Abstract: In one embodiment, an apparatus includes a medical instrument, a position tracking system to track coordinates of the instrument within a passage in a body, a processor to register the system and a 3D CT image of at least a part of the body, find a path of the instrument through the passage, compute segments of the path, compute respective locations along the path of respective virtual cameras responsively to the computed segments, select the respective virtual cameras for rendering respective virtual endoscopic images responsively to the tracked coordinates, compute respective orientations of the respective virtual cameras, and render and display the respective virtual endoscopic images, based on the 3D CT image, of the passage in the body viewed from the respective locations and orientations of the respective virtual cameras including an animated representation of the instrument positioned in the respective virtual endoscopic images in accordance with the tracked coordinates.

Abstract: Apparatus, including a guidewire, having a distal end dimensioned to penetrate into a nasal sinus and a balloon, which is fitted over the guidewire in proximity to the distal end. There is an inflation channel, which runs along the guidewire and is coupled to convey a pressurized fluid into the balloon so as to inflate the balloon. The apparatus also includes a first electrode, fixedly attached to a distal tip of the guidewire, and a second electrode, fixedly attached to the guidewire at a location proximal to the distal tip. There are conductive leads running along the guidewire and coupled to apply an electrical potential between the first and second electrodes.

Abstract: An apparatus includes a shaft, a balloon, a tip member, and a heating feature. The tip member is distal to the balloon and has a larger outer diameter than the shaft. The heating feature is operable to ablate tissue of the Eustachian tube contacting the balloon in the expanded state. The heating feature may include an illuminating element and a photosensitive coating on the balloon. Alternatively, the heating feature may include a thermal heating element that heats the balloon inflation fluid and thereby heats the wall of the balloon. Another apparatus includes a shaft, a tip member, and an electrode assembly. The electrode assembly includes a plurality of electrodes positioned along the shaft near the distal end, proximal to the tip member. The electrodes are spaced apart from each other along a longitudinal axis and are operable to apply RF energy to tissue to thereby ablate the tissue.

Abstract: A catheter includes an elongated body having a longitudinal axis, a distal assembly distal the elongated body, the distal assembly having a tapered helical form comprising a larger, electrode-carrying proximal loop and a smaller, softer distal loop, and a shape-memory support member extending through at least the proximal loop. For example, the helical loop subtends at least about 720 radial degrees, with the proximal loop subtending about 360 radial degrees, and the distal loop subtending about 360 radial degrees. The softer distal loop with a straight distal end atraumatically guides the distal assembly into a tubular region so that the larger proximal loop can sit on the ostium of the tubular region with improved electrode and tissue contact.

Abstract: The disclosed technology includes an irrigation tube for a medical catheter. The irrigation tube can include a flexible tube extending along a longitudinal axis from a proximal end to a distal end. The irrigation tube can include a pull wire attached to the flexible tube, the pull wire configured to deflect at least the distal end of the irrigation tube radially outward from the longitudinal axis. The irrigation tube can include an aperture proximate the distal end of the flexible tube, the aperture configured to direct an irrigation fluid outwardly from the irrigation tube so that irrigation fluid is directed generally in a direction of deflection by the pull wire.

Abstract: A method that includes selectively positioning an ablation catheter system at a treatment site comprising cardiac tissue, ablating cardiac tissue at the treatment site with the ablation catheter system using a power setting of approximately 90 W applied to tissue for approximately four (4) seconds to achieve a target electrode temperature, and achieving approximately zero incidence of steam pop occurrence in both left and right atrial ablations and complete pulmonary vein isolation, by the ablation catheter system, for all patients of a predetermined patient population suffering from paroxysmal atrial fibrillation (PAF).

Abstract: The disclosed technology includes electrode attachments for a medical probe, including an electrode body configured to deliver electrical energy to biological tissues. Elongated member(s) of the medical probe can include one or more apertures, and the electrode(s) can include one or more electrode apertures to align with the apertures of the elongated member. A pin is placed into the aligned apertures to secure the electrode to the elongated member.

Abstract: In one embodiment, a system includes generator coils to generate respective magnetic fields, a catheter including a distal end, which includes magnetic coil sensors to output electrical signals based on detection of the respective magnetic fields, and processing circuitry to receive the electrical signals from the magnetic coil sensors, select at least one of magnetic fields having a magnetic field gradient as a function of at least one of the received electrical signals, compute a difference between magnetic field magnitudes of the at least one selected magnetic field detected by the first magnetic coil sensor and the second magnetic coil sensor as a function of the electrical signals, and compute a dimension of the distal end, based on the difference between the magnetic field magnitudes of the at least one selected magnetic field and the magnetic field gradient of the at least one selected magnetic field.

Abstract: An apparatus includes a shaft and an inflatable sleeve catheter. The shaft is configured for insertion through a sheath into a cavity of an organ of a patient. The inflatable sleeve catheter is fixed to a distal end of the shaft, with the inflatable sleeve catheter including (i) a resilient inner end section, which is fixed to the distal end of the shaft and is formed so as to assume a predefined shape when unconstrained, (ii) an inflatable sleeve that envelopes the inner end section, and a plurality of electrodes that are disposed over the inflatable sleeve and are configured to contact tissue.

Abstract: A flexible probe has an assembly in its distal end. The assembly has a distal side and a proximal side. The assembly includes first and second flat spring coils having internal edges that mate with first and second retainers, respectively. The first and second flat coils are disposed in the probe distal end proximal to the electrode and separated by a spacer. The first and second flat coils are configured to deform in response to pressure exerted on the distal tip when the tip engages a wall of the body cavity. A transmitter is disposed on one of the distal side or the proximal side of the assembly and a receiver is disposed on the opposite side. The receiver is configured to receive signals from the transmitter for sensing a position of the receiver relative to the transmitter.

Abstract: A catheter adapted or high density mapping and/or ablation of tissue surface has a distal electrode array with offset spine loops, each spine loop having at least a pair of linear portions and a distal portion connecting the pair of linear portions, and one or more electrodes on each linear portion. The linear portions of the plurality of offset spine loops are arranged in-plane a single common plane, and the distal portions of the plurality of offset spine loops are arranged off-plane from the single common plane.

Abstract: A system for use with a balloon disposed at a distal end of an intrabody probe includes an output device, configured to produce an output indicating whether the balloon is elongated, and a processor. The processor is configured to calculate, based on respective locations of multiple elements disposed on a surface of the balloon, multiple values, over an interval, of a parameter indicative of a radius of the balloon. The processor is further configured to modify a state of the output based on at least one of the values. Other embodiments are also described.

Abstract: A method includes, using a processor, identifying a septum and a Left Atrium Appendage (LAA) of a heart of a patient in an anatomical map of at least part of the heart. An entry surface over which a medical device is defined on the anatomical map, which is to be delivered via a sheath that penetrates the septum, is to engage with the LAA. A normal to the entry surface is calculated. A plurality of curves is calculated that each (i) have one end that is tangent to the normal, (ii) have a second end touching the septum, and (iii) comply with specified mechanical properties of the sheath. Multiple candidate locations on the septum are derived from the curves, for transseptal puncture with the sheath. The multiple candidate locations are presented to a user.

Abstract: In one embodiment, a catheter includes a shaft assembly having a proximal and distal end, which comprises a deflectable segment including lumens running longitudinally therein, electrodes disposed at the distal end, a connector disposed at the proximal end for coupling to processing circuitry, cables disposed in first respective ones of the lumens, each cable electrically coupled to the connector and a respective group of the electrodes, wherein each cable includes a bundle of wires, each wire connected to a respective one of the electrodes in the respective group, an electrical shielding surrounding the bundle, and an electrically insulating jacket surrounding the shielding and sized to allow longitudinal movement of the respective cable within the respective lumen, respective elongated members disposed in second respective ones of the lumens, and connected to the distal end, and a manipulator connected to the elongated members to actuate the distal end via the elongated members.

Abstract: A tool positioning system for use in a medical procedure is provided which includes a medical tool configured to be navigated to a target tool location within a portion of an organ of a patient. The medical tool includes a sheath having a tube defined by a sheath wall, the sheath extending a length in a proximal-distal direction and an inflatable balloon coupled to the sheath and configured to move along the length of the sheath in the proximal-distal direction. When the inflatable balloon is inflated at a target balloon location along the length of the sheath, the inflated balloon is fixed at the target balloon location. The tool positioning system also includes memory configured to store location of the tool in a three dimensional (3D) space and at least one processor configured to generate mapping information for displaying locations of the tool in the 3D space.

Abstract: An irrigated needle electrode ablation catheter has a distal tip section with a tip electrode, a needle electrode assembly longitudinal movable relative to the catheter, and a needle centering insert in a channel in the tip electrode. The assembly has a proximal tubing and a distal needle electrode, and the insert supports the needle electrode in the channel at a predetermined separation distance from the tip electrode while enabling irrigation to flow circumferentially around the needle electrode through the channel and exit at the distal end of the tip electrode. The catheter also provides a first dedicated fluid pathway through the assembly and exits at the distal end of the needle electrode, and a second dedicated fluid pathway to supply fluid to the channel in the tip electrode, wherein the second pathway is defined by a guide tube and directed by a plunger member.

Abstract: A disposable dual-action reciprocating pump part includes a piston and a cylinder, and multiple silicone O-rings. The piston is configured to move bi-directionally inside the cylinder. The multiple silicone O-rings are configured to seal the piston against the cylinder.

Abstract: A medical system includes a catheter, a light source, a detector, a circulator, and a processor. The catheter includes a distal-end assembly for performing a medical operation on tissue in a cavity of an organ of a patient, the distal-end assembly including an optical fiber configured to guide transmitted light to interact with the tissue of the cavity, and to guide returned light that interacted with the tissue. The light source is configured to produce the transmitted light. The detector is configured to measure the returned light. The circulator is configured to couple the transmitted light from the light source to the optical fiber, and to couple the returned light from the optical fiber to the detector. The processor is configured to identify a contact of the distal-end assembly with the tissue based on the returned light measured by the detector, and to indicate the identified contact to a user.

Abstract: A flexible circuit including a first segment including a base section of the flexible circuit; a second segment including a lateral wall section; a transition section between the base and lateral wall sections, the transition section being at least partially positioned adjacent a shared region of the base and lateral wall sections; and one or more electrode regions including a respective electrode, the one or more electrode regions being positioned at least partially in the transition section and the second segment.

Abstract: A catheter for canceling magnetic interference is disclosed. The catheter includes a catheter shaft having a distal end with sensors and a handle with electronics and non-magnetic sensors. Inside the catheter shaft is at least one flexible substrate having conductive traces. Another flexible substrate is wrapped around a component in the catheter shaft. The catheter further includes a plurality of connectors. A first connector connects the sensors to one end of the at least one flexible substrate. A third connector connects the non-magnetic sensors to one end of the other flexible substrate. A second connector and a fourth connector both connect the electronics to another end of the at least one flexible substrate.