Medical device for treating airways and related methods of use

• US 9,272,132 B2
• Filed: 10/31/2013
• Issued: 03/01/2016
• Est. Priority Date: 11/02/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Laufer, Michael D., Wizeman, William, Webster, Noah, Jarrard, Jerry
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US14/069,047
• Publication Number:
  US 20140128936A1
• Time in Patent Office: 852 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00488 Esophagus
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61N 1/0519 Endotracheal electrodes
• CPC Class Codes: A61N 1/3601 of respiratory organs

Abstract

A medical device for treating an airway of a patient. The medical device may include an elongate tubular member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a plurality of conductive elements disposed on a surface of the elongate tubular member. In some embodiments, at least one of the plurality of conductive elements may be disposed distally of another of the plurality of conductive elements. In addition, each of the plurality of conductive elements may be electrically coupled to a surface of the lumen. The medical device may also include a piston movably disposed within the lumen. The piston may include a distal portion configured to make electrical contact with one or more of the plurality of conductive elements.

Claims

1. A medical device for treating tissue, the device comprising:

an expandable member movable between a collapsed configuration and one or more expanded configurations, the expandable member including a plurality of energy delivery elements, wherein at least some of the energy delivery elements are configured to be activated separately from a remainder of the energy delivery elements; and

a control unit configured to receive an impedance measurement from a sensor unit or from at least one of the plurality of energy delivery elements, wherein the control unit is configured to determine a degree of expansion of the expandable member based on the impedance measurement, and wherein the control unit is configured to selectively activate the plurality of energy delivery elements based on the determined degree of expansion.

2. The medical device of claim 1, wherein the control unit is configured to activate a first number of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is at a first expanded configuration, and activate a second number of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is at a second expanded configuration.

3. The medical device of claim 2, wherein the second number is greater than the first number, and a diameter of the expandable member is greater while in the second expanded configuration than while in the first expanded configuration.

4. The medical device of claim 2, wherein the control unit is configured to activate all of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is in the second expanded configuration.

5. The medical device of claim 2, wherein the control unit is configured to active only alternating energy delivery elements of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is in the first expanded configuration.

6. The medical device of claim 1, wherein at least two of the plurality of energy delivery elements are radially spaced apart from one another.

7. The medical device of claim 1, wherein at least two of the plurality of energy delivery elements are longitudinally spaced apart from one another.

8. The medical device of claim 1, wherein the energy delivery elements are electrodes configured to deliver RF energy.

9. The medical device of claim 1, wherein the expandable member is an expandable basket.

10. The medical device of claim 9, wherein the expandable basket includes a plurality of legs, wherein each of the plurality of legs includes one or more of the plurality of energy delivery elements.

11. The medical device of claim 10, wherein distal ends of the plurality of legs converge toward one another.

12. The medical device of claim 1, further including an elongate tubular member having a proximal end, a distal end, and a lumen extending therebetween, wherein the expandable member is disposed in the lumen when in the collapsed configuration, and the expandable member is configured to expand as it is deployed from the distal end of the elongate tubular member.

13. A medical device for treating tissue, the device comprising:

an expandable member movable between a collapsed configuration and one or more expanded configurations, the expandable member including a plurality of energy delivery elements; and

a control unit configured to receive an impedance measurement from a sensor unit or from at least one of the plurality of energy delivery elements, and wherein the control unit is configured to activate only some of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is expanded to a first diameter, and wherein the control unit is configured to activate all of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is expanded to a second diameter, wherein the second diameter is greater than the first diameter.

14. The medical device of claim 13, wherein the control unit is configured to active only alternating energy delivery elements of the plurality of energy delivery elements when the control unit determines that the expandable member is expanded to the first diameter.

15. The medical device of claim 13, wherein at least two of the plurality of energy delivery elements are radially spaced apart from one another.

16. The medical device of claim 13, wherein at least two of the plurality of energy delivery elements are longitudinally spaced apart from one another.

17. The medical device of claim 13, wherein the energy delivery elements are electrodes configured to deliver RF energy.

18. A medical device for treating tissue, the device comprising:

an expandable member movable between a collapsed configuration and one or more expanded configurations, the expandable member including a plurality of energy delivery elements that are configured to deliver RF energy, wherein at least some of the energy delivery elements are configured to be activated separately from a remainder of the energy delivery elements, and wherein the expandable member is an expandable basket including a plurality of legs, wherein each of the plurality of legs includes one or more of the plurality of energy delivery elements; and

a control unit configured to receive an impedance measurement from a sensor unit or from at least one of the plurality of energy delivery elements, wherein the control unit is configured to determine a degree of expansion of the expandable member based on the impedance measurement, and wherein the control unit is configured to selectively activate the plurality of energy delivery elements based on the determined degree of expansion,

wherein the control unit is configured to activate only some of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is at a first expanded configuration, and activate all of the plurality of energy delivery elements when the control unit determines, based on the impedance measurement, that the expandable member is at a second expanded configuration, and

wherein a diameter of the expandable member is greater while in the second expanded configuration than while in the first expanded configuration.

19. The medical device of claim 18, wherein the control unit is configured to active only alternating energy delivery elements of the plurality of energy delivery elements when the control unit determines that the expandable member is in the first expanded configuration.