University of Florida Research Foundation, Incorporated

Abela Laser Systems, Inc.

Stephan E Friedl

George S Abela

Eric D Mathews

Russell W Bowden

A catheter uses a steerable outer catheter with an inner catheter rotatable and extendable with respect to the outer catheter. The outer catheter may be positioned within a patient's heart and a portion of the outer catheter may provide movement like that of a windshield wiper by manipulation of a spring. By combining the windshield wiper type movement with the extension and rotation of the inner catheter relative to the outer catheter, a large area within a patient's heart may be readily mapped for conduction tissue and be subjected to laser ablation if appropriate. Various configurations provide flexibility in relatively positioning of windows used to apply laser energy and ring electrodes used to sense conduction tissue. Various anchoring techniques are described.

Cardiac catheter anchoring

A catheter uses a steerable outer catheter with an inner catheter rotatable and extendable with respect to the outer catheter. The outer catheter may be positioned within a patient's heart and a portion of the outer catheter may provide movement like that of a windshield wiper by manipulation of a spring. By combining the windshield wiper type movement with the extension and rotation of the inner catheter relative to the outer catheter, a large area within a patient's heart may be readily mapped for conduction tissue and be subjected to laser ablation if appropriate. Various configurations provide flexibility in relatively positioning of windows used to apply laser energy and ring electrodes used to sense conduction tissue. Some embodiments provide only mapping (no ablation) or with ablation by other then Various anchoring techniques are described.

Mapping catheter and method

A catheter uses a steerable outer catheter with an inner catheter rotatable and extendable with respect to the outer catheter. The outer catheter may be positioned within a patient's heart and a portion of the outer catheter may provide movement like that of a windshield wiper by manipulation of a spring. By combining the windshield wiper type movement with the extension and rotation of the inner catheter relative to the outer catheter, a large area within a patient's heart may be readily mapped for conduction tissue and be subjected to laser ablation if appropriate. Various configurations provide flexibility in relatively positioning of windows used to apply laser energy and ring electrodes used to sense conduction tissue. Some embodiments provide only laser ablation (no mapping).

Optical fiber catheter and method

A catheter uses a steerable outer catheter with an inner catheter rotatable and extendable with respect to the outer catheter. The outer catheter may be positioned within a patient's heart and a portion of the outer catheter may provide movement like that of a windshield wiper by manipulation of a spring. By combining the windshield wiper type movement with the extension and rotation of the inner catheter relative to the outer catheter, a large area within a patient's heart may be readily mapped for conduction tissue and be subjected to laser ablation if appropriate. Various configurations provide flexibility in relatively positioning of windows used to apply laser energy and ring electrodes used to sense conduction tissue.

Cardiac ablation catheters and method

An apparatus for performing ablation upon a patient using laser energy. The apparatus advantageously provides for a laser beam to directly strike the tissue of a patient by having the laser beam pass out an opening in an outer hood. To prevent the apparatus from becoming fouled by burnt red blood cells or other materials, flushing solution is fed under pressure into the interior of the outer hood so as to flow out through the opening. The outer hood may include a plurality of openings and the apparatus may emit more than one laser beam, each laser beam going through a corresponding opening and having the flushing solution provided through the same opening such that the flushing is advantageously provided directly at the location where it is needed. Additionally, an auxiliary opening may be provided without any corresponding laser beam, the auxiliary opening allowing flushing solution to exit therfrom so as to stabilize the positioning of the apparatus within the vessel or other part of the patient. The apparatus includes an optical fiber having a prism which is integral with the optical fiber and used to direct the laser energy in the desired direction. A method of making the apparatus provides for the formation of the prism from the optical fiber.

Laser treatment apparatus and method

An angioscopic system includes image processing so as to determine the dimensions of an unknown dimensional feature within the field of view of the angioscope. The system is calibrated by placing a series of known images at known separation distances from the tip of the angioscope and measuring the size of the image which is produced upon a video monitor. This provides a series of data indicating the relationship between the actual size of the feature, the apparent size in pixels on the image, and the known separation distance from the tip of the scope to the feature plane in which the dimensional feature is disposed. Collection of this data allows one to generate, by curve fitting techniques, a functional relationship such that the size of an unknown dimensional feature may be determined when the angioscope is used upon an actual patient. The coefficients generated by the calibration technique are stored in the computer and called up during the measurement process which involves viewing a scene from several different points and using a Newton-Jordan or other minimization technique in order to generate the actual area or other dimensional aspect of the feature of interest. A modified system uses a stereoscopic angioscope in order to provide depth information with respect to an image without the necessity of moving an angioscope tip. A calibrated guidewire may be used to orient and stabilize the tip of the scope. Markings on the guidewire allow one to determine the amount of change in position of the tip.

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Watertown, MA, United States of America

Stephan E Friedl