公开(公告)号：US06712074B2

公开(公告)日：2004-03-30

申请号：US10155294

申请日：2002-05-24

Applicant: Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott H West ,  Jay Qin

Inventor： Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott H West ,  Jay Qin

IPC: A61B1900

CPC classification number: A61B18/1206 ,  A61B18/12 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/0066 ,  A61B2018/00702 ,  A61B2018/00755 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/046 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002 ,  A61B2218/007

Abstract: Systems and methods manipulate a support structure to form a composite lesion in a tissue region at or near a sphincter. The support structure carries an array of electrodes attachable to a source of energy capable of heating tissue when transmitted by the electrodes. The systems and methods advance the electrodes to penetrate the tissue region and form, when the energy is transmitted, a first pattern of lesions. The systems and methods retract the electrodes, and shift the position of the electrodes, either rotationally, or axially, or both rotationally and axially. The systems and methods advance the electrodes a second time to form, when the energy is transmitted, a second pattern of lesions either rotationally or axially or both rotationally and axially shifted from the first pattern of lesions. The first and second patterns of lesion together comprise the composite lesion.

Abstract translation: 系统和方法操纵支撑结构以在括约肌处或附近的组织区域中形成复合损伤。 支撑结构带有可连接到能够通过电极传输的能够加热组织的能量源的电极阵列。 系统和方法使电极穿过组织区域并在能量传输时形成第一种损伤模式。 系统和方法缩回电极，并且可旋转地或轴向地或者旋转地和轴向地移动电极的位置。 系统和方法第二次推进电极，当能量传递时，可以旋转地或轴向地或者从第一病变图案旋转地和轴向移动的第二病变图案。 病灶的第一和第二模式一起构成复合损伤。

公开(公告)号：US08906010B2

公开(公告)日：2014-12-09

申请号：US12001091

申请日：2007-12-10

Applicant: Stuart D Edwards ,  John W. Gaiser ,  David S Utley ,  Scott H. West ,  Jay Qin ,  Peter H Muller

Inventor： Stuart D Edwards ,  John W. Gaiser ,  David S Utley ,  Scott H. West ,  Jay Qin ,  Peter H Muller

IPC: A61B18/14 ,  A61B18/12 ,  A61B19/00 ,  A61B18/00 ,  A61B18/04

CPC classification number: A61B18/12 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/0066 ,  A61B2018/00702 ,  A61B2018/00755 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/046 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002 ,  A61B2218/007

Abstract: Systems and methods deploy an electrode structure in contact with the tissue region. The electrode structure carries a sensor at a known location on the electrode structure to monitor an operating condition. The systems and methods provide an interface, which generate an idealized image of the electrode structure and an indicator image to represent the monitored operating condition in a spatial position on the idealized image corresponding to the location of the sensor on the electrode structure. The interface displays a view image comprising the idealized image and indicator image. The systems and methods cause the electrode structure to apply energy to heat the tissue region while the view image is displayed on the display screen.

Abstract translation: 系统和方法部署与组织区域接触的电极结构。 电极结构在电极结构上的已知位置处携带传感器以监测操作状态。 系统和方法提供了一种接口，其产生电极结构的理想化图像和指示图像，以在对应于电极结构上的传感器的位置的理想化图像上的空间位置中表示监视的操作条件。 界面显示包含理想图像和指示图像的视图。 当视觉图像显示在显示屏上时，系统和方法使电极结构施加能量来加热组织区域。

公开(公告)号：US08518032B2

公开(公告)日：2013-08-27

申请号：US12291626

申请日：2008-11-12

Applicant: Stuart D Edwards ,  David S Utley ,  Ronald G Lax ,  John Gaiser

Inventor： Stuart D Edwards ,  David S Utley ,  Ronald G Lax ,  John Gaiser

IPC: A61B18/14

CPC classification number: A61B18/1492 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/18 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00047 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00553 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2218/002

Abstract: A method for treating a sphincter provides a polymer material having a liquid state. The method also provides a catheter having a distal end, a tissue piercing device carried by the distal end, and an energy delivery device coupled to the tissue piercing device. The tissue piercing device has a lumen. The method introduces the catheter into an esophagus and pierces an exterior sphincter tissue surface within with the tissue piercing device. The method advances the tissue piercing device into an interior sphincter tissue site and conveys the polymer material while in a liquid state through the lumen into the interior sphincter tissue site. The method delivers energy to the tissue piercing device to transform the polymer material into a less liquid state within the interior sphincter tissue site, to thereby remodel the sphincter.

公开(公告)号：US07556628B2

公开(公告)日：2009-07-07

申请号：US11420722

申请日：2006-05-26

Applicant: David S Utley ,  John Gaiser ,  Stuart D Edwards ,  Scott H West ,  Jay Qin

Inventor： David S Utley ,  John Gaiser ,  Stuart D Edwards ,  Scott H West ,  Jay Qin

IPC: A61B18/18

CPC classification number: A61B18/1492 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/1485 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/0066 ,  A61B2018/00702 ,  A61B2018/00755 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/046 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002 ,  A61B2218/007

Abstract: Methods of ablating mucosal tissue in an alimentary canal are provided. The methods can include the steps of (i) providing an ablation device comprising a tissue ablation source; (ii) positioning at least a portion of the ablation device at a mucosal tissue surface of the alimentary canal; (iii) delivering a sufficient amount of the source for tissue ablation to the mucosal tissue surface to create a lesion in the mucosal tissue. In one implementation the methods include a step of providing a radiofrequency (RF) energy delivery device.

Abstract translation: 提供消化道中消融粘膜组织的方法。 所述方法可以包括以下步骤：（i）提供包括组织消融源的消融装置; （ii）将消融装置的至少一部分定位在消化道的粘膜组织表面; （iii）将足够量的用于组织消融的来源输送到粘膜组织表面以在粘膜组织中产生损伤。 在一个实现中，所述方法包括提供射频（RF）能量传递装置的步骤。

公开(公告)号：US07507238B2

公开(公告)日：2009-03-24

申请号：US11420719

申请日：2006-05-26

Applicant: Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott West ,  Jay Qin

Inventor： Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott West ,  Jay Qin

IPC: A61B18/18 ,  A61B19/00

CPC classification number: A61B18/1492 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/1485 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/0066 ,  A61B2018/00702 ,  A61B2018/00755 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/046 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002 ,  A61B2218/007

Abstract: Methods of accessing and ablating abnormal epithelium tissue in an alimentary canal are provided. The methods can include steps of (i) inserting a vacuum source comprising one or more suction ports into an alimentary canal; (ii) inserting an operative element comprising a conduit for a tissue ablation source into the alimentary canal; (iii) positioning the vacuum source and the operative element proximate a portion of the alimentary canal having a site of abnormal tissue to be ablated; (iv) applying a vacuum to at least one of each suction port to draw the tissue against the operative element; and (v) applying the tissue ablation source to the tissue through the conduit to effect tissue ablation.

Abstract translation: 提供了在消化道中获取和消融异常上皮组织的方法。 所述方法可以包括以下步骤：（i）将包括一个或多个吸入口的真空源插入消化道; （ii）将包括用于组织消融源的导管的操作元件插入消化道中; （iii）将真空源和操作元件定位在具有要消融的异常组织部位的消化道的一部分附近; （iv）向每个抽吸口中的至少一个施加真空以将组织拉向操作元件; 和（v）通过导管将组织消融源施加到组织以实现组织消融。

公开(公告)号：US07165551B2

公开(公告)日：2007-01-23

申请号：US09924935

申请日：2001-08-08

Applicant: Stuart D Edwards ,  David S Utley ,  Ronald G Lax

Inventor： Stuart D Edwards ,  David S Utley ,  Ronald G Lax

IPC: A61B17/39 ,  A61B18/18 ,  A61N1/00

CPC classification number: A61B5/04884 ,  A61B18/1477 ,  A61B18/1485 ,  A61B90/39 ,  A61B2018/00553 ,  A61B2018/00738 ,  A61B2018/046 ,  A61B2090/3925 ,  A61B2560/0242

Abstract: An apparatus to treat a sphincter has a support member. A sphincter electropotential mapping device includes a mapping electrode. The sphincter electropotential mapping device is coupled to the support member and configured to detect aberrant myoelectric activity of the sphincter.

公开(公告)号：US06673070B2

公开(公告)日：2004-01-06

申请号：US09776140

申请日：2001-02-02

Applicant: Stuart D Edwards ,  John W. Gaiser ,  David S. Utley ,  Jay J. Qin

Inventor： Stuart D Edwards ,  John W. Gaiser ,  David S. Utley ,  Jay J. Qin

IPC: A61B1818

CPC classification number: A61B18/1477 ,  A61B17/32 ,  A61B18/1206 ,  A61B18/148 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/003 ,  A61B2017/22061 ,  A61B2017/4216 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00065 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00113 ,  A61B2018/00148 ,  A61B2018/0016 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00494 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00666 ,  A61B2018/00678 ,  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 ,  A61B2018/0262 ,  A61B2018/046 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1425 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2018/183 ,  A61B2090/3614 ,  A61B2090/3782 ,  A61B2218/002 ,  A61M3/0279 ,  A61M16/0438 ,  A61M16/0481 ,  A61M25/1002 ,  A61M2025/1052 ,  A61M2025/1086 ,  A61N1/056 ,  A61N1/06 ,  A61N1/08 ,  A61N1/40

Abstract: A sphincter treatment apparatus includes an elongated member having at least one lumen including an inflation lumen and a basket assembly with first and second arms. The basket assembly is coupled to the elongated member and has deployed and non-deployed configurations. An inflatable member is coupled to the elongated member and positioned in an interior of the basket assembly. The inflatable member has deployed and non-deployed states and is coupled to the inflation lumen. In the deployed state, the inflatable member expands the basket assembly to its deployed configuration. A first energy delivery device is positionable in the first arm and advanceable from the first arm to a selected treatment site. A second energy delivery device is positionable in the second arm and advanceable from the second arm to a selected treatment site.

Abstract translation: 括约肌治疗装置包括细长构件，其具有包括充气腔的至少一个内腔和具有第一和第二臂的篮组件。 筐组件联接到细长构件并且具有展开和非展开构造。 可膨胀构件联接到细长构件并且定位在篮组件的内部。 充气构件具有展开状态和非展开状态，并且连接到膨胀腔。 在展开状态下，可膨胀构件将篮组件膨胀到其展开构型。 第一能量输送装置可定位在第一臂中并且可从第一臂推进到选定的处理部位。 第二能量输送装置可定位在第二臂中并且可从第二臂推进到选定的治疗部位。

公开(公告)号：US06402744B2

公开(公告)日：2002-06-11

申请号：US09304750

申请日：1999-05-04

Applicant: Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott West ,  Jay Qin

Inventor： Stuart D Edwards ,  John Gaiser ,  David S Utley ,  Scott West ,  Jay Qin

IPC: A61B1818

CPC classification number: A61B18/1206 ,  A61B18/12 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/0066 ,  A61B2018/00702 ,  A61B2018/00755 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/046 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002 ,  A61B2218/007

Abstract: Systems and methods manipulate a support structure to form a composite lesion in a tissue region at or near a sphincter. The support structure carries an array of electrodes attachable to a source of energy capable of heating tissue when transmitted by the electrodes. The systems and methods advance the electrodes to penetrate the tissue region and form, when the energy is transmitted, a first pattern of lesions. The systems and methods retract the electrodes, and shift the position of the electrodes, either rotationally, or axially, or both rotationally and axially. The systems and methods advance the electrodes a second time to form, when the energy is transmitted, a second pattern of lesions either rotationally or axially or both rotationally and axially shifted from the first pattern of lesions. The first and second patterns of lesion together comprise the composite lesion.

公开(公告)号：US08870862B2

公开(公告)日：2014-10-28

申请号：US12584509

申请日：2009-09-08

Applicant: Stuart D Edwards ,  John W. Gaiser ,  David S Utley

Inventor： Stuart D Edwards ,  John W. Gaiser ,  David S Utley

IPC: A61B18/14 ,  A61N1/06 ,  A61B18/00 ,  A61B18/12 ,  A61B18/04 ,  A61B19/00 ,  A61B17/00 ,  A61B18/02

CPC classification number: A61B18/1233 ,  A61B18/1477 ,  A61B18/1492 ,  A61B90/39 ,  A61B2017/00039 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00142 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00702 ,  A61B2018/00738 ,  A61B2018/00791 ,  A61B2018/00821 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/0091 ,  A61B2018/00982 ,  A61B2018/0237 ,  A61B2018/046 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1467 ,  A61B2090/064 ,  A61B2090/3782 ,  A61B2218/002 ,  A61N1/06

Abstract: A method of regulating temperature at a tissue site comprising measuring sphincter tissue temperature at or near a tissue site, comparing the measured sphincter tissue temperature to a desired temperature, increasing an existing flow rate of a cooling solution to the tissue site if the measured tissue temperature exceeds the desired temperature, and maintaining the existing flow rate of the cooling solution to the tissue site if the measured temperature does not exceed the desired temperature.

Abstract translation: 一种调节组织部位温度的方法，包括测量组织部位处或附近的括约肌组织温度，将测得的括约肌组织温度与所需温度进行比较，如果测量的组织温度增加了冷却溶液到组织部位的现有流速 超过所需温度，并且如果测量的温度不超过所需温度，则将冷却溶液的现有流速保持在组织部位。

公开(公告)号：US08454595B2

公开(公告)日：2013-06-04

申请号：US12653018

申请日：2009-12-07

Applicant: Stuart D Edwards ,  David S. Utley ,  Ronald G Lax ,  Theodore R Kucklick ,  Peter H Muller

Inventor： Stuart D Edwards ,  David S. Utley ,  Ronald G Lax ,  Theodore R Kucklick ,  Peter H Muller

IPC: A61B18/14

CPC classification number: A61B18/14 ,  A61B17/32 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/1815 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00494 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00916 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1472 ,  A61B2018/183 ,  A61B2090/3614 ,  A61B2090/3782

Abstract: A sphincter treatment apparatus includes an energy delivery device introduction member including a proximal end with a first radius of curvature and a distal end with a second radius of curvature. The introduction member is configured to be introduced into the sphincter in a non-deployed state and to be expanded to a deployed state to at least partially expand the sphincter or an adjoining structure. An energy delivery device is coupled to the introduction member. A retainer member is coupled to the energy delivery device introduction member and configured to controllably position the introduction member in an orifice of the sphincter.

Abstract translation: 括约肌治疗装置包括能量输送装置导入构件，其包括具有第一曲率半径的近端和具有第二曲率半径的远端。 引入构件被配置为以非展开状态引入括约肌并且被扩展到展开状态以至少部分地扩展括约肌或相邻结构。 能量输送装置联接到引入构件。 保持器构件联接到能量输送装置引入构件并构造成将引导构件可控地定位在括约肌的孔中。