Systems and methods for prostate treatment

Patent metadata

Field	Value
Publication number	US-10987150-B2
Application number	US-201815900295-A
Country	US
Kind code	B2
Filing date	Feb 20, 2018
Priority date	Sep 13, 2011
Publication date	Apr 27, 2021
Grant date	Apr 27, 2021

Abstract

A vapor delivery needle is provided that may include any of a number of features. One feature of the energy delivery probe is that it can apply condensable vapor energy to tissue, such as a prostrate, to shrink, damage, denaturate the prostate. In some embodiments, the vapor delivery needle can be advanced a predetermined distance into the prostate by an actuation mechanism. The actuation mechanism can comprise, for example, a spring, or at least one magnet. Methods associated with use of the energy delivery probe are also covered.

First claim

What is claimed is:

1. A prostate treatment device, comprising:
an introducer shaft sized and configured for transurethral access into a patient;
a vapor generator configured to generate a condensable vapor;
a vapor delivery needle in communication with the vapor generator and slidably disposed within the introducer shaft;
a first magnet coupled to the vapor delivery needle, wherein the first magnet is configured to move distally relative to the introducer shaft; and
a second magnet configured to rotate about the first magnet so as to apply a magnetic force to the first magnet in order to move the vapor delivery needle between a retracted position, in which the vapor delivery needle is inside the introducer shaft, and an extended position, in which the vapor delivery needle is at least partially outside of the introducer shaft.

2. The device of claim 1 , wherein the magnetic force is configured to move the vapor delivery needle toward the extended position from the retracted position at a velocity ranging from 0.1 meters per second to 20.0 meters per second.

3. The device of claim 1 , wherein the magnetic force is configured to cause a tip portion of the vapor delivery needle to penetrate into prostate tissue when moving toward the extended position from the retracted position.

4. The device of claim 1 , wherein the vapor delivery needle is sized and configured to extend into prostate tissue in configurations in which the introducer shaft is positioned within a urethra of the patient.

5. The device of claim 1 , further comprising a third magnet configured to rotate about the first magnet, wherein a rotation of the second and third magnets relative to the first magnet applies a force upon the first magnet in order to move the vapor delivery needle distally or proximally between the second magnet and the third magnet.

6. The device of claim 1 , further comprising a grip adapted to control the second magnet.

7. The device of claim 1 , further comprising a lock configured to lock the vapor delivery needle in the retracted position.

8. The device of claim 7 , further comprising a trigger adapted to release the lock to thereby move the vapor delivery needle to the extended position from the retracted position.

9. The device of claim 1 , further comprising a vapor actuator for actuating a flow of condensable vapor through the vapor delivery needle.

10. A prostate treatment device, comprising:
an introducer shaft sized and configured for transurethral access into a patient;
a vapor generator configured to generate a condensable vapor;
a vapor delivery needle in communication with the vapor generator and slidably disposed within the introducer shaft;
a first permanent magnet coupled to the vapor delivery needle, wherein the first permanent magnet is configured to move distally relative to the introducer shaft; and
a second permanent magnet configured to apply a magnetic force to the first magnet in order to move the vapor delivery needle between a retracted position, in which the vapor delivery needle is inside the introducer shaft and an extended position, in which the vapor delivery needle is at least partially outside of the introducer shaft.

11. The device of claim 10 , wherein the magnetic force configured to move the vapor delivery needle toward the extended position from the retracted position at a velocity ranging from 0.1 meters per second to 20.0 meters per second.

12. The device of claim 10 , wherein the magnetic force is a first magnetic force, the device further comprising a third permanent magnet configured to apply a second magnetic force in order to move the vapor delivery needle between the retracted position and the extended position.

13. The device of claim 12 , wherein the second magnet and the third magnet are configured to rotate about the first magnet.

14. The device of claim 13 , wherein the first magnetic force and the second magnetic force are operative to move the vapor delivery needle distally or proximally between the second magnet and the third magnet.

15. The device of claim 10 , further comprising a grip adapted to control the second magnet.

16. A prostate treatment device, comprising:
an introducer shaft sized and configured for transurethral access into a patient;
a handle at a proximal end of the introducer shaft;
a vapor generator configured to generate a condensable vapor;
a vapor delivery needle in communication with the vapor generator and slidably disposed within the handle and the introducer shaft;
a first magnet disposed in the handle and coupled to the vapor delivery needle, wherein the first magnet is configured to move distally relative to the handle and the introducer shaft; and
a second magnet disposed in the handle and configured to apply a magnetic force to the first magnet in order to move the vapor delivery needle between a retracted position, in which the vapor delivery needle is inside the introducer shaft and an extended position, in which the vapor delivery needle is at least partially outside of the introducer shaft.

17. The device of claim 16 , wherein the handle includes a pistol grip.

18. The device of claim 17 , wherein the handle further includes a trigger, and wherein depression of the trigger is configured to rotate the second magnet relative to the first magnet.

19. The device of claim 16 , wherein each of the first magnet and the second magnet is a permanent magnet.

20. The device of claim 16 , wherein the force is a first force, the device further comprising a third magnet disposed in the handle and configured to apply a second magnetic force to the first magnet in order to move the vapor delivery needle between the retracted position and the extended position.

Assignees

• Boston Scient Scimed Inc

Inventors

• Hoey Michael
• Schrom Mark
• Paulos Stephanos
• Beyreis Randall
• Bilitz Mark

Classifications

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2218/007

  Aspiration · CPC title

• A61B2018/00517

  Urinary bladder or urethra · CPC title

• A61B2018/00642

  with feedback, i.e. closed loop control · CPC title

• A61B2018/00029

  open · CPC title