Boston Scientific Scimed, Inc.

Intuitive Surgical Operations, Inc.

Alain F Sadaka

Edward P Donlon

Craig Tsuji

Ajitkumar B Nair

Theodore W Rogers

John Ryan Steger

Craig R Gerbi

Joseph Orban, Iii

Tyler J Morrissette

Michael Turner

Charles E Swinehart

Margaret M Nixon

Harsukhdeep Singh Ratia

Zhou Ye

Brian M Crews

Kerry S Wang

Jian R Yuan

An apparatus includes a housing, a cable guide, a first cable, and a second cable. The housing is coupled to a shaft of a medical instrument. The cable guide is coupled to the housing, and defines a shaft opening into a passageway defined by the shaft. A first guide groove and a second guide groove are defined by the cable guide, with each of the first guide groove and the second guide groove being splayed outward from the shaft opening. The first cable is routed within the first guide groove and through the shaft opening, and is configured to slide within the first guide groove. The second cable is routed within the second guide groove and through the shaft opening, and is configured to slide within the second guide groove.

Splayed cable guide for a medical instrument

A low-friction medical device includes a first link, a second link, and a tension member. The first link is coupled to an instrument shaft and a first guide path is defined in the first link. The second link is rotatable relative to the first link through an angular range. A distal end portion of the second link is rotatably coupled to a tool member. A curved guide path is defined within the second link between the tool member and the first guide path. A curved guide surface of the second link defines a portion of the second guide path. A first portion of the tension member is parallel to a centerline of the first guide path, and a second portion is coupled to the tool member. A third portion of the tension member between the first and second portions is in contact with the curved guide surface throughout a portion of the angular range.

Low-friction, small profile medical tools having easy-to-assemble components

A teleoperational medical system comprises an input device and a manipulator configured to couple with and move an instrument. The system also comprises a control system including one or more processors. In response to a determination that the instrument is inserted into an instrument workspace in a corresponding direction to a field of view of the workspace, the control system is configured to map movement of the input device to movement of the instrument according to a first mapping. In response to a determination that the instrument is inserted into the instrument workspace in a non-corresponding direction to the field of view, the control system is configured to map movement of the input device to movement of the instrument according to a second mapping. The second mapping includes an inversion of the first mapping for at least one direction of motion of the instrument.

Systems and methods for controlling a surgical instrument

A catheter assembly for an intravascular ultrasound system includes a catheter and an imaging core. The catheter has a longitudinal length, a distal end, and a proximal end. The catheter includes a sealable lumen extending along the longitudinal length of the catheter from the proximal end to the distal end, and a movable plunger or a movable seal in fluid communication with the lumen. The movable plunger or the movable seal provides a gas-tight seal. The movable plunger or the movable seal is configured and arranged for adjusting to changes in volume of the lumen when the lumen is filled with an acoustically-favorable medium and sealed. The imaging core is configured and arranged for inserting into the sealable lumen and for coupling to a control module.

Degassing intravascular ultrasound imaging systems with sealed catheters filled with an acoustically-favorable medium and methods of making and using

A catheter assembly for an intravascular ultrasound system includes a hub disposed at a proximal end of a catheter. The hub includes a rotatable connector shaft disposed at least partially in a lumen that extends from the hub to a distal end of the catheter. A pumping apparatus is coupled to the connector shaft such that rotation of the connector shaft causes a corresponding rotation of the pumping apparatus. A reservoir is in fluid communication with the pumping apparatus. The reservoir is configured and arranged for inputting an acoustically-favorable medium to the pumping apparatus. An imaging core is configured and arranged for inserting into the lumen. The imaging core includes an imaging device coupled to a rotatable drive member. The rotatable connector shaft is coupled to a proximal end of the drive member such that rotation of the connector shaft causes a corresponding rotation of the imaging core.

Systems and methods for flushing air from a catheter of an intravascular ultrasound imaging system

Described herein are electrical connections to acoustic elements, e.g., piezoelectric elements. In an exemplary embodiment, a transducer comprises an acoustic element, a passive layer attached to the acoustic element, and a conductive post embedded in the passive layer to provide a direct low resistance electrical connection to the acoustic element. In one embodiment, the conductive post has an exposed side surface allowing electrical connections to be made from the side of the transducer. In another embodiment, the conductive post has an exposed bottom surface allowing electrical connections to be made from the bottom of the transducer. In another embodiment, the transducer comprises an extension substrate adjacent to the acoustic element for protecting the acoustic element from thermal stress when a connection is made to the transducer at high temperatures. In one embodiment, a circuit is integrated on the extension substrate to process signals to or from the acoustic element.

Connections for ultrasound transducers

An actuating medical device and methods for making and using the same. The actuating medical device may include a proximal shaft portion having a distal end region, an actuating shaft portion attached to the distal end region, one or more actuating members coupled to or otherwise disposed adjacent the actuating shaft portion, and a distal shaft portion attached to the actuating shaft portion. The actuating shaft portion may include a shape memory material and may be adapted to shift between a first configuration and a second configuration. Using the actuating medical device may include positioning the actuating medical device in a blood vessel and shifting the actuating shaft portion between the first and second configurations.

Medical device including actuator

Provided herein are composite passive layers for ultrasound transducers having acoustic properties that can be easily tailored to the needs of the transducer application using current microfabrication techniques. In an embodiment, a passive layer comprises metal posts embedded in a polymer matrix or other material. The acoustic properties of the passive layer depend on the metal/polymer volume fraction of the passive layer, which can be easily controlled using current microfabrication techniques, e.g., integrated circuit (IC) fabrication techniques. Further, the embedded metal posts provide electrical conduction through the passive layer allowing electrical connections to be made to an active element, e.g., piezoelectric element, of the transducer through the passive layer. Because the embedded metal posts conduct along one line of direction, they can be used to provide separate electrical connections to different active elements in a transducer array through the passive layer.

Growing community of inventors

Los Gatos, CA, United States of America

Alain F Sadaka