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公开(公告)号：US06866663B2
公开(公告)日：2005-03-15
申请号：US10254471
申请日：2002-09-25
申请人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
发明人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
CPC分类号： 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
摘要： 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.
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公开(公告)号：US08518032B2
公开(公告)日：2013-08-27
申请号：US12291626
申请日：2008-11-12
申请人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
发明人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
IPC分类号： A61B18/14
CPC分类号： 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
摘要： 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.
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公开(公告)号：US07449020B2
公开(公告)日：2008-11-11
申请号：US11079697
申请日：2005-03-14
申请人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
发明人： Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
IPC分类号： A61B18/18
CPC分类号： 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
摘要： 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.
摘要翻译： 用于治疗括约肌的方法提供具有液体状态的聚合物材料。 该方法还提供了具有远端的导管，由远端承载的组织刺穿装置，以及耦合到组织刺穿装置的能量输送装置。 组织穿刺装置具有内腔。 该方法将导管引入食道并刺穿组织穿刺装置内的外括约肌组织表面。 该方法使组织穿刺装置进入内部括约肌组织部位，并将液体状态下的聚合物材料通过内腔输送到内括约肌组织部位。 该方法将能量传递到组织刺穿装置，以将聚合物材料转变成内部括约肌组织部位内的较少液体状态，从而改变括约肌。
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公开(公告)号：US08790339B2
公开(公告)日：2014-07-29
申请号：US13443503
申请日：2012-04-10
申请人： Stuart D Edwards , David S Utley , Ronald G Lax
发明人： Stuart D Edwards , David S Utley , Ronald G Lax
IPC分类号： A61B18/14
CPC分类号： A61B5/04884 , A61B18/1477 , A61B18/1485 , A61B90/39 , A61B2018/00553 , A61B2018/00738 , A61B2018/046 , A61B2090/3925 , A61B2560/0242
摘要： 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.
摘要翻译： 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。
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公开(公告)号：US07165551B2
公开(公告)日：2007-01-23
申请号：US09924935
申请日：2001-08-08
申请人： Stuart D Edwards , David S Utley , Ronald G Lax
发明人： Stuart D Edwards , David S Utley , Ronald G Lax
CPC分类号： A61B5/04884 , A61B18/1477 , A61B18/1485 , A61B90/39 , A61B2018/00553 , A61B2018/00738 , A61B2018/046 , A61B2090/3925 , A61B2560/0242
摘要： 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.
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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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公开(公告)号：US08152803B2
公开(公告)日：2012-04-10
申请号：US11651750
申请日：2007-01-10
申请人： Stuart D Edwards , David S Utley , Ronald G Lax
发明人： Stuart D Edwards , David S Utley , Ronald G Lax
IPC分类号： A61B18/14
CPC分类号： A61B5/04884 , A61B18/1477 , A61B18/1485 , A61B90/39 , A61B2018/00553 , A61B2018/00738 , A61B2018/046 , A61B2090/3925 , A61B2560/0242
摘要： 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.
摘要翻译： 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。
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公开(公告)号：US07648500B2
公开(公告)日：2010-01-19
申请号：US11175471
申请日：2005-07-06
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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公开(公告)号：US06210355B1
公开(公告)日：2001-04-03
申请号：US09113744
申请日：1998-07-10
申请人： Stuart D Edwards , Ronald G Lax , Robin Bek
发明人： Stuart D Edwards , Ronald G Lax , Robin Bek
IPC分类号： A61B1720
CPC分类号： 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
摘要： 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. Means are provided to provide a controlled delivery of energy to the electrode means. A cable means is coupled to the electrode means.
摘要翻译： 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意味着电磁能量传递表面将电磁能量传递到所选择的组织部位，并减少所选择的部位的体积而不损伤舌下神经。 提供装置以向电极装置提供受控的能量输送。 电缆装置连接到电极装置。
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