Biosense Webster (israel) Ltd.

Fresenius Medical Care Holdings, Inc.

Mri Interventions, Inc.

Gish Biomedical, Inc.

Biosense Webster, Inc.

Daniele Ghidoli

James Roswell Braig

Barry Neil Fulkerson

David Jacob Mishelevich

Thomas Patrick Robinson

Russell Thomas Joseph

Charles E Clemens

Peter G Piferi

Jeffrey William Schultz

Clark Berg Foster

Victor Gura

Mark Smith

Jesse Flores

Kamal Vij

Corey Rousu

Milan Trcka

Jan Brian Zwierstra

Martin Hering

Matthew W Hitzeroth

Frank Isackson

James R Braig

Barry Fulkerson

David Mishelevich

Thomas P Robinson

Kimble Jenkins

Steven A Daniel

T Joseph Russell

Jeffrey L Clark

Rajesh Pandey

Kelvin M Chuu

Mark Forrest Smith

Meir Bar-Tal

Shubhayu Basu

Henry F Salazar

Parag V Karmarkar

Cesar Fuentes-Ortega

Pieter Emmelius Van Niekerk

Mark Stanley

Abraham Berger

Avri Hazan

Raymond Yue-Sing Tang

Dustin R Tobey

Maria Duarte

Jamie Lynn Malinaric

Simon Jung

Sean D Thaler

Joseph R Wong

Kimble L Jenkins

E Clemens Charles

Maria J Duarte

Steven Daniel

Matthew Hitzeroth

Mark T Stanley

Russell T Joseph

Ablation and diagnostic tools having a wrapped flexible circuit are provided. The wrapped flexible circuit can include one or more electrodes on a surface layer, one or more conductive traces on one or more lower layers, and an electrically insulating substrate. The surface layer can be patterned to have multiple electrodes. The lower layer(s) can include electrode contact trace(s) and/or traces for forming thermocouple junctions. The wrapped flexible circuit can be affixed to an outer surface of a metallic tube. The electrodes can be electrically isolated from the metallic tube. The metallic tube can have a sharp end to puncture tissue during ablation or intravascular diagnostic procedure. Additionally, or alternatively, the wrapped flexible circuit can have a pointed end and sufficient structural integrity to puncture tissue during ablation or intravascular diagnostic procedure without the support of a metallic tube.

Intravascular needle with flex circuit

An apparatus includes an end effector having loop members with electrodes thereon and is usable with catheter-based systems to measure or provide electrical signals. The end effector can include three loop members that are non-coplanar when expanded unconstrained that become contiguous to a planar surface when the loop members are deflected against the surface, a mechanical linkage that joins the loop members at a distal vertex of the end effector, electrodes having surface treatment to enhance surface roughness of the electrodes, twisted pair electrode wires, a bonded spine cover, and/or any combination thereof.

Electrode apparatus for diagnosis of arrhythmias

A flexible circuit including a first segment including a base section of the flexible circuit; a second segment including a lateral wall section; a transition section between the base and lateral wall sections, the transition section being at least partially positioned adjacent a shared region of the base and lateral wall sections; and one or more electrode regions including a respective electrode, the one or more electrode regions being positioned at least partially in the transition section and the second segment.

Flexible circuit for use with a catheter and related manufacturing method

A method of manufacturing a catheter tip by electroplating a conductive material over an insert comprising a negative to a domelike shape thereby forming a shape of the catheter tip comprising a dome with the domelike shape, selectively positioning a plurality of irrigation holes between outer and inner surfaces of the catheter tip, removing the insert thereby leaving the catheter tip and the plurality of irrigation holes, and electropolishing the catheter tip. In other examples, the insert is not removed and instead the step of electroplating causes the insert to be encapsulated with the conductive material thereby forming the catheter tip.

Catheter tips and related methods

An electrophysiology catheter has an elongated catheter shaft and a distal assembly with a flex circuit and a support member on which the flex circuit is supported in a generally cylindrical form. The support member has a post extending longitudinally through the cylindrical form of the flex circuit which delivers irrigation fluid into the cylindrical form. The post can be configured to define multiple irrigation chambers within the distal assembly. One or more flow directors movable in the post selectively direct irrigation fluid within the distal assembly. Apertures in the flex circuit allow the irrigation fluid to exit to outside the distal assembly.

Catheter with flex circuit distal assembly

An extracorporeal blood processing system comprises a plastic molded compact manifold that supports a plurality of molded blood and dialysate fluidic pathways along with a plurality of relevant sensors, valves and pumps. A disposable dialyzer is connected to the molded manifold to complete the blood circuit of the system. The compact manifold is also disposable in one embodiment and can be detachably installed in the dialysis machine.

Methods and Systems for fluid balancing in a dialysis system

The specification discloses a portable dialysis machine having a detachable controller unit and base unit. The controller unit includes a door having an interior face, a housing with a panel, where the housing and panel define a recessed region configured to receive the interior face of the door, and a manifold receiver fixedly attached to the panel. The base unit has a planar surface for receiving a container of fluid, a scale integrated with the planar surface, a heater in thermal communication with the planar surface, and a sodium sensor in electromagnetic communication with the planar surface. Embodiments of the disclosed portable dialysis system have improved structural and functional features, including improved modularity, ease of use, and safety features.

Portable dialysis machine

A deflectable catheter with biased deflection characteristics has an elongated catheter body having a micro-injection molded spine that is configured with a center core, outwardly extending opposing struts, and one or more sets of longitudinally-aligned and discrete fins, wherein the struts resist deflection of the spine in a first plane and bias deflection of the spine in a second plane, wherein parameters of the discrete fins define deflection characteristics of the spine in the second plane.

Catheter with biased and discrete deflection characteristics and related methods

Disposable apparatus and kit for conducting dialysis

Systems and methods are disclosed for providing and using an irrigated ablation catheter. The catheter may include a distal shell electrode having irrigation apertures. A sensor array formed on a flexible substrate conforms to an inner surface of the electrode and an insert disposed within the interior space engages the sensor array to position sensors of the sensor array in desired locations relative to the electrode. A support seals the proximal end of the electrode and engages the insert. The plurality of sensors may be used to measure electrical and thermal characteristics surrounding the electrode and may help assess contact between the electrode and tissue and/or determine movement of the electrode during ablation.

Irrigated ablation catheter with sensor array

A steerable catheter is disclosed, having an elongated, tubular catheter body with at least one deflection member slidably disposed within a lumen, secured at a distal end to a tip section and terminating in an interconnect at a proximal end and a handle releasably attached to the proximal end of the catheter body. The handle has at least one sliding member coupled to an actuator, such that manipulation of the actuator causes relative longitudinal movement with respect to the handle, wherein the interconnect and the sliding member engage when the handle is attached to the catheter body so that the relative longitudinal movement of the sliding member is transmitted to the deflection member and wherein the interconnect and the sliding member disengage when the handle is released from the catheter body.

Reusable catheter handle system

Systems and methods are disclosed for providing and using an irrigated ablation catheter. The catheter may include a distal shell electrode having irrigation apertures. An insert disposed within the electrode has protrusions that mate with orifices in the shell of the electrode. Each protrusion has a port communicating with at least one interior lumen in the insert and a sensor is disposed in each port. A support seals the proximal end of the electrode and engages the insert. The plurality of sensors may be used to measure electrical and thermal characteristics surrounding the electrode and may help assess contact between the electrode and tissue and/or determine movement of the electrode during ablation.

Irrigated ablation catheter with multiple sensors

Growing community of inventors

Laguna Hills, CA, United States of America

Daniele Ghidoli