Systems and methods for delivering energy to passageways in a patient

• US 10,368,941 B2
• Filed: 07/02/2012
• Issued: 08/06/2019
• Est. Priority Date: 07/12/2007
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Webster, Noah, Dalbec, Timothy, Phan, Huy, Wizeman, William, Evans, William, Presta, Matthew
• Primary Examiner(s): Smith, Kaitlyn E
• Application Number:
  US13/540,091
• Publication Number:
  US 20120330299A1
• Time in Patent Office: 2,591 Days
• CPC Class Codes: A61B 18/0206 ultrasonic, e.g. for destroying tissue or enhancing freezing
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00092 using thermocouples
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

Systems and methods for delivering energy to passageways in a patient, such as airways in the lung of a patient for treating asthma. One embodiment of a method for delivering energy to a passageway comprises positioning an access device in a lung airway of a patient and advancing an elongated body of a treatment device along the access device until an energy delivery unit at a distal portion of the elongated body projects from the access device. The method can further include expanding the energy delivery unit such that energy delivery elements contact a sidewall of the airway and activating an energy supply coupled to the treatment device such that energy is delivered to the sidewall of the airway. A single person physically operates both the access device and the treatment device while expanding the energy delivery unit and activating the energy supply.

Claims

1. An energy delivery device, comprising:

a body having a proximal portion, a distal portion, and a lumen extending along the proximal and distal portions;

a wire extending through the lumen;

an energy delivery element at the distal portion of the body and attached to the wire; and

a handle having a grip, a head coupled to the proximal portion of the body and located at an upper portion of the grip, and an actuator mechanism coupled to the wire, wherein the handle comprises a first portion and a second portion rotatably attached to the first portion, the actuator is defined by one of the first portion and the second portion, the second portion has a flange with a notch and the first portion has a lever pivotally attached to the first portion, and the lever has a first end in the notch and a second end attached to the wire.

2. The energy delivery device of claim 1, wherein the energy delivery element comprises an electrode.

3. The energy delivery device of claim 1, wherein the body comprises a catheter including a cover with an inner wall, a coil coupled to the inner wall of the cover, and a lumen in the coil, and wherein the wire extends through the lumen of the coil.

4. The energy delivery device of claim 1, wherein the head projects outwardly from the grip such that a portion of the grip is narrower than the head.

5. An energy delivery device, comprising:

a body having a proximal portion, a distal portion, and a lumen extending along the proximal and distal portions;

a member extending through the lumen;

an electrode unit at the distal portion of the body attached to the member, and having a plurality of circumferentially spaced electrodes, wherein distal ends of the plurality of circumferentially spaced electrodes converge toward one another; and

a handle, wherein the member is coupled to a distal end of the electrode unit, wherein the member is configured to move reciprocally relative to the body via actuation of the handle, reciprocal movement of the member is configured to transition the electrode unit between a first, radially-collapsed configuration and a second, radially-expanded configuration, the member is biased in a distal direction by a resilient member or spring disposed proximally of the electrode unit to bias the electrode unit in the first, radially-collapsed configuration, and the electrode unit is transitioned from the first, radially-collapsed configuration to the second, radially-expanded configuration by pulling the member in a proximal direction.

6. The energy delivery device of claim 5, wherein the body comprises a catheter including a cover with an inner wall, a coil coupled to the inner wall of the cover, and a lumen in the coil, and the member extends through the lumen of the coil.

7. The energy delivery device of claim 5, wherein the handle has a first portion and a second portion rotatably attached to the first portion, the proximal portion of the body is coupled to one of the first and second portions, the member is coupled to one of the first and second portions such that relative rotation between the first and second portions moves the member longitudinally along the body, and the first portion has a first curved surface and the second portion has a second curved surface arranged such that the first and second curved surfaces define a hyperbolic-like shaped grip.

8. The energy delivery device of claim 7, wherein the second portion has a flange with a notch and the first portion has a lever pivotally attached to the first portion, and the lever has a first end in the notch and a second end attached to the member.

9. The energy delivery device of claim 5, wherein the resilient member or spring is disposed within the handle.

10. The energy delivery device of claim 5, wherein the electrode unit is transitioned from the second, radially-expanded configuration to the first, radially-collapsed configuration by releasing the member after it is pulled.

11. The energy delivery device of claim 5, wherein the member is a wire.

12. The energy delivery device of claim 5, wherein the electrode unit further includes a distal tip, the distal ends of the plurality of circumferentially spaced electrodes converge toward the distal tip, and the member extends through a volume defined by the plurality of circumferentially spaced electrodes to the distal tip.

13. The energy delivery device of claim 5, further including an energy generator configured to deliver radio frequency energy to the plurality of circumferentially spaced electrodes through the member.

14. An energy delivery device, comprising:

a body having a cover with an inner wall, a coil coupled to the inner wall of the cover, and a lumen in the coil;

a member extending through the lumen;

an energy delivery unit at a distal portion of the body, the energy delivery unit having a proximal retainer fixed to the body, a distal retainer attached to the member, and a plurality of flexible electrodes having proximal ends attached to the proximal retainer and distal ends attached to the distal retainer, wherein the member is coupled to a distal end of the energy delivery unit; and

a handle having a grip, a head coupled to a proximal portion of the body and located at an upper portion of the grip, and an actuator mechanism coupled to the member, wherein the head projects outwardly from the grip such that a portion of the grip is narrower than the head, the member is configured to move reciprocally relative to the body via actuation of the actuator mechanism, reciprocal movement of the member is configured to transition the energy delivery unit between a first, radially-collapsed configuration and a second, radially-expanded configuration, the member is biased in a distal direction by a resilient member or spring disposed proximally of the energy delivery unit to bias the energy delivery unit in the first, radially-collapsed configuration, and the energy delivery unit is transitioned from the first, radially-collapsed configuration to the second, radially-expanded configuration by pulling the member in a proximal direction.

15. The energy delivery device of claim 14, wherein a stroke length of the actuator mechanism of the handle is in a range from about 5 mm to about 40 mm.

16. The energy delivery device of claim 14, wherein the member is a wire.

17. The energy delivery device of claim 14, wherein the energy delivery unit is transitioned from the second, radially-expanded configuration to the first, radially-collapsed configuration by releasing the member after it is pulled.