Stomach treatment apparatus and method
First Claim
1. An apparatus to modify a stomach wall comprising:
- an elongated member including at least one lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, at least a portion of the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior, wherein at least a portion of the deployable member include one of a microwave absorbable material or a microwave absorbable material with a variable microwave absorption;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advancecable within the elongated member.
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Accused Products
Abstract
An apparatus to modify a stomach wall comprises an elongated member including at least one lumen. A deployable member is coupled to the elongated member. The deployable member is configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall. The deployable member is further configured to house a fluidic media and at least portions of the deployable member wall is configured to be cooled by the fluidic media. The deployable member has a contour in the deployed state approximating at least a portion of a stomach. A microwave antenna is movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna. The microwave antenna is configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer. A cable member is coupled to the microwave antenna and is configured to be advanceable within the elongated member.
555 Citations
68 Claims
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1. An apparatus to modify a stomach wall comprising:
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an elongated member including at least one lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, at least a portion of the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior, wherein at least a portion of the deployable member include one of a microwave absorbable material or a microwave absorbable material with a variable microwave absorption;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advancecable within the elongated member. - 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, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 62)
an inner elongated member disposed within the elongated member, the inner member including a lumen.
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29. The apparatus of claim 28, wherein the inner member is advanceable within the elongated member.
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30. The apparatus of claim 28, wherein at least portions of the inner member include a fluid lumen, a reinforcing braid, a radiopaque marker or an echogenic marker.
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31. The apparatus of claim 28, wherein at least a portion of the inner member include one of a microwave absorbable material or a microwave absorbable material with a variable microwave absorption.
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32. The apparatus of claim 28, wherein the inner member is slidably advanceable over at least portions of the antenna.
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33. The apparatus of claim 28, wherein at least one of the elongated member or the inner member is deflectable.
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34. The apparatus of claim 33, wherein at least one of the elongated member or the inner member has an articulated portion.
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35. The apparatus of claim 33, wherein at least one of the elongated member or the inner member is coupled to a deflection mechanism.
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36. The apparatus of claim 1, further comprising:
a sensor coupled to one of the expansion member or the elongated member.
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37. The apparatus of claim 36, wherein the sensor is one of a microwave sensor, a thermal sensor, an ultrasound transducer, an optical sensor, a pressure sensor, a force sensor or a contact sensor.
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38. The apparatus of claim 36, wherein the sensor is a contact sensor configured to facilitate positioning the deployable member adjacent a selectable portion of the stomach wall.
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39. The apparatus of claim 36, wherein the sensor comprises a first sensor coupled to the deployable member and second sensor coupled to the microwave antenna.
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40. The apparatus of claim 36, wherein the first and second sensors are configured to monitor one of a microwave antenna position, a microwave beam direction or a microwave field strength.
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41. The apparatus of claim 36, further comprising feedback control resources coupled to at least one of the sensor, the antenna, microwave power source coupled to the antenna or a fluid delivery device coupled to the elongated member.
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42. The apparatus of claim 41, wherein the feedback control resources are configured to reduce one of an expansion member surface temperature or an expansion member tissue interface temperature.
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43. The apparatus of claim 41, wherein the feedback control resources are configured to minimize thermal injury to one of a mucosa or submucosa in proximity to the expansion member.
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44. The apparatus of claim 41, wherein one of the feedback control resources, the antenna or an antenna beam is configured to cause collagen contraction of a selectable depth of the stomach wall.
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45. The apparatus of claim 41, wherein one of the feedback control resources, the antenna or an antenna beam is configured to initiate a wound healing response of a selectable portion of the stomach.
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46. The apparatus of claim 45, wherein the wound healing response is of a selectable circumferential portion of the stomach.
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47. The apparatus of claim 45, wherein the wound healing response is of a selectable portion of the stomach w all.
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48. The apparatus of claim 41, wherein the feedback control resources are configured to monitor and reduce a distensibility of at least a portion of the stomach.
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49. The apparatus of claim 41, wherein the feedback control resources are configured to reduce a volume of at least a portion of the stomach.
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50. The apparatus of claim 41, wherein the feedback control resources are configured to control one of an input microwave power to the antenna, an antenna emitted microwave power, an antenna microwave field strength, or a fluid media flow to the expansion member.
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62. The apparatus of claim 1, wherein the microwave absorption varies with respect to at least one of a temperature or an emitted microwave power.
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51. An apparatus to modify a stomach wall comprising:
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an elongated member with at least one lumen that includes a fluid lumen and a cable member lumen, wherein the fluid lumen is positioned in a substantially surrounding relationship to the cable lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advanceable within the elongated member. - View Dependent Claims (52, 53, 54, 55, 56)
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57. An apparatus to modify a stomach wall comprising:
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an elongated member with at least one lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, at least a portion of the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer, wherein the antenna is constructed from a portion of a coaxial cable; and
a cable member coupled to the microwave antenna, the cable member configured to be advanceable within the elongated member. - View Dependent Claims (58, 59, 60)
an inner conductor;
an inner insulation layer substantially surrounding the inner conductor;
an outer conductor substantially surrounding the inner insulation; and
an outer insulation layer substantially surrounding the outer conductor.
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60. The apparatus of claim 59, wherein the inner insulation layer comprises a plurality of insulation segments longitudinally distributed over the inner conductor with a gap between each insulation segment.
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61. An apparatus to modify a stomach wall comprising:
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an elongated member including at least one lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, at least a portion of the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advancecable within the elongated member, wherein the antenna is configured to produce one of an omnidirectional beam, a pencil-beam, a flat-top flared beam or an asymmetrically flared beam.
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63. An apparatus to modify a stomach wall comprising:
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an elongated member including at least one lumen;
an inflatable balloon coupled to the elongated member, the inflatable balloon configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the inflatable balloon further configured to contain a fluidic media, at least a portion of a inflatable balloon wall configured to be cooled by the fluidic media, at least a portion of the inflatable balloon having a contour in the deployed state approximating at least a portion of a stomach interior, wherein the inflatable balloon is sized to produce a selected post treatment stomach volume;
a microwave antenna movably positioned in the inflatable balloon so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advancecable within the elongated member. - View Dependent Claims (64, 65)
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66. An apparatus to modify a stomach wall comprising:
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an elongated member including at least one lumen;
a deployable member coupled to the elongated member, the deployable member configured to be advanceable and removable from the stomach in a non-deployed state and sized to be positioned in the stomach in a deployed state to engage at least portions of the stomach wall, the deployable member further configured to contain a fluidic media, at least a portion of a deployable member wall configured to be cooled by the fluidic media, at least a portion of the deployable member having a contour in the deployed state approximating at least a portion of a stomach interior, wherein the deployable member is sized to produce a selected post treatment stomach volume;
a microwave antenna movably positioned in the deployable member so as to control a microwave field strength vector in relation to the antenna, the microwave antenna being configured to be coupled to a microwave energy source and deliver microwave energy to a selectable tissue site in the stomach wall while minimizing thermal injury to one of a mucosal or a submucosal layer; and
a cable member coupled to the microwave antenna, the cable member configured to be advancecable within the elongated member. - View Dependent Claims (67, 68)
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Specification