A system is provided that includes a processor circuit in communication with an intravascular imaging catheter. The processor circuit is operable to: receive an intravascular imaging signal; perform, tissue characterization to identify a plaque component of the blood vessel; generate an intravascular image; receive an extravascular image of a blood vessel; co-register the intravascular image and the extravascular image to associate the intravascular image with a location of the blood vessel in the extravascular image; determine, if a spatial distribution of the plaque component within the intravascular image satisfies a criterion associated with the spatial distribution; and when the spatial distribution satisfies the criterion, output a screen display comprising: the extravascular image; and a first indicator at the location of the blood vessel in extravascular image. The first indicator is representative of the spatial distribution of the plaque component. Associated methods and devices are also provided.
An atherectomy device including a handle configured to be manipulated by a user. The device further includes a catheter comprising an outer sheath and a drive shaft carried within and rotatable relative to the outer sheath. A cutter assembly is coupled to and extends distally relative to the outer sheath. The cutter assembly includes a housing coupled to and extending distally from the outer sheath. A proximal cutting element is rotatably carried by the housing, and the proximal cutting element is coupled to and extends distally from the drive shaft. The proximal cutting element includes a cutting stem having at least one cutting feature and at least one cutting blade coupled to the cutting stem. A distal cutting element is carried by the cutting stem and is rotatable with the proximal cutting element relative to the housing. The distal cutting element includes at least one cutting blade.
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images obtained by the imaging catheter while the imaging catheter is moved through a body lumen of a patient, wherein the plurality of intraluminal ultrasound images comprise axial cross-sectional views of the body lumen. The processor circuit is further configured to generate a stylized graphic of the body lumen based on the plurality of intraluminal ultrasound images, wherein the stylized graphic comprises a longitudinal cross-sectional view of the body lumen, and output, to a display in communication with the processor circuit, a screen display comprising the stylized graphic.
Disclosed is an intraluminal ultrasound imaging system, including a processor in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images obtained by the intraluminal ultrasound imaging catheter while the intraluminal ultrasound imaging catheter is moved through a body lumen of a patient. The processor is further configured to determine an orientation of each of the plurality of intraluminal ultrasound images, and display an intraluminal ultrasound image of the plurality of intraluminal ultrasound images, and a directionality indicator identifying the orientation of the intraluminal ultrasound image.
Disclosed is an intraluminal ultrasound imaging system, including a processor in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images obtained by the intraluminal ultrasound imaging catheter while the intraluminal ultrasound imaging catheter is moved through a body lumen of a patient. The processor is further configured to determine an orientation of each of the plurality of intraluminal ultrasound images, and display an intraluminal ultrasound image of the plurality of intraluminal ultrasound images, and a directionality indicator identifying the orientation of the intraluminal ultrasound image.
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images obtained by the imaging catheter while the imaging catheter is moved through a body lumen of a patient. The processor circuit is further configured to determine a longitudinal translation speed of the imaging catheter based on the plurality of images and a known time interval between images, and display a speed indicator based on the longitudinal translation speed.
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit configured for communication with an intraluminal ultrasound imaging catheter, and configured to receive an intraluminal ultrasound image obtained by the imaging catheter while the intraluminal ultrasound imaging catheter is positioned within a body lumen of a patient. The processor circuit is further configured to output, to a display in communication with the processor circuit, at least two image type options, receive a user selection of an image type option, select a preset value for at least one image processing parameter based on the image type option, and display the intraluminal ultrasound image according to the image processing parameter.
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit in communication with an intraluminal ultrasound imaging catheter, wherein the processor circuit is configured to receive a plurality of intraluminal ultrasound images obtained by the intraluminal ultrasound imaging catheter during movement of the intraluminal ultrasound imaging catheter within a body lumen of a patient. The processor circuit is further configured to select an image from among the plurality of intraluminal ultrasound images, generate at least two border contours associated with the lumen within the selected image, display the border contours associated with the lumen, each overlaid on a separate instance of the selected image, receive a user input selecting one of the border contours; and display the selected image overlaid with the selected border contour.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
G06K 9/62 - Methods or arrangements for recognition using electronic means
G06K 9/66 - Methods or arrangements for recognition using electronic means using simultaneous comparisons or correlations of the image signals with a plurality of references, e.g. resistor matrix references adjustable by an adaptive method, e.g. learning
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images from the imaging catheter during movement of the imaging catheter within a body lumen of a patient, the body lumen comprising a plurality of segments. The processor circuit is further configured to generate a marker to be applied to an intraluminal ultrasound image of the plurality of intraluminal ultrasound images, wherein the marker is generated based on the movement of the intraluminal ultrasound imaging catheter, and wherein the marker is representative of a segment of the plurality of segments, and output to a display the marker and the plurality of intraluminal ultrasound images shown successively.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
10.
INTRALUMINAL ULTRASOUND NAVIGATION GUIDANCE AND ASSOCIATED DEVICES, SYSTEMS, AND METHODS
Disclosed is an intraluminal ultrasound imaging system, comprising a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive an intraluminal ultrasound image from the imaging catheter within a body lumen of a patient, the body lumen comprising a plurality of segments. The processor is configured to identify a segment of the plurality of segments where the imaging catheter was located when the image was obtained, and output to a display a stylized figure of the body lumen including the plurality of segments, and an indicator identifying the segment in the stylized figure where the imaging catheter was located when the image was obtained.
Disclosed is an intraluminal ultrasound imaging system, including a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive a plurality of intraluminal ultrasound images obtained by the imaging catheter while the imaging catheter is moved through a body lumen of a patient, wherein the plurality of intraluminal ultrasound images comprise axial cross-sectional views of the body lumen. The processor circuit is further configured to generate a stylized graphic of the body lumen based on the plurality of intraluminal ultrasound images, wherein the stylized graphic comprises a longitudinal cross- sectional view of the body lumen, and output, to a display in communication with the processor circuit, a screen display comprising the stylized graphic.
Intravascular devices, systems, and methods are disclosed. In some embodiments, the intravascular devices include at least one pressure sensing component within a distal portion of the device. In that regard, one or more electrical, electronic, optical, and/or electro-optical pressure-sensing components is secured to an elongated member and the system includes components to process the output signals according to various calibration parameters.
Intravascular devices, systems, and methods are disclosed. In some embodiments, the intravascular devices include at least one pressure sensing component within a distal portion of the device. In that regard, one or more electrical, electronic, optical, and/or electro-optical pressure-sensing components is secured to an elongated substrate such that the pressure-sensing component is mounted perpendicular to a central longitudinal axis of the device. In some implementations, the elongated substrate has a cylindrical profile. Methods of making, assembling, and/or using such intravascular devices and associated systems are also provided.
A method and system for imaging, diagnosing, and/or treating an area of interest in a patient's body is provided. More particularly, a manually steered “rapid exchange” type catheter for a system for imaging, diagnosing, and/or an area of interest in a patient's body is provided. The catheter comprises a catheter body configured to be introduced to an area of interest in a patient's body, a device for imaging, diagnosing, and/or treating the area of interest contained within the catheter body, and a manual steering device attached to the imaging, diagnosing, and/or treating device to allow an operator to manually steer the imaging, diagnosing, and/or treating device, wherein the catheter is configured to be mounted on a commercially available guidewire.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
The present disclosure provides a method of fabricating an ultrasound transducer. A substrate having a first side and a second side opposite the first side is provided. A bottom electrode is formed over the first side of the substrate. A piezoelectric element is formed over the bottom electrode. The piezoelectric element has a chamfered sidewall. A top electrode is formed over the piezoelectric element. A step metal element is formed over a portion of the top electrode proximate to the chamfered sidewall of the piezoelectric element.
H01L 41/09 - Piezo-electric or electrostrictive elements with electrical input and mechanical output
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
H01L 41/31 - Applying piezo-electric or electrostrictive parts or bodies onto an electrical element or another base
H01L 41/29 - Forming electrodes, leads or terminal arrangements
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
H01L 41/08 - Piezo-electric or electrostrictive elements
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire with electrical conductors embedded within a core wire. In some instances, the electrical conductors are coupled to conductive bands adjacent a proximal portion of the guide wire and a sensing element adjacent a distal portion of the guide wire. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
17.
Pressure sensing intravascular devices with reduced drift and associated systems and methods
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
18.
System and method for focusing ultrasound image data
Sold-state intravascular ultrasound (IVUS) imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to flexible and efficient systems for focusing IVUS echo data received from transducers including polymer piezoelectric micro-machined ultrasound transducers (PMUTs). In one embodiment, an ultrasound processing system includes first and second aperture engines coupled to an engine controller, which provides aperture assignments to the first and second aperture engines. The aperture engines receive the assignment and a portion of A-line data, perform one or more focusing process on the received A-line data, and produce focused data in accordance with the aperture assignment. In some embodiments, once an aperture engine has produced focused data, the engine controller clears the aperture engine and assigns another aperture.
G03B 42/06 - Obtaining records using waves other than optical wavesVisualisation of such records by using optical means using ultrasonic, sonic or infrasonic waves
An imaging device for imaging a portion of a patient's vasculature with an imaging element may include a proximal portion having a relatively higher stiffness that provides rigidity for pushing the imaging device through a patient's vasculature, and may include a distal portion having a relatively lower stiffness that enables threading through a curved vasculature of the patient. The imaging device also may include a transition region disposed between the proximal portion and the distal portion.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
Intravascular devices, systems, and methods are disclosed. In some embodiments, a method of assembling an intravascular device is provided that includes positioning a first tubular member around a plurality of conductors and a core member; advancing a first of the plurality of conductors through an opening of the first tubular member; positioning a first conductive member around the first tubular member; and electrically coupling the first of the plurality of conductors to the first conductive member. In some embodiments, an intravascular device is provided that includes an insulating member positioned around a plurality of conductors and a core member and a conductive member positioned around the insulating member, wherein at least one of the plurality of conductors extends through an opening in the insulating member and is electrically coupled to the first conductive member.
A patient communication system having a medical sensing device operable to collect medical data, a network communication module operable to transmit the medical data onto a data network, a controller operable route the first medical sensing data to the network communication module, and a power source operable to provide power to the first medical sensing device, the controller, and the network communication module.
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
22.
Capacitive intravascular pressure-sensing devices and associated systems and methods
Intravascular devices, systems, and methods are disclosed. In some embodiments, the intravascular devices are guide wires that include a capacitive pressure-sensing component disposed at a distal portion of the guide wire. Methods of making such intravascular devices, including various manufacturing and assembling techniques, are disclosed. Systems associated with such intravascular devices and methods of using such devices and systems are also disclosed.
G01L 19/00 - Details of, or accessories for, apparatus for measuring steady or quasi-steady pressure of a fluent medium insofar as such details or accessories are not special to particular types of pressure gauges
B81C 1/00 - Manufacture or treatment of devices or systems in or on a substrate
Disclosed herein is a system and method for characterizing adventitial tissue. In one aspect, a system and method is disclosed that characterizes tissue types within the adventitial tissue including nerve bundles and blood vessels. In a further aspect, the adventitia is imaged and characterized to provide guidance for crossing lesions within an occluded vessel.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
Imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to removing artifacts caused by longitudinal motion of a sensor during imaging. In some embodiments, a medical sensing system includes a de-seaming engine operable to receive a first signal at a first point and second signal at a second point. The first and second points are offset from the pixel in the longitudinal direction. The de-seaming engine corrects for movement in the longitudinal direction by determining a weighted average of the first signal and the second signal. The engine determines a first probability based on the first signal and the weighted average and determines a second probability based on the second signal and the weighted average. The engine selects one of the first and second signal intensities as an intensity of the pixel based on the first and second probabilities.
Intravascular devices, systems, and methods are disclosed. In some embodiments, side-loading electrical connectors for use with intravascular devices are provided. The side-loading electrical connector has at least one electrical contact configured to interface with an electrical connector of the intravascular device. A first connection piece of the side-loading electrical connector is movable relative to a second connection piece between an open position and a closed position, wherein in the open position an elongated opening is formed between the first and second connection pieces to facilitate insertion of the electrical connector between the first and second connection pieces in a direction transverse to a longitudinal axis of the intravascular device and wherein in the closed position the at least one electrical contact is electrically coupled to the at least one electrical connector received between the first and second connection pieces.
H01R 24/00 - Two-part coupling devices, or either of their cooperating parts, characterised by their overall structure
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
A61B 5/0205 - Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
H01R 13/453 - Shutter or cover plate opened by engagement of counterpart
H01R 13/631 - Additional means for facilitating engagement or disengagement of coupling parts, e.g. aligning or guiding means, levers, gas pressure for engagement only
H01R 13/717 - Structural association with built-in electrical component with built-in light source
26.
Laser direct structured connection for intravascular device
The invention generally relates to intravascular imaging catheters and methods of making catheters for imaging systems. The invention provides a connector for an imaging catheter that includes a unitary body with very thin electrical contacts that are formed on the surface of the body. Due to the scale of the contacts, the connector operates essentially as a single unitary piece of material. Each of the leads may be less than about 100 μm wide and less than about 8 μm thick, and further the leads may be spaced apart by less than about 160 μm.
H01R 24/58 - Contacts spaced along longitudinal axis of engagement
H01R 13/631 - Additional means for facilitating engagement or disengagement of coupling parts, e.g. aligning or guiding means, levers, gas pressure for engagement only
H01R 13/03 - Contact members characterised by the material, e.g. plating or coating materials
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
There are described systems and methods of collecting ultrasound information related to a vascular graft condition of a patient and evaluation of the information using a virtual histology tree and hemodynamic information.
The invention generally relates to intraluminal procedures, and, more particularly, to a contra-rotating cutting assembly for use with an atherectomy device to remove occlusive material from an occluded lumen, such as a blood vessel or other body lumen. The contra-rotating cutting assembly includes a rotatable housing having a distal end, an opposing proximal end and a lumen extending between the distal and proximal ends. The housing is configured to rotate about a longitudinal axis in a first direction. The cutting assembly further includes a rotatable cutter head positioned within at least a portion of the lumen of the housing and in coaxial alignment with the housing. The cutter head is configured to rotate about the longitudinal axis in a second direction opposite the first direction.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
29.
INTRAVASCULAR ULTRASOUND DEVICE WITH IMPEDANCE MATCHING STRUCTURE
The present disclosure related generally to ultrasound imaging, such as intravascular ultrasound imaging. For example, some embodiments of the present disclosure provide an ultrasound imaging system with improved acoustic impedance matching between an ultrasonic transducer and a vessel of interest. For example, in some implementations, an ultrasound imaging device includes a flexible elongate member and an ultrasound scanner assembly disposed at a distal portion of the flexible elongate member. The ultrasound scanner assembly includes a plurality of ultrasound transducers arranged circumferentially, and an impedance matching structure is coupled to the plurality of ultrasound transducers. In some such embodiments, the impedance matching structure is disposed radially outward from the plurality of ultrasound transducers, and in some embodiments, the impedance matching structure is disposed radially inward from the plurality of ultrasound transducers.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
G10K 11/00 - Methods or devices for transmitting, conducting or directing sound in generalMethods or devices for protecting against, or for damping, noise or other acoustic waves in general
G01S 7/52 - Details of systems according to groups , , of systems according to group
The invention generally relates to intraluminal procedures, and, more particularly, to a contra-rotating cutting assembly for use with an atherectomy device to remove occlusive material from an occluded lumen, such as a blood vessel or other body lumen. The contra- rotating cutting assembly includes a rotatable housing having a distal end, an opposing proximal end and a lumen extending between the distal and proximal ends. The housing is configured to rotate about a longitudinal axis in a first direction. The cutting assembly further includes a rotatable cutter head positioned within at least a portion of the lumen of the housing and in coaxial alignment with the housing. The cutter head is configured to rotate about the longitudinal axis in a second direction opposite the first direction.
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 17/00 - Surgical instruments, devices or methods
31.
Side-loading connectors for use with intravascular devices and associated systems and methods
Intravascular devices, systems, and methods are disclosed. In some embodiments, side-loading electrical connectors for use with intravascular devices are provided. The side-loading electrical connector has at least one electrical contact configured to interface with an electrical connector of the intravascular device. A first connection piece of the side-loading electrical connector is movable relative to a second connection piece between an open position and a closed position, wherein in the open position an elongated opening is formed between the first and second connection pieces to facilitate insertion of the electrical connector between the first and second connection pieces in a direction transverse to a longitudinal axis of the intravascular device and wherein in the closed position the at least one electrical contact is electrically coupled to the at least one electrical connector received between the first and second connection pieces.
H01R 24/00 - Two-part coupling devices, or either of their cooperating parts, characterised by their overall structure
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/0205 - Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
H01R 13/631 - Additional means for facilitating engagement or disengagement of coupling parts, e.g. aligning or guiding means, levers, gas pressure for engagement only
H01R 13/453 - Shutter or cover plate opened by engagement of counterpart
The present disclosure relates to a coating for medical devices. The lubricious coating includes a primer layer and a top coating layer as well as methods of making and using the same. The primer layer includes a reaction cured product of a multifunctional acrylate and an acid functionalized monoacrylate. The top coating layer includes a reaction cured product of a mixture that includes a hydrophilic polymer comprising polyvinylpyrrolidone, an acid functionalized monoacrylate, and a hydrophilic monomer. The lubricious coating may be coated onto medical devices to form a sensing guide wire, an ultrasound imaging device, and an intravascular imaging device. Associated devices and methods are also provided.
A medical device including an intraluminal imaging apparatus and dual guidewire lumens is provided, allowing more accurate and stable catheter navigation and treatment delivery. The dual lumen catheter may also include members for increased torsional rigidity, distally located functional measurement sensors, and patterned radioopaque markers for orientation of the dual lumen exits.
Sold-state intravascular ultrasound (IVUS) imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to flexible and efficient systems for focusing IVUS echo data received from transducers including polymer piezoelectric micro-machined ultrasound transducers (PMUTs). In one embodiment, an ultrasound processing system includes first and second aperture engines coupled to an engine controller, which provides aperture assignments to the first and second aperture engines. The aperture engines receive the assignment and a portion of A-line data, perform one or more focusing process on the received A-line data, and produce focused data in accordance with the aperture assignment. In some embodiments, once an aperture engine has produced focused data, the engine controller clears the aperture engine and assigns another aperture.
G03B 42/06 - Obtaining records using waves other than optical wavesVisualisation of such records by using optical means using ultrasonic, sonic or infrasonic waves
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire having a polymer jacket applied over communication lines and a core member, where the communication lines have been wrapped around the core member. For example, in some implementations a sensing guide wire includes a proximal portion and a distal portion, the distal portion including: a core member; a plurality of communication lines wrapped around the core member; a polymer jacket formed around the core member and the plurality of communication lines; and a sensing element positioned distal of the polymer jacket and communicatively coupled to the plurality of communication lines. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
This invention relates generally to the detection of objects, such as stents, within intraluminal images using principal component analysis and/or regional covariance descriptors. In certain aspects, a training set of pre-defined intraluminal images known to contain an object is generated. The principal components of the training set can be calculated in order to form an object space. An unknown input intraluminal image can be obtained and projected onto the object space. From the projection, the object can be detected within the input intraluminal image. In another embodiment, a covariance matrix is formed for each pre-defined intraluminal image known to contain an object. An unknown input intraluminal image is obtained and a covariance matrix is computed for the input intraluminal image. The covariances of the input image and each image of the training set are compared in order to detect the presence of the object within the input intraluminal image.
Intravascular devices, systems, and methods are disclosed. In some embodiments, the intravascular devices include at least one electronic, optical, or electro-optical component positioned within a distal portion of the device and one or more connectors positioned at a distal portion of the device. In some instances, the connectors are flexible coils, such as a ribbon coil, formed of a conductive material. In some particular instances, the conductive coil is embedded within a polymer tubing. Further, in some embodiments the electronic, optical, or electro-optical component is positioned within a flexible element at the distal portion of the device. In some instances the flexible element is a coil. Methods of making and/or assembling such intravascular devices/systems are also provided.
The present invention relates to apparatuses for cutting and removing occlusive material with imaging capabilities. According to certain aspects, the apparatus includes a catheter body (302), a rotatable shaft, and an imaging element (311). The catheter body defines a lumen and includes a distal housing that defines an opening. The rotatable shaft is disposed within the lumen of the catheter body. The rotatable shaft includes a conveying component and a cutting element that is at least partially surrounded by the distal housing. The imaging element (311) is located on the distal housing (314) of the catheter body.
The present disclosure provides a method of fabricating an ultrasound transducer. A substrate having a first side and a second side opposite the first side is provided. A bottom electrode is formed over the first side of the substrate. A piezoelectric element is formed over the bottom electrode. The piezoelectric element has a chamfered sidewall. A top electrode is formed over the piezoelectric element. A step metal element is formed over a portion of the top electrode proximate to the chamfered sidewall of the piezoelectric element.
H01L 41/09 - Piezo-electric or electrostrictive elements with electrical input and mechanical output
H01L 41/29 - Forming electrodes, leads or terminal arrangements
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
Imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to removing artifacts caused by longitudinal motion of a sensor during imaging. In some embodiments, a medical sensing system includes a de-seaming engine operable to receive a first signal at a first point and second signal at a second point. The first and second points are offset from the pixel in the longitudinal direction. The de-seaming engine corrects for movement in the longitudinal direction by determining a weighted average of the first signal and the second signal. The engine determines a first probability based on the first signal and the weighted average and determines a second probability based on the second signal and the weighted average. The engine selects one of the first and second signal intensities as an intensity of the pixel based on the first and second probabilities.
An endoluminal filter can have a support structure or frame made of a biodegradable material such as biodegradable metal or biodegradable polymer. The endoluminal filter can further have a plurality of anchor elements made of biodegradable material, which are removed by biodegradation when the endoluminal filter is at least partially incorporated into a wall of a blood vessel. Additionally, the endoluminal filter can have a material capture structure made of a biodegradable material,and it can be attached to the support structure. The endoluminal filters can be configured to allow selective biodegradation of its components.
Devices, systems, and methods automatically detecting anomalous waveforms and eliminating these waveforms from physiologic measurements are disclosed. For example, in some instances a method includes collecting a pressure data from an intravascular device positioned within the vessel of the patient, the pressure data including a pressure waveform for each cardiac cycle of the patient; comparing the pressure waveform for each cardiac cycle of the patient to a reference pressure waveform to identify an anomalous pressure waveform; and calculating a pressure ratio utilizing the pressure data from the intravascular device, wherein data from the anomalous pressure waveform is excluded from the calculation.
Devices, systems, and methods of evaluating risk associated with a condition of the vessel and providing an objective intervention recommendation based on the evaluated risk are disclosed. The method includes steps of obtaining physiologic measurements from a first instrument and a second instrument positioned within the vessel of the patient while the second instrument is moved longitudinally through the vessel from a first position to a second position, obtaining image data from an image of a vessel system, co-registering the physiologic measurements with the image data to produce co-registered physiologic measurements, and determining whether to perform a first surgical procedure or a second surgical procedure, wherein the determining is based on the co-registered physiologic measurements. Associated systems and devices are also provided herein.
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
44.
BEDSIDE INTERFACE FOR PERCUTANEOUS CORONARY INTERVENTION PLANNING
A system configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel is disclosed. It is further disclosed to provide measurements of a vessel that allow assessment of the vessel and, in particular, any stenosis or lesion of the vessel and simulate diagnostic visualizations using a first visualization device and a second visualization device. Displaying, on a first visualization device, an image of the vessel with treatment diagnostic visualizations based on obtained pressure measurements and displaying, on a second visualization device, a portion of the image of the vessel with diagnostic visualizations based on the obtained pressure measurements is disclosed, wherein the portion of the image of the vessel displayed on the second visualization device is a close up of a region of interest of the vessel.
The invention provides methods and systems for correcting translational distortion in a medical image of a lumen of a biological structure. The method facilitates vessel visualization in intravascular images (e.g. IVUS, OCT) used to evaluate the cardiovascular health of a patient. Using the methods and systems described herein it is simpler for a provider to evaluate vascular imaging data, which is typically distorted due to cardiac vessel-catheter motion while the image was acquired.
Intravascular devices, systems, and methods are disclosed. In some instances, a method for treating a vessel of a patient includes collecting intravascular ultrasound imaging data of the placement of the stent using the intravascular ultrasound imaging device, estimating, using a processing device, a restenosis probability value based on the intravascular ultrasound imaging data of the placement of the stent and communicating the estimated restenosis probability value to a clinician. Associated devices and systems are also provided.
Devices, systems, and methods for evaluating patient vasculature are provided. In some instances, the methods can include obtaining external imaging data associated with at least one of a vessel and a heart; obtaining physiology data associated with the vessel; obtaining intravascular imaging data associated with the vessel; co-registering the physiology data and the intravascular imaging data with the external imaging data; generating a three- dimensional graphical representation of the at least one of the vessel and the heart based on the external imaging data, the physiology data, and the intravascular imaging data; and outputting the graphical representation of the at least one of the vessel and the heart to a display device, wherein the graphical representation includes a first indicator associated with a location within the vessel of the co-registered physiology data and a second indicator associated with a location within the vessel of the co-registered intravascular imaging data.
Devices, systems, and methods for identifying and presenting cardiac treatment options, for assessing the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel, by obtaining an image of the vessel, obtaining pressure measurements from the vessel, generating a diagnostic visualization image, identifying a treatment option, and generating a predictive visualization image. The various images and options are displayed on a medical personnel display and a patient display.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
A61B 6/00 - Apparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
49.
DEVICE AND METHOD TO RECOMMEND DIAGNOSTIC PROCEDURE BASED ON CO-REGISTERED ANGIOGRAPHIC IMAGE AND PHYSIOLOGICAL INFORMATION MEASURED BY INTRAVASCULAR DEVICE
Devices, systems, and methods of evaluating risk associated with a condition of the vessel and issuing an automatic recommendation based on co-registered physiological measurements are disclosed. The method includes steps of obtaining image data for the vessel of the patient, obtaining physiological measurements for the vessel of the patient, co- registering the obtained physiological measurements with the obtained image data such that the physiological measurements are associated with corresponding portions of the vessel of the patient, analyzing the co-registered physiology measurements to identify a region of interest, and outputting, to a user interface, a suggested diagnostic procedure for the region of interest based on the analysis of the co-registered physiology measurements.
Devices, systems, and methods of mapping a vessel system of a patient and identifying lesions therein are disclosed. This includes a method of evaluating a vessel of a patient, the method comprising obtaining image data for the vessel of the patient, obtaining physiological measurements for the vessel of the patient, co-registering the obtained physiological measurements with the obtained image data such that the physiological measurements are associated with corresponding portions of the vessel of the patient, analyzing the co-registered physiology measurements to determine a classification of a lesion within the vessel of the patient, and outputting, to a user interface, the classification of the lesion. Other associated methods, systems, and devices are also provided herein.
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 6/00 - Apparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment
A61B 6/12 - Arrangements for detecting or locating foreign bodies
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
Devices, systems, and methods of evaluating a vascular system of a patient, are provided. In some instances, the method includes obtaining external imaging data associated with the heart; obtaining cardiac test data associated with the heart; generating a three-dimensional graphical representation of the heart using the external imaging data and the cardiac test data; and outputting the graphical representation of the heart to a display device, wherein the graphical representation of the heart includes a graphical representation of the cardiac test data. Corresponding systems and devices are also provided.
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
A61B 6/00 - Apparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment
Endoluminal filters (100) are disclosed in some embodiments that include a support frame (102) forming a first loop (106) and a second loop (108) where the walls of the support frame do not cross over each other. The endoluminal filters also include a material capture structure (104) extending between the first loop or second loop. Endoluminal filters are disclosed including a first support member and a second support member forming a crossover (122) with the first support member fixed to the second support member. The endoluminal filters also include a material capture structure (104) extending between the first and second support members, the crossover, and the first end or the second end of the first support member. Methods for making the endoluminal filters are disclosed, such as 3D printing and laser cutting tubular or flat materials. Methods for deploying the endoluminal filters are also disclosed.
Devices, systems, and methods directed to evaluating a vessel of a patient are provided. The method includes outputting, to a display, a screen display including: a visual representation of a pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved longitudinally through the vessel and the first instrument remains stationary within the vessel; and a visual representation of the vessel; receiving a user input to modify one of the visual representations of the pressure ratio and the vessel to simulate a therapeutic procedure; and updating the screen display, in response to the user input, including: modifying the selected one of the visual representation of the pressure ratio and the vessel based on the received user input; and correspondingly modifying the unselected one of the visual representation of the pressure ratio and the vessel.
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
54.
PERCUTANEOUS CORONARY INTERVENTION (PCI) PLANNING INTERFACE AND ASSOCIATED DEVICES, SYSTEMS, AND METHODS
A method of evaluating a vessel of a patient is provided. The method includes outputting, to a display device, a screen display including: a visualization based on pressure measurements obtained from a first instrument and a second instrument positioned within the vessel of the patient while the second instrument is moved longitudinally through the vessel and the first instrument remains stationary within the vessel; and a visual representation of a vessel; receiving a user input to modify the visualization to simulate a therapeutic procedure; and updating the screen display, in response to the user input, including modifying the visualization based on the user input.A system for evaluating a vessel of a patient is also provided. The system includes first and second instruments sized and shaped for introduction into the vessel of the patient; and a processing system communicatively coupled to the first and second instruments and a display device.
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
55.
Laser direct structured connection for intravascular device
The invention generally relates to intravascular imaging catheters and methods of making catheters for imaging systems. The invention provides a connector for an imaging catheter that includes a unitary body with very thin electrical contacts that are formed on the surface of the body. Due to the scale of the contacts, the connector operates essentially as a single unitary piece of material. Each of the leads may be less than about 100 μm wide and less than about 8 μm thick, and further the leads may be spaced apart by less than about 160 μm.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire (100) with distal tip element (104) having a radiopaque marker (126) pattern. For example, in some implementations a sensing guide wire includes a flexible elongate member (102); a sensing element (108) coupled to the flexible elongate member; a flexible tip (104) element coupled to and extending distally from the sensing element, the flexible tip element having a first radiopaque section (126), a second radiopaque section (126), and a non-radiopaque section (128) positioned between the first and second radiopaque sections. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire with distal tip element having a radiopaque marker pattern. For example, in some implementations a sensing guide wire includes a flexible elongate member; a sensing element coupled to the flexible elongate member; a flexible tip element coupled to and extending distally from the sensing element, the flexible tip element having a first radiopaque section, a second radiopaque section, and a non-radiopaque section positioned between the first and second radiopaque sections. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Solid-state ultrasound imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to identifying and removing artifacts in ultrasound data due to side lobes, grating lobes, and/or other effect. In some embodiments, an ultrasound processing system includes an interface operable to receive A-line signal data and a focusing engine operable to perform a focusing process on the received A-line signal data to produce focused A-line signal data. The ultrasound processing system also includes a coherency unit operable to determine a measurement of coherency of the received A-line signal data. The ultrasound processing system further includes an adjustment unit operable to determine an adjustment to the focused A-line signal data based on the measurement of coherency, and a compensation unit operable to apply the adjustment to the focused A-line signal data.
Solid-state ultrasound imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to identifying and removing artifacts in ultrasound data due to side lobes, grating lobes, and/or other effect. In some embodiments, an ultrasound processing system (800) includes an interface operable to receive A-line signal data (602) and a focusing engine (604-612) operable to perform a focusing process on the received A-line signal data (602) to produce focused A-line signal data. The ultrasound processing system (800) also includes a coherency unit (802) operable to determine a measurement of coherency of the received A-line signal data (602). The ultrasound processing system (800) further includes an adjustment unit (804) operable to determine an adjustment to the focused A-line signal data based on the measurement of coherency, and a compensation unit (812) operable to apply the adjustment to the focused A-line signal data.
A system for guiding placement of a filter within the vasculature of a patient comprises a delivery device having a proximal end and a distal end, a distal portion of the delivery device being configured to receive the filter to be placed. The system further comprises an intravascular ultrasound transducer disposed at the distal end of the delivery device and an interface configured to receive input regarding a surgical procedure including an insertion site and a destination site for placing the filter according to the surgical procedure. The system further comprises a display and a processor that is programmed to: receive input from the interface regarding the surgical procedure, to determine anatomical landmarks between the insertion site and the destination site, to receive an intravascular ultrasound signal from the intravascular ultrasound transducer, to process the intravascular ultrasound signal into an image; and to send the image to the display.
An intravascular ultrasound (IVUS) device includes a catheter body having a proximal portion and an opposing distal portion; a transducer array disposed adjacent the distal portion, the transducer array having a plurality of transducers and each of the plurality of transducers having a maximum width, wherein the plurality of transducers are positioned circumferentially around the catheter body with a minimum spacing between adjacent transducers that is at least twice as large as the maximum width. A minimally invasive measuring device includes an elongate body configured for insertion in a patient, the elongate body having a proximal portion and an opposing distal portion; and a transducer array disposed adjacent the distal end, the transducer array having a plurality of transducers disposed circumferentially around the elongate body, the plurality of transducers comprising 3 to 16 transducers. A method of generating an intravascular measurement using an intravascular device is provided.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular devices are guide wires that include a distal sensing element mounted partially within a housing and embedded and/or surrounded by a flexible adhesive. For example, in some implementations a sensing guide wire includes a flexible elongate member; a housing coupled to the flexible elongate member; a flexible element extending distally from the housing; and a sensing element coupled to the flexible elongate member such that a proximal portion of the sensing element is positioned within the housing and a distal portion of the sensing element is positioned within the flexible element. A flexible adhesive can embed or surround the distal portion of the sensing element positioned within the flexible element. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
63.
BEDSIDE CONTROLLER FOR ASSESSMENT OF VESSELS AND ASSOCIATED DEVICES, SYSTEMS, AND METHODS
Devices, systems, and methods for evaluating a vessel of a patient are provided. The method includes outputting, to a touch-sensitive display of a bedside controller, a screen display including: a visual representation of a first pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved from a distal position to a proximal position relative a stenosis and the first instrument remains stationary; and a first proximal pressure waveform and a first distal pressure waveform; receiving, through the touch-sensitive display of the bedside controller, a user touch input on the first proximal pressure waveform and/or the first distal pressure waveform identifying a time at which pressure measurements were obtained; and modifying the screen display, in response to the user touch input, to further include a visual representation of the obtained pressure measurements corresponding to the identified time.
Embodiments of the present disclosure are configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel.In some particular embodiments, the devices, systems, and methods of the present disclosure are configured to assess the severity of a stenosis in the coronary arteries by monitoring fluid flow.In some embodiments, the devices, systems, and methods of the present disclosure receive analog sensor data that includes fluid flow data and digitizes the analog sensor data according to a quadrature sampling rate.A weighted accumulator performs a baseband conversion on the digitized sensor data and may perform other signal processing steps.The processed data is then provided for use in any one of a number of diagnostic assessments.
Devices, systems, and methods for evaluating a vessel of a patient are provided. The method includes outputting, to a touch-sensitive display of a bedside controller, a screen display including: a visual representation of a first pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved from a distal position to a proximal position relative a stenosis and the first instrument remains stationary; and a first proximal pressure waveform and a first distal pressure waveform; receiving, through the touch-sensitive display of the bedside controller, a user touch input on the first proximal pressure waveform and/or the first distal pressure waveform identifying a time at which pressure measurements were obtained; and modifying the screen display, in response to the user touch input, to further include a visual representation of the obtained pressure measurements corresponding to the identified time.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular devices are guide wires (100) that include a distal sensing element (108) mounted partially within a housing (124) and embedded and/or surrounded by a flexible adhesive (132). For example, in some implementations a sensing guide wire includes a flexible elongate member (102); a housing (124) coupled to the flexible elongate member; a flexible element (122) extending distally from the housing; and a sensing element (108) coupled to the flexible elongate member (102) such that a proximal portion of the sensing element (108) is positioned within the housing (124) and a distal portion of the sensing element is positioned within the flexible element (122). A flexible adhesive (132) can embed or surround the distal portion of the sensing element (108) positioned within the flexible element (122). Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Pressure-sensing intravascular devices, systems, and methods are provided. In some instances, the pressure-sensing intravascular devices include a cylindrical body having a proximal portion and a distal portion; a pressure-sensing component coupled to the distal portion of the cylindrical body, the pressure-sensing component being at least partially wrapped around a circumference of the cylindrical body; and a communication cable coupled to the pressure sensing component. The intravascular devices can be catheters and/or guidewire. Associated systems and methods are also provided.
Pressure-sensing intravascular devices, systems, and methods are provided. In some instances, the pressure-sensing intravascular devices include a cylindrical body having a proximal portion and a distal portion; a pressure-sensing component coupled to the distal portion of the cylindrical body, the pressure-sensing component being at least partially wrapped around a circumference of the cylindrical body; and a communication cable coupled to the pressure sensing component. The intravascular devices can be catheters and/or guidewire. Associated systems and methods are also provided.
Intravascular devices, systems, and methods are provided. In some embodiments, the intravascular devices are catheters with a plurality of openings in a distal portion to facilitate taking pressure measurements from within a lumen of the catheter. The intravascular device includes a tubular member that has a proximal portion and a distal portion; a lumen extending from the proximal portion to the distal portion along a longitudinal axis of the tubular member, the lumen sized and shaped to receive a pressure sensing device; and openings spaced along the distal portion of the tubular member, the openings sized and shaped to provide fluidic communication between the lumen and a region surrounding the tubular member to allow the pressure sensing device to measure an ambient pressure of the region surrounding the tubular member from within the lumen. An intravascular system and a method for obtaining pressure measurements are also provided.
An intravascular ultrasound (IVUS) imaging system is provided. The IVUS imaging system includes an intravascular device including a transducer shaft with an ultrasound transducer at a distal end. The IVUS imaging system also includes an interface module removably coupled to the intravascular device. The interface module includes a connector rotatably coupled to a proximal end of the transducer shaft; a motor coupled to the connector; a spinning element coupled to the motor, wherein the spinning element comprises four conductive rings; a stationary element comprising a plurality of brushes, wherein the stationary element is disposed proximate the spinning element such that a different one of the plurality of brushes is in mechanical contact with each of the four conductive rings; and four conductors coupled to the connector and the spinning element such that the stationary element and the intravascular device are in electrical communication.
Intravascular devices, systems, and methods are provided. In some embodiments, the intravascular devices are catheters with a plurality of openings in a distal portion to facilitate taking pressure measurements from within a lumen of the catheter. The intravascular device includes a tubular member that has a proximal portion and a distal portion; a lumen extending from the proximal portion to the distal portion along a longitudinal axis of the tubular member, the lumen sized and shaped to receive a pressure sensing device; and openings spaced along the distal portion of the tubular member, the openings sized and shaped to provide fluidic communication between the lumen and a region surrounding the tubular member to allow the pressure sensing device to measure an ambient pressure of the region surrounding the tubular member from within the lumen. An intravascular system and a method for obtaining pressure measurements are also provided.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire with an adhesive (132) filled distal coil (122). For example, in some implementations a sensing guide wire includes a flexible elongate member (120); a sensing element (108) coupled to a distal portion of the flexible elongate member; and a flexible element (122) filled with a flexible adhesive (132) extending distally from the sensing element. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Embodiments of the present disclosure are related to intravascular devices having improved rapid-exchange configurations and associated systems and methods. In some particular embodiments, the devices of the present disclosure include a reinforced rapid-exchange port, an offset rapid-exchange port, and/or combinations thereof. For example, in some implementations an intravascular imaging device is provided that includes a main catheter body; a rotational imaging element positioned within a lumen of the main catheter body; a distal portion extending from the main catheter body, the distal portion having a rapid-exchange port in communication with a guidewire lumen, the rapid-exchange port and the guidewire lumen sized and shaped to receive a guidewire; and at least one reinforcing element positioned adjacent to the rapid-exchange port.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire (100) with an adhesive filled flexible element (120). For example, in some implementations a sensing guide wire includes a flexible elongate member (102); a flexible element (120) extending distally from the flexible elongate member; a core member (126) extending within a lumen of the flexible element; at least one flexible adhesive (132) filling at least a portion of the lumen between the core member and the flexible element along a length of the flexible element; and a sensing element (108) positioned distal of the flexible element. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Embodiments of the present disclosure are related to intravascular imaging devices having a low reverberation housing and associated systems and methods. In some particular embodiments, the devices of the present disclosure include a transducerhousing having a trough on the backside of the ultrasound transducer to deflect ultrasound signals away from the ultrasound transducer. For example, in some implementations an intravascular imaging device is provided that includes a catheter body; a drivecable extending through a lumen of the catheter body; a housing coupled to a distal section of the drive cable; and an ultrasound transducer mounted within the housing, wherein the housing includes a trough on a backside of the ultrasound transducer, the trough shaped to deflect ultrasound signals away from the ultrasound transducer. Methods of making such devices and systems are also provided.
The invention provides devices with integrated intravascular imaging and methods for crossing a CTO within the true lumen of a vessel. An interventional catheter with intravascular imaging capabilities can be guided into an affected vessel and to a CTO. An included intravascular imaging device captures a 3D image of the environment. The catheter includes a crossing member that can be extended out from a distal tip of the catheter, causing the crossing member to directly cross through the CTO creating a new channel through the CTO.
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
77.
ENDOLUMINAL FILTER HAVING ENHANCED ECHOGENIC PROPERTIES
An endoluminal filter, comprising a first support member having a first end and a second end; and a second support member attached to the first end of the first support member or the second end of the first support member and forming a crossover with the first support member to form two loops one on either side of the crossover, wherein at least a portion of the first support member, the second support member, the first end, the second end or a region adjacent to the cross over or any portion of one of the above is modified to provide an enhanced echogenic characteristic of the endoluminal filter. A method of positioning a filter within a lumen, comprising advancing a sheath containing a filter through the lumen; deploying a portion of the filter from the sheath into the lumen to engage the lumen wall while maintaining substantially all of a material capture structure of the filter within the sheath; and deploying the material capture structure of the filter from the sheath to a position across the lumen, wherein any of the above steps are performed using an intravascular ultrasound system and the filter is modified to provided at least one echogenic characteristic.
There are described a variety of intravascular filters have wherein at least a portion of the filter has been modified to provide an enhanced echogenic characteristic of the filter.
A61F 2/01 - Filters implantable into blood vessels
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
Solid-state ultrasound imaging devices, systems, and methods are provided. Some embodiments of the present disclosure are particularly directed to compact and efficient ultrasound transducer scanner formed from a substantially cylindrical semiconductor substrate. In some embodiments, an intravascular ultrasound (IVUS) device includes: an ultrasound scanner assembly disposed at a distal portion of the flexible elongate member, the ultrasound scanner assembly including a semiconductor substrate having a plurality of transistors formed thereupon. The semiconductor substrate is curved to have a substantially cylindrical form when the ultrasound scanner assembly is in a rolled form, and the plurality of transistors are arranged in a cylindrical arrangement when the ultrasound scanner assembly is in the rolled form. In one such embodiment, the device further includes a plurality of ultrasound transducers formed upon the semiconductor substrate and arranged in a cylindrical arrangement when the ultrasound scanner assembly is in the rolled form.
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
80.
RETRIEVAL AND CENTERING DEVICE AND METHOD WITH PRESSURE AND ULTRASOUND FEATURES
The present invention relates generally to devices and methods for retrieving or manipulating objects within a lumen. More specifically, embodiments of the invention relate to devices and methods for retrieving or manipulating medical devices from a body lumen. One embodiment of the present invention provides a novel and improved retrieval snare and method of fabricating and using the same. The snare includes a snare wire, having a distal end and a proximal end, for use in the human anatomy, such as but not limited to blood vessels, pulmonary airways, reproductive anatomy, gastrointestinal anatomy, and organs such as the kidneys or lungs. The device enables a user to capture a foreign object located within the human anatomy, grasp said object in a controlled manner, and retrieve and remove said object from the human anatomy.
The present disclosure is directed to intravascular devices, systems, and methods having a core wire with multiple flattened sections. In one aspect, a sensing guide wire (100) is provided. The guide wire includes a first flexible elongate member (102); a sensing element (108) positioned at a distal portion of the first flexible elongate member; and a second flexible elongate member (350) coupled to the first flexible elongate member such that the second flexible elongate member extends distally from the first flexible elongate member; and wherein a distal portion of the first flexible elongate member includes at least two flattened sections (304, 306), and wherein the first and second flexible elongate members are coupled along a portion of one of the at least two flattened sections. In other aspects, methods of forming a sensing guide wire are provided.
Devices, systems, and methods for visually depicting a vessel and evaluating treatment options are disclosed. The methods can include obtaining proximal pressure measurements from a proximal pressure sensing component positioned within a vessel of a patient; obtaining distal pressure measurements from multiple pressure sensing components positioned within the vessel of the patient, wherein the multiple pressure sensing components are positioned distal of the proximal pressure sensing component and are spaced along a length of the vessel; and outputting a screen display having a visual representation of the proximal and distal pressure measurements.
A method of imaging a blood vessel is provided. The method includes obtaining fluoroscopic image data of a region of interest in a blood vessel using an x-ray source; obtaining intravascular ultrasound (IVUS) data at a plurality of positions across the region of interest using an IVUS component disposed on an intravascular device; processing the fluoroscopic image data and IVUS data, including: determining, using the fluoroscopic image data, a position of the intravascular device with respect to the x-ray source at each of the plurality of positions across the region of interest; co-registering the fluoroscopic image data and the IVUS image data; and generating, a model of the region of interest including position information of a border of a lumen of the blood vessel at each of the plurality of locations; and outputting a visual representation of the model of the region of interest.
A61B 6/12 - Arrangements for detecting or locating foreign bodies
A61B 6/00 - Apparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
G01S 15/89 - Sonar systems specially adapted for specific applications for mapping or imaging
Devices, systems, and methods for visually depicting a vessel and evaluating treatment options are disclosed. The methods can include obtaining proximal pressure measurements from a proximal pressure sensing component positioned within a vessel of a patient; obtaining distal pressure measurements from multiple pressure sensing components positioned within the vessel of the patient, wherein the multiple pressure sensing components are positioned distal of the proximal pressure sensing component and are spaced along a length of the vessel; and outputting a screen display having a visual representation of the proximal and distal pressure measurements.
Devices, systems, and methods for visually depicting a vessel and evaluating treatment options are disclosed. The methods can include introducing instruments into the vessel of a patient and obtaining proximal and distal pressure measurements of a stenosis of the vessel,calculating a pressure ratio based on the obtained proximal and distal pressure measurements, applying a correlation factor to the calculated pressure ratio to produce a predicted diagnostic pressure ratio, and displaying the predicted diagnostic pressure ratio to a user.
The invention provides methods and devices for treating liver cirrhosis or portal hypertension by creating an intrahepatic shunt, or new passage, from a portal vein of a patient to a hepatic vein using a device with intravascular imaging capabilities and pressure sensing capabilities or positioning mechanisms. The integration of intravascular imaging aids in the precise placement of the shunt and pressure measurement may verify successful shunt creation. An apparatus may include a catheter with an extended body for insertion into a hepatic vein of a patient, an intravascular imaging device and a needle exit port on the distal portion of the extended body, and a needle disposed within a lumen in the catheter and configured to be pushed out of the exit port and extend away from a side of the extended body, in which the needle includes a pressure sensor.
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 17/00 - Surgical instruments, devices or methods
87.
Solid-state imaging device and manufacturing method of the same, and electronic apparatus
The present disclosure relates to a solid-state imaging device and a manufacturing method of the same, and an electronic apparatus, capable of more reliably suppressing occurrence of color mixing. A trench is formed between PDs so as to be opened to a light receiving surface side of a semiconductor substrate on which a plurality of the PDs, each of which receives light to generate charges, are formed, an insulating film is embedded in the trench and the insulating film is laminated on a back surface side of the semiconductor substrate. Then, a light shielding portion is formed so as to be laminated on the insulating film and to have a convex shape protruding to the semiconductor substrate at a location corresponding to the trench. The present technology can be applied to a back surface irradiation type CMOS solid-state imaging device.
Devices, systems, and methods configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel, provide visual depictions of vessel that allow assessment of the vessel and, in particular, any stenosis or lesion of the vessel, simulate one or more treatment options for the vessel, and perform treatment on any stenosis or lesion of the vessel, including guiding placement of one or more treatment devices are provided. The method can include obtaining pressure measurements from first and second instruments positioned within a vessel of a patient during a diagnostic procedure where the second instrument is moved longitudinally through the vessel; identifying a treatment option based on the obtained pressure measurements; and performing the identified treatment option, wherein a user display guides placement of one or more treatment devices associated with the identified treatment option.
A61B 5/05 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
Devices, systems, and methods of imaging a blood vessel are provided. For example, the method can include obtaining fluoroscopic image data of a region of interest in a blood vessel using an x-ray source; obtaining intravascular ultrasound (IVUS) data at a plurality of positions across the region of interest using an IVUS component disposed on an intravascular device; processing the fluoroscopic image data and IVUS data, including: determining, using the fluoroscopic image data, a position of the intravascular device with respect to the x-ray source at each of the plurality of positions across the region of interest; co-registering the fluoroscopic image data and the IVUS image data; and generating, a model of the region of interest including position information of a border of a lumen of the blood vessel at each of the plurality of locations; and outputting a visual representation of the model of the region of interest.
Devices, systems, and methods configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel, provide visual depictions of vessel that allow assessment of the vessel and,in particular, any stenosis or lesion of the vessel, simulate one or more treatment options for the vessel, and perform treatment on any stenosis or lesion of the vessel, including guiding placement of one or more treatment devices are provided. The method can include obtaining pressure measurements from first and second instruments positioned within a vessel of a patient during a diagnostic procedure where the second instrument is moved longitudinally through the vessel; identifying a treatment option based on the obtained pressure measurements; and performing the identified treatment option, wherein a user display guides placement of one or more treatment devices associated with the identified treatment option.
A medical device and method are provided for accessing a side branch in an artery. The device includes a catheter having a sidewall, an internal lumen, and a side port formed through the sidewall. A perforating guide wire has a proximal portion within the internal lumen and a distal portion arranged to be movable out of the side port. The guide wire can be delivered through the side port to a side branch artery when the catheter is deployed to a location with the side port aligned with the side branch artery. In another embodiment, the catheter has inner and outer telescoping tubes with offset exit ports formed therein. The telescoping tubes can be used to change the degree of deflection of the perforating guide wire by changing the relative positions of the offset exit ports.
Intravascular devices, systems, and methods are provided. In one embodiment, an intravascular system includes an intravascular device and a computing device in communication with the intravascular device, the computing device operable to: present a set of mode options to a user at a user display device; receive a mode selection from the presented set of mode options; determine a set of operating parameters based on the mode selection; receive a first set of medical sensing data; and process the first set of medical sensing data according to the operating parameters, wherein the computing device is further operable to determine the set of operating parameters based on at least one of a previous mode selection, a user preference, an operative course of a medical procedure, patient information, the first set of medical sensing data, a second set of medical sensing data, a status indicator, or a sensing device identifier.
A method and system is provided for using backscattered data and known parameters to characterize vascular tissue. Specifically, methods and devices for identifying information about the imaging element used to gather the backscattered data are provided in order to permit an operation console having a plurality of Virtual Histology classification trees to select the appropriate VH classification tree for analyzing data gathered using that imaging element. In order to select the appropriate VH database for analyzing data from a specific imaging catheter, it is advantageous to know information regarding the function and performance of the catheter, such as the operating frequency of the catheter and whether it is a rotational or phased-array catheter. The present invention provides a device and method for storing this information on the imaging catheter and communicating the information to the operation console. In addition, information related to additional functions of the catheter may also be stored on the catheter and used to further optimize catheter performance and/or select the appropriate Virtual Histology classification tree for analyzing data from the catheter imaging element.
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
G06K 19/077 - Constructional details, e.g. mounting of circuits in the carrier
94.
Devices, systems, and methods for controlling field of view in imaging systems
Devices, systems, and methods for controlling an intravascular imaging device are provided. For example, in one embodiment a method includes communicating a control signal to an actuator of the intravascular imaging device to cause oscillation of an imaging element of the intravascular imaging device, wherein the intravascular imaging device further includes an acoustic marker; receiving imaging data from the imaging element of the intravascular imaging device; identifying the acoustic marker in the imaging data by determining a correlation between the imaging data and a template representative of the acoustic marker; adjusting an aspect of the control signal based on identifying the acoustic marker; and communicating the adjusted control signal to the actuator of the intravascular imaging device.
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
G01S 15/89 - Sonar systems specially adapted for specific applications for mapping or imaging
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
95.
Systems and methods for evaluating hemodialysis arteriovenous fistula maturation
The invention relates to evaluation of maturity of arteriovenous (AV) fistula using guidewires that measure intravascular blood flow and/or pressure. The invention provides methods of evaluating AV fistula maturation using an instrumented guidewire to measure intravascular flow and/or pressure. By using a small diameter guidewire that does not interfere substantially with the flow, an accurate measurement can be made that is useful for identifying when a fistula is mature and therefore ready to be used for hemodialysis. The flow of blood through the fistula is measured using the guidewire and the measured flow and/or pressure of blood is used to determine if the fistula is mature.
Intravascular devices, systems, and methods are disclosed. In some embodiments, an intravascular pressure measurement device is provided. The intravascular device includes a flexible elongate member with a proximal portion and a distal portion and a lumen extending therethrough. The lumen is configured to allow the passage of a guidewire. The distal portion of the member includes first and second distal sections. The second distal section having an outer diameter that is smaller than the outer diameter of the first distal section. The intravascular device further includes a first pressure sensor disposed within the wall of the first distal section of the flexible elongate member to measure the pressure within the lumen.
Embodiments of the present disclosure are configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel. In some particular embodiments, the devices, systems, and methods of the present disclosure are configured to assess the severity of a stenosis in the coronary arteries by monitoring fluid flow. In some embodiments, the devices, systems, and methods of the present disclosure include a flow-sensing element within a distal portion of an intravascular device that is mounted at an oblique angle with respect to a central longitudinal axis of the intravascular device. The angled flow-sensing element can be oriented away from a vessel wall and towards the center of the vessel lumen through rotation of the intravascular device.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire having a core wire formed of multiple materials. For example, a sensing guide wire is provided that includes a core member having an inner section and an outer section surrounding the inner section, wherein the inner section is formed of a first material and the outer section is formed of a second material that is different than the first material; and a sensing element coupled to a distal portion of the core member. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
Embodiments of the present disclosure are configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel. In some particular embodiments, the devices, systems, and methods of the present disclosure are configured to assess the severity of a stenosis in the coronary arteries by monitoring fluid flow. In some embodiments, the devices, systems, and methods of the present disclosure include a flow-sensing element within a distal portion of an intravascular device that is mounted at an oblique angle with respect to a central longitudinal axis of the intravascular device. The angled flow-sensing element can be oriented away from a vessel wall and towards the center of the vessel lumen through rotation of the intravascular device.
Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire having a core wire formed of multiple materials. For example, a sensing guide wire is provided that includes a core member having an inner section and an outer section surrounding the inner section, wherein the inner section is formed of a first material and the outer section is formed of a second material that is different than the first material; and a sensing element coupled to a distal portion of the core member. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided.
