Abstract: An endoscopic procedure for the parasympathetic and sympathetic denervation of the nerves of the ovaries and uterus for management of endocrine dysphoric disorders. The tissues of selected inferior mesenteric and pelvic nerves are heated via introduction of radiofrequency energy at sufficient power and time to induce complete or partial nerve blockade while leaving the supporting tissue structurally intact. In some embodiments, the suspensory ligament of the ovary, the ovarian ligament, and/or the uterosacral ligament are heated to a range of 45° C. to 65° C. for a period of about 5 seconds to about 60 seconds.

Abstract: An electrosurgical generator includes one or more radio frequency (RF) power sources and an output stage including at least two output lines for connection to an electrosurgical instrument. The generator includes means for measuring a parameter associated with the electrosurgical procedure, such as the impedance measured across two of the output lines. A controller controls the generator such that it delivers a first RF waveform (such as a cutting signal) or a second RF waveform (such as a coagulating signal) to the output lines, and, in a combined mode, both first and second waveforms. The controller automatically adjusts at least one aspect of one or both waveforms in the combined mode, in response to the measured parameter associated with the surgical procedure.

Abstract: A system for determining probability of tissue damage is disclosed. The system includes an electrosurgical generator adapted to generate an electrosurgical current and a plurality of return electrodes adhered to a patient and adapted to couple to the electrosurgical generator. Each of the return electrodes includes an impedance sensor attached thereto. The system also includes a current monitor connected in series with each of the plurality of the return electrodes to measure the electrosurgical current passing therethrough and a processor coupled to each of the current monitors. The processor is configured to calculate a cooling factor and a heating factor for each of the plurality of the return electrodes. The processor further configured to determine probability of tissue damage for each of the plurality of the return electrodes as a function of the cooling factor and the heating factor.

Abstract: A method for cardiac surgical intervention relies on sealing or fusing heart valve leaflets without requiring implanted materials such as sutures or staples. The method provides a forceps having at least one shaft and an end effector assembly attached thereto. The end effector assembly includes a pair of opposing jaw members configured to move from an open, spread position to a closed, grasping position; creating at least one opening in the patient for inserting the forceps therein; inserting through the opening and manipulating jaw members of the forceps to grasp a portion of a first heart valve leaflet and a portion of a second heart valve leaflet therebetween; activating the forceps to close the jaw members about the leaflet portions under a working pressure, applying radiofrequency energy to the jaw members to seal the portion of the first heart valve leaflet to the portion of the second heart valve leaflet.

Abstract: Embodiments of the invention comprise methods and devices that allow quantification of blood convective cooling at the cardiac RF catheter ablation site and allow for prediction of lesion size and/or computation of RF energy parameters and characteristics.

Abstract: The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.

Abstract: An ultrasonic surgical waveguide driving assembly for attachment to a surgical ultrasonic instrument handle with a cordless power source therein includes a reusable cordless ultrasonic transducer that has an ultrasonic waveguide couple at which the transducer is operable to excite a waveguide attached thereto and a power input disposed to substantially simultaneously connect the waveguide couple to a waveguide and the power input to a power source located within the handle.

Abstract: A swivel device for connection to an ESU pencil, an exhaust port of an ESU pencil with an integrated smoke evacuation system, or an exhaust port of an ESU pencil smoke evacuation shroud attachment includes a fixed member attached to a rotating member. The rotating member allows an electrical cord and/or vacuum tube to twist and coil freely during operation of an ESU pencil with or without the smoke evacuation system.

Abstract: A method for a minimally invasive surgical system is disclosed including capturing camera images of a surgical site; generating a graphical user interface (GUI) including a first colored border portion in a first side and a second colored border in a second side opposite the first side; and overlaying the GUI onto the captured camera images of the surgical site for display on a display device of a surgeon console. The GUI provides information to a user regarding the first electrosurgical tool and the second tool in the surgical site that is concurrently displayed by the captured camera images. The first colored border portion in the GUI indicates that the first electrosurgical tool is controlled by a first master grip of the surgeon console and the second colored border portion indicates the tool type of the second tool controlled by a second master grip of the surgeon console.

Abstract: The present disclosure relates to an electrosurgical generator which includes a controller configured to generate a first pulse train having at least one first control pulse and at least one first reset pulse. The controller also includes a second pulse train having at least one second control pulse and at least one second reset pulse. The first control pulse(s) and the second control pulse(s) are asynchronous and the reset pulse(s) are synchronous. The electrosurgical generator also includes an RF output stage which includes a first switching element and a second switching element. The control pulses are configured to activate the first switching element and second switching elements, respectively, in an asynchronous fashion to generate a non-continuous RF waveform.

Abstract: A medical device for reducing the size of a Patent Foramen Ovale is disclosed. The medical device can include a first electrode, a second electrode, and at least one sensor mounted to at least one of the first electrode or the second electrode, the at least one sensor adapted to sense at least one operating parameter of the medical device or the patient to facilitate closure of the Patent Foramen Ovale. The medical device can also include a delivery shaft coupled to the first electrode, wherein the delivery shaft includes an indicia for determining the position of the first electrode relative to the second electrode. A method for determining a characteristic of an internal tissue opening is also disclosed. The method can include the steps of introducing a detectable fluid in the right atrium of a heart and then detecting the location of the detectable fluid in the heart.

Abstract: A system for reducing radiated emissions the system including a microwave generator that supplies microwave energy at a fundamental frequency, a coaxial transmission cable that transmits microwave energy between the microwave generator and a microwave energy delivery device and an isolation apparatus connected between the microwave generator and the coaxial transmission cable. The isolation apparatus is configured to electrically isolate the coaxial transmission cable from the microwave generator and capacitively couple the microwave generator ground to the coaxial transmission cable.

Abstract: An ultrasonic assembly that is removably connectable to an ultrasonic waveguide of an ultrasonic surgical handle includes a cordless ultrasonic-movement-generation assembly having an ultrasonic generator and an ultrasonic transducer electrically coupled to the generator and having an output couple, a shell housing therein the ultrasonic-movement-generation assembly and having a securing connection shaped to removably connect to the ultrasonic surgical handle. The output couple is operable to impart ultrasonic movement to the ultrasonic waveguide when the securing connection is connected to the ultrasonic surgical handle and the waveguide is connected to the output couple.

Abstract: A system and method for assessing a degree of coupling between an electrode and tissue in a body is provided. Values for first and second components of a complex impedance (e.g., resistance and reactance or impedance magnitude and phase angle) between the electrode and the tissue are obtained. These values are used together with a standardization value indicative of a deviation from a reference standard by a parameter associated with at least one of the body, the electrode and another component of the system to calculate a coupling index that is indicative of a degree of coupling between the electrode and the tissue. The coupling index may be displayed to a clinician in a variety of ways to indicate the degree of coupling to the clinician. The system and method find particular application in ablation of tissue by permitting a clinician to create lesions in the tissue more effectively and safely.

Abstract: An apparatus comprises a catheter, a conductive element and a balloon. The catheter has a lumen. The conductive element is disposed along the catheter. The balloon has an interior in fluid communication with the lumen of the catheter. The balloon is formed of a conductive material conductively coupled to the conductive element. The balloon has a collapsed configuration and an expanded configuration.

Abstract: An isolation apparatus for reducing radiated emissions of a microwave energy delivery system including an isolation circuit board and a shield coupling, the isolation circuit board and shield coupling configured to capacitively couple a microwave generator and a coaxial transmission cable and the isolation circuit board further configured to pass energy at a fundamental frequency between the microwave generator and the coaxial transmission cable.

Abstract: An electrosurgical bipolar probe with internal cooling for use in systems and methods for lesioning in bone and other tissue is disclosed. The bipolar probe includes tubular electrodes configured such that the inner surface of the electrodes are cooled, directly or indirectly, while keeping the electrodes electrically isolated. An exemplary disclosed method of using a bipolar probe having an active tip having at least two electrodes for delivering energy includes the steps of: advancing the active tip into a bone tissue; delivering energy substantially between the electrodes in a bipolar manner; and supplying cooling fluid to the active tip for internal cooling of the electrodes. Some versions of the method further include the steps of monitoring the temperature of tissue to which the energy is being delivered; and controlling the delivery of energy in response to the temperature of the tissue.

Abstract: An electrosurgical return electrode includes a conductive pad including a patient-contacting surface configured to conduct electrosurgical energy, and a temperature sensing circuit coupled to the conductive pad. The temperature sensing circuit includes a plurality of switching elements connected in series, wherein each of the plurality of switching elements is configured to vary in impedance in response to temperature changes, such that an interrogation signal transmitted therethrough is indicative of the temperature change.

Abstract: An electrosurgical return electrode is disclosed. The return electrode includes a first and second flexible conductive material layers and a material layer disposed between the first and second conductive material layers. The material layer is transitionable between a solid state and a non-solid state, the material layer is also configured to melt upon an increase in temperature beyond a predetermined threshold, thereby increasing conductivity between the first and second conductive material layer.

Abstract: A method and apparatus for treating abnormal mucosa in the esophagus is disclosed, such that the depth of the treated tissue is controlled. The depth of ablation is controlled by monitoring the tissue impedance and/or the tissue temperature. A desired ablation depth is also achieved by controlling the energy density or power density, and the amount of time required for energy delivery. A method and apparatus is disclosed for measuring an inner diameter of a body lumen, where a balloon is inflated inside the body lumen at a fixed pressure.

Abstract: A cardiac ablation instrument capable of removing blood from a treatment area is provided. The instrument includes a catheter configured to deliver a distal end thereof to a patient's heart. The instrument can also include an expandable element coupled to the distal end of the catheter wherein the expandable member is configured to be positioned adjacent a target area thereby defining a treatment area between the expandable member and the target area. Further, the instrument can include an irrigation mechanism configured to dispense an irrigation fluid from the catheter thereby displacing blood from the treatment area. Additionally, the instrument includes an energy emitter configured to deliver energy to tissue within the treatment area. The instrument can also include a contact sensor configured to determine the presence of such blood within the treatment area. Methods for ablating tissue are also provided.

Abstract: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.

Abstract: A system and method for transmitting electrosurgical energy from a generator to an electrosurgical instrument are provided. The electrosurgical system includes a generator adapted to generate electro surgical energy for treating tissue. The generator includes one or more active output terminals which supply energy to the tissue. The active output terminals are operatively connected to one or more supply lines. The generator also includes one or more return output terminal which returns energy from the tissue. The return output terminals are operatively connected to at least one return line. The system also includes an electrosurgical instrument operatively connected to the one or more supply lines and one or more return electrodes operatively connected to one or more return lines. The system further includes an electrosurgical cable including one or more supply lines and one or more return lines.

Abstract: A method and apparatus include determining a value of a parameter associated with operation of an electrosurgical probe having a particular probe design, and determining whether the value of the parameter is within a range of values that has been predetermined for the particular probe design to indicate that the probe is treating tissue in a desired manner. Power is delivered to the probe according to an algorithm based upon a determination that the value of the parameter is outside the range of values The algorithm delivers power in a pulsed profile including portions of low power and portions of high power. In one embodiment, the tissue treatment is ablation, the parameter is impedance, and the method limits tissue necrosis to less than 200 microns. In another embodiment, the tissue treatment is shrinkage, the parameter is temperature, and the method limits power delivery when the probe is not shrinking tissue.

Abstract: An electrosurgical system for sealing vessels using capacitive (RF) dielectric heating and a method thereof are provided. The system includes an electrosurgical instrument having an end effector with parallel plate electrodes that will clamp onto a vessel and maintain a specified gap distance; however, the electrodes will be coated with a non-conductive dielectric material. Such an end effector will ensure that direct conduction between the electrodes does not occur through tissue or fluids and effectively creates a parallel plate capacitor with a dielectric, e.g., tissue and coating, in between the plates. The electrosurgical instrument will be activated with an AC signal at a specified RF frequency, e.g., a Debye resonance frequency, via an electrosurgical generator. An effective AC current will flow through the tissue and cause heating due to fictional losses from rotating polar molecules in the tissue.

Abstract: Provided is a system and method to target a biological rhythm disorder, such as a heart rhythm disorder. The system and method include processing cardiac signals via a computing device to determine a shape in a region of tissue defined by a source associated with the biological rhythm disorder that migrates spatially on or within the shape, and identifying at least one portion of the tissue proximate to the shape to enable selective modification of the at least one portion of tissue in order to terminate or alter the heart rhythm disorder.

Abstract: A high frequency generator connected to an electrosurgical instrument comprising an electrical output terminal, a power source electrically connected to the output terminal, an arc detector, and a power control for controlling the electrical power delivered through the output terminal. The power control initially causes the delivery of a high output power for a phase for initial cutting support and thereafter, if ignition of an arc has occurred for a predetermined period of time to cause the delivery of reduced or no power and subsequently for a predetermined period of time to cause the delivery of reduced or no power at which no arc occurs, or if no ignition of an arc has occurred during the phase for initial cutting support, to cause the delivery of reduced or no power for a predetermined period of time of a short pause interval.

Abstract: Disclosed are a germicidal system and method for deactivating pathogens on the surface of a bodily extremity protected by a prophylactic covering substantially opaque to UV-C radiation. The device includes an enclosure having one or more openings through which the extremity can be inserted. The enclosure contains a radiation source configured to produce germicidal radiation having a wavelength of about 253.7 nm. The openings are configured relative to the radiation source such that the inserted extremity is in close proximity to the radiation source. The prophylactic covered extremity is preferably a gloved hand thereby sanitizing the surface of the glove. The extremity inserted is preferably exposed for a predetermined period of time to ensure a desired level of sanitization. Optionally, the device can include detectors to determine the position of the hand, the spread of the fingers, and whether the hand is covered by a glove.

Abstract: A radio-frequency electrode that is specially configured to provide a reasonably uniform electric field distribution at the skin surface of a patient being treated to improve the skin appearance. Harmful burning is avoided by employing one of the following four features: pre-applying to the skin a thermal gel, a known thermally and electrically-conductive material, using low radio-frequency power at 3.8-4 MHz, relying on the natural cooling provided by a highly conductive electrode material, and continuously moving the electrode while in contact with the skin. Preferably, all four features are combined in carrying out the cosmetic procedure of the invention. In a preferred embodiment, the highly conductive electrode material is an alloy comprised mainly of silver with a small percentage of ingredients added to strengthen the silver alloy electrode and preserve its luster and the active surface of the electrode is configured as a section of a sphere, or as dome shaped.

Abstract: A method of ablating tissue, comprises anchoring a first electrode at a first location in a target portion of tissue, deploying a second electrode at a second location in the target portion of tissue and applying current between the first and second electrodes to ablate a first ablation portion of tissue in combination with moving an insulative cover relative to the first electrode to move a conductive portion of the first electrode to a third location within the target tissue, the third location being further from the second location than the first location, moving the second electrode to a fourth location within the target tissue, the fourth location being further from the first location than the second location and applying current between the conductive portion of the first electrode and the second electrode to ablate a second ablation portion of tissue surrounding the first ablation portion of tissue.

Abstract: A method and system are disclosed enabling configuration of a control system for an electrosurgical generator system for creating new surgical applications without changing the underlying software system. The electrosurgical generator system includes an RF stage to output at least one waveform of electrosurgical energy; a sensor module having at least one sensor to sense electrical or physical properties related to the output electrosurgical energy and generate sensor data; and at least one control module executable on at least one processor that controls at least one parameter of the output electrosurgical energy. The at least one control module includes an outer loop controller to generate a control signal in accordance with at least a first subset of the sensor data and an inner loop controller to generate a setpoint control signal and provide the setpoint control signal to the RF stage for controlling at least an amplitude of the energy output by the RF stage.

Abstract: An electrosurgical system has an electrosurgical generator with a multiple-phase RF output stage coupled to a multiple-electrode electrosurgical instrument. The instrument has three treatment electrodes each of which is coupled to a respective generator output driven from, for instance, a three-phase output transformer. Continuous RF output voltage waveforms are simultaneously delivered to respective generator outputs at the operating frequency, each waveform being phase-displaced with respect to the other waveforms. The magnitude of the RF output voltage waveform delivered to at least one of the generator outputs is sufficient to cause tissue vaporization at the respective treatment electrodes when the system is used for tissue treatment.

Abstract: A method and system are disclosed enabling configuration of a control system for an electrosurgical generator system for creating new surgical applications without changing the underlying software system. The programmable electrosurgical generator system has an RF output stage for outputting at least one RF operating waveform for performing an electrosurgical procedure. The programmable electrosurgical generator system includes an inner loop system to change at least one parameter of the at least one RF operating waveform; an outer loop system to provide at least one operating command to the inner loop system; and a configuration control system that modifies at least one of the inner and outer loop systems based on received data from a sensor module.

Abstract: A method is disclosed for disrupting capillary blood flow and trapping materials such as chemotherapeutic agents in undesirable tissue, including cells of a cancerous or non-cancerous tumor. The method involves the placement of electrodes into or near the vicinity of capillary vessels supplying blood to capillaries in the undesirable tissue, and application of electrical pulses causing capillary blood flow disruption. In some cases, the electric pulses irreversibly permeate the cell membranes, thereby invoking cell death. The irreversibly permeabilized cells are left in situ and are removed by the body's immune system. The process may further comprise monitoring blood flow and/or infusion of a material such as a chemotherapeutic agent or marker into the blood.

Abstract: Control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: Control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: Skin tissue is subjected to thermal energy that creates heating of the area being treated causing pores and follicle ducts to open so that excess oil, sebum, fatty deposits, or other unwanted deposits can be removed. A vacuum device is used to direct suction to the treated skin area helping to remove the unwanted deposits. Patterned thermal modification of tissue is used to expedite healing and minimize pain. The heating is controlled so that no skin tissue is damaged while still providing enough heat to the skin to alter the flow of sebum and destroy bacteria in the treated area.

Abstract: A bipolar forceps is provided. The bipolar forceps includes a housing having a shaft including an electrically conductive distal end. A drive assembly is operable to reciprocate an actuation tube within the shaft. A portion of the actuation tube is electrically conductive. An end effector assembly operatively connects to the shaft and includes a pair of first and second jaw members biased in an open configuration. The first and second jaw members are pivotable about a living hinge. Distal reciprocation of the actuation tube causes each of the jaw members towards one another about the living hinge. One of the jaw members is in electrical communication with the distal end of the shaft and the other jaw member is in selective electrical communication with a distal end of the actuation tube such that when the jaw members are in a closed configuration a closed loop electrical circuit is formed.

Abstract: A new method for the ablation of undesirable tissue such as cells of a cancerous or non-cancerous tumor is disclosed. It involves the placement of electrodes into or near the vicinity of the undesirable tissue through the application of electrical pulses causing irreversible electroporation of the cells throughout the entire area of the undesirable tissue. The electric pulses irreversibly permeate the cell membranes, thereby invoking cell death. The irreversibly permeabilized cells are left in situ and are removed by the body immune system. The amount of tissue ablation achievable through the use of irreversible electroporation without inducing thermal damage is considerable.

Abstract: Methods and system for treatment planning for non- and minimally-invasive alteration of body adipose tissue for reduction and contouring of body fat are described herein. Treatment plans can be generated by capturing current body part data (e.g., positioning, contour/shape, thickness of adipose tissue, etc.), determining desired outcome of treatment (e.g., percent reduction of adipose tissue thickness, degree of contour change, etc.), and determining treatment parameters to achieve desired results. Algorithms can be used to determine best-fit treatment parameters to use in treatment sessions. In some embodiments, the system can provide a predictive end-result image for communication to patient and/or for determining alteration of desired outcome. In various embodiments, real-time monitoring of feedback data can be used to determine treatment plan efficacy.

Abstract: A method is disclosed for planning the treatment of cardiac arrhythmias by RF ablation with a remote navigation system, including the identification of ablation lines around the pulmonary veins ostia—atrial junctions based on impedance measurements. When used by itself or in conjunction with electro-anatomical approaches, the impedance method therein disclosed enables safe and effective arrhythmia treatment.

Abstract: The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.

Abstract: An electrosurgical system is disclosed comprising a generator configured to electrosurgical coagulation waveforms. The generator includes a closed loop control system for controlling the electrosurgical coagulation waveforms. The closed loop control system includes a sensor configured to sense a tissue property and/or an energy property and to transmit the tissue property and/or the energy property as one or more sensor signals having an amplitude. The control system also includes a gain controller configured to process the at least one sensor signal to reduce the amplitude of the sensor signals and to obtain a signal to noise ratio of the at sensor signals within a predetermine range. A microprocessor coupled to the generator and is configured to adjust the electrosurgical coagulation waveforms as a function of the sensor signals.

Abstract: An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.

Abstract: The treatment device for electrosurgery includes a sheath; a needle-like electrode portion that has a distal end and a proximal end, and treats a target site at the distal end; a first electrode that is provided to the distal end of the needle-like electrode portion; a second electrode of which the relative positional relationship with respect to the first electrode is fixed at a position separated from the first electrode toward the proximal end; an insulator that insulates the first electrode from the second electrode by being interposed between the first and second electrodes; a first conductive portion that applies a high-frequency current to the first electrode; and a second conductive portion that applies a high-frequency current to the second electrode wherein a plurality of electrodes, which become passive electrodes of the high-frequency current between the first electrode and the second electrode, is provided.

Abstract: An apparatus and method for performing non-invasive treatment of the human face and body by electroporation in lieu of cosmetic surgery is provided. The apparatus comprises a high voltage pulse generator and an applicator having two or more electrodes in close mechanical and electrical contact with the patient's skin for applying the pulses to the patient's skin. The applicator may consist of two pieces with one electrode having a sharp tip and another having a flat surface. High voltage pulses delivered to the electrodes create at the tip of the sharp electrode an electric field high enough to cause death of relatively large subcutaneous fat cells by electroporation. Moving the electrode tip along the skin creates a line of necrotic subcutaneous fat cells, which later are metabolized by the body. Multiple applications of the electrode along predetermined lines on the face or neck create shrinkage of the skin and the subcutaneous fat volume underlying the treated area.

Abstract: An electrosurgical forceps includes a selectively advanceable knife and a knife deployment alarm configured to emit a signal under predetermined conditions. An alarm is configured to emit a signal when the cutting blade moves relative to the blade channel. A series of resistances are arranged so that a shorting of each resistor is indicative of a predetermined operating condition triggering the alarm to emit a signal. Pressure sensors, optical measurement devices, and electrical contacts are envisioned for determining blade or trigger actuation or translation.

Abstract: The present invention relates to a system and methods generally aimed at surgery. More particularly, the present invention is directed at a system and related methods for performing surgical procedures and assessments involving the use of neurophysiology.

Abstract: A device and method for valve replacement or valve repair is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding a valve replacement delivery member or a valve repair delivery member within the patient while tracking the position of the delivery member in the patient, positioning the valve replacement member or valve repair member in a desired position to place a valve or repair valve and removing the delivery member from the patient. In one aspect of the invention, a delivery system is provided for percutaneous delivery of a heart valve to a predetermined position in the heart of a patient, where the delivery system itself includes features that allow it to be accurately positioned in the heart. In another aspect of the invention, a delivery system is provided for percutaneous repair of a heart valve in the heart of a patient, where the repair system itself includes features that allow it to be accurately positioned in the heart.

Abstract: An ECG-prep scan is used to set an optimum time phase in both systole and diastole of the heart. At each of the different time phases, an imaging scan is started to acquire a plurality of sets of echo data. An artery/vein visually separated blood flow image is produced from the echo data. The imaging scan uses a half-Fourier technique, for example. This provides high-quality blood flow images with shorter scan time, without injecting a contrast medium. Additionally, with a readout gradient pulse applied substantially parallel with a direction of slowly flowing blood, a scan is performed in synchronism with an optimally determined cardiac time phase. The readout gradient pulse has a dephasing pulse for enhancing differences in a flow void effect depending on blood flow velocities. This enables slow-speed flows, such as blood flows in the inferior limb, to be depicted without fail.