Ablation system with blood leakage minimization and tissue protective capabilities

Patent metadata

Field	Value
Publication number	US-9352174-B2
Application number	US-64879709-A
Country	US
Kind code	B2
Filing date	Dec 29, 2009
Priority date	Dec 30, 2008
Publication date	May 31, 2016
Grant date	May 31, 2016

Abstract

An ablation system is provided that includes an ablating device and a probe. The probe is configured to be positioned in close proximity to a region of non-targeted tissue proximate an ablation site of targeted tissue. The probe includes an elongate shaft having proximal and distal ends, with a handle disposed at the proximal end thereof and a tissue protecting apparatus disposed at the distal end thereof. The ablating device includes an elongate shaft having proximal and distal ends, with a handle mounted at the proximal end thereof and an ablation element mounted at the distal end thereof. The ablation element includes an ultrasound transducer and an inflatable balloon surrounding the ultrasound transducer. The balloon includes a layer of gel disposed on its outer surface.

First claim

What is claimed is:

1. A system for performing an ablation procedure, comprising:
an ablating device configured to be inserted into the anatomy of a patient and to deliver ablating energy to an ablation site having targeted tissue;
a probe configured to be inserted into the anatomy of said patient and to be positioned proximate a region of non-targeted tissue that is proximate said ablation site, said probe comprising a tissue protecting apparatus disposed at a distal portion of said probe and configured to protect tissue in said region of non-targeted tissue from unintended ablation from said ablating device, said probe further comprising a fluid distribution lumen enabling said tissue protecting apparatus to receive fluid from a fluid source; and
a processor configured to determine contact and a degree of coupling between said tissue protecting apparatus and tissue in said region of non-targeted tissue that is proximate said ablation site; and wherein:
(a) the system further comprises a fluid flow controller configured to control the fluid source to create a circulation of fluid in said tissue protecting apparatus during the delivery of ablating energy; and
(b) said tissue protecting apparatus comprises one or more fluid outlets configured to allow fluid to exit said tissue protecting apparatus onto said region of non-targeted tissue.

2. The system of claim 1 wherein said ablating device is configured to be inserted into the heart of a patient and said probe is configured to be inserted into the esophagus of said patient.

3. The system of claim 1 , further comprising:
an acoustic transducer mounted on one of said probe and said ablating device.

4. The system of claim 1 further comprising a temperature monitoring apparatus mounted to said probe configured to monitor the temperature of said region of non-targeted tissue.

5. The system of claim 1 , wherein said probe comprises:
an elongate shaft having a proximal end portion and a distal end portion; and
a handle disposed at said proximal end;
wherein said tissue protecting apparatus is disposed at said distal end portion of said elongate shaft.

6. The system of claim 1 , wherein said ablating device comprises:
an elongate shaft having a proximal end portion and a distal end portion;
a handle disposed at said proximal end portion; and
a component for delivering ablation energy disposed at said distal end portion of said shaft.

7. The system of claim 1 , wherein said ablating device comprises a first elongate shaft, said first elongate shaft having a distal end portion, and an ablation energy delivery component, said ablation energy delivery component disposed at said distal end portion of said first elongate shaft;
further wherein said probe comprises a second elongate shaft that is separate from said first elongate shaft, said second elongate shaft having a distal end portion, said tissue protecting apparatus disposed at said distal end portion of said second elongate shaft.

8. The system of claim 1 , wherein said probe comprises a handle and said fluid flow controller is mounted on said handle.

9. The system of claim 1 , wherein said tissue protecting apparatus comprises a balloon and said one or more outlets comprise one or more holes in said balloon through which fluid may be dispensed from the balloon.

10. The system of claim 1 wherein said tissue protecting apparatus is a heat sink configured to reduce heat in said region of non-targeted tissue.

11. The system of claim 10 , further comprising the fluid source, said fluid source configured to be coupled to said heat sink through said fluid distribution lumen, said fluid source configured to supply fluid to said heat sink through said fluid distribution lumen.

12. The system of claim 11 wherein said heat sink comprises one or more fluid outlets configured to allow fluid to exit said probe towards said region of non-targeted tissue.

13. The system of claim 11 wherein said heat sink comprises an inflatable bladder configured to be inflated with fluid from said fluid source.

14. A system for performing an ablation procedure, comprising:
an ablating device configured to be inserted into the anatomy of a patient and to deliver ablating energy to an ablation site having targeted tissue;
a probe configured to be inserted into the anatomy of said patient and to be positioned proximate a region of non-targeted tissue proximate said ablation site, said probe including a tissue protecting apparatus disposed at a distal portion thereof configured to protect tissue in said region of non-targeted tissue from unintended ablation from said ablating device; and
a processor and an acoustic transducer electrically connected to said processor, wherein said acoustic transducer is mounted on one of said probe and said ablating device, and further wherein said processor is configured to receive information obtained with said acoustic transducer and to determine contact and a degree of coupling between said tissue protecting apparatus and tissue in said region of non-targeted tissue according to said information obtained with said acoustic transducer; and wherein:
(a) the system further comprises a fluid flow controller configured to control the fluid source to create a circulation of fluid in said tissue protecting apparatus during the delivery of ablating energy; and
(b) said tissue protecting apparatus comprises one or more fluid outlets configured to allow fluid to exit said tissue protecting apparatus onto said region of non-targeted tissue.

15. The system of claim 14 , wherein said acoustic transducer and said processor are configured to determine a location of said probe.

16. The system of claim 14 , wherein said ablating device is configured to be inserted into the heart of a patient and said probe is configured to be inserted into the esophagus of said patient.

17. The system of claim 14 further comprising a temperature monitoring apparatus mounted to said probe configured to monitor the temperature of said region of non-targeted tissue.

18. The system of claim 14 , wherein said ablating device comprises:
an elongate shaft having a proximal end portion and a distal end portion;
a handle disposed at said proximal end portion; and
a component for delivering ablation energy disposed at said distal end portion of said shaft.

19. The system of claim 14 , wherein said ablating device comprises a first elongate shaft, said first elongate shaft having a distal end portion, and an ablation energy delivery component, said ablation energy delivery component disposed at said distal end portion of said first elongate shaft;
further wherein said probe comprises a second elongate shaft that is separate from said first elongate shaft, said second elongate shaft having a distal end portion, said tissue protecting apparatus disposed at said distal end portion of said second elongate shaft.

20. The system of claim 14 wherein said tissue protecting apparatus is a heat sink configured to reduce heat in said region of non-targeted tissue.

21. The system of claim 20 , further comprising a fluid source configured to be coupled to said heat sink through a fluid distribution lumen disposed within said probe, said fluid source configured to supply fluid to said heat sink through said fluid distribution lumen.

22. The system of claim 21 wherein said heat sink is configured to dispense fluid therefrom and onto tissue in said region of non-targeted tissue.

23. The

Assignees

• Sliwa John W
• St Jude Medical Atrial Fibrill

Inventors

• Sliwa John W

Classifications

• A61B6/12 Primary

  Arrangements for detecting or locating foreign bodies · CPC title

• A61B2018/1861

  with an instrument inserted into a body lumen or cavity, e.g. a catheter · CPC title

• A61B18/1815

  using microwaves · CPC title

• A61B2018/00011

  with fluids · CPC title

• A61B2017/00106

  ultrasonic · CPC title