Placement guide for ablation devices

• US 6,146,378 A
• Filed: 03/19/1999
• Issued: 11/14/2000
• Est. Priority Date: 03/19/1999
• Status: Expired due to Term

• Current Assignee: Endocare Inc. (Siemens AG)
• Original Assignee: Endocare Inc. (Siemens AG)
• Inventors: Eum, Jay J., Mikus, Paul W.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/272,889
• Time in Patent Office: 606 Days
• Field of Search: 606/21, 606/41, 600/585, 600/104, 600/106, 600/117, 600/135, 604/164.01, 604/164.04, 604/164.07, 604/164.09, 604/164.11, 604/515, 607/105, 607/113
• US Class Current: 606/21
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0463 against cooling or freezing
• CPC Class Codes: A61B 2090/378 using ultrasound

Abstract

A placement guide for positioning ablation devices within a human body is disclosed. The placement guide comprise an outer catheter and an inner tubular member disposed within a lumen of the outer catheter. When a stop on the inner tubular member engages a seat on the outer catheter, a distal projection of the inner tubular member extends from the distal end of the outer catheter. While monitoring the position of the inner tubular member through an endoscope inserted in its lumen, a clinician positions the distal projection within a human body for optimal ablation. After securing the outer catheter in position, the inner tubular member is withdrawn and replaced with an ablation device which is inserted distally within the outer catheter lumen until a stop on the ablation device engages the seat on the outer catheter wherein a distal projection of the ablation device extends from the distal end of the outer catheter. Because the distal projection of the inner tubular member has a length substantially identical to that of the inner tubular member, the ablation device may be positioned for optimal ablation.

Claims

1. A placement guide comprising:

an ablation device that extends distally a first predetermined distance from a stop;

an outer catheter having a lumen and a proximally located seat;

said lumen sized to allow movement of the ablation device therein, wherein said proximally located seat of said outer catheter is adapted to engage the stop of the ablation device, and wherein said outer catheter extends distally from said proximally located seat a second predetermined distance, said second predetermined distance being less than the first predermined distance; and

an inner tubular member formed for movement within the lumen of said outer catheter, said inner tubular member having a proximally located stop for engaging said seat, said inner tubular member extending the first predetermined distance from said proximally located stop, said inner tubular member having a lumen sized to accommodate an endoscope.

2. The device of claim 1 wherein the stop of said inner tubular member comprises a handle, and wherein the seat of said outer catheter comprises a handle.

3. The device of claim 1 wherein at least said inner tubular member is doped with a radiopaque material.

4. The device of claim 1 wherein said inner tubular member further comprises a lens located at the distal end of said inner tubular member wherein imaging through an endoscope inserted within said lumen of said inner tubular member is facilitated.

5. The device of claim 1 wherein said inner tubular member comprises an optically clear material.

6. The device of claim 1 wherein the inner tubular member further comprises a fluid port for flooding the lumen of the inner tubular member to facilitate endoscopic imaging.

7. A method of positioning an ablation device using a placement guide, wherein the ablation device extends distally a first predetermined distance from a stop, said method comprising the steps of:

providing a placement guide comprising;

an outer catheter having a lumen and a proximally located seat;

said lumen sized to allow movement of the ablation device therein, wherein said proximally located seat of said outer catheter is adapted to engage the stop of the ablation device and wherein said outer catheter extends distally from said proximally located seat a second predetermined distance, said second predetermined distance being less than the first predermined distance, and

an inner tubular member formed for movement within the lumen of said outer catheter, said inner tubular member having a proximally located stop for engaging said seat, said inner tubular member extending the first predetermined distance from said proximally located stop, said inner tubular member having a lumen sized to accommodate an endoscope;

inserting said inner tubular member into said lumen of said outer catheter so that said stop of said inner tubular member engages said seat of said outer catheter;

positioning in a human body the distal end of said inner tubular under direct vision using an endoscope inserted in said lumen of said inner tubular while said stop of said inner tubular member engages said seat of said outer catheter;

securing said outer catheter in position with respect to the human body;

withdrawing said inner tubular member from said outer catheter;

inserting the ablation device into said outer catheter so that the stop of the ablation device engages said outer catheter'"'"'s seat; and

performing ablation within the human body using the ablation device.

8. The method of claim 7 wherein said ablation device is a cryoprobe and wherein said step of performing ablation causes an iceball to be formed within the human body.

9. The method of claim 7 wherein said positioning step further comprises imaging said distal projection of said inner tubular member with x-rays.

10. The method of claim 7 further comprising the step of:

monitoring the formation of the iceball using ultrasound imaging.