Intrauterine treatment device with articulating array

Patent metadata

Field	Value
Publication number	US-10499981-B2
Application number	US-201815878326-A
Country	US
Kind code	B2
Filing date	Jan 23, 2018
Priority date	Mar 13, 2013
Publication date	Dec 10, 2019
Grant date	Dec 10, 2019

Abstract

An intrauterine device includes an articulating array. The intrauterine device can be operated by articulating the articulating array into an installed position or geometry within the uterus of a patient. Further, the articulating array can be constructed to include an insertion geometry have a smaller cross section than an installation geometry. The articulating array can also be constructed to be housed within a sheath in the intrauterine device. Once the sheath has been inserted into a patient, for example through the patient's cervix, the articulating array can be deployed in its insertion geometry and then articulated into an installed position. The articulating array can include a plurality of expansion chambers. The expansion chambers can be constructed and arranged to take on the installed geometry when expanded. In one embodiment, the purpose of the articulating array is to position a conductive array within the patient's uterus enabling ablation of the uterine lining.

First claim

What is claimed is:

1. An intrauterine ablation device, comprising:
a sheath configured for transcervical introduction;
an articulating array slidably disposed within the sheath and comprising at least three serially disposed expansion chambers, the articulating array having an insertion geometry in which the expansion chambers are linearly aligned in a deflated configuration that may be inserted into a uterus through the sheath, and an installed geometry, in which the expansion chambers are inflated and are rolled into a non-linear configuration;
a conductive array disposed on a surface of the articulating array, wherein the conductive array is configured to contact uterine wall tissue when the conductive array is inserted into the uterus and transitioned to the installed geometry; and
a port configured to receive an inflation media, wherein delivery of the inflation media to the expansion chambers causes the articulating array to transition from the insertion geometry to the installed geometry.

2. The intrauterine ablation device of claim 1 , the at least three serially disposed expansion chambers of the articulating array including at least first, second and third expansion chambers, wherein the second expansion chamber is disposed between the first and third expansion chambers, so that a proximal portion of the second expansion chamber is disposed adjacent to a distal portion of the first expansion chamber, and a distal portion of the second expansion chamber is disposed adjacent to a proximal portion of the third expansion chamber, wherein when the articulating array is positioned within a uterus via the sheath, and transitioned from the insertion geometry to the installed geometry, the respective first, second and third expansion chambers place the conductive array into contact with uterine wall tissue.

3. The intrauterine device of claim 1 , wherein the conductive array comprises a mesh structure.

4. The intrauterine device of claim 1 , wherein the articulating array further comprises a plurality of channels fluidly coupled to the expansion chambers for delivering and/or withdrawing the inflation media to the expansion chambers through the channels.

5. The intrauterine device of claim 1 , wherein inflation of the expansion chambers causes the articulating array to transition from the insertion geometry into the installed geometry.

6. The intrauterine device of claim 1 , wherein the installed geometry comprises a furled frond-like configuration.

7. The intrauterine device of claim 1 , further comprising a contact sensor disposed on an outer surface of the articulating array.

8. The intrauterine device of claim 1 , further comprising a strain gauge coupled to the articulating array.

9. The intrauterine device of claim 1 , further comprising at least one sensor configured to sense the installed geometry of the articulating array.

10. The intrauterine device of claim 1 , further comprising at least one inflation member having an inflation lumen fluidly coupled to the expansion chambers, with a proximal end of the inflation member configured for fluidly coupling the inflation lumen with a source of inflation media.

11. The intrauterine device of claim 1 , further comprising a controller configured to control pressure within the expansion chambers so as to transition the articulating array between the insertion geometry and the installed geometry.

12. The intrauterine device of claim 1 , wherein the installed geometry is defined by an elasticity of the expansion chambers.

13. The intrauterine device of claim 1 , wherein the installed geometry is triangular, circular, or diamond-shaped.

Assignees

• Hologic Inc

Inventors

• Model Jeffrey

Classifications

• A61B2018/00577

  Ablation · CPC title

• A61B2018/00791

  Temperature · CPC title

• A61B2017/00557

  inflatable (A61B2017/22051 takes precedence) · CPC title

• A61B2034/302

  specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities · CPC title

• A61B18/1485 Primary

  having a short rigid shaft for accessing the inner body through natural openings · CPC title