42362results about "Catheter" patented technology

Various shock wave catheters and methods of use thereof that do not utilize a guidewire are described herein. The shock wave catheters include at least one shock wave emitter disposed within a distal portion of the shock wave catheter and configured to generate shock waves. The ends of conductive wires extending within an elongate tube can form the shock wave emitter(s). The shock wave emitter(s) can be surrounded by an enclosure fillable with a conductive fluid delivered by the lumen of the elongate tube. The elongate tube can include a coil or slits therein that enable flexibility of the shock wave catheter, which, in combination with the narrow profile of the shock wave catheters described herein, enable their use in navigating and treating small, tortuous vessels.

Systems and methods are disclosed for evaluating a patient with vascular disease. One method includes receiving one or more vascular models associated with either the patient or with a plurality of individuals; receiving observed perfusion information associated with the patient; and estimating, using one or more computer processors, one or more blood flow characteristics or one or more pathological characteristics of the patient based on the observed perfusion information and the one or more vascular models.

The invention relates to the field of sleep monitoring, in particular to a sleep monitoring visual analysis method and system based on a smart bracelet. The method comprises the following steps: extracting a sleep physiological signal of a wrist part of a user based on a smart bracelet; sliding time window analysis and multi-mode physiological state sensing are carried out, and a dynamic sleep state sensing map is constructed; performing transient mutation rhythm recognition on the dynamic sleep state sensing map, performing sleep stage evolution trend analysis, and constructing a sleep stage evolution model; the method comprises the following steps: collecting multi-dimensional parameters of a sleep environment, carrying out environment parameter change detection and environment disturbance-sleep stage change association identification, and obtaining an environment disturbance-sleep rhythm mutation association rule; environment disturbance intensity evaluation is carried out according to the association rule, and a real-time sleep state visual view is constructed. According to the method, accurate and high-readability sleep monitoring data visualization is realized, the overall sleep quality is improved, and the long-term health risk is reduced.

A system and method for determining native cardiac output of a heart while maintaining operation of an intracardiac blood pump includes determining a current drawn by the pump motor, a blood pressure within the ascending aorta, and a change in the blood temperature based on a thermodilution technique. An intracardiac blood pump positioned in the aorta includes at least one sensor for determining a motor current and blood pressure and a thermistor for determining the change in blood temperature after a precise fluid bolus has been introduced into the vasculature. A processor receives current, pressure, and temperature measurements, and calculates a pump flow output and a total cardiac output from which the native cardiac output is calculated. The native cardiac output and other clinically relevant variables derived from the measurements inform decisions related to continued therapeutic care, including increasing or decreasing cardiac assistance provided by the intracardiac pump.

The approach presented here relates to a determination appliance (100) for determining a viscosity of a fluid. The determination appliance (100) has at least one determination device (110) and a provisioning device (115). The determination device (110) is designed to determine the viscosity of the fluid and / or a rotational speed (ω) of a blade wheel (205) for conveying the fluid by using at least one detected volume flow of the fluid and a detected pressure difference of the fluid. The provisioning device (115) is designed to provide or send a viscosity signal (130) representing the viscosity determined by the determination device (110).

Aspects of the current subject matter are directed to a wearable analyte monitoring device with an integrated applicator for deployment of a microneedle array-based sensor into a skin surface of a subject. The microneedle array is retained within a housing body of the wearable analyte monitoring device in a first, loaded configuration. Upon actuation, a biasing element accelerates the microneedle array into the skin of the subject, transitioning the microneedle array to a second, deployed configuration in which the microneedle array protrudes through a distal opening of the housing body and enabling sensing by the microneedle array of one or more target analytes in dermal interstitial fluid of the subject.

A blood pump assembly can include various components such as a housing and a sensor configured to detect one or more characteristics of the blood. In some embodiments, the sensor can be coupled to the housing and can include a sensor membrane configured to deflect in response to a change in a blood parameter (e.g., pressure). The blood pump assembly can include a shield that covers at least a portion of the sensor membrane so as to protect the sensor from damage when the blood pump assembly is inserted through an introducer and navigated through the patient's vasculature and / or when the blood pump assembly is inserted into the heart in a surgical procedure. One or more protective layers can be deposited over the sensor membrane to prevent the sensor membrane from being dissolved through interactions with the patient's blood.

Systems and methods are disclosed for determining individual-specific blood flow characteristics. One method includes acquiring, for each of a plurality of individuals, individual-specific anatomic data and blood flow characteristics of at least part of the individual's vascular system; executing a machine learning algorithm on the individual-specific anatomic data and blood flow characteristics for each of the plurality of individuals; relating, based on the executed machine learning algorithm, each individual's individual-specific anatomic data to functional estimates of blood flow characteristics; acquiring, for an individual and individual-specific anatomic data of at least part of the individual's vascular system; and for at least one point in the individual's individual-specific anatomic data, determining a blood flow characteristic of the individual, using relations from the step of relating individual-specific anatomic data to functional estimates of blood flow characteristics.

An intraluminal ultrasound imaging system includes a processor circuit configured for communication with an intraluminal ultrasound imaging catheter, and is configured to receive an intraluminal ultrasound image obtained by the imaging catheter while the intraluminal ultrasound imaging catheter is positioned within a body lumen of a patient. The processor circuit is further configured to output, to a display in communication with the processor circuit, at least two image type options, receive a user selection of an image type option, select a preset value for at least one image processing parameter based on the image type option, and display the intraluminal ultrasound image according to the image processing parameter.

A computer-implemented method of processing patient image data comprises: receiving a patient-specific vascular model of an individual, wherein the patient-specific vascular model is based at least in part on medical images acquired of the individual; receiving a patient-specific tissue model of a tissue of the individual; observing an actual perfusion value of the tissue; determining at least one vessel pathology that causes the actual perfusion value; and selecting a candidate updated vascular model of the plurality of candidate updated vascular models that results in a minimum difference between the hypothetical perfusion value and the actual perfusion value; updating the patient-specific vascular model to include the at least one vessel pathology of the selected candidate updated vascular model; and outputting an estimate of a location of the at least one vessel pathology or an estimate of a severity of the at least one vessel pathology.

Apparatus and methods are described including placing, into a subject's body, a blood-pump tube, with an impeller disposed within the blood-pump tube. At least one blood-pressure-measurement element extends to at least an outer surface of the blood-pump tube, such that the distal end of the blood-pressure-measurement element is in direct fluid communication with a bloodstream of the subject outside the blood-pump tube at a location that is proximal to blood-inlet opening(s) defined by the blood-pump tube. Blood is pumped through the blood-pump tube, using the impeller. Pressure of the bloodstream of the subject outside the blood-pump tube is measured by measuring blood pressure at the distal end of the left-ventricular blood-pressure-measurement element. Other applications are also described.

Disclosed is an intraluminal ultrasound imaging system, comprising a processor circuit in communication with an intraluminal ultrasound imaging catheter, and configured to receive an intraluminal ultrasound image from the imaging catheter within a body lumen of a patient, the body lumen comprising a plurality of segments. The processor is configured to identify a segment of the plurality of segments where the imaging catheter was located when the image was obtained, and output to a display a stylized figure of the body lumen including the plurality of segments, and an indicator identifying the segment in the stylized figure where the imaging catheter was located when the image was obtained.

Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a multi-electrode array configured to be delivered to a renal blood vessel. The array is selectively transformable between a delivery or low-profile state (e.g., a generally straight shape) and a deployed state (e.g., a radially expanded, generally helical shape). The multi-electrode array is sized and shaped so that the electrodes or energy delivery elements contact an interior wall of the renal blood vessel when the array is in the deployed (e.g., helical) state. The electrodes or energy delivery elements are configured for direct and / or indirect application of thermal and / or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function or of vascular structures that feed or perfuse the neural fibers.

An apparatus includes a housing, a fluid reservoir, a flow control mechanism, and an actuator. The housing defines an inner volume and has an inlet port that can be fluidically coupled to a patient and an outlet port. The fluid reservoir is disposed in the inner volume to receive and isolate a first volume of a bodily-fluid. The flow control mechanism is rotatable in the housing from a first configuration, in which a first lumen places the inlet port is in fluid communication with the fluid reservoir, and a second configuration, in which a second lumen places the inlet port in fluid communication with the outlet port. The actuator is configured to create a negative pressure in the fluid reservoir and is configured to rotate the flow control mechanism from the first configuration to the second configuration after the first volume of bodily-fluid is received in the fluid reservoir.

To provide a speed indicator for simplifying acquisition and display of an ultrasonic image in a peripheral blood vessel during a pull-back procedure.SOLUTION: Disclosed is an intraluminal ultrasound imaging system including a processor circuit in communication with an intraluminal ultrasound imaging catheter, and a processor circuit is configured to receive a plurality of intraluminal ultrasound images obtained by the imaging catheter while the imaging catheter is moved through a body lumen of a patient. The processor circuit is further configured to determine a longitudinal translation speed of the intraluminal ultrasound imaging catheter on the basis of the plurality of images and a known time interval between images, and to display a speed indicator based on the longitudinal translation speed.SELECTED DRAWING: None

Systems and methods are disclosed for determining individual-specific blood flow characteristics. One method includes acquiring, for each of a plurality of individuals, individual-specific anatomic data and blood flow characteristics of at least part of the individual's vascular system; executing a machine learning algorithm on the individual-specific anatomic data and blood flow characteristics for each of the plurality of individuals; relating, based on the executed machine learning algorithm, each individual's individual-specific anatomic data to functional estimates of blood flow characteristics; acquiring, for an individual and individual-specific anatomic data of at least part of the individual's vascular system; and for at least one point in the individual's individual-specific anatomic data, determining a blood flow characteristic of the individual, using relations from the step of relating individual-specific anatomic data to functional estimates of blood flow characteristics.

A method for circumscribing an insulating barrier region around a singular conductive microneedle structure or plurality of conductive microneedle structures adhered to a fixed substrate for the purpose of spatially defining a conduit for the routing of an electrical signal from the surface of said microneedle or microneedles to the posterior surface of the substrate is disclosed herein. A microneedle-based electrochemical biosensors structure comprises a substrate, a microneedle biosensor, a primary electrically conductive element, a secondary electrically conductive element and an electrically insulative annular barrier.

A shape-sensing system can include a stylet, an optical interrogator, a console, and a display screen. The stylet can include an optical fiber with fiber Bragg grating (“FBG”) sensors along a length of the optical fiber. The optical interrogator can be configured to send input optical signals into the optical fiber and receive FBG sensor-reflected optical signals from the optical fiber. The console can be configured to convert the reflected optical signals with the aid of filtering algorithms of some optical signal-converter algorithms into plottable data for displaying plots thereof on the display screen. The plots can include a plot of curvature vs. time for each FBG sensor of a selection of the FBG sensors for identifying a distinctive change in strain of the optical fiber as the stylet is advanced into a superior vena cava of a patient.

Ultrasound imaging devices, systems and methods are provided. An intraluminal ultrasound imaging system includes a patient interface module (PIM) that communicates with an intraluminal imaging device, the intraluminal imaging device including an ultrasound imaging component, the PIM including a first reconfigurable logic block, a configuration memory and a processing component, the first reconfigurable logic block including a first plurality of logic elements interconnected by a first reconfigurable interconnect element, the configuration memory being coupled to the first reconfigurable logic block, the processing component being coupled to the configuration memory, the processing component being configured to: detect device properties of the intraluminal imaging device communicating with the PIM; and load at least one of a first configuration or a second configuration into the configuration memory based on the detected device properties to configure one or more first reconfigurable interconnect elements in the first reconfigurable interconnect element so that the first plurality of logic elements are interconnected to communicate with the ultrasound imaging component.

An intraluminal imaging device is provided. In one embodiment, the imaging device includes a flexible elongate member that may be inserted into a body lumen within a patient. The flexible elongate member may define a longitudinal axis. The imaging device also has an imaging assembly that is disposed at a distal portion of the flexible elongate member. The imaging assembly may have a plurality of ultrasound transducer elements disposed around the longitudinal axis. The imaging assembly further includes a first integrated circuit controller in communication with the plurality of ultrasound transducer elements. The first integrated circuit controller may be annularly shaped. In some embodiments, the imaging assembly may include a second integrated circuit controller in communication with the ultrasound transducer elements and the first integrated circuit controller. The second integrated circuit controller may be annularly shaped.

Systems, methods, and devices for using ultrasound for diagnostic and therapeutic procedures are provided. Ultrasound signals may be transmitted and / or received by ultrasound transducers in an ultrasound device positioned within the anatomy of a patient. The ultrasound transducers may be arranged in an array such that a first segment of the array is configured to transmit ultrasound pulses and receive ultrasound echoes for diagnostic procedures and a second segment of the array is configured to transmit ultrasound pulses for therapeutic procedures. The received ultrasound echoes may be used to generate two- or three-dimensional images of the anatomy.

Embodiments of the present disclosure are configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel. In some particular embodiments, the devices, systems, and methods of the present disclosure are configured to assess the severity of a stenosis in the coronary arteries by monitoring fluid flow. In some embodiments, the devices, systems, and methods of the present disclosure receive analog sensor data that includes fluid flow data and digitizes the analog sensor data according to a quadrature sampling rate. A weighted accumulator performs a baseband conversion on the digitized sensor data and may perform other signal processing steps. The processed data is then provided for use in any one of a number of diagnostic assessments.

Methods and analyte sensors including at least a first working electrode having a first active area thereon, and performing a dip coating operation to deposit a bilayer membrane upon the first working electrode and the first active area. The bilayer may include an inner layer having a first membrane polymer and an outer layer having a second membrane polymer, the first membrane polymer and the second membrane polymer differing from one another. The dip coating operation may comprise one or more first dips in a first membrane formulation to form the inner layer of the bilayer membrane and one or more second dips in a second membrane formulation to form the outer layer of the bilayer membrane upon the inner layer.

An apparatus that includes a catheter and multiple shock wave discharge points positioned within a balloon along the catheter between proximal and distal ends of the catheter, wherein the distal end extends distally beyond the balloon. An electronic controller includes software and is operably coupled to control firing and production of shock waves at each shock wave discharge point of the multiple shock wave discharge points.

A catheter includes a handle and an elongate member extending from the handle. The catheter may also include steering system coupled to the handle. The steering system may be configured to deflect at least a portion of the elongate member in at least one direction. The catheter may also include a locking mechanism configured to lock the portion of the elongate member in a deflected configuration, and a lever coupled to the handle. The lever may be configured to move from a first position to a second position to engage the locking mechanism. The lever may also be configured to be separably retained at least at one of the first position or the second position to prevent movement therebetween.

Described herein are shock wave catheters having discontinuous emitter bands. The catheters may be used for treating occlusions in a body lumen. In some examples, the catheters include an elongated tube, a shock wave electrode assembly at least partially embedded within the elongated tube, and an enclosure surrounding the shock wave electrode assembly. In some examples, the electrode assembly includes an emitter band at least partially encircling the elongated tube, the emitter band forming a first electrode of an electrode pair, and one wire having a distal end forming a second electrode of the electrode pair. The shock wave electrode assembly is configured to emit a shock wave when a voltage pulse is applied across the electrode pair. In some examples, the at least one emitter band is compressible to reduce a diameter of the emitter band.

Multiple enzymes may be present in one or more active areas of an electrochemical analyte sensor for detecting one or more different analytes. In particular, an analyte sensor may comprise a sensor tail configured for insertion into a tissue and one or more working electrodes having a glucose-responsive active area and an ethanol-responsive active area to detect glucose and ethanol in vivo.

The invention relates to the technical field of health assessment, in particular to a big data-based breathing health assessment system, which comprises a breathing parameter analysis module, an interaction relationship assessment module, a breathing anomaly detection module and a breathing condition assessment module. According to the method, accurate extraction of breathing parameters and evaluation of breathing periodic changes are achieved by analyzing thoracic pressure waveform data, the breathing mode of a user is accurately recognized, physiological parameters are collected, the mutual relation between the physiological parameters and the breathing mode is analyzed, the influence of various physiological factors on breathing health is revealed, the dynamic monitoring capacity on the breathing health is enhanced, and the user experience is improved. According to the method, by combining detection and identification of abnormal breathing parameters, identification and classification of abnormal breathing reasons are achieved, medical professionals are helped to make treatment plans and health management strategies, diagnosis efficiency is improved, the misdiagnosis rate is reduced, and powerful support is provided for management of various chronic diseases by combining continuous trend analysis.

A tool has an outer assembly, which includes a deployment tube, extending around, and moveable with respect to an inner assembly of the tool; the inner assembly includes a single pull wire and a distal member configured to engage an end of an implantable medical device. The deployment tube includes an articulating segment located just proximal to an enlarged distal-most portion, which contains the device and the distal member. Relatively soft and stiff sections of a composite sidewall define the articulating segment and extend alongside one another, such that, when the pull wire is actuated, the composite sidewall causes bending of the segment in two directions. A handle assembly of the tool includes a control member for the pull wire, and may further include a flushing subassembly that has a connector port located at an end of the handle assembly that is opposite a proximal port of the handle.