Abstract: A surgical instrument includes an impedance sensing system for monitoring the position of the tip of the surgical instrument relative to the pericardial space. The surgical instrument consists of a guidewire or needle including a conductive core terminating at a distal tip of the guidewire or needle. The distal tip has a conductive surface exposed to patient tissues and/or fluids. The impedance sensing system includes a first electrode formed by the exposed surface of the guidewire or needle, and at least a second electrode isolated from the conductive core of the guidewire or needle. The second electrode may be formed on an outer surface of the guidewire or needle, or may be a pad electrode applied to the patient skin. The impedance sensing system also includes an impedance analyzer for measuring impedance and phase using one or more frequencies.

Abstract: Catheter ablation systems are used to isolate the Left Atrial Appendage (“LAA”), or portions of the LAA, by using balloons. The systems deliver an ablation fluid such as alcohol in order to destroy the LAA tissue isolated between the balloons, deliver saline to dilute the ablation fluid, and remove excess fluid and particulates by suction to prevent excess residual alcohol from remaining in the LAA.

Abstract: A catheter system includes a head including ports, a tail including conduits, and a medical balloon located between the head and the tail. Each conduit is connected to one of the ports. The medical balloon comprises ridges located around a circumference of the medical balloon. One or more sensors are located in the conduits. The catheter system can be used for ablation of the left atrial appendage using an ablation agent. The catheter system is capable of sealing the left atrial appendage, administering the ablation agent, delivering rinsing fluid into the sealed cavity, and extracting liquid from the sealed cavity.

Abstract: Wireless treatment of arrhythmias. At least some of the example embodiments are methods including: charging a capacitor of a first microchip device abutting heart tissue, the charging by harvesting ambient energy; charging a capacitor of a second microchip device abutting the heart tissue, the charging of the capacitor of the second microchip device by harvesting ambient energy; sending a command wirelessly from a communication device outside the rib cage to the microchip devices; applying electrical energy to the heart tissue by the first microchip device responsive to the command, the electrical energy applied from the capacitor of the first microchip device; and applying electrical energy to the heart tissue by the second microchip device responsive to the command to the second microchip device, the electrical energy applied from the capacitor of the second microchip device.

Abstract: A introducer is disclosed that includes an introducer sheath for introducing a catheter into a blood vessel at an insertion point, a plurality of electrodes on the introducer sheath, a flush line coupled to the introducer sheath including a proximal end and a distal end. In addition, the introducer includes an impedance assessment unit coupled to the flush line between the proximal end and the distal end and electrically coupled to the electrodes. The impedance assessment unit is configured to inject a predetermined current or voltage into a first of the plurality of electrodes and measure a resulting voltage or current, respectively, from a second of the plurality of electrodes.

Abstract: Methods for collapsing a tubular organ, such as the esophagus, involve inserting a device into the tubular organ, at least partially sealing off a section of the tubular organ, and drawing in the wall of the tubular organ by application of suction. The devices may be used to move the wall of the tubular organ away from an area undergoing treatment or therapy, such as to minimize damage to the tubular organ by application of radiofrequency energy or to limit temperature increase of the tubular organ.

Abstract: A system for aiding in the proper placement of an endotracheal tube in the trachea of a patent includes an endotracheal tube having a proximal region and a distal region. At least one electrode is included on the distal region to provide an electrical stimulation signal to patient tissue. The system includes a control unit coupled to the electrode and configured to differentiate proper placement of the endotracheal tube in the patient's trachea from improper placement of the endotracheal tube in the patient's esophagus based on a sensed response to the electrical stimulation provided by the electrode.

Abstract: An introducer includes a sheath for introducing a catheter into a blood vessel at an insertion site and a plurality of electrodes on the sheath. The introducer also includes an impedance assessment unit connected to the electrodes. The impedance assessment unit includes a power source and a wireless transceiver and is configured to inject one of a predetermined current or voltage across a first pair of electrodes and to measure the other of the current or voltage across a second pair of electrodes. The impedance assessment unit also is configured to perform at least one: wirelessly transmit current and voltage values to an external apparatus for detection of a bleed, and compute an impedance based on the current and voltage and wirelessly transmit the computed impedance to the external apparatus for detection of the bleed.

Abstract: A system including a stent further including a plurality of conductive struts disposed within a non-conductive body. The stent is configured to exclude an aneurysm within a blood vessel of a person. In addition, the system includes a first electrode and a second electrode. Further, the system includes a controller coupled to the first electrode and second electrode. The controller is configured to measure an impedance between the first electrode and the second electrode and across tissue surrounding the stent to determine if a leak has occurred between the stent and the aneurysm.

Abstract: Systems and methods for deploying and securing conductive materials to a region of tissue may utilize a catheter. The catheter may provide a tip with one or more detachable sections or may provide an adjustable opening. A lumen of the catheter may provide a conductive material, such as a filament, fiber, network or patch of carbon nanotubes (CNTs) or carbon nanofibers (CNFs). In some embodiments, the conductive materials may be coupled to securing mechanisms, such as screws, clips, anchors, alligator clips, or anchors with barbs, which can be actuated to attach the conductive materials to desired regions of tissue. In some embodiments, the catheter may provide a needle tip that allows the conductive material to be embedded into desired regions of tissue by inserting the needle into the tissue.

Abstract: A introducer is disclosed that includes an introducer sheath for introducing a catheter into a blood vessel at an insertion point, a plurality of electrodes on the introducer sheath, a flush line coupled to the introducer sheath including a proximal end and a distal end. In addition, the introducer includes an impedance assessment unit coupled to the flush line between the proximal end and the distal end and electrically coupled to the electrodes. The impedance assessment unit is configured to inject a predetermined current or voltage into a first of the plurality of electrodes and measure a resulting voltage or current, respectively, from a second of the plurality of electrodes.

Abstract: Herein disclosed is a method of detecting and identifying the source of abnormal electrical currents in the heart to assist in ablating these currents, comprising the use of contact or non-contact temperature measurement devices. In an embodiment, source of abnormal electrical activity of the heart and its attached arteries and veins show different temperature patterns from normal segments. In an embodiment, the method further comprises analyzing the temperature of the chamber of interest, and determining regions of low or high temperature by extension metabolic activity. In an embodiment, the method comprises measuring myocardial temperature comprising placing an array of thermocouples imbedded on a basket in the cardiac chamber. In an embodiment, the thermocouples are placed in contact with the myocardial tissue.

Abstract: A cerebrospinal fluid (CSF) detection device includes a headband including at least four electrodes integrated into the headband. The electrodes are configured to make electrical contact with a person's head when the headband is placed on the person's head. The CSF detection device also includes an impedance circuit integrated into the headband and coupled to the at least four electrodes. The impedance circuit includes memory and an impedance analyzer coupled to the at least four electrodes and is configured to measure an impedance of the person's head. A first pair of the at least four electrodes is used by the impedance circuit to inject an electrical signal into the person's head and a second pair of the electrodes are used by the impedance analyzer to sense a signal. The first pair of electrodes is interleaved within the headband with respect to the second pair of electrodes.

Abstract: In an embodiment a sheath allows one to simultaneously ablate tissue, using a catheter located in the sheath, and remove fluid from a patient's pericardial space, via the same sheath, all without withdrawing the ablation catheter from the sheath. Applying pressure (positive or negative) to fenestrations in the sheath may allow one to withdraw fluid from the space, navigate the sheath within the space, and/or adhere the sheath to tissue in the space. Other embodiments are described herein.

Abstract: Some embodiments of the present disclosure pertain to methods of improving electrical conduction across an impaired region of a tissue (e.g., myocardial tissue) by applying an electrically conductive material (e.g., carbon nanotube fibers) across the impaired region. The electrically conductive materials can become associated with non-impaired regions of the tissue on opposite sides of the impaired region by suturing. Such methods can also be utilized to treat or prevent cardiac arrhythmia in a subject (e.g., ventricular arrhythmia). Additional embodiments of the present disclosure pertain to electrical wirings that include carbon nanotubes, such as carbon nanotube fibers. Such electrical wirings can be used to transmit electrical signals to a tissue or sense electrical signals from the tissue. In some embodiments, the present disclosure also pertains to suture threads that include carbon nanotubes, such as carbon nanotube fibers.

Abstract: A measurement assembly of a personal health monitoring system for measuring the lung capacity of a person. In an embodiment, the measurement assembly includes a sensor assembly includes a sensor that is configured to sense the force of a fluid exhaled by the person onto the sensor and output a force measurement. In addition, the measurement assembly includes a control assembly coupled to the force sensing assembly, the control assembly configured to receive the force measurement from the sensor. Further, the measurement assembly includes a housing configured to support each of the sensor assembly and the control assembly. The sensor is disposed on an external surface of the housing.

Abstract: In an embodiment, an apparatus comprises a needle (e.g., hypodermic needle or trocar) and sensor (e.g., fiber Braggs grating sensor) coupled to a system to determine (e.g., in real time) stress and/or vibrations encountered by the needle. Consequently, various embodiments may (a) help identify nearby vessels, (b) determine whether the needle penetrated a hollow body structure, and (c) accurately guide needles towards a target structure (e.g., vessel). Other embodiments are described herein.

Abstract: An introducer includes a sheath for introducing a catheter into a blood vessel at an insertion site and a plurality of electrodes on the sheath. The introducer also includes an impedance assessment unit connected to the electrodes. The impedance assessment unit includes a power source and a wireless transceiver and is configured to inject one of a predetermined current or voltage across a first pair of electrodes and to measure the other of the current or voltage across a second pair of electrodes. The impedance assessment unit also is configured to perform at least one: wirelessly transmit current and voltage values to an external apparatus for detection of a bleed, and compute an impedance based on the current and voltage and wirelessly transmit the computed impedance to the external apparatus for detection of the bleed.

Abstract: An embodiment of the invention includes a system for the guidance of a catheter to different regions of tissue (e.g., cardiac tissue) for therapy (e.g., ablation therapy). A plurality of electrodes, such as an array of electrodes, may be configured to perform various tasks. First, some electrodes may measure cardiac polarization. Second, some electrodes may function as magnets (e.g., electromagnets) that guide a separate ablation catheter towards the electromagnetic electrodes. These electromagnetic electrodes may be positioned adjacent tissue that is now recognized (possibly due to the electrodes that measure cardiac polarization) as being in need of ablation therapy. Thus, the electromagnetic electrodes may cooperate with an ablation catheter to render a system with magnetic guidance capabilities using intracardiac magnetic field generation. The system may control electromagnetic forces from the array of electrodes to guide the ablation catheter tip to the desired therapy location.

Abstract: An introducer comprise a sheath for introducing a catheter into a blood vessel, a plurality of electrodes on the sheath, and an impedance assessment unit provided on the sheath and connected to the electrodes. The impedance assessment unit fixes one of a current or voltage across a first pair of the electrodes and measures the other of the current or voltage across a second pair of electrodes.