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1. 发明申请

WO2003079931A1 HEATING METHOD FOR TISSUE CONTRACTION 审中-公开
标题翻译：用于组织合同的加热方法
公开(公告)号：WO2003079931A1
公开(公告)日：2003-10-02
申请号：PCT/US2003/008954
申请日：2003-03-19
申请人： SURX, INC.
发明人： LEVY, JR., Stanley , DIETZ, Timothy, G.
IPC分类号： A61F2/00
CPC分类号： A61B18/1485 , A61B2017/00026 , A61B2017/00805 , A61B2018/00505 , A61B2090/065
摘要： Systems and methods (10) are disclosed for therapeutically heating a target zone of a collagenous support tissue within a patient body. In exemplary embodiments, the present invention provides electronically determining an acceptable or unacceptable contact condition between an energy source and a first tissue layer disposed proximally to the target zone. Upon determining an acceptable contact condition, the target zone is irradiated or otherwise heated for a finite time period with energy. A determination of an unacceptable contact condition causes cessation of irradiating.
摘要翻译：公开了系统和方法（10），用于治疗加热患者体内胶原支持组织的靶区。在示例性实施例中，本发明提供电子地确定能量源与设置在目标区域近侧的第一组织层之间的可接受或不可接受的接触状态。在确定可接受的接触条件时，用能量照射或以其它方式加热目标区域有限的时间段。确定不可接受的接触条件导致照射停止。

2. 发明申请

WO2003043536A1 INCONTINENCE TREATMENT WITH URETHRAL GUIDE 审中-公开
标题翻译：使用URETHRAL指南的不良治疗
公开(公告)号：WO2003043536A1
公开(公告)日：2003-05-30
申请号：PCT/US2002/037379
申请日：2002-11-20
申请人： SURX, INC.
发明人： PRESTHUS, James, B. , DIETZ, Timothy, G. , LEVY JR., Stanley , HOUSE, F., Allen , TREBOTICH, Steven, H. , TAYEB, Abdul, M. , MOSHER, Oren, A. , MATLOCK, George, L. , SPRAKER, Terry, E.
IPC分类号： A61F2/00
CPC分类号： A61F2/0022
摘要： Devices and methods for aligning a probe body (12) and a treatment surface (18) adjacent a target tissue. A guide shaft (22) can be positioned in a first body orifice (47). The probe body (12) can be positioned in a second body orifice (48) in a predetermined position relative to the guide (22) so as to position the treatment surface (18) adjacent the target tissue.
摘要翻译：用于对准探针体（12）和邻近靶组织的处理表面（18）的装置和方法。引导轴（22）可以定位在第一主体孔口（47）中。探针主体（12）可以相对于引导件（22）定位在预定位置的第二主体孔（48）中，以便将处理表面（18）定位在目标组织附近。

3. 发明申请

WO03053355A2 SYSTEMS AND METHODS USING VASOCONSTRICTION FOR IMPROVED THERMAL TREATMENT OF TISSUES 审中-公开
标题翻译：使用血管收缩的系统和方法用于改善组织的热处理
公开(公告)号：WO03053355A2
公开(公告)日：2003-07-03
申请号：PCT/US0240507
申请日：2002-12-17
申请人： SURX INC
发明人： DIETZ TIMOTHY G , LEVY STANLEY JR
IPC分类号： A61B17/00 , A61B18/00 , A61B18/02 , A61B18/14 , A61F2/00 , A61K
CPC分类号： A61B18/1485 , A61B2017/00274 , A61B2017/00805 , A61B2018/00023 , A61B2018/00547 , A61B2018/0237 , A61F2/005
摘要： The present invention enhances the effectiveness of treatment of support tissue structures. Generally, such tissue structures support organs and hold the organs in their proper position for appropriate functioning. When such tissue structures become weak, hyper-elastic, and/or excessively lengthy, the organs of are no longer supported in their proper position. This often leads to physical manifestations such as incontinence, hernias, and the like. Remedies often involve thermal treatment of the support tissue structures, such as thermally inducted controlled shrinkage, contraction, or stiffening of the support tissue structure. To enhance such thermal treatment and diminish the possibility of undesirable heating and damage to nearby tissue surfaces, vasoconstrictive agents are used.
摘要翻译：本发明增强了支持组织结构治疗的有效性。通常，这样的组织结构支撑器官并将器官保持在适当的位置以适当地发挥功能。当这种组织结构变弱，超弹性和/或过长时，器官不再支撑在适当的位置。这经常导致身体表现，例如失禁，疝气等。补救措施通常涉及支持组织结构的热处理，例如热引导受控收缩，收缩或支持组织结构的硬化。为了增强这种热处理并减少不希望的加热和损伤附近组织表面的可能性，使用血管收缩剂。

4. 发明申请

WO2003028584A3 URETHRAL SUPPORT FOR INCONTINENCE 审中-公开
公开(公告)号：WO2003028584A3
公开(公告)日：2003-04-10
申请号：PCT/US2002/031674
申请日：2002-10-03
申请人： SURX, INC.
发明人： CARTER, Garry, L. , STIEHR, David, R.
IPC分类号： A61F5/48
摘要： The present invention provides methods, devices, and systems for supporting the urethra in a patient to treat urinary incontinence. Support of the urethra (16) involves forming upward force with the support to hold the urethra (16) in a more desired position. The present invention utilizes the space of Retzius (30), within which portions of the urethral support (84) are positioned. Ingrowth by surrounding tissues to the urethral support material provide further stability and such ingrowth, combined with the position of the support (84), allow sufficient tension to be applied to support to hold the urethra in place. Placement of such a urethral support is achieved by minimally invasive techniques, such as with the use of laparoscopic instruments. Such techniques allows placement of the urethral support (84) by accessing the space of Retzius through the vaginal wall without penetrating the abdominal wall. Such techniques also avoid perforations of nearby organs, such as bladder, by utilizing specialized penetration devices.

5. 发明申请

WO2004012578A2 NEEDLE DEPLOYMENT FOR TEMPERATURE SENSING FROM AN ELECTRODE 审中-公开
标题翻译：用于从电极温度感测的针头部分
公开(公告)号：WO2004012578A2
公开(公告)日：2004-02-12
申请号：PCT/US2003/024202
申请日：2003-07-31
申请人： SURX, INC. , ROY, Loren, L. , DIETZ, Timothy, G. , LEVY, Stanley, JR. , HOUSE, Allen, F. , HOARAU, Carine , TOBISCH, Peter, A.
发明人： ROY, Loren, L. , DIETZ, Timothy, G. , LEVY, Stanley, JR. , HOUSE, Allen, F. , HOARAU, Carine , TOBISCH, Peter, A.
IPC分类号： A61B
CPC分类号： A61B18/1485 , A61B17/062 , A61B17/3478 , A61B2017/00805 , A61B2018/00011 , A61B2018/00273 , A61B2018/00505 , A61B2018/00791
摘要： Methods and devices for improving contact between tissue and a probe. In exemplary embodiments, methods of the present invention include a deploying a needle into a target tissue and retracting the needle so that tenting around the needle is reduced. The retracting of the needle can increase the amount of tissue contact between a surface of the tissue and a surface contacting portion of a probe body.
摘要翻译：用于改善组织和探针之间的接触的方法和装置。在示例性实施例中，本发明的方法包括将针部署到目标组织中并缩回针，使得围绕针的帐篷减少。针的缩回可以增加组织的表面和探针体的表面接触部分之间的组织接触的量。

6. 发明申请

WO03028584A2 URETHRAL SUPPORT FOR INCONTINENCE 审中-公开
标题翻译： URETHRAL支持不诚实
公开(公告)号：WO03028584A2
公开(公告)日：2003-04-10
申请号：PCT/US0231674
申请日：2002-10-03
申请人： SURX INC
发明人： CARTER GARRY L , STIEHR DAVID R
IPC分类号： A61F2/00 , A61F
CPC分类号： A61F2/0045 , A61B17/062 , A61B2017/00805 , Y10S128/25
摘要： The present invention provides methods, devices, and systems for supporting the urethra in a patient to treat urinary incontinence. Support of the urethra involves forming a loop under the urethra with a structure referred to as a urethral support and applying an upward force with the support to hold the urethra in a more desired position. The present invention utilizes the space of Retzius within which portions of the urethral support are positioned. Ingrowth by surrounding tissues to the urethral support material provide further stability and such ingrowth, combined with the position of the support, allow sufficient tension to be applied to support to hold the urethra in place. Placement of such a urethral support is achieved by minimally invasive techniques, such as with the use of laparoscopic instruments. Such techniques allows placement of the urethral support by accessing the space of Retzius through the vaginal wall without penetrating the abdominal wall. Such techniques also avoid perforations of nearby organs, such as the bladder, by utilizing specialized penetration devices.
摘要翻译：本发明提供了用于在患者中支撑尿道以治疗尿失禁的方法，装置和系统。尿道的支撑涉及在尿道下方形成一种具有被称为尿道支撑的结构的环，并且与支撑件施加向上的力以将尿道保持在更期望的位置。本发明利用在尿道支撑部分中定位的Retzius的空间。通过围绕组织向尿道支撑材料的生长提供了进一步的稳定性，并且这种向内生长与支撑件的位置相结合，允许施加足够的张力以将尿道保持在适当位置。通过微创技术（例如使用腹腔镜仪器）来实现这种尿道支架的放置。这种技术允许通过穿过阴道壁进入Retzius的空间而不穿透腹壁来放置尿道支撑。这种技术还可以通过利用专用穿透装置来避免附近器官如膀胱的穿孔。

7. 发明申请

WO9966844A9 TUCK AND FOLD FASCIA SHORTENING FOR INCONTINENCE 审中-公开
标题翻译： TUCK和FOLD FASCIA SHONTENING不诚实
公开(公告)号：WO9966844A9
公开(公告)日：2000-07-20
申请号：PCT/US9913939
申请日：1999-06-22
申请人： SURX INC
发明人： CARTER GARRY L , DENSOW DAVID C , CLAUDE JOHN , DO PAUL L , MORRISON GEORGE A
IPC分类号： A61B17/00 , A61B17/064 , A61B17/28 , A61B17/30 , A61B18/14
CPC分类号： A61B18/1402 , A61B17/00491 , A61B17/062 , A61B17/064 , A61B17/282 , A61B18/14 , A61B2017/00004 , A61B2017/00557 , A61B2017/00805 , A61B2017/0647 , A61B2017/0649 , A61B2017/306 , A61B2018/00523
摘要： Improved devices, methods, and systems for the surgical treatment of urinary incontinence generally enhance the support provided by the natural tissues of the pelvic floor without directly applying compressive pressure against the urethra. The invention provides probes (50) for forming plication in the endo-pelvic fascia that are displaced laterally on either side of the midline. These probes (50) can impose a redetermined level of trauma to the plic ated tissues so as to promote the formation of adhesions. Adhesions can maintain the enhanced support provided by the plication after reabsorption of a temporary fastener (30) (such as a reabsorbable suture, staple, or the like). The plicated probe draws the tissue inward to provide a uniform plication within a predetermined size range.
摘要翻译：用于手术治疗尿失禁的改进的装置，方法和系统通常增强由盆底的天然组织提供的支撑，而不直接对尿道施加压缩压力。本发明提供了用于在内盆筋膜中形成褶皱的探针（50），其在中线的任一侧横向移位。这些探针（50）可以对培养的组织施加重新确定的创伤水平，以促进粘连的形成。在临时紧固件（30）（例如可再吸收的缝合线，钉或类似物）再吸收之后，粘合可以保持由折痕提供的增强的支撑。复查的探头将组织向内拉，以在预定的尺寸范围内提供均匀的褶皱。

8. 发明申请

WO2004064599A2 NON-SURGICAL INCONTINENCE TREATMENT SYSTEM ANDMETHOD 审中-公开
标题翻译：非手术治疗系统与非手术治疗
公开(公告)号：WO2004064599A2
公开(公告)日：2004-08-05
申请号：PCT/US2004001151
申请日：2004-01-15
申请人： SURX INC , MOSHER OREN A , HOARAU CARINE , TAYEB ABDUL M , MATLOCK GEORGE L , MERRICK DANIEL D , SPRAKER TERRY E
发明人： MOSHER OREN A , HOARAU CARINE , TAYEB ABDUL M , MATLOCK GEORGE L , MERRICK DANIEL D , SPRAKER TERRY E
IPC分类号： A61B20060101 , A61B17/00 , A61B18/00 , A61B18/14 , A61F7/00 , A61F7/12 , A61B
CPC分类号： A61B18/1477 , A61B17/0625 , A61B18/1485 , A61B2017/00805 , A61B2018/00005 , A61B2018/143 , A61B2018/1467
摘要： Devices, systems, and methods can treat incontinence by heating between about 100 and about 800 cubic millimeters of endopelvic fascia for sufficient time to effect substantial collagenous tissue shrinkage. A probe body may directly engage the endopelvic fascia, or may be separated from the endopelvic fascia, heating through (for example) the vaginal wall. In either case, tissue-penetrating electrodes may be inserted from the probe body so as to heat the endopelvic fascia.
摘要翻译：装置，系统和方法可以通过在约100和约800立方毫米的内皮筋膜之间加热足够的时间来实现大量胶原组织收缩来治疗失禁。探针体可以直接接合内耳筋膜，或者可以从内耳筋膜分离，通过（例如）阴道壁加热。在任一情况下，组织穿透电极可以从探针体插入以加热内耳筋膜。

9. 发明申请

WO2003053355A3 SYSTEMS AND METHODS USING VASOCONSTRICTION FOR IMPROVED THERMAL TREATMENT OF TISSUES 审中-公开
公开(公告)号：WO2003053355A3
公开(公告)日：2003-07-03
申请号：PCT/US2002/040507
申请日：2002-12-17
申请人： SURX, INC.
发明人： DIETZ, Timothy, G. , LEVY, Stanley, Jr.
IPC分类号： A61F7/12
摘要： The present invention enhances the effectiveness of treatment of support tissue structures. Generally, such tissue structures support organs and hold the organs in their proper position for appropriate functioning. When such tissue structures become weak, hyper-elastic, and/or excessively lengthy, the organs of are no longer supported in their proper position. This often leads to physical manifestations such as incontinence, hernias, and the like. Remedies often involve thermal treatment of the support tissue structures, such as thermally inducted controlled shrinkage, contraction, or stiffening of the support tissue structure. To enhance such thermal treatment and diminish the possibility of undesirable heating and damage to nearby tissue surfaces, vasoconstrictive agents are used.

10. 发明申请

WO1998019613A1 DEVICES, METHODS AND SYSTEMS FOR SHRINKING TISSUES 审中-公开
标题翻译：用于收缩组织的装置，方法和系统
公开(公告)号：WO1998019613A1
公开(公告)日：1998-05-14
申请号：PCT/US1997020191
申请日：1997-11-05
申请人： SURX, INC.
发明人： SURX, INC. , INGLE, Frank , CARTER, Garry , LAUFER, Michael, D.
IPC分类号： A61B17/36
CPC分类号： A61N1/403 , A61B18/14 , A61B18/1477 , A61B18/1482 , A61B18/1492 , A61B2018/00083 , A61B2018/00095 , A61B2018/00148 , A61B2018/00214 , A61B2018/00232 , A61B2018/00505 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00898 , A61B2018/126 , A61B2018/1425 , A61B2018/1467 , A61N1/06
摘要： Devices, systems, and methods for treating urinary incontinence generally rely on energy delivered to a patient's own pelvis tissue to selectively contract or shrink a portion of that pelvic support tissue so as to reposition the bladder (b). The energy will be preferably applied to the endo-pelvic fascia (EP) and/or an arcus tendineus fascia pelvis (ATFP). The invention provides a variety of devices (10) and methods for applying gentle resistive heating of these and other tissues to cause them to contract without imposing significant injury on the surrounding tissue structures. Alternatively, heat applying probes (10) are configured to heat tissue structures which comprise or support a patient's urethra. By applying sufficient energy over a predetermined time, the tissue can be raised to a temperature which results in contraction without significant necrosis or other tissue damage. By selectively contracting the support tissues, the bladder neck, sphincter, and other components of the urinary tract responsible for the control of urinary flow can be reconfigured or supported in a manner which reduces urinary leakage.
摘要翻译：用于治疗尿失禁的装置，系统和方法通常依赖于递送到患者自身骨盆组织的能量来选择性地收缩或收缩该盆腔支撑组织的一部分，以便重新定位膀胱（b）。能量将优选地应用于骨盆内筋膜（EP）和/或筋膜筋膜骨盆（ATFP）。本发明提供了用于施加这些和其他组织的温和电阻加热以使其收缩而不对周围组织结构造成显着损伤的各种装置（10）和方法。或者，加热探针（10）构造成加热包括或支持患者尿道的组织结构。通过在预定时间内施加足够的能量，组织可以升高到导致收缩而不显着坏死或其他组织损伤的温度。通过选择性地收缩支撑组织，可以以减少尿液泄漏的方式重新配置或支撑膀胱颈，括约肌和负责控制尿流的尿道的其他成分。

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