Abstract: A catheter system (100) for treating a treatment site (106) within or adjacent to a blood vessel (108) includes a power source (124), a light guide (122) and a plasma target (242). In various embodiments, the light guide (122) receives power from the power source (124). The light guide (122) has a distal tip (244), and the light guide (122) emits light energy (243) in a direction away from the distal tip (244). The plasma target (242) is spaced apart from the distal tip (244) of the light guide (122) by a target gap distance (245). The plasma target (242) is configured to receive light energy (243) from the light guide (122) so that a plasma bubble (234) is generated at the plasma target (242). The power source (124) can be a laser and the light guide (122) can be an optical fiber. The catheter system (100) can also an inflatable balloon (104) that encircles the distal tip (244) of the light guide (122). The plasma target (242) can be positioned within the inflatable balloon (104).

Abstract: A catheter system for treating a treatment site within or adjacent to a blood vessel includes a power source, a light guide and a plasma target. In various embodiments, the light guide receives power from the power source. The light guide has a distal tip, and the light guide emits light energy in a direction away from the distal tip. The plasma target is spaced apart from the distal tip of the light guide by a target gap distance. The plasma target is configured to receive light energy from the light guide so that a plasma bubble is generated at the plasma target. The power source can be a laser and the light guide can be an optical fiber. In certain embodiments, the catheter system can also an inflatable balloon that encircles the distal tip of the light guide. The plasma target can be positioned within the inflatable balloon. The target gap distance can be greater than 1 ?m. The plasma target can have a target face that receives the light energy from the light guide.

Abstract: A catheter system includes a power source, a controller, and a light guide. The power source generates a plurality of energy pulses. The controller controls the power source so that the plurality of energy pulses cooperate to produce a composite energy pulse having a composite pulse shape. The light guide receives the composite energy pulse. The light guide emits light energy in a direction away from the light guide to generate a plasma pulse away from the light guide. The power source can be a laser and the light guide can be an optical fiber. Each of the energy pulses has a pulse width, and the energy pulses are added to one another so that the composite energy pulse has a pulse width that is longer than the pulse width of any one of the energy pulses. At least two of the energy pulses can have the same wavelength as or a different wavelength from one another.

Abstract: A catheter system for treating a treatment site within or adjacent to a blood vessel includes a power source, a light guide and a plasma target. In various embodiments, the light guide receives power from the power source. The light guide has a distal tip, and the light guide emits light energy in a direction away from the distal tip. The plasma target is spaced apart from the distal tip of the light guide by a target gap distance. The plasma target is configured to receive light energy from the light guide so that a plasma bubble is generated at the plasma target. The power source can be a laser and the light guide can be an optical fiber. In certain embodiments, the catheter system can also an inflatable balloon that encircles the distal tip of the light guide. The plasma target can be positioned within the inflatable balloon. The target gap distance can be greater than 1 ?m. The plasma target can have a target face that receives the light energy from the light guide.

Abstract: Multifunctional occlusion crossover devices include features to improve the crossover balloon occlusion technique used during transcatheter aortic valve replacement procedures, for example. The devices include a compliant balloon incorporated with a highly flexible and lubricous sheath system. The balloon is capable of safely occluding from the common iliac artery and down to an access site in the femoral artery. The devices can simplify the CBOT technique and replace multiple devices currently used for the procedure.

Abstract: A covered mandrel that includes a mandrel and a covering. The mandrel has an outer surface and comprises a first material. The covering is engaged to the outer surface of the mandrel and comprises a second material different than the first material. At least a portion of the covered mandrel is configured to scatter light.

Abstract: A process and apparatus is provided for forming a fusion bond between two materials. The process begins by forming a bond site by positioning a portion of a first body with respect to a portion of a second body. The first and second bodies may be components of a medical device such as a catheter, for example. At least one collimated beam of electromagnetic energy is generated and directed onto portions of the first and second bodies within the bond site so that at least one fusion zone having an increased temperature is formed.

Abstract: A process and apparatus is provided for forming a fusion bond between two materials. The process begins by forming a bond site by positioning a portion of a first body with respect to a portion of a second body. The first and second bodies may be components of a medical device such as a catheter, for example. At least one collimated beam of electromagnetic energy is generated and directed onto portions of the first and second bodies within the bond site so that at least one fusion zone having an increased temperature is formed.