Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: A catheter including control, localization, and/or fluid delivery features, and methods of using the same. One embodiment is directed to an electrophysiology catheter including a superelastic wire and a cable, and a method of controlling the catheter using the cable. Another embodiment is directed to an electrophysiology catheter including an adhesive to bias the orientation of the catheter. A further embodiment is directed to an electrophysiology catheter including adhesive and one or more cables, and a method of controlling the catheter using the one or more cables. Another embodiment is directed to a method including acts of injecting a fluid into the heart of a patient and adjusting the diameter of an arcuate curve of the catheter. Further embodiments are directed to a catheter having multiple position sensors on an arcuate curve of the catheter, or a position sensor associated with a movable electrode of the catheter.

Abstract: A catheter including control, localization, and/or fluid delivery features, and methods of using the same. One embodiment is directed to an electrophysiology catheter including a superelastic wire and a cable, and a method of controlling the catheter using the cable. Another embodiment is directed to an electrophysiology catheter including an adhesive to bias the orientation of the catheter. A further embodiment is directed to an electrophysiology catheter including adhesive and one or more cables, and a method of controlling the catheter using the one or more cables. Another embodiment is directed to a method including acts of injecting a fluid into the heart of a patient and adjusting the diameter of an arcuate curve of the catheter. Further embodiments are directed to a catheter having multiple position sensors on an arcuate curve of the catheter, or a position sensor associated with a movable electrode of the catheter.

Abstract: Method and apparatus for treating conductive irregularities in the heart, particularly atrial fibrillation and accessory path arrythmias. An ablative catheter is positioned relative to an inter-atrial electrical pathway, or a vicinity of accessory paths such as the coronary sinus or fossa ovalis, and actuated to form a lesion that partially or completely blocks electrical conduction in at least one direction along the pathway. Method and apparatus for assessing lesion quality are also described.

Abstract: An apparatus for mapping and/or ablating tissue includes a braided conductive member that may be inverted to provide a ring-shaped surface. When a distal tip of the braided conductive member is retracted within the braided conductive member, the lack of a protrusion allows the ring-shaped surface to contact a tissue wall such as a cardiac wall. In an alternative configuration, the braided conductive member may be configured with the distal portion forming a proboscis that can be used to stably position the braided conductive member relative to a blood vessel, such as a ventricular outflow tract. The braided conductive member has a plurality of electronically active sites that may be accessed individually for stable mapping over a broad area for stable mapping or ablation to form broad and deep lesions.

Abstract: Embodiments of the invention relate to a catheter having an ultrasound energy emitting region that is both rotatable about and slidable along the shaft of the catheter. One embodiment is directed to a catheter comprising an ultrasound transducer coupled to the shaft, and at least one actuator coupled to the handle and the ultrasound transducer that is adapted to move the ultrasound transducer both longitudinally along the shaft and circumferentially about the shaft. Another embodiment of the invention is directed to a catheter comprising an ultrasound transducer coupled to the shaft, and at least one actuator that is adapted to move the sheath both longitudinally along the shaft and circumferentially about the shaft to orient a window of the sheath in a desired position.

Abstract: A catheter includes a fluid network for cooling the ablation electrode, surrounding blood and tissue. The fluid network comprises a circumferential channel having an annular shape and fluidly coupled to at least one proximal longitudinal channel configured to conduct fluid along a proximal length of the catheter. The circumferential channel is configured to conduct fluid about at least a circumferential portion of the catheter. The fluid network further comprises a plurality of distal longitudinal channels fluidly coupled to the circumferential channel, with the plurality of distal longitudinal channels being configured to conduct fluid a long a distal length of the catheter. The fluid network occupies a region of the catheter peripheral to a central longitudinal axis of the catheter such that other components of the irrigated catheter, including at least one imaging sensor, is disposed within the central region of the ablation electrode.

Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: Method and apparatus for treating conductive irregularities in the heart, particularly atrial fibrillation and accessory path arrythmias. An ablative catheter is positioned relative to an inter-atrial electrical pathway, or a vicinity of accessory paths such as the coronary sinus or fossa ovalis, and actuated to form a lesion that partially or completely blocks electrical conduction in at least one direction along the pathway. Method and apparatus for assessing lesion quality are also described.

Abstract: Method and apparatus for treating conductive irregularities in the heart, particularly atrial fibrillation and accessory path arrythmias. An ablative catheter is positioned relative to an inter-atrial electrical pathway, or a vicinity of accessory paths such as the coronary sinus or fossa ovalis, and actuated to form a lesion that partially or completely blocks electrical conduction in at least one direction along the pathway.

Abstract: Embodiments of the invention relate to a catheter having an ultrasound energy emitting region that is both rotatable about and slidable along the shaft of the catheter. One embodiment is directed to a catheter comprising an ultrasound transducer coupled to the shaft, and at least one actuator coupled to the handle and the ultrasound transducer that is adapted to move the ultra-sound transducer both longitudinally along the shaft and circumferentially about the shaft. Another embodiment of the invention is directed to a catheter comprising an ultrasound transducer coupled to the shaft, and at least one actuator that is adapted to move the sheath both longitudinally along the shaft and circumferentially about the shaft to orient a window of the sheath in a desired position.

Abstract: An apparatus for mapping and/or ablating tissue includes a braided conductive member that that may be inverted to provide a ring-shaped surface. When a distal tip of the braided conductive member is retracted within the braided conductive member, the lack of a protrusion allows the ring-shaped surface to contact a tissue wall such as a cardiac wall. In an alternative configuration, the braided conductive member may be configured with the distal portion forming a proboscis that can be used to stably position the braided conductive member relative to a blood vessel, such as a ventricular outflow tract. The braided conductive member has a plurality of electronically active sites that may be accessed individually for stable mapping over a broad area for stable mapping or ablation to form broad and deep lesions.

Abstract: An electrophysiology system for mapping and/or ablating tissue includes a catheter having a plurality of electrically active sites. The system includes a controller providing a user interface through which the plurality of sites may be controlled. The sites may be accessed individually or in groups. In addition, the order and timing of the accessing of specific electrically active sites may be controlled in a manual or automated fashion.

Abstract: The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia.

Abstract: Extendable and expandable ablation electrodes are disclosed. Electrophysiology catheter systems include ablation electrodes that maintain a reduced cross-sectional profile during introduction into a patient and are extendable and/or expandable once positioned at a lesion site. The expanded electrodes having a larger length or and/or diameter can help to produce large lesions. Controllability of the dimensions of the ablation electrodes may be improved.

Abstract: Catheters for mapping and/or ablation are disclosed. In one embodiment, the catheter comprises a handle, a flexible shaft, a tip assembly, and a cable. The handle includes an actuator and is attached, at its distal end, to the proximal end of the flexible shaft. The flexible shaft has a longitudinal axis that extends along a length of the shaft. The proximal end of the tip assembly is attached to the distal end of the shaft and includes a fixed bend of approximatley ninety degrees relative to the longitudinal axis of the shaft. The distal end of the tip assembly includes an arcuate curve having a diameter. The arcuate curve is oriented in a plane that is approximatley perpendicular to the longitudinal axis of the shaft. The cable is attached to the actuator and the distal end of the tip assembly, and extends through the shaft. The cable is adapted to change the diameter of the arcuate curve in response to movement of the actuator.

Abstract: An electrophysiology catheter and method of use for mapping and ablation procedures. The catheter includes a braided conductive member at its distal end that can be radially expanded.