Systems and methods for treatment of prostatic tissue

Patent metadata

Field	Value
Publication number	US-2020205873-A1
Application number	US-202016799039-A
Country	US
Kind code	A1
Filing date	Feb 24, 2020
Priority date	Nov 6, 2008
Publication date	Jul 2, 2020
Grant date	—

Abstract

A prostate therapy system is provided that may include any of a number of features. One feature of the prostate therapy system is that it can access a prostate lobe transurethrally. Another feature of the prostate therapy system is that it can deliver condensable vapor into the prostate to ablate the prostate tissue. Methods associated with use of the prostate therapy system are also covered.

First claim

1 .- 15 . (canceled)

16 . A method of treating a disorder of a prostate, the method comprising:
advancing a vapor ablation probe transurethrally into the prostate so that, within the prostate, the vapor ablation probe extends further in a longitudinal direction along a length of a urethra than in a transverse direction perpendicular to the longitudinal direction; delivering energy to the prostate via condensable vapor; and ablating a tissue of the prostate.

17 . The method of claim 16 , wherein the advancing the vapor ablation probe includes orienting a plurality of vapor ports of the vapor ablation probe toward the urethra.

18 . The method of claim 17 , wherein the delivering the energy includes delivering the condensable vapor toward the urethra.

19 . The method of claim 16 , wherein the advancing the vapor ablation probe includes advancing an introducer into the urethra and advancing the ablation probe through the introducer, and wherein at least part of the introducer and at least part of the ablation probe have complementary shapes preventing rotation of the ablation probe within the introducer.

20 . The method of claim 16 , wherein the vapor ablation probe has a curved shape.

21 . The method of claim 16 , wherein the advancing the vapor ablation probe includes advancing the vapor ablation probe from an apex of a lobe of the prostate toward a base of the lobe of the prostate.

22 . The method of claim 16 , wherein the delivering the energy includes delivering the condensable vapor in the transverse direction.

23 . The method of claim 16 , wherein the vapor ablation probe has a first portion, a second portion distal to the first portion, and a third portion distal to the second portion, and wherein, after the vapor ablation probe is advanced, each of the first portion and the third portion is closer to the urethra than the second portion is.

24 . The method of claim 16 , wherein the vapor ablation probe includes an electrode.

25 . A method of treating a disorder of a prostate, the method comprising:
advancing a vapor ablation probe transurethrally into the prostate; delivering condensable vapor into the prostate via a plurality of vapor ports of the vapor ablation probe, wherein each of the plurality of vapor ports is oriented so as to deliver the condensable vapor toward a urethra; and ablating prostate tissue without ablating the urethra.

26 . The method of claim 25 , wherein the advancing step includes advancing the vapor ablation probe so that, within the prostate, the vapor ablation probe extends further in a longitudinal direction along a length of the urethra than in a transverse direction perpendicular to the longitudinal direction.

27 . The method of claim 25 , wherein the advancing step further includes advancing the vapor ablation probe into an apex of a lobe of the prostate and toward a base of the lobe of the prostate.

28 . The method of claim 25 , wherein the advancing step further includes advancing an introducer into the urethra and advancing the ablation probe through the introducer, and wherein at least part of the introducer and at least part of the ablation probe have complementary shapes preventing rotation of the ablation probe within the introducer.

29 . The method of claim 25 wherein the vapor ablation probe has a first portion, a second portion distal to the first portion, and a third portion distal to the second portion, and wherein, after the vapor ablation probe is advanced, each of the first portion and the third portion is closer to the urethra than the second portion is.

30 . The method of claim 25 , wherein the vapor ablation probe includes an electrode.

31 . A method of treating a disorder of a prostate, the method comprising:
advancing a vapor ablation probe transurethrally into the prostate from an apex of a lobe of the prostate and toward a base of the lobe of the prostate so that, within the prostate, the vapor ablation probe extends further in a longitudinal direction along a length of a urethra than in a transverse direction perpendicular to the longitudinal direction; delivering condensable vapor into the prostate via a plurality of vapor ports of the vapor ablation probe, wherein each of the plurality of vapor ports is oriented so as to deliver the condensable vapor at least partially in the transverse direction; and ablating prostate tissue without ablating the urethra.

32 . The method of claim 31 , wherein the delivering the condensable vapor includes delivering the condensable vapor toward the urethra.

33 . The method of claim 31 , wherein the advancing the vapor ablation probe includes advancing an introducer into the urethra and advancing the ablation probe through the introducer, and wherein at least part of the introducer and at least part of the ablation probe have complementary shapes preventing rotation of the ablation probe within the introducer.

34 . The method of claim 31 , wherein the vapor ablation probe has a first portion, a second portion distal to the first portion, and a third portion distal to the second portion, and wherein, after the vapor ablation probe is advanced, each of the first portion and the third portion is closer to the urethra than the second portion is.

35 . The method of claim 31 , wherein the vapor ablation probe includes an electrode.

Assignees

• Boston Scient Scimed Inc

Inventors

• Hoey Michael
• Shadduck John H

Classifications

• A61B2018/048

  in gaseous form · CPC title

• A61B2034/2063

  Acoustic tracking systems, e.g. using ultrasound · CPC title

• A61B2218/002

  Irrigation · CPC title

• A61B18/14

  Probes or electrodes therefor · CPC title

• A61B18/04 Primary

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