Methods for creating and maintaining an anastomosis between two adjacent blood vessels using percutaneous techniques, for use in hemodialysis procedures are disclosed and described.

A corrugated radiofrequency ablation catheter having wall-attaching adjustment wires (6, 6A, 6B, 6A′, and 6B′), provided with a strip-shaped connecting catheter, an electrode frame provided at the front end of the connecting catheter, and a control handle (20) provided at the rear end of the connecting catheter. The electrode frame is a corrugated electrode frame consisting of one or more corrugations, where one or more electrodes (2) respectively are distributed on the corrugations. The rear sections of the wall-attaching adjustment wires (6, 6A, 6B, 6A′, and 6B′) are slidably provided within one lumen of the connecting catheter and are connected at the rear extremities (60) onto a control element (22) provided on the control handle (20) or connected onto a control element (22) provided outside of the control handle (20).

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Disclosed herein is a system for ablating and characterizing tissue. The system comprises an ablation element configured to emit ablative energy toward a tissue of interest, an imaging apparatus configured to emit energy and collect imaging data including reflected signals from the tissue of interest, and a characterization application. The characterization application comprises a signal analyzer for analyzing the imaging data and determining one or more signal properties from the reflected signals, and a correlation processor configured to associate the one or more signal properties to pre-determined tissue signal properties of different tissue components through a pattern recognition technique. The pre-determined tissue signal properties are embodied in a database, and the correlation processor is configured to identify a tissue component and an ablation level of the tissue of interest based on the pattern recognition technique.

A medical device for treating a vein, including component parts thereof, wherein the device comprises a vein stretching member; a vein stretching member for use with the device; a kit of parts including the device and one or more vein stretching member and a method for treating a vein including use of the device.

A system for recording or recalling ablation information includes a workstation, and control circuitry. The workstation may include a display, a user input device, and a memory. The workstation may be configured to be in electrical communication with an ablation device. The control circuitry may be in electrical communication with the ablation device and the memory. The control circuitry may be configured to receive input associated with an ablation procedure performed by the ablation device, and associate the input with an anatomical structure of the patient.

Systems and methods for performing and assessing neuromodulation therapy are disclosed herein. One method for assessing the efficacy of neuromodulation therapy includes positioning a neuromodulation catheter at a target site within a renal blood vessel of a human patient and delivering neuromodulation energy at the target site with the neuromodulation catheter. The method can further include obtaining a measurement related to a blood flow rate through the renal blood vessel via the neuromodulation catheter. The measurement can be compared to a baseline measurement related to the blood flow rate through the renal blood vessel to assess the efficacy of the neuromodulation therapy. In some embodiments, the baseline and post-neuromodulation measurements are obtained by injecting an indicator fluid into the renal blood vessel upstream of the target site and detecting a transient change in vessel impedance caused by the indicator fluid.

A catheter adapted for deflection in a narrow tubular region and/or sharp turn, has an elongated body, a deflection section having a support member adapted for heat activation to assume a trained configuration, and a lead wire configured to deliver a current to the support member for heat activation. The support member is constructed of a shaped memory alloy, for example, nitinol, and the lead wire is adapted to directly heat the support member. Moreover, the catheter may include a thermally insulating layer covering at least a portion of the support member. The trained configuration of the support member extends in a single dimension, in two dimensions or in three dimensions.

An effortless means for deflating a balloon of a catheter. A catheter system includes a catheter, a circuit for making fluid flow through the catheter, and a drive device having a bidirectionally drivable pump and a controller. The catheter includes an inflatable balloon, and a first lumen and a second lumen that allow the fluid to flow through the balloon. The controller drives the pump in a first direction to make the fluid flow from a buffer tank via a first flow path into the first lumen and to make the fluid flow out from the second lumen via a second flow path to the buffer tank, and drives the pump in a second direction opposite to the first direction to make the fluid flow from the first lumen via the first flow path into the buffer tank.

Systems, devices, and methods for transvascular ablation of target tissue. The devices and methods may, in some examples, be used for splanchnic nerve ablation to increase splanchnic venous blood capacitance to treat at least one of heart failure and hypertension. For example, the devices disclosed herein may be advanced endovascularly to a target vessel in the region of a thoracic splanchnic nerve (TSN), such as a greater splanchnic nerve (GSN) or a TSN nerve root. Also disclosed are methods of treating heart failure, such as HFpEF, by endovascularly ablating a thoracic splanchnic nerve to increase venous capacitance and reduce pulmonary blood pressure.