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WO1997043970A1 - Dispositif et procedes d'ablation des cornets - Google Patents

Dispositif et procedes d'ablation des cornets Download PDF

Info

Publication number
WO1997043970A1
WO1997043970A1 PCT/US1997/002960 US9702960W WO9743970A1 WO 1997043970 A1 WO1997043970 A1 WO 1997043970A1 US 9702960 W US9702960 W US 9702960W WO 9743970 A1 WO9743970 A1 WO 9743970A1
Authority
WO
WIPO (PCT)
Prior art keywords
substance
turbinate
exudable
energy
porous membrane
Prior art date
Application number
PCT/US1997/002960
Other languages
English (en)
Inventor
Stuart D. Edwards
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
Application filed by Somnus Medical Technologies, Inc. filed Critical Somnus Medical Technologies, Inc.
Priority to AU21916/97A priority Critical patent/AU2191697A/en
Publication of WO1997043970A1 publication Critical patent/WO1997043970A1/fr

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
    • 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
    • A61B18/1477—Needle-like probes
    • 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

Definitions

  • the nasal structures (such as turbinates) can become enlarged, causing air space through the nasal passages to become restricted In these cases it would be desirable to reduce the size of the turbinates and thus alleviate the constriction of the nasal passages
  • the invention provides apparatus and a method for ablating at least a portion of a turbinate
  • a catheter having a porous membrane coupled to a source of an exudable substance is disposed proximate to the turbinate, whereby the exudable substance is emitted from the catheter and contacts the turbinate
  • an electrode is disposed proximate to the turbinate, whereby the exudable substance aids the electrode in delivering ablating energy to the turbinate
  • the exudable substance is preferably a dielectric substance, such as saline, which aids in delivery of energy, and may include substances with other bioactive, chemoactive, or radioactive effects
  • the energy delivered to the turbinate is preferably RF energy which ablates the turbinate by heat and cell destruction
  • the catheter is preferably coupled to an energy source which provides energy delivered to the turbinate
  • the catheter preferably includes at least one sensor, such as a temperature sensor, and a communication link coupling the sensor to apparatus which controls the energy source, whereby feedback from the sensor is used to control operation of the energy source
  • the catheter may include a lumen which delivers the exudable substance to the porous membrane
  • the porous membrane may be microporous, or may include holes which allow the exudable substance to flow out from the catheter BRIEF DESCRIPTION OF THE DRAWINGS
  • Figure 1 shows a cut-away cross section of a patient's nose, showing a nasal cavity and a set of turbinates.
  • Figure 2 shows apparatus for ablating turbinates.
  • Figure 1 shows a cut-away cross section of a patient's nose, showing a nasal cavity and a set of turbinates.
  • the patient is a mature adult human being.
  • the patient may be a child, a neonate, a fetus in utero.
  • the patient may be an animal subject to veterinary medicine.
  • a patient's nose 100 comprises at least one nasal cavity 101; the nasal cavity 101 comprises a set of turbinates 102, including a middle nasal concha (turbinate) 103 and an inferior nasal concha (turbinate) 104.
  • the inferior nasal concha (turbinate) 104 comprises an anterior portion
  • Ablating the inferior nasal concha (turbinate) 104, and preferably ablating the anterior portion 105, does not substantially degrade the function of the inferior nasal concha 104. Ablating the inferior nasal concha (turbinate) 104, and preferably the anterior portion 105, can therefore be performed to achieve the goals of ablating the turbinates 102 without substantial suffering of disadvantages of ablating the turbinates 102.
  • a method embodying the present invention is to ablate the turbinates 102, but to limit that ablation to the inferior nasal concha 104, and preferably to limit that ablation to the anterior portion 105 thereof.
  • the anterior portion 105 is defined as being no larger than about one-third the volume of the inferior nasal concha 104.
  • the anterior portion 105 is ablated, no more than about one-third of the inferior nasal concha 104 is ablated.
  • a catheter assembly 200 comprises a catheter tip 201 and a catheter tube 202.
  • the catheter tip 201 comprises an structure having a distal end 203, a proximal end 204, a center 205 having a lumen 206, and a surface 207.
  • the catheter tip 201 has a straight elongated shape.
  • the catheter tip 201 may have another shape, such as a curved shape, or a shape adapted to fit into or to avoid a body structure, such as a curved shape disposed to fit inside a blood vessel or an eyelid.
  • the catheter tip 201 is manufactured with a predetermined (straight) shape.
  • the catheter tip 201 may be bendable or otherwise malleable to adopt a selected shape, may be dynamically adaptable to shapes selected by an operator, or may be actively adaptive to take on new shapes as it encounters obstructions or other body structures.
  • the center 205 of the catheter tip 201 is coupled to the catheter tube 202 at the proximal end 204 of the catheter tip 201, so that substances can flow from the catheter tube 202 into the lumen 206
  • the substance flowed from the catheter tube 202 into the lumen 206 comprises saline, the saline comprising distilled water with a NaCl content of less than about 10% by weight.
  • the flowed substance may comprise saline with another amount of salt or another salt, may comprise a solution of other substances in other water or other solvents, or may comprise a substance with bioactive, chemoactive, or radioactive effects, such as an ablative acidic or alkaline substance, an antibiotic, a compound used for chemotherapy, or a fluorescent or radioactive dye or marker, or some combination of these substances with each other or with some other substance.
  • the surface 207 of the catheter tip 201 comprises a sheath 208.
  • the sheath 208 has a generally cylindrical shape, thus surrounding the lumen 206, and comprises a plurality of holes 209 disposed so that substances can flow from the lumen 206 out through the sheath 208 to outside the catheter tip 201
  • the sheath 208 comprises a relatively inert and relatively hard substance, such as metallic copper or metallic silver.
  • the sheath 208 may comprise other relatively inert and relatively hard substances, such as gold, stainless steel, titanium, various plastic compounds, or some combination of these substances with each other or with some other substance
  • the sheath 208 has a traverse diameter of about 6 french One french is about 0 015 inches, thus 6 french is about 0 090 inches
  • the sheath 208 may have another size, such as less than 2 french, between about 2 to about 6 french, or more than 6 french
  • the sheath 208 has a thickness of about 0 001 inches, this embodiment is particularly preferred in the case when the sheath 208 is copper
  • the surface 207 of the catheter tip 201 also comprises a porous membrane 210 surrounding the sheath 208, disposed so that when substances flow out from the lumen 206, they encounter the membrane 210 and are trapped therein. As the membrane 210 is porous, the substances flow out through the membrane 210 and into proximity with the turbinate (specifically, the anterior portion 105 of the inferior nasal concha 104)
  • the membrane 210 comprises a microporous and inflatable balloon As the substances flow into the membrane 210, pressure from the flow causes the balloon to inflate and to come into contact with the turbinate's anterior portion 105
  • the catheter tip 201 comprises at least one ring electrode 21 1 disposed proximate to the membrane 210 There may be a plurality of ring electrodes 21 1, disposed for example parallel with a first ring electrode 211 shown in figure 2 with their axes aligned with a long axis of the catheter tip 201.
  • the ring electrode 211 is coupled to a conductor 212 for coupling to an RF energy source 213
  • a surface (preferably an outside surface) of the membrane 210 is disposed with a plurality of electrodes
  • An example of a suitable surface for disposition on the membrane is shown in Application Serial No 08/319,373, "Thin Layer Ablation Apparatus", filed
  • the catheter tip 201 may comprise a combination of the first and second preferred embodiment disclosed hereinabove may be used, such as a surface coupled using a conductor to a ring electrode 21 1 , which is itself coupled to a conductoi 212 for coupling to an RF energy source 213
  • the RF energy source 213 comprises a power source (or a power regulator coupled to a standard power source such as a wall socket or battery), a signal generator (such as a generator for pulses, sine waves, square waves, or some combination of these wave forms with each other or with some other wave form), and a processor for controlling the signal generator
  • the signal generator generates pulses of RF energy having an RF radiation frequency between about 300 megahertz and about 700 megahertz, such as preferably about 465 megahertz
  • the RF energy may have an RF radiation frequency in the microwave range or in another range of the electromagnetic spectrum
  • the processor controls the signal generator to generate pulses to provide an effective amount of RF energy so as to deliver between about 5 and about 30 watts of RF energy to the turbinate's anterior portion 105, so as to raise a temperature of at least a part of the turbinate's anterior portion 105 to a temperature between about 40 degrees
  • the catheter tip 201 comprises at least one temperature sensor 214, such as a thermocouple or thermistor.
  • the temperature sensor 214 is coupled to a communication link 215 (such as a conductor), which is coupled to the processor.
  • the communication link 215 may comprise a D/A converter coupled to a register disposed for reading by the processor
  • the processor reads an sensor value from the sensor and, responsive thereto, controls the signal generator so as to achieve delivery of an effective amount of RF energy to the turbinate's anterior portion 105
  • the processor thus uses the signal generator, catheter tip 201, ring electrode 21 1, and temperature sensor 214 as a feedback loop for controlled delivery of RF energy to the turbinate's anterior portion 105
  • the processor may control the delivery of RF energy to achieve delivery of a selected amount of energy, to achieve a selected temperature, or to achieve a selected amount of ablation of the turbinate's anterior portion 105
  • the catheter tip 201 may control the delivery of RF energy to achieve delivery of a

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

Abstract

L'invention concerne un dispositif ainsi qu'un procédé permettant de pratiquer l'ablation d'au moins une portion d'une partie antérieure du cornet inférieur. Un cathéter, présentant une membrane poreuse couplée à une source d'une substance exsudante, est placé à proximité du cornet, ladite substance étant émise à partir du cathéter et entrant en contact avec le cornet. On a placé une électrode au voisinage du cornet, la substance exsudante aidant ainsi l'électrode à délivrer l'énergie nécessaire à l'ablation du cornet. La substance exsudante est, de préférence, une substance diélectrique, telle qu'une solution saline, qui aide à l'apport d'énergie, et elle peut également comporter des substances possédant des effets radioactifs, chimioactifs ou bioactifs. L'énergie apportée au cornet est préférablement une énergie hyperfréquence, laquelle effectue l'ablation du cornet au moyen de la chaleur et de la destruction des cellules. Le cathéter est idéalement couplé à une source d'énergie qui fournit l'énergie apportée à la cornée, et il comprend au moins un capteur, tel qu'un capteur de température, ainsi qu'une liaison de communication couplant le capteur au dispositif commandant la source d'énergie, les signaux de retour du capteur étant utilisés pour commander le fonctionnement de la source d'énergie. Le cathéter comprend encore une canal qui délivre la substance exsudante à la membrane poreuse, laquelle peut être microporeuse ou peut comporter des trous qui permettent à ladite substance de s'écouler hors du cathéter.
PCT/US1997/002960 1996-05-22 1997-02-28 Dispositif et procedes d'ablation des cornets WO1997043970A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU21916/97A AU2191697A (en) 1996-05-22 1997-02-28 Apparatus and methods for ablating turbinates

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US65179696A 1996-05-22 1996-05-22
US08/651,796 1996-05-22

Publications (1)

Publication Number Publication Date
WO1997043970A1 true WO1997043970A1 (fr) 1997-11-27

Family

ID=24614256

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1997/002960 WO1997043970A1 (fr) 1996-05-22 1997-02-28 Dispositif et procedes d'ablation des cornets

Country Status (2)

Country Link
AU (1) AU2191697A (fr)
WO (1) WO1997043970A1 (fr)

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6035238A (en) * 1997-08-13 2000-03-07 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6081749A (en) * 1997-08-13 2000-06-27 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6091995A (en) * 1996-11-08 2000-07-18 Surx, Inc. Devices, methods, and systems for shrinking tissues
US6216704B1 (en) 1997-08-13 2001-04-17 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6237605B1 (en) 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US6292700B1 (en) 1999-09-10 2001-09-18 Surx, Inc. Endopelvic fascia treatment for incontinence
US6361531B1 (en) 2000-01-21 2002-03-26 Medtronic Xomed, Inc. Focused ultrasound ablation devices having malleable handle shafts and methods of using the same
US6409720B1 (en) 2000-01-19 2002-06-25 Medtronic Xomed, Inc. Methods of tongue reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6413254B1 (en) 2000-01-19 2002-07-02 Medtronic Xomed, Inc. Method of tongue reduction by thermal ablation using high intensity focused ultrasound
US6595934B1 (en) 2000-01-19 2003-07-22 Medtronic Xomed, Inc. Methods of skin rejuvenation using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6692450B1 (en) 2000-01-19 2004-02-17 Medtronic Xomed, Inc. Focused ultrasound ablation devices having selectively actuatable ultrasound emitting elements and methods of using the same
US6840936B2 (en) 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US6858026B2 (en) 1996-10-22 2005-02-22 Epicor Medical, Inc. Methods and devices for ablation
US6949095B2 (en) 1996-10-22 2005-09-27 Epicor Medical, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US7004942B2 (en) 1998-01-14 2006-02-28 Solarant Medical, Inc. Ribbed electrodes and methods for their use
US7090672B2 (en) 1995-06-07 2006-08-15 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from the base of tongue
US7317949B2 (en) 1996-11-08 2008-01-08 Ams Research Corporation Energy induced bulking and buttressing of tissues for incontinence
US7387126B2 (en) 1996-10-22 2008-06-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Surgical system and procedure for treatment of medically refractory atrial fibrillation
US7442191B2 (en) 1995-06-07 2008-10-28 Arthrocare Corporation Systems and methods for electrosurgical treatment of turbinates
US7491200B2 (en) 2004-03-26 2009-02-17 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from base of tongue
US7536225B2 (en) 2005-01-21 2009-05-19 Ams Research Corporation Endo-pelvic fascia penetrating heating systems and methods for incontinence treatment
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures
US8968284B2 (en) 2000-10-02 2015-03-03 Verathon Inc. Apparatus and methods for treating female urinary incontinence
US9011428B2 (en) 2011-03-02 2015-04-21 Arthrocare Corporation Electrosurgical device with internal digestor electrode
US9023031B2 (en) 1997-08-13 2015-05-05 Verathon Inc. Noninvasive devices, methods, and systems for modifying tissues
US9055959B2 (en) 1999-07-19 2015-06-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Methods and devices for ablation
US9168082B2 (en) 2011-02-09 2015-10-27 Arthrocare Corporation Fine dissection electrosurgical device
US9254166B2 (en) 2013-01-17 2016-02-09 Arthrocare Corporation Systems and methods for turbinate reduction
US9271784B2 (en) 2011-02-09 2016-03-01 Arthrocare Corporation Fine dissection electrosurgical device
US9788882B2 (en) 2011-09-08 2017-10-17 Arthrocare Corporation Plasma bipolar forceps
US10058380B2 (en) 2007-10-05 2018-08-28 Maquet Cordiovascular Llc Devices and methods for minimally-invasive surgical procedures
US10448992B2 (en) 2010-10-22 2019-10-22 Arthrocare Corporation Electrosurgical system with device specific operational parameters

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0392837A2 (fr) * 1989-04-13 1990-10-17 Leslie Alexander Geddes Appareil de destruction thermique des tissus
WO1995025472A1 (fr) * 1994-03-23 1995-09-28 Vidamed, Inc. Systeme de transmission d'energie hf a deux canaux
US5458597A (en) * 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
WO1995031142A1 (fr) * 1994-05-11 1995-11-23 Applied Medical Resources Corporation Systeme de catheter pour angioplastie et procede de fabrication
WO1996000042A1 (fr) * 1994-06-24 1996-01-04 Vidacare International Dispositif d'ablation d'une couche mince

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0392837A2 (fr) * 1989-04-13 1990-10-17 Leslie Alexander Geddes Appareil de destruction thermique des tissus
US5458597A (en) * 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
WO1995025472A1 (fr) * 1994-03-23 1995-09-28 Vidamed, Inc. Systeme de transmission d'energie hf a deux canaux
WO1995031142A1 (fr) * 1994-05-11 1995-11-23 Applied Medical Resources Corporation Systeme de catheter pour angioplastie et procede de fabrication
WO1996000042A1 (fr) * 1994-06-24 1996-01-04 Vidacare International Dispositif d'ablation d'une couche mince

Cited By (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7442191B2 (en) 1995-06-07 2008-10-28 Arthrocare Corporation Systems and methods for electrosurgical treatment of turbinates
US7090672B2 (en) 1995-06-07 2006-08-15 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from the base of tongue
US6971394B2 (en) 1996-10-22 2005-12-06 Epicor Medical, Inc. Methods and devices for ablation
US6237605B1 (en) 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US7387126B2 (en) 1996-10-22 2008-06-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Surgical system and procedure for treatment of medically refractory atrial fibrillation
US6840936B2 (en) 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US6949095B2 (en) 1996-10-22 2005-09-27 Epicor Medical, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US6858026B2 (en) 1996-10-22 2005-02-22 Epicor Medical, Inc. Methods and devices for ablation
US6091995A (en) * 1996-11-08 2000-07-18 Surx, Inc. Devices, methods, and systems for shrinking tissues
US7317949B2 (en) 1996-11-08 2008-01-08 Ams Research Corporation Energy induced bulking and buttressing of tissues for incontinence
US7167757B2 (en) 1996-11-08 2007-01-23 Ams Research Corporation Energy induced bulking and buttressing of tissue for incontinence
US7483755B2 (en) 1996-11-08 2009-01-27 Ams Res Corp Devices, methods, and systems for shrinking tissues
US6772013B1 (en) 1996-11-08 2004-08-03 Solarant Medical, Inc. Devices, methods, and systems for shrinking tissues
US6836688B2 (en) 1996-11-08 2004-12-28 Solarant Medical, Inc. 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
US6035238A (en) * 1997-08-13 2000-03-07 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6081749A (en) * 1997-08-13 2000-06-27 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6216704B1 (en) 1997-08-13 2001-04-17 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US7004942B2 (en) 1998-01-14 2006-02-28 Solarant Medical, Inc. Ribbed electrodes and methods for their use
US9055959B2 (en) 1999-07-19 2015-06-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Methods and devices for ablation
US6292700B1 (en) 1999-09-10 2001-09-18 Surx, Inc. Endopelvic fascia treatment for incontinence
US6751507B2 (en) 1999-09-10 2004-06-15 Solarant Medical, Inc. Endopelvic fascia treatment for incontinence
US6413254B1 (en) 2000-01-19 2002-07-02 Medtronic Xomed, Inc. Method of tongue reduction by thermal ablation using high intensity focused ultrasound
US6409720B1 (en) 2000-01-19 2002-06-25 Medtronic Xomed, Inc. Methods of tongue reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6595934B1 (en) 2000-01-19 2003-07-22 Medtronic Xomed, Inc. Methods of skin rejuvenation using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6692450B1 (en) 2000-01-19 2004-02-17 Medtronic Xomed, Inc. Focused ultrasound ablation devices having selectively actuatable ultrasound emitting elements and methods of using the same
US6361531B1 (en) 2000-01-21 2002-03-26 Medtronic Xomed, Inc. Focused ultrasound ablation devices having malleable handle shafts and methods of using the same
US8968284B2 (en) 2000-10-02 2015-03-03 Verathon Inc. Apparatus and methods for treating female urinary incontinence
US7491200B2 (en) 2004-03-26 2009-02-17 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from base of tongue
US7536225B2 (en) 2005-01-21 2009-05-19 Ams Research Corporation Endo-pelvic fascia penetrating heating systems and methods for incontinence treatment
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures
US10058380B2 (en) 2007-10-05 2018-08-28 Maquet Cordiovascular Llc Devices and methods for minimally-invasive surgical procedures
US10993766B2 (en) 2007-10-05 2021-05-04 Maquet Cardiovascular Llc Devices and methods for minimally-invasive surgical procedures
US10448992B2 (en) 2010-10-22 2019-10-22 Arthrocare Corporation Electrosurgical system with device specific operational parameters
US9168082B2 (en) 2011-02-09 2015-10-27 Arthrocare Corporation Fine dissection electrosurgical device
US9271784B2 (en) 2011-02-09 2016-03-01 Arthrocare Corporation Fine dissection electrosurgical device
US9011428B2 (en) 2011-03-02 2015-04-21 Arthrocare Corporation Electrosurgical device with internal digestor electrode
US9788882B2 (en) 2011-09-08 2017-10-17 Arthrocare Corporation Plasma bipolar forceps
US9254166B2 (en) 2013-01-17 2016-02-09 Arthrocare Corporation Systems and methods for turbinate reduction
US9649144B2 (en) 2013-01-17 2017-05-16 Arthrocare Corporation Systems and methods for turbinate reduction

Also Published As

Publication number Publication date
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