摘要:
The present disclosure relates to the field of tissue mapping and ablation. Specifically, the present disclosure relates to expandable medical devices for identifying and treating local anatomical abnormalities within a body lumen. More specifically, the present disclosure relates to systems and methods of focal treatment for overactive bladders.
摘要:
The invention refers to an electro-mechanical device specially designed so that in combination with a laser generator it can be used to treat the inner tissue of the vagina and, as a consequence of said treatment, retract the pelvic floor so that the bladder is lifted and due to its change in angle, slight or moderate urine leakage is resolved or improved. With the same device and laser generator, it is also possible to treat the inner surface of the vagina, reducing possible laxity arising from childbirth and aging.
摘要:
1A device for treatment of urinary incontinence comprises: at least one electrode, which is coupled to a pelvic muscle of a patient; and a control unit, which receives electromyogram signals from the electrode indicative of possible imminent incontinence, and which determines a threshold signal level that varies over time responsive to a condition of the patient, and which, responsive to a transient increase in the electromyogram signal above the threshold level, applies an electrical waveform to stimulate the muscle to contract, so as to inhibit the incontinence.
摘要:
The invention provides improved devices, methods, and systems for shrinking of collagenated tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. This energy heats fascia and other collagenated support tissues, causing them to contract. The energy can be applied intermittently, often between a pair of large plate electrodes having cooled flat electrode surfaces, the electrodes optionally being supported by a clamp structure. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue, particularly where the electrode surfaces are cooled before, during, and after an intermittent heating cycle. Ideally, the plate electrode comprises an electrode array including discrete electrode surface segments so that the current flux can be varied to selectively target the fascia. Alternatively, chilled 'liquid electrodes' may direct current through a selected portion of the bladder while also cooling the bladder wall, an insulating gas can prevent heating of an alternative bladder portion and the adjacent tissues, and/or ultrasound transducers direct energy through an intermediate tissue and into fascia with little or no injury to the intermediate tissue.
摘要:
Apparatus and methods are provided for treating female urinary incontinence by injecting a bulking agent at the interface between the mucosal and submucosal layers of the urethral wall. The remodeling device comprises an elongated shaft (11) preferably having means for forming a localized inward protrusion of the urethral wall, and a needle (21), movable between retracted and deployed positions, for delivering a bulking agent into the urethral wall in the vicinity of the localized inward protrusion to thereby reduce or eliminate symptoms associated with urinary incontinence.
摘要:
Methods, devices, and systems for treating the support structures of the body, particularly for incontinence, take advantage of two mechanisms to enhance the support provided by the fascia, ligaments and tendons: first, the invention increases a modulus of elasticity of these tissues, and particularly of the fascial tissues. The increase in modulus can be effected by directing sufficient energy to the fascial tissue so as to promote the formation of scar tissue. The second mechanism attaches tissue planes together, often by directing energy to an interface between adjacent fascial tissues.
摘要:
A catheter shaft (32) carries a coaxial cable (76) which has an inner conductor (120), an inner insulator (122), an outer conductor (124), and an outer insulator (126). The outer conductor (124) is connected to a midpoint (146) of a helical wire coil (140) at a terminal end of the coaxial cable (76) so as to form a dipole antenna (74) having a proximal helical element (144) and a distal helical element (142). A series capacitance (128) is connected between the inner conductor (120) of the coaxial cable (76) and a point (148) on the proximal helical element (144) where a resistive component of the antenna's impedance matches a characteristic impedance of the coaxial cable (76).
摘要:
An incontinence electrode (14) for controlling urinary incontinence in women is made of alternating bands of conductive (22, 24, 26 and 28) and non-conductive (30, 32 and 34) polymers molded to form a tubular body (16). Electrical receptacles, formed in the molding process at the interior circumferential surface of the conductive polymer bands (22, 24, 26 and 28), accept metal contacts attached to electrical leads (36) to make a secure and durable, mechanical and electrical connection between the conductive polymer bands (22, 24, 26 and 28) and the leads (36). The leads (36) are coupled to a controller (40) and carry electrical current to and from the metal contacts which then distribute the current to the conductive polymer bands (22, 24, 26 and 28) to cause a contraction of the vaginal muscles responsible for controlling urinary incontinence in women.
摘要:
A device and method that provides a minimally-invasive approach to performing treatments on soft tissue, such as that found in the bladder. The device is useful for manipulating tissue such that treatment tools can be inserted into the tissue at a controlled depth.