Systems and methods for treating the prostate

Patent metadata

Field	Value
Publication number	US-11786287-B2
Application number	US-202017021148-A
Country	US
Kind code	B2
Filing date	Sep 15, 2020
Priority date	Dec 10, 2013
Publication date	Oct 17, 2023
Grant date	Oct 17, 2023

Abstract

A vapor delivery system and method is provided that is adapted for treating prostate tissue. The vapor delivery system includes a vapor delivery needle configured to deliver condensable vapor energy to tissue. In one method, the vapor delivery system is advanced transurethrally into the patient to access the prostate tissue. The vapor delivery system is properly positioned by measuring and advancing the system based on a field-of-view of an endoscope or camera disposed within the system.

First claim

What is claimed is:

1. A method of treatment, the method comprising:
inserting a shaft of a vapor delivery system into a urethra of a patient;
after the inserting the shaft of the vapor delivery system, advancing a distal portion of the shaft toward a bladder neck of the patient;
after advancing the distal portion of the shaft, determining a first position of the shaft using at least one sensor of the shaft;
after the determining the first position of the shaft, moving the distal portion of the shaft proximally toward a veru;
during the moving the distal portion of the shaft, determining a second position of the shaft using the at least one sensor;
after the moving the distal portion of the shaft, deploying a vapor delivery needle from the shaft into a first treatment region of a prostate of the patient; and
after the deploying the vapor delivery needle, delivering vapor via the vapor delivery needle into the first treatment region of the prostate to ablate tissue in the prostate, wherein the moving the distal portion of the shaft occurs prior to delivery of any vapor to the prostate via the vapor delivery needle during the method of treatment.

2. The method of claim 1 , wherein the at least one sensor includes a camera, the method further comprising:
using the determined second position of the shaft, measuring a distance from the bladder neck to the veru of the patient using a known field of view of the camera.

3. The method of claim 2 , wherein the determining the second position of the shaft includes identifying an anatomical landmark within a portion of the known field of view of the camera that is closest to the veru and automatically tracking the anatomical landmark using an electronic controller.

4. The method of claim 2 , further comprising:
determining a number of treatments to perform based on the measured distance from the bladder neck to the veru.

5. The method of claim 1 , wherein the determining the second position of the shaft includes determining an orientation of the shaft.

6. The method of claim 5 , further comprising providing an alert if the determined orientation exceeds a threshold value.

7. The method of claim 1 , wherein the at least one sensor includes at least one of an accelerometer, an inertial navigation chip, a gyroscope, or a GPS sensor.

8. The method of claim 1 , wherein the determining the first position comprises:
using a plurality of emitters located around the patient, broadcasting AC magnetic fields;
using the at least one sensor, receiving the AC magnetic fields; and
using the at least one sensor, processing the received AC magnetic fields to determine the location and orientation of the at least one sensor.

9. The method of claim 1 , further comprising, after the moving the distal portion of the shaft and before the deploying the vapor delivery needle, advancing the distal portion of the shaft toward the bladder neck of the patient.

10. A method of treatment, the method comprising:
inserting a shaft of a vapor delivery system into a urethra of a patient;
after the inserting the shaft of the vapor delivery system, first advancing a distal portion of the shaft toward a bladder neck of the patient;
after the first advancing the distal portion of the shaft, determining a first position of the shaft using at least one sensor of the shaft;
after the determining the first position of the shaft, moving the distal portion of the shaft proximally toward a veru;
during the moving the distal portion of the shaft, determining a second position of the shaft using the at least one sensor;
after the determining the second position of the shaft, again advancing the distal portion of the shaft toward the bladder neck of the patient;
after the again advancing the distal portion of the shaft, deploying a vapor delivery needle from the shaft into a first treatment region of a prostate of the patient; and
after the deploying the vapor delivery needle, delivering vapor via the vapor delivery needle into the first treatment region of the prostate to ablate tissue in the prostate, wherein no vapor has been delivered during the method prior to the deploying the vapor delivery needle.

11. The method of claim 10 , wherein the at least one sensor includes a camera, the method further comprising:
using the determined second position of the shaft, measuring a distance from the bladder neck to the veru of the patient using a known field of view of the camera.

12. The method of claim 11 , wherein the determining the second position of the shaft includes identifying an anatomical landmark near a portion of the known field of view of the camera that is closest to the veru and automatically tracking the anatomical landmark using an electronic controller.

13. The method of claim 11 , further comprising:
determining a number of treatments to perform based on the measured distance from the bladder neck to the veru.

14. The method of claim 10 , wherein the determining the second position of the shaft includes determining an orientation of the shaft.

15. The method of claim 14 , further comprising providing an alert if the determined orientation exceeds a threshold value.

16. The method of claim 10 , wherein the at least one sensor includes at least one of an accelerometer, an inertial navigation chip, a gyroscope, or a GPS sensor.

17. The method of claim 10 , wherein the determining the first position comprises:
using a plurality of emitters located around the patient, broadcasting AC magnetic fields;
using the at least one sensor, receiving the AC magnetic fields; and
using the at least one sensor, processing the received AC magnetic fields to determine the location and orientation of the at least one sensor.

18. A method of treatment, the method comprising:
inserting a shaft of a vapor delivery system into a urethra of a patient;
after the inserting the shaft of the vapor delivery system, first advancing a distal portion of the shaft toward a bladder neck of the patient;
after the first advancing the distal portion of the shaft, determining a first position of the shaft using at least one sensor of the shaft;
after the determining the first position of the shaft, moving the distal portion of the shaft proximally toward a veru;
during the moving the distal portion of the shaft, determining a second position of the shaft using the at least one sensor;
after the determining the second position of the shaft, again advancing the distal portion of the shaft toward the bladder neck of the patient;
after the again advancing the distal portion of the shaft, deploying a vapor delivery needle from the shaft into a first treatment region of a prostate of the patient; and
after the deploying the vapor delivery needle, delivering vapor via the vapor delivery needle for a first time during the method, wherein the vapor is delivered into the first treatment region of the prostate to ablate tissue in the prostate.

19. The method of claim 18 , wherein the at least one sensor includes a camera, the method further comprising:
using the determined second position of the shaft, measuring a distance from the bladder neck to the veru of the patient using a known field of view of the camera.

20. The method of claim 19 , wherein the determining the second position of the shaft includes identifying an anatomical landmark near a portion of the known field of view of the camera that is closest to the veru and automatically tracking the anatomical landmark using an electronic controller.

Assignees

• Boston Scient Scimed Inc

Inventors

• Hoey Michael
• Hastings Roger Noel

Classifications

• A61B1/015

  Control of fluid supply or evacuation · CPC title

• A61B1/00087

  Tools (A61B17/00234 takes precedence) · CPC title

• A61B18/04 Primary

  by heating (by applying electromagnetic radiation A61B18/18) · CPC title

• A61B34/20

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B1/00154

  using guiding arrangements for insertion · CPC title