Abstract: Embodiments of the invention include a device having an elongate section extending from a distal end to a proximal end, the elongate section may be configured to be inserted into a cavity of a body. The device may also include an end effector at the distal end of the elongate section. The end effector may have an end face. The end face may include a transducer configured to vibrate in response to an electric current. The elongate section may include a conduit configured to circulate coolant to the end effector.

Abstract: A tissue treatment device comprises an insertion sized and shaped for insertion into the body via a trocar and a diagnostic element coupled to the insertion section, the diagnostic element illuminating tissue with the light of a wavelength selected to facilitate identification of target tissue in combination with an ultrasound element coupled to the insertion section for delivering to a portion of tissue illuminated by the diagnostic element ultrasound energy.

Abstract: A medical device allows movement control of a distal end portion of the medical device and is adapted for one-handed operation. The medical device is capable of omni-directional control of the distal end portion of the device. The device has an elongated member including a deflectable portion at a distal end portion of the elongated member. The device also has a control portion disposed on the elongated member. This control portion can be a handle for one-handed use by an operator of the medical device. The control portion comprises an elastic element and a flexible element. Angular movement of a first portion of the control portion with respect to a second portion of the control portion results in amplification of that angular movement in the deflectable portion of the device.

Abstract: The present invention is directed to a scanning system that uses uniform rotary motion of an optical reflector to create reciprocal linear scanning. The system converts uniform rotation into uniform longitudinal scanning. The system thereby creates mechanical reciprocal linear scanning free of reciprocally moving mechanical parts common in conventional scanning systems. In a preferred embodiment of the invention, the scanning system is incorporated within an imaging catheter for medical scanning. The optical reflector is rotatable and includes a spiral reflecting portion. The spiral reflecting portion may be a single uniform reflecting surface or may include several reflection surfaces arranged in a spiral configuration.

Abstract: A system comprises a first signal handling unit sized and shaped for insertion to a reference distance within a first body cavity and a probe sized and shaped for insertion into a second body cavity the probe including an energy emitting head and a second signal handling unit, wherein one of the first and second signal handling units comprises a transmitter and the other of the first and second signal handling units comprises one of a receiver adapted to receive signals from the transmitter and a signal reflecting element, wherein, when the other of the first and second signal handling units comprises a signal reflecting element, the one of the first and second signal handling units comprises a receiver in combination with a controller operatively connected to the receiver, the controller generating an output varying as a distance between the first and second signal handling units varies.

Abstract: A method and a device to deliver heat and mechanical agitation in a liquid with ultrasound.

Abstract: An apparatus includes an elongate member having a distal end portion and a proximal end portion. The elongate member defines a longitudinal axis. The distal end portion of the elongate member defines a notch having a face defining an axis. The axis of the face and the longitudinal axis define an acute angle with respect to a first direction along the longitudinal axis. The notch is configured to retain a loop of a suture when the elongate member is moved through a tissue of a patient in the first direction along the longitudinal axis. The notch is configured to release the loop of the suture when the elongate member is moved through the tissue of the patient in a second direction different than the first direction. The suture has at least one tissue anchor configured to be disposed within the tissue of the patient.

Abstract: An electrode assembly for a bi-polar ablation system comprises a first electrode array including a plurality of first tines, each of the first tines, when in a deployed configuration, extending substantially radially away from a center of the first array and including a substantially straight central portion in combination with a second electrode array including a plurality of second tines, each of the second tines, when in the deployed configuration, extending radially away from a center of the second array and including a substantially straight central portion substantially parallel to the central portion of a corresponding one of the first tines.

Abstract: A recoverable thrombosis filter that may be recoverable by a single recovery procedure. It can include a plurality of thrombosis filtering elements that are shaped in a predetermined manner and which are joined at one end and are deployed about a longitudinal axis to form a generally conical structure. The filtering elements can include shaped ends for engaging an inner lumen wall.

Abstract: An ablation device, comprises a first tubular element and a first electrode which, when in an insertion configuration, is received within the first tubular element, the first electrode being deployable from the first tubular element to anchor in a target portion of tissue at a first electrode operative position in combination with a second electrode which, when in the insertion configuration, is received within the first tubular element, the second electrode being deployable from the first tubular element to anchor in the target portion of tissue at a second electrode operative position separated from the first electrode operative position, the second electrode being deployable independently of the first electrode and an insulating element movable relative to the first electrode to insulate selected portions of the first electrode. The device is employed to ablate first and second portions of tissue.

Abstract: The present invention is directed to a scanning system that uses uniform rotary motion of an optical reflector to create reciprocal linear scanning. The system converts uniform rotation into uniform longitudinal scanning. The system thereby creates mechanical reciprocal linear scanning free of reciprocally moving mechanical parts common in conventional scanning systems. In a preferred embodiment of the invention, the scanning system is incorporated within an imaging catheter for medical scanning. The optical reflector is rotatable and includes a spiral reflecting portion. The spiral reflecting portion may be a single uniform reflecting surface or may include several reflection surfaces arranged in a spiral configuration.

Abstract: A medical device allows movement control of a distal end portion of the medical device and is adapted for one-handed operation. The medical device is capable of omni-directional control of the distal end portion of the device. The device has an elongated member including a deflectable portion at a distal end portion of the elongated member. The device also has a control portion disposed on the elongated member. This control portion can be a handle for one-handed use by an operator of the medical device. The control portion comprises an elastic element and a flexible element. Angular movement of a first portion of the control portion with respect to a second portion of the control portion results in amplification of that angular movement in the deflectable portion of the device.

Abstract: In some embodiments, a ureteral stent includes an elongate member having a first portion and a second portion, which is coupled to the first portion. The first portion of the elongate member is configured to be disposed within a kidney of a patient. The second portion of the elongate member, which has a sidewall that defines a lumen, is configured to deliver fluid from a first location of the sidewall of the second portion to a second location of the sidewall of the second portion via capillary action. The second portion of the elongate member is configured to be disposed within at least one of a bladder and a ureter of the patient.

Abstract: Diffraction grating based fiber optic interferometric systems for use in optical coherence tomography, wherein sample and reference light beams are formed by a first beam splitter and the sample light beam received from a sample and a reference light beam are combined on a second beam splitter. In one embodiment, the first beam splitter is an approximately 50/50 beam splitter, and the second beam splitter is a non 50/50 beam splitter. More than half of the energy of the sample light beam is directed into the combined beam and less than half of the energy of the reference light beam are directed into the combined beam by the second beam splitter. In another embodiment, the first beam splitter is a non 50/50 beam splitter and the second beam splitter is an approximately 50/50 beam splitter. An optical circulator is provided to enable the sample light beam to bypass the first beam splitter after interaction with a sample.

Abstract: A steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a elongate housing and an actuation system. The elongate housing is adapted to be coupled to the steerable portion of the medical device. The actuation system includes an actuator, a first cam, and a second cam. The actuator can move the first cam between a first position and a second position as the actuator is moved along a first axis (or about a second axis different than the first axis). Movement of the first cam between its first and second positions moves the steerable portion of the medical device along a first plane. The actuator can move the second cam between a first position and a second position as the actuator is moved along the second axis (or about the first axis).

Abstract: A hand-holdable steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a housing and an actuation system. The actuation system is adapted for one-handed operation by a user, and it allows the user to achieve 360 degree articulation of the steerable distal portion. The actuation system can include a first actuator and a second actuator where the first and second actuators are movable with respect to each other. The first actuator can be at least partially disposed within the second actuator.

Abstract: A steerable medical device is used to controllably introduce a guidewire or other medical instrument into a body of a patient and direct placement of the guidewire or other medical instrument in the body of the patient. The steerable medical device can include an elongated member, a steering mechanism, and an attachment member. The elongated member extends along a longitudinal axis and comprises a deflectable distal portion that is deflectable off of the longitudinal axis. The steering mechanism is adapted to control longitudinal and rotational movement of the elongated member and to control off-axis deflection of its deflectable portion. The attachment member is removably couplable to another medical device. The attachment member is moveably coupled to the steering mechanism and the elongated member.

Abstract: In one embodiment, an apparatus includes an optical fiber that includes a fiber core with a substantially constant outer diameter of less than or equal to 250 microns extending to a distal end of the optical fiber. The optical fiber is also configured to deliver laser energy up to at least 100 watts to a target area within a patient. The optical fiber is sufficiently flexible such that the optical fiber can be moved between a first configuration in which a distal end portion of the optical fiber is substantially linear and defines a longitudinal axis and a second configuration in which the distal end portion of the optical fiber is moved off its longitudinal axis. The apparatus also includes a steering mechanism coupled to the optical fiber. The steering mechanism is configured to move the optical fiber between its first configuration and its second configuration.

Abstract: In one embodiment, a medical device includes an elongate member configured to be inserted into a body. The elongate member has a first end portion and a second end portion opposite the first end portion. The elongate member includes a retaining member extending from the elongate member. The retaining member is configured to anchor the elongate member with respect to bodily tissue. The first end portion of the elongate member includes a coupling portion configured to be coupled to a filament. The second end portion of the elongate member includes a coupling portion configured to be coupled to the filament.

Abstract: A device for treating tissue comprises an enlongate probe and a light delivery unit illuminating a target area with light within a first wavelength band selected to enhance identification of target tissue in combination with an ultrasound crystal mounted at a distal end of the probe, the crystal being stimulated to treat target tissue identified using the light delivery unit.