Abstract: Systems and methods apply ultrasound energy to achieve vasodilation and/or to increase tissue perfusion without causing substantial deep tissue heating.

Abstract: The present invention provides ultrasound-guided ablation catheters and methods for their use. In one embodiment, a tissue ablation apparatus (2) includes a flexible elongate body (12) having proximal (14) and distal (12) ends. A plurality of spaced-apart electrodes (24) are operably attached to the flexible body near the distal end. A plurality of transducer elements (28) are disposed between at least some of the electrodes. Transducers assist the physician in determining whether or not the ablation elements are in contact with the tissue to be ablated.

Abstract: An applicator for delivering ultrasound energy that comprises an ultrasound transducer adapted and configured to be electrically coupled to an ultrasound generator. A housing carries the ultrasound transducer for use. An element supports the transducer within the housing. The element includes an elastic material having a hardness of about 30 Shore A to about 100 Shore A.

Abstract: Systems and methods monitor and enable the use of a medical instrument that is configured to be operated in a prescribed manner. The systems and methods employ a use register sized and configured to be carried by the medical instrument, which comprises a memory field for recording a start date and time at an instance of first operation of the medical instrument. The systems and methods also employ a use monitoring controller, which is adapted and configured to be coupled to the use register. The use monitoring controller includes a start validation function that compares the start date and time to a present real date and time and provides a start validation output based upon the comparison. The use monitoring controller also includes an enablement function that enables operation of the medical instrument only if the start validation output meets prescribed criteria.

Abstract: Systems and methods deliver ultrasound energy to an ultrasound transducer. In one arrangement, the ultrasound energy is delivered at an output frequency that varies over time within a range of output frequencies. The systems and methods select from within the range an operating output frequency for the ultrasound transducer based upon preprogrammed selection rules. The systems and methods can deliver ultrasound energy to the ultrasound transducer at or near the operating output frequency selected, to perform a therapeutic or diagnostic function. In another arrangement, the systems and methods deliver ultrasound energy to the ultrasound transducer at or near a first output power condition to perform a first function, as well as at or near a second output power condition that differs from the first output power condition to perform a second function that differs from the first function.

Abstract: Systems and methods deliver ultrasound energy to an ultrasound transducer having an impedance subject to variations. The systems and methods electrically couple an ultrasound generator to the ultrasound transducer to deliver ultrasound energy. The systems and methods deliver ultrasound energy to the ultrasound transducer at a set output frequency and at an output power level that remains essentially constant, despite variations in the impedance, based upon preprogrammed rules.

Abstract: The present invention provides ultrasound-guided ablation catheters and methods for their use. In one embodiment, a tissue ablation apparatus (2) includes a flexible elongate body (12) having proximal (14) and distal (12) ends. A plurality of spaced-apart electrodes (24) are operably attached to the flexible body near the distal end. A plurality of transducer elements (28) are disposed between at least some of the electrodes. Transducers assist the physician in determining whether or not the ablation elements are in contact with the tissue to be ablated.

Abstract: The present invention provides ultrasound imaging catheters, systems and methods for their use which will be particularly useful to monitor the positioning of ablation catheters. In one embodiment, an imaging catheter (10) includes a catheter body (11) having a distal end (12), a proximal end (14) and a longitudinal axis (16). A transducer (20) is rotatably coupled to the distal end. The transducer has an axis of rotation (24) that is at a non-zero angle relative to the catheter body longitudinal axis. Such a configuration provides an exemplary side-looking imaging catheter.

Abstract: Systems and methods stimulate circulatory activity in a targeted body region of an individual by applying ultrasound energy. Before, during or after the application of ultrasound energy, the systems and methods administer an agent to individual that results, e.g., in an angiogenic effect, or in a reduction of blood perfusion, or a chemotherapy effect. The application of ultrasound energy selectively increases blood perfusion or uptake of the agent in the targeted body region.

Abstract: Systems and methods apply ultrasound energy to the thoracic cavity of an individual. The systems and methods couple an electrical signal generating machine to an ultrasound applicator. The electrical signal generating machine includes a controller to generate electrical signals to operate the ultrasound applicator during a treatment session to produce ultrasound energy in pulses at (i) a prescribed pulse repetition frequency (PRF), (ii) a prescribed fundamental therapeutic frequency laying within a range of fundamental therapeutic frequencies not exceeding about 500 kHz, and (iii) at a duty cycle (DC) of about 50% or less. According to this aspect of the invention, the duty cycle (DC) is expressed as DC=PD divided by 1/PRF, where PD is the amount of time for one pulse.

Abstract: Systems and methods for applying ultrasound energy to a body region. The systems and methods provide an ultrasound applicator including a housing, an ultrasound transducer carried by the housing, and a chamber sized to hold an acoustic coupling media subject to a pressure in acoustic communication with the ultrasound transducer. The systems and methods generate electrical signals to operate the ultrasound transducer to output acoustic energy at a selected intensity level. The systems and methods sense at least one system parameter and compare the sensed system parameter to a desired level. The systems and methods vary the pressure in the chamber based, at least in part, upon the comparison.

Abstract: The present invention provides for integrated coaxial drive cables and transmission lines for use in catheter systems. In one embodiment, the invention comprises a catheter system comprising a catheter body having a distal end, a proximal end and a working lumen. A drive cable extends through the catheter body's working lumen and comprises an outerwound layer, an innerwound layer and a central lumen. A coaxial cable is provided comprising a conducting core and an insulation layer. The coaxial cable is disposed to extend through and fill the central lumen.

Abstract: The present invention provides ultrasound imaging catheters, systems and methods for their use which will be particularly useful to monitor the positioning of ablation catheters. In one embodiment, an imaging catheter (10) includes a catheter body (11) having a distal end (12), a proximal end (14) and a longitudinal axis (16). A transducer (20) is rotatably coupled to the distal end. The transducer has an axis of rotation (24) that is at a non-zero angle relative to the catheter body longitudinal axis. Such a configuration provides an exemplary side-looking imaging catheter.

Abstract: The present invention provides ultrasound transducers, and imaging assemblies and catheters employing such transducers, that provide improved imaging capabilities. In one embodiment, an ultrasound imaging assembly (50) includes a housing having a distal end (56), a proximal end (57) and a longitudinal axis. A transducer element (54) is included having an outer face. The outer face has a first radius of curvature along a first axis and a second radius of curvature along a second axis. The transducer element is operably attached to the distal end to position the first axis to be generally parallel to the longitudinal axis to provide improved cross-plane resolution.

Abstract: The present invention provides ultrasound-guided ablation catheters and methods for their use. In one embodiment, a tissue ablation apparatus (2) includes a flexible elongate body (12) having proximal (14) and distal (12) ends. A plurality of spaced-apart electrodes (24) are operably attached to the flexible body near the distal end. A plurality of transducer elements (28) are disposed between at least some of the electrodes. Transducers assist the physician in determining whether or not the ablation elements are in contact with the tissue to be ablated.

Abstract: The present invention provides ultrasound-guided ablation catheters and methods for their use. In one embodiment, a tissue ablation apparatus (2) includes a flexible elongate body (12) having proximal (14) and distal (12) ends. A plurality of spaced-apart electrodes (24) are operably attached to the flexible body near the distal end. A plurality of transducer elements (28) are disposed between at least some of the electrodes. Transducers assist the physician in determining whether or not the ablation elements are in contact with the tissue to be ablated.

Abstract: The present invention provides for catheter systems and methods of their use. In one embodiment, the invention provides a catheter system comprising a catheter body having a distal end, a proximal end and a working lumen. A cable is disposed within the working lumen. A plurality of transducer elements, configured in an annular array, are operably attached to a distal end of the cable.

Abstract: The present invention provides catheter systems and imaging assemblies using off-aperture electrical connections for ultrasound transducers. In one embodiment, a catheter includes a transducer connection apparatus (10) comprising a washer (12) having a hole (15) therethrough. A transducer element (24) is at least partially disposed within the washer hole. A matching layer (26) is operably attached to the washer and to the transducer element. The washer, transducer element and matching layer provide an electrical connection between the transducer element and the washer. Signals can be sent to and received from the transducer by establishing an electrical connection with the washer.

Abstract: A flexible drive cable comprises a flexible cable body, a pair of electrically insulated wires disposed through an axial lumen of the cable body, and a resilient support tube disposed over the wire pair. The resilient support tube provides support for the wire pair to help the wire pair recover from bending and deformation which may occur during storage or use of the drive cable. The support tube is usually liquid impermeable to maintain an air gap around the wire pair. The air gap improves shielding and maintains a constant overall impedance across the drive cable. The drive cable may be combined with an ultrasonic transducer at its distal end to form an ultrasonic transmission core.