Moisture transport system for contact electrocoagulation

• US 9,095,348 B2
• Filed: 08/08/2013
• Issued: 08/04/2015
• Est. Priority Date: 04/12/1996
• Status: Expired due to Fees

• Current Assignee: Hologic Incorporated
• Original Assignee: Cytyc Surgical Products II Incorporated (Hologic Incorporated)
• Inventors: Truckai, Csaba, Sampson, Russel Mahlon, Squarcia, Stephanie, Ramirez, Alfonso Lawrence, Hilario, Estela
• Primary Examiner(s): Stoklosa, Joseph
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US13/962,178
• Publication Number:
  US 20140046317A1
• Time in Patent Office: 726 Days
• Field of Search: 606/41, 607/101, 607/105, 607/138
• US Class Current: 1/1
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• 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 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2090/0409 Specification of type of protection measures
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 90/04 Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery protection of eyes against laser radiation A61F9/022
• CPC Class Codes: A61M 16/0427 with removable and re-insertable liner tubes, e.g. for cleaning
• CPC Class Codes: A61M 16/0463 combined with suction tubes, catheters or the like; Outside connections
• CPC Class Codes: A61M 16/0481 through the cuff wall

Abstract

An apparatus and method for use in performing ablation or coagulation of organs and other tissue includes a metallized fabric electrode array which is substantially absorbent and/or permeable to moisture and gases such as steam and conformable to the body cavity. Following placement of the ablation device into contact with the tissue to be ablated, an RF generator is used to deliver RF energy to the conductive regions and to thereby induce current flow from the electrodes to tissue to be ablated. As the current heats the tissue, moisture (such as steam or liquid) leaves the tissue causing the tissue to dehydrate. Suction may be applied to facilitate moisture removal. The moisture permeability and/or absorbency of the electrode carrying member allows the moisture to leave the ablation site so as to prevent the moisture from providing a path of conductivity for the current.

Claims

1. A device for treating a uterus comprising:

an elongate member having a proximal portion and a distal portion, the elongate member comprising an outer sleeve and an inner sleeve slidably and coaxially disposed within the outer sleeve;

an applicator head coupled to the distal portion, the applicator head defining an interior volume and having a contracted state and an expanded state, the contracted state being configured for transcervical insertion and the expanded state being configured to conform to the shape of the uterus, the applicator head including one or more electrodes for ablating endometrial lining tissue of the uterus;

a handle coupled to the proximal portion of the elongate member, wherein the handle comprises a frame, a proximal grip and a distal grip pivotally attached to one another at a pivot point and operably coupled to the applicator head so that when the proximal grip and the distal grip are moved closer together, the applicator head transitions from the contracted state to the expanded state;

a deflecting mechanism including flexures disposed within the applicator head, the flexures including first and second internal flexures and first and second external flexures, the first and second external flexures being coupled to the outer sleeve and the first and second internal flexures being coupled to the inner sleeve, wherein the deflecting mechanism is configured so that translating the inner sleeve relative to the frame causes the applicator head to transition from the contracted state to the expanded state; and

an indicator mechanism operably coupled to the inner sleeve, the indicator mechanism configured to indicate a dimension of the uterus.

2. The device of claim 1 further comprising a transverse ribbon coupled to a distal end of the first and second external flexures, wherein the transverse ribbon is in a relaxed condition when the applicator head is in the expanded state.

3. The device of claim 1 wherein the first internal flexure includes a plurality of longitudinally spaced apertures.

4. The device of claim 1 wherein the proximal grip is coupled to the inner sleeve and the distal grip is coupled to the outer sleeve.

5. The device of claim 1 further comprising an introducer sheath, wherein the inner sleeve and the outer sleeve are disposed within the introducer sheath when the applicator head is in the contracted state, and wherein the distal grip is coupled to the introducer sheath so that proximal movement of the distal grip causes the introducer sheath to move proximally relative to the applicator head.

6. The device of claim 5, wherein continued movement of the proximal grip and distal grip closer together causes relative movement between the inner sleeve and the outer sleeve.

7. The device of claim 1 wherein when the device is operably coupled to a generator to deliver current to the electrodes, the device is configured to electronically transmit the dimension of the uterus to the generator.

8. The device of claim 1 further comprising an adjustable locking mechanism configured to limit a degree of expansion of the applicator head.

9. The device of claim 1 further comprising an adjustable locking mechanism configured to limit a distance by which a user can move the proximal grip and the distal grip closer together.

10. The device of claim 1 wherein the first and second external flexures each have a distal end, and wherein the first and second internal flexures are coupled to the first and second external flexures at a location proximal to the distal ends of the first and second external flexures.

12. The device of claim 1 wherein the applicator head is configured to expand until limited by the dimension of the uterus.

11. A device for treating a uterus comprising:

an elongate member having a proximal portion and a distal portion, the elongate member comprising an outer sleeve and an inner sleeve slidably and coaxially disposed within the outer sleeve;

a handle coupled to the proximal portion;

an applicator head coupled to the distal portion, the applicator head defining an interior volume and having a contracted state and an expanded state, the contracted state being configured for transcervical insertion and the expanded state being configured to conform to the shape of the uterus, the applicator head including one or more electrodes for ablating endometrial lining tissue of the uterus;

a deflecting mechanism including flexures disposed within the applicator head, the flexures including first and second internal flexures and first and second external flexures, the first and second external flexures being coupled to the outer sleeve and the first and second internal flexures being coupled to the inner sleeve, wherein the deflecting mechanism is configured so that translating one of the inner and outer sleeves relative to the other causes the applicator head to transition from the contracted state to the expanded state;

an indicator mechanism operably coupled to the inner sleeve, the indicator mechanism configured to indicate a dimension of the uterus; and

wherein when the device is operably coupled to a generator to deliver current to the electrodes, the device is configured to electronically transmit the dimension of the uterus to the generator.

13. The device of claim 11 wherein the first internal flexure includes a plurality of longitudinally spaced apertures.

14. The device of claim 11 further comprising an adjustable locking mechanism configured to limit a degree of expansion of the applicator head.

15. The device of claim 11 wherein the first and second external flexures each have a distal end, and wherein the first and second internal flexures are coupled to the first and second external flexures at a location proximal to the distal ends of the first and second external flexures.