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公开(公告)号：US09924991B2
公开(公告)日：2018-03-27
申请号：US14214872
申请日：2014-03-15
发明人： Scott H. West , David Huynh , John W. Gaiser
CPC分类号： A61B18/04 , A61B5/01 , A61B18/1492 , A61B2018/00029 , A61B2018/00214 , A61B2018/00267 , A61B2018/00797 , A61B2018/00821 , A61B2018/1425 , A61B2018/1475 , A61M2025/0037 , A61M2025/0096
摘要： Improved devices, systems and methods for treating a tissue region provide straightforward, yet reliable ways for installing diverse functional components within the confined space of a catheter-based instrument.
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公开(公告)号：US09675409B2
公开(公告)日：2017-06-13
申请号：US14158843
申请日：2014-01-19
发明人： Scott West , David S. Utley , John W. Gaiser
CPC分类号： A61B18/1485 , A61B1/00154 , A61M16/0493 , A61M25/02 , A61M29/02 , A61M2025/024 , Y10S128/06 , Y10S128/26
摘要： Systems and methods are provided for positioning and stabilizing an external instrument during insertion of the instrument through the oral cavity (e.g., insertion of a catheter through the oral cavity and into the esophagus or cardia for treatment of gastroesophageal reflux disease (GERD)). The systems and methods provide a gripping tool for association with a bite block, capable of selectively moving between an open position in which the instrument may be inserted or removed, and a closed position in which the external instrument is held in a fixed position.
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公开(公告)号：US09675404B2
公开(公告)日：2017-06-13
申请号：US14708209
申请日：2015-05-09
IPC分类号： A61B18/14 , A61B18/18 , A61B18/12 , G06F3/0481 , A61B18/08 , A61B18/00 , A61B18/02 , A61B18/04 , A61N7/02 , A61B34/00
CPC分类号： A61B18/14 , A61B18/02 , A61B18/08 , A61B18/1206 , A61B18/1477 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B34/25 , A61B2018/00029 , A61B2018/00267 , A61B2018/00482 , A61B2018/00488 , A61B2018/00494 , A61B2018/005 , A61B2018/00553 , A61B2018/00577 , A61B2018/00642 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00791 , A61B2018/00916 , A61B2018/0212 , A61B2018/044 , A61B2018/1425 , A61B2018/143 , A61B2018/1467 , A61B2018/1475 , A61B2018/1861 , A61B2034/252 , A61B2034/254 , A61B2218/002 , A61B2218/007 , A61N7/022 , G06F3/0481
摘要： A system for controlling operation of a radiofrequency treatment device to apply radiofrequency energy to tissue to treat tissue to create lesions without ablating the tissue. The system includes a device having flexible outer tube, an expandable basket having a plurality of arms movable from a collapsed position to an expanded position, a plurality of electrodes movable from a retracted position to an extended position to extend through the openings in the arms, and an advancer slidably disposed within the outer tube to move the electrodes. An elongated spacer is positioned within the outer tube, the spacer having a central lumen to receive the advancer and to maintain a central position of the advancer.
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公开(公告)号：US09539052B2
公开(公告)日：2017-01-10
申请号：US14523856
申请日：2014-10-25
发明人： Stuart D. Edwards , John W. Gaiser , David S. Utley , Jay J. Qin
IPC分类号： A61B18/14 , A61B18/12 , A61B18/18 , A61N1/05 , A61N1/06 , A61N1/08 , A61N1/40 , A61M16/04 , A61B17/32 , A61B17/00 , A61B17/22 , A61B17/42 , A61B18/00 , A61B18/02 , A61B18/04 , A61M3/02 , A61M25/10
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1477 , 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 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00648 , 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 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/0262 , A61B2018/046 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1405 , A61B2018/1467 , A61B2018/1472 , A61B2018/183 , A61B2090/3614 , A61B2090/3782 , A61B2217/007 , A61B2218/002 , A61M3/0279 , A61M16/0438 , A61M16/0481 , A61M25/1002 , A61M2025/1052 , A61M2025/1086 , A61N1/056 , A61N1/06 , A61N1/08 , A61N1/40
摘要： An apparatus treats tissue at or near a sphincter. The apparatus has an elongated member having at least one lumen including an inflation lumen, and a basket assembly including a first and a second arm. An inflatable member is coupled to the inflation lumen and has a deployed and a non-deployed state. In the deployed state, the inflatable member expands the basket assembly into contact with tissue. At least one of the first and second arms of the basket assembly has a fluid lumen having an aperture for conveying a fluid from the basket assembly. A source of fluid is coupled to the fluid lumen for conveyance of fluid through the aperture. The fluid can be, e.g., an electrolytic solution, and/or an anti-infection agent, and/or an echogenic media, and/or a steroid, and/or an anesthetic, and/or a medicament, and/or a tissue cooling agent. The source can be a drug delivery device.
摘要翻译： 装置处理括约肌处或附近的组织。 该装置具有细长构件，其具有包括充气腔的至少一个腔，以及包括第一臂和第二臂的篮组件。 可膨胀构件联接到膨胀腔并具有展开和非展开状态。 在展开状态下，可膨胀构件将篮组件膨胀成与组织接触。 篮组件的第一和第二臂中的至少一个具有流体腔，其具有用于从篮组件输送流体的孔。 流体源耦合到流体腔，用于输送流体通过该孔。 流体可以是例如电解溶液和/或抗感染剂和/或回声介质，和/或类固醇，和/或麻醉剂，和/或药物，和/或组织 冷却剂。 来源可以是药物递送装置。
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5.发明申请公开(公告)号：US20160374745A1
公开(公告)日：2016-12-29
申请号：US15261932
申请日：2016-09-10
发明人： OLEG SHIKHMAN , William W. Rutan
CPC分类号： A61B18/1206 , A61B18/02 , A61B18/08 , A61B18/1477 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B18/20 , A61B34/20 , A61B34/25 , A61B2018/00553 , A61B2018/0212 , A61B2018/044 , A61B2018/1425 , A61B2018/1807 , A61B2018/1861 , A61B2034/2065 , A61B2034/252 , A61B2034/254 , A61B2218/002 , A61B2218/007 , A61N7/00 , A61N2007/0043 , G06F3/048 , G06F3/04817 , G06F3/04847 , G16H40/63
摘要： A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.
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6.发明申请SYSTEMS AND METHODS FOR CONTROLLING USE AND OPERATION OF A TREATMENT DEVICE 审中-公开用于控制治疗装置的使用和操作的系统和方法公开(公告)号：US20160220317A1
公开(公告)日：2016-08-04
申请号：US15068539
申请日：2016-03-12
发明人： OLEG Shikhman , William W. Rutan
CPC分类号： A61B18/1206 , A61B18/02 , A61B18/08 , A61B18/1477 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B18/20 , A61B34/20 , A61B34/25 , A61B2018/00553 , A61B2018/0212 , A61B2018/044 , A61B2018/1425 , A61B2018/1807 , A61B2018/1861 , A61B2034/2065 , A61B2034/252 , A61B2034/254 , A61B2218/002 , A61B2218/007 , A61N7/00 , A61N2007/0043 , G06F3/048 , G06F3/04817 , G06F3/04847 , G16H40/63
摘要： A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.
摘要翻译： 用于控制治疗装置的系统产生图形界面，其以逐步的方式视觉上提示使用者使用治疗装置来执行形成沿身体区域的不同水平的周向和轴向延伸的病变图案的过程 。 图形界面为用户显示从开始到结束的过程进度的可视记录，并指导用户，使得在给定水平内期望的个体病变全部形成，并且不跳过给定水平的病变。
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7.发明授权Systems and methods for treating dysfunctions in the intestines and rectum that adapt to the anatomic form and structure of different individuals 有权用于治疗肠和直肠功能障碍的系统和方法，其适应不同个体的解剖形式和结构公开(公告)号：US09204926B2
公开(公告)日：2015-12-08
申请号：US14214880
申请日：2014-03-15
CPC分类号： A61B18/1477 , A61B1/00029 , A61B1/00066 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/012 , A61B1/0661 , A61B1/07 , A61B1/31 , A61B1/32 , A61B18/1485 , A61B2018/00267 , A61B2018/00482 , A61B2018/00494 , A61B2018/00553 , A61B2018/00797 , A61B2018/0091 , A61B2018/00916 , A61B2018/046 , A61B2018/1425 , A61B2018/143 , A61B2018/1475 , A61B2090/3782 , A61B2218/007
摘要： A family of barrel structures is provided in a kit. Each barrel structure is differently sized and configured for advancement into anal canals of different anatomic morphologies. Instructions are provided for using the barrel structures to treat an individual. The instructions instruct assessing an anatomic morphology of an anal canal of an individual to be treated and selecting one of the barrel structures based upon the assessed anatomic morphology. Each barrel structure carries an electrode sized and configured to be coupled to a source of tissue ablation energy to be applied through the electrode to form a lesion. Each barrel structure includes a transparent side wall visualized by a direct line of sight from an end portion of the first barrel structure. The instructions instruct inserting the selected barrel structure into the anal canal and visualizing by the direct line of sight through the transparent side wall of the selected barrel structure the dentate line and the targeted tissue region. The instructions instruct, while visualizing, aligning the electrode in a desired location in the targeted tissue region above the dentate line, advancing the electrode to penetrate tissue at or near a sphincter, and applying energy through the electrode to create a lesion in the sphincter.
摘要翻译： 套件中提供了一系列桶结构。 每个桶体结构的尺寸和尺寸不同，可用于推进不同解剖形态的肛门运动。 提供使用桶结构来处理个人的说明。 说明书指导评估待治疗个体的肛管的解剖形态，并基于评估的解剖形态选择其中一个桶结构。 每个桶结构都携带一个电极，其尺寸和构造被耦合到待通过电极施加的组织消融能量源以形成病变。 每个桶结构包括通过来自第一桶结构的端部的直接视线可视化的透明侧壁。 说明书指示将所选择的桶结构插入肛管并通过所选择的圆筒结构的透明侧壁通过直视线观察齿状线和目标组织区域。 说明书指示，同时可视化，将电极对准在齿状线上方的目标组织区域中的期望位置，推进电极穿过括约肌中或附近的组织，以及通过电极施加能量以在括约肌中产生损伤。
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公开(公告)号：US09198705B2
公开(公告)日：2015-12-01
申请号：US13590027
申请日：2012-08-20
申请人： Jay Qin , Robin Bek , John Gaiser , Rachel Croft , Peter Muller , David S Utley
发明人： Jay Qin , Robin Bek , John Gaiser , Rachel Croft , Peter Muller , David S Utley
CPC分类号： A61B18/00 , A61B18/12 , A61B18/1206 , A61B18/1477 , A61B18/1492 , A61B2017/00017 , A61B2017/00199 , A61B2017/00482 , A61B2018/00011 , A61B2018/00214 , A61B2018/00261 , A61B2018/00267 , A61B2018/00273 , A61B2018/00285 , A61B2018/00291 , A61B2018/00494 , A61B2018/0066 , A61B2018/00898 , A61B2018/1475 , A61B2218/002 , G06F19/00 , G06Q50/22
摘要： Unified systems and methods enable control of the use and operation of a family of different treatment devices, to treat dysfunction in different regions of the body.
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公开(公告)号：US09107674B2
公开(公告)日：2015-08-18
申请号：US13854662
申请日：2013-04-01
申请人： John W. Gaiser , Scott H. West , David S. Utley , David Huynh
发明人： John W. Gaiser , Scott H. West , David S. Utley , David Huynh
CPC分类号： A61B18/1492 , A61B1/00154 , A61M16/0493 , A61M25/02 , A61M2025/024
摘要： Systems and methods for treating a tissue region employ an expandable structure projecting beyond the distal end of a catheter tube. A distal tail projects beyond the far end of the basket assembly. The distal tail includes a guidewire lumen that accommodates passage of a guidewire without threading the guidewire through the catheter tube.
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公开(公告)号：US08894646B2
公开(公告)日：2014-11-25
申请号：US14015993
申请日：2013-08-30
发明人： Stuart D. Edwards , John W. Gaiser , David S. Utley , Jay J. Qin
IPC分类号： A61B18/14 , A61M16/04 , A61N1/08 , A61B18/18 , A61N1/40 , A61N1/06 , A61N1/05 , A61B17/00 , A61B18/00 , A61M25/10 , A61B17/22 , A61B18/12 , A61B18/04 , A61B19/00 , A61B18/02 , A61M3/02 , A61B17/42 , A61B17/32
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1477 , 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 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00648 , 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 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/0262 , A61B2018/046 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1405 , A61B2018/1467 , A61B2018/1472 , A61B2018/183 , A61B2090/3614 , A61B2090/3782 , A61B2217/007 , A61B2218/002 , A61M3/0279 , A61M16/0438 , A61M16/0481 , A61M25/1002 , A61M2025/1052 , A61M2025/1086 , A61N1/056 , A61N1/06 , A61N1/08 , A61N1/40
摘要： An apparatus treats tissue at or near a sphincter. The apparatus has an elongated member having at least one lumen including an inflation lumen, and a basket assembly including a first and a second arm. An inflatable member is coupled to the inflation lumen and has a deployed and a non-deployed state. In the deployed state, the inflatable member expands the basket assembly into contact with tissue. At least one of the first and second arms of the basket assembly has a fluid lumen having an aperture for conveying a fluid from the basket assembly. A source of fluid is coupled to the fluid lumen for conveyance of fluid through the aperture. The fluid can be, e.g., an electrolytic solution, and/or an anti-infection agent, and/or an echogenic media, and/or a steroid, and/or an anesthetic, and/or a medicament, and/or a tissue cooling agent. The source can be a drug delivery device.
摘要翻译： 装置处理括约肌处或附近的组织。 该装置具有细长构件，其具有包括充气腔的至少一个腔，以及包括第一臂和第二臂的篮组件。 可膨胀构件联接到膨胀腔并具有展开和非展开状态。 在展开状态下，可膨胀构件将篮组件膨胀成与组织接触。 篮组件的第一和第二臂中的至少一个具有流体腔，其具有用于从篮组件输送流体的孔。 流体源耦合到流体腔，用于输送流体通过该孔。 流体可以是例如电解溶液和/或抗感染剂和/或回声介质，和/或类固醇，和/或麻醉剂，和/或药物，和/或组织 冷却剂。 来源可以是药物递送装置。
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