Laser tissue ablation system

• US 10,105,184 B2
• Filed: 07/13/2016
• Issued: 10/23/2018
• Est. Priority Date: 06/03/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Beck, Michael T., Koullick, Edouard A., Lund, Robert E., Evans, Douglas L., Will, Samuel L., Watson, Stuart F., Kang, Hyun Wook, Crank, Justin M., Dy, Somany, Thorson, Micah D.
• Primary Examiner(s): Downey, John R
• Application Number:
  US15/209,120
• Publication Number:
  US 20170007326A1
• Time in Patent Office: 832 Days
• Field of Search: 606 13- 15, 607 88- 92
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00202 rotating
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00226 extending from a surface, i.e. Blisters
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2018/2244 Features of optical fibre cables, e.g. claddings
• CPC Class Codes: A61B 2018/2261 with scattering, diffusion or dispersion of light
• CPC Class Codes: A61B 2090/3614 using optical fibre

Abstract

Embodiments of the invention are directed to a laser ablation system. In one embodiment, the laser ablation system comprises a shaft, a balloon, a laser fiber and a viewing fiber. The shaft has a proximal end and a distal end. The balloon is attached to the distal end of the shaft, a portion of which is within the balloon. The laser fiber has a distal end comprising a light dispenser that is configured to deliver laser light through the balloon. The viewing fiber is configured to image an interior balloon. In accordance with another embodiment, the laser ablation system comprises a shaft, a balloon and a laser fiber. The shaft has a proximal end and a distal end. The balloon is attached to the distal end of the shaft, which is within the balloon. The balloon includes an inflated state, in which the balloon is shaped to conform to a cavity of a patient. The laser fiber has a distal end comprising light dispenser that is configured to deliver laser light through the balloon.

Claims

1. An applicator comprising:

a shaft with a proximal end opposite of a distal end along a longitudinal axis;

a balloon attached to the distal end of the shaft, wherein the balloon comprises a first balloon attached to the distal end of the shaft, the distal end of the shaft being within the first balloon and a second balloon within the first balloon, the second balloon being formed of a material that is less distensible than a material forming the first balloon;

a support attached to a proximal end of the shaft;

a plurality of channels extending through each of the support and the shaft in a direction parallel with the longitudinal axis; and

at least one positioning component that is mounted on the support and operable to move a fiber placed in one of the plurality of channels.

2. The applicator of claim 1, wherein the fiber is a laser fiber.

3. The applicator of claim 2, wherein the support includes a laser actuator that is operable with a laser source to deliver laser light with the laser fiber.

4. The applicator of claim 1, wherein the support is removably attached to the proximal end of the shaft.

5. The applicator of claim 4, further including a bore extending through the support, wherein the support includes a hinged cover having an open position, wherein the proximal end of the shaft is removable from the bore, and a closed position, wherein the proximal end of the shaft is attached to the bore.

6. The applicator of claim 1, further including a bore extending through the support along a longitudinal axis of the support from the distal end to an internal point, the bore having an interior surface configured to receive and retain the proximal end of the shaft in the bore, the shaft having a shaft channel extending therethrough;

wherein at least one of the plurality of channels is formed by aligning a support channel extending through the support from the proximal end to the internal point, with the shaft channel when the proximal end of the shaft is received in the bore.

7. The applicator of claim 6, wherein the interior surface of the bore has a diameter sized to receive the shaft, and a shoulder positioned to retain the proximal end of the shaft in the bore.

8. The applicator of claim 7, wherein the support includes a hinged cover having an open position, wherein the proximal end of the shaft is receivable in the bore, and a closed position, wherein the proximal end of the shaft is retainable in the bore.

9. The applicator of claim 8, wherein the proximal end of the shaft has a fluid input port, and the support further includes a conduit channel leading to the fluid input port.

10. The applicator of claim 9, wherein the support includes a grip extending transversely to the longitudinal axis, and the conduit channel extends through the grip.

11. The applicator of claim 6, wherein the at least one positioning component includes a first wheel, and rotation of the first wheel causes movement of the fiber.

12. The applicator of claim 11, further comprising an axle extending through the support along a lateral axis transverse with the longitudinal axis, wherein the first wheel is coupled to a first roller and the axle, an exterior surface of the first roller is engageable with an exterior surface of the first fiber, and rotation of the first wheel about the lateral axis causes translational movement of the fiber along the longitudinal axis.

13. The applicator of claim 11, wherein the rotation of the first wheel causes translational movement of the fiber along the longitudinal axis, the positioning component further includes a second wheel, and rotation of the second wheel causes rotational movement of the fiber about the longitudinal axis.