Endoluminal electro-occlusion detection apparatus and method

• US 6,019,757 A
• Filed: 07/07/1995
• Issued: 02/01/2000
• Est. Priority Date: 07/07/1995
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Target Therapeutics, Inc. (Boston Scientific Corporation)
• Inventors: Scheldrup, Ronald W.
• Primary Examiner(s): Cohen, Lee
• Assistant Examiner(s): YARNELL, BRYAN KEITH
• Application Number:
  US08/499,525
• Time in Patent Office: 1,670 Days
• Field of Search: 606/32-34, 606/37-42, 606/45-50, 606/135, 607/154, 607/156, 607/98, 607/101
• US Class Current: 606/49
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/1214 Coils or wires
• 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 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/12063 electrolytically detachable
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00785 Reflected power
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure

Abstract

An apparatus and method for occluding a lumen, such as a vessel, in a mammal using alternating current and monitoring reflected power from the occlusion site to determine vessel constriction and/or electrocoagulation. The apparatus is provided with an alternating current (AC) power generator, a first electrode electrically coupled to the generator, a dispersive electrode electrically coupled to the generator and forming in-part with the generator and the first electrode a drive circuit and a reflected power monitoring circuit coupled to the drive circuit for monitoring power reflected back toward the generator from the first electrode. With this construction, occlusion and/or thermocoagulation can be accurately detected so that the power delivered to the first electrode when positioned in the mammal can be terminated. In this manner, the risk of overheating tissue in the vicinity of the constricted vessel is minimized or eliminated.

Claims

1. An apparatus for providing endoluminal occlusion in a mammalian body, comprising:

an alternating current (AC) power generator having a frequency in the radio frequency range and having a pre-determined output signal for producing an occlusion when said generator is coupled to a first electrode and a second electrode to form in-part an electro-occlusion drive circuit;

a first electrode electrically coupled to said generator;

a second electrode electrically coupled to said generator and forming in-part with said generator and said first electrode an electro-occlusion drive circuit; and

a reflected power monitoring circuit coupled to said electro-occlusion drive circuit for indicating endoluminal occlusion by monitoring a reflected power signal toward the generator from the first electrode when said first electrode energized with the output signal.

2. The apparatus of claim 1 wherein said reflected power monitoring circuit includes a control circuit that is coupled to said electro-occlusion drive circuit for altering the delivery of said output signal when a predetermined change in the reflected power signal occurs.

3. The apparatus of claim 1 wherein said reflected power monitoring circuit includes a control circuit that is coupled to said electro-occlusion drive circuit for interrupting delivery of said output signal when a predetermined change in the reflected power signal occurs.

4. The apparatus of claim 1 wherein said reflected power monitoring circuit includes a control circuit that is coupled to said electro-occlusion drive circuit for interrupting delivery of said output signal when at least about a 20% change in said reflected power signal occurs.

5. The apparatus of claim 1 wherein said reflected power monitoring circuit includes a circuit for comparing said output signal and said reflected power signal.

6. The apparatus of claim 1 further including an elongated delivery member having a distal end portion, and wherein said first electrode is detachably coupled to said distal end portion for implantation as an endoluminal occlusion device.

7. The apparatus of claim 6 wherein said first electrode is mechanically detachably coupled to said delivery member.

8. The apparatus of claim 6 wherein said first electrode is electrolytically detachably coupled to said delivery member.

9. The apparatus of claim 1 wherein said first electrode is adapted for use in a fallopian tube.

10. An apparatus for providing endoluminal occlusion in a mammalian body, comprising:

an alternating current (AC) power generator having a frequency in the radio frequency range and having a pre-determined output signal for producing an occlusion when said generator is coupled to a first electrode and a second electrode to form in-part an electro-occlusion drive circuit;

a first electrode electrically coupled to said generator;

a second electrode electrically coupled to said generator and forming in-part with said generator and said first electrode an electro-occlusion drive circuit; and

a directional coupler coupled to said electro-occlusion drive circuit for indicating endoluminal occlusion by detecting a reflected power signal from the first electrode when said first electrode is energized with the output signal.

11. A method for occluding a lumen in a mammal, comprising the steps of:

(a) delivering an occlusion device to a desired site within the mammal;

(b) applying an alternating current signal to the occlusion device to form an occlusion;

(c) monitoring a reflected power signal from the occlusion device during step (b) in order to indicate endoluminal occlusion.

12. The method of claim 11 wherein step (c) further includes the step of identifying a baseline reflected power signal during an initial period of step (b), said method further comprising the step of:

(d) interrupting the application of alternating current to the occlusion device in response to a predetermined change in the monitored reflected power from the baseline signal.

13. The method of claim 12 wherein step (d) further includes the step of interrupting the delivery of AC to the occlusion device in response to a change in reflected power of at least about 20%.

14. The method of claim 12 wherein step (b) further includes delivering the AC signal to the occlusion device at a radio-frequency.

15. The method of claim 11 wherein step (a) comprises delivering the occlusion device to the desired site via a delivery member that is detachably coupled to the occlusion device.