Device and method for treatment of gastroesophageal reflux disease

• US 6,073,052 A
• Filed: 11/15/1996
• Issued: 06/06/2000
• Est. Priority Date: 11/15/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Brian D. Zelickson, Robert A. Ganz
• Inventors: Zelickson, Brian D., Ganz, Robert A.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US08/749,723
• Time in Patent Office: 1,299 Days
• Field of Search: 607/113, 607/100-102, 607/96, 607/98, 607/99, 607/105, 606/5, 606/32, 606/31, 606/41, 604/22, 600/29-32, 128/742, 128/DIG. 25
• US Class Current: 607/100
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00553 Sphincter

Abstract

A lower esophageal sphincter tightening device for treating gastroesophageal reflux disease which includes an insertion device, an energy source, and an energy transmitting device. The insertion device, by insertion through a body opening, positions the energy transmitting device in the proximity of the lower esophageal sphincter. The energy source generates and transmits energy via the insertion device to the energy transmitting device which directs the transmitted energy onto the lower esophageal sphincter which is comprised largely of collagen. The energy source transmits energy at a level sufficient to cause heating of the sphincter'"'"'s collagen resulting in a shrinkage of the collagen and a tightening of the sphincter.

Claims

1. A method to tone or tighten a sphincter, the method including;

inserting an energy transmitting device located at a distal end of an insertion device into a body opening;

positioning the energy transmitting device in proximity of the sphincter via the insertion device; and

transmitting energy from an energy source through the insertion device to the energy transmitting device for radiation onto the sphincter tissue, wherein the level of energy generated and transmitted by the energy source heats sphincter tissue to a temperature of between 50°

C. and 70°

C. within a time period of between about 1 microsecond to 1 minute to cause collagen shrinkage and tissue tightening.

2. The method of claim 1 and further including heating the sphincter tissue to a temperature of between 63°

C. and 65°

C.

3. The method of claim 1 and further including cooling the sphincter surface tissue to prevent surface tissue damage during radiation of energy onto the sphincter.

4. The method of claim 3 and further including maintaining the sphincter surface tissue at a temperature below 50°

C.

5. The method of claim 1 and further including inflating a balloon by an inflation device which is communicably connected to the balloon through the insertion device, wherein the balloon is located with the energy transmitting device and positions the energy transmitting device 30.

6. The method of claim 5, wherein the balloon controls the amount of collagen shrinkage.

7. A method to treat gastroesphageal reflux disease, the method including:

inserting an inflatable balloon located at a distal end of an insertion device into a patient'"'"'s esophagus;

positioning an antenna associated with the balloon adjacent a target area of tissue which affects operation of a lower esophageal sphincter;

inflating the balloon through the insertion device from an inflation device at the proximal end of the insertion device to maintain the position of the balloon and the antenna relative to the target area of tissue; and

transmitting energy to the antenna through the insertion device from an energy source at the proximal end of the insertion device for radiation onto the target area of tissue to alter the tissue as controlled by the inflated balloon.

8. The method of claim 7 and further including heating the target area of tissue to a temperature of between 63°

C. and 65°

C.

9. The method of claim 7 and further including inflating the balloon with a cooling medium from the inflation device to prevent surface damage to the target area tissue during radiation of energy.

10. The method of claim 9 and further including maintaining the target area tissue surface at a temperature below 50°

C.