Abstract: The present invention relates to a guidewire having a shaped three dimensional guide section. In the preferred embodiment the guide section is helical, and exerts an outward radial force on a lumen the guidewire is constrained in. The outward radial force can be measured or calculated according to methods of the present invention. Also described is a system comprising a guidewire and catheter where the force of the catheter exerts on a body lumen can also be calculated. Apparatus and methods of making the guidewire are also disclosed, as well as alternative embodiments of the guidewire.

Abstract: The present invention comprises a guidewire having a compressible guide section capable of deflecting a catheter to abut a lumen wall. The compressible guide section exerts an outward radial force while it is at least partially compressed within a lumen. The guide section permits a physician to precisely locate a catheter within a body lumen and adjust a catheter tip orientation to be directed to a particular side of a body lumen. A method is disclosed for properly matching a guidewire and a catheter to operate together in the present invention, along with a force measuring instrument to assist in measuring a catheter's resistance force value. This method and systems of the present invention involve determining the exact force relationship between the compressible guide section and the resistance of the catheter in vitro.

Abstract: The present invention relates to a guidewire having a shaped three dimensional guide section. In the preferred embodiment the guide section is helical, and exerts an outward radial force on a lumen the guidewire is constrained in. The outward radial force can be measured or calculated according to methods of the present invention. Also described is a system comprising a guidewire and catheter where the force the catheter exerts on a body lumen can also be calculated. Apparatus and methods of making the guidewire are also disclosed, as well as alternative embodiments of the guidewire.

Abstract: The present invention comprises a guidewire having a compressible guide section capable of deflecting a catheter to abut a lumen wall. The compressible guide section exerts an outward radial force while it is at least partially compressed within a lumen. The guide section permits a physician to precisely locate a catheter within a body lumen and adjust a catheter tip orientation to be directed to a particular side of a body lumen. A method is disclosed for properly matching a guidewire and a catheter to operate together in the present invention, along with a force measuring instrument to assist in measuring a catheter's resistance force value. This method and systems of the present invention involve determining the exact force relationship between the compressible guide section and the resistance of the catheter in vitro.

Abstract: A system is provided having a catheter, a torque member extending longitudinally through a lumen of the catheter, a removal mechanism secured to a distal end of the torque member, and a guidewire having a guide section that extends through a lumen of the removal mechanism. The guide section defines a curved profile that is diametrically larger than the dimension of the removal mechanism. The guide section of the guidewire is adapted to be positioned inside a passageway of the occluding material, and provides a curved path along which the removal mechanism can be advanced inside the passageway of the occluding material to separate and remove occluding material.

Abstract: An apparatus and method of making a guidewire with a preformed three dimensional profile is described. The Apparatus comprises a mandrel having a screw thread for receiving a core wire and at least one securing means for holding the core wire onto the mandrel. The core wire must be retained under tension in order to properly impart the desired shape into the core wire. A system and method of using the apparatus is disclosed comprising the steps of loading the core wire onto the mandrel, securing the core wire and mandrel and then heating the assembly until the wire takes the desired shape.

Abstract: A catheter device incorporating combined ultrasound ablation and balloon dilation components. The catheter device generally comprises an elongate catheter body having proximal and distal ends and an outer surface. Disposed on the outer surface of the catheter body is a dilation balloon. At least one balloon inflation lumen fluidly connects the proximal end of the catheter body to the dilation balloon to permit injection of inflation fluid into the dilation balloon. Extending longitudinally through the catheter body is an ultrasound transmission member having a proximal end and a distal end, with the proximal end being connectable to an ultrasound transducer such that ultrasonic energy will pass through the ultrasound transmission member to the distal end thereof. In alternative embodiments of the present invention, there are provided catheter devices incorporating combined ultrasound ablation and laser ablation components as well as combined ultrasound ablation and atherectomy ablation components.

Abstract: A catheter device incorporating combined ultrasound ablation and balloon dilation components. The catheter device generally comprises an elongate catheter body having proximal and distal ends and an outer surface. Disposed on the outer surface of the catheter body is a dilation balloon. At least one balloon inflation lumen fluidly connects the proximal end of the catheter body to the dilation balloon to permit injection of inflation fluid into the dilation balloon. Extending longitudinally through the catheter body is an ultrasound transmission member having a proximal end and a distal end, with the proximal end being connectable to an ultrasound transducer such that ultrasonic energy will pass through the ultrasound transmission member to the distal end thereof. In alternative embodiments of the present invention, there are provided catheter devices incorporating combined ultrasound ablation and laser ablation components as well as combined ultrasound ablation and atherectomy ablation components.

Abstract: An ultrasound catheter for removing obstructions from tubular anatomic structures such as blood vessels, said catheter comprising an elongate flexible catheter body having an ultrasound transmission member or wire extending longitudinally therethrough. A distal head is formed on the distal end of the ultrasound transmission member or wire and is affixed to the catheter body. The ultrasound transmission member or wire may be formed of any material capable of transmitting ultrasonic energy including various superelastic metal alloys such as nickel titanium metal alloys. The distal portion of the ultrasound transmission member or wire may be of reduced diameter to provide enhanced flexibility and/or amplification of the ultrasonic energy through the distal portion of the ultrasound transmission member or wire. A proximal end connector may be provided with a sonic connector to effectively couple the catheter to the ultrasound transducer.

Abstract: An intravascular ultrasonic imaging probe includes a transducer subassembly adapted to being rotated within a guide catheter via a drive cable. The guide catheter establishes a bearing surface for supporting the transducer subassembly during rotation while also mechanically isolating the rotating transducer subassembly from surrounding tissue (thereby protecting the tissue from inadvertent and/or undesired tissue abrasion by the subassembly during rotation). The catheter is positioned within a vessel to be imaged by telescopically advancing the same over a previously positioned guide wire, the guide wire being withdrawn after the guide catheter is positioned. Thereafter, the imaging probe is inserted into the guide catheter and operated so as to obtain ultrasonic images of the vessel under investigation.

Abstract: Intravascular probe assemblies are provided with both ultrasonic imaging and laser ablation (angioplasty) capabilities. In preferred embodiments, the probe assemblies will include a distally positioned rotatable housing having an ultrasonic transducer and an optical fiber operatively fixed therein so as to respectively emit acoustic energy and laser radiation along a common path generally parallel to the housing's axis, but in opposing axial directions. An optical and acoustic reflector is interposed between the transducer and optical fiber so as to redirect incident acoustic energy and laser radiation generally radially with respect to the housing.

Abstract: Accurate in vivo measurement of blood oxygen saturation by fiberoptical means is made possible throughout a wide range of hematocrit or total hemoglobin values by using a single R/IR ratio I and calculating the SO.sub.2 value therefrom through the use of a second-order polynomial of the formSO.sub.2 =Ak.sup.2 I.sup.2 +BkI+Cin which A, B and C are hematocrit or total hemoglobin-dependent coefficients. These values may be contained in a lookup table accessed by a hematocrit or total hemoglobin value selection, and k is a purely multiplicative calibration constant which can be readily determined for any individual fiberoptic system.