Abstract:
A method of diagnosing and treating the human or animal body comprises feeding a flexible guide wire (10) along a blood vessel in the human or animal body and epicardially mapping the electrocardiographic signals by means of electrodes (19) secured to the guide wire (10). The method of diagnosing and treating the human or animal body may include the step of ablating selected body tissue by establishing a DC or radio frequency current through the body tissue between a pair of electrodes (19) in which at least one of the electrodes (19) is located on the guide wire (10). The method may also include passing flowable material to or from selected tissue by means of a catheter passed over the guide wire (10). The method may optionally include sensing the velocity of blood flow in the blood vessel or the temperature of selected body tissue by means of a sensor (58) mounted on the guide wire (10).
Abstract:
This invention is an apparatus for the treatment of a thrombotic occlusion (121) in a vessel of a patient comprising a flexible elongate tubular sheath (12) having proximal (13) and distal (14) extremities. A relatively large lumen (16) defined by a thin flexible wall extends from the proximal extremity (13) to the distal extremity (14) of the tubular sheath (12) so that the distal extremity is open. An occlusion disruption device (36) is slidably and rotatably disposed in the lumen (16) in the tubular sheath (12) and having proximal (38) and distal (39) extremities. The shaft has a guide wire lumen (41) extending from the proximal extremity (38) to the distal extremity (39). Disruption elements (47) are secured to the distal extremity (39) of the shaft (37) which when rotated disrupt the thrombotic occlusion (121) by causing it to break into pieces. Suction is applied to the lumen (16) in the tubular sheath (12) to aspirate pieces into the large lumen (16) of the tubular sheath to remove them from the vessel of the patient.
Abstract:
A microminiature piezoresistive pressure transducer (12) has first (RA) and second (RB) variable resistive elements. Circuitry (51) is coupled to the variable resistive elements of the transducer, and includes third (RF1) and fourth (RF2) fixed resistances of known values. The first (RA) and third (RF1) elements are coupled to an amplifier (61) and analog-to-digital converter (41), and the second (RB) and fourth (RF2) elements are coupled to a separate and independent amplifier (76) and analog-to-digital converter (42). Thus, the analog-to-digital converters (41, 42) have indepedent outputs with digitized voltages thereon, having a pressure component and a temperature component. A computer (46) coupled to the outputs of the analog-to-digital converters (41, 42) ascertains the unknown first (RA) and second (RB) variable resistances as independent variable resistance elements in solving a set of equations having these variable resistances elements as unknowns and pressure and temperature as the remaining unknowns to provide a temperature compensated pressure value as measured by the microminiature pressure transducer (12).
Abstract:
Rotary connector (11) for use with a flexible elongate member (12) having electrical properties and having a proximal extremity (16) with at least first and second conductive spaced-apart sleeves (26, 27) provided thereon. A housing (31) is provided having a bore (32) therein. First and second spaced-apart conductive disks (61) are disposed in said bore. The disks are adapted to have the proximal extremity of the flexible elongate member extend therethrough and to have the conductive sleeves be in contact with the conductive disks while permitting rotation of the flexible elongate member, a push button clamping assembly (81) is carried by the housing for retaining the proximal extremity of the flexible elongate member in the housing. Leads (71) are connected to the conductive disks.
Abstract:
A Doppler guide wire having an inflatable balloon (31) which is inflatable with a balloon inflation medium. An elongate flexible member having proximal and distal extremities. An ultrasonic transducer (16) is secured to the distal extremity of the elongate flexible member. The inflatable balloon (31) is mounted on the distal extremity of the elongate flexible member proximal of the ultrasonic transducer (16). Conductors (22 and 23) are connected to the ultrasonic transducer (16) and extend along the length of the elongate flexible member.
Abstract:
An intravascular guide wire (11) comprising a flexible elongate member (12) having proximal and distal extremities. A flexible elongate tubular member (21) is disposed coaxially on the flexible elongate member (12) and has proximal and distal extremities. The proximal extremity of the flexible elongate tubular member (21) is bonded to the proximal extremity of the flexible elongate member (12) to prevent axial movement relative to the flexible elongate tubular member (21) so that a portion of the proximal extremity of the flexible elongate member (12) remains free. A coil assembly (31) is secured to the distal extremity of the flexible elongate member (12).
Abstract:
This invention is a guidewire (21) having pressure sensing capabilities for measuring pressure of a liquid in a vessel comprising a flexible elongate member (41) and having proximal (42) and distal (43) extremities, and having an outside diameter of 0.018'' or less. The distal extremity of said flexible elongate member (41) is adapted to be disposed in the liquid in said vessel. A housing (51) is carried by the flexible elongate member (41) and has a diameter substantially the same as the diameter of the flexible elongate member (41). The housing (51) has a space therein with a pressure sensor (76) mounted in the housing space in the housing. The pressure sensor (76) has a diaphragm (79) formed in a crystal (77) of semiconductor material, that is sensitive to changes in pressure of the liquid in the vessel. The diaphragm (79) is rectangular in shape and is mounted in a well (84), and is bordered by a rim (86) surrounding the well (84). A backing plate (78) is formed of an insulating material bonded to the crystal (77) and serves to reinforce the rim (86) of the crystal (77). The backing plate (78) has a cavity (101) therein underlying the diaphragm and is in substantial registration with the diaphragm (79). The cavity (101) serves as a pressure reference.
Abstract:
This invention is a flexible elongate extension device (16) for use with a flexible elongate member (12) having proximal and distal extremities, comprising a flexible elongate extension member having proximal and distal extremities. A sleeve (21) is secured to the distal extremity. A thermoplastic adhesive is disposed in the sleeve.
Abstract:
Ultrasonic transducer with a selectable beamwidth comprising a body of piezoelectric material in the form of an annulus (21) having an outer diameter D and a thickness T. The body has proximal and distal generally planar parallel surfaces and a centrally disposed hole extending therethrough. The body has a cylindrical wall with a width W extending from the hole to the outer diameter. The transducer is capable of operating at low and high resonance being determined by the diameter D and an aspect ratio of D/T and the high frequency resonance being determined by the thickness T and an aspect ratio of W/T.
Abstract:
Rotary connector (12) for use with a small diameter flexible elongate member (13) having electrical capabilities and having a proximal extremity (16) with at least first and second spaced-apart conductive sleeves (26) thereon. The rotary connector is comprised of a housing (31) and at least first and second spaced-apart contact members (41) mounted in the housing. The housing and the first and second contact members have passages therein through which the proximal extremity of the flexible elongate member can extend to place the first and second conductive sleeves in contact with the contact members. A clamping assembly means is carried by the housing for retaining the proximal extremity of the flexible elongate member in the housing while permitting rotation of the flexible elongate member with respect to the housing.