Abstract: A cannula for transferring a substance to and/or from a patient includes a tubular support sleeve and a transfer tube. The support sleeve includes a rigid tubular member defining a lumen extending from a proximal end to a distal end of the tubular member. The transfer tube is positioned in the lumen and extends beyond each of the proximal end and the distal end of the tubular member. The tubular member includes a rigid, MRI-compatible material.

Abstract: MRI-Surgical systems include: (a) at least one MRI-compatible surgical tool; (b) a circuit adapted to communicate with an MRI scanner; and (c) at least one display in communication with the circuit. The circuit electronically recognizes predefined physical characteristics of the at least one tool to automatically segment MR image data provided by the MRI scanner whereby the at least one tool constitutes a point of interface with the system. The circuit is configured to provide a User Interface that defines workflow progression for an MRI-guided surgical procedure and allows a user to select steps in the workflow, and wherein the circuit is configured to generate multi-dimensional visualizations using the predefined data of the at least one tool and data from MRI images of the patient in substantially real time during the surgical procedure.

Abstract: MRI-Surgical systems include: (a) at least one MRI-compatible surgical tool; (b) a circuit adapted to communicate with an MRI scanner; and (c) at least one display in communication with the circuit. The circuit electronically recognizes predefined physical characteristics of the at least one tool to automatically segment MR image data provided by the MRI scanner whereby the at least one tool constitutes a point of interface with the system. The circuit is configured to provide a User Interface that defines workflow progression for an MRI-guided surgical procedure and allows a user to select steps in the workflow, and wherein the circuit is configured to generate multi-dimensional visualizations using the predefined data of the at least one tool and data from MRI images of the patient in substantially real time during the surgical procedure.

Abstract: A method includes providing a patch including: a flexible base layer that is mountable on and substantially conformable to a patient's body surface, the base layer having opposed upper and lower primary surfaces; a flexible substrate that is releasably attached to the upper primary surface of the base layer and substantially conformable to the patient's body surface; and at least one MRI-visible fiducial element defined by or secured to the flexible substrate. The method further includes: securing the base layer to the body surface to mount the patch on the body surface such that the flexible substrate conforms to the body surface; MRI scanning the patient with the patch on the body surface to generate corresponding image data; identifying a physical location on the body surface using the image data; and removing the flexible substrate from the base layer.

Abstract: A surgical marking tool for marking a location on a patient includes a cutting head and a handle. The cutting head includes a screw thread. The handle is coupled to the cutting head to rotate the cutting head. The screw thread is configured to progressively embed in the patient to mark the location when the cutting head is placed in contact with the patient and rotated with respect to the patient using the handle.

Abstract: An MRI-guided interventional system includes a head support apparatus for engaging and securing the head of a patient, and a targeting frame configured to be secured to the body of a patient. The targeting frame includes a cooperating targeting cannula that is configured to guide placement of an interventional device through a burr hole in a patient's skull in vivo. The system includes an MRI-compatible camera positioned proximate to the head support apparatus, and an MRI-compatible imaging device having one end attached to the targeting frame to provide a local field of view of the burr hole, and an opposite end in communication with the camera. The system also includes a display output module coupled to the camera for receiving electrical signals therefrom and for displaying images corresponding thereto.

Abstract: An MRI-compatible patch for identifying a location includes a flexible base layer, a flexible substrate and at least one of MRI-visible fiducial element. The flexible base layer is mountable on and substantially conformable to a patient's body surface. The base layer has opposed upper and lower primary surfaces. The flexible substrate is releasably attached to the upper primary surface of the base layer and substantially conformable to the patient's body surface. The at least one MRI-visible fiducial element is defined by or secured to the flexible substrate. The patch may include a plurality of the MRI-visible fiducial elements arranged in a defined pattern.

Abstract: An MRI-guided interventional system includes a frame with a cooperating targeting cannula. The frame is configured to be secured to the body of a patient, and is configured to translate and rotate such that the targeting cannula can be positioned to a desired intrabody trajectory. The frame may include one or more MRI-visible fiducial markers that allow frame location/orientation to be determined within an MRI image. A plurality of user-activatable actuators are configured to translate and rotate the frame relative to the body of a patient so as to position the targeting cannula to a desired intrabody trajectory. The targeting cannula includes an axially-extending guide bore therethrough that is configured to guide placement of an interventional device in vivo. Various instrumentation and equipment, such as stimulation leads, ablation catheters, injection catheters, etc., can be inserted through the targeting cannula to execute diagnostic and/or surgical procedures.

Abstract: A surgical marking tool for marking a location on a patient includes a cutting head and a handle. The cutting head includes a screw thread. The handle is coupled to the cutting head to rotate the cutting head. The screw thread is configured to progressively embed in the patient to mark the location when the cutting head is placed in contact with the patient and rotated with respect to the patient using the handle.

Abstract: A head support assembly includes a base configured to be removably secured to an MRI scanner gantry, a head support frame attached to the base, and a longitudinally extending head coil apparatus adjustably secured to the head support frame. The head support frame includes a pair of elongated arms that extend outwardly in adjacent, spaced-apart, substantially co-planar relationship to form an area for receiving the head of a patient. Each arm includes a respective free end, and a head engagement rod is adjustably associated with each respective arm free end. The head engagement rods are configured to engage a patients head within the head support frame. One or more additional head engagement rods may extend outwardly from the head support frame between the pair of arms.

Abstract: An MRI-guided medical device includes an elongated sheath, an elongated dilator, and an elongated needle. The sheath has a distal end, an opposite proximal end, and a central lumen extending between the proximal and distal ends. The sheath comprises MRI-compatible material and includes a tracking member located adjacent to the sheath distal end that is visible in an MRI image. The dilator comprises MRI-compatible material and is movably disposed within the sheath lumen. A distal end of the dilator is configured to extend outwardly from the sheath distal end and dilator includes at least one tracking member that is visible in an MRI image. The needle is movably disposed within the dilator lumen and is movable between stored and operative positions relative to the dilator. An RF shield may be coaxially disposed within the elongated sheath so as to surround a portion of the sheath central lumen.

Abstract: An MRI-compatible catheter includes an elongated flexible shaft having opposite distal and proximal end portions. A handle is attached to the proximal end portion and includes an actuator in communication with the shaft distal end portion that is configured to articulate the shaft distal end portion. The distal end portion of the shaft may include an ablation tip and includes at least one RF tracking coil positioned adjacent the ablation tip that is electrically connected to an MRI scanner. The at least one RF tracking coil is electrically connected to a circuit that reduces coupling when the at least one RF tracking coil is exposed to an MRI environment. Each RF tracking coil is a 1-10 turn solenoid coil, and has a length along the longitudinal direction of the catheter of between about 0.25 mm and about 4 mm.

Abstract: The systems include a display with a User Interface in communication with a circuit, the display is configured to display a patient model/map or model of target anatomical structure. The User Interface is configured to allow a user to select at least one target site (e.g., ablation site) on the model/map whereby scan planes for a corresponding location in 3-D space for the selected target ablation site are pre-set for future use. The circuit can be configured to automatically direct the MRI Scanner to use the pre-set scan planes to obtain MR image data when an intrabody device such as an ablation catheter is at the location that corresponds with the selected target site.

Abstract: Systems to facilitate MRI-guided procedures are configured to generate proximity alerts for an MRI-guided procedure associated with at least one target site and/or at least one avoid zone.

Abstract: MRI guided cardiac interventional systems are configured to generate dynamic (interactive) visualizations of patient anatomy and medical devices during an MRI-guided procedure and may also include at least one user selectable 3-D volumetric (tissue characterization) map of target anatomy, e.g., a defined portion of the heart.

Abstract: The disclosure describes cable management systems that provide adjustable lengths of cables that connect to various electronic medical or surgical tools. The systems can reduce the lengths of loose or hanging cables and define routes that preventing cross-over, looping and/or bunching of loose lengths of long cables.

Abstract: The disclosure describes articulating arms that are supported directly or indirectly by MRI scanner beds for use during MRI-guided procedures.

Abstract: A head fixation assembly includes a head fixation frame, a plurality of upper head fixation members, a plurality of lower head fixation members, and at least one drive mechanism. The head fixation frame includes a pair of upwardly extending spaced-apart arms defining a free space therebetween. At least one upper head fixation member extends from each of the respective arms of the head fixation frame, with each upper head fixation member adjustable relative to the head fixation frame and adapted to engage a patient's head within the free space of the head fixation frame. The lower head fixation members extend from the head fixation frame between the pair of arms, with each member adjustable relative to the head fixation frame and adapted to engage an underside of the patient's head within the free space of the head fixation frame.

Abstract: Surgical drapes having opposing first and second primary surfaces with fixably attachable patches to provide ports through which cables or tools can be inserted without compromising a sterile field. The patches may be earlier affixed to the surgical drape or the patch may be affixed in situ by a clinician to the drape prior to a surgical procedure.