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    Systems and methods employing a bite block insert for positioning and stabilizing external instruments deployed within the body
    43.
    发明申请
    Systems and methods employing a bite block insert for positioning and stabilizing external instruments deployed within the body 审中-公开
    使用咬入块插入件来定位和稳定部署在体内的外部器械的系统和方法

    公开(公告)号：US20070118080A1

    公开(公告)日：2007-05-24

    申请号：US11650076

    申请日：2007-01-05

    Applicant: Scott West ,  David Utley ,  John Gaiser

    Inventor： Scott West ,  David Utley ,  John Gaiser

    IPC: A61M5/32

    CPC classification number: A61B18/1485 ,  A61B1/00154 ,  A61M16/0493 ,  A61M25/02 ,  A61M29/02 ,  A61M2025/024 ,  Y10S128/06 ,  Y10S128/26

    Abstract: 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 instrument is held in a fixed position.

    Abstract translation: 提供了系统和方法，用于在将器械插入口腔（例如，将导管穿过口腔插入食管或贲门以治疗胃食管反流病（GERD））期间定位和稳定外部器械。 这些系统和方法提供了一种用于与咬合块相关联的夹持工具，其能够选择性地在可以插入仪器的打开位置或仪器被保持在固定位置之间移动。

    Sphincter treatment apparatus
    44.
    发明申请
    Sphincter treatment apparatus 审中-公开
    括约肌治疗仪

    公开(公告)号：US20070032788A1

    公开(公告)日：2007-02-08

    申请号：US11580543

    申请日：2006-10-13

    Applicant: Stuart Edwards ,  John Gaiser ,  David Utley ,  Jay Qin

    Inventor： Stuart Edwards ,  John Gaiser ,  David Utley ,  Jay Qin

    IPC: A61B18/14

    Abstract: 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.

    Abstract translation: 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。

    Systems and methods for treating dysfunctions in the intestines and rectum that adapt to the anatomic form and structure of different individuals
    48.
    发明申请
    Systems and methods for treating dysfunctions in the intestines and rectum that adapt to the anatomic form and structure of different individuals 失效
    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：US20080103498A1

    公开(公告)日：2008-05-01

    申请号：US12004189

    申请日：2007-12-20

    Applicant: Scott West ,  John Gaiser ,  Patrick Rimroth ,  Larry Heaton

    Inventor： Scott West ,  John Gaiser ,  Patrick Rimroth ,  Larry Heaton

    IPC: A61B18/14

    CPC classification number: 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

    Abstract: 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.

    Abstract translation: 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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