Abstract: A radio frequency (RF) ablation catheter system utilizes a flexible, tubular electrode that is selectively extendable from a distal end of a catheter body. The flexible, tubular electrode creates a continuous linear lesion when a longitudinal side of the electrode is arcuately positioned against an interior wall of the human body and the electrode is energized while a cooling fluid passes through the electrode. The catheter system also includes mechanisms for remotely manipulating and extending the electrode. Preferably, the catheter body include a catheter shaft and a flexible tip section such that the distal end of the catheter is steerable. The invention also includes a method of operating the RF catheter ablation system so as to create arcuate linear lesions.

Abstract: A radio frequency (RF) ablation catheter system utilizes a flexible, tubular electrode that is selectively extendable from a distal end of a catheter body. The flexible, tubular electrode creates a continuous linear lesion when a longitudinal side of the electrode is arcuately positioned against an interior wall of the human body and the electrode is energized while a cooling fluid passes through the electrode. The catheter system also includes mechanisms for remotely manipulating and extending the electrode. Preferably, the catheter body include a catheter shaft and a flexible tip section such that the distal end of the catheter is steerable. The invention also includes a method of operating the RF catheter ablation system so as to create arcuate linear lesions.

Abstract: A kit is provided including at least one fiber-optic bundle of the type including a plurality of flexible image fibers having an objective lens attached to one end and a connector attached to the other end. The connector is adapted to mate with a viewing device. A coating of a pressure-sensitive adhesive is also provided to secure the fiber-optic bundle to a selected one of a variety of instruments with the fiber-optic bundle conforming to the profile of that instrument over substantially the entire length with the objective lens positioned so as to include the working element of the instrument in the field-of-view. A positioning device is used to position the objective lens to ensure proper focus. The components of the kit are contained in a sterilizable enclosure which includes a bottom tray and a top cover which may be formed of a spun-bonded polyolefin fiber material.

Abstract: A handle device for an endoscope incorporates controls for adjusting the degree of curvature of the distal tip portion of the endoscope as well as the degree of extension of the surgical instrument beyond the distal end of the endoscope's working lumen. The handle member comprises a generally hollow body which is dimensioned to be readily grasped by the surgeon and it incorporates a thumb-slide having a ratchet surface thereon, the thumb-slide being joined to a pull-wire extending the length of the endoscope and fastened at its distal end to the body of the endoscope. By depressing and longitudinally sliding the thumb-slide, the curvature of the distal end of the steerable endoscope is controlled. The degree of extension of the working instrument beyond the distal end of the working lumen is controlled by a rotatable threaded rod which is designed to produce only translational motion to the instrument without any twisting thereof.

Abstract: To facilitate certain surgical procedures, a flexible endoscope may more readily be passed through body vessels and tubular organs, especially when those organs assume a tortuous path. However, a difficulty arises in steering a flexible endoscope through internal body orifices. In accordance with the present invention, a rigid introducer is used in combination with the flexible endoscope to facilitate targeting of such an orifice and once the distal end of the introducer is made to enter the orifice, the flexible endoscope can be advanced through the introducer and there beyond to the point in the body where an item of interest is to be viewed.