Abstract: This invention is a method of displaying cross-sectional images of a body so as to render the cross-sectional images more interpretable. The method is effected by using a first imaging device (110, 120), obtaining at least one cross-sectional image of a portion of the body, at least one cross-sectional image being defined by at least one first plane; and projecting each of at least one cross-sectional image of the portion of the body onto a predefined second plane, so as to obtain at least one projected cross-sectional image of the portion of the body, each of the at least one projected cross-sectional image becoming more interpretable by a user.

Abstract: An intraoperative or endocavity ultrasound probe for insertion into a patient is provided. An adaptable or adjustable section is provided between the handle and the transducer for rotating the transducer relative to the handle prior to insertion within the patient. The adjustable or adaptable section maintains the adjusted or rotated position while the probe is in use within the patient. The adjustable or adaptable section stays in the same pre-bent position, such as by using a memory-less device or material, and is free of user adjustment while the probe is in use.

Abstract: An ultrasound catheter is disclosed for providing substantially real-time images of small cavities. The ultrasound catheter is characterized by separate and distinct materials for backing the transducers and for carrying the electronics components. The separate materials comprise an electronics carrier meeting the requirements for holding the integrated circuitry of the ultrasound device and a backing material displaying superior characteristics relating to reducing ringing and minimizing the effect of other sources of signal degradation in the transducer assembly. Also, in accordance with the present invention, a technique is described for connecting the conductor lines of the separate transducer assembly and electronics body.

Abstract: An intravascular probe includes a sheath with a distal portion and a proximal portion. The intravascular probe includes a first optical waveguide extending along the sheath, the first optical waveguide being configured to carry optical radiation between the distal and proximal portions, and a first beam redirector disposed at the distal portion in optical communication with the first optical waveguide. The intravascular probe also includes an optical detector configured to receive optical radiation from the first optical waveguide, and an ultrasound transducer disposed at the distal portion. The ultrasound transducer is configured to couple ultrasound energy between the intravascular probe and a transmission medium. A wire extends along the sheath in electrical communication with the ultrasound transducer.

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: Steerable electrophysiology catheters for use in mapping and/or ablation of accessory pathways in myocardial tissue of the heart wall and methods of use thereof are disclosed. The catheter comprises a catheter body and handle, the catheter body having a proximal section and a distal section and manipulators that enable the deflection of a distal segment of the distal tip section with respect to the independently formed curvature of a proximal segment of the distal tip section through a bending or knuckle motion of an intermediate segment between the proximal and distal segments. A wide angular range of deflection within a very small curve or bend radius in the intermediate segment is obtained. At least one distal tip electrode is preferably confined to the distal segment which can have a straight axis extending distally from the intermediate segment. The curvature of the proximal segment and the bending angle of the intermediate segment are independently selectable.

Abstract: An ultrasonic imaging apparatus and method combines dynamically focused reception and coded transmission/reception technologies by inexpensive circuitry. A receive aperture is divided into smaller apertures. Correspondingly, a receive beam former is divided into receive sub-beam formers 36a to 36n by which a phase alignment and summing process is performed. Thereafter, coded signals are compressed in decoders 37a to 37n in a time axis direction. Output signals from the decoders are once again subjected to a phase alignment and summing process in a second beam former.

Abstract: In a medical treatment/examination device and method for the acquisition and presentation of a medical instrument introduced into a cavity organ of a patient to be examined or treated, particularly in the framework of a cardial examination or treatment with a catheter, intracorporeal registration of 2D ultrasound images of the cavity organ is undertaken using a catheter-like ultrasound acquisition device guided into the cavity organ with simultaneous acquisition of the spatial position and orientation of a 2D ultrasound image by a position acquisition system, a 3D ultrasound image dataset is generated from the 2D ultrasound image, following introduction of the instrument, the instrument is acquired in a coordinate system registered with the 3D ultrasound image dataset, and a 3D reconstruction image is generated on the basis of the 3D image dataset and is presented at a monitor, containing a positionally exact presentation of the instrument in the 3D reconstruction image.

Abstract: A method comprises providing a substantially planar slab of piezoelectric material having a top surface. The method further comprises drilling a plurality of holes through the top surface and into the slab. The method further comprises making a plurality of cuts through the top surface and into the slab. The cuts form a plurality of polygons that are generally centered about one of the holes. The method further comprises plating the slab with an electrically conductive material. The method further comprises removing the electrically conductive material from the top surface of the slab. The method further comprises cutting the slab substantially parallel to the top surface.

Abstract: An ultrasonic imaging catheter is disclosed that includes a thermistor mounted on the catheter in the vicinity of the ultrasound transducer for monitoring the temperature in the vicinity thereof. The electrical signal from the thermistor can be used to control the output of the ultrasound transducer to thereby control the temperature of the same. In a further aspect of the invention, an isolation box is provided that is external to the ultrasound machine itself and is connected to the same by a cable. Ideally, the isolation box which houses a sufficient number of isolation transformers, is small, so it can be placed easily on or near the patient's bed.

Abstract: An apparatus for treatment of body tissue includes a treatment apparatus configured to be inserted into a patient. The treatment apparatus has a distal portion, a distal end, a proximal portion and an axis. An ultrasound transducer is positioned at the distal portion of the treatment apparatus. The ultrasound transducer includes a distal ultrasound energy delivery surface and a proximal ultrasound energy delivery surface. An ultrasound energy attenuator member is positioned adjacent to the proximal ultrasound energy delivery surface and is made of a material to at least partially attenuate ultrasound energy from the proximal ultrasound energy delivery surface.

Abstract: A catheter assembly includes an elongate catheter body having a proximal end and a distal end with a drive cable disposed therein, the drive cable having a proximal end and a distal end, and rotatable relative to the catheter body. A first electro-magnetic element is disposed proximate the distal end of the catheter, and a second electro-magnetic element disposed proximate the distal end of the drive cable and in electrical communication with an operative element mounted at the end of the drive cable, the first and second electro-magnetic elements forming an inductive coupler. The catheter assembly can include various other distal operative elements, which are in communication with corresponding proximal operative elements via transmission lines embedded within the wall of the catheter body.

Abstract: An ultrasonic angioscope system which uses an imaging technique of sending ultrasonic waves to a portion ahead of a stricture of a blood vessel and visualizing a portion in the forward direction of the angioscope, and which uses a laser breakdown is provided.

Abstract: Improved wiring arrangements for sensor catheters are provided to reduce wire-to-wire cross-talk wherein wires connecting the sensor of the sensor catheter to a processing unit are divided into a plurality of wire bundles contained within respective sheaths, with the wires in wire bundle twisted together reduce electromagnetic signal interference among the individual wires, or between wire bundles.

Abstract: An improved catheter system having an ultrasonic imaging transducer coupled to a drive cable disposed within a lumen of a flexible tubular catheter body. An improvement including a reconfiguration of the ferrites in the hub assembly, such that the need for the gap between the ferrites is removed. A strain relief member is provide to increase the strength of the electrical transmission lines to enable them to withstand the tensile forces caused by either flushing and/or pull-back operations. A device which allows the electrical transmission lines to extend their length when placed in tension may also be employed to provide strain relief to the electrical transmission lines. Another improvement includes a counter-wound coil structure, which may either expand or contract as the drive cable is being rotated to strengthen the drive cable. The distal tip of the catheter body may be redesigned to provide a lumen which allows for the release of flushing fluids through a distal port in the guidewire lumen.

Abstract: An ultrasound imaging guidewire, that is inserted into a patient's body. The guidewire has a static central core and an imaging guidewire body comprising an acoustical scanning device. The acoustical scanning device can be rotated to obtain 360 degree acoustical images of a site of interest in the patients body. Furthermore, the imaging guidewire includes a connector that permits the imaging guidewire body to be disengaged from the static central core tip so that the imaging guidewire body can be axially translated to obtain multi-position imaging. The imaging guidewire body is axially translated without losing the original guidewire positioning because the static central core maintains its position in the patient's body.

Abstract: A distance measuring system comprises first and second transducers, and an ultrasound ranging subsystem coupled to the first and second transducers for performing a plurality of distance measurements between the first and second transducers. The distance measurement system can have various applications, including medical applications, in which case, the first and second transducers can be mounted on a catheter. The distance measuring system further comprises a filter coupled to the ultrasound ranging subsystem for filtering ultrasound interference from the plurality of distance measurements (such as, e.g., eight), and outputting a distance based on the filtered distance measurements. The filter filters the ultrasound interference by selecting one of the plurality distance measurements, in which case, the outputted distance is the selected distance measurement.

Abstract: An improved catheter system having an ultrasonic imaging transducer coupled to a drive cable disposed within a lumen of a flexible tubular catheter body. An improvement including a reconfiguration of the ferrites in the hub assembly, such that the need for the gap between the ferrites is removed. A strain relief member is provide to increase the strength of the electrical transmission lines to enable them to withstand the tensile forces caused by either flushing and/or pull-back operations. A device which allows the electrical transmission lines to extend their length when placed in tension may also be employed to provide strain relief to the electrical transmission lines. Another improvement includes a counter-wound coil structure, which may either expand or contract as the drive cable is being rotated to strengthen the drive cable. The distal tip of the catheter body may be redesigned to provide a lumen which allows for the release of flushing fluids through a distal port in the guidewire lumen.

Abstract: Various improvements are made to catheters adapted to be flushed to remove air from within the catheter. For example, improved catheters include a catheter with a self-sealing seal at its distal end to pass a venting tube for removing air from within the catheter, a catheter having a distal end whose diameter is reduced to compress a seal adapted to pass a venting tube; a catheter having a cap at its distal end where the cap has a venting hole that is opened or closed depending on the conditions subjected to the shape-memory material of the cap; a catheter having a vent hole at its distal end; a catheter having an opening at its distal end that can be closed by a plug; and a catheter having a narrow neck with an opening to vent air and the neck is coupled to a tab where twisting the tab closes the opening in the neck.

Abstract: A method of making a flexible elongate member includes the steps of providing a core wire having a proximal region and a distal region, attaching an electrical device to the distal region of the core wire, the electrical device being electrically connected to at least one electrical conductor. A substantially cylindrical electrical connector is formed from a substrate having a first edge and a second edge, the first edge and the second edge of the substrate being bonded substantially flush to each other, the electrical connector including a plurality of conductive bands and a plurality of electrically conductive runners interconnected to the plurality of bands. An electrically conductive bond is formed between the electrical conductors and the plurality of electrically conductive runners. The substantially cylindrical electrical connector is attached to the proximal region of the core wire.

Abstract: An ultrasound transducer array (408) includes at least one transducer element (412) having a first (604) and second (606) portions separated by an acoustical discontinuity (520). The first portion (604) has the desired length to form a half-wave k31 resonance, while the second portion (606) has a resonant length for an undesired very low frequency out-of-band k31 resonance. The thickness of the transducer element (412) is designed for k33 half-resonance. Given the design, the transducer element (412) can operate and provide for both forward-looking (514) and side looking (512) elevation apertures. A method is also disclosed for using the disclosed ultrasound transducer (412) in ultrasound imaging.

Abstract: In a method of manufacturing an ultrasonic transducer array a plurality of discrete transducer elements are formed on an initially flat flexible substrate together with electrically conductive tracks, through which the transducer elements will be energised in use, the flexible substrate with the discrete transducer elements and conductive tracks mounted thereon then being formed into a cylinder and mounted on the end of a catheter tube, the substrate being radially outwardly of the transducer elements so that it is in a position to act also as an acoustic matching layer between the material of the transducer elements and the human tissues or blood when in use.

Abstract: Apparatus for mapping a surface of a cavity within a body of a subject includes an elongate probe, having a longitudinal axis and including a distal portion adapted for insertion into the cavity. A primary acoustic transducer on the distal portion of the probe is adapted to emit acoustic waves while the probe is in the cavity. A plurality of secondary acoustic transducers, distributed along the longitudinal axis over the distal portion of the probe, are adapted to receive the acoustic waves after reflection of the waves from the surface of the cavity and to generate, responsive to the received waves, electrical signals indicative of times of flight of the waves.

Abstract: A catheter is provided for insertion in the he blood vessel of a patient for ultrasonically imaging the vessel wall. The catheter includes a tubular element and an internally housed drive cable for effective circumferential scan about the catheter of an ultrasonic generating means. Both the tubular element and the drive cable are of a size and flexibility sufficient to permit their introduction into the vessel and subsequent advancement through the vessel to the location of the vessel wall where imaging is desired.

Abstract: Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, ultrasound catheters include an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and, in some embodiments, a guidewire tube extending through the lumen. A distal head for disrupting occlusions is coupled with the distal end of the ultrasound transmission member and is positioned adjacent the distal end of the catheter body. Some embodiments include improved features such as a bend in the catheter body for enhancing positioning and/or advancement of the catheter.

Abstract: Rotating element catheters employ clutch assemblies for preventing rotational energy from being transmitted from a motor drive unit to the catheter element under defined circumstances. The catheter assembly includes an elongate member in which there is disposed a rotatable catheter drive cable. To control the rotation of the catheter drive shaft, the clutch assembly is configured to allow the catheter drive shaft to rotate and to stop rotating. The clutch assembly includes a driven member and a driver member, which cooperate with each other, such that the driven and driver members are rotatably engaged with each other before an applied torque exceeds the critical magnitude, rotatably unengaged with each other after the applied torque exceeds the critical magnitude, and rotatably re-engaged when the applied torque falls substantially below the critical magnitude. This clutching function can be actuated by any of a variety of physical forces, e.g., frictionally or magnetically.

Abstract: The present invention relates to medical devices; in particular, the present invention provides devices and methods for sensing thickness of cardiac tissue and the like so that medical procedures may be efficiently performed through and/or upon a discrete location having suitable tissue thickness. The invention includes an elongated resilient dilator apparatus having an ultrasound transceiver coupled thereto. When the ultrasound transceiver is disposed proximate a region of relatively thin tissue, such as a latent Fossa Ovalis valve, a clinician receives a signal. The clinician may then proceed with enhanced confidence to pierce the relatively thin tissue. Thus, in the case of a transseptal procedure, the clinician gains access to the left atrial chamber from the right atrial chamber.

Abstract: An ultrasonic diagnostic apparatus includes one transmitting coil arranged in the longitudinal direction of an endoscope inserting portion in an ultrasonic endoscope, and another transmitting coil for detecting the position and the direction, which detects the position and the direction of a tomographic plane when forming a tomogram at a distal end portion of an inserting portion by an ultrasonic vibrator. A coil energizing signal is applied to both the transmitting coils so as to generate a magnetic field. The magnetic field is detected by receiving coils. A position and direction calculating circuit detects positional data of the one transmitting coil and positional and directional data of the other transmitting coil. The calculated data is transmitted to an auxiliary-image forming circuit which forms an image of an inserting shape and an auxiliary image indicating the position and the direction of the tomographic plane.

Abstract: The present invention provides an apparatus and a method of using an ultrasonic probe with a pharmacological agent to enhance an occlusion treating effect of the ultrasonic probe to effectively remove an occlusion. The pharmacological agent is released through a catheter to treat the occlusion and enhance an effect of a transverse ultrasonic vibration of the ultrasonic probe to effectively remove the occlusion. The pharmacological agent continues to travel downstream of the site of the occlusion and work in conjunction with the ultrasonic probe to reduce the occlusion to a size that can easily be removed from the body naturally in order to prevent reformation of the occlusion and other health risks.

Abstract: A lumen wall of a blood vessel, such as a coronary artery, is imaged by inserting a catheter into the vessel and emitting near-IR radiation toward the lumen wall through a side window formed in the catheter. Blood flowing through the vessel is caused to react with a fin arrangement formed on a body of the catheter to displace the window toward a region of the lumen wall opposing the window in order to minimize the amount of blood that is interposed between the window and the lumen wall. Thus, the amount of radiation that is scattered or absorbed by the blood is minimized.

Abstract: Catheter for mapping and/or ablation, and methods of using the same. According to one embodiment, catheter includes a metallic cap having a plurality of apertures and at least one electrode disposed in each aperture of the plurality of apertures. According to another embodiment, the catheter includes a non-conductive cap having a plurality of apertures and at least one electrode disposed in each aperture of the plurality of apertures. Electrodes may be paired, arranged along the length of the cap, or circumferentially arranged on the cap, according to various embodiments. According to a further embodiment, a method for treating a condition of a heart includes placing a catheter inside the heart, mapping a region of the heart using mapping electrodes on the catheter, and ablating using an ablation electrode disposed about the mapping electrodes of the catheter.

Abstract: A catheter system for delivering ultrasonic energy and a therapeutic compound to a treatment site within a patient's vasculature comprises a tubular body. The tubular body has a proximal end, a distal end and an energy delivery section positioned between the proximal end and the distal end. The catheter system further comprises an inner core configured for insertion into the tubular body. The inner core has an outer surface and comprises an electrically conductive core material. The catheter system further comprises a plurality of ultrasound radiating members positioned on the outer surface of the inner core. The ultrasound radiating members are electrically connected to the electrically conductive core material. The catheter system further comprises an electrically conductive tube-shaped member disposed over the inner core and over the ultrasound radiating members positioned thereon.

Abstract: Apparatus and methods are provided for measuring axial displacement of an imaging catheter, and for using real-time images acquired by the imaging catheter to measure axial lengths of anatomical sites. The apparatus of the present invention includes a catheter having an imaging element disposed on a distal portion and indicia disposed on a proximal portion. The length of the catheter permits the indicia to be disposed at least partially external to a patient and visible to a medical practitioner when the imaging element is disposed within the blood vessel. Accordingly, the medical practitioner can observe the indicia and associate axial locations of the catheter indicated by the indicia with images obtained by the imaging element.

Abstract: An underfluid ultrasound imaging catheter system includes a catheter having a distal end inserted into an underfluid structure, an ultrasonic transducer array mounted proximate the distal end of the catheter wherein the array has a row of individual transducer crystals, a lens mounted on the array for defocusing ultrasound beams in a direction perpendicular to an axis of the array so as to provide a volumetric field of view within which the underfluid features are imaged. Alternatively, the single row of transducer crystals is replaced by multiple rows of transducer crystals so as to provide a volumetric field of view. This imaging catheter system helps an operator see 3-dimensional images of an underfluid environment, such as the 3-dimensional images of fluid-filled cavities of heart, blood vessel, urinary bladder, etc. Features in such wide volumetric field of view can be imaged, measured, or intervened by an underfluid therapeutic device with an aid of the real-time image.

Abstract: An ultrasound catheter comprises an elongate tubular body. The elongate tubular body has a proximal region and a distal region opposite the proximal region. The tubular body defines a central lumen having a central lumen diameter. The ultrasound catheter further comprises an elongate, hollow inner core extending through the central lumen. The elongate, hollow inner core has an inner core outer diameter that is less than or equal to the central lumen diameter. The ultrasound catheter further comprises an ultrasound radiating member positioned within the distal region of the tubular body and between the tubular body and the inner core. The ultrasound catheter further comprises at least two electrical conductors extending between the tubular body proximal region and the tubular body distal region. The at least two electrical conductors are positioned between the tubular body and the inner core. The at least two electrical conductors are electrically connected to the ultrasound radiating member.

Abstract: Apparatus for mapping a surface of a cavity within a body of a subject includes an elongate probe, having a longitudinal axis and including a distal portion adapted for insertion into the cavity. A plurality of acoustic transducers are distributed along the longitudinal axis over the distal portion of the probe, which transducers are adapted to be actuated individually to emit acoustic waves while the probe is in the cavity, and are further adapted to receive the acoustic waves after reflection of the waves from the surface of the cavity and to generate, responsive to the received waves, electrical signals indicative of times of flight of the waves.

Abstract: Various improvements are made to catheters adapted to be flushed to remove air from within the catheter. For example, improved catheters include a catheter with a self-sealing seal at its distal end to pass a venting tube for removing air from within the catheter, a catheter having a distal end whose diameter is reduced to compress a seal adapted to pass a venting tube; a catheter having a cap at its distal end where the cap has a venting hole that is opened or closed depending on the conditions subjected to the shape-memory material of the cap; a catheter having a vent hole at its distal end; a catheter having an opening at its distal end that can be closed by a plug; and a catheter having a narrow neck with an opening to vent air and the neck is coupled to a tab where twisting the tab closes the opening in the neck.

Abstract: An ultrasound catheter suitable for insertion in the body lumens of a patient during medical procedures is provided. An ultrasound transducer may be provided at the distal tip of the catheter. An inflatable balloon may be provided at the distal end of the catheter on the proximal side of the ultrasound transducer. The catheter may have lumens for inflation fluid, electrical wires, and a guide wire. A sheath that runs through the balloon may be used to isolate the electrical wires and guide wire from inflation fluid in the interior of the balloon.

Abstract: An apparatus for the placement and monitoring of the position of an intraluminal indwelling catheter using an infrared (IR) signal encoded in the catheter and the detection of the IR signal by an IR optical detector. The IR signal may be encoded into the catheter by IR emitted from the catheter or IR reflected from the catheter. In the first category, the catheter is illuminated by IR radiation emitted from the distal end of the catheter, either by fiber optics or by a micro-diode. In the second category, the catheter is marked with regions of varying optical properties to form a pattern that is easily visualized and distinctive from nearby anatomical structures. One embodiment has a helical pattern in either one or more solid bands or a series of helically arranged dots. Other embodiments employ a pair of criss-crossing helical bands or zebra stripes. In addition to IR radiation, other electromagnetic radiation, including visible light, may be used.

Abstract: A vascular catheter system comprises a catheter body having a proximal and distal portion and a single common lumen therebetween. The catheter body includes a first connector secured to the distal end of the proximal portion and a second connector secured to the proximal end of the distal portion. The connectors can be selectively connected to each other to join the lumens of the proximal and distal portions together in a continuous, axially fixed relationship. Disposed within the lumens, when the proximal and distal portions are joined together, is a drive cable. The drive cable may be movably, rotatable about its own longitudinal axis and carries at its distal end, a work element, which is typically an ultrasonic imaging transducer or interventional device. The lumen carrying the cable will be sufficiently large along a proximal portion to permit preferential collapse of the cable should rotation of the distal end become impeded.

Abstract: A catheter-based ultrasonic transducer array is provided which includes a piezoelectric member sandwiched between matching layers and a backing member. A flexible stiffening element or elements is embedded in the backing member. The element is opaque to radio frequencies and integrated along the azimuthal axis of the array so as to enable a user to view the element in an image of the array derived from the array output and thus determine the angular position of the array. A flexible interconnection assembly provides an electrical connection between the electrodes of the piezoelectric member and external cabling. Different methods are provided for adding a surrounding protective cover to the array.

Abstract: Featured is a device that provides a mechanism for imaging structure and/or tissue of a surgical site during and after performing a microsurgical procedure such as ophthalmic surgical procedures. Also featured are methods and systems related thereto. In the imaging method of the present invention using such a device includes positioning a high frequency ultrasonic signal transmitting and receiving apparatus imaging mechanism in close proximity to the area to be scanned/imaged (e.g., surgical site), so that the high frequency ultrasonic signal penetrates the tissue/structure of the surgical site being scanned. The reflected ultrasonic signals, are processed so as to yield high quality/high resolution images of the scanned tissue/structure. Further, the high resolution images are evaluated by the surgeon during the procedure to determine if the surgical approach should be adjusted.

Abstract: Attached to a proximal end portion of a flexible cord of an ultrasound probe of an ultrasound examination system, to be introduced into a body cavity through a narrow guide passage, is a flexible wiring film which can be coiled into a helical roll of a narrow cylindrical shape extending along an axial extension line of the flexible cord at the time of passing same through the narrow guide passage. Formed on a surface of the flexible wiring film are a plural number of wire connection points for connection of signal lines from transducer elements of an ultrasound transducer which is provided at a fore distal end of the flexible cord of the probe, and a corresponding number of electrodes which are electrically connected with the wire connection points through a wiring pattern. The electrodes on the flexible wiring film are disconnectibly connected to corresponding contact points on a contact assembly of a relay means.

Abstract: An ultrasonic endoscopic probe tip device which provides signals to an imaging system for transesophageal diagnosis includes a removable housing adapted to be attached to the distal end of an endoscope. A rotatable, ball-bearing-mounted phased array transducer within the housing is rotatable around its acoustic propagation axis through multiple turns. The transducer is driven by an immersed micro-motorized drive. A torque limiting gearbox couples the drive to the transducer. A position encoder provides the imaging system with transducer position information over a 360° range. An automatic transducer position locking/unlocking system is used to lock the transducer in a selected rotational position.

Abstract: The present invention is drawn toward miniaturized imaging devices. In one embodiment, the device can include a utility guide having at least one aperture configured for supporting utilities, and an SSID carried by the utility guide. The SSID can include an imaging array on a top surface, and a conductive element on a side surface, wherein the imaging array is electrically coupled to the conductive element. Further, a lens can be optically coupled to the imaging array, and an umbilical, including a conductive line, can be carried by the at least one aperture. The conductive line can be electrically coupled to the conductive element on the side surface of the SSID. Alternatively, the device can include an SSID having, as an integral structure, an imaging array electrically coupled to a conductive pad, wherein the SSID further includes at least one utility aperture passing therethrough.

Abstract: An ultrasonic transducer (108) for use in medical imaging comprises a substrate (300) having first and second surfaces. The substrate (300) includes an aperture (301) extending from the first surface to the second surface. Electronic circuitry (302) is located on the first surface. A diaphragm (304) is positioned at least partially within the aperture (301) and in electrical communication with the electronic circuitry (302). The diaphragm (304) has an arcuate shape, formed by applying a differential pressure, that is a section of a sphere. A binder material (314) is in physical communication with the diaphragm (304) and the substrate (300).

Abstract: An improved catheter system having an ultrasonic imaging transducer coupled to a drive cable disposed within a lumen of a flexible tubular catheter body. An improvement including a reconfiguration of the ferrites in the hub assembly, such that the need for the gap between the ferrites is removed. A strain relief member is provided to increase the strength of the electrical transmission lines to enable them to withstand the tensile forces caused by either flushing and/or pull-back operations. A device which allows the electrical transmission lines to extend their length when placed in tension may also be employed to provide strain relief to the electrical transmission lines. Another improvement includes a counter-wound coil structure, which may either expand or contract as the drive cable is being rotated to strengthen the drive cable. The distal tip of the catheter body may be redesigned to provide a lumen which allows for the release of flushing fluids through a distal port in the guidewire lumen.

Abstract: A combination catheter includes an ultrasound transducer and RF ablation electrode. The ultrasound transducer transmits ultrasound signals into and receives echo signals from a vessel. The echo signals are processed and used to produce an image of the tissue surrounding the catheter. A driveshaft rotates the ultrasound transducer to obtain a 360° view of the vessel wall. At the distal end of the driveshaft is an electrode. An RF generator is electrically coupled to the driveshaft to deliver RF energy to the electrode at the distal end of the driveshaft to ablate occluding material in the vessel. The electrode may have a variety of tip shapes including concave, roughened, or expandable configurations, depending on the size of the vessel and composition of the occluding material to be ablated.

Abstract: A collapsible ultrasonic reflector incorporates a gas-filled reflector balloon, a liquid-filled structural balloon an ultrasonic transducer disposed within the structural balloon. Acoustic energy emitted by the transducer is reflected by a highly reflective interface between the balloons. In a cardiac ablation procedure, the ultrasonic energy is focused into an annular focal region to ablate cardiac tissue extending in an annular path along the wall. Devices for stabilizing the balloon structure and for facilitating collapse and withdrawal of the balloon structure are also disclosed.