Intracerebral probe and device for the treatment of neurological or psychiatric dysfunctions

• US 8,597,338 B2
• Filed: 08/18/2006
• Issued: 12/03/2013
• Est. Priority Date: 08/18/2005
• Status: Active Grant

• Current Assignee: Assistance Publique - Hopitaux De Paris
• Original Assignee: Assistance Publique - Hopitaux De Paris
• Inventors: Carpentier, Alexandre
• Primary Examiner(s): PINKNEY, DAWAYNE
• Application Number:
  US12/063,837
• Publication Number:
  US 20100168826A1
• Time in Patent Office: 2,664 Days
• Field of Search: 606 2- 26, 600372-378, 600/544
• US Class Current: 607/89
• 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 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00446 Brain
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/6864 Burr holes
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation

Abstract

An intracerebral probe (11) comprising a first part (20) with laser or cryogenic treatment means and further comprising a hollow second part (22) surrounding the first, the first part sliding inside the second part along its longitudinal axis (A); and a plurality of detectors (16) distributed along a portion of the second part (22) in such a manner as to be capable of identifying a brain dysfunction zone along the longitudinal axis (A) of the second part. Advantageously, the probe presents a lateral treatment window enabling the action of the treatment means to be directed. The invention also provides a kit and a treatment system including such a probe, and the use thereof of treating cell dysfunctions that give rise to neurological or psychiatric symptoms.

Claims

1. An intracerebral probe comprising:

a first part with laser treatment means, and further comprising;

a hollow second part surrounding the first part and having a longitudinal axis, the first part sliding inside the second part along said longitudinal axis;

a plurality of detectors carried by the second part and distributed along a portion of the second part for identifying a brain dysfunction zone along the longitudinal axis of the second part; and

a cooling system provided in the first part of the probe;

wherein the laser treatment means is configured to treat the dysfunction zone by heating the dysfunction zone and the cooling system is configured to limit the heating.

2. An intracerebral probe according to claim 1, in which the detectors are electrodes, each electrode being adapted for detecting electrical activity in a zone of the brain surrounding the electrodes.

3. An intracerebral probe according to claim 1, in which the detectors are distributed circumferentially over the second part, around the longitudinal axis of the second part, or are segmented circumferentially so as to identify a position of the brain dysfunction zone angularly around said longitudinal axis.

4. An intracerebral probe according to claim 1, in which the second part of the probe presents a lateral treatment window enabling an action of the laser treatment means to be directed, said lateral treatment window being a window that is transparent to laser radiation emitted by said laser treatment means.

5. An intracerebral probe according to claim 4, in which said lateral treatment window extends along the longitudinal axis of the second part and/or circumferentially around said longitudinal axis of the second part.

6. An intracerebral probe according to claim 5, in which a circumferential width of said lateral treatment window varies along the longitudinal axis of the second part.

7. An intracerebral probe according to claim 1, including a fastener system mounted on one or the other of the first and second parts of the probe and adapted to hold the first and second parts of the probe fixed in a determined relative position.

8. An intracerebral probe according to claim 1, such that all of the materials constituting the intracerebral probe are compatible with MRI, thereby making it possible to perform MRI monitoring while using the intracerebral probe.

9. A kit comprising the intracerebral probe according to claim 1, a guide for guiding the second part of the probe while it is being implanted in the brain, and a fastener system for holding said second part and the guide fixed in a determined relative position.

10. A kit according to claim 9, comprising a plastic sheath extending between said guide and an extracranial end of the first part of the probe so as to maintain a sterile environment for junctions between the guide and the second part of the probe, and between the first and second parts of the probe.

11. A treatment system comprising the intracerebral probe according to claim 1 and a control system for controlling operation of said laser treatment means, said control means system being connected to the detectors of the probe and adapted for, during treatment, receiving information from said detectors and modulating the operation of said laser treatment means as a function of the information received.

12. A treatment system according to claim 11, further comprising a connection system for connecting said control system to an MRI appliance so as to, during treatment, receive information from said MRI appliance and modulate the operation of said laser treatment means as a function of the information received.

13. A treatment system according to claim 11, including a position-identifier system co-operating with said detectors of the probe in order to identify a position of the brain dysfunction zone, and actuator(s) for moving the first part of the probe in such a manner as to bring the laser treatment means up to the identified position of the brain dysfunction zone.

14. An intracerebral probe according to claim 1, wherein said cooling system is a system for moving cooling liquid back and forth.

15. A treatment method comprising the following steps:

identifying the brain dysfunction zone, based on information collected by the detectors of the intracerebral probe of claim 1;

moving the first part of the intracerebral probe so as to bring the laser treatment means up to the dysfunction zone.

16. The treatment method of claim 15, wherein the information collected by the detectors is a brain electrical activity.

17. The treatment method of claim 15, wherein the intensity of the heating treatment is modulated based on information collected by the detectors during treatment.

18. The treatment method of claim 15, wherein the intensity of the heating treatment is modulated based on heating information collected by MRI during treatment.

19. The treatment method of claim 15, wherein moving and positioning of the intracerebral probe are tracked by MRI.

20. The treatment method of claim 15 used for treating epilepsy.

21. An intracerebral probe according to claim 1, wherein the second part of the probe has first, second, and third lateral windows juxtaposed along the longitudinal axis of the second part, the first lateral window having an aperture angle of 90 degrees about the longitudinal axis, the second lateral window having an aperture angle of 180 degrees about the longitudinal axis, and the third lateral window having an aperture angle of 360 degrees about the longitudinal axis.