公开(公告)号：US07632268B2

公开(公告)日：2009-12-15

申请号：US11420712

申请日：2006-05-26

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: A61B18/18 ,  A61F2/00

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: Systems for treating a mucosal surface of an alimentary canal tissue region are provided. The systems can include an elongate support structure, an expandable member positionable at a distal portion of the support structure and one or more radio frequency (RF) ablation electrodes carried by the expandable member. The elongate support structure and the expandable member can be adapted to place the one or more electrodes in contact with a mucosal surface of an alimentary canal tissue region. The system can further include an RF energy source connected to the one or more electrodes.

Abstract translation: 提供了用于治疗消化道组织区域的粘膜表面的系统。 该系统可以包括细长的支撑结构，可定位在支撑结构的远端部分处的可扩张构件以及由可扩张构件承载的一个或多个射频（RF）消融电极。 细长支撑结构和可扩张构件可适于将一个或多个电极与消化道组织区域的粘膜表面接触。 该系统还可以包括连接到一个或多个电极的RF能量源。

公开(公告)号：US06974456B2

公开(公告)日：2005-12-13

申请号：US10156505

申请日：2002-05-28

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

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

IPC: A61B18/00 ,  A61B17/00 ,  A61B18/02 ,  A61B18/04 ,  A61B18/12 ,  A61B18/14 ,  A61B19/00 ,  A61N1/06 ,  A61B18/18

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: The present invention comprises a method of treating a sphincter that provides a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode. The sphincter electropotential mapping device is introduced into at least a portion of the sphincter, the lower esophageal sphincter, stomach, the cardia or the fundus. Bioelectric activity causing a relaxation of the sphincter is detected and energy is delivered from either the mapping electrode or the treatment electrode to treat the bioelectric activity.In another embodiment of the method of the invention, a method of treating a sphincter that provides a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode. The sphincter electropotential mapping device is introduced into at least a portion of the sphincter, the lower esophageal sphincter, stomach, the cardia or the fundus. The sphincter, lower esophageal sphincter, stomach, cardia or fundus is stimulated to produce a transient relaxation of the sphincter. The portion of the sphincter, lower esophageal sphincter, stomach, cardia or fundus causing a relaxation of the sphincter is indentified. Energy is delivered from the sphincter electropotential mapping device to treat the portion the sphincter, lower esophageal sphincter, stomach, cardia or fundus causing the transient relaxation of the sphincter.

Abstract translation: 本发明包括一种治疗括约肌的方法，所述括约肌具有至少一个映射电极或治疗电极提供括约肌电位映射装置。 括约肌电位映射装置被引入至少一部分括约肌，食管下括约肌，胃，贲门或眼底。 检测到引起松弛括约肌的生物电活性，并从映射电极或治疗电极传递能量以处理生物电活性。 在本发明方法的另一个实施方案中，一种治疗括约肌的方法，所述括约肌提供具有映射电极或治疗电极中的至少一个的括约肌电位映射装置。 括约肌电位映射装置被引入至少一部分括约肌，食管下括约肌，胃，贲门或眼底。 括约肌，食管下括约肌，胃，贲门或眼底被刺激以产生括约肌的短暂松弛。 括约肌部分，食管下括约肌，胃，贲门或眼底引起松弛的括约肌是确定的。 能量从括约肌电位测绘装置输送到治疗括约肌，下食道括约肌，胃，贲门或眼底的部分，导致括约肌的暂时松弛。

公开(公告)号：US06866663B2

公开(公告)日：2005-03-15

申请号：US10254471

申请日：2002-09-25

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: A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B18/18

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：US06749607B2

公开(公告)日：2004-06-15

申请号：US09971085

申请日：2001-10-04

Applicant: Stuart D Edwards ,  David S Utley

Inventor： Stuart D Edwards ,  David S Utley

IPC: A61B1818

CPC classification number: A61B18/1477 ,  A61B5/4233 ,  A61B18/0218 ,  A61B18/1492 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2018/00267 ,  A61B2018/00488 ,  A61B2018/00553 ,  A61B2018/00589 ,  A61B2018/00648 ,  A61B2018/00702 ,  A61B2018/00821 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/00994 ,  A61B2018/0262 ,  A61B2018/0293 ,  A61B2018/046 ,  A61B2018/1861 ,  A61B2018/1869

Abstract: A sphincter treatment apparatus has an introducer means including a distal portion means. An expandable device means includes a plurality of arm means. Each arm means of the plurality has a distal section means and a proximal section means. Each of distal sections means of the arm means are coupled and each of the proximal sections means of the arm means are coupled to the introducer means distal portion means. The expandable device means is configured to at least partially dilate a sphincter in a deployed state. An energy delivery device means is introduceable from the introducer means into a selected site of the sphincter. The energy delivery device means is configured to deliver sufficient energy to reduce a frequency of relaxation of the sphincter.

Abstract translation: 括约肌治疗装置具有包括远端部分装置的导引装置。 可扩张装置包括多个臂装置。 多个臂的每个臂装置具有远端部分装置和近端部分装置。 臂装置的每个远端部分装置联接，并且臂装置的每个近端部分装置联接到导引装置远端部分装置。 可扩张装置装置构造成在展开状态下至少部分地扩张括约肌。 能量输送装置装置可从导引器装置引入括约肌的选定部位。 能量递送装置装置被配置为递送足够的能量以减少括约肌的松弛频率。

公开(公告)号：US06589238B2

公开(公告)日：2003-07-08

申请号：US10084590

申请日：2002-02-27

Applicant: Stuart D Edwards ,  David S Utley

Inventor： Stuart D Edwards ,  David S Utley

IPC: A61B1818

CPC classification number: A61B18/1492 ,  A61B2018/00553

Abstract: An apparatus includes a first expandable member that is expandable by an expansion medium. The first expandable member includes an exterior and a plurality of apertures. The expansion medium is released from the first expandable member when a sufficient pressure is applied to the expansion medium housed in an interior of the first expandable member. A second expandable member is positioned at least partially adjacent to the first expandable member. The second expandable member is configured to receive at least a portion of the expansion medium from the interior of the first expandable member. An electromagnetic energy delivery device is coupled to one of the first or second expandable members and is configured to be coupled to a power source. The first and second expandable members are sized to be expanded sufficiently to open a sphincter.

Abstract translation: 一种装置包括可由膨胀介质膨胀的第一可膨胀构件。 第一可扩展构件包括外部和多个孔。 当向容纳在第一可扩展构件的内部的膨胀介质施加足够的压力时，膨胀介质从第一可膨胀构件释放。 第二可膨胀构件被定位成至少部分地邻近第一可膨胀构件。 第二可膨胀构件构造成从第一可膨胀构件的内部接收膨胀介质的至少一部分。 电磁能量传递装置耦合到第一或第二可扩展构件中的一个，并且被配置为联接到电源。 第一和第二可扩张构件的尺寸设计成足够扩张以打开括约肌。

公开(公告)号：US08790339B2

公开(公告)日：2014-07-29

申请号：US13443503

申请日：2012-04-10

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

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

IPC: A61B18/14

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.

Abstract translation: 治疗括约肌的装置具有支撑构件。 括约肌电位映射装置包括映射电极。 括约肌电位映射设备耦合到支撑构件并且被配置为检测括约肌的异常肌电活动。

公开(公告)号：US07585296B2

公开(公告)日：2009-09-08

申请号：US11230801

申请日：2005-09-20

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

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

IPC: A61B18/18

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 detects at a tissue site an electrical activity causing a transient relaxation of at least a portion of one of a sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus. The method treats the electrical activity at the tissue site by delivering electromagnetic energy to ablate at least a portion of one of the nerve, the gastric nerve, a nerve plexus, a myenteric nerve plexus, a ganglia, a nerve pathway or an electrically conductive pathway. The method conducts a cooling solution to the tissue site at a flow rate and adjusts the flow rate in response to sensed temperature conditions.

Abstract translation: 一种方法在组织位置处检测导致括约肌，下食道括约肌，胃，贲门或眼底之一的至少一部分的暂时松弛的电活动。 该方法通过传递电磁能来消除组织部位的电活动，以消融神经，胃神经，神经丛，肌间神经丛，神经节，神经通路或导电通路中的至少一部分 。 该方法以流量对组织部位进行冷却溶液，并根据感测的温度条件调节流速。

公开(公告)号：US07122031B2

公开(公告)日：2006-10-17

申请号：US10024747

申请日：2001-12-19

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

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

IPC: A61B18/18

CPC classification number: A61B18/1233 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/14 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00035 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/0016 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00267 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00488 ,  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 ,  Y10S128/922

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.

公开(公告)号：US06846312B2

公开(公告)日：2005-01-25

申请号：US10230655

申请日：2002-08-29

Applicant: Stuart D Edwards ,  David S Utley

Inventor： Stuart D Edwards ,  David S Utley

IPC: A61B17/22 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B18/18

CPC classification number: A61B18/1492 ,  A61B18/1206 ,  A61B18/1477 ,  A61B2017/003 ,  A61B2017/22061 ,  A61B2018/00011 ,  A61B2018/00077 ,  A61B2018/00148 ,  A61B2018/0016 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00553 ,  A61B2018/00654 ,  A61B2018/00726 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00875 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2090/3782

Abstract: An apparatus to treat a sphincter includes an energy delivery device support member. An energy delivery device is coupled to the energy delivery support member. The energy delivery device has a configuration that controllably produces lesions of a sufficient size and number in the sphincter to create a selectable tightening of the sphincter.

Abstract translation: 治疗括约肌的装置包括能量输送装置支撑构件。 能量输送装置联接到能量输送支撑构件。 能量输送装置具有可控制地产生足够尺寸和数量的括约肌中的损伤以构成括约肌的可选择紧固的构造。

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。