Heated balloon having a reciprocating fluid agitator

• US 5,827,269 A
• Filed: 12/31/1996
• Issued: 10/27/1998
• Est. Priority Date: 12/31/1996
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Gynecare, Inc. (New Jersey) (Johnson & Johnson)
• Inventors: Saadat, Vahid
• Primary Examiner(s): Graham, Mark S.
• Application Number:
  US08/775,491
• Time in Patent Office: 665 Days
• Field of Search: 607/105, 607/113, 606/27-32, 606/192, 606/193, 604/96-100
• US Class Current: 606/28
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61F 7/123 using a flexible balloon containing the thermal element

Abstract

An apparatus for thermal coagulation and more particularly to a system for applying heat to the endometrium of a human uterus of the type comprising a heated balloon catheter having a reciprocating piston for improved circulation of fluid within a distensible bladder. The present invention includes a heated balloon catheter having a fluid delivery tube connected to a distensible bladder. The catheter further includes a reciprocating piston which moves along a linear path within the distensible bladder to cause vigorous fluid agitation therein. The agitation caused by the piston efficiently mixes the fluid within the balloon without requiring hot fluid to circulate through the fluid delivery tube.

Claims

1. An assembly for heating of tissue, the assembly comprising:

an elongate tubular member having a distal end and a fluid passage, said tubular member having a tubular housing formed proximate the distal end of said tubular member;

an inflatable member sealably affixed proximate the distal end of said tubular member, the tubular housing of said tubular member being disposed within said inflatable member, the tubular housing having a lumen in fluid communication with said inflatable member;

a piston slideably disposed within the lumen of the tubular housing of said tubular member; and

a reciprocating assembly configured to impart periodic longitudinal motion to said piston to cause fluid movement within said inflatable member.

2. An assembly for treatment of the endometrium of a patient, the assembly comprising:

an elongate tubular member having a distal end and a fluid passage;

an inflatable member sealably affixed proximate the distal end of said tubular member;

a housing secured to the distal end of said tubular member and disposed within said inflatable member, said housing having a lumen in fluid communication with said inflatable member;

a piston slideably disposed within the lumen of said housing; and

a reciprocating assembly configured to cause periodic longitudinal motion of said piston to provide movement of a fluid within said inflatable member.

3. The heated balloon catheter of claim 2, wherein said reciprocating assembly is further configured to cause fluid movement within the lumen of said housing.

4. The heated balloon catheter of claim 2, wherein said housing is further configured with a plurality of perforations formed at an angle to a surface of said housing.

5. The heated balloon catheter of claim 2, wherein said piston is configured with a coating to reduce friction with said housing.

6. A heated balloon catheter for treatment of the endometrium of a patient, the heated balloon catheter comprising:

a catheter having a distal end and a fluid passage;

a balloon sealably affixed proximate the distal end of said catheter;

a housing mounted within said balloon and to the distal end of said catheter, said housing having a lumen in fluid communication with said balloon;

a magnetic piston slideably disposed within the lumen of said housing; and

a coil positioned proximate the distal end of said catheter, said coil configured to impart periodic longitudinal motion to said piston to cause fluid movement within said balloon.

7. The heated balloon catheter of claim 6, wherein said coil is further configured to heat fluid within said balloon.

8. The heated balloon catheter of claim 7, wherein said housing is further configured with a plurality of perforations formed at an angle to the surface of said housing.

9. The heated balloon catheter of claim 8, wherein said magnetic piston is configured with a coating to reduce friction with said housing.

10. A heated balloon catheter for treatment of the endometrium of a patient, the heated balloon catheter comprising:

a fluid delivery tube having a distal end and a fluid passage;

a balloon sealably affixed proximate the distal end of said fluid delivery tube;

a tubular housing located at the distal end of said fluid delivery tube, said housing being disposed within said balloon and having a lumen in fluid communication with said balloon;

a piston slideably disposed within the lumen of said housing, said piston being formed from permanent magnetic material;

a first electromagnet positioned proximate a first end of said tubular housing; and

a second electromagnet positioned proximate a second end of said tubular housing,

wherein said first electromagnet and said second electromagnet are configured to cause periodic longitudinal motion of said piston to provide fluid movement within said balloon.

11. The heated balloon catheter of claim 10, wherein said first electromagnet is further configured to heat fluid within said balloon.

12. The heated balloon catheter of claim 11, wherein said second electromagnet is further configured to heat fluid within said balloon.

13. The heated balloon catheter of claim 12, wherein said piston is configured with a coating to reduce friction with said housing.

14. A heated balloon catheter for treatment of the endometrium of a patient, the heated balloon catheter comprising:

an elongate tubular member having a distal end and a fluid passage;

a balloon sealably affixed proximate the distal end of the tubular member;

a housing mounted within said balloon and to the distal end of said tubular member and having a lumen in fluid communication with said balloon;

a piston slideably disposed within the lumen of said housing;

a first spring secured to a first end of said housing and secured to a first end of said piston, wherein said first spring is formed from a heat memory alloy; and

a second spring secured to a second end of said housing and secured to a second end of said piston, wherein said first spring and said second spring are configured to cause periodic longitudinal motion of said piston to provide circulation of a fluid within said balloon.

15. The heated balloon catheter of claim 14, wherein said second spring is formed from stainless steel.

16. The heated balloon catheter of claim 14, wherein said second spring is formed from a heat memory alloy.

17. The heated balloon catheter of claim 16, wherein said tubular housing is further configured with a plurality of perforations formed at an angle to a surface of said housing.

18. The heated balloon catheter of claim 17, wherein said piston is configured with a coating to reduce friction with said housing.

19. A heated balloon catheter for treatment of the endometrium of a patient, the heated balloon catheter comprising:

a fluid delivery tube having a distal end and a fluid passage;

a balloon sealably affixed proximate the distal end of said fluid delivery tube;

a tubular housing located at the distal end of said fluid delivery tube, said housing being disposed within said balloon and having a lumen in fluid communication with said balloon;

a piston slideably disposed within the lumen of said housing;

a drive shaft having a first end secured to said piston and partially disposed within said tubular housing and said fluid delivery tube; and

means for causing longitudinal motion to said drive shaft so as to cause periodic longitudinal motion of said piston to provide movement of a fluid within said balloon.

20. The heated balloon catheter of claim 19, wherein said means for causing longitudinal motion to said drive shaft includes a cam external to said fluid delivery tube, wherein the cam is secured to a second end of said drive shaft.

21. The heated balloon catheter of claim 20, wherein said tubular housing is further configured with a plurality of perforations formed at an angle to the surface of said housing.

22. The heated balloon catheter of claim 21, wherein said piston is configured with a coating to reduce friction with said housing.