A system, device and method for left atrial appendage occlusion detection is disclosed. The system for occlusion detection comprises a sheath; a delivery system comprising: a delivery catheter extending between a proximal end and a distal end; and a handle coupled to the proximal end of the delivery catheter; a medical tool coupled to a distal end of the delivery catheter at a target location within a portion of an organ of a patient, the medical device comprising a hub including a bore defining an axis, an occluder portion coupled to the hub and an anchor portion extending between a first end and a second end; at least one pressure sensor configured to measure a pressure of the target cavity while blood is suctioned form inside the left atrial appendage; and at least one processor configured to process the pressure measurement acquired from the at least one pressure sensor.

For robotically operating a catheter, a medical catheter is controlled by rotation of the catheter as well as steering in one or more planes of a distal end of the catheter. To robotically rotate the catheter, a handle is rotated. The steering is performed separately using one or more knobs on the handle. The rotation of the handle complicates the robotic control of the knob. A mechanical decoupling is used so that rotation of the handle maintains the position of the knob relative to the handle. Gearing or transmission is used to avoid independent control of the knob and handle rotation. In an alternative or additional approach, the handle may be robotically controlled while also guiding the catheter shaft spaced away from the handle, allowing fine-tuned control of the catheter at the access point to the patient.

Apparatus and methods for deactivating bronchial nerves extending along the secondary bronchial branches of a mammalian subject to treat asthma and related conditions. An ultrasonic transducer (11) is inserted into the bronchus as, for example, by advancing the distal end of a catheter (10) bearing the transducer into the secondary bronchial section to be treated. The ultrasonic transducer emits circumferential ultrasound so as to heat tissues throughout circular impact volume (13) as, for example, at least about 1 cm.sup.3 encompassing the bronchus to a temperature sufficient to inactivate nerve conduction but insufficient to cause rapid ablation or necrosis of the tissues. The treatment can be performed without locating or focusing on individual bronchial nerves. The apparatus and methods utilized for lung tumor ablation.

A catheter includes a transmission unit that is disposed at the distal end of a tube having a lumen and has an ultrasonic wave transmitting function; a reception unit that is disposed at the distal end of the tube and has an ultrasonic wave receiving function; and an acoustic lens that is disposed so as to cover only the transmission unit among the transmission unit and the reception unit. Ultrasonic beams transmitted from the transmission unit are converged by passing through the acoustic lens, and a reflected wave reflected on biological tissue is received by the reception unit without passing through the acoustic lens. Since setting of the positions, number, and the like of the reception units is not bound by the position, size, and the like of the acoustic lens, the positions, number, and the like of the reception units can be appropriately set to improve ultrasonic reception efficiency.

A catheter having a lumen includes a tube, a sensor unit disposed at a distal end of the tube and capable of transmitting and receiving ultrasound, and an irradiation unit disposed at the distal end of the tube and capable of emitting the ultrasound toward a guide wire which passes through the lumen and protrudes from the distal end of the tube. The shape of the biological tissue can be observed by transmitting the ultrasound from the sensor units toward the biological tissue and receiving the reflection wave reflected by the biological tissue at the sensor units. Irradiating the guide wire with the ultrasound transmitted from the irradiation unit causes the guide wire to vibrate. The vibration of the guide wire can facilitate the passage through an occlusion site of the biological tissue.

Intravascular imaging systems and methods for making and using intravascular imaging devices are disclosed. An example intravascular imaging device may comprise a catheter including an imaging device. A processor may be coupled to the catheter. The processor may be configured to process image data received from the imaging device. The processor may be configured to generate a calcium map. The calcium map may include an indicator of calcium depth to a vessel lumen surface, calcium distance to a center of the catheter, or both. A display unit may be coupled to the processor. The display unit may be configured to show a display including the calcium map.

An ultrasound endoscope includes: a balloon suction duct that is provided inside an insertion portion and that is where liquid inside a balloon is suctioned through, the balloon covering an ultrasound transducer positioned at a distal end of the insertion portion; a rigid portion that includes a balloon groove and an end surface positioned at an end portion of the rigid portion, the end portion being on a distal end side of the balloon groove, the end surface being a surface intersecting a longitudinal direction of the insertion portion, the end surface having an opening formed thereon, the opening communicating with the balloon suction duct; and a holder that is positioned on a distal end side of the rigid portion, the holder being configured to hold the ultrasound transducer.

A catheter that comprises a catheter configured for housing at least a portion of a catheter configured for insertion into a body lumen in proximity of a targeted anatomical site and having an imager at a distal end thereof and an adjustable chamber configured for covering the imager. The catheter is configured for introducing a wave conductive medium to the adjustable chamber to increase wave conductivity between the targeted anatomical site and the imager.

A system for deploying needles in tissue includes a controller and a visual display. A treatment probe has both a needle and tines deployable from the needle which may be advanced into the tissue. The treatment probe also has adjustable stops which control the deployed positions of both the needle and the tines. The adjustable stops are coupled to the controller so that the virtual treatment and safety boundaries resulting from the treatment can be presented on the visual display prior to actual deployment of the system.

An ultrasound imaging probe (204) includes a transducer array (210). The transducer array includes one or more transducer elements (212). The ultrasound imaging probe further includes an illumination component (218) and an optical imaging component (220). The ultrasound imaging probe further includes an elongated housing (302) with a long axis (304). The elongated housing includes a proximal end region (306) affixed to a handle (308) and a distal end region (310) with a tip region (312). The elongated housing houses the transducer array, the illumination component, and the optical imaging component in the distal end region.