Abstract: The invention discloses an antenna arrangement with a supply line in the form of a coaxial cable arrangement suitable for high frequencies, in particular for medical applications of heat in hollow parts of the body, an extrusion process for the production thereof, a dilatation catheter with the antenna arrangement and a procedure for a dilatation treatment. The coaxial cable arrangement comprises a continuous inner conductor, an insulator arranged cylindrically around the inner conductor, a shielding device applied around the insulator in a first section of the coaxial cable arrangement which begins at the proximal end of the coaxial cable arrangement, a second section beginning at the distal end of the first section of the coaxial cable arrangement and ending at the distal end of the coaxial cable arrangement, said second section serving as an antenna and being designed without an insulator or a shielding device around the continuous inner conductor.

Abstract: A multi-electrode cardiac catheter has pairs of electrodes connected to sensing circuitry to produce a differential signal. The sensing output is sharply defined and self-normalizing. Preferably a catheter ablation tip electrode is an electrode of one pair, and the differential signal becomes non-zero when the tip contacts surrounding tissue. The shape of the differential signal provides information on the degree of electrode contact, as well as on the on the amount of locally-sensed tissue impedance change. The signal may be used as a trigger enable signal for a cardiac ablation catheter, and the applied level of RF power may be controlled based on the indicated degree of electrode contact and value of tissue impedance.

Abstract: An endoscopic surgical instrument which is able to be disassembled in order to facilitate cleaning of the instrument or replacement of certain components. The instrument comprises a handle portion at the proximal end of an elongated rotatable shaft, the handle portion including a pair of handles biased into a normally open position and movable between the normally open position and a closed position. Movement of the handles within the normal range serves to axially move an elongated working element situated within the hollow interior of the elongated sleeve, the proximal end of the working element shaft having a stud adapted to be received within a stud recess in one of the handles. The stud recess has a front slotted wall and an open top end. A spring means is provided in order to bias the handles during normal operation and a latch means is provided in order to disengage the spring.

Abstract: A cap-like tip element is shaped and sized to fit over an energy-delivering distal end portion of an optic fiber conveying a flux of optic energy from a selected energy source. Optic energy emitted from an energy-emitting surface of the enclosed distal end of the optic fiber is received at a surface inside the tip element. In the preferred embodiment of the invention, the tip element is optically transmissive, and is shaped to facilitate precisely directed application of optic energy emitted therefrom. The material of the tip element is selected to be durable in prolonged use through repeated thermal cycling. In another aspect of the invention the tip element material is selected to be electrically conductive and is connected to an independently controlled electrical voltage source so that the tip element may be used as a cauterization tool by direct contact to selected tissue.

Abstract: An electrical coupling unit for electrically connecting an outlet of non-sterile electrosurgical apparatus to a sterile electrosurgical handpiece. The coupling unit is sterile, and can be provided at a location convenient to the surgeon. The coupling unit is also provided with plural outputs for connecting by one or more suitable cables to handpieces held by the surgeon. The latter cables are preferably also maintained in a sterile condition. The coupling unit is provided with a selector switch which functions to selectively connect an output of the electrosurgical apparatus to an output on the coupling unit. The coupling unit outputs are color-coded for ease of selection, each different color representing a different electrosurgical current or instrument. Preferably, the switch knob is also color-coded so that a position representing a particular electrosurgical current or instrument can easily and quickly be achieved.

Abstract: The apparatus measure the exhalation of a subject and stores selected data relating to the peak value of the air pressure during exhalation. The storing unit for the data stores the peak values for a plurality of time periods and the apparatus can collect a series of measurements over an extended time period. Auxiliary information and data relating to each measurement can also be stored in the storing unit. A dedicated power source may be incorporated for holding the stored information in the storing unit.

Abstract: An integrated catheter assembly for enabling diverse in situ therapies includes a catheter with an irrigation fluid lumen, a distal tip portion that acts as a hemostat and a needle for injection therapy that extends through the catheter lumen and a lumen in the distal tip portion. A needle hub structure carries the catheter and provides a sealing entrance for a needle that can be displaced between extended and retracted positions. The needle and electrodes are electrically isolated. The apparatus provides a physician the options of irrigating tissue, cauterizing tissue or injecting tissue without the need for removing the apparatus from the working channel of an endoscope.

Abstract: A laser angioplasty device having magnetic steerability and forward imaging capability. The device includes a probe, an electromagnetic control system coupled with the probe, a fluid injection system, an imaging system, a laser source and a balloon system. A laser fiber and a plurality of control wires, fluid injection tubes, balloon tubes, light-emitting optical fibers and imaging optical fibers extend throughout the length of the probe. A magnetized sleeve is journaled around a portion of the laser fiber which protrudes from the tip of the probe. The electromagnetic control system includes a joystick, a plurality of electromagnets and an electronic circuit for varying the magnetic fields of the electromagnets in response to the position of the joystick. The magnetic fields are induced into the control wires of the probe to influence the magnetized sleeve for steering and aiming the tip of the laser fiber.

Abstract: An improved surgical tool of the type comprising a handle assembly having a movable tool-operating handle member, a tool head having first and second tissue-engaging members movable between open and closed positions relative to one another, and a mechanism coupling the tool head to the handle assembly for causing opening and closing movement of the tissue-engaging members in response to manipulation of the movable tool-operating handle member. The improved tool is characterized by an inner shaft secured to a stationary part of the handle assembly, and a hollow outer shaft disposed in telescoping relation to the inner shaft, with the tool head being secured to the inner shaft and the outer shaft being movable axially relative to the inner shaft by manipulation of the movable tool-operating handle member, with the outer shaft causing opening and closing of the tissue-engaging members as it undergoes telescoping movement.

Abstract: A system for welding tissue by irradiation with laser energy, includes a laser for generating a beam of laser energy and directing the beam toward the tissue so as to irradiate the region to be welded. The laser has a control input and is responsive to a control signal supplied to said control input to adjust the power of the beam of laser energy. An infrared sensor senses the temperature of the tissue in the region to be welded by sensing infrared radiation coming from this region. The sensor provides a sensor output indicative of the temperature. A computer control arrangement is responsive to the sensor output. The computer control arrangement supplies a control signal to said laser such that the region to be welded is heated to a predetermined temperature.

Abstract: A device compressing a flexible elongate member having proximal and distal extremities and having a plurality of circumferentially spaced-apart elements having a characteristic disposed in the distal extremity. A control mechanism is secured to the proximal extremity of the flexible elongate member. The control mechanism has a housing adapted to be grasped by a human hand. A first control member is slidably mounted in the housing. A second control member is rotatably mounted in the housing. The first and second control members are accessible to the fingers of the human hand grasping the housing. Electrical circuitry couples the first and second control members to the elements whereby when the first and second control members are moved, the distal extremity of the flexible elongate member is moved in accordance with the positioning of the first and second control members.

Abstract: A sheet (30) of polymeric material defines a cuff portion (A), a contact portion (B), and an interconnecting elongated lead portion (C). Using physical vapor deposition (PVD), chemical vapor deposition (CVD), or other thin film deposition techniques, a plurality of electrodes (12), contact pads (16), and interconnecting leads (14) are deposited on the base layer. An elastomer covering layer (18) is laminated to the base layer. The elastomeric covering layer is stretched along direction (24) before lamination, such that at least the cuff portion is elastomerically biased to curl into a spiral. Windows (20) are defined in the elastomeric portion to provide for electrical conduction between the electrodes (12) and nerve tissue about which the cuff electrode is wrapped. The electrodes are arced (FIG. 6) such that they are more recessed adjacent sides of the window than adjacent the center in order to provide a substantially uniform flux density across the electrode surface.

Abstract: A method of laser-assisted prostatectomy which is based on the use of special laseroscope with continuous flow of the flushing and cooling liquid is provided. The method consists of inserting the above laseroscope into the patient's urethra with the laser fiber tip positioned at the prostate gland area, inserting a balloon catheter through the laseroscope to the urinary bladder neck, inflating the balloon of the catheter, initiating an inflow of washing and cooling liquid to the operating area, which is isolated from the urinary bladder by the balloon catheter, inserting a laser fiber into the laseroscope, firing the laser fiber and directing a laser beam laterally from the laser fiber onto the prostatic gland for directing the laser beam to the required area. The method is carried out by means of an apparatus comprising a tubular sheath (10) with three guide tubes, i.e.

Abstract: An apparatus for accurately positioning a laser tool at multiple distances relative to an object to be treated with the laser tool comprises an adjustable distance guide such as a flat body, an adaptor for securing the flat body to the laser tool and an adjustable incremented member which can be selectively, resiliently disposed at various predetermined lengths projecting away from the flat body. The positioning apparatus may be provided in a kit together with a set of predetermined, standardized specifications for using the apparatus together with the laser tool for achieving various different treatment effects, and a set of blank forms for generating additional specifications. A method is disclosed for utilizing such kit.

Abstract: Blood lancet device for withdrawing blood for diagnostic purposes, in which with the aid of a lancet drive (3) in a housing (1) a lancet holder (6) with a lancet (34) positioned in it and moveable along a predetermined, straight puncture path is moved until the tip (35) of the lancet emerges from the outlet (84), in order to produce a wound in a body part adjoining the outlet (84). The lancet holder (6) also serves to retract the lancet (34) into a position in which the tip (35) is again positioned within the housing (1).In order to make possible a puncture involving especially little pain, the lancet drive (3) has a rotary/sliding transmission system (4) whose input side (16) is formed by a transmission member which is rotatable about an axis of rotation parallel to the predetermined puncture path.

Abstract: A medical or dental handpiece for the performance of laser radiation treatments, composed of: an elongate housing constructed to be held in the hand, the housing having a radiation delivery end and enclosing a chamber which is adjacent the radiation delivery end; a radiation conducting element disposed in the housing for conducting laser radiation from a laser source into the chamber and toward the radiation delivery end; and a gas flow path in the chamber for guiding a flow of cooling gas through the chamber in a direction from the radiation conducting element toward the radiation delivery end.

Abstract: A surgical instrument for performing cutting or gripping movements comprises a tube body (2) connected at its rear end with an end portion (1). The end portion is provided with a handle (4) including an actuating lever (5). At the front end of the tube body (2), are pivotable relative to each other and form a forceps. A transmission device extends from the end portion (1) to the forceps legs (9, 10) for spreading the same apart or for pressing them together. The handle (4) rotatable at the end portion (2) about an axis extending perpendicular to the axis of the tube body. Upon turning the handle (4), the transmission device (22, 23) pivots the forceps legs (9, 10) commonly and in the same direction. Thus, it is possible to perform operations lateral of a puncture channel through which the tube body (2) extends.

Abstract: An improved assembly for steering and orienting a functional element at the distal end of a catheter tube holds the functional element with its major axis aligned with the axis of the catheter tube for convenient steering to a tissue site. The mechanism can also pivot the functional element in response to an external force to orient the major axis of the functional element generally parallel to the plane of the tissue site, without bending the catheter tube.

Abstract: An electrode system for use in administering an EKG test, provided as a chair with a flexible strap having electrodes embedded therein. The flexible strap is attached to the chair back rest and is tightened around the chest when the patient is seated in the chair. Electrodes fitted in the lower portion of the chair and the armrest make connection, respectively, to the legs and arms, thereby completing the test set-up procedure in a short time period. The electrodes embedded in the flexible strap are adjustable horizontally, and the strap itself is adjustable vertically, so that particular locations on the chest are reachable, making the strap suitable for all size patients. The chair is designed to become a bed to increase patient comfort. A set of exercise accessories is removably attachable to the chair, to permit EKG measurements during physical exertion.

Abstract: A pain alleviating tissue treatment assembly uses a combination of a cold electrode and an alterable current source to reduce the temperature of a selected tissue area, while at the same time applying various selected reversing and/or non-reversing currents to the selected tissue. A control console allows the operator to selectively operate the device in conjunction with biological feedback signals and further allows full recordation and/or control of the events as they occur through an attached computer system.