Auto-aligning ablating device and method of use

• US 8,702,695 B2
• Filed: 03/13/2009
• Issued: 04/22/2014
• Est. Priority Date: 11/23/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Wallace, Michael P., Garabedian, Robert, Gerberding, Brent, Chung, Winnie, Utley, David S.
• Primary Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US12/404,159
• Publication Number:
  US 20090177194A1
• Time in Patent Office: 1,866 Days
• Field of Search: 606 41- 50, 600/104, 600/127
• US Class Current: 606/41
• 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 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00488 Esophagus
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

An ablation device and methods for use thereof including a support structure adapted to support an ablation structure within an alimentary tract of a patient are provided. The support structure includes a longitudinal support with a longitudinal axis and a rotational support. The rotational support is adapted to permit at least part of the ablation structure to rotate with respect to the longitudinal support'"'"'s longitudinal axis.

Claims

1. An ablation device comprising:

an ablation element comprising a first end and a second end; and

a support structure adapted to support the ablation element within an alimentary tract of a patient, the support structure comprising a longitudinal support with a longitudinal axis, the ablation element being positioned on a surface of the longitudinal support parallel to the longitudinal axis of the longitudinal support, and a rotational support, the rotational support comprising;

a base with a connecting element to connect the longitudinal support to an endoscope and

a pin about which the longitudinal support is arranged such that it can rotate through an operative range of motion with respect to the longitudinal support'"'"'s longitudinal axis, wherein, throughout the operative range of motion, a line orthogonal to the longitudinal axis of the longitudinal support and passing through the pin intersects the ablation element between the first and second end; and

a movement resister configured to resist rotation of the longitudinal support.

2. The device of claim 1 wherein the movement resistor is coupled to the rotational support.

3. The device of claim 1 wherein the movement resistor is disposed between the longitudinal support and the base.

4. The device of claim 1 wherein the movement resister comprises a cantilever connected at its proximal portion to the base.

5. The device of claim 1 wherein the movement resistor comprises a spring.

6. The device of claim 1 wherein the movement resistor comprises a super elastic material.

7. The device of claim 1 wherein the movement resistor is arranged to resist rotational movement of the ablation element with respect to the longitudinal support'"'"'s longitudinal axis.

8. The device of claim 1 wherein the movement resistor is configured to still permit force-induced rotation of the ablation element with respect to support structure'"'"'s longitudinal axis.

9. The device of claim 1 wherein the movement resistor is configured to apply a tension to the longitudinal support such that it is biased to a neutral position wherein the longitudinal support is parallel to a longitudinal axis of an endoscope to which the longitudinal support is attached.

10. The device of claim 1 further comprising an endoscope to which the connecting element of the base is connected.

11. The device of claim 1, wherein the ablation element is non-planar.

12. A method of ablating tissue in an alimentary tract comprising:

advancing an ablation element into the alimentary tract, the ablation element comprising a first end and a second end;

supporting the ablation element on a surface of a longitudinal support having a longitudinal axis such that the ablation element is parallel to the longitudinal axis of the longitudinal support;

rotatably supporting the longitudinal support such that the longitudinal support can rotate about a pin through an operative range of motion with respect to the longitudinal support'"'"'s longitudinal axis, wherein, throughout the operative range of motion, a line orthogonal to the longitudinal axis of the longitudinal support and passing through the pin intersects the ablation element between the first and second end; and

resisting rotation of the longitudinal support away from a neutral position wherein the longitudinal axis of the longitudinal support is parallel to a longitudinal axis of an endoscope to which the longitudinal support is connected.

13. The method of claim 12 wherein the resisting rotation step comprises resisting rotation in response to a force deflecting the longitudinal support away from the neutral position.

14. The method of claim 12, further comprising forcing the rotation of the longitudinal support about its longitudinal axis away from the neutral position during the resisting step.

15. The method of claim 14 further comprising returning the longitudinal axis of the longitudinal support to the neutral position after the rotating step.

16. The method of claim 12 wherein resisting rotation comprises passively resisting rotation.

17. The method of claim 12 wherein resisting rotation comprises resisting rotation with a spring.

18. The method of claim 17 wherein resisting rotation with the spring comprises resisting with a cantilever spring.

19. The method of claim 12 wherein resisting rotation comprises reducing a profile of an ablation device comprising the ablation element during the advancing step.