# US 2013/0158347 A1 · Devices and Methods for the Treatment of Endometriosis > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2013/0158347 A1 - Document ID: US20130158347A1 - Status: Published application - Kind: A1 - Application number: 13/767,158 - Filed: 2013-02-14 - Published: 2013-06-20 - Earliest claimed: 2004-11-08 - Assignees: Boston Scientific Scimed, Inc. - Inventors: Jon T. McINTYRE; Francis P. GRILLO; Isaac OSTROVSKY - Web page: https://patentgrep.com/patent/US20130158347A1 ## CPC - A61N 7/00: Ultrasound therapy (lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 {; using ultrasound for introducing media into the body A61M37/0092}) - A61B 1/00066: {Proximal part of endoscope body, e.g. handles (A61B1/0052 takes precedence)} - A61B 1/00087: {Tools (A61B17/00234 takes precedence)} - A61B 1/00154: {using guiding arrangements for insertion} - A61B 1/005: Flexible endoscopes - A61B 1/0638: {providing two or more wavelengths} - A61B 1/0684: {using light emitting diodes [LED]} - A61B 1/07: using light-conductive means, e.g. optical fibres - A61B 1/3132: {for laparoscopy} - A61N 5/0603: {for treatment of body cavities} - A61N 7/022: {intracavitary} - A61B 90/30: Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure - A61B 2017/4216: {Operations on uterus, e.g. endometrium} - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A tissue treatment device comprises an insertion section sized and shaped for insertion into the body via a trocar and a diagnostic element coupled to the insertion section, the diagnostic element illuminating tissue with light of a wavelength selected to facilitate identification of target tissue in combination with an ultrasound element coupled to the insertion section for delivering to a portion of tissue illuminated by the diagnostic element ultrasound energy. ## Claims ### Claim at position 1 -20. (canceled) ### Claim 21 A tissue treatment device, comprising: an insertion section sized and shaped for insertion into a body; a diagnostic element coupled to the insertion section, the diagnostic element configured to illuminate a target area with a first light of a first wavelength and a second light of a second wavelength selected to facilitate identification of a select portion of a target tissue; and an ultrasound element coupled to the insertion section, the ultrasound element including a generating component that generates ultrasound energy for delivery to the select portion of the target tissue, wherein the diagnostic element and the ultrasound element are positioned and oriented within the insertion section such that the second light from the diagnostic element and the ultrasound energy from the generating component converge on a target spot. ### Claim 22 (depends on 21) The device according to claim 21, further comprising a control unit coupled to the diagnostic element and the ultrasound element, the control unit remaining outside the body while the insertion section is inserted into the body. ### Claim 23 (depends on 22) The device according to claim 22, wherein the ultrasound element is coupled to an ultrasound controller located in the control unit. ### Claim 24 (depends on 23) The device according to claim 23, wherein the diagnostic element comprises a first illuminating component configured to generate the first light and a second illuminating component configured to generate the second light. ### Claim 25 (depends on 24) The device according to claim 24, wherein the first and second illuminating components is one of a low-power bulb and a diode. ### Claim 26 (depends on 21) The device according to claim 21, wherein the first light is a white light and the second light is a blue light. ### Claim 27 (depends on 21) The device according to claim 21, wherein the generating component includes at least one ultrasonic crystal. ### Claim 28 (depends on 21) The device according to claim 21, wherein the target spot is at a center of the select portion of the target tissue illuminated by the first light. ### Claim 29 (depends on 21) The device according to claim 21, wherein the generating component is exposed to an exterior of the ultrasound element such that the generating component is positioned against the target portion for direct delivery of the ultrasound energy. ### Claim 30 (depends on 29) The device according to claim 29, wherein the generating component is activated upon an identification of a lesion within the target spot. ### Claim 31 A method for tissue treatment, comprising: inserting into a body space an endoscopic element; illuminating tissue with a first light of a first wavelength and a second light of a second wavelength selected to facilitate identification of a first target portion of tissue via an integrated illumination element of the endoscopic element; and generating ultrasound energy for delivery to the first target portion via an integrated generating component of the endoscopic element, wherein the illumination element and the generating component are positioned within the endoscopic element such that the light from the illumination element and the ultrasound energy from the generating component converge on a target spot. ### Claim 32 (depends on 31) The method according to claim 31, wherein the second light of the illumination element illuminates the first target portion of the tissue as the generating component is moved into contact with the first target portion. ### Claim 33 (depends on 32) The method according to claim 32, further comprising: delivering the ultrasound energy to the first target portion while the generating component contacts the first target portion; and upon completion of the delivery of the ultrasound energy to the first target portion, moving the generating component away from the first target portion to contact a second target portion while illuminating the second target portion with the second light of the illumination element. ### Claim 34 (depends on 31) The method according to claim 31, wherein the target spot is at a center of a target area illuminated by the first light of the illumination element. ### Claim 35 (depends on 31) The method according to claim 31, wherein the generating component is exposed to an exterior of the ultrasound element such that the generating component is positioned against the target tissue for direct delivery of the ultrasound energy. ### Claim 36 (depends on 31) The method according to, claim 31, wherein the illumination element comprises a first illuminating component configured to generate the first light and a second illuminating component configured to generate the second light. ### Claim 37 (depends on 31) The method according to claim 31, wherein the first light is a white light and the second light is a blue light. ### Claim 38 (depends on 31) The method according to claim 31, wherein the generating component includes at least one ultrasonic crystal. ### Claim 39 (depends on 38) The method according to claim 38, wherein the at least one ultrasonic crystal is an array of ultrasonic crystals arranged along a curved surface of the generating component. ### Claim 40 (depends on 39) The method according to claim 39, wherein the curved surface has a focus area on the target spot.