Assemblies to visualize and treat sphincters and adjoining tissue regions

• US 6,423,058 B1
• Filed: 05/04/1999
• Issued: 07/23/2002
• Est. Priority Date: 02/19/1998
• Status: Expired due to Term

• Current Assignee: Mederi Rf, LLC
• Original Assignee: Curon Medical, Inc.
• Inventors: West, Scott, Qin, Jay, Gaiser, John, Edwards, Stuart D, Utley, David S
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/304,770
• Time in Patent Office: 1,176 Days
• Field of Search: 606/41, 606/42, 606/45-50, 607/101, 607/102, 607/115, 607/116, 607/122, 607/133
• US Class Current: 606/41
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00232 having an irregular shape
• CPC Class Codes: A61B 2018/00261 arranged in a line
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00553 Sphincter
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00755 : Resistance or impedance
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00797 : measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 : measured by a thermistor
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00898 : Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/046 : in liquid form
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/1475 : Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2090/3782 : transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61B 2218/007 : Aspiration

Abstract

Assemblies for treating a tissue region at or near a sphincter have a support structure with a distal end and an electrode carried by the support structure for contact with the tissue region. A lumen in the support structure accommodates passage of a body through the support structure and beyond the distal end of the support structure. The body can comprise a guide wire to guide deployment of the support structure, or an endoscope to permit visualization of the support structure from beyond the distal end of the support structure.

Claims

1. An assembly for treating a tissue region at or near a sphincter comprising

an elongated member having a proximal and a distal end,

a basket assembly carried by the distal end of the elongated member, the basket assembly including a first arm with a distal and a proximal section, a second arm with a distal and proximal section, the proximal sections of the first and second arms being mutually coupled to each other and to the elongated member, the distal sections of the first and second arms being mutually coupled to each other, the basket assembly having a deployed and a non-deployed configuration;

an inflatable member coupled to the distal end of the elongated member and positioned in an interior of the basket assembly, the inflatable member having a deployed and a non-deployed state, wherein in the deployed state the inflatable member expands the basket assembly to the basket assembly deployed configuration;

a first energy delivery device coupled to the first arm and configured to deliver energy to a selected treatment site;

a second energy delivery device coupled to the second arm and configured to deliver energy to a selected treatment site;

a first lumen in the elongated member that communicates with the inflatable member to convey an inflation medium into the inflatable member to cause inflation; and

a second lumen in the elongated member that extends through the inflatable member to accommodate passage of a body through the elongated member and inflatable member and beyond the distal sections of the first and second arms of the basket assembly.

2. An assembly according to claim 1

wherein the body comprises an endoscope to permit visualization of the support structure from beyond the distal end of the support structure.

3. An assembly according to claim 1

wherein the inflatable member and a portion of the second lumen are made of a light-admitting material enabling visualization of the elongated member by an endoscope deployed in the second lumen within the inflatable member.

4. A system for treating a tissue region at or near a sphincter comprising

an endoscope having a distal viewing region,

an elongated member having a proximal and a distal end,

a basket assembly, the basket assembly including a first arm having a proximal and distal section and a second arm having a proximal and distal section, the basket assembly being coupled to the elongated member and having a deployed and a non-deployed configuration;

an inflatable member coupled to the distal end of the elongated member and positioned in an interior of the basket assembly, the inflatable member having a deployed and a non-deployed state, wherein in the deployed state the inflatable member expands the basket assembly to the basket assembly deployed configuration;

an energy delivery device coupled to the inflatable member and configured to deliver energy to a selected treatment site;

a first lumen in the elongated member that communicates with the inflatable member to convey an inflation medium into the inflatable member to cause inflation; and

a second lumen in the elongated member that extends through the inflatable member to accommodate passage of the endoscope through the elongated member and inflatable member to position the distal viewing region beyond the distal sections of the first and second arms of the basket assembly.

5. An assembly according to claim 4

wherein the inflatable member and a portion of the second lumen are made of a light-admitting material enabling visualization of the elongated member by the endoscope when the distal viewing region is deployed in the second lumen within the inflatable member.