Abstract: Provided herein are hybrid optical/acoustic wireless communications platforms for aquatic environments, the platforms comprising: an optical communications system configured to send and receive optical communications signals along a bed of the aquatic environment; an optical/acoustic communications signal converter; and an acoustic communications system configured to send and receive acoustic communications signals between the bed of the aquatic environment and a surface of the aquatic environment.

Abstract: Provided herein are hybrid optical/acoustic wireless communications platforms for aquatic environments, the platforms comprising: an optical communications system configured to send and receive optical communications signals along a bed of the aquatic environment; an optical/acoustic communications signal converter; and an acoustic communications system configured to send and receive acoustic communications signals between the bed of the aquatic environment and a surface of the aquatic environment.

Abstract: Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site to form a series of lesions on the target tissue.

Abstract: Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site. The instrument can optionally include at least one expandable anchor balloon disposed about, or incorporated into an inner catheter body designed to be slid over a guidewire. This anchor balloon can serve to position the device within a lumen, such as a pulmonary vein.

Abstract: Methods and apparatus are disclosed for forming annular lesions in tissue. The methods include introduction of an optical apparatus proximate to a tissue site, via, for example, a catheter. The optical apparatus includes a pattern-forming optical wave guide in communication with a light transmitting optical fiber. Energy is transmitted through the optical fiber, such that radiation is propagated through the optical fiber and the wave guide projects an annular light pattern, e.g., a circle or a halo.

Abstract: Methods and apparatus are disclosed for forming annular lesions in tissue. The methods include introduction of an optical apparatus proximate to a tissue site, via, for example, a catheter. The optical apparatus includes a pattern-forming optical wave guide in communication with a light transmitting optical fiber. Energy is transmitted through the optical fiber, such that radiation is propagated through the optical fiber and the wave guide projects an annular light pattern, e.g., a circle or a halo.

Abstract: Guided ablation instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias, including atrial fibrillation. In one aspect of the invention, a percutaneous catheter is disclosed with an endoscope positionable in the instrument's distal end region to obtain an image. The image allows the clinician to determine whether contact has been achieved (or blood has been cleared from an ablative energy transmission path) before ablation begins or while ablation is occurring. In one embodiment, percutaneous ablation catheters are disclosed having at least one central lumen and one or more balloon structures at the distal end region of the instrument. Also disposed in the distal end region are an illuminating light source and an endoscope capable of collecting sufficient light to relay an image to the user. The instruments can further include an ablation element.

Abstract: Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site. The instrument can optionally include at least one expandable anchor balloon disposed about, or incorporated into an inner catheter body designed to be slid over a guidewire. This anchor balloon can serve to position the device within a lumen, such as a pulmonary vein.

Abstract: A high strength nickel-base alloy consisting essentially of, by weight percent, 50 to 60 nickel, 19 to 23 chromium, 18 to 22 iron, 3 to 4.4 aluminum, 0 to 0.4 titanium, 0.05 to 0.5 carbon, 0 to 0.1 cerium, 0 to 0.3 yttrium, 0.002 to 0.4 total cerium plus yttrium, 0.0005 to 0.4 zirconium, 0 to 2 niobium, 0 to 2 manganese, 0 to 1.5 silicon, 0 to 0.1 nitrogen, 0 to 0.5 calcium and magnesium, 0 to 0.1 boron and incidental impurities. The alloy forms 1 to 5 mole percent Cr7C3 after 24 hours at a temperature between 950 and 1150° C. for high temperature strength.

Abstract: A phototherapy device which can include an optical fiber having a perfluorinated polymer outer buffer coating, and an optical element, such as a GRIN lens or a mirror, disposed at its distal end. A tubular housing encases the optical element and is thermally bonded to at least a portion of the buffer. The component elements of the device can be constructed of materials having similar thermal characteristic to inhibit the effect of heat cycling on the device. In addition, the materials of the device, and in particular the housing, can be selected to inhibit wear and scrapping of the lumen of the delivery instrument during use. A marker band can be positioned about the optical fiber to facilitate viewing of the phototherapy device in-vivo.

Abstract: Phototherapeutic instruments are disclosed for providing substantially uniform energy distribution to a major portion of an area exposed during phototherapy. These instruments include an element for directing radiation toward the walls of a lumen and a device for centering the radiation directing element within the lumen. The instruments also allow the flow of blood, therapeutic fluid, or air past the exposure site. The instruments are particularly useful as part of a fiber optic-based medical laser system for photodynamic therapy within the bronchia of the lung, blood vessels or other liquid-filled lumens.

Abstract: An alloy resistant to carburization and high temperature oxidation. The alloy consists essentially of, by weight percent, 27 to 35 chromium, 0 to 7 iron, about 3 to 4.4 aluminum, 0 to 0.4 titanium, 0.2 to 3 niobium, 0.12 to 0.5 carbon, 0 to 0.05 zirconium, 0.002 to 0.05 total cerium and yttrium, 0 to I manganese, 0 to I silicon, 0 to 0.5 calcium plus magnesium, 0 to 0.1 boron and balance nickel plus incidental impurities.

Abstract: Phototherapeutic instruments are disclosed having integral stopper devices which limit the penetration of an optical fiber during tissue penetrating phototherapy. In one preferred embodiment, a fluted outer sheath is disposed about an internal optical fiber. The fluted sheath is configured to expand during penetration of the optical fiber into a patient's tissue. As the fluted elements expand, the present a much larger cross-sectional area which resists further penetration of the instrument beyond a predetermined desirable distance. The invention is useful in limiting an optically-transmissive fiber's penetration and, thereby, reduce the possibility of perforation of a body lumen or organ. The invention is particularly useful in placing a ablative laser radiation device into the ventricle of the heart when performing arrhythmia-correcting laser ablative procedures or when revascularizing the heart percutaneously.