Transurethral needle ablation system with automatic needle retraction

• US 7,261,709 B2
• Filed: 10/13/2004
• Issued: 08/28/2007
• Est. Priority Date: 10/13/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Swoyer, John M., Christopherson, Mark A., Sage, Shahn S., Elmouelhi, Ahmed
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/964,548
• Publication Number:
  US 20060079882A1
• Time in Patent Office: 1,049 Days
• Field of Search: 607/96, 607/101, 607/113, 607/102, 606/41, 606 48- 50, 604/22, 604/164, 604/164.01, 604/164.11
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

A one-piece, single-use disposable device for transurethral needle ablation (TUNA) of prostate tissue to alleviate BPH is disclosed. The device may include a flexible catheter tip including a rigid core and a flexible tip. The device may also include a single use lockout to help ensure that the device is used to perform only one ablation procedure on a single patient. The device may further include a simplified needle deployment mechanism and/or an automatic needle retraction mechanism.

Claims

1. A transurethral ablation device, comprising:

a transurethral catheter having a proximal end and a distal end;

at least one ablation needle deployable from the distal end of the catheter to penetrate prostate tissue of a patient and to deliver ablation energy to the prostate tissue; and

an automatic needle retraction mechanism to automatically fully retract the needles within the catheter,

wherein the automatic needle retraction mechanism further comprises;

a retraction button; and

a lever arm having a proximal end aligned to engage a retraction button and having a ratchet engagement tooth disposed at a distal end, and wherein actuation of the retraction button moves the lever arm to release the ratchet engagement tooth from a selected ratchet position.

2. The device of claim 1, wherein the automatic needle retraction mechanism further includes a physician actuatable retraction button.

3. The device of claim 2, wherein the automatic needle retraction mechanism fully retracts the needles within the catheter upon actuation of the retraction button.

4. The device of claim 1, further comprising:

a lever actuatable by a physician to deploy the needles from the distal end of the catheter;

a plurality of ratchet positions associated with the lever, each ratchet position corresponding to a different one of a plurality of available needle depths;

a needle depth selection mechanism to determine a selected needle depth from among the available needle depths; and

wherein the ratchet engagement tooth engages the ratchet position corresponding to the selected needle depth as determined by the needle selection mechanism so as to maintain the selected needle depth.

5. The device of claim 4, further including a needle retraction spring configured to apply a retraction force to fully retract the needles upon release of the ratchet engagement tooth from the selected ratchet position.

6. The device of claim 4, wherein the retraction button is spring-loaded.

7. The device of claim 4, further comprising a housing having a track to slidably engage the lever arm upon actuation of the retraction button.

8. The device of claim 4, further comprising a keyed member having a plurality of keyed positions each corresponding to a different one of the plurality of available needle depths, and wherein the keyed member engages the lever with the keyed position corresponding to the selected needle depth such that the ratchet engagement tooth engages the ratchet position corresponding to the selected needle depth.

9. The device of claim 1, further including a lookout to store device usage information, and wherein delivery of the ablation energy is controlled based on the stored device usage information.

10. The device of claim 1, wherein the distal end of the transurethral catheter includes a flexible catheter tip.

11. The transurethral ablation device of claim 1, wherein the automatic needle retraction mechanism applies a retraction force to automatically fully retract the needles within the catheter.

12. A method comprising:

deploying at least one ablation needle from a distal end of a transurethral catheter to penetrate prostate tissue of a patient;

delivering ablation energy to the prostate tissue via the needles;

actuating a physician actuatable retraction button; and

in response to actuating the physician actuatable retraction button, moving a lever arm to release a ratchet engagement tooth from a selected ratchet position to automatically fully retract the needles within the catheter.

13. The method of claim 12, further comprising:

applying a retraction force to release the ratchet engagement tooth from the selected ratchet position, and

fully retracting the needles upon release of the ratchet engagement tooth.

14. The method of claim 12, further comprising slidably engaging the lever arm upon actuation of the retraction button.

15. The method of claim 12, wherein actuating a physician actuatable retraction button comprises actuating a spring-loaded physician actuatable retraction button.

16. A method comprising:

deploying at least one ablation needle from a distal end of a transurethral catheter;

actuating an automatic needle refraction mechanism;

in response to actuating the automatic need retraction mechanism, releasing a ratchet engagement tooth from a selected ratchet position; and

applying a retraction force to automatically fully retract the needles within the catheter upon release of the ratchet engagement tooth.