Volcano Corporation

Philips Image Guided Therapy Corporation

Bret Millett

Paul Douglas Corl

David H Burkett

Fergus Merritt

Howard David Alpert

Paul M Hoseit

Joseph Burnett

Joe Burnett

The invention generally relates to an auxiliary guidewire for an intravascular procedure. The invention provides an auxiliary guidewire that slips over a primary guidewire and can provide a very fine extension beyond the end of the primary guidewire. The primary guidewire can be taken to its limit within the fine vasculature, and the auxiliary guidewire can then extend further into the fine vasculature. The primary guidewire can be taken to a bifurcation. The primary guidewire and the auxiliary guidewire can be sent down separate branches of the bifurcation. A physician can select which of the primary guidewire and the auxiliary guidewire are within the branch that needs to be treated by, for example, consulting an angiography display.

Auxiliary small vasculature guidewire

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.

Capacitive intravascular pressure-sensing devices and associated systems and methods

Systems and methods for user control over the acquisition, processing, and presentation of medical data are provided. Some embodiments are particularly directed to controlling the display of multi-modality medical data in a multi-modality processing system. In one embodiment, a medical imaging system receives a set of medical data including a first data subset collected using a first sensor and a second data subset collected using a second sensor, where the first sensor and the second sensor are different. A display attribute to be applied to the first data subset independent of the second data subset is received. An instruction is generated that affects the processing of the first data subset based on the display attribute. The first data subset is processed according to the instruction. The processed first data subset is displayed according to the display attribute, and the second data subset is displayed independent of the display attribute.

Display control for a multi-sensor medical device

Intravascular devices, systems, and methods are disclosed. In some instances, the intravascular device is a guide wire with electrical conductors printed on a solid core wire. In some instances, the electrical conductors are coupled to conductive bands adjacent a proximal portion of the guide wire. Methods of making, manufacturing, and/or assembling such intravascular devices and associated systems are also provided. In certain aspects, guidewires of the invention include a body having an inner core and an outer layer with one or more embedded conductors. The conductors are exposed at one or more locations along the body and a conductive material can be layered over the exposed locations. A sensor can also be coupled to the body via the conductive material at one of the exposed locations.

Intravascular devices, systems, and methods

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.

Pressure-sensing intravascular devices, systems, and methods

The invention provides a guidewire with a centering mechanism. The mechanism lifts the guidewire from a vessel wall and biases it towards the center of the vessel. Since the guidewire can be selectively lifted away from the vessel wall, scraping the catheter against the wall can be avoided, the tip can be guided into the correct branch of a bifurcation, and an imaging device can be used to its full potential. In certain aspects, the invention provides a guidewire with an elongated shaft with a proximal portion and a distal portion comprising a distal tip. One or more centering mechanism can be provided on a guidewire.

Guidewire with centering mechanism

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.

Devices, systems, and methods for assessing a vessel utilizing angled flow-sensing elements

Devices, systems, and methods for visually depicting a vessel and evaluating treatment options are disclosed. A method of evaluating a vessel of a patient, comprises: obtaining intravascular data from an intravascular instrument positioned within a vessel of a patient while the intravascular instrument is moved longitudinally through the vessel from a first position to a second position; obtaining an angiographic image of the vessel while the intravascular instrument is moved longitudinally through the vessel; correlating the intravascular data from the intravascular instrument to locations on the angiographic image; and outputting an enhanced angiographic image of the vessel on a display, the enhanced angiographic image including the angiographic image overlaid with visualizations representing the intravascular data at the correlated locations. Corresponding systems are also provided.

Growing community of inventors

Folsom, CA, United States of America

Bret Millett