Thermally adjustable surgical tool, balloon catheters and sculpting of biologic materials

• US 9,265,556 B2
• Filed: 09/01/2011
• Issued: 02/23/2016
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/224,239
• Publication Number:
  US 20120226270A1
• Time in Patent Office: 1,636 Days
• Field of Search: 606/47, 606/46, 606/113, 607 98-103
• US Class Current: 1/1
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0041 Removal of thrombosis
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61B 2218/001 having means for irrigation and/or aspiration of substances to and/or from the surgical site A61B2018/00029 and A61B2018/1472 take precedence
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0045 multi-layered, e.g. coated coating materials A61L29/08
• CPC Class Codes: A61M 25/10 : Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

Thermally adjustable surgical tools include a conductor and a ferromagnetic material. The ferromagnetic material may be quickly heated when subjected to high frequency alternating current through the conductor. The ferromagnetic material may also cool rapidly because of its relatively low mass and the small thermal mass of the conductor. The thermally adjustable surgical tools may be used to sculpt, melt, break and/or remove biological material. The thermally adjustable surgical tools may also include balloon catheters which can heat fluid to thereby treat biological material.

Claims

1. A thermally adjustable surgical tool comprising:

a thermal cutting or sealing edge comprising an electrical conductor having a thin ferromagnetic coating covering and in electrically conductive communication with at least a portion of the electrical conductor, wherein the thin ferromagnetic coating has a thickness of between about 1 μ

m and about 50 μ

m; and

one or more moveable arms comprising the electrical conductor and the ferromagnetic coating,

wherein the one or more moveable arms are disposed to allow for manipulation of a biological material.

2. The thermally adjustable surgical tool of claim 1, wherein the one or more moveable arms comprises two arms movable toward one another to grasp the biological material.

3. The thermally adjustable surgical tool of claim 1, wherein at least one arm of the one or more moveable arms is configured to cut the biological material when the at least one arm is adjacent to the biological material by supplying power to the thermally adjustable surgical tool such that a temperature of the thin ferromagnetic coating prior to supplying power substantially increases once the power has been supplied.

4. The thermally adjustable surgical tool of claim 1, further comprising a catheter body having a lumen, and wherein the lumen is configured to remove the biological material from a surgical site.

5. The thermally adjustable surgical tool of claim 1, wherein the thermally adjustable surgical tool further comprises a sensor configured to detect tissue properties proximate the thin ferromagnetic coating.

6. The thermally adjustable surgical tool of claim 5, wherein the sensor comprises an optical system for viewing a site located substantially adjacent to where the biological material is subject to the manipulation.

7. The thermally adjustable surgical tool of claim 6, wherein the optical system comprises a camera, a lens, and a fiber optic cable.

8. The thermally adjustable surgical tool of claim 1, wherein the one or more moveable arms comprises a plurality of arms disposed generally opposite one another for grasping the biological material and further comprising a thermal sculpting tip comprising the conductor and the ferromagnetic coating, wherein the thermal sculpting tip is extendable from one or more of the plurality of arms between the plurality of arms.

9. A surgical tool comprising:

a catheter;

a tool extendable from the catheter, the tool comprising a thermal element comprising a conductor having a thin ferromagnetic coating on and in electrically conductive communication with the conductor, wherein the thin ferromagnetic coating has thickness of between about 1 μ

m and about 50 μ

m; and

at least one arm disposed to engage tissue and hold the tissue adjacent the thermal element.

10. The surgical tool of claim 9, wherein the at least one arm comprises a plurality of arms.

11. The surgical tool of claim 9, wherein the thin ferromagnetic coating is disposed on a tip of the tool.

12. The surgical tool of claim 9, wherein the at least one arm comprises two arms and wherein the tool extendable from the catheter is selectively extendable between the two arms.

13. A method for removing a gall bladder having a gall stone, the method comprising:

selecting a surgical tool, wherein the surgical tool comprises;

a catheter;

a tool extendable from the catheter, the tool comprising a thermal element comprising a conductor, having a thin ferromagnetic coating on and in electrically conductive communication with the conductor, wherein the thin ferromagnetic coating has a thickness of between about 1 μ

m and about 50 μ

m; and

at least one arm;

using the at least one arm to secure the gall bladder;

advancing the thermal element into the gall bladder so as to be adjacent a gall stone; and

heating the thermal element to at least partially melt the gall stone.

14. A method for treating biologic tissue, the method comprising:

selecting surgical tool, wherein the surgical tool comprises;

a catheter;

a tool extendable from the catheter, the tool comprising a thermal element comprising a conductor, having a thin ferromagnetic coating on and in electrically conductive communication with the conductor, wherein the thin ferromagnetic coating has a thickness of between about 1 μ

m and about 50 μ

m; and

at least one arm disposed to engage tissue and hold the tissue adjacent the thermal element;

inserting the catheter into a biologic structure;

advancing the thermal element into contact with the biologic tissue to be treated; and

heating the thermal element to treat the biologic tissue.

15. The method according to claim 14, wherein heating the thermal element to treat the biologic tissue comprises cutting the biologic tissue.

16. The method according to claim 14, wherein the biologic tissue is a vessel and wherein heating the thermal element to treat the biologic tissue comprises cutting plaque disposed in the vessel to improve flow through the vessel to.

17. The method according to claim 14, wherein heating the thermal element to treat the biologic tissue comprises melting material adjacent to the biologic tissue.

18. The method according to claim 17, wherein the biologic tissue is a vessel and wherein melting the material adjacent to the biologic tissue comprises melting plaque in the vessel to improve flow through the vessel.