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Method for treating a sphincter

Assignee: Venture Banking Group
•
Filing: 1998-02-19
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Granted: 2000-01-04
•
Expires: 2018-02-19
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Abstract

Abstract A method of treating a sphincter that provides an expandable basket structure with a first energy delivery device. The basket structure is introduced in a sphincter. The first energy delivery device is advanced from the basket structure into an interior of the sphincter. Sufficient energy is delivered from the first energy delivery device to create a desired tissue effect in the sphincter. Thereafter, the basket structure is removed from the sphincter.

Inventors

  • 👤 Stuart D. Edwards

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-27 12:37
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/24; A61B5/316; A61B5/389; A61B5/392; A61B18/00; A61B18/04; A61B18/12; A61B18/1206; A61B18/14; A61B18/1477; A61B18/148; A61B18/1485; A61B18/1492; A61B5/02; A61B5/026; A61B5/0295; A61M; A61M16/00; A61M16/04; A61M16/0475; A61M16/0477; A61M16/0481; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/06; A61N1/40; A61B18/18; A61B18/1815; A61B17/00; A61B2017/00017; A61B2017/00022; A61B2017/00084; A61B2017/00106; A61B17/00234; A61B2017/00292; A61B2017/003; A61B2017/00831; A61B2017/00867; A61B17/22; A61B2017/22051; A61B2017/22062; A61B2017/22072; A61B17/42; A61B2017/4216; A61B2018/00005; A61B2018/00011; A61B2018/00023; A61B2018/00029; A61B2018/00053; A61B2018/00059; A61B2018/00065; A61B2018/00071; A61B2018/00077; A61B2018/00083; A61B2018/00107; A61B2018/00113; A61B2018/00148; A61B2018/0016; A61B2018/00214; A61B2018/0022; A61B2018/00232; A61B2018/00267; A61B2018/00273; A61B2018/00291; A61B2018/00315; A61B2018/00482; A61B2018/00494; A61B2018/00553; A61B2018/00559; A61B2018/00571; A61B2018/00577; A61B2018/00636; A61B2018/00642; A61B2018/00654; A61B2018/00666; A61B2018/00678; A61B2018/00696; A61B2018/00702; A61B2018/00708; A61B2018/00726; A61B2018/00738; A61B2018/00744; A61B2018/00755; A61B2018/00761; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00815; A61B2018/00821; A61B2018/00827; A61B2018/00839; A61B2018/00869; A61B2018/00875; A61B2018/00886; A61B2018/00892; A61B2018/00898; A61B2018/0091; A61B2018/00916; A61B2018/00982; A61B18/02; A61B2018/0231; A61B2018/0262; A61B2018/044; A61B2018/046; A61B2018/124; A61B2018/1246; A61B2018/1253; A61B2018/126; A61B2018/1273; A61B2018/1405; A61B2018/1425; A61B2018/1467; A61B2018/1472; A61B90/00; A61B90/36; A61B90/361; A61B2090/3614; A61B90/37; A61B2090/378; A61B2090/3782; A61B2218/00; A61B2218/001; A61B2218/002; A61B5/01; A61B8/00; A61F; A61F7/00; A61F7/12; A61M16/0434; A61M16/0436; A61M16/0438; A61M25/00; A61M25/10; A61M2025/1043; A61M2025/1052; A61M2025/1086; A61M25/1002; C; C08; C08L; C08L2201/00; C08L2201/12

Claims Analysis

Total Claims: 27
Claim 1
Independent Claim 99 words
A method of treating a sphincter, comprising: providing an expandable basket structure with a coupled first, a second and a third arm, the expandable basket structure further including a first energy delivery device coupled to the first arm, wherein the basket structure has a non-deployed state and a deployed state; introducing the basket structure in the sphincter; advancing the first energy delivery device from the basket structure into an interior of the sphincter; delivering sufficient energy from the first energy delivery device to create a desired tissue effect in the sphincter; and removing the basket structure from the sphincter.
Claim 2
Independent Claim 99 words
A method of treating a sphincter, comprising: providing an expandable basket structure with a coupled first, a second and a third arm, the expandable basket structure further including a first energy delivery device coupled to the first arm, wherein the basket structure has a non-deployed state and a deployed state; introducing the basket structure in the sphincter; advancing the first energy delivery device from the basket structure into an interior of the sphincter; delivering sufficient energy from the first energy delivery device to create a desired tissue effect in the sphincter; and removing the basket structure from the sphincter.
Claim 3
Dependent Claim 29 words
The method of claim 1, wherein the expandable basket further includes a second and a third energy delivery device each coupled to one of the second and third arms.
Claim 4
Dependent Claim 76 words
The method of claim 2, wherein the first energy delivery device is positioned in a lumen of the first arm and introduced from the first arm into the sphincter, the second energy delivery device is positioned in a lumen of the second arm and introduced from the second arm into the sphincter and the third energy delivery device is positioned in a lumen of the third arm and introduced from the third arm into the sphincter.
Claim 5
Dependent Claim 79 words
The method of claim 2, wherein the first energy delivery device is positioned along an exterior surface of the first arm and introduced from the first arm into the sphincter, the second energy delivery device is positioned along an exterior surface of the second arm and introduced from the second arm into the sphincter and the third energy delivery device is positioned along an exterior surface of the third arm and introduced from the third arm into the sphincter.
Claim 6
Dependent Claim 13 words
The method of claim 1, wherein the sphincter is a lower esophageal sphincter.
Claim 7
Dependent Claim 32 words
The method of claim 5, wherein the desired tissue effect is a creation of a plurality of lesions in the lower esophageal sphincter and reduces a duration of lower esophageal sphincter relaxation.
Claim 8
Dependent Claim 35 words
The method of claim 5, wherein the desired tissue effect is a creation of a plurality of lesions in the lower esophageal sphincter and reduces a frequency of reflux of stomach contents into an esophagus.
Claim 9
Dependent Claim 38 words
The method of claim 5, wherein the desired tissue effect is a creation of a plurality of lesions in the lower esophageal sphincter and reduces a frequency of a symptom of reflux of stomach contents into an esophagus.
Claim 10
Dependent Claim 38 words
The method of claim 5, wherein the desired tissue effect is a creation of a plurality of lesions in the lower esophageal sphincter that reduces an incidence of a sequela of reflux of stomach contents into an esophagus.
Claim 11
Dependent Claim 18 words
The method of claim 5, wherein the desired tissue effect is a tightening of the lower esophageal sphincter.
Claim 12
Dependent Claim 36 words
The method of claim 1, wherein energy delivered to the sphincter produces lesions in an interior of the sphincter without creating a permanent impairment of the sphincter's ability to achieve a physiologically normal state of closure.
Claim 13
Dependent Claim 20 words
The method of claim 1, wherein sufficient energy is delivered to cause a proliferation of fibroblast cells in the sphincter.
Claim 14
Dependent Claim 20 words
The method of claim 1, wherein sufficient energy is delivered to cause an infiltration of fibroblast cells in the sphincter.
Claim 15
Dependent Claim 23 words
The method of claim 1, wherein the energy delivery device delivers sufficient energy to cause a proliferation of myofibroblast cells in the sphincter.
Claim 16
Dependent Claim 20 words
The method of claim 1, wherein sufficient energy is delivered to cause an infiltration of myofibroblast cells in the sphincter.
Claim 17
Dependent Claim 28 words
The method of claim 1, wherein the energy delivery device delivers sufficient energy to create a tightening of the sphincter without permanently damaging anatomical structures near the sphincter.
Claim 18
Dependent Claim 33 words
The method of claim 5, wherein the energy delivery device delivers sufficient energy to create a tightening of a lower esophageal sphincter without permanently disrupting an aorta positioned near the lower esophageal sphincter.
Claim 19
Dependent Claim 37 words
The method of claim 5, wherein the energy delivery device delivers a sufficient amount of energy to create a tightening of the lower esophageal sphincter without permanently damaging a vagus nerve positioned near the lower esophageal sphincter.
Claim 20
Dependent Claim 41 words
The method of claim 5, wherein the energy delivery device delivers a sufficient amount of energy to create a tightening of the lower esophageal sphincter without permanently damaging an esophageal plexus of nerves and veins positioned near the lower esophageal sphincter.
Claim 21
Dependent Claim 35 words
The method of claim 5, wherein the energy delivery device delivers a sufficient amount of energy to create a tightening of the lower esophageal sphincter while preserving a blood supply to the lower esophageal sphincter.
Claim 22
Dependent Claim 27 words
The method of claim 1, wherein the energy delivery device creates a tightening of the lower esophageal sphincter while creating submucosal lesions in the lower esophageal sphincter.
Claim 23
Dependent Claim 13 words
The method of claim 1, further comprising: introducing a fluid to the sphincter.
Claim 24
Dependent Claim 21 words
The method of claim 1, wherein the expandable basket structure further includes an electrolytic solution housed in an expanded expandable structure.
Claim 25
Dependent Claim 18 words
The method of claim 1, wherein the first, second and third energy delivery devices are each RF electrodes.
Claim 26
Dependent Claim 21 words
The method of claim 2, wherein the expandable basket member is delivered to a lower esophageal sphincter transorally without an endoscope.
Claim 27
Dependent Claim 20 words
The method of claim 1, wherein the expandable basket member is delivered to a lower esophageal sphincter with an endoscope.

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-01-03 2003-07-05 2004-01-04 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-01-03 2007-07-05 2008-01-04 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-01-03 2011-07-05 2012-01-04 $7700.00 Window Closed / Lapsed

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