Abstract:
A catheter including a distal end assembly having an external surface coating. Where the distal end assembly includes electrodes or other electrical components, the coating is preferably electrically conductive. Such an electrically conductive coating is formed from a material comprising regenerated cellulose, although other materials such as a hydrogel or a plastic having an electrically conductive component are utilizable. Where the distal end assembly includes optical or ultrasonic components, the regenerated cellulose coating is suitable. The robustness of the surface coating permits the manufacture and utilization of electrode configurations that are formed on a non-conductive base member by processes such as pad printing, vapor deposition, ion beam assisted deposition, electroplating and other printed circuit manufacturing processes. Additionally, because the surface coating produces a smooth outer surface to the distal end assembly, lead wires and temperature sensing devices can be bonded to the exterior surface of electrodes and then coated to produce a smooth outer surface; thus providing a simple, inexpensive manufacturing method for the attachment of such components to the electrodes.
Abstract:
This invention is devices and methods for ablating body tissue which use wire (44) wound about a support body (12) in adjacent windings to form one or more elongated electrodes. A connection couples the wire to a source of ablation energy for transmission by the elongated electrode to ablate tissue. The adjacent windings are spaced apart to impart enhanced flexibility to the elongated electrode during use.
Abstract:
A catheter (10) has an electrode tip assembly (16) that is bendable at the selection of the user in two different directions. The electrode tip assembly (16) assumes a different predetermined curve configuration when bent in the two directions.
Abstract:
Devices and procedures are shown for non-surgically repositioning an atrial appendage (17) using a grasping catheter (40), and for affixing the appendage in the new position, thereby minimizing thrombus formation, especially for patients with atrial fibrillation.
Abstract:
An electrode support structure comprises a distal hub (48) and a proximal base (12) aligned along a major axis with the distal hub (48). An array of generally flexible spline elements (180) extends between the hub (48) and the base (12). The spline elements (180) each have an elongated axis that, at the base (12), extends generally parallel to the major axis and, at the hub (48), extends at an angle measured relative to the major axis of between 45 degrees and 110 degrees. The spline elements (180) collectively define a distal surface (66) lying within an envelope that approximates the curvature of endocardial tissue and within which envelope the distal hub (48) lies. According to this aspect of the invention, the distal surface (66), when contacting endocardial tissue, increases in surface area in response to force applied generally along the major axis to mediate tissue pressure.
Abstract:
This invention is a catheter assembly (10) which has a distal end adapted for insertion into a living body, and a proximal end adapted to remain external to said body, or a cable for use in such an assembly that includes a cylindrical surface on which is inscribed a plurality of markings (16). Each of the markings indicates one of the specific locations within the living body at which the distal end may be placed during insertion. The markings are positioned at spaced intervals around the circumference of the cylindrical surface. A sleeve (18) is rotatably and/or axially movable around the cylindrical surface, the sleeve being provided with at least one window (20) adapted to be moved into alignment with a selected one of the markings.
Abstract:
This invention is systems and methods to examine heart tissue morphology using three or more spaced electrodes (38), at least two of which are located within the heart in contact with endocardial tissue. The systems and methods transmit electrical current through a region of heart tissue lying between selected pairs of electrodes (224), at least one of the electrodes in each pair being located within the heart. The systems and methods derive the electrical characteristic of tissue between the electrode pairs (206) based, at least in part, upon sensing tissue impedances.
Abstract:
Des systèmes d'ablation de tissus régulent la puissance haute fréquence alimentant une électrode à ablation (16), en se basant sur des mesures (72) de la puissance réelle sensible à la phase, et sans être affectés par des décalages de phase entre le courant et la tension haute fréquence. Les systèmes détectent également ces différences de phase (70), si elles se développent, et intègrent ce facteur (30) dans leurs décisions de commande.
Abstract:
This invention is a catheter assembly (10) which has a distal end adapted for insertion into a living body, and a proximal end adapted to remain external to said body, or a cable for use in such an assembly that includes a cylindrical surface on which is inscribed a plurality of markings (16). Each of the markings indicates one of the specific locations within the living body at which the distal end may be placed during insertion. The markings are positioned at spaced intervals around the circumference of the cylindrical surface. A sleeve (18) is rotatably and/or axially movable around the cylindrical surface, the sleeve being provided with at least one window (20) adapted to be moved into alignment with a selected one of the markings.