Biosense Webster (Israel) Ltd.

Johnson & Johnson Surgical Vision, Inc.

Biosense Webster, Inc.

Joseph Thomas Keyes

Christopher Thomas Beeckler

Assaf Govari

Kevin Justin Herrera

Andres Claudio Altmann

Ilya Sitnitsky

Yehuda Algawi

Athanassios Papaioannou

Rowan Olund Hettel

Vadim Gliner

Alexander David Squires

Justin George Lichter

Kendra Anita McInnis

Nader Ghaly

Moe Habib Bishara

Eid Adawi

Maribeth Esguerra Wilczynski

Xiangming Zhang

Meir Bar-Tal

Kristine B Fuimaono

Thomas V Selkee

Jeffrey L Clark

George Kamin

John Hardy Ashton

Yigal Ultchin

Kevin Mark Okarski

Lee Ming Boo

Betzi Zafra

Susan Ayer

Zhong Wang

Robert B Stagg

Reecha Sharma

Don Q Ngo-Chu

Jose Jimenez

Eran Aharon

Amit Fuchs

Cuong Pham

Guo Xu

Don Q Ngo-chu

Kevin Rorick

Jiayin Liu

Kevin J Herrera

Nathaniel Jenkins

Kendra Anita Mcinnis

Embodiments of the present invention include a medical probe having a flexible insertion tube, a basket assembly, and a plurality of electrodes. The basket assembly has a proximal end that is connected distally to the insertion tube and includes a plurality of resilient spines, which have respective outer sides and inner sides and are configured to bow radially outward from an axis of the basket assembly and are conjoined at the proximal end and at a distal end of the basket assembly. The plurality of electrodes are fixed to respective ones of the spines in respective longitudinal positions that are staggered on any given spine relative to the longitudinal positions of the electrodes on the spines adjacent to the given spine, and which include a conductive material that is biased towards the respective outer sides of the spines.

Staggered pairs of biased ablation electrodes on basket catheter

A phacoemulsification device includes a phacoemulsification probe and a processor. The phacoemulsification probe includes a piezoelectric crystal configured to vibrate in response to a drive signal, a needle configured to be inserted into a lens capsule of an eye and to be vibrated by the piezoelectric crystal, and a set of magnetic-field components. The set includes (i) one or more magnetic-field generators configured to generate a magnetic field, and (ii) one or more magnetic-field sensors configured to sense the magnetic field. At least one of the magnetic-field components is coupled to vibrate with the needle and at least one other of the magnetic-field components is isolated from vibration of the needle, thereby causing the magnetic-field sensors to output signals indicative of the vibration. The processor is configured to adaptively adjust a frequency of the drive signal so as to vibrate the needle at a resonant frequency of the piezoelectric crystal.

Phacoemulsification probe comprising magnetic sensors and/or multiple independent piezoelectric vibrators

An example expandable basket assembly for a medical probe may include a plurality of spines extending along a longitudinal axis from a proximal central proximal spine portion to a distal spine portion. The distal spine portion may define a cloverleaf structure disposed radially around the longitudinal axis. The cloverleaf structure may define a central cutout with a central area disposed about the longitudinal axis. The cloverleaf structure may include a sinusoidal-like member extending from one spine to an adjacent spine in a direction around the longitudinal axis. The sinusoidal-like member may include a plurality of distal facing portions, a plurality of proximal facing portions, and at least one side connector connecting two adjacent distal facing portions to one another. The at least one side connector may strengthen a distal end of the expandable basket.

Strengthened expandable baskets for medical probes and medical probes containing strengthen expandable baskets

An eye surgery system includes an Input/Output (I/O) device and a processor. The I/O device is configured to enable a user to define one or more eye surgery protocols, and further configured to, using the I/O device, present a graphical user interface (GUI) that displays one or more user defined eye surgery protocols. The processor is configured to (a) present the one or more user defined eye surgery protocols on the I/O device using the GUI, (b) test compatibility of the one or more user defined eye surgery protocols with the eye surgery system, and (c) provide an indication of the compatibility to a user of the eye surgery system.

Managing phacoemulsification user defined protocols

A system for use with multiple electrodes coupled to respective spines of a probe includes multiple switches connected to the electrodes and configured to short different respective first subsets of the electrodes to each other and different respective second subsets of the electrodes to each other per different respective settings of the switches. The system further includes a processor configured to control the switches so as to alternate through the settings and, for each of the settings, cause a power generator to apply a voltage between the shorted first subset and the shorted second subset while the probe is deployed within a body of a subject. Other examples are also described.

Irreversible electroporation with shorted electrodes

A catheter apparatus, including an elongated deflectable element, a distal assembly, a force sensor disposed between the elongated deflectable element and the distal assembly, and comprising a spring including a tube with at least one helical cut extending around a circumference of the tube, the at least one helical cut including deviations extending in a longitudinal direction of the tube, the deviations being configured to prevent overstretching and overbending of the spring.

Contact force spring with mechanical stops

In one embodiment, a system includes a balloon catheter configured to be inserted into a body-part of a living subject, the balloon catheter comprising an insertion tube having a distal tip, a force sensor connected to the distal tip, and an inflatable balloon including a proximal portion connected to the force sensor so that the force sensor is disposed between the distal tip of the insertion tube and the inflatable balloon, and multiple electrodes disposed around an outer surface of the balloon, and configured, when the balloon is inflated, to contact tissue at respective locations in the body-part, wherein the force sensor is configured to output at least one force signal indicative of a magnitude and a direction of a force applied by the balloon on the tissue when the balloon is inflated.

Balloon catheter with force sensor

A medical instrument includes a shaft, multiple flexible spines and multiple electrodes. The shaft is configured for insertion into a body of a patient. The multiple flexible spines have respective first ends that are connected to a distal end of the shaft and respective second ends that are free-standing and unanchored. The spines are bent proximally such that the second ends are more proximal than the first ends. Each of the flexible spines includes a tensile layer configured to cause the flexible spine to bend proximally. The multiple electrodes are disposed over the flexible spines.

Flexible multi-arm catheter with diametrically opposed sensing electrodes

A flexible probe has an assembly in its distal end that includes a compressible spring, the compressible spring arranged in a helix having flat surfaces with at least one leg at each end of the spring. The compressible spring is configured to deform in response to a compressive force acting against the legs at the ends of the spring from pressure exerted on the distal tip when engaging a wall of the body cavity. The compressible spring further includes at least one flexible transmitter coil disposed on the flat surface at one end of the spring and at least one flexible receiver coil on the flat surface at the other end of the spring. The at least one of flexible receiver coil is configured to receive signals from the at least one flexible transmitter coil for sensing a position of the coils relative to each other.

Reduced size force sensor

A catheter includes an insertion tube, a flexible substrate and one or more electrical devices. The insertion tube is configured for insertion into a patient body. The flexible substrate is configured to wrap around a distal end of the insertion tube and includes electrical interconnections. The electrical devices are coupled to the flexible substrate and are connected to the electrical interconnections.

Catheter distal end made of plastic tube and flexible printed circuit boards

A flexible circuit that is substantially planar may be assembled into an electrophysiologic catheter. The flexible circuit may include various location sensing portions and force sensing portions. The flexible circuit may be deformed in a manner that improves the catheter's functionality concerning force feedback and location feedback, and then further deformed to be assembled into a small volume of the catheter.

Flexible circuit with location and force-sensor coils

The subject of this disclosure includes an ablation system for visually supporting a tissue ablation procedure, including a display comprising a user interface; and at least one processor in communication with the display, the at least one processor configured to control one or more of a plurality of electrodes of a radiofrequency balloon catheter to ablate organ tissues of one or more targeted pulmonary veins; determine a characteristic, based on ablation parameters of the radiofrequency balloon catheter, of pulmonary vein isolation (PVI) success rate; and present, on the display, visual information corresponding to each electrode for an indication, based on the characteristic, for PVI success rate.

Systems and methods of ablating cardiac tissue

Apparatus for medical treatment, consisting of a probe and a processor. The probe has an insertion tube having a distal end configured for insertion into a body cavity of a living subject, and a basket assembly having multiple resilient spines coupled to the distal end of the insertion tube and joined together in a predefined form when the basket assembly is unconstrained by external forces. The probe also has a force sensor configured to output an indication of a force exerted on the basket assembly within the body cavity. The processor is configured to receive the indication of the force, to compute a constrained form of the basket assembly, different from the predefined form, responsively to the force, and to render to a display a graphical image representing the constrained form of the basket assembly.

Cage deformation modeling

A catheter includes a shaft, an expandable frame, a first set of electrodes, and a second set of electrodes. The shaft is configured for insertion into an organ of a patient. The expandable frame is fitted at a distal end of the shaft. The first set of electrodes is disposed over a distal portion of the expandable frame, and configured to be placed in contact with a tissue in the organ. The second set of electrodes is disposed on a proximal portion of the expandable frame, and configured to be inter-connected to form a common electrode.

Printed proximal electrodes of an expandable catheter for use as a common electrode

A flexible probe has an assembly in its distal end. The assembly has a distal side and a proximal side. The assembly includes first and second flat spring coils having internal edges that mate with first and second retainers, respectively. The first and second flat coils are disposed in the probe distal end proximal to the electrode and separated by a spacer. The first and second flat coils are configured to deform in response to pressure exerted on the distal tip when the tip engages a wall of the body cavity. A transmitter is disposed on one of the distal side or the proximal side of the assembly and a receiver is disposed on the opposite side. The receiver is configured to receive signals from the transmitter for sensing a position of the receiver relative to the transmitter.

Growing community of inventors

Glendora, CA, United States of America

Joseph Thomas Keyes