Method and device for disintegrating stones in human ducts

• US 4,030,505 A
• Filed: 11/28/1975
• Issued: 06/21/1977
• Est. Priority Date: 11/28/1975
• Status: Expired due to Term

• Current Assignee: Calculus Instruments Limited
• Original Assignee: Calculus Instruments Limited
• Inventors: Tessler, Arthur N.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Cohen, Lee S.
• Application Number:
  US05/636,241
• Time in Patent Office: 571 Days
• Field of Search: 128/328, 128/242-244, 128/341, 128/345, 128/352, 128/356, 128/24 A
• US Class Current: 606/128
• CPC Class Codes: A61B 17/22022 using electric discharge
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 3/0279 Cannula; Nozzles; Tips; their connection means

Abstract

Method and device for disintegrating concretions, or sclerotic clots within human ducts. The method and system are particularly adapted to disintegrating stones in the ureter and kidney, as well as the bladder. The method includes axially abutting the concretion within the human duct while outwardly distending the walls of the duct adjacent the concretion, directing a series of high voltage, low amperage pulses into the ducts and discharging the pulses radially outwardly across the surface of the concretions, while flowing a liquid peripherally of the discharging pulses, so as to direct an hydroelectric impact against the concretion. The outward distending of the walls and the flowing liquid, particularly in narrow human ducts such as the ureter, prevent tissue damage by shock and burning.

Claims

1. Method for removing concretions within human ducts comprising:

A. axially abutting a concretion within a human duct, while outwardly distending the walls of said duct adjacent said concretion;

B. generating a series of high voltage electrical pulses of sufficiently low amperage to avoid harm to human tissues;

C. directing said pulses within an insulating medium extending into said duct to the situs of said concretion

D. selectively discharging said pulses radially outwardly across the surface of said concreation; and

E. flowing a liquid peripherally of said discharging of pulses, so as to direct an hydroelectric impact against said concretion.

2. Method for removing concretions within human ducts as in claim 1, including directing said pulses within an insulating medium extending into said duct within the ureter and kidney.

3. Method for removing concretions within human ducts as in claim 2, including discharging said electrical pulses and flowing said liquid so as to cavitate across the surface of said concretion.

4. Method for removing concretions within human ducts as in claim 3, wherein said flowing liquid is discharged at the interface of said discharging electrical pulses upon said concretion. 2

5. Method for removing concretions within human ducts as in claim 1, wherein said flowing liquid surges within the outwardly distended walls of said duct as an additional insulating medium.

6. A device for removing concretions within human ducts comprising:

A. a a flexible conduit of inert material of a size to be extensible within said ducts to the situs of said concretions and having an inlet and an outlet and including;

i. a flexible positive electrode extending coaxially within and terminating at said outlet of said conduit and being embedded in electrically insulative material; and

ii. a negativve electrode peripherally embedded in said conduit apart from said positive electrode and terminating at said outlet of said conduit, as a continuous electrically conductive surface encircling and coextensive with said positive electrode, said negative electrode being supported apart from said positive electrode so as to define a liquid carrying outer annulus extending the length of said conduit, such that liquid may be delivered simultaneously and coextensively with an electrical discharge, as hydroelectric cavitation upon said concretions and as insulating medium intermediate said electrodes,

B. a harp distender supported at said outlet of said flexible conduit and extending beyond said electrodes, means for moving said sharp distender so as to distend outwardly said ducts in the area of said electrodes; and

C. a high voltage, low amperage pulse generating apparatus operatively connected to said positive electrode and said negative electrode, such that electrical discharges radiate from said positive electrode across the surface of said concretions.

7. A device for removing concretions within human ducts as in claim 6, said conduit being less than 1/16 inch in diameter.

8. A device for removing concretions within human ducts as in claim 6, said conduit being especially adapted for cystoscopy of the ureter and of sufficient length to extend into the kidney.

9. A device for removing concretions within human ducts as in claim 8, said harp distender supported at said outlet having an inner portion encircling and extending parallel beyond said electrodes and a distendable outer portion superposed with respect to said inner portion.

10. A device for removing concretions within human ducts as in claim 9, said harp distender outer portion being flexible radially outwardly of said inner portion upon longitudinal movement of said conduit of inert material, so as to distend outwardly the walls of said duct.