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31.发明申请公开(公告)号：US20130299577A1
公开(公告)日：2013-11-14
申请号：US13892212
申请日：2013-05-10
申请人： Robin Bek , John Gaiser , Jay Qin , David S. Utley
发明人： Robin Bek , John Gaiser , Jay Qin , David S. Utley
CPC分类号： A61B18/1206 , A61B18/00 , A61B18/1477 , A61B18/1485 , A61B18/1492 , A61B90/90 , A61B2017/00017 , A61B2017/00084 , A61B2017/00199 , A61B2017/00269 , A61B2017/00482 , A61B2018/00267 , A61B2018/00494 , A61B2018/00553 , A61B2018/046 , A61B2090/0814
摘要： A system comprising a storage medium associated with a device for treating a tissue region, the device including a handle, a catheter tube extending from the handle, a temperature sensor and a basket including a plurality of spines, the spines carrying an electrode for delivering treatment energy to a tissue site. The temperature sensor senses temperature near a distal end of the electrode. The basket is movable between a non-expanded low profile condition and an expanded condition and the electrode is movable from a first position to an extended position. The storage medium is formatted to contain an identification code uniquely assigned to the device for registration of the device if absence of prior use is determined.
摘要翻译： 一种系统，包括与用于处理组织区域的装置相关联的存储介质，所述装置包括手柄，从手柄延伸的导管管，温度传感器和包括多个脊柱的篮，所述脊部承载用于输送治疗的电极 能量到组织部位。 温度传感器感测靠近电极远端的温度。 篮可以在非膨胀的低轮廓状态和扩张状态之间移动，并且电极可以从第一位置移动到伸出位置。 存储介质被格式化为包含唯一分配给设备的识别码，用于如果不确定先前使用的情况下的设备的注册。
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公开(公告)号：US08273012B2
公开(公告)日：2012-09-25
申请号：US11830251
申请日：2007-07-30
IPC分类号： A61B1/00
CPC分类号： A61B18/00 , A61B17/00234 , A61B18/04 , A61B2017/320008 , A61B2017/320012
摘要： An apparatus for treating tissue within a lumen may include a therapeutic or diagnostic instrument. A cleaning device may also be supported by the instrument. The cleaning device has a portion of a cleaning surface positioned proximal to the distal end of the cleaning device.
摘要翻译： 用于治疗管腔内的组织的装置可以包括治疗或诊断仪器。 清洁装置也可以由仪器支撑。 清洁装置具有位于清洁装置的远端附近的清洁表面的一部分。
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公开(公告)号：US20110270249A1
公开(公告)日：2011-11-03
申请号：US13181490
申请日：2011-07-12
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/02 , A61B18/1815 , A61B90/50 , A61B2017/00296 , A61B2018/00285 , A61B2018/00482 , A61B2018/046 , A61B2018/1495
摘要： Methods of ablating tissue in an alimentary tract are provided. The methods include advancing an ablation structure into an alimentary tract while supporting the ablation structure with an endoscope. The methods further include a step of moving at least part of the ablation structure with respect to the endoscope and toward a tissue surface, before activating the ablation structure to ablate a tissue surface.
摘要翻译： 提供了在消化道中消融组织的方法。 所述方法包括将消融结构推进消化道，同时用内窥镜支持消融结构。 所述方法还包括在激活消融结构以消融组织表面之前相对于内窥镜移动至少部分消融结构并朝向组织表面的步骤。
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34.发明申请公开(公告)号：US20090318914A1
公开(公告)日：2009-12-24
申请号：US12270373
申请日：2008-11-13
申请人： David S. Utley , Brent C. Gerberding , Miriam H. Taimisto , Winnie Chung , Jennifer D. Marler , Viorica Filimon
发明人： David S. Utley , Brent C. Gerberding , Miriam H. Taimisto , Winnie Chung , Jennifer D. Marler , Viorica Filimon
IPC分类号： A61B18/18
CPC分类号： A61B18/1485 , A61B18/1206 , A61B46/13 , A61B2017/4225 , A61B2018/0016 , A61B2018/00279 , A61B2018/00285 , A61B2018/00291 , A61B2018/00559 , A61B2018/00577 , A61B2018/00642 , A61B2018/00702 , A61B2018/00708 , A61B2018/00738 , A61B2018/00779 , A61B2018/00791 , A61B2018/00875 , A61B2018/00886 , A61B2018/142 , A61B2018/1435 , A61B2018/1497 , A61B2050/314
摘要： The invention provides a system, devices, and methods for ablating abnormal epithelial tissue of the uterine cervix. Embodiments of an ablation device include an operative head with a support surface adapted to conformably engage and therapeutically contact the cervix, and an energy delivery element on the support surface. The energy delivery element is configured to deliver energy, such as RF energy, to the tissue in a manner that controls the surface area and depth of ablation. The device may further include a shaft and a handle to support the ablation device, and may further include a speculum to facilitate access to the cervix. A system to support the operation of the ablation device includes a generator to deliver energy to the energy delivery element. Embodiments of a method for ablating abnormal cervical tissue include inserting an ablation device intravaginally to contact the cervix, aligning an energy delivery element support surface conformably against a region of the cervix with abnormal tissue, and ablating the tissue.
摘要翻译： 本发明提供了一种用于消除子宫颈异常上皮组织的系统，装置和方法。 消融装置的实施例包括具有支承表面的操作头部，该支撑表面适于与子宫颈顺应地接合和治疗接触，以及支撑表面上的能量输送元件。 能量递送元件被配置为以控制消融的表面积和深度的方式将能量（例如RF能量）递送到组织。 该装置还可以包括轴和手柄以支撑消融装置，并且还可包括用于便于接近子宫颈的窥器。 用于支持消融装置的操作的系统包括用于向能量输送元件输送能量的发生器。 用于消除异常宫颈组织的方法的实施方案包括阴道内插入消融装置以接触子宫颈，将能量递送元件支撑表面与宫颈区域顺应对准异常组织，并消融组织。
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公开(公告)号：US20090036733A1
公开(公告)日：2009-02-05
申请号：US11830251
申请日：2007-07-30
IPC分类号： A61B1/273
CPC分类号： A61B18/00 , A61B17/00234 , A61B18/04 , A61B2017/320008 , A61B2017/320012
摘要： An apparatus for treating tissue within a lumen may include a therapeutic or diagnostic instrument. A cleaning device may also be supported by the instrument. The cleaning device has a portion of a cleaning surface positioned proximal to the distal end of the cleaning device.
摘要翻译： 用于治疗管腔内的组织的装置可以包括治疗或诊断仪器。 清洁装置也可以由仪器支撑。 清洁装置具有位于清洁装置的远端附近的清洁表面的一部分。
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36.发明授权Expandable support structure and operative element for delivery through a working channel 有权可扩展的支撑结构和用于通过工作通道输送的操作元件公开(公告)号：US09414738B2
公开(公告)日：2016-08-16
申请号：US14240970
申请日：2012-08-24
申请人： Hillary K. Huszar , David S. Utley , Eric J. Gwerder , Alexander A. Lubinski , Robert C. Haggerty , Gilbert Mata, Jr. , Felicia P. Sein-Lwin
发明人： Hillary K. Huszar , David S. Utley , Eric J. Gwerder , Alexander A. Lubinski , Robert C. Haggerty , Gilbert Mata, Jr. , Felicia P. Sein-Lwin
IPC分类号： A61M29/00 , A61B1/018 , A61B1/00 , A61B18/14 , A61M25/00 , B25J18/06 , A61B17/00 , A61B18/00
CPC分类号： A61B1/018 , A61B1/00082 , A61B17/00234 , A61B18/1492 , A61B2017/00238 , A61B2018/0016 , A61B2018/00214 , A61B2018/00577 , A61B2018/1465 , A61B2018/1467 , A61B2018/1475 , A61M25/0074 , A61M25/008 , A61M25/0082 , B25J18/06 , Y10T74/20311
摘要： Methods, systems, and devices for providing treatment to a target site are described. The system may include a guide assembly, an expandable support device coupled with the distal end of the guide assembly, and an operative member disposed on the expandable support device. The expandable support device may be configured to transition between a collapsed and expanded configuration. The expandable support device may be supported by one or more flexible supports aligned in parallel with an axis about which the expandable support device collapses and/or multiple splines arranged in a pattern configured to promote transitioning of the expandable support device between an expanded and collapsed configuration. The guide assembly may be configured to provide torque to the expandable support device. The operative member can include multiple electrodes arranged in parallel to the axis about which the expandable support device collapses.
摘要翻译： 描述了用于向目标站点提供治疗的方法，系统和设备。 该系统可以包括引导组件，与引导组件的远端联接的可扩展支撑装置，以及设置在可扩展支撑装置上的可操作构件。 可扩展支撑装置可以被配置为在折叠和展开配置之间转换。 可扩展支撑装置可以由一个或多个柔性支撑件支撑，所述柔性支撑件与轴线平行排列，所述可伸缩支撑装置围绕该轴线塌缩，和/或以构造成促进可膨胀支撑装置在膨胀和收缩构型之间转变的图案布置的多个花键 。 引导组件可以被配置为向可扩展支撑装置提供扭矩。 操作构件可以包括平行于可扩展支撑装置塌陷的轴线布置的多个电极。
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公开(公告)号：US09314289B2
公开(公告)日：2016-04-19
申请号：US13591991
申请日：2012-08-22
CPC分类号： A61B18/00 , A61B17/00234 , A61B18/04 , A61B2017/320008 , A61B2017/320012
摘要： An apparatus for treating tissue within a lumen may include a therapeutic or diagnostic instrument. A cleaning device may also be supported by the instrument. The cleaning device has a portion of a cleaning surface positioned proximal to the distal end of the cleaning device.
摘要翻译： 用于治疗管腔内的组织的装置可以包括治疗或诊断仪器。 清洁装置也可以由仪器支撑。 清洁装置具有位于清洁装置的远端附近的清洁表面的一部分。
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公开(公告)号：US09179970B2
公开(公告)日：2015-11-10
申请号：US13181490
申请日：2011-07-12
IPC分类号： A61B18/12 , A61B18/14 , A61B18/02 , A61B18/18 , A61B19/00 , A61B17/00 , A61B18/00 , A61B18/04
CPC分类号： A61B18/1492 , A61B18/02 , A61B18/1815 , A61B90/50 , A61B2017/00296 , A61B2018/00285 , A61B2018/00482 , A61B2018/046 , A61B2018/1495
摘要： Methods of ablating tissue in an alimentary tract are provided. The methods include advancing an ablation structure into an alimentary tract while supporting the ablation structure with an endoscope. The methods further include a step of moving at least part of the ablation structure with respect to the endoscope and toward a tissue surface, before activating the ablation structure to ablate a tissue surface.
摘要翻译： 提供了在消化道中消融组织的方法。 所述方法包括将消融结构推进消化道，同时用内窥镜支持消融结构。 所述方法还包括在激活消融结构以消融组织表面之前相对于内窥镜移动至少部分消融结构并朝向组织表面的步骤。
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公开(公告)号：US08454595B2
公开(公告)日：2013-06-04
申请号：US12653018
申请日：2009-12-07
IPC分类号： A61B18/14
CPC分类号： 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
摘要： 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.
摘要翻译： 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。
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40.发明申请METHOD AND APPARATUS FOR GASTROINTESTINAL TRACT ABLATION TO ACHIEVE LOSS OF PERSISTENT AND/OR RECURRENT EXCESS BODY WEIGHT FOLLOWING A WEIGHT LOSS OPERATION 有权方法和装置用于在重量损失操作下实现持续和/或再循环体重下降的胃肠动力学牵引公开(公告)号：US20120289952A1
公开(公告)日：2012-11-15
申请号：US13558506
申请日：2012-07-26
申请人： David S. Utley , John de Csepel
发明人： David S. Utley , John de Csepel
CPC分类号： A61B18/0218 , A61B18/1492 , A61B2018/0016 , A61B2018/00214 , A61B2018/0022 , A61B2018/00482 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/00898 , A61B2018/0262 , A61B2018/124 , A61B2018/1497
摘要： Devices and methods are provided for ablational treatment of regions of the digestive tract in post-bariatric surgery patients who fail to achieve or maintain the desired weight loss. Bariatric procedures include Roux-en-Y gastric bypass, biliopancreatic diversion, and sleeve gastrectomy. These procedures reconstruct gastrointestinal tract features, creating pouches, stoma, and tubes that restrict and/or divert the digestive flow. Post-surgical dilation of altered structures is common and diminishes their bariatric effectiveness. Ablation of compromised structures can reduce their size and compliance, restoring bariatric effectiveness. Ablation, as provided the invention, starts at the mucosa and penetrates deeper into the gastrointestinal wall in a controlled manner. Control may also be provided by a fractional ablation that ablates some tissue within a target region and leaves a portion substantially unaffected. Embodiments of the device include an ablational electrode array that spans 360 degrees and an array that spans an arc of less than 360 degrees.
摘要翻译： 提供了设备和方法，用于消除不能达到或保持所需体重减轻的减肥手术患者消化道区域的消融。 减肥手术包括Roux-en-Y胃旁路，胆胰管引流和套管胃切除术。 这些程序重建胃肠道特征，产生限制和/或转移消化道的小袋，造口和管。 改变结构的手术后扩张是常见的，并且减轻了他们的减肥效果。 消融受损结构可减少其尺寸和依从性，恢复减肥效果。 根据本发明，消融从粘膜开始并以受控的方式深入胃肠壁。 控制也可以通过消融目标区域内的一些组织并使基本上不受影响的部分的部分消融来提供。 该装置的实施例包括跨越360度的消融电极阵列和跨越小于360度的弧的阵列。
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