Systems, devices and methods treat target tissue to provide a therapeutic benefit to the patient. A tissue treatment device comprises a tissue treatment element constructed and arranged to treat target tissue, such as duodenal mucosa and/or submucosal tissue. Patients treated can safely eliminate or reduce their daily insulin intake.

The invention provides methods for treating a neurological disorder or deficit, such as tinnitus and phantom limb pain.

Adjustable mouthpiece apparatuses for intraoral therapy are provided. The mouthpiece apparatus may comprise at least one emitting element to emit at least one therapeutic emission. In some embodiments, the mouthpiece apparatus comprises an upper panel and a lower panel and at least one adjustable connector interconnecting the upper panel and the lower panel and adjustable to change the spacing between the upper panel and the lower panel. The mouthpiece apparatus may thereby be adjusted for a range of vestibular heights. Also provided are related systems including adjustable mouthpiece apparatuses and related methods for making an adjustable mouthpiece apparatus.

Apparatus and methods for deactivating bronchial nerves extending along the secondary bronchial branches of a mammalian subject to treat asthma and related conditions. An ultrasonic transducer (11) is inserted into the bronchus as, for example, by advancing the distal end of a catheter (10) bearing the transducer into the secondary bronchial section to be treated. The ultrasonic transducer emits circumferential ultrasound so as to heat tissues throughout circular impact volume (13) as, for example, at least about 1 cm.sup.3 encompassing the bronchus to a temperature sufficient to inactivate nerve conduction but insufficient to cause rapid ablation or necrosis of the tissues. The treatment can be performed without locating or focusing on individual bronchial nerves. The apparatus and methods utilized for lung tumor ablation.

A process for heat treating biological tissue includes providing a plurality of energy emitters formed into an array. Treatment energy in the form of ultrasound energy is generated from the plurality of emitters and applied to target tissue. The treatment energy has energy and application parameters selected so as to raise the target tissue temperature sufficiently to create a therapeutic effect while maintaining an average temperature of the target tissue over several minutes at or below a predetermined temperature so as not to destroy or permanently damage the target tissue.

A system for use in managing a neuromodulation therapy includes an ultrasound transducer array controlled by a control unit to deliver ultrasound waveforms for causing modulation of neural tissue in a patient. The system acquires data indicating a response to the modulation, analyzes the acquired data to determine correlation data between a response to the modulation and an ultrasound control parameter, and reports the correlation data to enable identification of at least one therapy parameter to be used to deliver a neuromodulation therapy to the patient by a therapy delivery system.

Apparatus and methods for deactivating renal nerves extending along a renal artery of a mammalian subject to treat hypertension and related conditions. An ultrasonic transducer (30) is inserted into the renal artery (10) as, for example, by advancing the distal end of a catheter (18) bearing the transducer into the renal artery. The ultrasonic transducer emits unfocused ultrasound so as to heat tissues throughout a relatively large impact volume (11) as, for example, at least about 0.5 cm.sup.3 encompassing the renal artery to a temperature sufficient to inactivate nerve conduction but insufficient to cause rapid ablation or necrosis of the tissues. The treatment can be performed without locating or focusing on individual renal nerves.

Methods for treating urinary stress incontinence by non-invasively delivering energy to one or more submucosal regions of vaginal tissue to induce remodeling within the vaginal tissue are provided. In some embodiments, the energy delivery results in heating of the target tissue to a temperature that ranges from about 38° C. to about 46° C. In some embodiments, the subject methods involve cooling a mucosal epithelial layer over the vaginal tissue. In some embodiments, a reverse thermal gradient is produced as the mucosal epithelium is cooled while energy is delivered to the underlying vaginal tissue.

A retinal phototherapy or photostimulation system includes a laser console generating at least one treatment beam having parameters to photostimulate or treat, while not permanently damaging, a retinal target tissue. The parameters of the at least one treatment beam are fixed so as not to be alterable by a medical provider. A projector or camera projects the at least one treatment beam onto at least a portion of the retina, and a scanning mechanism controllably directs the at least one treatment beam to treatment areas of the retina.

Described herein are systems and methods for performing a denervation procedure and determining an efficacy thereof. Such a system can include an excitation source, a controller, and a catheter with element(s) for delivering first ablation therapy from a first longitudinal location along a biological lumen and delivering second ablation therapy from a second longitudinal location longitudinally spaced apart from the first longitudinal location. A sensing subsystem of the system senses neural activity from a third longitudinal location along the biological lumen, to determine the efficacy of at least one of the first or second ablation therapies.