Abstract: The invention relates to a device and a method for intraluminal imaging. The device features an imaging instrument and a transport unit, with which the imaging instrument is moved in a lumen at a defined speed over a defined distance. The device further features a rigid, i.e. mechanically-stable singly or multiply curved guide pipe, which has an internal diameter matched to the external diameter of the imaging instrument to accommodate and guide the imaging instrument and is made from a material which is transparent for the radiation or to the waves used in imaging. The guide pipe features at least one marking detectable with the imaging at a known position on the guide pipe and is mechanically connectable to the transport unit. The device and the method make it possible in a simple manner to record a 3D image data set from the intraluminal recorded 2D sectional images.

Abstract: Systems and methods of increasing blood flow in a blood vessel with ultraluminal plaque. One disclosed method includes inserting an imaging guidewire into the blood vessel to the intraluminal plaque, propelling a catheter with a working head over the guidewire towards the distal end of the guidewire, scanning with the imaging guidewire to generate a cross-section image, radially positioning the catheter using a positioning element, monitoring the image to ascertain that the working head is properly positioned and operating the working head to remove the plaque. A computerized system designed, constructed and configured to perform the methods is further disclosed.

Abstract: A method and appertaining system permit a co-registration between points in a three-dimensional model of a vessel and vascular images obtained by an imaging catheter within the vessel at the respective points. The three-dimensional model is created by utilizing information from at least two external two-dimensional images produced by, e.g., one or more x-ray devices. The three-dimensional model is displayed on an analysis workstation, and a user may view the vascular images at particular points by selecting the appertaining points on the three-dimensional model.

Abstract: A guide wire (1) to assist percutaneous endovascular deployment which has zones of varying stiffness. An elongate central zone (3) of high stiffness, a proximal zone (4) of transition from high stiffness to semi-stiffness and a distal zone (5) of transition from high stiffness to being relatively flexible. The distal zone (5) has three zones, a semi stiff zone (11) adjacent the central zone, a transition zone (13) being of flexibility of from semi-stiff extending to flexible and a tip zone (15) being of high flexibility. The distal tip has a small J curve (16) to ensure that it is atraumatic in vessels and to prevent damage to the aortic heart valve. The distal zone (5) can also have a large curve to assist with anchoring the guide wire into the aortic arch.

Abstract: A remote sensing catheter system including an injection catheter and a collection catheter. In one method of use, an external sensor of the system determines the timing of operation of the collection catheter. In another method of use, a sensor determines the volume of medium in the injection.

Abstract: A stent based apparatus and method for directing external beam radiation comprising a series of devices and a system of implanting these devices within a patient to direct therapeutic radiation given to the patient. Each of the devices can deliver a tiny gold fiducial (or fiducial constructed of another material capable of acting as a target to direct external beam therapeutic radiation) to a target area in the vicinity of a cancer or other lesion that is considered an appropriate target for external beam radiation therapy, using, for example, the beam radiation system referred to as the Cyberknife radiation delivery system. The current system and devices envision placement of gold fiducials through hollow organs in the body (for example, the gastrointestinal tract, the ureter, blood vessels, bile duct, or the cerebro spinal fluid space). This implantation method can utilize conventional endoscopy or angiography.

Abstract: The present invention relates to a reference means (1) comprising at least one reference marker (4) which is applicable temporarily or permanently in a patient's body at a specified location relative to a tumor in the body in order thereafter, by means of the reference marker (4), to enable precision aiming of a treatment beam at the tumor. For universal use and easy application of the reference marker, the reference marker (4) is so configured that it is displayable by both magnetic resonance tomography (MRT) and X-raying, preferably CT, in order to determine by MRT and/or X-raying, preferably CT, the location of the reference marker (4) relative to the tumor for subsequent precision aiming of the treatment beam, and the reference marker (4) is applicable, as desired, either temporarily in the body via a catheter (2) which forms part of the reference means (1) or permanently in the body via an insertion means (11) in the form of a catheter.

Abstract: A guide wire includes a distal end side portion formed of a first metallic material, a proximal end side portion formed of a second metallic material higher in rigidity than the first metallic material, and an intermediate portion provided between the distal end side portion and the proximal end side portion and formed of a mixture of the first metallic material and the second metallic material. The intermediate portion includes a gradient physical property portion in which the content of the second metallic material increases from the distal end side toward the proximal end side.

Abstract: An intraluminal access and imaging device is configured to image a path of a vessel that includes a chronic total occlusion. The device includes an elongated member having a distal end and a proximal end. The distal end is configured to pass through an inner layer of the vessel so that the elongated member may track subintimally along a side of the chronic total occlusion. The elongated member includes a radiopaque material configured to be highly visible under fluoroscopy.

Abstract: A system, method and workflow is described that may be used for the treatment of a patient having a cardiac syndrome characterized by an unwanted aperture in a structure of the heart. Images of the patient are obtained with a C-arm X-ray device, and the images are used to determine the size and location of the aperture. A catheter is used to insert an occluder into the patient and emplace the occluder in the aperture so as to close the aperture. The occluder may be guided using one of fluoroscopic images from the C-arm X-ray device, acoustic or magnetic sensors. Diagnosis of the syndrome and the minimally interventional treatment may be performed by the same treatment suite.

Abstract: Alternative designs, materials and manufacturing methods for guidewires. Some embodiments pertain to a composite guidewire having proximal and distal section, and a connector adapted and configured for permanently joining the proximal section to the distal section. In some embodiments, at least one of the sections is made of a linear-elastic nickel-titanium alloy. Several alternative guidewire tip designs including coiled safety/shaping structures are also disclosed.

Abstract: There is provided an integrated injector subassembly or kit. The integrated injector kit comprises: Y-tubing comprising an output arm that is for releasable connection with a patient line and first and second input arms that each independently and integrally connect with an output port of first and second fluid control valves; each fluid control valve comprising: (a) the output port that is integrally connected to one of the first and second input arms of the Y-tubing; (b) an inlet port for connection with a container of a contrast agent or saline and for receiving the contrast agent or saline; and (c) a syringe port for connection with a syringe; and each pairing of fluid control valve and input arm of the Y-tubing defining a fluid path comprising at least one back check valve.

Abstract: Methods and apparatus for delivery of substances or apparatus to target sites located outside blood vessels within the body of a human or animal patient. A vessel wall penetrating catheter is inserted into the vasculature, positioned and oriented within a blood vessel near the target extravascular site and a penetrator is advanced from the catheter so as to penetrate outwardly through the wall of the blood vessel in the direction of the target site. Thereafter, a delivery catheter is passed through a lumen of the penetrator to the target site. A desired substance or apparatus is then delivered to or obtained from the target site. In some applications, the penetrator may be retracted into the vessel wall penetrating catheter and the vessel wall penetrating catheter may be removed, leaving the delivery catheter in place for chronic or continuous delivery of substance(s) to and/or obtaining of information or samples from the target site.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: Methods and devices are provided for marking tissue to be subsequently located for removal from a body or for other examination. In general, a marker is provided that can be delivered through a tissue wall proximate to tissue desirable for marking. The marker can be movable between a non-deployed or unexpanded position, in which the marker is configured to be delivered through a relatively small diameter passageway, to an expanded, balloon-like position in which the marker is configured to engage opposed sides of a tissue wall proximate to the desired tissue. The marker can remain disposed in the body in its expanded position and be subsequently palpably identified and/or visually identified to locate the desired tissue.

Abstract: Method and composition suitable for administering by direct convective interstitial infusion are disclosed. The method comprises: placing at least one direct convective interstitial infusion catheter in contact with the tissue, and pressuring the composition through the catheter. The composition is in a liquefied form having a viscosity above a predetermined value. The predetermined value is selected so as to improve infusion of the compositions into interstitial volumes of the tissue, while minimizing backflow of the compositions along an outer wall of the catheter or leakage into low resistance paths. It is demonstrated that high viscosity results in higher treatment efficiency.

Abstract: The invention provides methods and systems for neurovascular imaging (150).

Abstract: To accomplish isolation and removal of a substance from a vasculature, a catheter is employed to occlude a vessel of the vasculature. The substance is thus isolated in the vasculature and can be removed. In this way, the substance is removed before entering other parts of the circulatory system. This method is applicable to removal of contrast from the coronary sinus shortly after injection of the coronary arteries with the contrast. The method substantially minimizes or avoids renal dysfunction caused by angiographic procedures in which contrast must be injected. Such angiographic procedures are often performed during intervention procedures. This method substantially prevents circulation of the contrast to the kidneys where it could otherwise cause renal dysfunction or failure. The apparatus for implementation of the method is also disclosed.

Abstract: A method for permanently applying via the urethra a reference marker in the prostate gland in order by means of the marker to allow precision aiming of a treatment beam at a cancer tumor therein, whereby a catheter comprising a duct and a reference marker disposed for movement in the duct is introduced into the urethra and inserted through it to the prostate gland, a device, with guidance by the reference marker, is caused to, from the duct, penetrate the catheter and/or a membrane totally or partly covering the catheter and is inserted in glandular tissue surrounding the catheter and the urethra, and the marker is thereafter moved by a means along the penetrating and guiding means and is driven by the movement means, with guidance by the penetrating and guiding means, into said glandular tissue for permanent application therein.

Abstract: A guidewire having an embedded matrix polymer construction and methods of making and using the same. The guidewire may include a core wire or member having a proximal region and distal region, a jacket disposed over the distal region, and a coil disposed over the jacket. The coil may include a coating and may be embedded within the jacket.

Abstract: A method of forming a soft tissue biopsy cavity marker may include steps of providing a radio-opaque element and a bio-compatible and bio-degradable polymer such as alginate and delivering the provided radio-opaque element and the provided polymer to a biopsy site, such as a breast biopsy site. A gelling initiator that includes divalent cations such as NaCl2 may then be provided and delivered to the biopsy site, causing the previously delivered polymer to gel and to form a soft tissue biopsy marker in situ (within the biopsy site).

Abstract: The present invention comprises systems, methods and devices for the delivery of visualizable or treatment compositions or therapeutic agents comprising device elements for diagnosis and/or treatment of conduits. A delivery system comprising an introducer shaft having at least one exit port and at least one delivery catheter for placement of compositions into the conduit, such as a fallopian tube.

Abstract: The present invention relates to an elongate intravascular device adapted to be advanced through a vessel of a subject. The present invention further includes an antenna which is disposed on an inflatable member such that the antenna can be increased or decreased in size to more accurately tune the system in which it is employed.

Abstract: Devices, systems and methods are disclosed for determining the cross sectional area of a vessel. Through a combination of fluid injection with different conductivities and measurement of the resultant conductances, parallel tissue conductance measure is obtained that assists in determining the cross sectional area, taking into account the presence of a stent.

Abstract: An apparatus and method for guiding a needle in conjunction with a biopsy using a medical imaging device, where an open-ended needle guide with an adjustable pivoting multi-gauge needle stop is used to guide a needle during insertion and during a tilting of the needle with respect to the medical imaging device.

Abstract: MR method for generating MR images of an object to be examined located inside an examination volume by means of an MR device and for simultaneously locating an interventional instrument inserted into the examination object, which instrument is equipped with a locating device. For the reconstruction of an MR image (20) MR signals together with device-delivered location signals from the examination volume are then recorded, after which the locating of the instrument takes place by the assessment of the image characteristics conditioned by the location signals. For making it possible to determine the position of the interventional instrument in an extremely rapid way, the invention proposes that the recording of the MR signals be effected by recording successively a plurality of MR partial data records (16, 17, 18) with respective incomplete and preferably non-cartesian sampling of the local frequency spectrum assigned to the examination volume.

Abstract: An intravascular device includes alternating conductive and dielectric layers and an electrically conductive coil in a configuration that effects an impedance-matching circuit. Another embodiment of an intravascular device has cylindrical inner and outer walls formed of an expandable, electrically conductive material, the inner and outer walls being separated by a compressible dielectric material. Varying the pressure in the lumen defined by the inner wall changes the spacing between the inner and outer walls, thereby changing the capacitance between the inner and outer wall. Another embodiment of an intravascular device includes one or more coaxial chokes for limiting heating caused by currents induced by RF signals. A conductive shield of the choke is formed of a conductive polymer to further reduce heating effects.

Abstract: An assembly for delivering optical signals comprising a nuclear magnetic resonance system comprised of magnets, an NMR programmable logic unit, a signal input channel, and a command output channel; an optical interface assembly electrically connected to the nuclear magnetic resonance system, the optical interface assembly comprising a first laser modulated so as to produce laser optical signals, an interface optical to electrical signal convertor; and a catheter assembly connected to said optical interface assembly, the catheter assembly comprising a proximal end, a distal end, a fiber optic cable assembly, an electronics assembly disposed at the distal end comprised of a catheter electrical to optical signal convertor and a catheter optical to electrical signal convertor, and a first receiving coil disposed at the distal end.

Abstract: To accomplish isolation and removal of a substance from a vasculature, a catheter is employed to occlude a vessel of the vasculature. The substance is thus isolated in the vasculature and can be removed. In this way, the substance is removed before entering other parts of the circulatory system. This method is applicable to removal of contrast from the coronary sinus shortly after injection of the coronary arteries with the contrast. The method substantially minimizes or avoids renal dysfunction caused by angiographic procedures in which contrast must be injected. Such angiographic procedures are often performed during intervention procedures. This method substantially prevents circulation of the contrast to the kidneys where it could otherwise cause renal dysfunction or failure. The apparatus for implementation of the method is also disclosed.

Abstract: An apparatus for intravascular imaging to detect and characterize early stage, unstable coronary arty plaques. The detector works by identifying and localizing plaque-binding beta-emitting radiopharmaceuticals.

Abstract: A steerable balloon catheter including a balloon catheter supported by a steerable guidewire having a deflectable distal tip. The guidewire comprises a longitudinal hypotube and a spring coil attached to the distal end of the hypotube and includes a longitudinally movable deflection member which is attached to the distal end of the spring coil and a tip retaining member which extends from the distal end of the hypotube to the distal end of the spring coil for providing very precise deflection of the distal tip of the balloon catheter.

Abstract: A medical system is disclosed that includes a cannula, an introducer stylet removably disposed within the cannula and a target confirmation device selectively insertable within the cannula. In an embodiment of the invention, the introducer stylet is configured for insertion into a patient's body. The outer cannula is sized to fit over the introducer stylet and is positionable at least partially within the patient's body after insertion and removal of the introducer stylet. The target confirmation device is insertable into the outer cannula after removal of the introducer stylet and is configured to confirm the position of the outer cannula relative to the target site. A medical procedure using the medical system of the present invention is also disclosed.

Abstract: An apparatus includes an optical element, a GRIN lens, and a detector. The optical element has a first optical aperture. The GRIN lens has first and second ends. The first end of the GRIN lens is positioned to receive light from the first optical aperture. The detector is configured to measure values of a characteristic of light emitted from the first end in response to multi-photon absorption events in a sample illuminated by light from the second end of the endoscopic probe.

Abstract: A Catheter Guidance Control and Imaging (CGCI) system whereby a magnetic tip attached to a surgical tool is detected, displayed and influenced positionally so as to allow diagnostic and therapeutic procedures to be performed is described. The tools that can be so equipped include catheters, guidewires, and secondary tools such as lasers and balloons. The magnetic tip performs two functions. First, it allows the position and orientation of the tip to be determined by using a radar system such as, for example, a radar range finder or radar imaging system. Incorporating the radar system allows the CGCI apparatus to detect accurately the position, orientation and rotation of the surgical tool embedded in a patient during surgery. In one embodiment, the image generated by the radar is displayed with the operating room imagery equipment such as, for example, X-ray, Fluoroscopy, Ultrasound, MRI, CAT-Scan, PET-Scan, etc.

Abstract: In one embodiment, a medical lead comprises a lead body for conducting electrical pulses and a paddle. The paddle includes an intermediate metal layer, at least an insulative polymer backing layer, and an insulative polymer covering layer. The intermediate metal layer comprises a plurality of features defined by gaps in the metal material in the metal layer such that each feature is electrically isolated from each other feature, wherein each feature includes a respective connector element that is electrically coupled to at least one conductor within the lead body, wherein a portion of the insulative polymer covering layer is exposed above each feature to define a respective electrode for the corresponding feature. Also, the paddle possesses shape memory to cause the paddle to assume a substantially planar orientation when the shape memory is in a relaxed state.

Abstract: A magnetic resonance imaging apparatus is provided with one or more electrical accessory devices, for example, catheters (10) or RF body coils (6), which are intended for use during the examination of an object, as well as with a connection lead (13) which is arranged so as to extend through an examination zone (1) of the magnetic resonance imaging apparatus, which zone can be exposed to an RF field, and to connect the accessory device to a connection unit (12). In order to avoid heating of the connection lead (13) due to currents induced in the connection lead by the RF field, which currents could lead to injury of a patient or damage of the accessory device or the connection unit (12), the connection lead (13) comprises at least one lead segment (131, 132, . . . ) which has a length which is limited by at least one inductive coupling element, e.g. a transformer (141, 142, . . . ; 161, 162, . . . ) and is unequal to n*/2, where denotes the RF wavelength and n=1, 2, 3, . . . .

Abstract: The invention relates to a method of forming a very accurate vascular map or road map to be associated with the current X-ray image during an invasive vascular intervention. The vascular map is derived from a four-dimensional model of the vascular tree, that is, from a spatially three-dimensional, time-dependent model, the time dependency relating to natural motions of the body such as notably the heartbeat and/or the respiration. In particular the rhythm of the heartbeat or the respiration can be determined by means of a sensor so as to be used for synchronized selection and display of the corresponding three-dimensional vascular model.

Abstract: The invention provides a method for replacing a first introducer, whose distal end is inside a vessel and whose proximal end is outside the skin of a patient, with a second introducer. The method comprises the steps of inserting a guide rod into the first introducer, removing the first introducer, passing the second introducer over the guide rod, and removing the guide rod. The guide rod to be used according to the method has preferably a flexible distal portion with a blunt distal end and a stiff proximal portion with a tapered proximal end.

Abstract: A guide wire having an elongated core wire provided with a tabular distal end portion, and a coiled wire provided on an outer circumference of the core wire, wherein the distal end portion of the core wire is provided with a cutout section or a rased section so that a diametrical cross-sectional area of the distal end portion of the core wire gradually decreases toward a distal end thereof.

Abstract: A method of cardiac radiological examination for coronarography comprises the steps of: a) introducing contrast medium simultaneously in the left coronary artery and in the right coronary artery from the aortic root and, in parallel, b) acquiring a sequence of dynamic images of the propagation of the contrast medium in the left and right coronary arteries with a displacement of the image plane, during the acquisition of said images, along a determined trajectory (E28). The contrast medium can be introduced in a cyclic manner during the acquisition of dynamic images, each cycle of introduction corresponding to a phase of closure of the aortic valve in the cardiac rhythm. 3D and 4D images with optimal efficiency can be obtained in the use of contrast medium. An injection device for producing the above cycles is synchronized with the introduction of the contrast medium.

Abstract: A fluorescence image display apparatus is provided; wherein, when a pseudo color image representing the tissue state of a target subject is obtained, based on a fluorescence image emitted from the target subject upon the irradiation thereof by an excitation light, the tissue state can be recognized regardless of the intensity of the fluorescent light. Based upon the statistical quantity of a wide band fluorescence image computed by a statistical quantity computing means, a gain that the wide band and narrow band fluorescence image data are to be multiplied by is computed by a gain computing means. A gain multiplying means multiplies the wide band and narrow band fluorescence image data by the gain, whereby a green gradation is assigned to the wide band fluorescence image and a red gradation is assigned to the narrow band fluorescence image, and a composite image data is obtained by an image composing means.

Abstract: A catheter, including: a housing having a transverse inner dimension of at most about two millimeters; and a coil arrangement including five coils and five solid cores. Each of the coils is wound around one of the solid cores. The coils are non-coaxial. The coil arrangement is mounted inside the housing.

Abstract: Systems, methods and apparatus for acquiring an image from within a body lumen are provided. Systems embodying features of the invention include an intracorporeal imaging component for acquiring imaging information, an image information recording component, and an image information playback component. Methods for acquiring image information from within a body lumen include steps of acquiring imaging information, storing image information, and playing back imaging information. Imaging information may be played back as acquired, or non-sequentially, or composite images may be formed by combining, filtering, enhancing, or subtracting images and the composite images displayed. Devices embodying features of the invention include optical imaging components such as an optical IGW, an optical imaging recording component, and an optical image playback component. The systems, methods and devices are suitable for use with angiopoplasty, stent delivery, and other intracorporeal clinical procedures.

Abstract: An assembly for delivering optical signals that has a nuclear magnetic resonance system, an optical interface assembly, and a catheter assembly with a fiber optic cable assembly and an optical interface and an antenna. The catheter assembly converts electromagnetic signals received by the antenna into optical signals. The optical interface assembly converts optical signals into electrical signals and electrical signals into optical signals.

Abstract: The subject invention relates to a material for magnetic resonance imaging, and apparatus incorporating such material. The subject material can comprise cobalt, nickel, and chromium and can be used in nuclear spin tomography MRI. In specific embodiments, the subject material can be used in stents, mechanical springs, and guide wires.

Abstract: Microwave apparatus for measuring the blood flow rate in a patient's blood vessel includes an intravascular catheter having proximal and distal ends and containing an inner coaxial cable forming a first antenna and an outer cable coaxial with the inner cable and forming a second antenna, the first antenna extending axially beyond the second antenna a selected distance. The apparatus also includes a control unit including a microwave transmitter, a microwave receiver and a processor controlling the transmitter and receiver. A diplexer is connected between the first and second antenna and the control unit to couple signals from the transmitter to the second antenna but not to the receiver and to couple signals from the first antenna to the receiver but not to the transmitter. The transmitter transmits microwave pulses to the first antenna which heat blood around that antenna. When the heated blood volume flows to the second antenna this is detected at the receiver which produces a detect signal.

Abstract: A catheter useful for non-surgical entry into a uterus to dispense a diagnostic fluid therein. The catheter includes a tubular body having a lumen extending from a first end thereof to a second end thereof. The lumen includes an external opening adjacent the first end for dispensing a diagnostic fluid into the interior of a subject uterus, and a balloon disposed marginally adjacent to the first end of the body for fluid sealing the interior of the subject uterus. The lumen further includes a second opening in fluid communication with the interior of the balloon for inflation thereof with the diagnostic fluid. In most applications, the catheter can be combined with a syringe to form a catheter apparatus.

Abstract: Apparatus and methods for ultrasonically placing and monitoring a tube within the body are disclosed. A tubular apparatus in accordance with an exemplary embodiment may include a tubular member having a proximal section, a distal section, and at least one inflatable member on the tubular member in fluid communication with an external fluid source containing an acoustically transmissive material. The inflatable member may be configured to expand at least in part within a hollow body cavity or conduit to permit the tubular apparatus to be ultrasonically visualized using an ultrasound unit located outside of the patient's body.

Abstract: A medical long object of the present invention has a part made of a polymeric material containing a laser color developing agent at least in a part of the surface thereof, and a light developing portion formed in the part by color development of the laser color developing agent due to irradiation with laser light.

Abstract: This document discusses, among other things, systems, devices, and methods that include a hollow-tube stylet shaped and sized for insertion into a flexible infusion catheter for use as a guiding stylet during insertion of the stylet and catheter toward a subject. Fluid is loaded into the hollow tube stylet, and released upon withdrawal of the stylet from the infusion catheter. This avoids air from occupying the infusion catheter upon withdrawal of the stylet, which could disturb the infusion of the agent.