Vapor ablation systems and methods

• US 10,194,970 B2
• Filed: 12/10/2014
• Issued: 02/05/2019
• Est. Priority Date: 12/10/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: NxThera, Inc (Boston Scientific Corporation)
• Inventors: Hastings, Roger Noel, Hoey, Michael, Carlson, Steven, Byrne, Matthew
• Primary Examiner(s): Della, Jaymi
• Application Number:
  US15/035,944
• Publication Number:
  US 20160270838A1
• Time in Patent Office: 1,518 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/044 the surgical action being effected by a circulating hot fluid
• CPC Class Codes: A61B 2018/048 in gaseous form
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

A vapor delivery system and method is provided that includes a number of features. In one embodiment, a method comprises inserting a vapor delivery needle into tissue of a patient, activating a flow of vapor from a vapor generator through vapor delivery ports of the vapor delivery needle to cause condensed liquid to exit vapor delivery ports of the vapor delivery needle, generating vapor in the vapor generator, delivering a dose of vapor through the vapor delivery ports of the vapor delivery needle into the tissue, and after the dose of vapor is delivered, re-activating the flow of vapor from the vapor generator through the vapor delivery ports of the vapor delivery needle to prevent a vacuum from forming in the vapor delivery needle. Vapor therapy systems are also provided.

Claims

1. A method for providing vapor therapy, comprising:

inserting a vapor delivery needle into tissue of a patient;

generating vapor in a vapor generator by;

heating a heating element that surrounds a flow of fluid to inductively generate the vapor;

monitoring a parameter of the heating element with an electronic controller; and

controlling the parameter at a set value with the electronic controller to insure consistent caloric content of the delivered vapor;

activating a flow of the vapor from the vapor generator through vapor delivery ports of the vapor delivery needle to cause condensed liquid to exit the vapor delivery ports of the vapor delivery needle;

de-activating the flow of the vapor;

after de-activating the flow of the vapor, delivering a dose of the vapor from the vapor generator through the vapor delivery ports of the vapor delivery needle into the tissue; and

after delivering the dose of the vapor, re-activating the flow of the vapor from the vapor generator through the vapor delivery ports of the vapor delivery needle to prevent a vacuum from forming in the vapor delivery needle.

2. The method of claim 1 wherein the parameter is a temperature of the heating element.

3. The method of claim 1, wherein the parameter is an electrical impedance of the heating element.

4. The method of claim 1, wherein the parameter is controlled to a first set point during the delivering step and controlled to a second set point during the activating and re-activating steps.

5. The method of claim 1, wherein the flow of vapor in the activating and re-activating steps comprises a flow of vapor ranging from approximately 0.1-0.3 ml/min.

6. The method of claim 1, wherein the inserting step comprises inserting the vapor delivery needle transurethrally into a prostate of the patient.

7. A vapor delivery system, comprising:

an elongate shaft configured to be inserted into a urethra of a patient;

a vapor delivery needle comprising a plurality of vapor delivery ports, the vapor delivery needle being disposed within the elongate shaft and configured to be advanced generally transverse from the elongate shaft into a prostate of the patient when the elongate shaft is positioned within the urethra of the patient;

a vapor generator coupled to the plurality of vapor delivery ports of the vapor delivery needle; and

an electronic controller operatively coupled to the vapor generator, the electronic controller being configured to;

generate vapor in a vapor generator by heating a heating element that surrounds a flow of fluid to inductively generate the vapor, monitor a parameter of the heating element, and control the parameter at a set value with the electronic controller to insure consistent caloric content of the delivered vapor;

activate a flow of the vapor from the vapor generator through the plurality of vapor delivery ports of the vapor delivery needle to cause condensed liquid to exit the plurality of vapor delivery ports of the vapor delivery needle;

de-activate the flow of the vapor;

after de-activating the flow of the vapor, deliver a dose of the vapor from the vapor generator through the plurality of vapor delivery ports of the vapor delivery needle into the prostate; and

after delivering the dose of the vapor, re-activate the flow of the vapor from the vapor generator through the vapor delivery needle to prevent a vacuum from forming in the vapor delivery needle.

8. The system of claim 7, wherein the parameter is a temperature of the heating element.

9. The system of claim 7, wherein the parameter is an electrical impedance of the heating element.

10. The system of claim 7, wherein the controller is configured to control the parameter to a first set point when the electronic controller delivers the dose of the vapor, and wherein the parameter is controlled to a second set point when the electronic controller activates and re-activates the flow of the vapor.

11. The system of claim 7, wherein the flow of the vapor comprises a flow of the vapor ranging from approximately 0.1-0.3 ml/min.