Abstract: A method of perforating a tissue of a heart of a patient when an inferior approach to the heart is contraindicated. The method utilizes an electrosurgical apparatus having an energy delivery device which can function as an ECG measuring device at a distal end thereof and a delivery system comprising a dilator. Said method comprises the steps of (a) advancing the dilator through a superior vena cava into the heart of the patient, from a superior approach, until a distal end of the dilator is adjacent the tissue; (b) checking an ECG signal to confirm a position of the energy delivery device; (c) using the electrosurgical apparatus, which is positioned through the dilator, to create a perforation in the tissue by delivering electrical energy to the tissue; (d) advancing the distal end of the electrosurgical apparatus through the perforation; and (e) advancing the dilator over the electrosurgical apparatus.

Abstract: A method of perforating a tissue of a heart of a patient when an inferior approach to the heart is contraindicated. The method utilizes an electrosurgical apparatus and a delivery system comprising at least two dilators wherein a first dilator is configured for facilitating positioning of the electrosurgical apparatus adjacent the tissue and wherein a second dilator is configured for advancement through a perforation in the tissue. An outer diameter of the second dilator is substantially equal to or less than an outer diameter of the first dilator.

Abstract: A method of perforating a tissue of a heart of a patient when an inferior approach to the heart is contraindicated. The method utilizes an electrosurgical apparatus and a delivery system comprising at least two dilators wherein a first dilator is configured for facilitating positioning of the electrosurgical apparatus adjacent the tissue and wherein a second dilator is configured for advancement through a perforation in the tissue. An outer diameter of the second dilator is substantially equal to or less than an outer diameter of the first dilator.

Abstract: A treatment method is disclosed for treating a bodily tissue utilizing one or more steps of removal of material as well as one or more steps of energy delivery in order to effectively treat the bodily tissue. These mechanisms of treatment may beneficially be used to induce separate treatment effects, for example to treat both the symptoms and the underlying cause of a specific pathological condition. In addition, a specific application of the inventive method is described for using the inventive method to treat an intervertebral disc.

Abstract: A method of surgical perforation via the delivery of electrical, radiant or thermal energy comprising the steps of: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.

Abstract: A stent valve insertable in a body vessel containing a body fluid. The stent valve includes: a valve for at least partially controlling the flow of the body fluid in the body vessel; and a scaffold, the scaffold including: an anchoring section for anchoring the scaffold to said body vessel and a valve supporting section supporting the valve. The scaffold is substantially radially expandable from a scaffold retracted configuration to a scaffold expanded configuration. The valve supporting section is expandable over a greater range of radial expansion than the anchoring section.

Abstract: The invention relates to a medical probe signal generator. More particularly, it relates to a medical probe signal generator architecture. The present invention further relates to a system including a medical probe signal generator having an automatic probe type detector for detecting an identifier and at least one instrument cable comprising the identifier.

Abstract: A method of surgical perforation via the delivery of electrical, radiant or thermal energy comprising the steps of: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.

Abstract: A stent including a substantially radially expandable scaffold including interlinked struts, the scaffold being configurable into both a retracted and an expanded configuration. In the retracted configuration, the diameter of the scaffold along at least a portion thereof is smaller than the diameter of the scaffold the expanded configuration. The stent further includes a sheath mounted to the scaffold so that at least some of the struts are embedded into the sheath. The sheath allows a substantially radial movement of the struts between the expanded and the retracted configurations with the at least some of the struts remaining embedded in the sheath during the substantially radial movement.

Abstract: A stent valve insertable in a body vessel containing a body fluid. The stent valve includes: a valve for at least partially controlling the flow of the body fluid in the body vessel; and a scaffold, the scaffold including : an anchoring section for anchoring the scaffold to said body vessel and a valve supporting section supporting the valve. The scaffold is substantially radially expandable from a scaffold retracted configuration to a scaffold expanded configuration. The valve supporting section is expandable over a greater range of radial expansion than the anchoring section.

Abstract: A stent valve includes a scaffold, the scaffold including interlinked struts, the scaffold having a scaffold passageway extending substantially longitudinally therethrough. The stent valve also includes a valve leaflet extending at least partially across the scaffold passageway, the valve leaflet defining a leaflet periphery. At least a portion of the leaflet periphery extends integrally from at least a portion of at least one of the struts and at least a portion of the leaflet periphery is substantially parallel to the at least a portion of said at least one of said struts.

Abstract: A device for creating a surgical perforation with a functional distal tip for creating a controlled perforation. The functional tip may comprise at least one active electrode for creating the perforation through the application of Radio Frequency (RF) energy. The device is curved in order to decrease the likelihood of injury to structures of a patient such as inadvertent cardiac perforation when used in transseptal perforation procedures. The device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. Energy is applied to create the perforation. The tip is advanced toward the left atrium to create the perforation and as it advances into the left atrium, the device takes on its curved shape to direct the tip away from cardiac structures. The position of the tip of the device can be determined in response to pressure sensed at the tip and determined by a monitor.

Abstract: A stent insertable in a body lumen. The stent includes a scaffold having interlinked struts forming a scaffold first section and a scaffold second section, the scaffold being deformable substantially radially between a scaffold retracted configuration and a scaffold expanded configuration. The struts are configured and sized such that the coefficient of radial compressibility of the scaffold second section is greater than the coefficient of radial compressibility of the scaffold first section and the coupling coefficient between radial and longitudinal strains of the scaffold second section is greater than the coupling coefficient between radial and longitudinal strains of the scaffold first section.

Abstract: A treatment method is disclosed for treating a bodily tissue utilizing one or more steps of removal of material as well as one or more steps of energy delivery in order to effectively treat the bodily tissue. These mechanisms of treatment may beneficially be used to induce separate treatment effects, for example to treat both the symptoms and the underlying cause of a specific pathological condition. In addition, a specific application of the inventive method is described for using the inventive method to treat an intervertebral disc.

Abstract: A device for creating a surgical perforation with a functional distal tip for creating a controlled perforation. The functional tip may comprise at least one active electrode for creating the perforation through the application of Radio Frequency (RF) energy. The device is curved in order to decrease the likelihood of injury to structures of a patient such as inadvertent cardiac perforation when used in transseptal perforation procedures. The device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. Energy is applied to create the perforation. The tip is advanced toward the left atrium to create the perforation and as it advances into the left atrium, the device takes on its curved shape to direct the tip away from cardiac structures. The position of the tip of the device can be determined in response to pressure sensed at the tip and determined by a monitor.

Abstract: For creating a hole in body tissue and then enlarging the hole, a guidewire has a continuous diameter guidewire body having a proximal end and a distal end, a distal portion including an electrically conductive exposed tip for creating a perforation when RF current is applied and for preventing the creation of a perforation when RF current is not applied. For expanding the hole, a dilator region is provided between the distal end of the guidewire body and the distal portion for expanding the hole, and has a tapered profile. Also for expanding the hole, an inflatable balloon is located circumferentially on the guidewire body, and a catheter located on the guidewire body and in communication with the balloon for delivery of fluid to the balloon for its inflation.