Apparatus and method for transcervical sterilization by...

Surgery – Instruments – Electrical application

Reexamination Certificate

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C606S040000, C606S041000, C606S135000

Reexamination Certificate

active

06972018

ABSTRACT:
An apparatus for sterilizing a female patient in a transcervical procedure comprises an elongated catheter with a piezoelectric ultrasound transducer at its distal end. The catheter is inserted transcervically into the uterus and guided to the intramural region of a fallopian tube. The transducer is inserted into the intramural region in direct contact with the surrounding tissue. The transducer produces a radially dispersing acoustical wave front, heating the adjacent tissue and forming a thermal lesion therein. A fibrous tissue forms during the healing process, sealing the fallopian tube. An embodiment of the apparatus includes a movable thermal sensor for monitoring the tissue temperature at multiple locations along the lesion. Another embodiment of the apparatus includes a spring that centers the distal end of the catheter at the opening of the fallopian tube and provides a tactile means to determine that the catheter and transducer have been correctly positioned.

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Thomas P. Ryan, “Historical Perspective on Procedures to Ligate the Fallopian Tube for Sterilization”, Critical Reviews, vol. CR75, Ethicon, Somerville, NJ, pp. 195-230.
B.H. Sheares, “Sterilization of Woman by Intra-Uterine Electro-Caulery of the Uterine Comu”, The Department of Obstetrics and Gynaecology, University of Malaya, pp. 419-427.
Jack Shuber, “Transcervical Sterilization with Use of Methyl 2-Cyanoacrylate and a Newer Delivery System (the FEMCEPT Deivce)”, Forty-Forth Annual Meeting of the Society of Obstetricians and Gynaecologists of Canada, Vancouver, British Columbia, Canada, (1988), pp. 887-889.

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