Prostate treatment stent

• US 20060095058A1
• Filed: 10/12/2005
• Published: 05/04/2006
• Est. Priority Date: 10/13/2004
• Status: Abandoned Application

• Current Assignee: Protech Medical Technologies Ltd.
• Original Assignee: Protech Medical Technologies Ltd.
• Inventors: Sivan, Tovy, Kilemnik, Ido
• Application Number:
  US11/248,733
• Publication Number:
  US 20060095058A1
• Time in Patent Office: Days
• US Class Current: 606/170
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/32096 for slowly cutting through tissue, e.g. stent like temporary implants having sharp edges
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90

Abstract

A method of dissecting urethra obstructing tissue. The method includes capturing urethra obstructing tissue between portions of an implant and applying pressure on the tissue caught between the portions of the implant, for longer than 1 hour, until the tissue dies or falls off.

Claims

1. A method of dissecting urethra obstructing tissue, comprising:

capturing urethra obstructing tissue between portions of an implant; and

applying pressure on the tissue caught between the portions of the implant, for longer than 1 hour, until the tissue dies or falls off.

2. A method according to claim 1, wherein the implant applies different pressure levels along a length corresponding to an axis of the urethra.

3. A method according to claim 1, wherein the implant applies substantially equal pressure along its length.

4. A method according to claim 1, wherein the implant comprises an elastic device.

5. A method according to claim 1, wherein applying the pressure comprises applying pressure for at least a day.

6. A method according to claim 1, wherein applying the pressure comprises applying pressure for at least a week.

7. A method according to claim 1, wherein the implant comprises sharp tips pointed outward from the implant.

8. A method according to claim 7, wherein the implant comprises tips pointed in directions in which the implant is adapted to capture tissue.

9. A method according to claim 1, wherein applying the pressure comprises applying pressure parallel to the axis of the urethra.

10. A method according to claim 1, wherein capturing tissue comprises inserting the implant into the urethra in a stretched state and releasing the implant such that it contracts and grasps tissue while contracting.

11. A method according to claim 1, wherein applying the pressure comprises applying by a non-elastic implant.

12. A method according to claim 1, wherein capturing tissue by an implant comprises inserting to the urethra an implant coated by a bio-active material.

13. A method according to claim 12, wherein the bio-active material comprises a tissue dissection drug.

14. A method according to claim 12, wherein the drug comprises a counter inflammation drug.

15. A method according to claim 1, wherein the implant comprises a coil.

16. A method according to claim 15, wherein capturing tissue comprises inserting the coil into the urethra in a winded state and rewinding the coil within the urethra.

17. A method according to claim 15, wherein the coil is formed of a wire having different thicknesses or cross-section shapes along its length.

18. A method according to claim 15, wherein the coil has different length gaps between different pairs of turns of the coil.

19. A method according to claim 15, wherein the coil is pulled inside out in its production process.

20. A method according to claim 1, wherein the implant radially contracts when stretched axially.

21. A tissue dissecting implant kit, comprising:

an implant comprising a plurality of rings coupled to each other elastically, such that an elastic pressure is applied on tissue caught between adjacent rings; and

a sterile package encompassing the implant,

wherein the implant has different distances between adjacent rings along its length or has different material thicknesses or cross-section shapes along its length.

22. An implant kit according to claim 21, wherein the implant comprises a coil.

23. An implant kit according to claim 21, wherein the implant has different distances between adjacent rings along its length.

24. An implant kit according to claim 21, wherein when the implant is in a stretched state resulting from pulling the implant from opposite ends, substantially the same pressure is applied between each pair of adjacent rings.

25. An implant kit according to claim 21, wherein the implant contracts radially when it contracts axially at a first axial stretching extent and expands radially when it contracts axially at a second axial stretching extent.

26. A tissue dissecting implant kit, comprising:

an elongate tube, sized and shaped to fit into a urethra, having a plurality of slits in a circumference of the tube, such that when the tube is in a stretched state along its length it applies a contraction force on tissue within the slits; and

a sterile package in which the tube is packaged.

27. An implant kit according to claim 26, wherein the tube has a substantially cylinder shape in its rest state.

28. A tissue dissecting implant kit, comprising:

an implant comprising a plurality of rings coupled to each other elastically, such that an elastic pressure is applied on tissue caught between adjacent rings; and

a sterile package encompassing the implant,

wherein at least some of the ring surfaces facing each other have non-smooth surfaces.

29. An implant kit according to claim 28, wherein the non-smooth surfaces comprise rough surfaces having a feel similar to sand paper.

30. An implant kit according to claim 28, wherein the non-smooth surfaces comprise small protrusions.

31. An implant kit according to claim 28, wherein the rings are substantially polygonal.

32. An implant kit according to claim 28, wherein the implant comprises a coil.

33. An implant kit according to claim 28, wherein the implant comprises a cylinder with slits.

34. A method of treating the urethra, comprising:

inserting to the urethra an outer tube;

inserting within the outer tube a viewing apparatus;

setting a position of the outer tube in the urethra, which position protects the sphincter, using the viewing apparatus; and

applying a treatment to the urethra while the sphincter is protected by the outer tube.

35. A method according to claim 34, wherein applying the treatment comprises removing the viewing apparatus from the outer tube and inserting a treatment probe through the outer tube.

36. A method according to claim 34, wherein applying the treatment comprises applying RF ablation.

37. A method according to claim 34, wherein applying the treatment comprises cutting tissue with a knife.

38. A method according to claim 34, wherein applying the treatment comprises implanting a tissue dissection implant.

39. A method according to claim 34, wherein the viewing apparatus comprises an optic fiber.

40. An implant delivery system for inserting an implant to the urethra, comprising:

a probe adapted to be inserted to a urethra;

an implant holding unit adapted to hold an axially elastic implant in a stretched state on the probe; and

a release unit adapted to release the implant from the holding unit.

41. An implant delivery system according to claim 40, wherein the implant holding unit is adapted to hold the implant in an axially stretched state.

42. An implant delivery system according to claim 40, wherein the implant holding unit is adapted to hold the implant in a winded state.

43. An implant delivery system according to claim 42, wherein the release unit is adapted to rewind the implant.

44. An implant delivery system according to claim 40, comprising a cover which separates the implant from the urethra until the implant is to be released.

45. An implant delivery system according to claim 40, wherein the implant holding unit comprises strings that are torn by the release unit.

46. A tissue dissecting implant, comprising:

an axially elastic implant adapted for insertion into the urethra; and

a bioactive material coupled to at least a portion of the implant.

47. An implant according to claim 46, wherein the bioactive material comprises a tissue dissection drug.

48. An implant according to claim 46, wherein the bioactive material comprises a counter inflammation drug.

49. An implant according to claim 46, wherein the bioactive material comprises a counter infection drug.

50. An implant according to claim 46, wherein the bioactive material coats at least a portion of an outer surface of the implant.

51. An implant according to claim 46, wherein the bioactive material coats at least some of the member surfaces facing another member.

52. An implant according to claim 46, wherein the bioactive material coats at least a portion of the implant.

53. An implant according to claim 46, wherein the bioactive material is embedded in at least a portion of the implant.

54. An implant according to claim 46, wherein the implant comprises a plurality of members adapted to apply a dissecting force to tissue caught between the members

55. A method of implanting an implant into the urethra, comprising:

mounting the implant in a stretched state onto a probe suitable for insertion into the urethra;

inserting the probe into the urethra, with the implant in the axially stretched state; and

releasing the implant from the probe within the urethra, such that the implant axially condenses.

56. A method according to claim 55, wherein mounting the implant in a stretched state comprises mounting in an axially stretched state.

57. A method according to claim 55, wherein the implant expands radially when it condenses axially.

58. A method according to claim 55, wherein the implant is released from the minimally invasive tool after tissue enters the implant in a manner which dampens the axial contraction of the implant.

59. A method according to claim 55, wherein mounting the implant in a stretched state comprises mounting in a wound state.