Method and apparatus for applying thermal energy to luminal tissue

• US 5,290,278 A
• Filed: 11/06/1992
• Issued: 03/01/1994
• Est. Priority Date: 10/20/1992
• Status: Expired due to Fees

• Current Assignee: Premier Laser Systems, Inc.
• Original Assignee: Proclosure, Inc.
• Inventors: Anderson, Dallas W.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US07/972,532
• Time in Patent Office: 480 Days
• Field of Search: 606/2, 606/3, 606/7-16, 128/395-398, 607/88, 607/89
• US Class Current: 606/15
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00508 using laser
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2018/2288 the optical fibre cable having a curved distal end

Abstract

A method and apparatus for sealing luminal tissue is disclosed. The apparatus is inserted into the lumen of the organ and positioned adjacent an area on the organ to be sealed. Energy sufficient to heat tissue to form a denatured proteinaceous substance is delivered through the lumen to the apparatus. The apparatus then directs the energy at the area to be sealed.

Claims

1. An apparatus for sealing tubular organs, the apparatus comprising:

a rigid main portion coupled to a rigid tubular portion;

said main portion and tubular portion having an inner surface and a generally arcuate shaped outer surface;

means for expanding the tubular portion radially to engage the lumen;

a source of energy sufficient to heat tissue to form a denatured proteinaceous substance; and

means for delivering the energy from the source to the inner surface of the tubular portion;

and means for directing the energy through the inner surface and out the outer surface, when the tubular portion expands to engage the organ, to heat the organ to a temperature within a nondestructive range bounded by a minimum temperature at which tissue forms a denatured proteinaceous substance and a maximum temperature at which water in the tissue would boil.

2. The apparatus as recited in claim 1 wherein said source of energy is optical energy, and wherein said delivering means includes at least one fiber optic cable that has a proximate end connected to said energy source and a distal end attached adjacent said inner surface of said tubular portion such that said cable distal end, moves when said tubular portion expands to maintain a fixed predetermined distance between said distal end and said organ.

3. The apparatus as recited in claim 1 wherein said source of energy is optical energy, and wherein said delivering means includes a plurality of fiber optic cables that has a proximate end connected to said energy source and a distal end engaging with the inner surface of said tubular portion, said distal ends being positioned in a circle around the inner surface of said tubular portion.

4. The apparatus as recited in claim 3 further comprising means for selectively feeding, energy from the source to each of the fiber optic cables independently.

5. A method for sealing an area of organs having a lumen, the method comprising the steps of:

inserting an apparatus having a tubular portion and a main portion into the lumen of the organ;

inserting an apparatus having a tubular portion and a main portion into the lumen of the organ;

positioning the tubular portion in the lumen adjacent the area on the organ to be sealed;

moving the tubular portion radially to engage the organ when the tubular portion is positioned adjacent the area to be sealed;

emitting energy from a source sufficient to heat tissue to form a denatured proteinaceous substance;

delivering the energy from the source to the tubular portion;

directing energy delivered to the tubular portion outward through the engaged tubular portion and at the area on the lumen to be sealed;

maintaining the energy delivered to the tubular portion affixed predetermined distance away from the engaged organ as the tubular potion moves away from the main portion; and

applying the directed energy with sufficient duration and amplitude to heat the lumen to a temperature within a nondestructive range bounded by a minimum temperature at which tissue forms a denatured proteinaceous substance and a maximum temperature at which water in the tissue would boil.

6. The method as recited in claim 5 further comprising the steps of:

retracting the tubular portion toward the main portion after the directed energy has been applied to the lumen; and

removing the apparatus from the lumen after retracting the tubular portion.

7. The method as receited in claim 5 further comprising the steps of:

constructing the tubular portion from a material that is substantially transmissive to the energy emitted from the source;

delivering the energy with at least one optical fiber having a proximal end connected to the source and a distal end engaging with an inner surface of the tubular portion; and

directing energy from the distal end outward through the inner surface of the transmissive material and at the area to be sealed.

8. The method as recited in claim 7 further comprising the steps of:

delivering the energy to the organ with a plurality of optical fibers having a proximal end connected to the source and a distal end engaging with an inner surface of the tubular portion; and

placing the distal end of the optical fibers preferably circumferentially along the perimeter of an inner surface of the transmissive material to seal the edges along the seam of the organ.

9. The method as recited in claim 5 further comprising the steps of:

tightly approximating edges of two tissues of a transected organ in order to form a seam;

constructing the tubular and main portion from a rigid material;

positioning the tubular portion within the lumen of the transected organ so that the area to be welded aligns with the seam; and

moving the rigid tubular portion away from the main portion to apply sufficient pressure to hold the lumen and the edges to be sealed in place while the organ is welded.

10. The method as recited in claim 9 further comprising the steps of:

placing an optical element in contact with either said tubular portion or said main portion;

optically sensing the seam of the organ with the optical element;

displaying a video signal showing inside walls of the organ;

delivering the energy from the source outward through the engaged tubular portion and at the area on the lumen to be sealed with an energy delivery media; and

positioning the optical elements on the tubular portion to indicate as the organ is displayed when the seam is aligned with the energy delivery media.

11. A method for sealing an seam of a lumen having inner walls, the method comprising the steps of:

placing an apparatus into the lumen of the organ;

placing an optical element in said apparatus that provides a video signal corresponding to images of the inner walls of the lumen;

transferring said video signals to a monitor;

displaying said video signal on said monitor;

moving the apparatus in the lumen until the seam appears on the monitor;

emitting energy from a source sufficient to heat tissue to form a denatured proteinaceous substance when the seam appears on the monitor;

delivering the energy from the source to the apparatus in the lumen and onto the inner walls of the lumen so that the wall may be sealed;

radially aligning on the apparatus the optical element with the location on the inner walls of the lumen where energy is delivered; and

applying the delivered energy with sufficient duration and amplitude to heat the lumen to a temperature within a nondestructive range bounded by a minimum temperature at which tissue forms a denatured proteinaceous substance and a maximum temperature at which water in the tissue would boil