Method to treat gastric reflux via the detection and ablation of gastro-esophageal nerves and receptors
First Claim
1. A method of treating a sphincter, comprising:
- providing a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode;
introducing the sphincter electropotential mapping device into at least a portion of one of the sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus;
detecting a electrical activity causing a transient relaxation of the sphincter; and
delivering energy from one of the mapping electrode or the treatment electrode to treat the electrical activity.
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Accused Products
Abstract
The present invention comprises a method of treating a sphincter that provides a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode. The sphincter electropotential mapping device is introduced into at least a portion of the sphincter, the lower esophageal sphincter, stomach, the cardia or the fundus. Bioelectric activity causing a relaxation of the sphincter is detected and energy is delivered from either the mapping electrode or the treatment electrode to treat the bioelectric activity.
In another embodiment of the method of the invention, a method of treating a sphincter that provides a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode. The sphincter electropotential mapping device is introduced into at least a portion of the sphincter, the lower esophageal sphincter, stomach, the cardia or the fundus. The sphincter, lower esophageal sphincter, stomach, cardia or fundus is stimulated to produce a transient relaxation of the sphincter. The portion of the sphincter, lower esophageal sphincter, stomach, cardia or fundus causing a relaxation of the sphincter is indentified. Energy is delivered from the sphincter electropotential mapping device to treat the portion the sphincter, lower esophageal sphincter, stomach, cardia or fundus causing the transient relaxation of the sphincter.
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Citations
49 Claims
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1. A method of treating a sphincter, comprising:
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providing a sphincter electropotential mapping device with at least one of a mapping electrode or a treatment electrode;
introducing the sphincter electropotential mapping device into at least a portion of one of the sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus;
detecting a electrical activity causing a transient relaxation of the sphincter; and
delivering energy from one of the mapping electrode or the treatment electrode to treat the electrical activity. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 37, 38, 39, 40, 41, 42)
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36. A method of treating a sphincter, comprising:
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providing a sphincter treatment device with at least one of a mapping electrode or a treatment electrode;
introducing the sphincter electropotential mapping device into at least a portion of one of the sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus. stimulating one of the sphincter, the lower esophageal sphincter, the stomach, the cardia or the fundus to produce a transient relaxation of the sphincter; and
identifying a portion of one of the sphincter, the lower esophageal sphincter, the stomach, the cardia or the fundus causing a transient relaxation of the sphincter. delivering energy from the sphincter electropotential mapping device to treat the portion of one the sphincter, the lower esophageal sphincter, the stomach, the cardia or the fundus causing the transient relaxation of the sphincter.
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43. A method of treating a sphincter, comprising:
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providing a sphincter electropotential mapping device with a mapping electrode or a treatment electrode;
introducing the sphincter electropotential mapping device into at least a portion of one of the sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus;
detecting a bioelectric activity causing a transient relaxation of the sphincter;
providing a sphincter treatment apparatus with a treatment energy delivery device;
introducing the sphincter treatment apparatus into at least a portion of one of the sphincter, a lower esophageal sphincter, a stomach, a cardia or a fundus; and
delivering energy from the treatment energy delivery device to treat the bioelectric activity. - View Dependent Claims (44, 45, 46, 49)
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47. A method of treating a sphincter, comprising:
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providing a gastroesophageal sensing device with a stimulating electrode or a mapping electrode;
introducing the gastroesophageal sensing device into a portion of the upper gastroesophageal tract;
stimulating a portion of the upper gastroesophageal tract to produce one of a swallowing reflex, peristaltic wave or a relaxation of the lower esophageal sphincter;
observing for a swallowing reflex, a peristaltic wave or a relaxation of a lower esophageal sphincter;
providing a sphincter electropotential treatment device with a mapping electrode or a treatment electrode;
introducing the sphincter electropotential treatment device into at least a portion of one of the esophagus, a lower esophageal sphincter, a stomach, a cardia or a fundus;
treating one of the esophagus, the lower esophageal sphincter, the stomach, the cardia or the fundus;
restimulating the portion of the upper gastroesophageal tract to produce one of the swallowing reflex, the peristaltic wave or the relaxation of the lower esophageal sphincter; and
observing for the swallowing reflex, the peristaltic wave or the relaxation of the lower esophageal sphincter.
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48. A method of treating a sphincter, comprising:
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providing a sphincter treatment device having an elongated member, the elongated member including at least one of a stimulating electrode, a mapping electrode or a treatment electrode, the stimulating electrode positioned proximally to one of the mapping electrode or the treatment electrode;
introducing the sphincter treatment device into at least a portion of one of the esophagus, a lower esophageal sphincter, a stomach, a cardia or a fundus;
stimulating a portion of the upper gastroesophageal tract to produce one of a swallowing reflex, a peristaltic wave or a relaxation of the lower esophageal sphincter;
observing for a swallowing reflex, a peristaltic wave or a relaxation of a lower esophageal sphincter;
treating one of the esophagus, the lower esophageal sphincter, the stomach, the cardia or the fundus;
restimulating the portion of the upper gastroesophageal tract to produce one of the swallowing reflex, the peristaltic wave or the relaxation of the lower esophageal sphincter; and
observing for the swallowing reflex, and the peristaltic wave or the relaxation of the lower esophageal sphincter.
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Specification