JP7048606B2 - 消化管の壁における神経アブレーションのための装置および方法 - Google Patents

消化管の壁における神経アブレーションのための装置および方法 Download PDF

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JP7048606B2
JP7048606B2 JP2019529322A JP2019529322A JP7048606B2 JP 7048606 B2 JP7048606 B2 JP 7048606B2 JP 2019529322 A JP2019529322 A JP 2019529322A JP 2019529322 A JP2019529322 A JP 2019529322A JP 7048606 B2 JP7048606 B2 JP 7048606B2
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laser beam
laser
ablation
balloon
catheter
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JP2019527610A (ja
JP2019527610A5 (https=
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シャマイ・ヨナタン
ベハー・ボーツ
オレン・イラン ベン
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ジグマ メディカル リミテッド
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    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
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    • 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
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    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
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    • A61B5/4222—Evaluating particular parts, e.g. particular organs
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    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
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    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434—Neural system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00773—Sensed parameters
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    • A61B2018/00636—Sensing and controlling the application of energy
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    • A61B2018/00779—Power or energy
    • A61B2018/00785—Reflected power
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    • A61B2018/00904—Automatic detection of target tissue
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    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2244—Features of optical fibre cables, e.g. claddings
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    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0233—Special features of optical sensors or probes classified in A61B5/00

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Endocrinology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Plasma & Fusion (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Laser Surgery Devices (AREA)
JP2019529322A 2016-08-14 2017-08-14 消化管の壁における神経アブレーションのための装置および方法 Active JP7048606B2 (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2022047377A JP2022095708A (ja) 2016-08-14 2022-03-23 消化管の壁における神経アブレーションのための装置および方法
JP2024043461A JP7660733B2 (ja) 2016-08-14 2024-03-19 消化管の壁における神経アブレーションのための装置および方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662374842P 2016-08-14 2016-08-14
US62/374,842 2016-08-14
PCT/IL2017/050898 WO2018033910A1 (en) 2016-08-14 2017-08-14 Apparatus and method for nerve ablation in the wall of the gastointestinal tract

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JP2019527610A JP2019527610A (ja) 2019-10-03
JP2019527610A5 JP2019527610A5 (https=) 2020-09-24
JP7048606B2 true JP7048606B2 (ja) 2022-04-05

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JP2019529322A Active JP7048606B2 (ja) 2016-08-14 2017-08-14 消化管の壁における神経アブレーションのための装置および方法
JP2022047377A Pending JP2022095708A (ja) 2016-08-14 2022-03-23 消化管の壁における神経アブレーションのための装置および方法
JP2024043461A Active JP7660733B2 (ja) 2016-08-14 2024-03-19 消化管の壁における神経アブレーションのための装置および方法

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JP2024043461A Active JP7660733B2 (ja) 2016-08-14 2024-03-19 消化管の壁における神経アブレーションのための装置および方法

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US (3) US11109913B2 (https=)
EP (2) EP3496800B1 (https=)
JP (3) JP7048606B2 (https=)
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WO (1) WO2018033910A1 (https=)

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3919116B1 (en) * 2013-01-31 2025-06-04 Digma Medical Ltd. Systems for reducing neural activity in an organ of a subject
US10537387B2 (en) 2014-04-17 2020-01-21 Digma Medical Ltd. Methods and systems for blocking neural activity in an organ of a subject, preferably in the small intestine or the duodenum
CN114569245B (zh) 2016-08-14 2024-09-17 迪格玛医疗有限公司 用于胃肠道壁中的神经消融的装置和方法
US10575904B1 (en) * 2016-08-14 2020-03-03 Digma Medical Ltd. Apparatus and method for selective submucosal ablation
US20190380589A1 (en) * 2018-06-18 2019-12-19 Medlumics S.L. Catheter with merged optical tissue evaluation and laser ablation
US12402946B2 (en) 2019-06-19 2025-09-02 Boston Scientific Scimed, Inc. Breakdown of laser pulse energy for breakup of vascular calcium
US12280223B2 (en) 2019-06-26 2025-04-22 Boston Scientific Scimed, Inc. Focusing element for plasma system to disrupt vascular lesions
US12274497B2 (en) * 2019-12-18 2025-04-15 Bolt Medical, Inc. Multiplexer for laser-driven intravascular lithotripsy device
US12446961B2 (en) 2020-02-10 2025-10-21 Bolt Medical, Inc. System and method for pressure monitoring within a catheter system
US20230071306A1 (en) * 2020-02-21 2023-03-09 Intuitive Surgical Operations, Inc. Systems and methods for delivering targeted therapy
US20210353359A1 (en) 2020-05-12 2021-11-18 Bolt Medical, Inc. Active alignment system and method for optimizing optical coupling of multiplexer for laser-driven intravascular lithotripsy device
US12295654B2 (en) 2020-06-03 2025-05-13 Boston Scientific Scimed, Inc. System and method for maintaining balloon integrity within intravascular lithotripsy device with plasma generator
CN114681053B (zh) * 2020-12-31 2023-07-04 华科精准（北京）医疗科技有限公司 磁共振引导激光消融治疗系统
WO2022154954A1 (en) 2021-01-12 2022-07-21 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
EP4440462B1 (en) 2021-12-01 2026-04-29 Alleima Karlsruhe GmbH Ablating apparatus
US11839391B2 (en) 2021-12-14 2023-12-12 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
CN114271936B (zh) * 2021-12-29 2024-03-08 烟台龙驰光电技术有限公司 一种自主调控温度的激光消融针
US12533184B2 (en) 2022-04-02 2026-01-27 Boston Scientific Scimed, Inc. Optical connector assembly for intravascular lithotripsy device
CN115887878B (zh) * 2023-01-06 2026-04-21 上海佳沐垚医疗科技有限公司 球囊导管装置
CN116780325B (zh) * 2023-08-18 2023-11-03 深圳市中科融光医疗科技有限公司 一种激光高效耦合的光路装置及工作方法

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009536531A (ja) 2006-02-01 2009-10-15 ザ ジェネラル ホスピタル コーポレイション コンフォーマルレーザ治療手順を用いてサンプルの少なくとも一部分に電磁放射を放射する方法及びシステム。
JP2014508580A (ja) 2011-01-19 2014-04-10 フラクティル ラボラトリーズ インコーポレイテッド 組織の治療のためのデバイスおよび方法

Family Cites Families (83)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3858577A (en) 1974-04-05 1975-01-07 Univ Southern California Fiber optic laser light delivery system
US5693043A (en) 1985-03-22 1997-12-02 Massachusetts Institute Of Technology Catheter for laser angiosurgery
WO1988003005A1 (fr) 1986-10-29 1988-05-05 Okamoto Industries, Inc. Ballon pour endoscope ou fibre optique et procede de production
US5029574A (en) 1988-04-14 1991-07-09 Okamoto Industries, Inc. Endoscopic balloon with a protective film thereon
US5194005A (en) * 1988-12-21 1993-03-16 Laser Medical Technology, Inc. Surgical and dental procedures using laser radiation
US6134003A (en) 1991-04-29 2000-10-17 Massachusetts Institute Of Technology Method and apparatus for performing optical measurements using a fiber optic imaging guidewire, catheter or endoscope
US6485413B1 (en) 1991-04-29 2002-11-26 The General Hospital Corporation Methods and apparatus for forward-directed optical scanning instruments
US6319247B1 (en) 1993-05-07 2001-11-20 Visx, Incorporated Systems and methods for corneal surface ablation to correct hyperopia
FR2723305B1 (fr) 1994-08-04 1996-11-22 Kamami Yves Victor Piece a main pour dispositif de chirurgie du nez par laser
US7468060B2 (en) 1998-02-19 2008-12-23 Respiratory Diagnostic, Inc. Systems and methods for treating obesity and other gastrointestinal conditions
WO2004112883A2 (en) 2003-06-20 2004-12-29 Metacure N.V. Hepatic device for treatment or glucose detection
AU5275600A (en) 1999-05-18 2000-12-05 Silhouette Medical Inc. Surgical weight control device
US9033961B2 (en) 1999-07-14 2015-05-19 Cardiofocus, Inc. Cardiac ablation catheters for forming overlapping lesions
US7096070B1 (en) 2000-02-09 2006-08-22 Transneuronix, Inc. Medical implant device for electrostimulation using discrete micro-electrodes
WO2002000172A2 (en) 2000-06-28 2002-01-03 Ira Sanders Methods for using tetanus toxin for benificial purposes in animals (mammals)
US6832114B1 (en) 2000-11-21 2004-12-14 Advanced Bionics Corporation Systems and methods for modulation of pancreatic endocrine secretion and treatment of diabetes
US6654630B2 (en) 2001-05-31 2003-11-25 Infraredx, Inc. Apparatus and method for the optical imaging of tissue samples
US20030144708A1 (en) 2002-01-29 2003-07-31 Starkebaum Warren L. Methods and apparatus for retarding stomach emptying for treatment of eating disorders
US7239912B2 (en) 2002-03-22 2007-07-03 Leptos Biomedical, Inc. Electric modulation of sympathetic nervous system
US7162303B2 (en) 2002-04-08 2007-01-09 Ardian, Inc. Renal nerve stimulation method and apparatus for treatment of patients
US20130197555A1 (en) 2002-07-01 2013-08-01 Recor Medical, Inc. Intraluminal devices and methods for denervation
US20040082859A1 (en) 2002-07-01 2004-04-29 Alan Schaer Method and apparatus employing ultrasound energy to treat body sphincters
US7444183B2 (en) 2003-02-03 2008-10-28 Enteromedics, Inc. Intraluminal electrode apparatus and method
US7112195B2 (en) 2003-04-21 2006-09-26 Cynosure, Inc. Esophageal lesion treatment method
DE20306411U1 (de) 2003-04-24 2003-07-03 Trumpf Laser Marking Systems AG, Grüsch Anordnung eines optischen Elements im Strahlengang eines Laserstrahls
US20040215180A1 (en) 2003-04-25 2004-10-28 Medtronic, Inc. Ablation of stomach lining to treat obesity
US7149574B2 (en) 2003-06-09 2006-12-12 Palo Alto Investors Treatment of conditions through electrical modulation of the autonomic nervous system
US20070060906A1 (en) 2003-08-18 2007-03-15 Wei Wu Method, reagent, and device for embolizing blood vessels in tumors with ultrasonic radiation micro-bubble reagent
US7054690B2 (en) 2003-10-22 2006-05-30 Intrapace, Inc. Gastrointestinal stimulation device
US20050251116A1 (en) * 2004-05-05 2005-11-10 Minnow Medical, Llc Imaging and eccentric atherosclerotic material laser remodeling and/or ablation catheter
US20060122584A1 (en) 2004-10-27 2006-06-08 Bommannan D B Apparatus and method to treat heart disease using lasers to form microchannels
JP2008520280A (ja) 2004-11-15 2008-06-19 デチャームス，クリストファー 光を使用した神経組織の刺激の適用
US20070016262A1 (en) 2005-07-13 2007-01-18 Betastim, Ltd. Gi and pancreatic device for treating obesity and diabetes
AU2006299659A1 (en) 2005-09-29 2007-04-12 General Hospital Corporation Method and apparatus for method for viewing and analyzing of one or more biological samples with progressively increasing resolutions
US7620455B2 (en) 2005-10-25 2009-11-17 Cyberonics, Inc. Cranial nerve stimulation to treat eating disorders
US20090234417A1 (en) 2005-11-10 2009-09-17 Electrocore, Inc. Methods And Apparatus For The Treatment Of Metabolic Disorders
CN101410069B (zh) * 2006-02-01 2014-04-23 通用医疗公司 使用适形激光治疗过程向样本的至少一个部分提供电磁辐射的方法和系统
US7538859B2 (en) * 2006-02-01 2009-05-26 The General Hospital Corporation Methods and systems for monitoring and obtaining information of at least one portion of a sample using conformal laser therapy procedures, and providing electromagnetic radiation thereto
BRPI0712468A2 (pt) 2006-05-26 2012-07-31 Endosphere Inc inserto de intestino delgado, e, mÉtodo para gerar saciedade em um indivÍduo
US20080086180A1 (en) 2006-10-05 2008-04-10 Omry Ben-Ezra Techniques for gall bladder stimulation
CA2675650A1 (en) 2007-02-07 2008-08-14 Duocure, Inc. Duodenal stimulation devices and methods for the treatment of conditions relating to eating disorders
WO2008137757A1 (en) 2007-05-04 2008-11-13 Barrx Medical, Inc. Method and apparatus for gastrointestinal tract ablation for treatment of obesity
US7835074B2 (en) 2007-06-05 2010-11-16 Sterling Lc Mini-scope for multi-directional imaging
US7925351B2 (en) 2007-06-13 2011-04-12 Betastim, Ltd. Gastrointestinal device for treating obesity and diabetes
US8160678B2 (en) 2007-06-18 2012-04-17 Ethicon Endo-Surgery, Inc. Methods and devices for repairing damaged or diseased tissue using a scanning beam assembly
JP5052279B2 (ja) 2007-09-28 2012-10-17 富士フイルム株式会社 光断層画像化装置
US20090253990A1 (en) 2007-12-06 2009-10-08 Children's Hospital Of Orange County Optical diagnosis of hemophilic joint effusion
ATE511787T1 (de) * 2007-12-28 2011-06-15 Koninkl Philips Electronics Nv Gewebeablationsvorrichtung mit photoakustischer läsionsbildungsrückmeldung
WO2009124021A2 (en) 2008-03-31 2009-10-08 Lenticular Research Group, Llc Processes and apparatus for preventing, delaying or ameliorating one or more symptoms of presbyopia
US10368838B2 (en) 2008-03-31 2019-08-06 Intuitive Surgical Operations, Inc. Surgical tools for laser marking and laser cutting
US9211155B2 (en) 2008-08-20 2015-12-15 Prostacare Pty Ltd. Non-thermal ablation system for treating BPH and other growths
US20100268297A1 (en) 2009-02-24 2010-10-21 Hans Neisz Duodenal Stimulation To Induce Satiety
JP5743380B2 (ja) 2009-03-06 2015-07-01 キヤノン株式会社 光断層撮像装置および光断層撮像方法
US8551096B2 (en) 2009-05-13 2013-10-08 Boston Scientific Scimed, Inc. Directional delivery of energy and bioactives
US20110208175A1 (en) 2010-02-24 2011-08-25 Medtronic Vascular, Inc. Methods for Treating Sleep Apnea Via Renal Denervation
US20110257641A1 (en) 2010-04-14 2011-10-20 Roger Hastings Phototherapy for renal denervation
US20120035249A1 (en) 2010-06-11 2012-02-09 Dr. Joseph A. Kuhn Targeted Mucosal Treatment of Obesity and Diabetes
US8945107B2 (en) 2010-10-26 2015-02-03 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
US20120265198A1 (en) * 2010-11-19 2012-10-18 Crow Loren M Renal nerve detection and ablation apparatus and method
WO2012122460A2 (en) 2011-03-09 2012-09-13 Gastro-Shape Technologies, Inc. Method for reducing the absorption nutrients through the gastrointestinal tract
US9555020B2 (en) 2011-07-19 2017-01-31 The Board Of Trustees Of The Leland Stanford Junior University Treatments for diabetes mellitus and obesity
EP2548606A1 (en) * 2011-07-20 2013-01-23 Florian Netzer Catheter for creating a spatially separated vessel section
WO2013044182A1 (en) * 2011-09-22 2013-03-28 The George Washington University Systems and methods for visualizing ablated tissue
US20140330068A1 (en) 2011-12-02 2014-11-06 Michael J. Partsch Method for modulating the enteric nervous system to treat a disorder
AU2012347470B2 (en) * 2011-12-09 2017-02-02 Medtronic Ireland Manufacturing Unlimited Company Therapeutic neuromodulation of the hepatic system
JP6167115B2 (ja) 2012-02-27 2017-07-19 フラクティル ラボラトリーズ インコーポレイテッド 組織の治療のための熱切除システム、デバイスおよび方法
KR102231179B1 (ko) 2012-04-19 2021-03-22 프랙틸 래브러토리스 인코포레이티드 조직 팽창 디바이스들, 시스템들, 및 방법들
US9883906B2 (en) 2012-04-22 2018-02-06 Newuro, B.V. Bladder tissue modification for overactive bladder disorders
US20140017635A1 (en) 2012-07-13 2014-01-16 GME German Medical Engineering GmbH Medical treatment apparatus with laser pulses in the femtosecond range
US20140025069A1 (en) 2012-07-17 2014-01-23 Boston Scientific Scimed, Inc. Renal nerve modulation catheter design
EP2879605A4 (en) 2012-07-30 2016-04-06 Fractyl Lab Inc ELECTRICITY CONTROL SYSTEMS, DEVICES AND METHOD FOR TREATMENT OF TISSUE
WO2014026055A1 (en) 2012-08-09 2014-02-13 Fractyl Laboratories Inc. Ablation systems, devices and methods for the treatment of tissue
US20140088575A1 (en) 2012-09-27 2014-03-27 Trimedyne, Inc. Devices for effective and uniform denervation of nerves and unique methods of use thereof
WO2014055997A1 (en) 2012-10-05 2014-04-10 Fractyl Laboratories Inc. Methods, systems and devices for performing multiple treatments on a patient
EP3919116B1 (en) 2013-01-31 2025-06-04 Digma Medical Ltd. Systems for reducing neural activity in an organ of a subject
US20150359595A1 (en) * 2013-01-31 2015-12-17 Eximo Medical Ltd. Hybrid catheter apparatus and methods
CN203524766U (zh) * 2013-02-07 2014-04-09 上海魅丽纬叶医疗科技有限公司 经腔穿壁神经消融导管及其设备
EP3003461B1 (en) 2013-06-04 2019-05-01 Fractyl Laboratories, Inc. Systems and devices for reducing the luminal surface area of the gastrointestinal tract
EP3060143B1 (en) * 2013-10-25 2021-01-06 Mercator Medsystems, Inc. Maintenance of bronchial patency by local delivery of cytotoxic, cytostatic, or anti-neoplastic agent
US10537387B2 (en) 2014-04-17 2020-01-21 Digma Medical Ltd. Methods and systems for blocking neural activity in an organ of a subject, preferably in the small intestine or the duodenum
EP3220994B1 (en) * 2014-11-17 2021-01-06 TriReme Medical, LLC Balloon catheter system
US10575904B1 (en) 2016-08-14 2020-03-03 Digma Medical Ltd. Apparatus and method for selective submucosal ablation
CN114569245B (zh) 2016-08-14 2024-09-17 迪格玛医疗有限公司 用于胃肠道壁中的神经消融的装置和方法

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009536531A (ja) 2006-02-01 2009-10-15 ザ ジェネラル ホスピタル コーポレイション コンフォーマルレーザ治療手順を用いてサンプルの少なくとも一部分に電磁放射を放射する方法及びシステム。
JP2014508580A (ja) 2011-01-19 2014-04-10 フラクティル ラボラトリーズ インコーポレイテッド 組織の治療のためのデバイスおよび方法

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