摘要:
Catheter apparatuses, systems, and methods for cryogenically modulating neural structures of the renal plexus by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver a cryo-applicator to a renal artery via an intravascular path. Cryogenic renal neuromodulation may be achieved via application of cryogenic temperatures to modulate neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.
摘要:
Systems and methods related to selective heating of cryogenic balloons for targeted cryogenic neuromodulation are disclosed herein. A cryotherapeutic device configured in accordance with a particular embodiment of the present technology can include an elongated shaft having a proximal portion and a distal portion. The shaft can be configured to locate the distal portion in a vessel. The cryotherapeutic device can further include a cryoballoon extending from the distal portion and a plurality of heating elements arranged about the cryoballoon. The plurality of heating elements can be individually controlled to selectively deliver heat to tissue of a wall of the vessel proximate the outer surface of the cryoballoon.
摘要:
Embodiments related to cryogenically ablating a portion of the inner surface of a vessel by constraining a cryoballoon using various apparatuses and methods are disclosed. For example, a catheter can include a cryoballoon for ablation of the vessel wall and a constraining element disposed substantially in parallel with the cryoballoon to deflect or offset a portion of the cryoballoon away from non-target tissue of the vessel wall and prevent ablation of the non-target tissue. Partial circumferential, non-continuous, or helical ablation can be effective for treating a variety of renal, cardio-renal, and other diseases including but not limited to hypertension, heart failure, renal disease, renal failure, contrast nephropathy, arrhythmia, and myocardial infarction. The constraining element may be, for example, a second inflatable balloon or one or more self-expanding prongs.
摘要:
Apparatus and methods are disclosed for controlling deployment of a self-expanding support structure of a prosthetic valve that flares in a proximal direction upon implantation in vivo. A tubular delivery sheath having a side opening that proximally extends within a side wall thereof is used to deploy the prosthetic valve with the self-expanding support structure in a controlled manner. The prosthetic valve is distally advanced within a lumen of the delivery sheath with the self-expanding support structure held in a compressed delivery configuration within the delivery sheath lumen. The self-expanding support structure of the prosthetic valve is aligned with the side opening of the delivery sheath and the prosthetic valve is rotated relative to the delivery sheath whereby the self-expanding support structure is laterally released from the delivery sheath lumen through the side opening to gradually transition from the compressed delivery configuration to a flared deployed configuration.
摘要:
A balloon dilatation catheter for use in a valvuloplasty procedure includes a catheter shaft and a spiral perfusion balloon mounted thereon. The perfusion balloon is formed from an inflatable tube that is in fluid communication with a catheter shaft inflation lumen. The inflatable tube is coiled into a series of windings that in an inflated configuration form a cylindrical or hourglass profile. In the inflated configuration, inner surfaces of the coiled windings of the inflatable tube define a perfusion lumen to allow blood flow through the perfusion balloon. Adjacent windings may be secured together with a flexible adhesive and/or a support weave formed from one or more filaments of material that criss-crosses between the adjacent windings along substantially the entire length of the spiral perfusion balloon.
摘要:
A balloon dilatation catheter for use in a valvuloplasty procedure includes a catheter shaft and a spiral perfusion balloon mounted thereon. The perfusion balloon is formed from an inflatable tube that is in fluid communication with a catheter shaft inflation lumen. The inflatable tube is coiled into a series of windings that in an inflated configuration form a cylindrical or hourglass profile. In the inflated configuration, inner surfaces of the coiled windings of the inflatable tube define a perfusion lumen to allow blood flow through the perfusion balloon. Adjacent windings may be secured together with a flexible adhesive and/or a support weave formed from one or more filaments of material that criss-crosses between the adjacent windings along substantially the entire length of the spiral perfusion balloon.
摘要:
A system and a method of using the system for reproducibly cutting a cove using a table saw are presented. The system comprises a first fence assembly and a fixturing means, where the fence assembly is rotatably affixed to the fixturing means, wherein the fixturing means can be releasably secured to the table of the table saw. The method comprises providing a blank molding, a table saw having a table and saw blade, and the cove system and releasably affixing the cove system to the table. The method further comprises setting a fence angle using the first fence assembly and setting a fence depth by adjusting the position of the fixturing means with respect to the table. The method finally comprises feeding the blank molding over the saw blade thereby cutting a cove in the blank molding.
摘要:
Particular disclosed embodiments disclosed herein concern using a one or more various mass tags, which can be specifically deposited at targets through direct or indirect enzymatic-catalyzed transformation, to provide a method for identifying targets in tissue samples. The mass tags may be labeled with stable isotopes to produce mass tags having the same chemical structure but different masses. Mass codes produced by ionizing the mass tags are detected and/or quantified using mass spectrometry. The method can be used for multiplexed detection of multiple targets in a particular sample. In some embodiments, a map divided into sections representing sections of the tissue sample may be prepared, with the map sections including data corresponding to quantification data wherein the size of a mass peak is determined and correlated with the amount of a target for the corresponding tissue sample section.
摘要:
Systems and methods for operating, particularly in the field, a Raman spectroscopy device that includes a laser, a spectrograph, an intensified charge coupled device (ICCD), and an autofocus subsystem. Before spectral data acquisition commences a series of ancillary data checks is performed to monitor operating conditions of at least the laser, the ICCD, and the autofocus subsystem. Further, after each Raman spectrum acquisition, a series of data quality checks is performed to enhance confidence in the just collected data. Only spectral data that passes the data quality checks are further processed. However, all spectral data are stored in a log file. When the log file reaches a predetermined capacity, the log file is closed, and a new round of ancillary data checks is performed to again monitor the status of the Raman spectroscopy device.
摘要:
A flush toilet includes a bowl assembly defining a bowl. The bowl assembly has a discharge outlet at a lower end and a ledge circumferentially extending about a substantial portion of the bowl. The bowl has a rear surface that is generally flat and vertical. The rear surface transitions to the ledge as the bowl continues clockwise and counter clockwise from the rear surface. A horizontal dimension of the ledge increases as the ledge continues from the rear surface to a front of the bowl. An angle of the ledge increases as the ledge continues from the rear surface to the front. A maximum slope of the ledge is located proximate the front. A nozzle is mounted to the bowl assembly for pressurizing a source of flush water and delivering the source of flush water to the bowl for rinsing and flushing of the bowl. The nozzle is positioned at a rear portion of the bowl and produces a first flow of water in a first circumferential direction about the bowl and a second flow of water in a second circumferential direction about the bowl. The second circumferential direction is opposite to the first circumferential direction. The ledge cascades the first and second flows of flush water down the bowl as the first and second flows of water move in the first and second circumferential directions, respectively.