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WO1997043971A3 - Method and apparatus for ablating turbinates - Google Patents

Method and apparatus for ablating turbinates Download PDF

Info

Publication number
WO1997043971A3
WO1997043971A3 PCT/US1997/007818 US9707818W WO9743971A3 WO 1997043971 A3 WO1997043971 A3 WO 1997043971A3 US 9707818 W US9707818 W US 9707818W WO 9743971 A3 WO9743971 A3 WO 9743971A3
Authority
WO
WIPO (PCT)
Prior art keywords
nasal
concha
energy
nasal concha
meatus
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1997/007818
Other languages
French (fr)
Other versions
WO1997043971A2 (en
Inventor
Stuart D Edwards
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Somnus Medical Technologies Inc
Original Assignee
Somnus Medical Technologies Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US08/754,588 external-priority patent/US5746224A/en
Priority claimed from US08/790,081 external-priority patent/US5827277A/en
Priority claimed from US08/790,173 external-priority patent/US5843077A/en
Priority claimed from US08/790,172 external-priority patent/US5823197A/en
Application filed by Somnus Medical Technologies Inc filed Critical Somnus Medical Technologies Inc
Priority to AU32040/97A priority Critical patent/AU3204097A/en
Publication of WO1997043971A2 publication Critical patent/WO1997043971A2/en
Publication of WO1997043971A3 publication Critical patent/WO1997043971A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/06—Electrodes for high-frequency therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00261—Multiple balloons arranged in a line
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00761—Duration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00886—Duration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/02—Radiation therapy using microwaves
    • A61N5/04—Radiators for near-field treatment

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Plasma & Fusion (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Radiation-Therapy Devices (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)

Abstract

A method and apparatus are provided for ablating at least a portion of a nasal concha. By ablating at least a portion of a nasal concha, the size of the nasal concha is reduced. The three nasal concha in the body (inferior, middle and superior nasal concha) form at least a portion of the three nasal meatus (inferior, middle and superior nasal meatus) in the body. By reducing the size of a nasal concha, obstruction of a nasal meatus is reduced or eliminated. As a result, air flow through the nasal meatus is improved. The apparatus includes a catheter with at least one energy delivery device for delivering ablative energy. The method includes positioning the catheter through a nostril of a patient into a nasal meatus adjacent a surface of a nasal concha and delivering sufficient ablative energy from the at least one energy delivery device to the nasal concha to ablate at least a portion of the nasal concha. The energy delivered can be RF, microwave, ultrasound, or laser radiation. The energy is delivered either by probes exiting the catheter and entering the core of the concha, without ablating the surface of the nasal concha, or by other non intruding means. Parameters relevant to the process are tissue impedance, temperature, and amount of energy. An expandable member, inflated by an electrolyte cools the operation site, and allows through its pores the outflow of the electrolyte which can have bioactive, chemoactive or radioactive properties.
PCT/US1997/007818 1996-05-22 1997-05-06 Method and apparatus for ablating turbinates Ceased WO1997043971A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU32040/97A AU3204097A (en) 1996-05-22 1997-05-06 Method and apparatus for ablating turbinates

Applications Claiming Priority (18)

Application Number Priority Date Filing Date Title
US65179896A 1996-05-22 1996-05-22
US65179696A 1996-05-22 1996-05-22
US08/651,798 1996-05-22
US08/651,796 1996-05-22
US66300496A 1996-06-07 1996-06-07
US08/663,004 1996-06-07
US75306396A 1996-11-19 1996-11-19
US08/752,076 1996-11-19
US08/753,063 1996-11-19
US08/754,588 1996-11-19
US08/754,588 US5746224A (en) 1994-06-24 1996-11-19 Method for ablating turbinates
US08/752,076 US5800429A (en) 1994-06-24 1996-11-19 Noninvasive apparatus for ablating turbinates
US08/790,172 1997-01-29
US08/790,081 US5827277A (en) 1994-06-24 1997-01-29 Minimally invasive apparatus for internal ablation of turbinates
US08/790,081 1997-01-29
US08/790,173 US5843077A (en) 1994-06-24 1997-01-29 Minimally invasive apparatus for internal ablation of turbinates with surface cooling
US08/790,173 1997-01-29
US08/790,172 US5823197A (en) 1994-06-24 1997-01-29 Method for internal ablation of turbinates

Publications (2)

Publication Number Publication Date
WO1997043971A2 WO1997043971A2 (en) 1997-11-27
WO1997043971A3 true WO1997043971A3 (en) 1998-04-02

Family

ID=27578895

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1997/007818 Ceased WO1997043971A2 (en) 1996-05-22 1997-05-06 Method and apparatus for ablating turbinates

Country Status (2)

Country Link
AU (1) AU3204097A (en)
WO (1) WO1997043971A2 (en)

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US6846312B2 (en) 1998-01-14 2005-01-25 Curon Medical, Inc. GERD treatment apparatus and method
US6866663B2 (en) 1998-02-27 2005-03-15 Curon Medical, Inc. Method for treating a sphincter
US6872206B2 (en) 1998-02-19 2005-03-29 Curon Medical, Inc. Methods for treating the cardia of the stomach
US6974456B2 (en) 1998-02-19 2005-12-13 Curon Medical, Inc. Method to treat gastric reflux via the detection and ablation of gastro-esophageal nerves and receptors
US6976492B2 (en) 1997-08-13 2005-12-20 Solarant Medical, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US7122031B2 (en) 1998-02-19 2006-10-17 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US7125407B2 (en) 1994-06-24 2006-10-24 Curon Medical, Inc. Sphincter treatment apparatus
US7165551B2 (en) 1998-02-19 2007-01-23 Curon Medical, Inc. Apparatus to detect and treat aberrant myoelectric activity
US7344535B2 (en) 2004-01-09 2008-03-18 Barrx Medical, Inc. Devices and methods for treatment of luminal tissue
US7458378B2 (en) 1998-06-04 2008-12-02 Respiratory Diagnostics, Inc. Systems methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction
US7483755B2 (en) 1996-11-08 2009-01-27 Ams Res Corp Devices, methods, and systems for shrinking tissues
US7572251B1 (en) 1995-06-07 2009-08-11 Arthrocare Corporation Systems and methods for electrosurgical tissue treatment
US7632267B2 (en) 2005-07-06 2009-12-15 Arthrocare Corporation Fuse-electrode electrosurgical apparatus
US8834460B2 (en) 2009-05-29 2014-09-16 Covidien Lp Microwave ablation safety pad, microwave safety pad system and method of use
US8834409B2 (en) 2008-07-29 2014-09-16 Covidien Lp Method for ablation volume determination and geometric reconstruction
US8845632B2 (en) 2000-05-18 2014-09-30 Mederi Therapeutics, Inc. Graphical user interface for monitoring and controlling use of medical devices
US8870866B2 (en) 2007-01-05 2014-10-28 Arthrocare Corporation Electrosurgical system with suction control apparatus, system and method
US8876746B2 (en) 2006-01-06 2014-11-04 Arthrocare Corporation Electrosurgical system and method for treating chronic wound tissue
US8894646B2 (en) 1998-02-19 2014-11-25 Mederi Therapeutics, Inc. Sphincter treatment apparatus
US8906010B2 (en) 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US8945144B2 (en) 2010-09-08 2015-02-03 Covidien Lp Microwave spacers and method of use
US8945111B2 (en) 2008-01-23 2015-02-03 Covidien Lp Choked dielectric loaded tip dipole microwave antenna
US8968289B2 (en) 2010-10-22 2015-03-03 Covidien Lp Microwave spacers and methods of use
US8968291B2 (en) 2007-11-16 2015-03-03 Covidien Lp Dynamically matched microwave antenna for tissue ablation
US8966981B2 (en) 2003-10-30 2015-03-03 Covidien Ag Switched resonant ultrasonic power amplifier system
US9017328B2 (en) 2008-01-29 2015-04-28 Covidien Lp Polyp encapsulation system and method
US9023031B2 (en) 1997-08-13 2015-05-05 Verathon Inc. Noninvasive devices, methods, and systems for modifying tissues
US9057468B2 (en) 2007-11-27 2015-06-16 Covidien Lp Wedge coupling
US9095358B2 (en) 2009-12-09 2015-08-04 Arthrocare Corporation Electrosurgery irrigation primer systems and methods
US9113624B2 (en) 2008-10-15 2015-08-25 Covidien Lp System and method for perfusing biological organs
US9113924B2 (en) 2008-10-17 2015-08-25 Covidien Lp Choked dielectric loaded tip dipole microwave antenna
US9113900B2 (en) 1998-10-23 2015-08-25 Covidien Ag Method and system for controlling output of RF medical generator
US9131597B2 (en) 2011-02-02 2015-09-08 Arthrocare Corporation Electrosurgical system and method for treating hard body tissue
US9138282B2 (en) 2009-06-17 2015-09-22 Arthrocare Corporation Method and system of an electrosurgical controller with wave-shaping
US9155583B2 (en) 1994-06-24 2015-10-13 Mederi Therapeutics, Inc. Systems and methods for monitoring and controlling use of medical devices
US9173706B2 (en) 2008-08-25 2015-11-03 Covidien Lp Dual-band dipole microwave ablation antenna
US9186223B2 (en) 1999-09-08 2015-11-17 Mederi Therapeutics, Inc. Systems and methods for monitoring and controlling use of medical devices
US9192436B2 (en) 2010-05-25 2015-11-24 Covidien Lp Flow rate verification monitor for fluid-cooled microwave ablation probe
US9198705B2 (en) 1999-05-04 2015-12-01 Mederi Therapeutics, Inc. Unified systems and methods for controlling use and operation of a family of different treatment devices
US9198713B2 (en) 2007-06-22 2015-12-01 Covidien Lp Electrical means to normalize ablational energy transmission to a luminal tissue surface of varying size
US9271796B2 (en) 2008-06-09 2016-03-01 Covidien Lp Ablation needle guide
US9277969B2 (en) 2009-04-01 2016-03-08 Covidien Lp Microwave ablation system with user-controlled ablation size and method of use
US9292152B2 (en) 2009-09-22 2016-03-22 Mederi Therapeutics, Inc. Systems and methods for controlling use and operation of a family of different treatment devices
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US9364283B2 (en) 2007-07-06 2016-06-14 Covidien Lp Method and apparatus for gastrointestinal tract ablation to achieve loss of persistent and/or recurrent excess body weight following a weight loss operation
US9474565B2 (en) 2009-09-22 2016-10-25 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
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US6006755A (en) * 1994-06-24 1999-12-28 Edwards; Stuart D. Method to detect and treat aberrant myoelectric activity
US6149620A (en) * 1995-11-22 2000-11-21 Arthrocare Corporation System and methods for electrosurgical tissue treatment in the presence of electrically conductive fluid
US6292700B1 (en) 1999-09-10 2001-09-18 Surx, Inc. Endopelvic fascia treatment for incontinence
US6081749A (en) * 1997-08-13 2000-06-27 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US7317949B2 (en) 1996-11-08 2008-01-08 Ams Research Corporation Energy induced bulking and buttressing of tissues for incontinence
US6035238A (en) * 1997-08-13 2000-03-07 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6283987B1 (en) 1998-01-14 2001-09-04 Surx, Inc. Ribbed electrodes and methods for their use
AU2224499A (en) * 1998-01-14 1999-08-02 Curon Medical, Inc. Electrosurgical apparatus for treating gastroesophageal reflux disease (gerd) and method
EP1056405A1 (en) * 1998-02-27 2000-12-06 Curon Medical, Inc. Apparatus to electrosurgically treat esophageal sphincters
US6322584B2 (en) 1998-07-31 2001-11-27 Surx, Inc. Temperature sensing devices and methods to shrink tissues
US7306591B2 (en) 2000-10-02 2007-12-11 Novasys Medical, Inc. Apparatus and methods for treating female urinary incontinence
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US9622813B2 (en) 2007-11-01 2017-04-18 Covidien Lp Method for volume determination and geometric reconstruction
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US7125407B2 (en) 1994-06-24 2006-10-24 Curon Medical, Inc. Sphincter treatment apparatus
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US7483755B2 (en) 1996-11-08 2009-01-27 Ams Res Corp Devices, methods, and systems for shrinking tissues
US9023031B2 (en) 1997-08-13 2015-05-05 Verathon Inc. Noninvasive devices, methods, and systems for modifying tissues
US6976492B2 (en) 1997-08-13 2005-12-20 Solarant Medical, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6846312B2 (en) 1998-01-14 2005-01-25 Curon Medical, Inc. GERD treatment apparatus and method
US8894646B2 (en) 1998-02-19 2014-11-25 Mederi Therapeutics, Inc. Sphincter treatment apparatus
US9351787B2 (en) 1998-02-19 2016-05-31 Mederi Therapeutics, Inc. Sphincter treatment apparatus
US7165551B2 (en) 1998-02-19 2007-01-23 Curon Medical, Inc. Apparatus to detect and treat aberrant myoelectric activity
US7507238B2 (en) 1998-02-19 2009-03-24 Barrx Medical, Inc Method for vacuum-assisted tissue ablation
US7122031B2 (en) 1998-02-19 2006-10-17 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US6974456B2 (en) 1998-02-19 2005-12-13 Curon Medical, Inc. Method to treat gastric reflux via the detection and ablation of gastro-esophageal nerves and receptors
US8906010B2 (en) 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US6872206B2 (en) 1998-02-19 2005-03-29 Curon Medical, Inc. Methods for treating the cardia of the stomach
US9539052B2 (en) 1998-02-19 2017-01-10 Mederi Therapeutics, Inc. Sphincter treatment apparatus
US7449020B2 (en) 1998-02-27 2008-11-11 Curon Medical, Inc. Method for treating a sphincter
US6866663B2 (en) 1998-02-27 2005-03-15 Curon Medical, Inc. Method for treating a sphincter
US7458378B2 (en) 1998-06-04 2008-12-02 Respiratory Diagnostics, Inc. Systems methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction
US9168089B2 (en) 1998-10-23 2015-10-27 Covidien Ag Method and system for controlling output of RF medical generator
US9113900B2 (en) 1998-10-23 2015-08-25 Covidien Ag Method and system for controlling output of RF medical generator
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