Systems and methods for impairing smooth muscle tissue function

1. A smooth muscle tissue impairment system comprising:

an elongated sheath comprising a proximal and a distal end, a distal end opening, and a longitudinal axis extending between the proximal end and the distal end;

a fluid supply apparatus comprising a pump;

an ablation apparatus comprising:

an ablation device extending through the elongated sheath, wherein the ablation device can be moved distally and proximally relative to the elongated sheath, the ablation device comprising a catheter with a distal tip moveable through the distal end opening of the sheath;

wherein the ablation device includes a delivery lumen extending therethrough, the delivery lumen having a delivery port at the distal tip of the catheter moveable through the distal end opening of the sheath, and wherein fluid supplied by the fluid supply apparatus is delivered through the delivery lumen and out through the delivery port, whereby fluid delivered through the delivery lumen and the delivery port comes into contact with tissue when the delivery port is positioned adjacent to the tissue;

wherein the ablation device includes a return lumen extending therethrough, the return lumen comprising a return port proximate the distal end of the ablation device and in fluid communication with the delivery port such that the fluid delivered out through the delivery port can be withdrawn through the return port and the return lumen; and

wherein the ablation device includes an electrode attached to the distal tip of the catheter moveable through the distal end opening of the sheath; and

an energy source operably connected to the electrode through a conductor extending through the ablation device, such that the electrode can supply energy from the energy source;

wherein, the electrode is positioned on the distal tip of the catheter adjacent to the delivery port on the distal tip of the catheter such that energy supplied by the electrode is transferred through the fluid delivered out through the delivery port, whereby energy supplied by the electrode is transferred through the fluid to tissue when the delivery port is positioned adjacent to the tissue.

2. A system according to claim 1 , wherein at least a portion of fluid delivered to an enclosed volume through the delivery port of the delivery lumen can be removed from the enclosed volume through the return lumen.

3. A system according to claim 1 , wherein the system further comprises an expansion device on an exterior surface of the elongated sheath, wherein the expansion device comprises a delivery configuration in which the expansion device is unexpanded and an expanded configuration in which the expansion device is expanded to increase its size as compared to the delivery configuration.

4. A system according to claim 1 , wherein the energy source comprises two or more of: a DC electrical source, an RF energy source, an ultrasonic energy source, a microwave energy source, a vibration energy source, a laser.

5. A system according to claim 1 , further comprising a temperature sensing system comprising a temperature sensor located proximate the distal end of the elongated sheath.

6. A system according to claim 1 , wherein the fluid supply apparatus comprises a fluid reservoir and a peristaltic pump.

7. A system according to claim 1 , wherein the energy source comprises a DC electrical source.

8. A system according to claim 1 , wherein the energy source comprises an RF energy source.

9. A system according to claim 1 , wherein the energy source comprises an ultrasonic energy source.

10. A system according to claim 1 , wherein the energy source comprises a microwave energy source.

11. A system according to claim 1 , wherein the energy source comprises a vibration energy source.

12. A system according to claim 1 , wherein the energy source comprises a laser.

13. A system according to claim 3 , wherein the expansion device on the exterior surface of the elongated sheath comprises a balloon.