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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
Applicant: Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
Inventor: Stuart D Edwards , David S Utley , Ronald G Lax , John Gaiser
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.
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2.
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。
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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
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: A61B18/14
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.
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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
Applicant: Stuart D Edwards , David S Utley , Ronald G Lax
Inventor: Stuart D Edwards , David S Utley , Ronald G Lax
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.
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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
Applicant: Stuart D Edwards , David S. Utley , Ronald G Lax , Theodore R Kucklick , Peter H Muller
Inventor: Stuart D Edwards , David S. Utley , Ronald G Lax , Theodore R Kucklick , Peter H Muller
IPC: A61B18/14
CPC classification number: 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
Abstract: 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.
Abstract translation: 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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6.
公开(公告)号:US08152803B2
公开(公告)日:2012-04-10
申请号:US11651750
申请日:2007-01-10
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。
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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
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: A61B18/18
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.
Abstract translation: 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:US07648500B2
公开(公告)日:2010-01-19
申请号:US11175471
申请日:2005-07-06
Applicant: Stuart D Edwards , David Utley , Ronald G Lax , Theodore R Kucklick , Peter H Muller
Inventor: Stuart D Edwards , David Utley , Ronald G Lax , Theodore R Kucklick , Peter H Muller
CPC classification number: 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
Abstract: 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.
Abstract translation: 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
Applicant: Stuart D Edwards , Ronald G Lax , Robin Bek
Inventor: Stuart D Edwards , Ronald G Lax , Robin Bek
IPC: A61B1720
CPC classification number: 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
Abstract: 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.
Abstract translation: 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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公开(公告)号:US07125407B2
公开(公告)日:2006-10-24
申请号:US10728684
申请日:2003-12-05
Applicant: Stuart D Edwards , John W. Gaiser , David S. Utley , Jay J. Qin
Inventor: Stuart D Edwards , John W. Gaiser , David S. Utley , Jay J. Qin
IPC: A61B18/18
CPC classification number: A61B18/1477 , A61B17/32 , A61B18/1206 , 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 , A61B2018/00494 , A61B2018/00553 , A61B2018/00577 , 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 , A61B2018/00869 , 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 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/183 , A61B2090/3614 , A61B2090/3782 , A61B2218/002 , A61M3/0279 , A61M16/0438 , A61M16/0481 , A61M25/1002 , A61M2025/1052 , A61M2025/1086 , A61N1/056 , A61N1/06 , A61N1/08 , A61N1/40
Abstract: A sphincter treatment apparatus includes an elongated member having at least one lumen including an inflation lumen and a basket assembly with first and second arms. The basket assembly is coupled to the elongated member and has deployed and non-deployed configurations. An inflatable member is coupled to the elongated member and positioned in an interior of the basket assembly. The inflatable member has deployed and non-deployed states and is coupled to the inflation lumen. In the deployed state, the inflatable member expands the basket assembly to its deployed configuration. A first energy delivery device is positionable in the first arm and advanceable from the first arm to a selected treatment site. A second energy delivery device is positionable in the second arm and advanceable from the second arm to a selected treatment site.
Abstract translation: 括约肌治疗装置包括细长构件,其具有包括充气腔的至少一个内腔和具有第一和第二臂的篮组件。 筐组件联接到细长构件并且具有展开和非展开构造。 可膨胀构件联接到细长构件并且定位在篮组件的内部。 充气构件具有展开状态和非展开状态,并且连接到膨胀腔。 在展开状态下,可膨胀构件将篮组件膨胀到其展开构型。 第一能量输送装置可定位在第一臂中并且可从第一臂推进到选定的处理部位。 第二能量输送装置可定位在第二臂中并且可从第二臂推进到选定的治疗部位。
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