Abstract: An integrated cardiac mapping and Piezoelectric Micromachined Ultrasonic Transducer (pMUT) ultrasonic imaging system, is disclosed. The system comprising a pMUT imaging and mapping catheter having a longitudinal axis, a proximal end, and a distal end. A micro-electromechanical (MEMS) based pMUT or other transducer disposed within the distal end of the pMUT imaging and mapping catheter. A pMUT mapping array disposed within the distal end of the pMUT imaging and mapping catheter, wherein the mapping array comprises an expandable basket, grid, hoop, or other configuration with an electronic sensor array arranged on electronic flex circuits.

Abstract: An ICE imaging system is disclosed, which comprises an Intracardiac echocardiography (ICE) catheter having a longitudinal axis, a proximal end, and a distal end. The ICE catheter corresponds to a micro-electromechanical (MEMS) or other transducer based phased array ultrasound catheter with an out diameter of 6 French or smaller for delivery through an internal jugular, subclavian, axillary, innominate venous system into heart chambers for the purpose of lead placement for a pacemaker or other implantable cardioverter defibrillator (ICD) device. Further, a catheter shaft houses an electronic flex cable which is in communication with at least one signal trace, and is configured to direct a plurality of transducer array elements to transmit and receive ultrasound beams, receive at least one signal from the plurality of transducer array elements, and construct at least one image of at least a portion of the heart based on the at least one signal.

Abstract: An integrated transcatheter valve replacement and Piezoelectric Micro-Machined Ultrasonic Transducer (pMUT) enabled ultrasonic imaging system, is disclosed. The system comprising a transcatheter valve replacement assembly having a longitudinal axis, a proximal end, and a distal end. The transcatheter valve replacement assembly comprises a self-expanding valve, a frame and leaflets. A micro-electromechanical (MEMS) based pMUT transducer having MEMS based pMUT array disposed within the distal end of the transcatheter valve replacement assembly. The MEMS based pMUT array comprises a substrate and a plurality of pMUT array elements arranged on the substrate. The integrated transcatheter valve replacement and pMUT enabled ultrasonic imaging system is used in left atrial appendage (LAA), atrial septal defect (ASD), transcatheter aortic valve replacement (TAVR), transcatheter mitral value replacement (TMVR), and transcatheter tricuspid valve replacement (TTVR) or other catheterized structural heart procedures.

Abstract: An ultrasound imaging and backscatter system comprises an ICE ultrasonic catheter having an ultrasonic pMUT transducer array disposed within a distal end of the ultrasonic catheter, and comprises a plurality of transducer array elements arranged on a substrate. A catheter shaft is connected at one end to a handle assembly and at other end to the ultrasonic transducer array. The catheter shaft houses an electronic flex cable which is in communication with a signal trace, and directs each of the plurality of transducer array elements to transmit and receive ultrasound beams, receive at least one signal from the plurality of transducer array elements, and construct at least one image characterizing one or more tissue component of a scanned object. The ultrasound imaging system is used for measuring tissue thickness, tissue scarring and lesion assessment for left and right atrium and ventricle tissue wall characterization and other intracardiac tissue abnormalities.

Abstract: An ICE imaging system is disclosed, which comprises an Intracardiac echocardiography (ICE) catheter having a longitudinal axis, a proximal end, and a distal end. The ICE catheter corresponds to a micro-electromechanical (MEMS) or other transducer based phased array ultrasound catheter with an out diameter of 6 French or smaller for delivery through an internal jugular, subclavian, axillary, innominate venous system into heart chambers for the purpose of lead placement for a pacemaker or other implantable cardioverter defibrillator (ICD) device. Further, a catheter shaft houses an electronic flex cable which is in communication with at least one signal trace, and is configured to direct a plurality of transducer array elements to transmit and receive ultrasound beams, receive at least one signal from the plurality of transducer array elements, and construct at least one image of at least a portion of the heart based on the at least one signal.

Abstract: An ultrasonic imaging system is disclosed. The ultrasonic imaging system comprises an Intracardiac echocardiographic (ICE) catheter and a transducer ring. A steerable sheath integrated with a built-in forward looking transducer and the transducer ring positioned at a distal end of the steerable sheath. The transducer ring comprises a MEMS based pMUT array arranged over a substrate. A catheter shaft houses a lumen to allow a passage of a puncture needle and an electronic flex cable in communication with at least one signal trace, configured to: direct the MEMS based pMUT array, via the at least one signal trace, to transmit and receive, ultrasound beams; receive at least one signal from the MEMS based pMUT array based on transmitting and receiving at least one ultrasound beam; and construct at least one image of at least a portion of the heart based on the at least one signal.

Abstract: An integrated cardiac mapping and Piezoelectric Micromachined Ultrasonic Transducer (pMUT) ultrasonic imaging system, is disclosed. The system comprising a pMUT imaging and mapping catheter having a longitudinal axis, a proximal end, and a distal end. A micro-electromechanical (MEMS) based pMUT or other transducer disposed within the distal end of the pMUT imaging and mapping catheter. A pMUT mapping array disposed within the distal end of the pMUT imaging and mapping catheter, wherein the mapping array comprises an expandable basket, grid, hoop, or other configuration with an electronic sensor array arranged on electronic flex circuits.

Abstract: A pMUT guided ultrasound bronchoscope is disclosed. The pMUT guided ultrasound bronchoscope comprises an insertion tube having a proximal section and a distal section. A handle is connected to the proximal section, and a distal tip connected to the distal section of the insertion tube. The handle comprises a working channel entry port for inserting fluids and biopsy tools into a working channel extending through the insertion tube and exiting near the distal tip. A suction button is configured to control a valve disposed adjacent to the suction port for controlling suction when connected to a suction device.

Abstract: Vaso-occlusive coils, and methods of their use, are disclosed having configurations suitable for treating certain problems associated with the vasculature, such as aneurysms, for example. The vaso-occlusive coils described or contemplated herein are configured to improve adherence to aneurysms resulting in diversion of blood flow around the aneurysm while promoting healing of the vasculature.