公开(公告)号：US06743248B2

公开(公告)日：2004-06-01

申请号：US09548145

申请日：2000-04-13

Applicant: Stuart D. Edwards ,  Thomas Wehman ,  Theodore L. Parker ,  Eugene V. Skalnyi ,  Theodore Kucklick ,  John Evans

Inventor： Stuart D. Edwards ,  Thomas Wehman ,  Theodore L. Parker ,  Eugene V. Skalnyi ,  Theodore Kucklick ,  John Evans

IPC: A61B1704

CPC classification number: A61B17/00491 ,  A61B17/0057 ,  A61B17/3415 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B18/1487 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/003 ,  A61B2017/00495 ,  A61B2017/005 ,  A61B2017/00637 ,  A61B2017/0065 ,  A61B2017/00672 ,  A61B2017/22067 ,  A61B2017/3492 ,  A61B2017/4216 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00065 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00113 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00755 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00869 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00892 ,  A61B2018/00898 ,  A61B2018/0091 ,  A61B2018/00916 ,  A61B2018/00982 ,  A61B2018/046 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2090/064 ,  A61B2090/3614 ,  A61B2090/3782 ,  A61B2218/002 ,  A61M3/0279 ,  A61M16/0833 ,  A61M16/0858 ,  A61M25/0662 ,  A61M25/1002 ,  A61M2016/0027 ,  A61M2025/1052 ,  A61M2025/1086

Abstract: A closure device is provided for sealing a puncture in a body vessel. The closure device includes an energy delivery device for delivering energy to tissue adjacent the vessel puncture which enhances an adhesiveness of the tissue to a closure composition precursor. The closure device includes a sealer/dilator for dilating tissue adjacent a vessel puncture, at least one closure composition precursor lumen within The sealer/dilator having an entrance part adjacent the proximal end of the sealer/dilator through which one or more fluent closure composition precursors can be delivered into the closure composition precursor lumen and an exit port adjacent the distal end of the sealer/dilator through which the one or more fluent closure composition precursors can be delivered outside the vessel adjacent the vessel puncture, and a plugging catheter for positioning within the vessel puncture, the plugging catheter extending distally from the sealer/dilator and including at least one position sensing mechanism such that the exit port of the closure composition precursor lumen is outside the vessel when the at least one position sensing mechanism is detected outside the vessel.

Abstract translation: 提供封闭装置用于密封身体容器中的穿刺。 闭合装置包括能量递送装置，用于将能量递送到邻近容器穿刺的组织，这提高了组织与封闭组合物前体的粘附性。 闭合装置包括用于扩张邻近容器穿刺的组织的封闭器/扩张器，所述封闭器/扩张器内的至少一个闭合组合物前体管腔具有邻近密封器/扩张器的近端的入口部分，通过所述入口部分，一个或多个流体封闭组合物前体 可以将其输送到闭合组合物前体管腔和邻近密封剂/扩张器远端的出口，一个或多个流体封闭组合物前体可通过该出口端口被输送到与血管穿刺相邻的血管外部， 容器穿刺，插塞导管从密封剂/扩张器向远端延伸并且包括至少一个位置感测机构，使得当在容器外部检测到至少一个位置感测机构时，闭合组合物前体腔的出口在容器外部 。

公开(公告)号：US06733515B1

公开(公告)日：2004-05-11

申请号：US09037659

申请日：1998-03-10

Applicant: Stuart D. Edwards ,  Ronald Lax ,  Theodore L. Parker ,  Thomas C. Wehman ,  Theodore Kucklick

Inventor： Stuart D. Edwards ,  Ronald Lax ,  Theodore L. Parker ,  Thomas C. Wehman ,  Theodore Kucklick

IPC: A61D100

CPC classification number: A61B17/00491 ,  A61B17/0057 ,  A61B17/3415 ,  A61B18/14 ,  A61B18/1482 ,  A61B18/1487 ,  A61B2017/00084 ,  A61B2017/00495 ,  A61B2017/005 ,  A61B2017/00637 ,  A61B2017/0065 ,  A61B2017/00672 ,  A61B2017/3441 ,  A61B2017/3492 ,  A61B2018/0063 ,  A61B2090/064 ,  A61M25/0662

Abstract: A device for introducing a catheter into a vessel through a puncture in a vessel and for sealing the puncture. The device includes an elongated body having a proximal end and a distal end sized to be positioned within a tissue site which includes the puncture. The elongated body includes a utility lumen sized to allow a catheter to be delivered through the utility lumen. The utility lumen is positioned within the elongated body so positioning the elongated body within the tissue site allows a catheter delivered through the utility lumen to enter the vessel. The elongated body also includes a closure lumen having an entrance port. A closure composition can be delivered through the entrance port into the closure lumen. The closure lumen also includes an exit port adjacent the distal end of the elongated body. The closure composition delivered into the closure lumen can be delivered through the exit port to the tissue site adjacent the puncture.

公开(公告)号：US06641580B1

公开(公告)日：2003-11-04

申请号：US09513725

申请日：2000-02-24

Applicant: Stuart D. Edwards ,  James Baker ,  Hugh Sharkey ,  Ronald G. Lax

Inventor： Stuart D. Edwards ,  James Baker ,  Hugh Sharkey ,  Ronald G. Lax

IPC: A61B1818

CPC classification number: A61B18/1477 ,  A61B18/1206 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1482 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00101 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00196 ,  A61B2018/00273 ,  A61B2018/00452 ,  A61B2018/00476 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00761 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1435 ,  A61B2018/1472 ,  A61B2018/162 ,  A61B2018/1861 ,  A61B2218/002 ,  A61M3/0279 ,  A61M25/007 ,  A61N1/06 ,  A61N1/403 ,  A61N5/02 ,  A61N5/04 ,  A61N5/045 ,  B22F2999/00 ,  C22C1/0491 ,  C22C14/00 ,  C22F1/183 ,  B22F3/1216 ,  C22C33/0285

Abstract: An infusion array ablation apparatus includes an elongated delivery device having a lumen and an infusion array positionable in the lumen. The infusion array includes an RF electrode and at least a first and a second infusion member. Each infusion member has a tissue piercing distal portion and an infusion lumen. At least one of the first or second infusion members is positionable in the elongated delivery device in a compacted state and deployable from the elongated delivery device with curvature in a deployed state. Also, at least one of the first or second infusion members exhibits a changing direction of travel when advanced from the elongated delivery device to a selected tissue site. At least one infusion port is coupled to one of the elongated delivery device, the infusion array, the first infusion member or the second infusion member.

Abstract translation: 输液阵列消融装置包括细长递送装置，其具有可定位在内腔中的内腔和输液排列。 输注阵列包括RF电极和至少第一和第二输注构件。 每个输注构件具有组织穿刺远端部分和输注腔。 第一或第二输注构件中的至少一个可以处于压实状态的细长输送装置中定位并且可以从展开状态的曲率从细长的输送装置展开。 此外，第一或第二输注构件中的至少一个表现出当从细长递送装置前进到选定的组织部位时改变的行进方向。 至少一个输注端口连接到细长递送装置，输注阵列，第一输注构件或第二输注构件中的一个。

公开(公告)号：US06613047B2

公开(公告)日：2003-09-02

申请号：US09921356

申请日：2001-08-02

Applicant: Stuart D. Edwards

Inventor： Stuart D. Edwards

IPC: A61B1818

CPC classification number: A61B18/1485 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/003 ,  A61B2017/4216 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00047 ,  A61B2018/00065 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00113 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00755 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00869 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00892 ,  A61B2018/00898 ,  A61B2018/0091 ,  A61B2018/00916 ,  A61B2018/00982 ,  A61B2018/046 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1425 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2090/3614 ,  A61B2090/3782 ,  A61B2218/002 ,  A61M3/0279 ,  A61M16/0481 ,  A61M25/0084 ,  A61M25/1002 ,  A61M2025/1052 ,  A61M2025/1086 ,  A61N1/056 ,  A61N1/06 ,  A61N1/08 ,  A61N1/40

Abstract: An apparatus to treat a sphincter includes a catheter means including a catheter means distal portion means. An energy delivery device means is coupled to the catheter means and includes a tissue piercing distal end. The energy delivery device means is configured to pierce a sphincter exterior surface, advance a sufficient distance in an interior of the sphincter to a tissue site, deliver energy to the tissue site and create controlled cell necrosis of the sphincter in order to reduce a frequency of sphincter relaxation. A cable means is coupled to the energy delivery device means.

公开(公告)号：US06605085B1

公开(公告)日：2003-08-12

申请号：US09459385

申请日：1999-12-02

Applicant: Stuart D. Edwards

Inventor： Stuart D. Edwards

IPC: A61B1818

CPC classification number: A61B18/1482 ,  A61B18/1206 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00011 ,  A61B2018/00196 ,  A61B2018/00452 ,  A61B2018/00476 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00761 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/1435 ,  A61B2018/162 ,  A61B2018/1861 ,  A61B2218/002 ,  A61M3/0279 ,  A61M25/007 ,  A61N5/02 ,  A61N5/04 ,  A61N5/045

Abstract: An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle catheter includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrode, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.

Abstract translation: RF治疗装置包括具有导管内腔的导管。 可拆卸针电极以与导管固定的关系定位在导管内腔中。 针导管包括针内腔和针电极远端。 可移除的导引器可滑动地定位在针腔内。 导引器包括导引器远端。 第一传感器位于针状电极或绝缘体的表面上。 RF电源耦合到针电极和返回电极。 绝缘体套筒可滑动地定位在电极周围并且包括第二传感器。 资源与电极，传感器以及RF电源相关联，用于在电流或电压变化下保持电极处的选定功率。

公开(公告)号：US06562059B2

公开(公告)日：2003-05-13

申请号：US10132848

申请日：2002-04-23

Applicant: Stuart D. Edwards ,  Ronald Lax ,  Theodore L. Parker ,  Thomas C. Wehman ,  Theodore Kucklick ,  Eugene Skalnyi

Inventor： Stuart D. Edwards ,  Ronald Lax ,  Theodore L. Parker ,  Thomas C. Wehman ,  Theodore Kucklick ,  Eugene Skalnyi

IPC: A61B1708

CPC classification number: A61B17/00491 ,  A61B17/0057 ,  A61B17/3415 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B18/1487 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/003 ,  A61B2017/00495 ,  A61B2017/005 ,  A61B2017/00637 ,  A61B2017/0065 ,  A61B2017/00672 ,  A61B2017/22067 ,  A61B2017/3492 ,  A61B2017/4216 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00065 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00113 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00755 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00869 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00892 ,  A61B2018/00898 ,  A61B2018/0091 ,  A61B2018/00916 ,  A61B2018/00982 ,  A61B2018/046 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2090/064 ,  A61B2090/3614 ,  A61B2090/3782 ,  A61B2218/002 ,  A61M3/0279 ,  A61M16/0481 ,  A61M16/0858 ,  A61M25/0662 ,  A61M25/1002 ,  A61M2025/1052 ,  A61M2025/1086

Abstract: A device and method are provided for sealing a puncture in a body vessel. The device has an elongated body having a proximal end and a distal end sized to be positioned within a lumen of the body vessel; at least one closure composition precursor lumen within the elongated body having a entrance port adjacent the proximal end of the elongated body through which one or more fluent closure composition precursors can be delivered into the closure composition precursor lumen and an exit port adjacent the distal end of the elongated body through which the one or more fluent closure composition precursors can be delivered outside the vessel adjacent the vessel puncture; and a microwave antenna for delivering microwave energy adjacent the distal end of the elongated body to the fluent closure compound precursor. The microwave antenna according to this embodiment is preferably incorporated onto the elongated body adjacent the body distal end. Alternatively, the device can include a guidewire lumen and a guidewire which includes a microwave antenna.

公开(公告)号：US06471698B1

公开(公告)日：2002-10-29

申请号：US09383166

申请日：1999-08-25

Applicant: Stuart D. Edwards ,  Ronald G. Lax ,  Hugh Sharkey

Inventor： Stuart D. Edwards ,  Ronald G. Lax ,  Hugh Sharkey

IPC: A61B1818

CPC classification number: A61B18/1477 ,  A61B18/1206 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1482 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00101 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00196 ,  A61B2018/00273 ,  A61B2018/00452 ,  A61B2018/00476 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00761 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1435 ,  A61B2018/1472 ,  A61B2018/162 ,  A61B2018/1861 ,  A61B2218/002 ,  A61M1/0084 ,  A61M3/0279 ,  A61M25/007 ,  A61N1/403 ,  B22F2999/00 ,  C22C1/0491 ,  C22C14/00 ,  C22F1/183 ,  B22F3/1216 ,  C22C33/0285

Abstract: A tissue ablation apparatus includes a delivery catheter with distal and proximal ends. A handle is attached to the proximal end of the delivery catheter. At least partially positioned in the delivery catheter is an electrode deployment device. The electrode deployment devices includes a plurality of retractable electrodes. Each electrode has a non-deployed state when it is positioned in the delivery catheter. Additionally, each electrode has a distended deployed state when it is advanced out of the delivery catheter distal end. The deployed electrodes define an ablation volume. Each deployed electrode has a first section with a first radius of curvature. The first section is located near the distal end of the delivery catheter. A second section of the deployed electrode extends beyond the first section, ad has a second radius of curvature, or a substantially linear geometry.

Abstract translation: 组织消融装置包括具有远端和近端的输送导管。 手柄附接到输送导管的近端。 至少部分地位于输送导管中的是电极展开装置。 电极展开装置包括多个可伸缩电极。 当它们位于输送导管中时，每个电极具有非展开状态。 此外，当每个电极从输送导管远端推出时，其具有扩张展开状态。 部署的电极限定消融体积。 每个部署的电极具有第一曲率半径。 第一部分位于输送导管的远端附近。 部署电极的第二部分延伸超过第一部分，ad具有第二曲率半径或基本线性的几何形状。

公开(公告)号：US06425877B1

公开(公告)日：2002-07-30

申请号：US09307348

申请日：1999-05-06

Applicant: Stuart D. Edwards

Inventor： Stuart D. Edwards

IPC: A61N130

CPC classification number: A61B18/1477 ,  A61B17/1617 ,  A61B18/1492 ,  A61B18/1815 ,  A61B18/20 ,  A61B2017/4216 ,  A61B2018/00214 ,  A61B2018/00553

Abstract: Apparatus for creating a controlled pattern of ablation throughout the interior of an organ or body cavity while minimizing thermal damage to collateral tissue includes a microporous balloon mounted on a catheter. The balloon, bearing electrodes embedded in the surface, is inserted into the target body region and inflated, whereupon the electrodes come into contact with the interior of the targeted organ. Because of its microporous nature, fluids for cooling or various therapeutic purposes may pass through the surface of the balloon to the target site. Sensors monitor conditions such as temperature and impedance at the site, providing required feedback for delivery of RF energy for ablation, and administration of cooling and hydrating fluids. A second balloon or other means isolates the treatment area and controls the flow and accumulation of body fluids and treatment fluids minimizing adverse treatment effects from fluid accumulations, and anchoring the catheter in place.

Abstract translation: 用于在整个器官或体腔内部产生受控消融模式的装置，同时最小化对侧支组织的热损伤，包括安装在导管上的微孔气球。 将嵌入表面的承载电极的球囊插入目标体区域并膨胀，于是电极与目标器官的内部接触。 由于其微孔性质，用于冷却的流体或各种治疗目的可以通过气囊的表面到达靶位点。 传感器监测现场的温度和阻抗等情况，提供用于消除RF能量的所需反馈，以及冷却和保湿流体的管理。 第二气球或其他手段隔离治疗区域并控制体液和治疗液体的流动和积聚使流体积聚的不利治疗效果最小化，并将导管锚定到位。

公开(公告)号：US06419673B1

公开(公告)日：2002-07-16

申请号：US09557993

申请日：2000-04-25

Applicant: Stuart D. Edwards ,  Steven V Marcus

Inventor： Stuart D. Edwards ,  Steven V Marcus

IPC: A61B1818

CPC classification number: A61B18/1485 ,  A61B17/24 ,  A61B18/04 ,  A61B18/1402 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B18/20 ,  A61B18/22 ,  A61B90/361 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00296 ,  A61B2017/22067 ,  A61B2017/22077 ,  A61B2017/306 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00065 ,  A61B2018/00101 ,  A61B2018/00196 ,  A61B2018/00214 ,  A61B2018/00261 ,  A61B2018/00285 ,  A61B2018/00327 ,  A61B2018/00547 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00636 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00744 ,  A61B2018/00761 ,  A61B2018/00773 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1425 ,  A61B2090/3782 ,  A61B2218/003 ,  A61M2025/0096 ,  A61N1/06 ,  A61N1/403

Abstract: The invention provides an apparatus and system for ablation of body structures or tissue in the region of the rectum. A catheter is inserted into the rectum, and an electrode is disposed thereon for emitting energy. The environment for an ablation region is isolated or otherwise controlled by blocking gas or fluid using a pair of inflatable balloons at upstream and downstream locations. Inflatable balloons also serve to anchor the catheter in place. A plurality of electrodes are disposed on the catheter and at least one such electrode is selected and advanced out of the catheter to penetrate and ablate selected tissue inside the body in the region of the rectum. The electrodes are coupled to sensors to determine control parameters of the body structure or tissue, and which are used by feedback technique to control delivery of energy for ablation or fluids for cooling or hydration. The catheter includes an optical path disposed for coupling to an external view piece, so as to allow medical personnel to view or control positioning of the catheter and operation of the electrodes. The catheter is disposed to deliver flowable substances for aiding in ablation, or for aiding in repair of tissue, such as collagen or another substance for covering lesions or for filling fissures. The flowable substances are delivered using at least one lumen in the catheter, either from at least one hole in the catheter, from an area of the catheter covered by a microporous membrane, or from microporous balloons.

公开(公告)号：US06416491B1

公开(公告)日：2002-07-09

申请号：US09328686

申请日：1999-06-09

Applicant: Stuart D. Edwards ,  Ronald G. Lax

Inventor： Stuart D. Edwards ,  Ronald G. Lax

IPC: A61B1720

CPC classification number: A61N5/045 ,  A61B17/24 ,  A61B18/1206 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/18 ,  A61B18/1815 ,  A61B18/20 ,  A61B18/22 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00296 ,  A61B2017/248 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00101 ,  A61B2018/00196 ,  A61B2018/00291 ,  A61B2018/00327 ,  A61B2018/00636 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00708 ,  A61B2018/00744 ,  A61B2018/00773 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/1425 ,  A61B2090/3782 ,  A61B2218/003 ,  A61M2025/0096 ,  A61N1/06 ,  A61N1/403 ,  A61N5/04

Abstract: An apparatus that reduces a volume of a selected site in an interior of the tongue includes a handpiece means and an electrode means at least partially positioned in the interior of the handpiece means. The electrode means includes an electrode means electromagnetic energy delivery surface and is advance able from the interior of the handpiece means into the interior of the tongue. An electrode means advancement member is coupled to the electrode means and configured to advance the electrode means an advancement distance in the interior of the tongue. The advancement distance is sufficient for the electrode means electromagnetic energy delivery surface to deliver electromagnetic energy to the selected tissue site and reduce a volume of the selected site without damaging a hypoglossal nerve. A cable means is coupled to the electrode means.

Abstract translation: 减少舌头内部的选定部位的体积的装置包括手柄装置和至少部分地定位在手持件装置内部的电极装置。 电极装置包括电极装置电磁能量输送表面，并且能够从手持件的内部进入舌头的内部。 电极装置前进构件联接到电极装置并且被配置为使电极装置前进到舌头内部的前进距离。 前进距离足以使电极装置电磁能量输送表面将电磁能量传递到所选择的组织部位，并减少选定部位的体积而不损伤舌下神经。 电缆装置连接到电极装置。