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Coaxial catheter instruments for ablation with radiant energy

InactiveUS20050038419A9Rapid and effective photoablationLess timeStentsUltrasound therapyCoaxial catheterTarget tissue
Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site. The instrument can optionally include at least one expandable anchor balloon disposed about, or incorporated into an inner catheter body designed to be slid over a guidewire. This anchor balloon can serve to position the device within a lumen, such as a pulmonary vein. A projection balloon structure is also disclosed that can be slid over the first (anchor balloon) catheter body and inflated within the heart, to define a staging from which to project radiant energy. An ablative fluid can also be employed outside of the instrument (e.g., between the balloon and the target region) to ensure efficient transmission of the radiant energy when the instrument is deployed. In another aspect of the invention, generally applicable to a wide range of cardiac ablation instruments, mechanisms are disclosed for determining whether the instrument has been properly seated within the heart, e.g., whether the device is in contact with a pulmonary vein and/or the atrial surface, in order to form a lesion by heating, cooling or projecting energy. This contact-sensing feature can be implemented by an illumination source situated within the instrument and an optical detector that monitors the level of reflected light. Measurements of the reflected light (or wavelengths of the reflected light) can thus be used to determine whether contact has been achieved and whether such contact is continuous over a desired ablation path.
Owner:CARDIOFOCUS INC

Devices and methods for performing avascular anastomosis

A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis
Owner:HEARTPORT

Fixator with membrane

InactiveUS20070083087A1Restrict absorptionCorneal tissue is prevented from becomingEye surgerySurgerySurgical instrumentMembrane configuration
A surgical instrument releasably securable to an eye using suction is provided. The surgical instrument comprises a body, a handle, and a porous member. The body forms an annular suction cavity. The annular suction cavity receives the suction and has an open end in a concave lower surface. The open end is directed toward the eye. The handle is integrally formed with the body. The handle extends upwardly away from the eye and radially outwardly from the body. The handle includes a passage adapted to deliver the suction to the suction cavity. The porous member is disposed within the suction cavity. The porous member is adapted to restrict absorption of the eye into the suction cavity through the open end and to permit the suction to permeate the suction cavity and reach the open end such that the surgical instrument is releasably securable to the eye using the suction.
Owner:SISMED

Methods for ablation with radiant energy

InactiveUS20060253113A1Rapid and efficient creationRapid and effective photoablationStentsUltrasound therapyCoaxial catheterTarget tissue
Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site. The instrument can optionally include at least one expandable anchor balloon disposed about, or incorporated into an inner catheter body designed to be slid over a guidewire. This anchor balloon can serve to position the device within a lumen, such as a pulmonary vein. A projection balloon structure is also disclosed that can be slid over the first (anchor balloon) catheter body and inflated within the heart, to define a staging from which to project radiant energy. An ablative fluid can also be employed outside of the instrument (e.g., between the balloon and the target region) to ensure efficient transmission of the radiant energy when the instrument is deployed. In another aspect of the invention, generally applicable to a wide range of cardiac ablation instruments, mechanisms are disclosed for determining whether the instrument has been properly seated within the heart, e.g., whether the device is in contact with a pulmonary vein and / or the atrial surface, in order to form a lesion by heating, cooling or projecting energy. This contact-sensing feature can be implemented by an illumination source situated within the instrument and an optical detector that monitors the level of reflected light. Measurements of the reflected light (or wavelengths of the reflected light) can thus be used to determine whether contact has been achieved and whether such contact is continuous over a desired ablation path.
Owner:CARDIOFOCUS INC

Self-anchoring device with force amplification

A downhole tool is provided that includes a grip assembly for contacting a well formation. The grip assembly includes a gripper body; and a centralizer that is attached to and radially expandable with respect to the gripper body and that has a geometry which is lockable by a locking device. The grip assembly also includes a force amplifier in force transmitting relation with the centralizer, wherein the force amplifier transfers a force in a first direction to a much larger force in a second direction when the centralizer is locked by the locking device.
Owner:SCHLUMBERGER TECH CORP

Wireless access point

An access point device and access point system support wireless and wired communications. The access point includes a front face and a rear housing sized to fit within a conventional wall box, e.g., a single gang box. The electrical components associated with the access point device include a plurality of printed circuit boards that are configured in an H-shaped or U-shaped manner, such that they fit within the rear housing. Interface members are provided to facilitate communications between and among the printed circuit boards. At least one jack is provided in the front face of the access device for wired communication, and a plug is outwardly directed from the rear housing to facilitate network connection. Power for the access point device is supplied over a cable or conduit that engages the outwardly directed plug using Power-over-Ethernet (PoE) technology. The printed circuit boards include circuitry for managing operation of the access device and, in exemplary embodiments, includes power control circuitry to moderate potential heat generation.
Owner:ORTRONICS INC
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