Median Lobe Destruction Apparatus and Method

• US 20110166564A1
• Filed: 12/27/2010
• Published: 07/07/2011
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Cheng, Floria, Catanese, Joseph III, McLean, Matthew, Merrick, Daniel, Tachibana, Brian Y., Thompson, Ben, Tong, Ling-Kang, Niederjohn, James W., Gearhart, Michael
• Granted Patent: US 8,628,542 B2
• Time in Patent Office: Days
• US Class Current: 606/33
• 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 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00792 Plastic surgery
• CPC Class Codes: A61B 2017/00796 Breast surgery
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0419 : H-fasteners
• CPC Class Codes: A61B 2017/0464 : for soft tissue
• CPC Class Codes: A61B 2017/0479 : Packages or dispensers for MIS suturing instruments
• CPC Class Codes: A61B 2017/0488 : Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/06052 : Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle hollow suture needles A61B2017/061
• CPC Class Codes: A61B 2017/06095 : pliable
• CPC Class Codes: A61B 2017/2925 : Pistol grips
• CPC Class Codes: A61B 2018/00547 : Prostate
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2018/1869 : with an instrument interstitially inserted into the body, e.g. needles
• CPC Class Codes: A61B 8/06 : Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 : in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

A system and associated method for altering or destroying tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders. In one aspect, the system includes a device configured to deploy devices for altering the lobes of a prostate.

Claims

1. A method for treating benign prostatic hypertrophy, comprising:

assessing an anatomy of a median lobe;

inserting a treatment device within a urethra, the treatment device includes an extendable needle and an elongate member;

actuating the treatment device to advance the needle within the median lobe; and

manipulate the elongate member to capture, separate, cut, dissect and/or remove tissue of the median lobe.

2. The method of claim 1, wherein the elongate member is advanceable through the needle.

3. The method of claim 2, further comprising advancing the elongate member through and beyond the needle.

4. The method of claim 1, further comprising advancing the treatment device into an ejaculatory duct.

5. The method of claim 1, further comprising applying energy to the median lobe to destroy tissue.

6. The method of claim 5, wherein the energy is microwave energy.

7. The method of claim 1, further comprising cauterizing median lobe tissue.

8. The method of claim 1, further comprising applying a vacuum to remove tissue from the median lobe.

9. The method of claim 1, wherein the elongate member includes a rotatable helical blade, further comprising rotation of the helical blade.

10. The method of claim 1, wherein the elongate member includes a curved cutting blade and further comprising manipulating the curved blade to cut median lobe tissue.

11. The method of claim 1, wherein the elongate member includes articulating cutting arms and further comprising articulating the arms to cut median lobe tissue.

12. The method of claim 1, wherein the elongate member includes an expandable cutter and further comprising expanding the cutter to cut median lobe tissue.

13. The method of claim 1, wherein the elongate member is a blunt dissector and further comprising dissecting median lobe tissue with the dissector.

14. The method of claim 13, wherein the blunt dissector further includes a cutter blade.

15. The method of claim 1, wherein the elongate member includes a ligature and further comprising configuring the ligature about the median lobe.

16. A method for treating benign prostatic hypertrophy, comprising:

assessing an anatomy of a median lobe;

inserting a treatment device within a urethra;

actuating the treatment device to advance a cutting device within a bladder neck; and

cutting bladder neck and/or soft tissues surrounding the bladder neck.

17. The method of claim 16, further comprising relaxing an opening of the bladder neck so that space is created to permit an increased luminal opening at the bladder neck.

18. A system for enlarged median lobe treatment, comprising:

a treatment device, the device including an extendable needle; and

an elongate member, the elongate member sized and shaped to be advanced within and beyond the needle and including structure for capturing and/or removing median lobe tissue.

19. The system of claim 18, the system further comprising means for applying energy to destroy or cauterize median lobe tissue.

20. The system of claim 18, the elongate member including one or more of a vacuum, a cutter, a pincher, a ligature, or a dissector.