Abstract: The present invention provides devices and methods for the treatment of atrial fibrillation. In one embodiment a deflectable sheath catheter includes an elongate catheter body having proximal and distal ends, the distal end having a distal tip region that includes a plurality of flexible segments with varying degrees of stiffness. A handle portion can be located at the proximal end of the catheter body to provide a steering mechanism that causes the distal tip region to deflect according to a compound curve.

Abstract: Systems and methods to reduce bioburden on at least a portion of a fluid transfer port include supplying a dose of radiation to the portion in optical communication with at least one source of radiation. In an illustrative example, a medical container, such as a vial or IV bag, receives a dose of ultraviolet (UV) energy substantially at a predetermined region of a fluid transfer site. In some examples, such a sanitization process may precede a fluid transfer operation in which a fluid is transferred into or out of the medical container by passing through the sanitized region. Such fluid transfers may be used in automated or semi-automated pharmaceutical processes, such as drug reconstitution. Various embodiments may further include one or more seal assemblies, each seal assembly having an aperture through which the radiation dose is supplied from the source to a controlled region on the fluid transfer port.

Abstract: A surgical instrument is provided, including: at least one articulatable arm having a distal end, a proximal end, and at least one joint region disposed between the distal and proximal ends; an optical fiber bend sensor provided in the at least one joint region of the at least one articulatable arm; a detection system coupled to the optical fiber bend sensor, said detection system comprising a light source and a light detector for detecting light reflected by or transmitted through the optical fiber bend sensor to determine a position of at least one joint region of the at least one articulatable arm based on the detected light reflected by or transmitted through the optical fiber bend sensor; and a control system comprising a servo controller for effectuating movement of the arm.

Abstract: Improved devices and methods for removing blood from a blood vessel in preparation for endovenous laser ablation are described. The improved methods include one or more of: placing the patient in the Trendelenburg position, applying external compression around the vein, massaging the vein, cooling the vein externally, encouraging spasming of the vein, and removing blood with a suction device.

Abstract: A cardiac tissue ablation system according to one embodiment includes an elongate catheter configured to deliver a distal end thereof to a patient's heart and an expandable member formed at the distal portion of the catheter. The expandable member has an elastic portion configured to conform to the shape of a target tissue region upon expansion. The system further includes an energy emitter movably disposed within a lumen of the catheter. The energy emitter is configured to deliver radiant ablative energy to the target tissue region. The system further includes a controller that includes a safety shut-off feature for automatically shutting off power to the energy emitter when a prescribed event occurs resulting in power to the energy emitter being stopped.

Abstract: A treatment apparatus includes a cannula with a cannula lumen. The cannula has a first average diameter. A probe is positionable in the cannula lumen. The probe has a first section with a second average diameter and a second section with a third average diameter that is less than the second average diameter. At least a portion of the second section has a curved section with at least one radius of curvature. The radius of curvative is selected to provide that as the second section passes through the cannula lumen a first side of the second section is tangential to a first side of the cannula lumen, and a second opposing side of the second section is tangential to a second opposing side of the cannula lumen.

Abstract: The invention relates to a device formed by tractor means for a conductor cable using fibre optics, direct current, RF current, ultrasound or any other type of energy used to obliterate a vein by means of the application of an energy that is absorbed by the wall of the vessel. The type of energy used may be light, electrical current, ultrasound or any other type of energy that produces this retraction effect, and the tractor means are controlled by electronic means that determine the forward/backward and halt magnitude of said fibre-optic cable inside the probe. In parallel, the fibre-optic cable is connected to an energy generator that generates laser, RF or any other energy appropriate to the case.

Abstract: A method and device for thermal fat destruction and collagen contraction The method comprises delivering optical energy into the adipose tissue under the skin to create thermal damage of fat, with an alteration of the overlying soft tissue contour and heating of dermis to sub-necrotic temperature to cause skin tightening. The device comprises a treatment cannula and tip connected to the cannula and optimizing light distribution for effective energy use.

Abstract: An apparatus for delivering energy, and in particular laser energy, to a tissue is adapted to minimize or eliminate burn back caused by contact between the energy delivery apparatus and bodily fluids by (I) preventing the energy delivery apparatus from contacting bodily fluids or tissues that might burn or cause the apparatus to burn; and/or (ii) monitoring the apparatus to detect overheating in order to withdraw the apparatus or control the energy supply in case overheating is detected. The apparatus is applicable, by way of example, to treatment of blood vessels using endovascular techniques.

Abstract: A medical laser system and related methods of monitoring optical fibers to determine if an optical fiber cap on the optical fiber is in imminent danger of failure. The laser system includes a photodetector for converting returned light from the optical fiber cap to an electronic signal for comparison to a trigger threshold value known to be indicative imminent fiber cap failure. The returned light can be the main laser treatment wavelength, an auxiliary wavelength such as an aiming beam or infrared wavelengths generated by a temperature of the optical fiber cap. In the event the electronic signal reaches the trigger threshold value, the laser system can be temporarily shut-off or the power output can be reduced.

Abstract: Methods for decreasing the size and/or changing the shape of pelvic tissues. In one embodiment a cannula needle having a laser fiber disposed therein is used to delivery energy to the surrounding pelvic tissue. The cannula needle may be advanced into the pelvic tissue, such as the vagina, with the laser fiber in a retracted position and retained within the distal tip of the cannula needle for protection. Upon reaching the initial treatment zone, the laser fiber may be advanced or motivated into an extended position where the distal end of the laser fiber extends beyond the distal tip of the cannula. Laser energy may then be applied as the device is withdrawn from the patient. The application of such energy may be constant, intermittent, increasing, and/or decreasing as needed. The energy application may also be deactivated if a maximum activation time, maximum temperature, or maximum energy level is reached.

Abstract: The invention is directed to a laser catheter (1) for bypass surgery, wherein the distal part (2) of the catheter (1) is provided with: a tubular arrangement (3) of optical fibres (4) having distal ends (5) defining a ring-shaped light emergence surface (6) for emitting a tubular bundle of light beams in the distal direction (D) of the catheter (1); and a stop surface (7) extending around the tubular arrangement (3) of optical fibres (4) and facing in the distal direction (D), the stop surface (7) being arranged at a distance (A) proximally from the light emergence surface (6). The light emergence surface (6) slants at a slanting angle (?) in the range of [20°, 60°] with respect to the longitudinal axis (8) of the catheter (1). The invention further relates to an assembly comprising such a catheter.

Abstract: In some embodiments, without limitation, the invention comprises a catheter having an elongated housing with a channel disposed therein. A laser delivery member is movable and at least partially disposed within the channel. A ramp is disposed within the housing at an angle to its central axis and proximate to its distal end. The ramp is adapted to move the distal end of the laser delivery member outwardly from the central axis of the housing. A guidewire biases the distal end of the laser delivery member generally inwardly toward the central axis of the housing. In some embodiments, without limitation, the offset of the central axis of the tip of the laser delivery member from the central axis of the housing is determined by adjusting the extent to which the laser delivery member travels on the ramp, and disposition of the laser delivery member on the guidewire maintains the offset tip substantially parallel to the central axis of the housing.

Abstract: The device comprises a distal portion of rigid tube and a proximal portion of flexible tube connected to one another, in which the optical fiber is housed and fixed, the desired useful end of this fiber projecting from said portion of rigid tube; a manoeuvring tubular handpiece is fitted on said portion of rigid tube.

Abstract: A therapeutic energy system for performing interstitial laser therapy and brachytherapy includes two categories of components. The first category includes components usable to perform both interstitial laser therapy and brachytherapy. The second category of components includes components usable to perform either interstitial laser therapy or brachytherapy, but not both. The components co-act to apply therapeutic energy to tissue. The components of the first system include components inserted percutaneously into the tissue, such that interstitial laser therapy and brachytherapy can be performed sequentially without removing and re-inserting percutaneous components. Components of the second category include components not requiring additional puncturing of the skin of a patient, such that removing and inserting components of the second category from a patient is done easily and painlessly. An energy probe component does not maintain a cavity around the tumor mass.

Abstract: Devices and methods for creating a series of percutaneous myocardial revascularization (PMR) channels in the heart. One method includes forming a pattern of channels in the myocardium leading from healthy tissue to hibernating tissue. Suitable channel patterns include lines and arrays. One method includes anchoring a radiopaque marker to a position in the ventricle wall, then using fluoroscopy repeatedly to guide positioning of a cutting tip in the formation of multiple channels. Another method uses radiopaque material injected into each channel formed, as a marker. Yet another method utilizes an anchorable, rotatable cutting probe for channel formation about an anchor member, where the cutting probe can vary in radial distance from the anchor. Still another method utilizes a multiple wire radio frequency burning probe, for formation of multiple channels simultaneously. Still another method utilizes liquid nitrogen to cause localized tissue death.

Abstract: Provided is surgical instrument which can provide a field of view over surgical site by sucking blood from bleeding site during surgery on body tissue of patient and monitoring dark and deep surgical site, which operator cannot see with his or her naked eye, with small camera. The surgical instrument has substantially the same shape as a pair of scissors and includes first body, second body having shape symmetrical to that of the first body, hinge to which the first and second bodies cross and are rotatably coupled, and photographing unit provided in the hinge to photograph a surgical site between front ends of the first and second bodies. The photographing unit may include camera mounted in the hinge such that lens of the camera can be exposed through the center of the front surface of the hinge and configured to transmit photographed image data to monitor.

Abstract: According to at least one exemplary embodiment a method and apparatus for medical treatment utilizing laser irradiation is disclosed. The method may comprise generating an electromagnetic radiation pulse by a laser, directing the radiation to an area of the human body where treatment is desired; applying the radiation to the area of the human body; and inducing conformational changes in organic molecules having metal ions in their structure.

Abstract: Device for localized thermal ablation of lesion tissues, particularly tumoral tissues or the like, which device comprises: a probe or needle intended to be positioned with the end tip at the lesion tissue or tumoral tissue area to be removed; which probe or needle support at least a light guide as an elongated member like a thin wire or thread, one of the ends thereof is an end emitting heating electromagnetic energy and which light guide ends at said end of the probe or needle by a tip irradiating said electromagnetic energy, particularly as a laser light and the other end thereof is connected to a source generating the electromagnetic energy; means for controlling the activation/deactivation of the source generating the electromagnetic energy.

Abstract: An apparatus and method for determining a volume of tissue mass destroyed. The present invention includes a temperature probe and a laser probe having a temperature sensor. The laser probe and temperature probe are inserted to measure a temperature of the tissue mass and a temperature of tissue mass surrounding the tissue mass. By determining the volume of tissue mass destroyed, a graphical representation of the volume of tissue mass destroyed is provided whereby real-time visual monitoring of the destruction of the tissue mass is achieved.

Abstract: The present invention relates to an apparatus for applying energy to an object (2), wherein the apparatus comprises at least one combination element (36) for combining multiple energy applying elements (37) for applying energy to the object, wherein the combination element comprises an axis (60), around which the energy applying elements (37) are wound, wherein the energy applying elements (37) comprise energy emission locations arranged along a line.

Abstract: A laser induced liquid jet generating device comprising: a main body 6 adapted to be filled with a specified laser beam absorbing liquid and configured such that it can contain a laser irradiating part 4 of an optical fiber from which laser beams are emitted to generate jet streams J of said liquid W by irradiating said liquid W with laser beams, with said jet streams J ejected from said main body 6 to the outside; said main body 6 comprising: a catheter mounting unit mounted integrally or in a removable manner on a catheter member 13 into which said jet stream J is introduced; a jet generating tube unit 10 in which said laser irradiation part 4 is adapted to be positioned; and a heat transfer inhibition means 11 for inhibiting thermal effect due to laser beams irradiated by said laser irradiating part 4 from being transferred outside through said jet generating tube unit 10.

Abstract: A method and apparatus, of providing endovascular therapy. The steps include arranging optical fibers within a catheter, the catheter having a tip whose length is at least 1 cm and whose diameter of less than 1 millimeter, connecting an excimer laser to the optical fibers; and delivering laser energy from the excimer laser in excess of a fluence of 60-mJ/mm2 at 40 Hertz through the optical fibers. The delivering of the laser energy may be to non-calcified or calcified deposits of an atherosclerotic lesion to ablate the same. The method also includes the step of inserting the catheter through an artery by pushing the same until the tip is in within laser energy striking distance of the atherosclerotic lesion.

Abstract: An embodiment of the present invention is directed to methods and devices for treating diseases and conditions that change the special relationship between vertebral bodies and intervertebral disks. A method for performing a transpedicular discectomy procedure may include creating a transpedicular channel to a first vertebral body through a first pedicle of a first vertebra; inserting a flexible drill through the transpedicular channel causing the flexible drill to make an approximately 90 degree angle, the flexible drill creating a channel through the first vertebral body into an intervertebral disk; and removing a portion of the intervertebral disk with a laser device.

Abstract: Device for localized thermal ablation of lesion tissues, particularly tumoral tissues or the like, which device comprises: a probe or needle intended to be positioned with the end tip at the lesion tissue or tumoral tissue area to be removed; which probe or needle support at least a light guide as an elongated member like a thin wire or thread, one of the ends thereof is an end emitting heating electromagnetic energy and which light guide ends at said end of the probe or needle by a tip irradiating said electromagnetic energy, particularly as a laser light and the other end thereof is connected to a source generating the electromagnetic energy; means for controlling the activation/deactivation of the source generating the electromagnetic energy.

Abstract: Device for localized thermal ablation of lesion tissues, particularly tumoral tissues or the like, which device comprises: a probe or needle intended to be positioned with the end tip at the lesion tissue or tumoral tissue area to be removed; which probe or needle support at least a light guide as an elongated member like a thin wire or thread, one of the ends thereof is an end emitting heating electromagnetic energy and which light guide ends at said end of the probe or needle by a tip irradiating said electromagnetic energy, particularly as a laser light and the other end thereof is connected to a source generating the electromagnetic energy; means for controlling the activation/deactivation of the source generating the electromagnetic energy. Characterized in that in combination it comprises means for the controlled distribution of the heating action on the lesion tissue area generated by the electromagnetic energy emitted by the irradiating tip inside a volume having a predetermined size.

Abstract: Methods and devices described herein facilitate improved treatment of body organs.

Abstract: Imaging catheters having irrigation capabilities are described herein. Generally, the device may include a first inner membrane which is sealed and serves to position the device within or relative to a lumen. This balloon structure, when filled with fluid, expands and is engaged in direct contact with the tissue. A second (outer) membrane is not completely sealed and instead provides a pathway for delivery of fluid at the treatment site for effecting various treatments. Imaging systems, optionally articulatable, may be positioned within the balloon as well as electrodes positionable upon the balloon may be utilized to facilitate tissue treatments.

Abstract: An improved method and device is provided for safe and efficient low power density endoluminal treatment of venous insufficiency. One such device emits pulsed or continuous energy radially through an optical fiber end with a conical shaped tip for 360° radial emission. In some embodiments, a conical reflective surface is distally spaced opposite to and faces the emitting tip for enhancing radial emission efficiency by reflecting out any designed or remnant forwardly transmitted energy in radial directions. Other devices include flat emitting faces sealed within protective, radiation transparent covers. Additional embodiments include spacing/centering mechanisms to keep emitting end radially equidistant from vein walls. Laser radiation is transmitted at a wavelength and power such that is it substantially entirely absorbed within the blood vessel wall to sufficiently damage the intravascular endothelium and, in turn, achieve blood vessel closure.

Abstract: The laser induced liquid jet generating apparatus irradiates a laser beam on a liquid in a main body, guides the generated liquid jet into a catheter via a nozzle, and generates a flow in the direction opposite the liquid jet. Even by the use of a catheter having a small outside diameter, therefore, the apparatus is enabled to effect powerful laser irradiation without being thermally affected by the laser beam and consequently shatter thrombus, for example, and recover by aspiration the shattered thrombus through the distal end of the catheter.

Abstract: Deep Tissue Low Intensity Laser Therapy or Treatment (DT-LILT) as described here is a novel methodology through which selective destruction of nociceptive (pain) nerves can be brought upon by a medical laser delivery system using the phenomenon of absorption and cell resonance. Using this method nerve cells that transmit pain can be selectively destroyed leaving the surrounding tissues intact as no heat is generated. The delivery system incorporates a fine needle through which a 703 nm (range 690 to 710) pulsed wave low intensity laser is delivered deep into the body, directly to the area of pain causing selective destruction of pain nerves. Laser devices based on this methodology should be used only by the physician or equivalent professional community since diagnosing and defining the area of pain is critical to providing successful pain relief.

Abstract: An optical fiber, an optical fiber device, and an optical fiber bundle, which are applied to an organic tubular tissue, for the medical application for removing a thrombus part deposited on an internal wall of tubular tissue are provided. The optical fiber (20) which can be inserted in a tubular tissue (15) in an organism comprises a glass core layer (11), a covering core layer (12) which covers the glass core layer (11), and a cladding layer (13) which covers the covering core layer (12) and includes a plurality of apertural areas (23) in a longitudinal direction of the optical fiber (20). The width of the apertural area (23) in the longitudinal direction of the optical fiber (20) is narrowly formed in an entrance part of the optical fiber (20), and is widely formed as to be distanced in the longitudinal direction of the optical fiber (20) from the entrance part. The optical fiber device applies such the optical fiber. The optical fiber bundle bundles a plurality of such the optical fibers.

Abstract: Various embodiments of an eccentric balloon catheter are disclosed. In some embodiments, an eccentric balloon catheter includes an eccentrically positioned guidewire tube, with an interior lumen, that extends at least a portion of the length of the catheter body. Optical fibers may extend the length of the catheter body and may also be eccentrically positioned within the catheter body. An inflatable balloon may be positioned within a window within the catheter body near the distal end of the catheter. When inflated, the balloon and catheter may slide relative to one another. When used within a vessel, an inflated balloon may press against a vessel wall and bias the catheter toward an opposite vessel wall.

Abstract: A leveling device for determining the zero pressure point of an external draining system with respect to a patient is provided. The leveling device generally includes a body having a viewing element defining a field of vision, and a reference point indicator spaced apart from the viewing element and disposed within the line of vision. The viewing element and the reference point indicator define a line of sight. The device further includes a horizontal level indicator mated to the body and oriented parallel to the line of sight established by the viewing element and the reference point indicator. The horizontal level indicator is effective to indicate the horizontal alignment of the body with respect to a particular reference point viewed through the viewing element and indicated by the reference point indicator.

Abstract: Light generating devices for illuminating portions of vascular tissue, to render photodynamic therapy. In one embodiment, a light source array preferably including a plurality of light emitting diodes, a focusing lens, and a light diffusing element are included in a distal end of a catheter. A balloon is optionally provided to interrupt blood flow that can block the transmission of light, and to center the apparatus in a blood vessel. Optical fibers optionally direct light from the light source to the diffusing element. The light source array can have a radial or linear configuration and can produce more than one wavelength of light for activating different photoreactive agents. Linear light source elements are particularly useful to treat elongate portions of tissue in a vessel. One embodiment intended for use with a conventional balloon catheter integrates light sources into a guidewire.

Abstract: In some embodiments, without limitation, the invention comprises a catheter having an elongated housing with a channel disposed therein. A laser delivery member is movable and at least partially disposed within the channel. A ramp is disposed within the housing at an angle to its central axis and proximate to its distal end. The ramp is adapted to move the distal end of the laser delivery member outwardly from the central axis of the housing. A guidewire biases the distal end of the laser delivery member generally inwardly toward the central axis of the housing. In some embodiments, without limitation, the offset of the central axis of the tip of the laser delivery member from the central axis of the housing is determined by adjusting the extent to which the laser delivery member travels on the ramp, and disposition of the laser delivery member on the guidewire maintains the offset tip substantially parallel to the central axis of the housing.

Abstract: A hand-held, portable diode laser surgical device includes a power supply, at least one laser diode, integral control interface and display, and a multi-component sterile, disposable tip apparatus featuring assembly for alignment of a self-contained optical fiber to the surgical device, and releasably locking assembly between the tip apparatus and surgical device. An embodiment includes wireless foot pedal on/off control and a dock providing sterile, antiseptic recharging environment.

Abstract: A resonant laser powered micro accelerator platform capable of producing relativistic or near relativistic electrons and, optionally, x-rays. The apparatus has a pair of parallel slab-symmetric dielectric slabs that are separated by a narrow vacuum gap that is preferably tapered. The slabs have a top surface with reflective layers with many periodic slots creating longitudinal periodicity in the structure fields when laser light is directed on the reflectors in one embodiment. Electrons introduced into the gap are accelerated along the length of the slabs. The reflective surface of the slabs is preferably a laminate of alternating layers of high index and low index of refraction materials.

Abstract: A cannula for a liposuction device includes a laser energy source for liquefying, emulsifying or softening fatty tissue at the cutting windows inside the distal tip end of the cannula. The energy source provides laser energy through an optical fiber positioned within said interior region of the cannula and extending though the cannula and having an end located at the distal tip end of the cannula adjacent the cutting windows. Fat is emulsified, liquefied or softened by the energy emitted into tissue at the cutting windows of the cannula and is removed by aspiration. In a confined laser beam power assisted embodiment, the openings in the cannula shear or cut neighboring fat tissue and the radiant energy at the cutting windows softens and/or emulsifies the tissue.

Abstract: A method and probe device are presented, suitable for use in joint arthroscopy. A beam of pulsed laser radiation of a wavelength range of about 2700-3000 nm and a predetermined frequency of pulses is produced, directed to a joint region inside a fluid medium and maintained substantially focused on a treatment target within the joint region during a predetermined time period. By this, a tissue within the treatment target is effected by the laser radiation.

Abstract: An MRI guided surgical apparatus includes a heat source formed by a laser and an optical fiber carrying the heat energy into a part to be coagulated by hyperthermia with an end reflector to direct the energy in a beam to one side of the fiber end. A reinforcing sleeve for the fiber is mounted in a shielded, Piezo-electric motor which causes movement of the fiber longitudinally and angularly within a rigid elongate cannula. A magnetic resonance imaging system is arranged to generate a series of output signals over a period of time representative of temperature in the part as the temperature of the part changes during that time. The heat source is controlled in heat energy applied and location and orientation of the beam to stop heating when the temperature at the boundary of a tumor reaches the required hyperthermic temperature. Cooling of the tip portion of the probe is effected by expansion of a supplied cooling fluid in gaseous form through a restrictive orifice into an expansion zone at the probe end.

Abstract: A system for inducing desirable temperature effects on body tissue, the body tissue being disposed about a lumen. The system includes an elongate catheter having a proximal end and a distal end with an axis therebetween with an energy delivery portion for transmission of energy. A tissue analyzer configured to characterize the body tissue in the lumen proximate the energy delivery portion and an energy source coupled to the energy delivery portion transmitting tissue treatment energy, wherein the energy is non-RF energy. A processor coupled to the tissue analyzer and energy source, the processor configured to determine an appropriate treatment energy for the characterized body tissue so as to mildly heat the body tissue with the energy delivery portion without ablating.

Abstract: The kit of optical fibers for percutaneous ablative treatment, comprises at least two optical fibers (5), each of which is equipped; at a first end with a connector (5A) to a laser source (7); and in proximity to a second end with a device (5B) for constraining to a pervious needle (9). The kit comprises a coding system that characterizes one fiber with respect to the other, allowing said fibers to be distinguished from one another.

Abstract: An instrument comprises a light guide and a substantially rigid support for the light guide. In a version adapted for the treatment of varicose veins, the support is a needle serving as a sheath to a fibre optic.

Abstract: Systems, methods, and apparatus for providing a fluid and reduced-toxicity optical media with optical analysis and therapeutic energy delivery. An aspect of the invention provides an aqueous solution of increased-salinity of between about 1% and 35%. An increasing salinity in accordance with the invention provides improved transmissive efficiency at many wavelengths and less toxicity than many existing systems and methods. A catheter having integrated fibers for probing or treating internal lumens or other tissues can include a liquid-inflatable balloon or flushing mechanism using the solution for displacing blood or other obstructions in an optical path between the fiber and targeted tissue. Methods including spectroscopy can be employed with the solution for diagnosing medical conditions associated with diseased vessels or other tissues while reducing the risk of permanent damage resulting from the diagnosis.

Abstract: A self-expanding medical occlusion device treats a heart defect in a patient and is inserted into the body in minimally invasive fashion using a catheter system, and includes a braiding of thin threads which exhibits a first preliminarily definable shape as the occlusion device is being inserted into the patient's body and a second preliminarily definable shape in the implanted state, whereby the occlusion device is in a collapsed state in the first shape of the braiding and in an expanded state in the second shape of the braiding. The threads of braiding are composed of a shape memory polymer composite such that braiding deforms from a temporary shape to a permanent shape in consequence of an external stimulus, whereby the temporary shape is given in a first profile form of the braiding and the permanent shape is given in a second profile form of the braiding.

Abstract: A laser treatment apparatus is provided with a treatment probe, an observation probe, an image processing section, a lesion disappearance degree judgment section, and a CPU. The treatment probe and the observation probe are disposed in a catheter inserted into a blood vessel. The observation probe scans an inner wall of the blood vessel to obtain a tomographic image signal therefrom. The image processing section produces a tomographic image from the tomographic image signal. The lesion disappearance degree judgment section analyzes the tomographic image and judges whether or not a lesion exists. The CPU controls radiation of a laser beam from the treatment probe based on a judgment result of the lesion disappearance degree judgment section.

Abstract: This invention is an improved method and device for treating varicose veins 200 or the greater saphenous vein 202. The method comprises the use of infrared laser radiation in the region of 1.2 to 1.8 um in a manner from inside the vessel 200 or 202 such that the endothelial cells of the vessel wall 704 are damaged and collagen fibers in the vessel wall 704 are heated to the point where they permanently contract, the vessel 200 or 202 is occluded and ultimately resorbed. The device includes a laser 102 delivered via a fiber optic catheter 300 that may have frosted or diffusing fiber tips 308. A motorized pull-back device 104 is used, and a thermal sensor 600 may be used to help control the power required to maintain the proper treatment temperature.

Abstract: A catheter is adapted to ablate tissue and provide optically-based lesion qualitative and quantitative monitoring, comprising a catheter body and a tip electrode distal the catheter body adapted for ablating tissue, the tip electrode having a shell and an alignment member defining a hollow distal portion therebetween. In accordance with the invention, the catheter further includes a plurality of optical waveguides adapted to transmit optical energy to and from the tip electrode. A distal portion of each waveguide extends through the hollow distal portion and terminates in openings formed in the shell. Advantageously, the alignment member fixedly secures the distal portion of each waveguide against movement relative to the alignment member and the shell.

Abstract: The present invention describes a method of treating restless leg syndrome by eliminating venous reflux in an underlying vein. The malfunctioning vein can be removed or ablated by inserting a catheter into the vein that transmits sufficient energy to coagulate or ablate the lining of the vein causing it to permanently close, eliminating the source of venous reflux and the symptom of restless leg syndrome.