Abstract: Devices and methods for stabilizing an electrical lead in a cardiac vein of a heart using a tether and a stent anchor. The stent anchor may include a proximal eccentric apex such that the distal electrode of the lead lies against and establishes electrical contact with tissue of the heart.

Abstract: Devices and methods for treating a damaged intervertebral disc to reduce or eliminate associated back pain. The present invention provides disc reinforcement therapy (DRT) which involves implanting one or more reinforcement members in and preferably around the annulus of the disc. The reinforcement members may be used to stabilize the annulus and/or compresses a portion of the annulus so as to reduce a bulge and/or close a fissure.

Abstract: A balloon dilation catheter which has a long shaft and an inflatable balloon connected to its distal end. The shaft includes a guide wire lumen which has an inner diameter that is substantially larger than the guide wire diameter used in the procedure. An atraumatic tip is connected to the distal end of the inflatable balloon and includes an aperture which the guide wire passes through. The diameter of the aperture remains constant but is substantially less than the inner diameter of the guide wire lumen and matches the maximum diameter of the guide wire used in the procedure. The atraumatic tip minimizes the potential for vascular damage and eliminates the need to change catheters or guide wires and thus reduces the time and cost of the PTA procedure. The tip also includes holes which allow for dye injection and pressure measurement while the guide wire extends through the aperture.

Abstract: An intravascular catheter used to deliver radiation to a vascular wall wherein the catheter includes an elongate shaft having a toroidal-serpentine balloon connected to its distal end. The toroidal-serpentine balloon provides a non-helical perfusion path while centering a delivery lumen inside the vasculature. A guide wire and/or a radiation source may be inserted into the delivery lumen. Methods of use and manufacture are also disclosed.

Abstract: A system and method of providing a blood-free interface for intravascular light delivery is disclosed. The method includes the steps of inserting a balloon catheter into the vasculature of a patient wherein the balloon catheter includes an infusion layer disposed about the balloon; inserting a light delivery catheter into the working lumen of the balloon catheter; inflating the balloon to displace blood inside the vasculature; infusing a liquid to displace blood between the inflated balloon and the inside wall of the vasculature so as to provide a relatively blood-free interface; and delivering light through the blood-free interface to the vasculature from the light delivery catheter. Fluid may be infused into the working lumen of the balloon catheter and around the light delivery catheter in order to displace any blood in the lumen.

Abstract: An intravascular device for measuring blood pressure and flow is disclosed, which includes an elongate shaft having a pressure transducer and a flow transducer connected to its distal end. The pressure transducer may be a ferrofluid-type pressure transducer and the flow transducer may be an anemometer-type flow transducer. Measurement circuitry is also disclosed which provides a means for simultaneous measurement of both blood pressure and blood flow parameters. A sensor shield may be employed to isolate radial blood flow which is indicative of turbulent blood flow. An alternative blood flow measurement device is also disclosed which utilizes a thin metal film anemometer to measure flow in a vascular lumen.

Abstract: A catheter for the right coronary artery where the catheter includes a substantially straight proximal shaft section and a distal shaft section. The distal shaft section includes a support arm which is sized to traverse the aortic root such that the one end of the support arm rests against the aortic wall opposite the right coronary ostium and the other end of the support arm rests in the right coronary ostium. The support arm provides for increased back-up support by utilizing the opposite aortic wall. The distal shaft section further includes a tertiary curve disposed proximal of the support arm. The tertiary curve has an arc angle of less than about 90 degrees such that torque may be readily transmitted from the proximal shaft section to the support arm thereby facilitating controlled tip manipulation. Methods of using such a catheter are also disclosed.

Abstract: An intravascular device and associated system which utilizes pressurized fluid to extract occlusive material. The device and system includes several unique features which provide desirable advantages over prior art devices. For example, the device is particularly suitable for removing occlusive material which is diffuse, friable, grumous-like, paste-like, granular, and/or chunky. The device includes independently movable fluid input and fluid output tubes and may be advanced over a guide wire. The fluid port holes are located immediately adjacent the distal end of the fluid output tube so as to engage the occlusive material without the need to first traverse the occlusive material with the device. The system utilizes a unique constant volume pump and associated pressure sensors to maintain balanced flow and immediately detect and correct conditions which may cause clinical complications.

Abstract: A single operator exchange balloon dilation catheter is disclosed which includes an innerless distal shaft section and a blood perfusion tube.

Abstract: A guide wire extension system is disclosed which utilizes a magnetic coupling to connect a guide wire to an extension wire. The magnetic coupling may include a magnetic portion and a magnetically responsive portion. Alternatively, the magnetic coupling may include a first magnet portion and a second magnet portion. The magnetic portions may be arranged coaxially or end-to-end. The magnetic portions may also be articulated. The magnetic coupling of the present invention provides an extension system which is both durable and relatively easy to use.

Abstract: A balloon catheter is disclosed which includes a contrast displacement rod at least partially and slidably disposed in an elongate tubular member with a balloon connected to the distal end of the tubular member. The rod may include a stop mechanism to inhibit removal of the rod from the tubular member. A seal connected to the proximal end of the tubular member creates a liquid tight seal between the inside of the tubular member and the displacement rod. Accordingly, longitudinal actuation of the displacement rod causes the balloon to expand and/or contract. The balloon catheter may be a fixed wire, an over-the-wire or a single-operator exchange type balloon catheter. In addition, a pressure gauge may be connected to the proximal end of the tubular member. A one-way valve is also disclosed which allows the balloon catheter to be prepped via the guide wire lumen.

Abstract: A balloon dilatation catheter is disclosed which incorporates a longitudinally collapsible shaft section including a longitudinally collapsible guide wire lumen. The longitudinally collapsible shaft section may also include a longitudinally collapsible inflation lumen. The longitudinally collapsible shaft section may take the form of a polymer encased braid, a polymer bellow, or a helical tube. A longitudinally rigid member may be connected to the distal end of the longitudinally collapsible shaft section in order to facilitate extension and contraction of the collapsible section. Methods of using such a catheter system are also disclosed.

Abstract: The present invention provides for an improved rotating mechanical, or roional, ablation device wherein one or more diamond plated burrs are attached to a driveshaft, which rotates at high speed driven by an advancer/turbine assembly. The driveshaft is provided with a quick connection/disconnection feature allowing for the easy removal of the burr/driveshaft assembly portion of the device from the advancer turbine assembly portion of the device.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A balloon catheter having a long shaft with an inflatable balloon connected to its distal end with a pressure source connected to the shaft at an invivo point which operates to inflate and deflate the balloon. The balloon catheter may be a fixed-wire type, an over-the-wire type, or an single-operator-exchange type catheter. The pressure source may include a piston and a chamber with an actuation member attached to the piston. The actuation member may be a solid rod or a hollow robe. In the case where the actuation member is a hollow tube, the tube may be used to introduce inflation fluid into the pressure source and the inflation lumen. A receptacle such as a reel or tubular hoop may be used to contain the actuation member when pulled proximally. A pressure sensor/gauge and a balloon sizing scale may be incorporated into the catheter assembly to assist the treating physician in monitoring the procedure.

Abstract: An medical device with hook like bristles suitable for capturing occlusive material. The device is inserted to a patient's vasculature and moved through an area of occlusion in such a way as to dislodge and capture the material causing the occlusion.

Abstract: A balloon catheter is disclosed which includes a fluid displacement rod at least partially and slidably disposed in an elongate tubular member with a balloon connected to the distal end of the tubular member. A seal connected to the proximal end of the tubular member creates a liquid tight seal between the inside of the tubular member and the displacement rod. Accordingly, longitudinal actuation of the displacement rod causes the balloon to expand and/or contract. The balloon catheter may be a fixed wire, an over-the-wire or a single-operator exchange type balloon catheter. In addition, a pressure gauge may be connected to the proximal end of the tubular member. A one-way valve is also disclosed which allows the balloon catheter to be prepped via the guide wire lumen. Accordingly, the present invention negates the need for both an inflation device and an inflation lumen which results in a significant improvement in catheter performance and cost savings.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A method of detecting a metallic stent inside a living body wherein the method includes the steps of: (1) providing a stent locator device, (2) providing a metallic stent, (3) inserting the metallic stent into the living body, (4) inserting the stent locator into the living body and (5) locating the stent with the stent locator by detecting an electrical parameter affected by the position of the stent relative to the position of the locating device. The electrical parameter may be detected with a pair of electrodes or a coil mounted to the distal end of the stent locator. The stent locator may include one or more radiopaque markers mounted on the distal end such that the position of the stent may be radiographically correlated to the position of the stent locator device. Alternatively, the stent locator may include one or more visual markers mounted on the proximal end such that the position of the stent may be visually correlated to the position of the stent locator device.