University of Michigan

The Cleveland Clinic Foundation

Hitinder S Gurm

Zhen Xu

Charles A Cain

Adam D Maxwell

Albert J Shih

Yihao Zheng

Robert Chisena

Jonathan Sukovich

Matthew Hildner

Aditya S Pandey

Jay Yadav

Yang Liu

Ji-Feng Chen

Yao Liu

Methods for performing non-invasive thrombolysis with ultrasound using, in some embodiments, one or more ultrasound transducers to focus or place a high intensity ultrasound beam onto a blood clot (thrombus) or other vascular inclusion or occlusion (e.g., clot in the dialysis graft, deep vein thrombosis, superficial vein thrombosis, arterial embolus, bypass graft thrombosis or embolization, pulmonary embolus) which would be ablated (eroded, mechanically fractionated, liquefied, or dissolved) by ultrasound energy. The process can employ one or more mechanisms, such as of cavitational, sonochemical, mechanical fractionation, or thermal processes depending on the acoustic parameters selected. This general process, including the examples of application set forth herein, is henceforth referred to as 'Thrombolysis.'

Histotripsy for thrombolysis

A histotripsy therapy system configured for the treatment of brain tissue is provided, which may include any number of features. In one embodiment, the system includes an ultrasound therapy transducer, a drainage catheter, and a plurality of piezoelectric sensors disposed in the drainage catheter. The ultrasound therapy is configured to transmit ultrasound pulses into the brain to generate cavitation that liquefies a target tissue in the brain. The drainage catheter is configured to detect the ultrasound pulses. An aberration correction algorithm can be executed by the system based on the ultrasound pulses measured by the drainage catheter to automatically correct for an aberration effect caused by the ultrasound pulses passing through a skullcap of the patient.

Histotripsy therapy systems and methods for the treatment of brain tissue

A dynamic balloon angioplasty system for applying a dynamic pressure to fracture hardened materials embedded within an elastic conduit. The system having a pressure source system outputting at least a first predetermined pressure from a pressure source outlet, and an angioplasty unit fluidly coupled to the pressure source outlet receiving at least the first predetermined pressure. The angioplasty unit having an angioplasty inflation device, an angioplasty balloon connector, and an oscillating mechanism selectively actuated to output a plurality of pressure pulses to the angioplasty balloon via a fluid communication path. A control system is configured to determine an optimal hydraulic pressure oscillation frequency and amplitude for a given procedure and output a control signal to the oscillating mechanism, and monitor a pressure signal to detect fracture of the hardened material within the elastic conduit or system failure or leakage.

System for effecting and controlling oscillatory pressure within balloon catheters for fatigue fracture of calculi

A method of two-phase atherectomy for removal of plaque within an artery forming a stenosis including a first phase of rotational drilling by exerting a rotational force on a cutter to form a channel within the plaque having a diameter substantially equal to a diameter of the cutter&#x2014;the cutter being rotated at a first rotational speed sufficient to maintain rotation of the cutter about a stationary rotational axis&#x2014;and a second phase of orbital impact by exerting a rotational force on the cutter to result in radial orbital motion of the cutter within the channel resulting in periodic impact of the cutter upon the plaque to form micro-fractures within the plaque and enlarge the diameter of the channel to a diameter substantially greater than the diameter of the cutter&#x2014;the cutter being rotated at a second rotational speed to result in the radial orbital motion of the cutter.

Two-phase technique to restore artery patency and a catheter temperature control system in atherectomy

A method and apparatus provide techniques for stenting ostial legions and other restenosis in vessels through a stenting apparatus that includes both a guidewire and a separate marker wire. In some examples, the marker wire is threaded through a tubular body of the stenting apparatus and in other examples, the marker wire may be threaded externally through the tubular body. In both such examples, the marker wire may be aligned with a radiopaque marker of the apparatus to guide marker wire positioning.

Ostial stenting system

An angioplasty balloon catheter with an added channel for delivering medication or removing body fluids distal to the site of angioplasty is disclosed. The balloons are especially useful in the treatment of occlusions in saphenous vein grafts, the coronary and carotid arteries, arteries arising from the aorta and branches thereof and in veins flowing to the heart or their tributaries and sub tributaries thereof.

Angioplasty balloon with therapeutic/aspiration channel

An apparatus for interventional treatment of atherosclerosis at a vascular bifurcation includes structure for receiving a first guidewire and a second guidewire. An exit for the second guidewire is located in a central section of the structure. A first balloon portion is secured to the structure so a proximal end is located adjacent the exit. A second balloon portion is secured to the structure so a distal end is located adjacent the exit on a side of the exit opposite the first balloon portion. An annular gap is defined between the proximal end of the first balloon portion and the distal end of the second balloon portion. The annular gap, at a radial outermost location relative to the structure, has a width that is equal to or less than a width of the annular gap at a radially innermost location relative to the structure. The apparatus also includes an expandable stent that is mountable about the first and second balloon portions.

Growing community of inventors

Ann Arbor, MI, United States of America

Hitinder S Gurm