Acist Medical Systems, Inc.

Boston Scientific Scimed, Inc.

Shockwave Medical, Inc.

Zed Medical, Inc.

Scimed Life Systems, Inc.

Silicon Valley Medical Instruments, Inc.

Robert Zelenka

Thomas C Moore

Kendall R Waters

Ruth Beeby

Richard A Bautista

Tom Moore

Thomas Charles Hasenberg

Paul J Zalesky

Jason Fredrick Hiltner

Bruce McEvers

Mikael Cars

Daniel Okeeffe

Stephanie J Buech

Rainier Betelia

Todd Jenkins

Scott Harshman

Richard Romley

Thu Anh Ho

Jason B Franco

Nickola Lewis

Jason F Hiltner

Daniel O'Keefe

Charles Wells

Andrew James Hudon

Michael Lang

Kendall R Walters

A catheter for treating a stenosis in a body lumen includes an elongate tube; a member sealed to a distal end of the elongate tube that is fillable with a conductive fluid; a metallization layer comprising at least one trace forming at least one inner electrode, the metallization layer being connected to at least one wire; and at least one outer electrode extending radially outwardly of the metallization layer and separated from the at least one inner electrode by at least one gap such that, when a voltage pulse is applied to the inner and outer electrodes, current flows across the at least one gap to generate at least one shock wave.

Lithotripsy catheters having electrodes formed in metallization layers

An exemplary catheter for use in a body lumen comprises: a catheter body; and a plurality of shock wave emitters disposed at a distal end of the catheter body, each shock wave emitter configured to generate a shock wave that propagates distally of the catheter body, wherein the plurality of shock wave emitters are arrayed about a longitudinal axis of the catheter body such that shock waves emitted from the plurality of shock wave emitters can constructively interfere distally of the catheter body, and wherein each shock wave emitter comprises electrodes separated by a spark gap and at least one electrical connector that connects at least one of the electrodes to an electrode of another shock wave emitter of the plurality of shock wave emitters.

Systems, devices, and methods for generating shock waves in a forward direction

An intravascular sensor device can be used to guide treatment of a diseased blood vessel in the body of a patient. In some examples, the intravascular sensor device includes a pressure sensor and an ultrasound transducer. The intravascular sensor device is used to measure a pressure within the diseased blood vessel and acquire an ultrasound image of the diseased blood vessel. The pressure may be measured during hyperemic blood flow that is caused by a pharmacologic vasodilator drug. The measured pressure can be used to calculate a fractional flow reserve value. The ultrasound image can be used to determine a physical dimension of the blood vessel, such as cross-sectional area. The fractional flow reserve value and physical dimensions of the blood vessel can be used to optimize patient treatment.

Device and method for intravascular imaging and sensing

A catheter is disclosed comprising a sheath surrounding an inner lumen. The inner lumen is configured to receive a fluid. The sheath includes a sheath portion that comprises a hydrophilic material, wherein the hydrophilic material is in direct contact with the fluid. The hydrophilic material helps resist formation of air bubbles along the inner lumen.

Catheter sheath system and method

An imaging probe for use in a catheter for ultrasonic imaging is provided. The imaging probe includes a transducer backing and a transducer configured to generate and receive ultrasonic waves. The transducer includes a first surface and a second surface that is opposite the first surface. The first surface faces the transducer backing and the second surface is disposed at an angle sloping toward a catheter center axis in a proximal direction.

Imaging probe housing with fluid flushing

An imaging window of an imaging catheter includes a first imaging window section and a second imaging window section. The first imaging window section has a finite length and is formed from a first material having a flexural modulus. The second imaging window section has a finite length and is formed from a second material having a flexural modulus. The flexural modulus of the first material is different than the flexural modulus of the second material.

Variable-stiffness imaging window and production method thereof

Embodiments of the present invention allow more full characterization of a stenotic lesion by measuring both pressure drop across the stenotic lesion and the size of the vessel lumen adjacent the stenotic lesion, both with sensors delivered intravascularly to the stenotic lesion site. In preferred embodiments, the size (e.g., inner diameter, cross-sectional profile) of the vessel lumen adjacent the stenotic lesion can be measured via one or more intravascular ultrasound transducers. In preferred embodiments, the intravascular ultrasound transducer(s) can be delivered to the site of the stenotic lesion with the same delivery device that carries the pressure transducer(s).

Multiple transducer delivery device and method

A catheter-based imaging system comprises a catheter having a telescoping proximal end, a distal end having a distal sheath and a distal lumen, a working lumen, and an ultrasonic imaging core. The ultrasonic imaging core is arranged for rotation and linear translation. The system further includes a patient interface module including a catheter interface, a rotational motion control system that imparts controlled rotation to the ultrasonic imaging core, a linear translation control system that imparts controlled linear translation to the ultrasonic imaging core, and an ultrasonic energy generator and receiver coupled to the ultrasonic imaging core. The system further comprises an image generator coupled to the ultrasonic energy receiver that generates an image.

System and catheter for image guidance and methods thereof

A catheter a first sheath having a proximal end and a distal end, and a length extending between the proximal end and the distal end. The first sheath being devoid of any bonds between the proximal end and the distal end, and a flexural modulus of the first sheath varying along the length. A method of making a catheter having more than one flexural modulus.

Catheter sheath and methods thereof

An ultrasonic transducer includes a backing element, an active element overlying the backing layer, and a matching element overlying the active element, the matching element having an inner surface that contacts the active element and an outer surface with a non-homogeneous texture and/or material composition. The matching element may be formed by subtractive or deposition techniques.

Ultrasound transducer and processing methods thereof

An imaging probe for use in a catheter for ultrasonic imaging is provided. The catheter may be of the type including a sheath having an opening at a distal end for conducting a fluid there through. The imaging probe includes a distal housing coupled to a drive shaft for rotation, a transducer within the distal housing for generating and sensing ultrasonic waves, and a fluid flow promoter that promotes flow of the fluid within the sheath across the transducer.

An ultrasound catheter includes an elongated body, a first and second ablation element each configured to ablate soft tissue and an imaging core having an ultrasound transducer. In another example, an ultrasound catheter includes an elongated body, a RF ablator configured to ablate soft tissue at a frequency less than 1 MHz, and an ultrasound transducer configured to image at a frequency greater than or equal to 10 MHz. In another example, an ultrasound catheter apparatus includes an ultrasound catheter having an ablator and an ultrasound transducer, and a graphical user interface displayed using a computer processor. The graphical user interface displays a real-time image of a treatment area and the ultrasound catheter, and a chart displaying ablation as a function of time, the chart being updated in real-time.

Catheters for imaging and ablating tissue

An imaging system comprises a catheter having a lumen, a rotatable imaging probe within the catheter lumen including a distal transducer and first and second conductors coupled to the transducer, and a coupler that couples the rotatable first and second conductors to non-rotatable third and fourth conductors, respectively. The coupler includes a rotary capacitive coupler.

IVUS system with rotary capacitive coupling

Methods of providing image-guided transendocardial injection of a therapeutic agent into a left ventricular wall of a heart. Some methods enable injections into heart tissue under visualization. The methods may include providing an endoventricular injection catheter having integrated echocardiographic capability. The endoventricular injection catheter may have an imaging core and an injection system carried on the elongated body with the imaging core. The method may include positioning the endoventricular injection catheter into the left ventricle of the heart, which inserts the imaging core into the heart. The method may also include transmitting ultrasonic energy via the imaging core, receiving reflected ultrasonic energy at the distal end, visualizing the left ventricular wall of the heart using the imaging core, identifying infarct regions of the left ventricle, and injecting a therapeutic agent into the visualized infarcted regions of the left ventricle using the injection system.

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Milpitas, CA, United States of America

Robert Zelenka