlet (6). The subject devices find use in a variety of electrophoretic applications, including clinical assays, high throughput screening for genomics and pharmaceutical applications, point-or-care in vitro diagnostics, molecular genetic analysis and nucleic acid diagnostics, cell separations, and bioresearch generally.

Abstract: An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle catheter includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrode, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.

Abstract: A surgical navigation system has a computer with a memory and display connected to a surgical instrument or pointer and position tracking system, so that the location and orientation of the pointer are tracked in real time and conveyed to the computer. The computer memory is loaded with data from an MRI, CT, or other volumetric scan of a patient, and this data is utilized to dynamically display 3-dimensional perspective images in real time of the patient's anatomy from the viewpoint of the pointer. The images are segmented and displayed in color to highlight selected anatomical features and to allow the viewer to see beyond obscuring surfaces and structures. The displayed image tracks the movement of the instrument during surgical procedures. The instrument may include an imaging device such as an endoscope or ultrasound transducer, and the system displays also the image for this device from the same viewpoint, and enables the two images to be fused so that a combined image is displayed.

Abstract: A cell necrosis apparatus comprises an elongated delivery device including a lumen and an energy delivery device. The energy delivery device includes at least a first and a second RF electrode each with a tissue piercing distal portion. The first and second RF electrodes are positionable in the elongated delivery device in a compacted state and deployable from the elongated delivery device with curvature in a deployed state. The first and second RF electrodes exhibit a changing direction of travel when advanced from the elongated delivery device to a selected tissue site. At least one infusion port is coupled to one of the elongated delivery device, the energy delivery device, the first RF electrode or the second RF electrode.

Abstract: Substantially-isolated polynucleotides encoding human polypeptides having immunomodulatory activity; human homologs of yeast RAD50, Drosophila Septin-2 and rat Acyl-CoA Synthetase compositions and methods; method for detecting the presence of activated T-cells.

Abstract: Devices and methods are provided using microfluidic devices for manipulating small volumes and determining a variety of chemical and physical events. The devices rely upon an opening to the atmosphere of a small volume in a zone, where a sample is placed in the zone where evaporation can occur. The zone is maintained in contact with a liquid medium that serves to replenish the liquid in the zone and maintain the composition of the mixture in the zone substantially constant. The diffusion of components in the zone is restricted during the course of the determination by the liquid flux into the zone.

Abstract: A cell necrosis apparatus includes an introducer with a distal end sufficiently sharp to penetrate tissue, an energy delivery including a plurality of electrodes and a slidable sensing member. Each electrode of the plurality of electrodes has a tissue piercing distal end and is positionable in the introducer as the introducer is advanced through tissue. At least one electrode of the plurality of electrodes is deployable with curvature from the introducer. The slidable sensing member is positionable within the introducer and electrically coupled to the energy delivery device. The sensing member is configured to measure a property of the energy delivery device or at least one electrode of the plurality of electrodes.

Abstract: The invention provides for compositions and methods for treating a patient suffering from chronic idiopathic thrombocytopenic purpura, and methods for making the composition. In preferred embodiments, the composition is made from several plant or herbs including: Radix Astragalus, Rehmania glutinosa, Rhizoma Acori gramenei, Rhizoma Alismatis, and Rhizoma Smilacis glabrae. The composition may be made in the form of an aqueous extract or decoction of the several or combined plants or herbs, or may be formed as a dry composition to be administered as a pill or suspension. The invention provides for an effective, low cost, simple to administer treatment for chronic idiopathic thrombocytopenic purpura, especially in otherwise refractive cases.

Abstract: An image guided surgical procedure using an improved registration of pre-operative volumetric scan data is described. Volumetric scan data, acquired before surgery, is registered with respect to the patient and used to construct a volumetric perspective image of the surgical site. The improved registration of the volumetric scan data can be accomplished by generating a pattern of light on the patient's surface by moving a laser beam over the surgical site. The pattern of light is recorded by at least two cameras from different known fixed positions, digitized and used to form a laser reconstruction of the patient surface. This digital surface can then aligned with the volumetric scan data forming an improved volumetric perspective image of the surgical site.

Abstract: A stent graft assembly for use in placing a stent graft in a vessel of a patient comprising a balloon delivery catheter having a distal extremity and having an inflatable balloon on the distal extremity. A stent graft disposed over the inflatable balloon. The stent graft comprises a stent and a graft in the form of a polymeric sleeve extending over at least a portion of the graft. The graft has first and second ends. First and second expandable security rings are disposed over the first and second ends of the graft and serve to secure the first and second ends of the graft to the stent to prevent inadvertent displacement of the graft with respect to the stent during deployment of the stent graft into the vessel of the patient.

Abstract: Methods and compositions are provided for detecting target molecules, e.g. DNA sequences, particularly single nucleotide polymorphisms, using a pair of nucleotide sequences, a primer and a snp detection sequence, where the snp detection sequence binds downstream from the primer to the target DNA in the direction of primer extension, or ligands and receptors. The methods employ e-tags comprising a mobility-identifying region joined to a detectable label and a target-binding region. The result of the binding of the target-binding region to the target is to have a bond cleaved in the starting material with the production of a detectable product with a different mobility from the starting material, where the different e-tags can be separated and detected.

Abstract: The present invention provides for methods and apparatus for locating a capillary channel that is disposed within a lab chip. The method provides for scanning the channel with a light source, monitoring the resulting light at the edges of the lab chip, and interpreting this information whereby the light detected at the edges of the lab chip can be used as a means for characterizing the location of the side walls of the channel within the lab chip. The apparatus provides for a carriage system to which a light source and the lab chip are attached. It also provides for one or more scatter detectors directed towards the edges of the chip and connected to a computer processor for purposes of analysis.