Abstract: Apparatus, including a catheter configured to be inserted into an organ of a human body. A plurality of electrodes are deployed on the catheter, the electrodes being configured to transfer radiofrequency (RF) ablation energy to tissue of the organ. The apparatus also includes a power supply configured to supply the RF ablation energy at a level of up to 100 W to each of the plurality of electrodes simultaneously, so as to ablate respective sections of the tissue of the organ in contact with the electrodes.

Abstract: A system includes a needle, an actuator assembly and a generator. The needle is configured to be vibrated so as to emulsify a lens of an eye. The actuator assembly, includes a first actuator, a second actuator and a third actuator, which are distributed around a longitudinal axis of the needle and are configured to vibrate along the longitudinal axis in response to a first driving signal, a second driving signal and a third driving signal, respectively. The generator is configured to generate the first driving signal, the second driving signal and the third driving signal, so as to vibrate the needle in accordance with a predefined pattern.

Abstract: A system includes signal acquisition circuitry and a processor. The signal acquisition circuitry is configured to receive multiple intra-cardiac signals acquired by multiple electrodes of an intra-cardiac probe in a heart of a patient. The processor is configured to extract multiple annotation values from the intra-cardiac signals, to select a group of the intra-cardiac signals, to identify in the group one or more annotation values that are statistically deviant in the group by more than a predefined measure of deviation, and to visualize the annotation values to a user, excluding the statistically deviant annotation values.

Abstract: A system includes a medical probe and a processor. The medical probe includes a shaft for insertion into a cavity of an organ of a patient; an expandable assembly fitted at a distal end of the shaft, wherein the expandable assembly has elastic properties; a position sensing element mounted on the distal end of the shaft; and at least one distal position sensing element on a distal end of the expandable assembly. The processor senses relative location of each of the at least one distal position sensing element and the proximal position sensing element; determines deflection of the expandable assembly based on the relative location; relates the deflection to the contact force applied on the expandable assembly; and provides an indication of the contact force on a display.

Abstract: A location pad includes multiple field-generators and a frame. The multiple field-generators are configured to generate respective magnetic fields in a region-of-interest of a patient organ, so as to measure a position of a medical instrument in the region-of-interest. The frame is transparent to an X-ray radiation, and is configured to fix the multiple field-generators at respective positions surrounding the region-of-interest.

Abstract: A method for estimating a thickness of cardiac tissue undergoing ablation includes the steps of (a) applying a sequence of ablation pulses to a region of the cardiac tissue, so as to create a lesion, and (b) for a given ablation pulse in the sequence, an incremental depth added to the lesion due to the given ablation pulse is estimated. A cumulative depth of the lesion is estimated based on the cumulative depth prior to the given pulse, and on the incremental depth. An amplitude of an electrogram signal at the region is assessed after applying the given ablation pulse, and, if the amplitude exceeds a predefined threshold, an estimate of the thickness is set to be at least the cumulative depth.

Abstract: A method, apparatus and computer program product, the method comprising: obtaining a plurality of electrical signals obtained from a plurality of electrodes distally disposed on a catheter inserted into one or more chambers of a heart of a patient, wherein one or more electrical signals obtained from one or more electrodes of the plurality of electrodes obtains electrical activity in one or more locations within the heart; identifying one or more signals from the plurality of electrical signals as being emitted from one or more disconnected electrode, said identifying utilizing a correlation with a reference signal measured within the heart, wherein the reference signal is associated with a reference electrode; and generating a map of electrical activity within the heart based upon the plurality of electrical signals, excluding one or more electrical signals originating from the disconnected electrodes.

Abstract: A methods and systems are disclosed to determine positions of one or more distal end portions of a catheter. In embodiments, the method includes processing location signals that are transmitted by a transmitter-receiver utility having a first clock, and received by a position sensor at a catheter's distal-end portion. The processing may be performed by a signal processor having a second clock not synchronized with the first clock of the transmitter-receiver utility. The processing includes: determining a clock-rate-ratio between clock-rates of the first and second clocks; determining a time-lag between the first and second clocks; and determining the relative phases of the received signals while compensating for the clock-rate-ratio and for the time-lag between the clocks, such that determined phases are adjusted relative to the first signal clock of the transmitter receiver utility. Accordingly, the position of the catheter's distal-end portion can be determined based on the relative phases.

Abstract: Medical apparatus includes one or more magnetic field generators, which are configured to generate magnetic fields within a body of a patient. An invasive probe includes an insertion tube having a distal end, which is configured for insertion into the body, and a plurality of flexible splines configured to be deployed from the distal end of the insertion tube. Each spline includes a flexible, multilayer circuit board and a conductive trace that is formed in at least one layer of the circuit board and is configured to define one or more coils, which are disposed along a length of the spline and output electrical signals in response to the magnetic fields. A processor is coupled to receive and process the electrical signals output by the coils in order to derive respective positions of the flexible splines in the body.

Abstract: A computer readable medium comprising instructions to be executed by one or more processors, the instructions configured to cause a system to estimate, based at least in part on signals received from a first position sensor of an expandable assembly disposed along a longitudinal axis, a position and longitudinal direction of the first position sensor; and estimate, based at least in part on signals received from a second position sensor of the expandable assembly, a position of the second position sensor. The instructions are further configured to cause the system to project the estimated position of the second position sensor on an axis defined by the longitudinal direction of the first position sensor and correct the estimated position of the second position sensor by projecting the estimated position of the first position sensor.

Abstract: An irreversible electroporation and radio frequency ablation (IRE/RFA) generator includes an IRE pulse generator, harmonic filtration circuitry, and a waveform interleaver. The IRE pulse generator is configured to generate biphasic IRE pulses. The harmonic filtration circuitry is configured to convert the IRE pulses into an RF signal. The waveform interleaver, which is configured to receive the IRE pulses and the RF signal and generate an output signal having a composition of the adapted IRE pulses having a final shape and repetition rate, the converted RF sinusoidal signal, or a combined IRE/RFA output signal, by switching between the received IRE square pulses and the received converted RF sinusoidal signal.

Abstract: A medical apparatus includes a shaft, an expandable frame, a membrane, a diagnostic electrode, a reference electrode, and a processor. The shaft is configured for insertion into an organ of a patient. The expandable frame is coupled to a distal end of the shaft. The diagnostic electrode, which is disposed on an external surface of the expandable frame, is configured to sense diagnostic signals when in contact with tissue. The reference electrode is disposed on a surface of the expandable frame directly opposite the diagnostic electrode, wherein the reference electrode is electrically insulated from the tissue and is configured to sense interfering signals.

Abstract: A catheter includes a shaft, an expandable frame, a first set of electrodes, and a second set of electrodes. The shaft is configured for insertion into an organ of a patient. The expandable frame is fitted at a distal end of the shaft. The first set of electrodes is disposed over a distal portion of the expandable frame, and configured to be placed in contact with a tissue in the organ. The second set of electrodes is disposed on a proximal portion of the expandable frame, and configured to be inter-connected to form a common electrode.

Abstract: A position sensor includes a flexible substrate formed into a three-dimensional (3D) shape. At least first and second field-sensing coils are formed in first and second respective layers of the flexible substrate, such that in the 3D shape the first and second field-sensing coils have first and second respective axes that are not parallel to one another.

Abstract: A phacoemulsification valve for controlling flow of eye fluid, consisting of an enclosure, a first lumen within the enclosure, having a first and a second termination, a second lumen within the enclosure, intersecting the first lumen, so that the first lumen separates the second lumen into a first and a second section, and a pin, that slides within the first lumen between a first position, wherein the pin prevents transfer of the eye fluid between the first and second sections and a second position, wherein the pin permits transfer of the eye fluid between the first and second sections. The valve also includes a first coil, proximate to the first termination, which when energized transfers the pin between the first and second positions, and a second coil, positioned in proximity to the second termination, which when energized transfers the pin between the second and first positions.

Abstract: Apparatus, consisting of a power supply having a first electrical connection to a relatively high voltage source and connectable to ablation circuitry in a catheter via a second electrical connection. There are rechargeable first and second subsidiary power sources in the power supply. The apparatus also has a control unit, and a first switch alternately connecting the ablation circuitry to the first and second subsidiary power sources responsively to control signals from the control unit. The apparatus also has a second switch alternately connecting one of the first and second subsidiary power sources to the high voltage source for recharging thereof responsively to the control signals while the one of the first and second subsidiary power sources is disconnected from the ablation circuitry and another of the first and second subsidiary power sources is connected to the ablation circuitry by the first switch.

Abstract: A method of delivering a combined irreversible electroporation and radio frequency (IRE/RFA) signal during ablation that includes receiving a selection of a ratio of IRE/RFA energy and a selection of an interleaved sequence of a combined IRE/RFA waveform. The interleaved sequence includes one or more adapted IRE square pulses formed by adapting generated biphasic IRE square pulses to IRE pulses having a final shape and repetition rate using a biphasic pulse shaper, and one of more RFA cycles formed from converting the generated biphasic IRE square pulses into a RF sinusoidal signal using a harmonic filter. The interleaved sequence is generated by interleaving, into a single waveform, the one or more adapted IRE square pulses with one or more cycles of the converted RF sinusoidal signal. The combined IRE/RFA output signal is outputted to a catheter electrode inside a patient's heart for application to a target tissue location.

Abstract: An anti-vacuum surge (AVS) cartridge includes a solenoid valve with a magnetic plunger having parallel flattened surfaces, in a valve cavity of a rectangular or other similar cross section. The flattened surfaces of the plunger are oppositely disposed from each other and are in line with the flow path through the aspiration channel of the AVS cartridge.

Abstract: A method, including performing an ablation of tissue using a first high RF power for a short duration, suspending RF power for a predetermined period, and using a second high RF power for a short duration forming lesions with greater surface area and greater depth through resistive heating and thermal latency. High RF power may range between 75-95 W and short duration may range between 4-5 seconds.

Abstract: A safety circuit, in the form of a switch box, for coupling with a catheter, detects DC leakage or emission from an amplifier circuit of the catheter, and switches a switch to immediately terminates (cuts-off) power to the amplifier circuit. This immediate power termination instantaneously stops DC leakage, which if left unchecked or otherwise undetected, may reach the heart, and disrupt its electrical activity and cause other damage.