Abstract: For an infrared imaging catheter, means of achieving a spread of wavelengths or multiple wavelengths through a stacking arrangement of “monochromatic” laser diodes or LED's are disclosed. Since a stack of diodes or LED's have different temperatures, they produce a wavelength spread many times greater than a single laser diode or LED. The wavelength spread reduces speckle in the corresponding image. Adding wavelengths also improves the corresponding infrared image, since different wavelengths have different light penetration capabilities and can emphasize different biological entities.

Abstract: A novel transparent electrode that uses a conductive coating to allow delivery of current to the heart as well as outward imaging through the electrode is described. The embodiments disclose a catheter incorporating an endoscope, whose imaging tip is coated with a conductive coating that is transparent in the endoscopic image. However, a transparent electrode may be fashioned for any imaging modality, such as intracardiac echocardiography (ICE), that finds the electrode to be transparent to the energy used. This electrode coating may be a thin, optically transparent or translucent coating of platinum or gold or may be a pattern with enough open spaces to see the underlying tissue, such as looking through a screen. A wire is connected to the conductive coating and routed to a radiofrequency generator.

Abstract: A coronary access catheter system simplifies the insertion of objects into distal branches of the coronary sinus. The system incorporates a real-time forward-imaging means to view the os and the branches of the coronary sinus. Preferably, the catheter uses near-infrared light as the forward-imaging means, but it could also include ultrasound or electromagnetic transducer. As the image is viewed, the catheter tip can be steered into the coronary sinus os and deflected in a tight radius bend on the distal end to navigate the short radius, right angle turns found in the coronary sinus branches. At that point, a flexible sheath can be placed over the guide catheter or objects such as guidewires can be inserted into channels of the guide catheter. The system consists of a catheter and image acquisition unit, which displays the forward image.

Abstract: A coronary sinus locater sheath is stabilized in the vicinity of the coronary sinus by a guidewire exiting the side of the sheath near the distal end and inserted into an identifiable anatomical feature. The procedure includes (1) inserting the guide sheath into a vein, (2) advancing the sheath until the right atrium is entered, (3) advancing the sheath into the IVC, (4) extending a guidewire through a port near the sheath's distal end, (5) retracting the sheath above the IVC into the right atrium, (6) articulating or rotating the sheath until the sheath is near the coronary sinus ostium, while the sheath is stabilized by the guidewire. Thus the sheath can be positioned near the coronary sinus ostium limiting the motion imparted to the sheath from the beating heart. An imaging catheter may be used in conjunction with the sheath. The sheath or catheter may include pacing electrodes.

Abstract: A novel transparent electrode that uses a conductive coating to allow delivery of current to the heart as well as outward imaging through the electrode is described. The embodiments disclose a catheter incorporating an endoscope, whose imaging tip is coated with a conductive coating that is transparent in the endoscopic image. However, a transparent electrode may be fashioned for any imaging modality, such as intracardiac echocardiography (ICE), that finds the electrode to be transparent to the energy used. This electrode coating may be a thin, optically transparent or translucent coating of platinum or gold or may be a pattern with enough open spaces to see the underlying tissue, such as looking through a screen. A wire is connected to the conductive coating and routed to a radiofrequency generator. Novel means of measuring surface temperatures during ablation are disclosed. Adding another deposition of a dissimilar metal under the electrode deposition creates a thermocouple on the electrode surface.

Abstract: Devices (1) and methods for accomplishing tasks within a body using infrared imaging are disclosed which, in connection with other known components, are useful in ablation, stitching and other operations, identification of sizes and composition of objects, and the creation of maps by taking multiple images at different positions or times.

Abstract: A medical infusion pump (10) for delivering liquids to a patient includes an elastomeric pump chamber (140) contractable between a refill position and a discharge position. An inlet valve (122) is operatively associated with an elastomeric inlet (142) supplying liquid to the pump chamber (140). The inlet valve (122) is selectively positionable in an open position permitting and a closed position preventing flow of liquid between the inlet (142) and the pump chamber (142). An outlet valve (124) is operatively associated with an elastomeric outlet (144) which conveys liquid from the pump chamber (140). The outlet valve (124) is selectively positionable in an open position permitting and a closed position preventing flow of liquid between the outlet (144) and pump chamber (140). A pump motor (256) and associated plunger (120) contracts and expands the pump chamber (140) between the refill position and the discharge position.

Abstract: A remotely programmable infusion system for administering liquid to a patient includes an infusion pump unit having a pump for infusing liquids operated by means of a control including a programmed processing unit and a memory chip. The processing unit operates in accordance with delivery program data stored in the memory circuit for executing an infusion delivery sequence. An output circuit is operatively disposed between the processing unit and the pump unit to control operation of the pump unit in accordance with the infusion delivery sequence. A wireless data communication circuit is operatively connected to the control for transmitting and receiving data.

Abstract: A surgical instrument and support unit for enabling a user using one hand to probe an incision and illuminate, irrigate, and aspirate the incision. The surgical instrument has a probe with illumination, irrigation, and aspiration ports on the end. The probe is coupled to a handle having controls for the irrigation and aspiration functions. Light from a high intensity lamp in the handle is transmitted through an optical fiber to the illumination port. A heat sink enclosing the lamp draws heat away from the lamp and transfers the heat to the aspirated fluid passing through the heat sink. The support unit is controlled by a microcomputer and provides an electrical supply for the lamp and a pressurized fluid supply for irrigation. The sources of the irrigation fluid is a standard hospital flexible bag. A bladder inflated by an air pump pressurizes the flexible bag. The pump is also utilized to deflate the bladder to allow rapid changing of the flexible bag during a surgical procedure.