Abstract: Embodiments disclosed herein are directed to a fiber-optically enabled medical device system including an optical fiber and one or more conductive elements. The optical fiber is configured to determine a shape of the medical device as the device negotiates tortuous vascular pathways. The one or more conductive elements can be configured to transmit electrical signals there along between the distal tip and a console coupled to a proximal end of the medical device. The electrical signals can determine a location of a tip of the medical device, detect an electrophysiological signal at a distal tip, and/or provide electro-stimulation or ablation energy to the distal tip of the medical device. The one or more conductive elements can be a wire extending linearly or helically about the optical fiber, or can be a tube, or tube section, extending annularly about the optical fiber, or combinations thereof.

Abstract: A medical ultrasound system and methods of using the system. The medical ultrasound system can include an ultrasound probe and one of a plurality of optional accessories attached to the ultrasound probe. The accessory can exchange data with the probe and receive power from the probe. The accessory can include processors and logic that governs its operation thereby adding functionality to the probe. The accessory can receive input and provide output via any of a number of communication mechanisms, i.e., wireless, electrical, optical, RFID, IR, and the like. The accessory can add functionality to the probe, such as fiber optic shape sensing, obtaining electrical signals, obtaining bio-impedance measurements, tracking a needle, and determining the orientation of the probe. The accessory may include a needle guide, a triphalangeal support structure, or an acoustically transparent cap.

Abstract: Systems, devices, and methods for performing vascular treatments and diagnoses. A vascular device includes an optical fiber including a single fiber core disposed offset from a central axis of the optical fiber. The single fiber enables logic of the system to determine multiple conditions of the device and the patient. The conditions may include one or more of blood flow parameters, infusate delivery parameters, location of the device within the patient, pH of the blood, oxygen level of the blood, damage to the optical fiber, or core temperature of the patient. The elongate medical device may be a catheter, a stylet, a guidewire, or a probe.

Abstract: A shape-sensing system can include an optical-fiber probe and a vibration-assisted torsion-management means for managing torsion in the optical-fiber probe. The optical-fiber probe can be configured to be removably disposed in an elongate medical device. The optical-fiber probe can include an inner construction and an outer construction over the inner construction but detached therefrom over a majority of the optical-fiber probe. The inner construction can include one or more optical-fiber cores disposed in a cladding. The outer construction can include a mechanical layer. The vibration-assisted torsion-management means can be operably coupled to the optical-fiber probe for vibrating either the inner construction or the outer construction of the optical-fiber probe relative to the other, which mitigates or eliminates any optical signal-distorting torsion in the inner construction of the optical-fiber probe.

Abstract: A magnetic signature imprinting system includes an imprinting device and a medical device including ferrous elements. The imprinting device can include an active area having a magnet moving system, one or more sensors, and a console. The magnet moving system can be configured to change the location or orientation of one or more magnets to generate one or more magnetic fields to imprint a magnetic signature. The one or more sensors are configured to detect one or more characteristics of the medical device, and the console can be in communication with the magnet moving system and the one or more sensors.

Abstract: Blood vessel recognition and needle guidance systems, components, and methods thereof. A console can be configured to initiate a target recognition process for recognizing an anatomical target, such as a blood vessel, of a patient and a needle guidance process for guiding insertion of a needle into the anatomical target using ultrasound-imaging data received by the console. The system can perform target identification based on machine learning models which can be trained to recognize targets based on the ultrasound image. The ultrasound probe can be configured to provide to the console electrical signals corresponding to the ultrasound-imaging data. The ultrasound probe can include an array of transducers and, optionally, an array of magnetic sensors respectively configured to convert reflected ultrasound signals from the patient and magnetic signals from the needle, when magnetized, into the electrical signals.

Abstract: An elongate multi-core optical fiber instrument for insertion within a patient body includes a set of first optical fiber cores extending along a first sensing region of the multi-core optical fiber instrument, where each first optical fiber core includes a set of first sensors disposed along the first region and a set of second optical fiber cores extending along a second sensing region of the multi-core optical fiber instrument, where each second optical fiber core includes a set of second sensors disposed along the second sensing region. The first sensing region is located distal the second sensing region, and the first optical fiber cores extend along the second sensing region. Also disclosed is a console for providing an incident light signal to the multi-core optical fiber instrument, receiving reflected light signals from the sensors, and determining a parameter experienced by instrument in accordance with the reflected light signals.

Abstract: A system, apparatus and method directed to placing a medical instrument in a vasculature of a patient body, the system including an optical fiber with one or more core fibers. The system can include a console having non-transitory computer-readable medium storing logic that, when executed, causes operations of providing an incident light signal to the optical fiber, receiving a reflected light signal of the incident light, wherein the reflected light signal is reflected from at least one of red blood cells or tissue within the patient body, processing the reflected light signal to determine an oxygen level within the patient body near a distal tip of the optical fiber. The method can include determining a location of the distal tip of the optical fiber within the patient body at least based on the oxygen level.

Abstract: An ultrasound imaging system configured to assess the impact of placement of a vascular access device on fluid flow through a target vessel. The ultrasound imaging system includes an ultrasound probe having an ultrasound array configured to capture one or more ultrasound images of the target vessel and a Doppler array configured to detect the fluid flow through a region of interest of the target vessel. The ultrasound imaging system further includes a console in communication with each of the ultrasound array and the Doppler array, the console configured to determine the region of interest of the target vessel.

Abstract: A disinfecting device having a housing and an ultraviolet source located in the housing. The disinfecting device may include a tube that includes a first end connected to the housing and a second end free of the housing. An end cap may be located at the second end of the tube. In use, ultraviolet light may be emitted from the ultraviolet source and propagated to the end cap in order to disinfect a portion of a medical device.

Abstract: Disclosed herein is a system and method directed to detecting placement of a medical device within a patient body, where the system includes a medical device including an optical fiber having core fibers, each of the one or more core fibers including a plurality of sensors each configured to (i) reflect a light signal having an altered characteristic due to strain experienced by the optical fiber. The system further includes logic configured to cause operations of providing an incident light signal to the optical fiber, receiving reflected light signals of different spectral widths of the incident light from the sensors, processing the reflected light signals to detect fluctuations of a portion of the optical fiber, and determining a location of the portion of the optical fiber based on the detected fluctuations. In some instances, the detected fluctuations are caused by anatomical movement of the patient body.

Abstract: Disclosed herein are medical systems and devices that include an elongate probe configured for insertion into a patient, where the elongate probe includes an electrically conductive (EC) medium extending along probe. The EC medium may take several forms, including a conductive cannula, an ionic solution, a flex circuit, wires, or platings. The probe includes a conductive tip for exchanging electrical signals with a patient. The probe includes optical fiber having shape sensing core fibers, illuminating core fibers and imaging core fibers. A console of the system includes logic executed by one or more processors to perform operations that include providing and/or receiving electrical signals to and from the patient. Operations further include shape sensing of the probe, projecting illuminating light, and receiving imaging light.

Abstract: Procedural barrier-breaching connectors and connection-establishing devices, as well as systems and methods thereof, for establishing portals in procedural barriers are disclosed. For example, a connection-establishing device can include a cap and an extension arm. The cap is configured to sit over a protruding portion of a first medical device with a procedural barrier between the connection-establishing device and the first medical device. The extension arm is configured to push a male connector of a second medical device through the procedural barrier and into a female connector of the first medical device with the extension arm, which establishes one or more functional connections across the procedural barrier between the second medical device and the first medical device. An exemplary method for the connection-establishing device includes a cap-placing step, an articulating step, and a functional connection-establishing step for establishing the one-or-more functional connections.

Abstract: A system, apparatus and method directed to detecting damage to an optical fiber. The optical fiber includes core fibers including a plurality of sensors configured to (i) reflect a light signal based on received incident light, and (ii) change a characteristic of the reflected light signal based on experienced strain. The system can include a console having memory storing logic that, when executed, causes operations of providing receiving reflected light signals of different spectral widths of the broadband incident light by one or more of the plurality of sensors, processing the reflected light signals to detect fluctuations of a portion of the optical fiber, and determining a location of the portion of the optical fiber or a defect affecting a vessel in which the portion is disposed based on the detected fluctuations. The portion may be a distal tip of the optical fiber.

Abstract: A medical system is disclosed that includes a medical device having an optical fiber, and an interchangeable connection component configured to provide a fiber optic connection between the medical device and capital equipment. The connection component is configured to facilitate cleaning and/or polishing of fiber optic interfaces include therewith. The connection component is also configured for replacement by a medical technician while the capital equipment is operational. The capital equipment may include one or more of an optical interrogator, a patch cable, a medical probe, an ultrasound machine, a display, a magnet sensor, or an electro-cardiogram (ECG) machine. The medical device may include an elongate member configured for insertion within the patient body, where the optical fiber core extends along a length of the elongate member.

Abstract: Disclosed herein is an ultrasound imaging system configured to guide medical device insertion. The ultrasound imaging system includes an ultrasound probe having an ultrasound generation device configured to detect one or more anatomical targets within a target area, and one or more projectors configured to project one or more icons within the target area. The ultrasound imaging system can also include a console configured to generate the one or more icons. The console can be coupled to the ultrasound probe, and be in communication with each of the ultrasound generation device and the one or more projectors.

Abstract: Disclosed herein are fiber-optic assemblies for insertion within a patient body, that include an optical fiber and a secondary mechanical layer extending around a circumference of the optical fiber along at least the distal portion of the optical fiber. A distal tip section of the optical fiber includes a portion of the optical fiber disposed within a circuitous path, or an expansion of the optical fiber. The optical fiber may be a shape sensing optical fiber. A medical device assembly includes the fiber-optic assembly coupled with a catheter, a stylet, a probe, or a guidewire. The secondary mechanical layer and/or the expansion may be formed of an electrically conductive material.

Abstract: An ultrasound-imaging system is disclosed that includes an ultrasound probe and a console. The ultrasound probe includes an array of ultrasonic transducers configured to emit generated ultrasound signals into a patient, receive reflected ultrasound signals, and convert the reflected ultrasound signals into corresponding electrical signals of the ultrasound signals for processing into an ultrasound image, and a component configured to obtain positional-tracking data as the ultrasound probe moves along the patient from a starting position to an end position.

Abstract: Disclosed herein are medical systems, devices, and methods for performing vascular treatments and diagnoses. A vascular device include an optical fiber including a single fiber core disposed offset from a central axis of the optical fiber. The single fiber enables logic of the system to perform determine multiple conditions of the device and the patient. The conditions may include one or more of blood flow parameters, infusate delivery parameters, location of the device within the patient, pH of the blood, oxygen level of the blood, damage to the optical fiber, or core temperature of the patient. The elongate medical device may be a catheter, a stylet, a guidewire, or a probe.

Abstract: A triphalangeal stabilization feature for an ultrasound probe includes a stationary member, a manipulation member, and a locking member. The stationary member has a shape conforming to an outer surface of the ultrasound probe. The manipulation member is slidingly coupled to the stationary member and extends away from the stationary member to provide a surface for one or more of a user's fingers. The locking member is configured to prevent movement of the manipulation member with respect to the stationary member at one or more different positions along the stationary member.