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1.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：US09737360B2
公开(公告)日：2017-08-22
申请号：US14256979
申请日：2014-04-20
申请人： Scott H. West , John W. Gaiser , Robin Bek , David S. Utley , Patrick Rimroth
发明人： Scott H. West , John W. Gaiser , Robin Bek , David S. Utley , Patrick Rimroth
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/0014 , A61B1/273 , A61B2018/00029 , A61B2018/00214 , A61B2018/00267 , A61B2018/00797 , A61B2018/00821 , A61B2018/1425 , A61B2018/1475
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：US20110077550A1
公开(公告)日：2011-03-31
申请号：US12925148
申请日：2010-10-14
申请人： Robin Bek , John W. Gaiser , Scott H. West , Patrick Rimroth
发明人： Robin Bek , John W. Gaiser , Scott H. West , Patrick Rimroth
CPC分类号： A61B18/1492 , A61B5/037 , A61B5/06 , A61B5/7282 , A61B5/7405 , A61B5/742 , A61B18/02 , A61B18/16 , A61B18/1815 , A61B18/20 , A61B2018/00029 , A61B2018/00214 , A61B2018/00244 , A61B2018/00267 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00744 , A61B2018/00821 , A61B2018/00863 , A61B2018/00982 , A61B2018/00994 , A61B2018/1422 , A61B2018/1425 , A61B2018/1465 , A61B2018/1475 , A61B2018/1807 , A61B2034/2046 , A61B2218/002
摘要： Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.
摘要翻译： 系统和方法将治疗或诊断元件部署成与身体组织区域接触。 系统和方法可以通过检测具有位于治疗或诊断元件处或附近的出口的流体路径中的流体压力来感测治疗或诊断元件相对于目标组织区域的位置，而不需要直接或间接可视化。 系统和方法还可以在使用期间使治疗或诊断元件膨胀，同时采取步骤以避免过度膨胀和/或在动态监测扩张元件内的压力状况的同时。
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公开(公告)号：US20050154386A1
公开(公告)日：2005-07-14
申请号：US11055450
申请日：2005-02-09
申请人： Scott West , John Gaiser , Robin Bek , David Utley , Patrick Rimroth
发明人： Scott West , John Gaiser , Robin Bek , David Utley , Patrick Rimroth
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/0014 , A61B1/273 , A61B2018/00029 , A61B2018/00214 , A61B2018/00267 , A61B2018/00797 , A61B2018/00821 , A61B2018/1425 , A61B2018/1475
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.
摘要翻译： 用于治疗组织区域的改进的装置，系统和方法提供了在基于导管的器械的限制空间内安装各种功能组件的简单但可靠的方式。
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5.发明申请公开(公告)号：US20140221996A1
公开(公告)日：2014-08-07
申请号：US14256979
申请日：2014-04-20
申请人： Scott H. West , John W. Gaiser , Robin Bek , David S. Utley , Patrick Rimroth
发明人： Scott H. West , John W. Gaiser , Robin Bek , David S. Utley , Patrick Rimroth
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/0014 , A61B1/273 , A61B2018/00029 , A61B2018/00214 , A61B2018/00267 , A61B2018/00797 , A61B2018/00821 , A61B2018/1425 , A61B2018/1475
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.
摘要翻译： 用于治疗组织区域的改进的装置，系统和方法提供了在基于导管的器械的限制空间内安装各种功能组件的简单但可靠的方式。
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公开(公告)号：US07422587B2
公开(公告)日：2008-09-09
申请号：US11114592
申请日：2005-04-26
申请人： Robin Bek , John W. Gaiser , Scott H. West , Patrick Rimroth
发明人： Robin Bek , John W. Gaiser , Scott H. West , Patrick Rimroth
CPC分类号： A61B18/1492 , A61B5/037 , A61B5/06 , A61B5/7282 , A61B5/7405 , A61B5/742 , A61B18/02 , A61B18/16 , A61B18/1815 , A61B18/20 , A61B2018/00029 , A61B2018/00214 , A61B2018/00244 , A61B2018/00267 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00744 , A61B2018/00821 , A61B2018/00863 , A61B2018/00982 , A61B2018/00994 , A61B2018/1422 , A61B2018/1425 , A61B2018/1465 , A61B2018/1475 , A61B2018/1807 , A61B2034/2046 , A61B2218/002 , G06F19/00
摘要： Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.
摘要翻译： 系统和方法将治疗或诊断元件部署成与身体组织区域接触。 系统和方法可以通过检测具有位于治疗或诊断元件处或附近的出口的流体路径中的流体压力来感测治疗或诊断元件相对于目标组织区域的位置，而不需要直接或间接可视化。 系统和方法还可以在使用期间使治疗或诊断元件膨胀，同时采取步骤以避免过度膨胀和/或在动态监测扩张元件内的压力状况的同时。
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公开(公告)号：US20060155261A1
公开(公告)日：2006-07-13
申请号：US10857632
申请日：2004-05-28
申请人： Robin Bek , Scott West , Patrick Rimroth
发明人： Robin Bek , Scott West , Patrick Rimroth
IPC分类号： A61B17/00
CPC分类号： A61B18/1492 , A61B5/037 , A61B5/06 , A61B5/7282 , A61B5/7405 , A61B5/742 , A61B18/02 , A61B18/16 , A61B18/1815 , A61B18/20 , A61B2018/00029 , A61B2018/00214 , A61B2018/00244 , A61B2018/00267 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00744 , A61B2018/00821 , A61B2018/00863 , A61B2018/00982 , A61B2018/00994 , A61B2018/1422 , A61B2018/1425 , A61B2018/1465 , A61B2018/1475 , A61B2018/1807 , A61B2034/2046 , A61B2218/002
摘要： Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.
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公开(公告)号：US20050288664A1
公开(公告)日：2005-12-29
申请号：US11145743
申请日：2005-06-06
申请人： John Ford , Scott West , John Gaiser , Patrick Rimroth
发明人： John Ford , Scott West , John Gaiser , Patrick Rimroth
CPC分类号： A61B18/1477 , A61B18/1492 , A61B2018/00214 , A61B2018/00267 , A61B2018/00494 , A61B2018/00916 , A61B2018/1425
摘要： Systems and methods deploy an electrode from a catheter assembly. The systems and methods provide a catheter handle having a trigger lever adapted to carry an actuator rod. The actuator rod is adapted to cause movement of the electrode between a retracted position and an extended position. A pinion is carried by the trigger lever for engagement with a rack carried by the actuator rod. Compression of the trigger lever moves the rack along the actuator rod between a first position corresponding to the electrodes being in the retracted position and a second position corresponding to either the primed electrode firing position or the electrodes being in an extended position.
摘要翻译： 系统和方法从导管组件部署电极。 该系统和方法提供了具有适于承载致动器杆的触发杆的导管手柄。 致动器杆适于使电极在缩回位置和延伸位置之间移动。 小齿轮由触发杆承载，用于与由致动器杆承载的齿条接合。 触发杆的压缩沿着致动器杆在对应于处于缩回位置的电极的第一位置和对应于引脚电极触发位置或电极处于伸出位置的第二位置之间移动机架。
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9.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 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：US20050228371A1
公开(公告)日：2005-10-13
申请号：US10911395
申请日：2004-08-04
申请人： Scott West , John Gaiser , Patrick Rimroth , Larry Heaton
发明人： Scott West , John Gaiser , Patrick Rimroth , Larry Heaton
IPC分类号： A61B18/14
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： An assembly for treating tissue in the anal canal uses a barrel structure having a dimension that can be selectively altered to be conducive for insertion into an anal canal according to an anatomic condition assessed within the anal canal. An electrode is carried by the barrel structure that can be coupled to a source of tissue ablation energy, which, when applied through the electrode, forms a lesion.
摘要翻译： 用于处理肛管中的组织的组件使用具有可以根据在肛管内评估的解剖状况选择性地改变以有利于插入肛管的尺寸的筒结构。 电极由筒结构承载，其可以耦合到组织消融能量源，当通过电极施加时，电极形成病变。
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公开(公告)号：US20050187546A1
公开(公告)日：2005-08-25
申请号：US11114592
申请日：2005-04-26
申请人： Robin Bek , John Gaiser , Scott West , Patrick Rimroth
发明人： Robin Bek , John Gaiser , Scott West , Patrick Rimroth
CPC分类号： A61B18/1492 , A61B5/037 , A61B5/06 , A61B5/7282 , A61B5/7405 , A61B5/742 , A61B18/02 , A61B18/16 , A61B18/1815 , A61B18/20 , A61B2018/00029 , A61B2018/00214 , A61B2018/00244 , A61B2018/00267 , A61B2018/00488 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , A61B2018/00744 , A61B2018/00821 , A61B2018/00863 , A61B2018/00982 , A61B2018/00994 , A61B2018/1422 , A61B2018/1425 , A61B2018/1465 , A61B2018/1475 , A61B2018/1807 , A61B2034/2046 , A61B2218/002 , G06F19/00
摘要： Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.
摘要翻译： 系统和方法将治疗或诊断元件部署成与身体组织区域接触。 系统和方法可以通过检测具有位于治疗或诊断元件处或附近的出口的流体路径中的流体压力来感测治疗或诊断元件相对于目标组织区域的位置，而不需要直接或间接可视化。 系统和方法还可以在使用期间使治疗或诊断元件膨胀，同时采取步骤以避免过度膨胀和/或在动态监测扩张元件内的压力状况的同时。
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