Abstract: An irrigated ablation catheter includes a shaft having a proximal end, a distal end, and an irrigation lumen therein. The catheter further includes an electrode assembly coupled to the distal end of the shaft. The electrode assembly includes an ablation electrode and a manifold. The manifold is coupled to each of the distal end of the shaft and the proximal end of the electrode. At least a portion of the manifold is constructed of a flexible material to allow the electrode assembly to deflect. The manifold includes a body, an inner cavity within the body configured for fluid communication with the irrigation lumen, and an irrigation port also within the body and configured for fluid communication with the inner cavity. The irrigation port extends from the inner cavity to the outer surface of the body, and is configured to allow for an irrigating fluid to be distributed from the manifold.

Abstract: A hydraulically assisted actuator in a handle connects with a catheter having a deflectable distal ablation tip. The hydraulic actuator translates small mechanical movement by a clinician into large travel movements of connected steering cables and increased tension in the ablation tip for greater deflection. The hydraulic system further dampens the return of the ablation tip from a deflected position to an equilibrium position. The hydraulic actuation system is also incorporated into a set of foot pedals.

Abstract: An imaging system is provided with an ultrasound catheter and a controller coupled to the ultrasound catheter. The catheter includes a localizer sensor configured to generate positional information for the ultrasound catheter, and an imaging ultrasound sensor having a restricted field of view. The controller co-registers images from the imaging ultrasound sensor with positional information from the localizer sensor.

Abstract: An electrophysiology catheter includes an elongate catheter body having a distal end and a proximal end, a catheter tip including at least one metallic catheter component, such as an electrode, thereon, and at least one internal catheter component joined to the at least one metallic catheter component. The at least one internal catheter component includes a shape memory alloy and a metal compound that is capable of both bonding with the shape memory alloy and being metallurgically joined to the at least one metallic catheter component as by brazing. The metal compound may be a coating on or a core within the shape memory alloy. Suitable metal compounds include, without limitation, nickel, copper, brass, and combinations thereof.

Abstract: A tissue ablation device includes an elongate body having a proximal end and a distal end, an array of ablation elements located at the distal end, and a connector configured to releasably engage the tissue ablation device with at least one medical device. The body is preferably flexible, and may form a wand-type device. The connector may be a magnetic element that magnetically engages the tissue ablation device with the medical device or a hook, for example a plastic hook, that extends outwardly from the array of ablation elements to hook the tissue ablation device to the medical device. The connector may be removably coupled to the ablation elements. The medical device may also be a tissue ablation device, and the connector may engage the two devices such that their respective ablation elements are substantially aligned to form a substantially continuous lesion.

Abstract: The present invention is a handle for controlling the deflection of a distal end of a catheter body. The catheter body includes first and second deflection wires that extend through the catheter body from the distal end of the catheter body. The handle comprises a slide base, an adjustment knob, a first slide and a second slide. The slide base includes a first end, a second end, and a slide compartment longitudinally extending through at least a portion of the slide base. The adjustment knob is rotateably connected to the first end of the slide base and includes a hole extending through the knob, wherein at least a portion of an inner diameter of the hole includes an internal right thread and an internal left thread. The first slide is located in the slide compartment, is adapted to be coupled to the first deflection wire, and includes an external right thread. The second slide is located in the slide compartment, is adapted to be coupled to the second deflection wire, and includes an external left thread.

Abstract: A device for ablating tissue includes an elongate body, which may be flexible to wrap about a cardiac structure, and at least one movable ablation element coupled to the body. The movable ablation element is adjustable relative to the body to form an angle with a longitudinal axis thereof between about zero degrees and about 180 degrees. The movable ablation element may be a two element array, and a pivot pin may depend from an underside thereof to pivotably connect the array to the body via a mating pivot hole in the body. The body may be formable into both a substantially flat configuration and a generally curved configuration. In other embodiments, the body is wand-shaped. The device may further include at least one non-movable ablation element coupled to the body and forming an angle of about zero degrees with the longitudinal axis of the body.

Abstract: A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length.

Abstract: A computational process for approximating and representing the shape of the interior of the heart is disclosed.

Abstract: Disclosed herein is a method of manufacturing a medical device, catheter or lead having electrically conductive traces and external electrical contacts. Each trace may be in electrical connection with one or more external electrical contacts. More specifically, each trace is typically electrically connected to a single contact. The traces and contacts may assist in diagnosis and/or detection of bio-electrical signals emitted by organs, and may transmit such signals to a connector or diagnostic device affixed to the catheter. The external electrical contacts may detect bioelectric energy or may deliver electrical energy to a target site. Also disclosed herein is a medical device made in accordance with the method described above.

Abstract: An ultrasound imaging system is provided with an interface for receiving user input, and a controller coupled to the interface, the controller being adapted and configured to adjust parameters for a catheter-based ultrasound probe in response to received user input. Preferably, the controller is programmed to receive a user request for a desired imaging depth, determine an imaging frequency that corresponds to the desired imaging depth, and adjust the imaging frequency of the system to the determined imaging frequency that corresponds to the desired imaging depth.

Abstract: A system and method for limiting a temperature induced in a body by an ultrasound imaging catheter are provided. The method includes receiving, at an isolation box, an imaging signal from an imaging catheter, receiving, at an isolation box, a signal indicative of a temperature of tissue adjacent to the imaging catheter, removing power to the imaging catheter at the isolation box if the signal indicates the temperature of tissue adjacent to the imaging catheter exceeds a known value, and sending the imaging signal from the catheter to a processor if the signal indicates the temperature of tissue adjacent to the imaging catheter is less than the limit.

Abstract: The instant invention is directed toward transseptal puncture needles and transseptal puncture needle assemblies. More specifically, it relates to curved transseptal puncture needles and needle assemblies that facilitate insertion through curved transseptal introducers. Each curved transseptal puncture needle includes a needle tip with a tangential back bevel configuration, a reverse tangential back bevel configuration, or a conical reverse bevel configuration. The axial orientation of the needle tip relative to the needle curvature, whether on the concave side or convex side of the curved transseptal puncture needle, provides additional benefits. The leading edge of the needle tip is located at a distal end of an inner needle tube, and the leading edge of the needle tip may be positioned away from an outer surface of the inner needle tube and adjacent to an inner surface of the inner needle tube.

Abstract: A system that interfaces with a workstation endocardial mapping system allows for the rapid and successful ablation of cardiac tissue. The system allows a physician to see a representation of the physical location of a catheter in a representation of an anatomic model of the patient's heart. The workstation is the primary interface with the physician. A servo catheter having pull wires and pull rings for guidance and a servo catheter control system are interfaced with the workstation. Servo catheter control software may run on the workstation. The servo catheter is coupled to an RF generator. The physician locates a site for ablation therapy and confirms the location of the catheter. Once the catheter is located at the desired ablation site, the physician activates the RF generator to deliver the therapy.

Abstract: A system for optically characterizing an acoustic beam generally includes an immersant, which is an immersion medium seeded with a plurality of seed particles that respond to illumination with fluorescence indicative of at least one parameter of the immersant such as flow or temperature. Optical transmitters illuminate the immersant slicewise, and optical receptors receive the fluorescence in order to generate a three-dimensional map of the parameter over time. A processor back-calculates one or more characteristics of an acoustic beam that results in the map. The processor initially generates a behavior model of an acoustic beam propagating in the immersant by utilizing initial guesses for the characteristics. The initial guess model is compared to the map, and an optimization routine is used to refine the initial guesses. The process repeats iteratively with refined guesses until the difference between the model and the map is minimized.

Abstract: A catheter actuation handle for deflecting a distal end of a tubular catheter body having first and second actuation wires extending from a proximal end of the body. The handle comprises a first grip portion, a bearing assembly, and an actuator. The first grip portion includes a pivot with a pathway extending through the pivot. The pathway is generally parallel to a longitudinal centerline of the first grip portion. The bearing assembly is located on the first grip portion proximal to the pivot. The actuator is pivotally coupled to the pivot and includes first and second ends that are laterally offset from the longitudinal centerline and are on opposite sides of the centerline from each other. When the distal end of the handle is coupled to the proximal end of the body, the first and second actuation wires extend along the pathway to the bearing assembly.

Abstract: The invention relates to an irrigated ablation catheter that has a pressure sensor to determine tissue contact as well as methods of using the same. The irrigated ablation catheter contains fluid tubing, an electrode with passages and a lumen and a pressure sensor located inside the lumen of the electrode. In some embodiments, a cooling fluid, such as saline, is passed through the catheter.

Abstract: A system and method for assessing a degree of coupling between an electrode and tissue in a body is provided. Values for first and second components of a complex impedance (e.g., resistance and reactance or impedance magnitude and phase angle) between the electrode and the tissue are obtained. From these values, a coupling index is calculated that that is indicative of a degree of coupling between the electrode and the tissue. The coupling index may be displayed to a clinician in a variety of ways to indicate the degree of coupling to the clinician. The system and method find particular application in ablation of tissue by permitting a clinician to create lesions in the tissue more effectively and safely.

Abstract: A system and method for treatment of tissue is provided. An electronic control unit is configured to generate displays signals used to create a graphical user interface. The display signals are generated in response to a first set of position signals indicative of the position of an electrophysiology mapping electrode relative to the tissue and a second set of position signals indicative of the position of a treatment device, such as a high intensity focused ultrasound transducer, that is configured to generate a beam of energy towards a selected region in the tissue. The graphical user interface displays an electrophysiology map of the tissue and an image of at least one of the treatment device and the beam of energy which may be superimposed on the electrophysiology map.

Abstract: A system for mapping electrical activity of a patient's heart includes a set of electrodes spaced from the heart wall and a set of electrodes in contact with the heart wall. Voltage measurements from the electrodes are used to generate three-dimensional and two-dimensional maps of the electrical activity of the heart.