Abstract: A cassette insertable into an irrigation or aspiration machine for endoscopy includes an irrigation or an aspiration tube and a support provided with one or two inlet plugs and one or two outlet plugs where two tubes form an elbow to be connectable to the inlet or outlet plugs in an input and output direction of motion, respectively and to form an irrigation or aspiration pumping area in the input and output direction of motion. The support includes a T-shaped guide according to the head of the T for protecting the elbow of each tube and according to the length of the T body in a slot guiding the tube in the output direction. The T-shaped guide extends between one or two inlet plugs to form the irrigation or aspiration pumping area on both sides of the slot between each inlet plug and the head of the T.

Abstract: In one embodiment of the invention, a robotic surgical instrument is provided for the control of flows of one or more fluids into and out of a surgical site. The robotic surgical instrument may include a housing, a flow control system, a hollow tube, and one or more hose fittings. The housing to couple the instrument to a robotic arm. The flow control system mounted in the housing includes one or more controlled valves to control the flow of one or more fluids. The hollow tube has a first end mounted in the housing coupled to the flow control system. A second end of the hollow tube has one or more openings to allow the flow of fluids into and out of the surgical site. The hose fittings have a first end coupled to the flow control system and a second end to couple to hoses.

Abstract: A compact, nonelectric fluid dispenser for use in controllably dispensing beneficial agents such as propofol and dexmedetomidine hydrochloride to patients. The dispenser includes a fluid flow control assembly that precisely controls the flow of the medicament solution to the patient and embodies a collapsible, pre-filled drug container that contains the beneficial agents to be delivered to the patient. The unit-dose fluid dispenser of the invention is presented in a sterile and aseptic manner, where the drug has been pre-filled in the system, so that the practitioner cannot mistakenly give the wrong drug to the patient. The dispenser uniquely provides a more efficient medicament delivery system for procedure rooms, such as the endoscopy center, so that a greater number of patients can be treated per day at a higher standard of care with increased profits for the healthcare provider.

Abstract: A compact, nonelectric fluid dispenser for use in controllably dispensing beneficial agents such as propofol and dexmedetomidine hydrochloride to patients. The dispenser includes a fluid flow control assembly that precisely controls the flow of the medicament solution to the patient and embodies a collapsible, pre-filled drug container that contains the beneficial agents to be delivered to the patient. The unit-dose fluid dispenser of the invention is presented in a sterile and aseptic manner, where the drug has been pre-filled in the system, so that the practitioner cannot mistakenly give the wrong drug to the patient. The dispenser uniquely provides a more efficient medicament delivery system for procedure rooms, such as the endoscopy center, so that a greater number of patients can be treated per day at a higher standard of care with increased profits for the healthcare provider.

Abstract: A feminine hygiene device to wipe seminal and other fluids from the vagina after sexual intercourse.

Abstract: A phacoemulsification irrigation sleeve includes an elongated, resilient, tubular body section configured to surround a portion of a shaft of a phacoemulsification needle, the tubular body section having a distal end and a proximal end, and an inner surface and an outer surface. An enlarged section formed on the proximal end of the tubular body portion surrounds a hub of the phacoemulsification needle and connects the irrigation sleeve to a phacoemulsification handpiece. The irrigation sleeve further comprises at least one slitted irrigation port formed adjacent to the distal end of the body section and configured to splay in response to a drop in pressure between the inner surface and the outer surface.

Abstract: An ophthalmosurgical measuring device (100) has an irrigation line (4) through which irrigation fluid (3) can be transported and an aspiration line (7) through which aspiration fluid can be transported to a suction pump (8). The ophthalmosurgical measuring device also includes a sensor (10) with which a differential pressure between irrigation line (4) and aspiration line (7) can be detected.

Abstract: A device for suctioning material out of an instrument channel during an endoscopic procedure. The device includes a biopsy valve having a first end, a second end, and an outer circumferential surface. The biopsy valve defines an internal passage leading from the first end to the second end, wherein the first end is adapted for connection to an endoscope instrument channel inlet port. Tubing connects the biopsy valve second end to a suction source connector disposed remote from the biopsy valve. A flow controller is fixed to the tubing and disposed between the biopsy valve second end and the suction source connector. The device may include an irrigation port and an instrument entry port.

Abstract: A surgical cassette have a rigid fluid channel formed into a rigid plastic component or housing. The housing serves as a substrate for an elastomeric acoustic coupling that can be formed on the housing outside of the fluid channel by an over molding process. Such a construction method eliminates the need for adhesives to attach the elastomeric acoustic coupling to the housing and ensures the removal of any air from between the elastomeric acoustic coupling and the housing.

Abstract: A microsurgical system capable of controlling aspiration and detecting an occlusion via monitoring a change in either suction flow rate or suction impedance.

Abstract: The present invention provides a surgical system 10 for aspiration of a biological material comprising a source of irrigation fluid 24, a collection cassette 30, a pump 40 for creating a vacuum in the collection cassette 30, a handpiece 50 applied to a surgical area for infusing irrigation fluid and for aspirating a biological material, conduits 60 and 62 connecting the handpiece to each of the source of irrigation fluid and the collection cassette and means 70 for isolating the pump from the handpiece to prevent creation of vacuum within the conduit 62 and the collection cassette 30 after receiving a stop signal.

Abstract: In one embodiment of the invention, a robotic surgical instrument is provided for the control of flows of one or more fluids into and out of a surgical site. The robotic surgical instrument may include a housing, a flow control system, a hollow tube, and one or more hose fittings. The housing to couple the instrument to a robotic arm. The flow control system mounted in the housing includes one or more controlled valves to control the flow of one or more fluids. The hollow tube has a first end mounted in the housing coupled to the flow control system. A second end of the hollow tube has one or more openings to allow the flow of fluids into and out of the surgical site. The hose fittings have a first end coupled to the flow control system and a second end to couple to hoses.

Abstract: A device for achieving high vacuum stability during phacoemulsification surgery includes a main aspiration line connected to a vacuum source which enables a fluid flow from a phacoemulsification handpiece tip to a drainage reservoir. A first tubing segment is provided in the main aspiration line along with a second tubing segment generally parallel to the first tubing section and a valve disposed in the second tubing segment regulates fluid flow through the second tubing segment in order to limit vacuum surge in the main aspiration line upon clearing of an occlusion in the phacoemulsification handpiece tip.

Abstract: A connector comprised of a body having a fluid passageway extending therethrough, wherein a first fitting is formed at a first end of the body and a second fitting is formed at a second end of the body, an opening formed in the body that is in communication with the fluid passageway, and a pressure relief valve element located in the opening. In one embodiment, the connector is an elbow connector having a tube fitting and a male (Luer) conical lock fitting. The connector is particularly well suited for connecting fluid supply lines with medical devices where the pressure level in the fluid supply line may need to be reduced due to an overpressurization condition.

Abstract: An apparatus and a method for monitoring the supply of replacement fluid during an extracorporeal treatment of blood is disclosed. Detection of the supply of replacement fluid upstream or downstream of the dialyser or filter is based on a measurement of the optical or physical density of the blood or of a constituent of blood in the extracorporeal circulation. To detect pre- or post-dilution, the blood flow rate and/or the replacement rate and/or the flow rate of the fluid removed from the blood through the dialyser membrane is altered, and the density of the blood or of the constituent of blood is measured upstream and/or downstream of the dialyser. Additionally, an apparatus for treating blood with an apparatus for monitoring the supply of replacement fluid is disclosed.

Abstract: A novel system and method for fluid management for accurate continuous venovenous hemofiltration (CWH) in extracorporeal membrane oxygenation (ECMO). The fluid management or CWH system is automated and configured for operation as a stand alone unit and can be easily integrated with an ECMO system. The fluid management system is capable of producing either perfect or negative fluid balance between ultrafiltrate removal and replacement fluid delivery. The fluid management system can achieve electrolyte replacement over a range of flow rates needed to care for patients ranging from neonates to adults. Finally, the novel fluid management system preserves patient safety, maintains sterility during operation, is easy to operate, and is compact enough to fit near a patient's bed.

Abstract: An irrigating twin-cannula aspiration system including a hand-supportable tissue aspiration instrument, having a twin cannula assembly, wherein an inner cannula having an aspiration aperture is mechanically reciprocated within a stationary outer cannula having an elongated aperture along which the aspiration aperture reciprocates, while the inner cannula is operably affixed to a vacuum source, and a controller controls synchronized pulsed tumescent infusion about the aspiration aperture during system operation.

Abstract: A twin-cannula fat tissue aspiration instrument system equipped with a hand-supportable fat aspiration instrument having a twin irrigating-type or tumescent-type electro-cauterizing cannula assembly with an inner cannula coupled to a cannula drive mechanism and having an inner aspiration aperture that is reciprocated within an outer cannula having an outer aspiration aperture and being connected to the front portion of the hand-supportable housing, so that said inner cannula reciprocates within said outer cannula when the cannula drive mechanism drives the inner cannula. An irrigation channel is formed along the outer cannula, and in fluid communication with an irrigation aperture formed at the distal portion of the outer cannula and proximate to the outer aspiration aperture.

Abstract: A catheter assembly used for extracorporeal treatment, such as dialysis, of blood or other body fluid, includes an outer and inner catheter in a coaxial relationship. A fluid path is provided by a passageway defined between the catheters and a distal end of the outer catheter, and another fluid path is provided through a lumen and a distal end of the inner catheter. A sealing member is coupled to one of the catheters. The member in a first position is configured to permit the distal ends of the catheters to transport fluid, while in a second position the member is configured to inhibit at least one of the distal ends from transporting fluid. The sealing member may include a flared portion for enhance sealing. The sealing member may also have a portion extending outward from the catheters to position the distal ends away from vessel contact.

Abstract: A battery/self powered electronic pressure gauge having electronic measurement, control, output, and display capability is described having the flexibility of using a sampling rate that is variable, based on either a random sampling scheme or one that learns from the history of use during the previous minutes, hours, days, months, etc. The variable sampling rate enables extended operational time before replacement of the battery. The pressure gauge can be configured to sense “intent” to change pressure in the outlet line and to revise its sampling protocol. This “intent” can be defined by the detection of the proximity of a user's hand to the pressure regulator.

Abstract: Apparatus enables one or more needleless injection ports to be established on IV tubing as needed. An IV tubing-engaging portion secures the apparatus about the tubing. A puncturing member establishes fluid communication between the IV line and a sealing member on the apparatus. Connecting a syringe to the sealing member establishes fluid communication between the IV line and the syringe, enabling an injection to be made. When the syringe is withdrawn, the sealing member reseals to prevent fluid leakage from the IV line.

Abstract: Device and method for lyophilizing a substance within the device and storing therein the lyophilized substance. The device defines a chamber for receiving therein the substance to be lyophilized, a penetrable and resealable portion of the device is penetrable or pierceable by a needle for filling the device with the substance, and a resulting hole therein is resealable by transmitting radiation from a radiation source thereon. A filter is connectable in fluid communication between an interior and exterior of the chamber for permitting fluid to flow therethrough in a direction from the interior to the exterior of the chamber, and for substantially preventing contaminants from flowing therethrough in a direction from the exterior to the interior of the chamber.

Abstract: A drug solution infusion catheter includes a distal end wall made of an elastic material. The distal end wall closes a distal end surface of the catheter. A center portion of the distal end wall is thinner than a peripheral edge portion of the distal end wall. The center portion of the distal end wall defines a hole or an incision. The hole or the incision closes normally. When a guide wire is pressed against the hole or the incision from an inner side of the catheter or an outer side of the catheter, the hole or the incision elastically opens to allow the guide wire to pass therethrough. An outside of the peripheral edge portion of the distal end wall makes up the distal end surface of the catheter.

Abstract: A medical device for aspirating and injecting fluid into a body cavity for use with first and second syringes is provided. The medical device includes an outer needle having an outer lumen formed therethrough. A distal end of the outer needle is configured to puncture tissue for insertion of the needle into the body cavity. An inner cannula is disposed within the outer lumen and has an inner lumen formed therethrough. A distal end of the inner cannula is disposed within the outer lumen. A hub has a first hub opening for fluidly connecting the first syringe to the outer lumen and a second hub opening for fluidly connecting the second syringe to the inner lumen. The inner cannula extends from at least one of the first and second hub openings to the distal end of the inner cannula. A method for treating a cyst is also provided.

Abstract: A surgical system includes a surgical instrument, an aspiration flow rate measurement device, a vacuum force measurement device, and an indicator. The surgical instrument has an aspiration portion and is located in a media type. The aspiration flow rate measurement device is configured to measure the flow rate generated by the aspiration portion. The vacuum force measurement device is configured to measure the vacuum force generated by the aspiration portion. The indicator provides an indication of the media type in which the surgical instrument is located. The indication is based on aspiration flow rate measurement information, vacuum force measurement information, and an operation and configuration of the surgical instrument.

Abstract: A compact, nonelectric fluid dispenser for use in controllably dispensing beneficial agents such as propofol and dexmedetomidine hydrochloride to patients. The dispenser includes a fluid flow control assembly that precisely controls the flow of the medicament solution to the patient and embodies a collapsible, pre-filled drug container that contains the beneficial agents to be delivered to the patient. The unit-dose fluid dispenser of the invention is presented in a sterile and aseptic manner, where the drug has been pre-filled in the system, so that the practitioner cannot mistakenly give the wrong drug to the patient. The dispenser uniquely provides a more efficient medicament delivery system for procedure rooms, such as the endoscopy center, so that a greater number of patients can be treated per day at a higher standard of care with increased profits for the healthcare provider.

Abstract: Novel outdwelling normally closed bulbous medical bidirectional slit valves and outdwelling slit valve assemblies for influent and effluent fluid flow into and from a medical patient are disclosed, as well as related methods.

Abstract: A phacoemulsification fluidics system for irrigating and aspirating a surgical site includes a sterile solution reservoir, an irrigation path configured to extend from the sterile solution reservoir to the surgical site, and an aspiration path configured to extend from the surgical site. The system also includes a single flow control pump head associated with both the irrigation path and the aspiration path. The flow control pump head is arranged within the system to simultaneously pressurize the irrigation path in a manner that drives the irrigation fluid to the surgical site and pressurize the aspiration path in a manner that vacuums waste fluid from the surgical site.

Abstract: An angiographic injector system and a method of controllably delivering medical fluid to a patient from an angiographic injector system are disclosed. A multiple processor control system is used to actively control the injection process and to monitor sensed functions of the system. The multiple processors provide dual redundancy safety circuits for critical control functions such as syringe motor drive speed and current. A motor/servo-amplifier nested control function is also disclosed. A unique method and apparatus are disclosed for establishing injection parameter default values just prior to an injection procedure that are based on physiological values of the patient to be treated. The injector system uses an interactive display panel that presents sequenced set-up screens to the user and which enables the user to select injection procedures, parameters and other modes of operation directly through the interactive panel.

Abstract: Systems and methods for treating ocular disorders are disclosed. One system has an implant and a delivery device. The implant has inlet and outlet portions, a lumen extending therebetween and communicating with inlet and outlet ports. The implant is sized so that in use aqueous humor flows from an anterior chamber of an eye through the implant and into a uveal scleral outflow path of the eye. The delivery device is configured to advance the implant from within the anterior chamber, with the outlet portion leading the inlet portion, to a location where the outlet and inlet ports respectively communicate with the uveal scleral outflow path and the anterior chamber. One method involves advancing an implant from within the anterior chamber, and draining fluid from therein such that fluid flows into an implant inlet port and out through an implant outlet port and into the uveal scleral outflow path.

Abstract: A peritoneal dialysis machine including: a housing; a mechanically actuated piston head extending from a pump actuator housed by the housing, the mechanically actuated piston head positioned to extend towards and away from a fluid pumping cassette, the fluid pumping cassette coupled operably to the housing such that a flexible membrane of the fluid pumping cassette faces the piston head; a pressure sensor positioned by the housing adjacent to the mechanically actuated piston head so as to sense a pressure of a medical fluid moved by the mechanically actuated piston head within the fluid pumping cassette; and a vacuum chamber formed about the mechanically actuated piston head, the vacuum chamber holding a vacuum that sucks the flexible membrane of the fluid pumping cassette onto the mechanically actuated piston head as the mechanically actuated piston head extends away from the fluid pumping cassette.

Abstract: An eye treatment system includes an eye treatment probe and a console. The console has a cassette receptacle and a fluid drive system including a first peristaltic drive rotor and a second peristaltic drive rotor. The first and second drive rotors are exposed to the receptacle and are substantially coaxial. The cassette includes a cassette body and a fluid pathway network for coupling the fluid drive system of the console with the probe. The cassette body has cassette positioning surface for fittingly engaging the receptacle. The fluid pathway network has a first resilient tubing segment and a second resilient tubing segment, the first and second tubing segments are configured for peristaltic driving engagement by the first and second rotors, respectively, when the cassette is mounted to the console. Various elements of the cassette are configured for interfacing with the components of the console when the cassette is mounted to the console.

Abstract: The present invention relates to a device, method, system and kit for receiving effluent from an individual. In an alternative embodiment, the present invention is directed to a device, method, system and kit for collecting effluent from an individual during a medical or diagnostic procedure including but not limited to, imaging or viewing one or more sections of an individual's gastrointestinal tract. In another alternative embodiment, the effluent is collected in a hollow area in order to prevent the effluent form contaminating a component, device or apparatus used in connection with the medical or diagnostic procedure.

Abstract: Systems and methods for nasal irrigation are provided in which a nasal irrigation device includes a source of saline solution, an effluent receptacle, a nasal interface, a vacuum source, a fluid passageway to communicate the source of saline solution with the effluent receptacle through the nasal interface and a nasal cavity of the user, and a switch and valve assembly for selectively controlling the vacuum source and flow of the saline solution through the fluid passageway. The saline solution source is disposed relative to the device to provide gravitational inducement of saline solution to the nasal interface in engagement to the device user's nostrils. A combination of the gravitational inducement and the relative vacuum from the effluent receptacle generates a fluid flow for irrigating, cleansing and massaging the nasal cavity and ostia of a user. The entire device is assembled as a hand-held device for convenient lifting and disposal against the user's nostrils.

Abstract: A one-way valve comprises a seat and a membrane having an inner portion that is stretched over the seat, wherein, in use, the inner membrane portion is selectively deflected from the seat such that a fluid path is created from one side of the membrane to the other so as to open the valve, and wherein an outer peripheral portion of the membrane is stiffer than the inner portion such that the membrane deflection is substantially restricted to only the inner portion. The one-way valve may be used in a pump for an infusion system.

Abstract: A catheter (200) for insertion into a hollow viscus of a subject, comprising: a drainage opening (204) and an instillation opening at a distal end an inlet port (209) at a proximal end for instilling a fluid; an outlet port (205) at the proximal end for draining fluid from the viscus; a drainage channel (201) connecting the drainage opening to the outlet port; an instillation channel (211) connecting the inlet port to the instillation opening; a valve (223) proximate the drainage channel at the distal end for closing it against the entry of fluid from the viscus; a valve control port (220) at the proximal end for receiving a control fluid under pressure; and a control channel (222) connecting the valve control port to the valve such that the valve is responsive to admitted control fluid under pressure to close itself.

Abstract: A flow regulating implant is provided with one or more grooves for allowing fluid flow. One or more grooves may have a constant or varying cross-section along its length. One or more grooves may have in it biodegradable material, absorbable material, and/or threads or sutures. A resilient band or coating may be placed around the implant or one or more grooves, to act as a pressure regulator. The implant may have a side projection, such as a side pin, for engaging tissue. The implant may comprise two or more parts that are held at a distance from each other to allow fluid flow between the parts.

Abstract: A mucous suction device, comprising in combination, a longitudinally elongated, generally tubular, one-piece plastic body, the body having an axially elongated tapered, first portion extending toward an inlet proximate one end of the body, the body having an axially elongated second portion extending toward an outlet proximate an opposite end of the body, radially outwardly extending annular retention rings in said body second portion, said rings having sharp annular peripheries and said rings being axially resiliently flexible and axially spaced apart, and there being body side porting between said body first and second portions, said side porting being manually controllable to control suction exertion.

Abstract: A valve mechanism for a suction or irrigation instrument, that includes a first tubular housing provided with at least one first distal conduit assembly for coupling to the instrument, and a conduit for communicating with a suction or irrigation source. The conduit assembly includes at least first and second proximal conduits, and a first piston movably arranged in the first tubular housing between first and second positions. The first piston has a first through-opening intersecting the longitudinal axis of the first piston, wherein upon movement of the first piston into the first position the first through-opening opens a pathway between the at least one first distal conduit and the first proximal conduit, and upon movement of the first piston into the second position the first through-opening opens a pathway through the at least one first distal conduit and the second proximal conduit.

Abstract: The present invention concerns an irrigation and suction system, in particular for laparoscopic surgery, comprising an active control apparatus (100), provided with a reusable motor (101?) capable to be attached to and to operate a disposable pump (102), and a disposable handpiece (104) provided with two valves (1603, 1604) capable to be connected respectively to an output duct (813) from the pump (102) and to a suction line, the two valves being operatable (1603, 1604) for making respectively the pump (102) and the suction line communicate with an output nozzle (1607) of the handpiece (104), the nozzle (1607) being capable to support a probe (110), the apparatus (100) comprising controlling electronics means (20) for controlling electronics means (1501) for driving the motor (101?), the system being characterised in that it comprises interface means (1505, 16, 17, 112, 113) connected to said controlling electronics means (20) capable to select an operation mode of the motor (101?) between continuous mode, wh

Abstract: An elastomeric acoustic coupler formed by molding a thermoplastic or silicone rubber into a recess of a surgical cassette housing. The coupling has a raised pad to aid in the removal of all air between the transducer and the fluid conduit, and to provide an efficient transmission of an ultrasound signal into the fluid conduit.

Abstract: Embolic protection and plaque removal apparatus and methods are provided wherein an aspiration device aspirates, filters and reperfuses blood using a closed fluid circuit having a bi-directional working lumen. The plaque removal device includes a plurality of self-expanding cutting elements that form a cage that self-centers within the blood vessel to reduce the risk of trauma to the vessel lining.

Abstract: An organ perfusion apparatus and method monitor, sustain and/or restore viability of organs and preserve organs for storage and/or transport. Other apparatus include an organ transporter, an organ cassette and an organ diagnostic device. The apparatus and methods further include a tube frame removably connected to the cassette and configured to hold a plurality of tubes in a position to be connected to tubes in the portable housing.

Abstract: A hand-held disposable body cavity irrigation device comprises a pump with an inlet and an outlet, a container for lavage fluid fastened removably to said pump, an applicator having an insertion tip, and divided longitudinally into an injection chamber with a first fitting and a drain chamber with a second fitting, and a first tube connecting said outlet to the first fitting wherein the first tube comprises at least one malleable element embedded longitudinally into an elastic wall, said inlet communicates with the lavage fluid within the container, and the drain chamber is disposed predominantly below the injection chamber and has at least one vent beyond the insertion tip.

Abstract: An irrigation and aspiration system is disclosed. The system can be configured to aspirate and irrigate alone, sequentially or concurrently. The system can be configured to aspirate and irrigate the nasal cavity. The system can be manually controlled. The system can have removable and easily cleanable reservoirs for aspirant and irrigant.

Abstract: A gas supply apparatus measures a first pressure inside a first body cavity of a patient and a second pressure inside a second body cavity of the patient. The gas supply apparatus regulates a pressure of a predetermined gas based on the measured first and second pressures inside the first and second body cavities.

Abstract: An internal tourniquet for establishing hemostasis within a portion of a limb to facilitate surgery controls flow of a fluid into a capsule surrounding substantially all of a human joint. Blood concentration in the capsule is sensed; and pressure in the capsule is controlled to maintain a fluid pressure in the capsule within a predetermined pressure tolerance window. The concentration of blood in the capsule is maintained below a predetermined maximum concentration while the fluid pressure is within the pressure tolerance window.

Abstract: An apparatus and method for preventing free flow through an infusion set utilizes an occluder disposed within the infusion set to selectively prevent flow therethrough. The occluder may be responsive to a pressure differential within the infusion set or may respond to compression of the infusion set. When a pair of occluders are used in sequence, an in-line pump may be formed.

Abstract: An intravascular port access device includes a first component having a chamber configured to attach reversibly to an intravenous line port. A second component reversibly attaches to the first component and contains a disinfecting agent and an applicator material. The second component is configured to be reversibly received over external surfaces of the intravenous line port. A method of cleansing an intravenous line port includes providing a port cleaning device having a first component with a chamber containing a first cleaning agent. A second component includes a second cleaning agent. A third component has a microbiocidal agent and is reversibly attached to the first component. The second component is removed from the device, the external surfaces of the port are contacted with the second cleaning agent, the first cleaning agent is ejected from the chamber into the port, and the third component is used to cap the port.

Abstract: Apparatus and methods for stimulating revascularization and tissue growth are provided using an apparatus having a directable end region carrying a tissue piercing end effector. The apparatus optionally includes electrodes for depositing RF energy to form a controlled degree of scar tissue formation, means for delivering a controlled amount of a bioactive agent at the treatment site, or both.