A conductive coating may be adhered to a structure comprising a hydrophobic and/or adhesion-resistant surface. The conductive coating may have a polymer backbone with conductive particles suspended in the backbone. In some embodiments, the conductive coating may be applied directly to the surface. In other embodiments, the conductive coating may be indirectly applied by first applying a primer adhesive to the outer surface, and then applying the conductive coating over the primer adhesive. An example structure may be a catheter of an endoscopic medical device, such as a bipolar sphincterotome, where the conductive coating functions as a return electrode.

Sphincterotomes and methods for making and using sphincterotomes are disclosed. An example sphincterotome may include an elongate shaft having an outer surface and a distal end region. The sphincterotome may also include a sphincterotome wire assembly having a distal end coupled to the distal end region of the elongate shaft and a body portion extending along the outer surface of the elongate shaft. The sphincterotome wire assembly may be designed to shift the distal end region of the elongate shaft between a first configuration and a curved configuration. The body portion of the sphincterotome wire assembly may include a cutting region and a non-conductive region.

An implantable restriction device includes a plurality of beads, a plurality of links joining the beads together, and a parking feature. Each bead in the plurality of beads includes a housing, a passageway extending through the housing, and at least one magnet disposed around the passageway. The plurality of links are slidably disposed in corresponding passageways of the beads such that the plurality of beads can transition between a constricted configuration and an expanded configuration. The parking feature can consistently position the at least one link relative to the housing in the contracted configuration.

An artificial sphincter and method closing the artificial sphincter includes a plurality of bodies, a plurality of links, a coupling body, and a coupling assembly. The plurality of bodies each have respective magnets and are arranged from a first terminal body to a second terminal body. The plurality of links respectively resiliently extend and connect between the plurality of bodies. The coupling body has a first end segment and a second end segment respectively connected to a first terminal link and a second terminal link respectively extending from the first and second end segments. The coupling assembly has a clasp configured to close to form a closed loop and a coupling guide configured to be manipulated to thereby orient portions of the clasp to a predetermined orientation for connection in the connected state.

A sphincter sizing instrument includes a body that defines a lumen and a shaft that longitudinally translates through the lumen relative to the body. The body includes opposing proximal and distal ends. The distal end includes a first magnetic coupling feature and a first mechanical coupling feature. The shaft includes opposing proximal and distal ends and a coupler coupled with the distal end. The coupler includes a second magnetic coupling feature and a second mechanical coupling feature. The second magnetic coupling feature is configured to attract and couple with the first magnetic coupling feature to form a magnetic connection. The second mechanical coupling feature is configured to couple with the first mechanical coupling feature to form a mechanical connection.

An implantable sphincter assistance device is configured to surround an exterior wall of an esophagus. The implantable sphincter assistance device includes a plurality of beads, at least one connector, and secondary material. Each of the beads has an exterior surface. The connector is configured to serially connect the beads to form a ring. The secondary material is configured to be disposed between the exterior surface of at least one of the beads and the exterior wall of the esophagus. The secondary material is configured to control remodeling of tissue surrounding the exterior wall of the esophagus.

A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.

A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.

A system for controlling operation of a radiofrequency treatment device to apply radiofrequency energy to tissue to heat tissue to create lesions without ablating the tissue. The system includes a first treatment device having at least one electrode for applying radiofrequency energy to tissue, a controller including a connector to which a first treatment device is coupled for use, and a generator for applying radiofrequency energy to the electrodes. The controller controls application of energy so that the tissue is thermally treated to create lesions but preventing thermal treatment beyond a threshold which would ablate the tissue.

A passive artificial sphincter includes a tension member, an outer sleeve, and a connecter. The tension member has first and second ends. The outer sleeve contains the tension member and is formed of a biocompatible material. The connecter is configured to couple the first and second ends together to form an artificial sphincter ring. The artificial sphincter ring is configured for implantation around the lumen to provide passive constriction of the lumen. In a method, an artificial sphincter comprising a tension member contained within an outer sleeve is positioned around a lumen of a patient. The lumen is constricted responsive to the tension in the tension member. The passage of material through the lumen and past the artificial sphincter ring is resisted responsive to the constriction of the lumen.