Cryo balloon

• US 6,989,009 B2
• Filed: 04/19/2002
• Issued: 01/24/2006
• Est. Priority Date: 04/19/2002
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Lafontaine, Daniel M.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): ROANE, AARON F
• Application Number:
  US10/126,027
• Publication Number:
  US 20030199861A1
• Time in Patent Office: 1,376 Days
• Field of Search: 606 20- 26, 606191-200
• US Class Current: 606/20
• 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 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/0262 using a circulating cryogenic fluid
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

Devices and methods for performing cryo therapy, cryo ablation or cryoplasty. A cryo therapy apparatus may comprise an elongate shaft, a cooling member disposed at the distal end of the shaft, and a pressure gauge coupled to the cooling member.

Claims

1. A cryo therapy device, comprising:

an elongate shaft having a proximal end and a distal end;

a cooling member disposed at the distal end, wherein the cooling member includes an outer member and an inner member;

an inflation tube disposed within the elongate shaft;

a drain tube disposed within the elongate shaft;

a pressure sensor that is disposed near the distal end of the elongate shaft to provide an indication of the pressure within the inner member; and

a manifold disposed at the proximal end of the elongate shaft, wherein the pressure sensor is coupled to the manifold by a connector.

2. A cryo therapy device in accordance with claim 1, wherein the pressure sensor is directly coupled to the inner member.

3. The cryo therapy device in accordance with claim 1, wherein the pressure sensor comprises a strain gauge.

4. The cryo therapy device in accordance with claim 1, wherein the inner member further comprises an outer surface and an inner surface.

5. The cryo therapy device in accordance with claim 4, further comprising a relief cutter coupled to the inner surface of the inner member.

6. The cryo therapy device in accordance with claim 5, wherein the relief cutter is a radio-frequency energy source.

7. The cryo therapy device in accordance with claim 5, wherein the relief cutter is a laser energy source connected to a relief valve by fiber optic cable.

8. The cryo therapy device in accordance with claim 5, wherein the relief cutter is an ultrasonic energy source mechanically coupled to a relief valve.

9. A cryo therapy device, comprising:

an elongate shaft having a proximal end and a distal end;

a cooling member disposed at the distal end, wherein the cooling member includes an outer member and an inner member;

an inflation tube disposed within the elongate shaft;

a drain tube disposed within the elongate shaft;

a pressure sensor that is disposed near the distal end of the elongate shaft to provide an indication of the pressure within the inner member; and

a pressure release tube having a proximal end, a distal end, and a lumen extending extending therethrough.

10. The cryo therapy device in accordance with claim 9, wherein the pressure release tube is in fluid communication with the inner member.

11. The cryo therapy device in accordance with claim 10, wherein the pressure release tube further comprises a removable valve disposed at the proximal end thereof.

12. The cryo therapy device in accordance with claim 9, wherein the pressure release tube further comprises a pressure-sensitive valve disposed at the distal end thereof.

13. The cryo therapy device in accordance with claim 9, further comprising a fuse link coupled to the pressure release tube.

14. The cryo therapy device in accordance with claim 13, wherein the fuse link is disposed over an opening within the pressure relief tube and wherein the fuse link is coupled to the pressure sensor.

15. The cryo therapy device in accordance with claim 9, wherein the inner member further comprises an outer surface and an inner surface.

16. The cryo therapy device in accordance with claim 15, further comprising a relief cutter coupled to the inner surface of the inner member.

17. cryo therapy device in accordance with claim 16, wherein the relief cutter is a radio-frequency energy source.

18. The cryo therapy device in accordance with claim 16, wherein the relief cutter is a laser energy source connected to a relief valve by fiber optic cable.

19. The cryo therapy device in accordance with claim 16, wherein the relief cutter is an ultrasonic energy source mechanically coupled to a relief valve.

20. A cryo therapy device, comprising:

an elongate shaft having a proximal end and a distal end;

a manifold disposed at the proximal end;

a cooling member disposed at the distal end;

wherein the cooling member includes an inner member and an outer member;

a pressure gauge coupled to the manifold by a connector;

an inflation tube disposed within the shaft;

a drain tube disposed within the shaft; and

a pressure release tube in fluid communication with the inner member.

21. The cryo therapy device in accordance with claim 20, wherein the pressure gauge includes a strain gauge.

22. The cryo therapy device in accordance with claim 20, wherein the pressure gauge includes a fuse link.

23. The cryo therapy device in accordance with claim 20, wherein the inner member further comprises an outer surface and an inner surface.

24. The cryo therapy device in accordance with claim 23, wherein the pressure gauge is coupled to the inner surface.

25. The cryo therapy device in accordance with claim 23, wherein the pressure gauge is coupled to the outer surface.

26. The cryo therapy device in accordance with claim 20, wherein the pressure release tube includes a proximal end, a distal end, and a lumen extending therethrough.

27. The cryo therapy device in accordance with claim 26, wherein the pressure release tube further comprises a removable valve disposed at the proximal end thereof.

28. The cryo therapy device in accordance with claim 26, wherein the pressure release tube further comprises a pressure-sensitive valve disposed at the distal end thereof.

29. The cryo therapy device in accordance with claim 26, further comprising a fuse link coupled to the pressure release tube, wherein the fuse link is disposed over an opening within the pressure relief tube and wherein the fuse link is coupled to the pressure gauge.

30. A method of performing cryoplasty, comprising the steps of:

providing a cryo therapy device including an elongate shaft having a proximal end and a distal end, a manifold disposed at the proximal end, a cooling member disposed at the distal end, wherein the cooling member includes an outer member and an inner member, and a pressure gauge coupled to the inner member and coupled to the manifold by a connector such that pressure within the inner member may be quantified by the manifold;

advancing the cryo therapy device to an area of interest;

inflating the inner member of the cooling member with a coolant to a pressure;

quantifying the pressure with the pressure gauge; and

cooling the area of interest with the cooling member.

31. The method in accordance with claim 30, wherein the pressure gauge comprises a strain gauge and wherein the step of quantifying the pressure with the pressure gauge includes quantifying strain.

32. The method in accordance with claim 30, wherein the inner member further comprises an outer surface and an inner surface.

33. The method in accordance with claim 32, wherein the pressure gauge is coupled to the inner surface and wherein the step of quantifying the pressure with the pressure gauge includes quantifying pressure at the inner surface.

34. The method in accordance with claim 32, wherein the pressure gauge is coupled to the outer surface and wherein the step of quantifying the pressure with the pressure gauge includes quantifying pressure at the outer surface.

35. The method in accordance with claim 30, further comprising a pressure release tube having a proximal end, a distal end, and a lumen extending therethrough.

36. The method in accordance with claim 35, wherein the pressure release tube further comprises a removable valve disposed at the proximal end thereof and further comprising the step of removing the removable valve from the pressure release tube in order to reduce pressure within the inner member.

37. The method in accordance with claim 35, wherein the pressure release tube further comprises a pressure-sensitive valve disposed at the distal end thereof and further comprising the step of reducing pressure within the inner member.