Bronchial stenter having diametrically adjustable electrodes

• US 5,972,026 A
• Filed: 01/07/1998
• Issued: 10/26/1999
• Est. Priority Date: 04/07/1997
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Broncus Technologies, Inc
• Inventors: Laufer, Michael D., Loomas, Bryan E., Burger, Keith M., Tanaka, Donald A.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US09/003,750
• Time in Patent Office: 657 Days
• Field of Search: 607/96, 607/98-99, 607/101, 607/102, 607/122, 607/113, 606/41, 606/39
• US Class Current: 607/96
• 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 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/044 the surgical action being effected by a circulating hot fluid
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 2018/1807 using light other than laser radiation
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia

Abstract

A device and method for treating collapsed bronchial tubes found in patients with chronic obstructive pulmonary disease and asthma are provided. The device delivers energy so that the tissue is inductively heated by directing electromagnetic energy into the tissue. The device includes electrodes having adjustable diameters to enable the electrodes to contact the wall of the bronchial tubes. The method includes heating the bronchial tube to cause at least a portion of the cross links of the collagen in the wall to unlink/open and subsequently form new cross links after the collagen fibers have realigned. The procedure effectively reinforces the structural integrity of the wall and thereby prevents the lumen from collapsing.

Claims

1. An apparatus, for treating a bronchial tube having a lumen, which comprises:

a treatment device that comprises at least one radially adjustable electrode;

means for applying force to the at least one radially adjustable electrode to change the diameter of the at least one electrode;

a source of energy;

means for transmitting energy from the source of energy to the at least one electrode;

wherein the treatment device comprises an elongated rod that has a distal end, wherein the at least one radially adjustable electrode comprises a wire that is wound about and along a longitudinal axis of the elongated rod and which has a first end and a second end, wherein the first end is connected to the distal end of the elongated rod; and

wherein the wire defines a barrel configuration with a center having a first diameter and two ends having second and third diameters and wherein the first diameter is larger than that of the second diameter and of the third diameter.

2. The apparatus of claim 1 wherein the means for applying force applies torque to the at least one radially adjustable electrode to change the electrode diameter.

3. The apparatus of claim 1 wherein the means for applying force changes the axial length of the at least one radially adjustable electrode.

4. The apparatus of claim 1 wherein the means for applying force applies torque to the at least one radially adjustable electrode to change the electrode diameter and changes the axial length of the at least one radially adjustable electrode.

12. The apparatus of claim 1 wherein the source of energy produces energy that is selected from the group consisting of RF energy, alternating current, and microwaves and combinations thereof.

13. The apparatus of claim 1 wherein the source of energy delivers 1 to 25 watts of power.

5. An apparatus for treating a bronchial tube having a lumen, which comprises:

a treatment device that comprises at least one radially adjustable electrode;

means for applying force to the at least one radially adjustable electrode to change the diameter of the at least one electrode;

a source of energy;

means for transmitting energy from the source of energy to the at least one electrode; and

an elongated rod that has a distal end and a proximal end and a longitudinal axis, wherein the treatment device comprises a plurality of electrodes that are designated the first electrode, and second electrode, and that are positioned in tandem so that the first electrode is attached to the distal end of the elongated rod, wherein each electrode comprises a wire that is wound about and along the longitudinal axis of the elongated rod and each electrode has a first end and a second end, with the proviso that when the number of electrodes is two, the treatment device includes a rotatable coupler which is attached to the second end of the first electrode and to the first end of the second electrode, and with the further proviso that when the number of electrodes is three or more, the electrodes are designated from one to n, and the first end of the electrode one is connected to the distal end of the elongated rod and the second end of the electrode n is connected to an end coupler, and each of the remaining electrodes is connected to an adjacent electrode by a rotatable coupler.

6. An apparatus, for treating a bronchial tube having a lumen, which comprises:

a treatment device that comprises at least one radially adjustable electrode;

means for applying force to the at least one radially adjustable electrode to change the diameter of the at least one electrode;

a source of energy;

means for transmitting energy from the source of energy to the at least one electrode;

wherein the treatment device comprises an elongated rod that has a distal end, wherein the at least one radially adjustable electrode comprises a wire that is wound about and along a longitudinal axis of the elongated rod and which has a first end and a second end, wherein the first end is connected to the distal end of the elongated rod by an end coupler; and

wherein the end coupler is stationary.

7. An apparatus, for treating a bronchial tube having a lumen, which comprises:

a treatment device that comprises at least one radially adjustable electrode;

means for applying force to the at least one radially adjustable electrode to change the diameter of the at least one electrode;

a source of energy;

means for transmitting energy from the source of energy to the at least one electrode;

wherein the treatment device comprises an elongated rod that has a distal end, wherein the at least one radially adjustable electrode comprises a wire that is wound about and along a longitudinal axis of the elongated rod and which has a first end and a second end, wherein the first end is connected to the distal end of the elongated rod; and

wherein the means for applying force applies torque that rotates the distal end of the elongated rod.

8. An apparatus, for treating a bronchial tube having a lumen, which comprises:

a treatment device that comprises at least three radially adjustable electrodes;

means for applying force to the at least one radially adjustable electrode to change the diameter of the at least one electrode;

a source of energy;

means for transmitting energy from the source of energy to the at least one electrode; and

wherein the treatment device comprises an elongated rod that has a distal end, wherein the at least one radially adjustable electrode comprises a wire that is wound about and along a longitudinal axis of the elongated rod and which has a first end and a second end, wherein the first end is connected to the distal end of the elongated rod.

9. The apparatus of claim 8 wherein said at least three electrodes includes first electrode(s) that are connected to a positive electrode of a RF generator and second electrode(s) that are connected to the negative electrode of the RF generator.

10. The apparatus of claim 8 wherein the first electrode(s) are electrically insulated from the second electrode(s).

11. The apparatus of claim 8 comprising an external electrode and an RF generator having a first RF electrode that is at one polarity and a second RF electrode that is at the opposite polarity and wherein said at least three electrodes are connected to the first electrode and the external electrode is connected to second electrode of the RF generator.