Abstract: Pre-connected analyte sensors are provided. A pre-connected analyte sensor includes a sensor carrier attached to an analyte sensor. The sensor carrier includes a substrate configured for mechanical coupling of the sensor to testing, calibration, or wearable equipment. The sensor carrier also includes conductive contacts for electrically coupling sensor electrodes to the testing, calibration, or wearable equipment.

Abstract: An ablation catheter Has a spring assembly residing between an ablation head and a proximal catheter body. Three optical fibers extend through a lumen in the catheter body. Three mirrors supported by the ablation head face proximally but are spaced distally from the optical fibers. The mirrors are provided with a pattern of reflectance that varies along a radius from a central area of reflectance. Light of a respective defined power shines from each of the optical fibers to a corresponding one of the mirrors with a reflected percentage of the respective defined light power being reflected back to the optical fiber. A percentage of the reflected percentage of the respective defined light power is captured by and travels along each optical fiber to a dedicated light wave detector connected to a controller.

Abstract: A guidewire including an optical fiber containing three fiber cores, each supporting a strain-sensing fiber Bragg grating (FBG) is described. The three FBGs are susceptible to changes in strain so that axial and lateral force vectors imparted to the FBGs can be ascertained. An optical connector detachably connects the guidewire optic fiber to a proximal optical fiber. The proximal optical fiber in turn is connected to a controller, which in addition to ascertaining the axial and lateral force vectors imparted to each of the FBGs, is programmed to calculate the spatial orientation of the guidewire as it is advanced through the vasculature. This capability is extremely useful for positioning the guidewire at a body site of interest prior to performing a medical procedure. A temperature-sensing FBG is used to compensate for changes in the ambient temperature.

Abstract: In various examples, a medical device is configured to be at least partially insertable within a patient. The medical device includes a first elongate member including a sidewall surrounding and defining a lumen extending through the first elongate member between a first proximal end and a first distal end. A second elongate member is sized and shaped to fit within the lumen of the first elongate member. A coil is disposed within the sidewall of the first elongate member, wherein the coil is configured to sense a position of the second elongate member with respect to the coil. In some examples, the first elongate member includes a catheter, and the second elongate member includes a guidewire.

Abstract: An ablation catheter Has a spring assembly residing between an ablation head and a proximal catheter body. Three optical fibers extend through a lumen in the catheter body. Three mirrors supported by the ablation head face proximally but are spaced distally from the optical fibers. The mirrors are provided with a pattern of reflectance that varies along a radius from a central area of reflectance. Light of a respective defined power shines from each of the optical fibers to a corresponding one of the mirrors with a reflected percentage of the respective defined light power being reflected back to the optical fiber. A percentage of the reflected percentage of the respective defined light power is captured by and travels along each optical fiber to a dedicated light wave detector connected to a controller.

Abstract: A guidewire system comprises a guidewire supporting a distal ferrule in the proximal end of a guidewire lumen. The distal ferrule has a ferrule opening that is sized to snuggly receive the proximal end of a distal optical fiber with a distal portion of the distal optical fiber extending into the guidewire lumen. However, the proximal end of the distal optical fiber only occupies a distal portion of the opening in the distal ferrule, leaving a proximal portion of that opening unoccupied. That way, the distal end of a proximal optical fiber can be received into the unoccupied proximal portion of the opening in the distal ferrule to optically connect to the distal optical fiber. Having the proximal and distal optical fibers coaxially aligned in a common opening in a ferrule received in a guidewire ensures that the optical fibers are optically connected to each other in a precise manner so that light can be transmitted along them with minimal losses.

Abstract: An ablation catheter for treating cardiac arrhythmias by ablating near pulmonary venous tissue is described. The ablation catheter includes a system of optical fibers containing respective fiber Bragg gratings (FBG) that are susceptible to changes in strain to thereby indicate to the physician the amount of force that the ablation head is exerting on the myocardial tissue during the ablation procedure. Optionally, the FBGs are used to indicate the exact orientation of the catheter and its ablation head inside the vasculature.

Abstract: A guidewire including an optical fiber containing three fiber cores, each supporting a strain-sensing fiber Bragg grating (FBG) is described. The three FBGs are susceptible to changes in strain so that axial and lateral force vectors imparted to the FBGs can be ascertained. An optical connector detachably connects the guidewire optic fiber to a proximal optical fiber. The proximal optical fiber in turn is connected to a controller, which in addition to ascertaining the axial and lateral force vectors imparted to each of the FBGs, is programmed to calculate the spatial orientation of the guidewire as it is advanced through the vasculature. This capability is extremely useful for positioning the guidewire at a body site of interest prior to performing a medical procedure. A temperature-sensing FBG is used to compensate for changes in the ambient temperature.

Abstract: A system and method are presented for detecting and measuring pressure within a region of a body lumen or vessel. The pressure sensing system includes a light source for transmitting light through a pathway containing polarization-maintaining fiber optic wires. A distal portion of the polarization-maintaining fiber optic wire, which is engaged to and extends along a guidewire, includes pressure sensing station(s) made up of fiber Bragg gratings (FBG). The light transmitted to and reflected from the FBGs on the two polarization modes of the polarization-maintaining fiber optic wire can be analyzed to provide one or more pressure values.

Abstract: A kink-resistance catheter has a first pair of core wires residing in the catheter body on opposed side of a catheter lumen. The core wires have relatively stiff proximal ends but taper toward their distal ends. The tapered construction provides the core wires with a degree of distal flexibility that helps the catheter advance along a vasculature to a site of interest without kinking and with improved torsional rigidity. If desired, shaping ribbons are provided in the catheter body adjacent to the distal ends of the core wires. The shaping ribbons can be pre-bent before a surgical procedure to help the physician advance the catheter along the vasculature. Finally, the core wires provide the ability to push the catheter through the vasculature with out the need for the catheter to go over a guidewire already in-situ in the vasculature.

Abstract: A guidewire having a fiber optic force sensor with a mirror having encoded reflectance is described. The guidewire has a distal housing supported by a core wire. A distal hypotube connected to the distal housing supports a spring intermediate hypotube proximal and distal portions. An atraumatic head is connected to the distal hypotube portion. An optical fiber having at least one fiber core extends through lumens in the core wire and housing to a distal end of the housing. A mirror supported by the atraumatic head faces proximally but is spaced distally from the fiber core at a distal face of the optical fiber. The mirror is provided with a pattern of reflectance that varies along a radius from a central area of reflectance. Light of a defined power shines from the fiber core to the mirror with a reflected percentage of the defined light power being reflected back to the fiber core.

Abstract: A guidewire having a fiber optic force sensor with a mirror having encoded reflectance is described. The guidewire has a distal housing supported by a core wire. A distal hypotube connected to the distal housing supports a spring intermediate hypotube proximal and distal portions. An atraumatic head is connected to the distal hypotube portion. An optical fiber having at least one fiber core extends through lumens in the core wire and housing to a distal end of the housing. A mirror supported by the atraumatic head faces proximally but is spaced distally from the fiber core at a distal face of the optical fiber. The mirror is provided with a pattern of reflectance that varies along a radius from a central area of reflectance. Light of a defined power shines from the fiber core to the mirror with a reflected percentage of the defined light power being reflected back to the fiber core.

Abstract: A medical system comprising a guidewire that is connectable to a catheter is described. The guidewire has a housing connected to the distal end of a core wire. A printed circuit board (PCB) electrically connected to a camera chip resides in the housing. An atraumatic lens is supported by the housing with the camera chip residing between the atraumatic lens and the housing so that light rays entering the atraumatic lens are refracted to a focal plane aligned along a distal face of the camera chip. A proximal connector powered by a controller is wired to a visual display. With the proximal end of the guidewire connected to the proximal connector, the controller provides electrical power to the camera chip via a power cable extending along the core wire to the PCB. The catheter has an axially-extending primary lumen and a plurality of optical fibers extending to respective light-emitting lenses. During a medical procedure, the guidewire is first inserted into the vasculature of a patient.

Abstract: A kink-resistance catheter has at least a first pair of core wires residing in the catheter body on opposed side of a catheter lumen. The core wires have relatively stiff proximal ends but taper toward their distal ends. The tapered construction provides the core wires with a degree of distal flexibility that helps the catheter advance along a vasculature to a site of interest without kinking. Moreover, the core wires greatly improve the torsional rigidity of the catheter so that rotation of the catheter's proximal end translates into a substantially equivalent rotation at the distal end. If desired, shaping ribbons are provided in the catheter body adjacent to the distal ends of the core wires. The shaping ribbons can be pre-bent before a surgical procedure to help the physician advance the catheter along the vasculature. Finally, the core wires provide the ability to push the catheter through the vasculature without the need for the catheter to go over a guidewire already in-situ in the vasculature.

Abstract: A basket-type EP catheter is described. The EP catheter comprises a catheter proximal end that is electrically connected to a controller by an electrical cable having a single voltage-out (Vout) conductor and a catheter distal end supporting a distal connector that is detachably connectable to a basket-shaped configuration of a plurality of splines. Each spline supports an array of electrodes. By sampling the voltage signal on each of the plurality of electrodes sequentially or consecutively, only one Vout conductor is needed to transmit the voltage sample to the controller. In comparison to conventional EP catheters, this greatly reduces the number of conductors extending along the catheter shaft. The use of a Vout conductor is implemented by connecting a polling circuit or a “one-shot” circuit and a signal pass-transistor or transmission gate to each electrode.

Abstract: An ablation catheter for treating cardiac arrhythmias by ablating near pulmonary venous tissue is described. The ablation catheter includes a system of optical fibers containing respective fiber Bragg gratings (FBG) that are susceptible to changes in strain to thereby indicate to the physician the amount of force that the ablation head is exerting on the myocardial tissue during the ablation procedure. Optionally, the FBGs are used to indicate the exact orientation of the catheter and its ablation head inside the vasculature.

Abstract: A system and method are presented for detecting and measuring pressure within a region of a body lumen or vessel. The pressure sensing system includes a light source for transmitting light through a pathway containing polarization-maintaining fiber optic wires. A distal portion of the polarization-maintaining fiber optic wire, which is engaged to and extends along a guidewire, includes pressure sensing station(s) made up of fiber Bragg gratings (FBG). The light transmitted to and reflected from the FBGs on the two polarization modes of the polarization-maintaining fiber optic wire can be analyzed to provide one or more pressure values.

Abstract: A guidewire system comprises a guidewire supporting a distal ferrule in the proximal end of a guidewire lumen. The distal ferrule has a ferrule opening that is sized to snuggly receive the proximal end of a distal optical fiber with a distal portion of the distal optical fiber extending into the guidewire lumen. However, the proximal end of the distal optical fiber only occupies a distal portion of the opening in the distal ferrule, leaving a proximal portion of that opening unoccupied. That way, the distal end of a proximal optical fiber can be received into the unoccupied proximal portion of the opening in the distal ferrule to optically connect to the distal optical fiber. Having the proximal and distal optical fibers coaxially aligned in a common opening in a ferrule received in a guidewire ensures that the optical fibers are optically connected to each other in a precise manner so that light can be transmitted along them with minimal losses.

Abstract: In various examples, a medical device is configured to be at least partially insertable within a patient. The medical device includes a first elongate member including a sidewall surrounding and defining a lumen extending through the first elongate member between a first proximal end and a first distal end. A second elongate member is sized and shaped to fit within the lumen of the first elongate member. A coil is disposed within the sidewall of the first elongate member, wherein the coil is configured to sense a position of the second elongate member with respect to the coil. In some examples, the first elongate member includes a catheter, and the second elongate member includes a guidewire.

Abstract: A device for opening glass-sealed vessels in order either to recover a gas from or to introduce a gas into a vacuum system or other confined atmosphere comprises first vessel receiving means adapted removably to receive therein a projecting end of the glass-sealed vessel along with second vessel receiving means similarly adapted removably to receive therein the projecting end of the glass-sealed vessel, with the proximal ends of the first and second vessel receiving means being positioned adjacent each other.