An apparatus for ablating biological tissue having a deflectable ablation area including an elongated catheter having a distal end, a proximal end, and an elongated body portion. A plurality of optical fibers extend between the proximal and distal ends of the catheter. The distal ends of all of the plurality of optical fibers define an ablation area at the distal end of the catheter. The catheter includes a device for selectively deflecting the distal ends of all of the optical fibers so that at least a portion of the ablation area extends beyond an area defined by the cross-sectional area of the catheter while the amount of light energy over the entire ablation area remains constant.
A catheter which may be configured as a loop during an ablation procedure, and a method of use for such a catheter, are disclosed. According to one aspect of the present invention, an ablation catheter includes a flexible distal member arranged to inserted into a first vessel in the body of a patient, and an elongated flexible tubular member with a distal portion which is coupled to a proximal portion of the flexible distal member. The elongated flexible tubular member has a flexibility that is greater than or equal to the flexibility of the flexible distal member. The catheter also includes a transmission line which is at least partially disposed within the elongated flexible tubular member. A proximal end of the transmission line is suitable for connection to an electromagnetic energy source. The catheter further includes a transducer that is coupled to the transmission line, and is arranged to generate an electric field sufficiently strong to cause tissue ablation. In one embodiment, a distal portion of the flexible distal member is arranged to protrude from a second vessel of the body of the patient while at least part of the elongated flexible tubular member is located in a cardiac chamber of the heart of the patient.
A laser catheter device includes a main housing containing a main lumen defined within its inner edge. The housing further includes one or more subsidiary lumens surrounding the main lumen. An electrically insulated strip lies along an outer edge of the housing. The strip contains several vertical cavity surface-emitting lasers powered by an external power source. The lead from the lasers to the power source extends through the subsidiary lumen. The device further includes an inflatable balloon surrounding the insulated strip and communicates with the main lumen. The balloon is inflated by an external source of inflation fluid.
A thermal therapy catheter for preferentially treating tissue adjacent to a body lumen includes a catheter shaft that is insertable into the body lumen. An energy-emitting element is carried by the catheter shaft, and is operable to radiate a generally symmetrical energy pattern. The catheter shaft includes a plurality of cooling lumens around the energy-emitting element, configured for circulation of a fluid therethrough. An attenuating element is located in at least one of the plurality of cooling lumens and is arranged to modify the generally symmetrical energy pattern radiated by the energy-emitting element to deliver an asymmetrical energy pattern to the tissue adjacent to the body lumen.
A laser insole having one or many vertical cavity surface emitting lasers embedded therein may be worn by a patient and applied to an area of the foot. The device supplies the patient with a preprogrammed laser therapy regimen. A physician programs the device and inserts the device in a patient's shoe. The device is small enough to allow the patient's normal activities. The laser therapy regimen promotes healing of a wound on the foot. Alternatively, the device may adapted as a flexible device applied to the skin, or implanted into the body, or provided in a catheter that is inserted into a body region.
An intraurethral catheter includes an microwave antenna and a cooling lumen structure substantially surrounding the antenna. A cooling balloon partially surrounds the cooling lumens on one side of the catheter adjacent the microwave antenna. The cooling balloon improves wall contact between the catheter and a wall of the urethra to improve cooling of the urethra. The cooling balloon communicates with the cooling lumen structure to permit circulation of cooling fluid through the cooling balloon.