Described herein are systems and methods for performing optical signal analysis and lesion predictions in ablations. A system includes a catheter coupled to a plurality of optical fibers via a connector that interfaces with a computing device. The computing device includes a memory and a processor configured to receive optical measurement data of a portion of tissue from the catheter. The processor identifies one or more optical properties of the portion of tissue by analyzing the optical measurement data and determines a time of denaturation of the portion of tissue based on the one or more optical properties. A model is created to represent a correlation between lesion depths and ablation times using the time of denaturation, the one or more optical properties, and the predetermined period of time. A predicted lesion depth for a predetermined ablation time is generated using the model.

Provided is a detector assembly for determining a ratio of lactate to pyruvate from dialysis, said detector assembly comprising: a first pump, a dialysis probe, a first tube fluidically coupling the first pump to an inlet of the dialysis probe, an infrared (IR) detector, a second tube fluidically coupling an outlet of the dialysis probe to the IR detector, and a controller. The first pump pumps a perfusate at a first flow rate to the dialysis probe, via the first tube, and to, in turn, pump a dialysate at a second flow from the dialysis probe to the IR detector, via the second tube. The IR detector detects respective absorbances due to lactate and pyruvate in the dialysate, and the controller determines the ratio of lactate to pyruvate in the dialysate.

Vascular access assemblies are disclosed herein. In one example, a vascular access assembly comprises a proximal catheter, a distal catheter, and a junction positioned between the proximal and distal catheters and configured to position the proximal and distal catheters in fluid communication. The junction may comprise one or more sensors configured to obtain physiological and/or operational measurements. The junction may be configured to wirelessly transmit the measurements to one or more local or remote computing devices for monitoring by a caregiver.

A fiber optics rotary joint (FORJ) connects a system console to a probe having a rotatable core, and transfers rotational motion to the probe core. The FORJ comprises a stationary optical fiber in optical communication with a rotatable optical fiber, a motor having a hollow shaft, and a fiber connector attached to a distal end of the hollow shaft. The motor is configured to rotate the rotatable optical fiber relative to the stationary optical fiber. The rotatable fiber is attached to the proximal end of the hallow shaft and connected to the fiber connector. The distal end of the stationary optical fiber is directly opposed to and aligned with the proximal end of the rotatable optical fiber such that optical axes of the stationary and rotatable optical fibers are substantially collinear with the rotational axis of the motor. The fiber connector transfers optical power and torque to the probe core.

Systems and methods are provided for performing a medical procedure within a patient's body that involves a thoracic duct including an ostium communicating with the patient's venous system. A distal end of a catheter is introduced through the patient's venous system into a body lumen adjacent the ostium of the thoracic duct. An expandable member on the distal end of the tubular member may be expanded adjacent the ostium, e.g., within the body lumen or the thoracic duct itself, and used to isolate the thoracic duct from the body lumen, whereupon a medical procedure may be performed via the thoracic duct. For example, lymphatic fluid may be removed from the thoracic duct through a lumen of the tubular member and/or one or more agents may be introduced into the thoracic duct through the tubular member.

A method of monitoring cardiac dysfunction, such as pericardial effusion, is disclosed. The method uses an indwelling probe inserted within a coronary sinus or a chamber or vessel of the heart, the probe having motion sensing means configured to sense motion of the probe based on movement of the wall of the coronary sinus or other chamber or vessel. Data is obtained from the motion sensing means and processed to monitor for cardiac dysfunction. The monitoring can be in real-time and can utilise one or more three-axis accelerometers. In some embodiments, two or more three-axis accelerometers are spaced longitudinally along an elongate body of the probe, which can increase accuracy and reliability of monitoring.

A medical probe includes a shaft for navigation in a patient body, and first and second deflection mechanisms. The shaft ends with a flexible section and a spring, followed by a rigid distal tip having one or more medical devices coupled thereto. The first deflection mechanism is configured to deflect the flexible section relative to the shaft. The second deflection mechanism is configured to deflect the distal tip relative to the first flexible section by using the spring.

A medical device comprises a control system, processing modules, and a wire bundle connecting the control system to the processing modules, the wire bundle comprising control lines and data lines. Each processing module is coupled to a respective set of sensors arranged to interface with a biological tissue site, the sensors being configured to capture analog physiological signals generated from the biological tissue site. The control system is configured to generate a control signal on the control lines to initiate a data collection cycle by the processing modules. In response to the control signal, each processing module is configured to perform a respective data collection process which comprises (i) capturing and processing an analog physiological signal on each enabled sensor to generate a data sample for each analog physiological signal captured on each enabled sensor, and (ii) outputting data samples to the control system on the data lines.

An in-scale display device is provided. The in-scale display device includes a tablet or mobile device having an electronic display screen that is configured to display at least one reference image in-scale with a subject. A medical device position guidance system including the in-scale display device and an invasive medical device system, and a method of using the medical device position guidance system, are also provided.

Heart tissue electrical activity mapping used to guide the placement of devices to intervene in (treat) structural heart disease. In some embodiments, the intervention comprises placement of an implantable device, and/or positioning of a therapeutic device used to remove and/or remodel tissue. In some embodiments, electrical activity mapping is performed along with spatial mapping of a body cavity. In some embodiments, the intervention device position is compared to the measured positions of anatomical structures critical to heart electrical function to assess and/or prevent complications due to the device damaging heart electrical function.