Medical treatment devices having adjustable length and/or diameter

• US 9,351,786 B2
• Filed: 09/26/2014
• Issued: 05/31/2016
• Est. Priority Date: 09/29/2013
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Ong, Jiun Keat, Hong, Chunlang, Wang, Li
• Primary Examiner(s): Della, Jaymi
• Assistant Examiner(s): KIM, EUN HWA
• Application Number:
  US14/498,469
• Publication Number:
  US 20150094706A1
• Time in Patent Office: 613 Days
• 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 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure

Abstract

The present embodiments enable the length and/or diameter of the heating segment of a medical treatment device to be adjusted on the fly during a treatment procedure, without a need to interrupt the procedure, thus allowing a single catheter to be used at different locations in a hollow anatomical structure.

Claims

1. A medical treatment device having an adjustable treatment diameter, comprising:

a catheter having an elongate flexible shaft with a proximal end and a distal end;

a first electrically resistive heating element disposed at and connected to the distal end of the elongate flexible shaft, a heated portion of the first electrically resistive heating element having a first outer diameter measured orthogonal to a longitudinal axis of the elongate flexible shaft;

first electrical contacts on the elongate flexible shaft; and

a second electrically resistive heating element, a heated portion of the second electrically resistive heating element having a second outer diameter measured orthogonal to the longitudinal axis of the elongate flexible shaft, the second outer diameter being larger than the first diameter, and being removeably connectable to the elongate flexible shaft to at least partially surround the heated portion of the first electrically resistive heating element, the second electrically resistive heating element having second electrical contacts removeably connectable to the first electrical contacts.

2. The medical treatment device of claim 1, wherein the heated portions of the first and second electrically resistive heating elements are coils.

3. The medical treatment device of claim 1, in combination with a power source, wherein the power source is configured to automatically detect whether the second electrical contacts are connected to the first electrical contacts and adjust an energy output to the second electrically resistive heating element to a desired energy output.

4. The medical treatment device of claim 3, wherein the power source is configured to automatically detect whether the second electrical contacts are connected to the first electrical contacts by at least measuring at least one of a resistance value or an inductance value of the second electrically resistive heating element by passing a detecting current through the second electrically resistive heating element.

5. The medical treatment device of claim 1, wherein the second electrically resistive heating element is removeably connectable to the distal end of the elongate flexible shaft by one of a screw joint or a latch joint.

6. A medical treatment kit having an adjustable treatment diameter, comprising:

a catheter having an elongate flexible shaft with a proximal end and a distal end;

a first heating element disposed at and connected to the distal end of the elongate flexible shaft, a heated portion of the first heating element having a first outer diameter measured orthogonal to a longitudinal axis of the elongate flexible shaft;

first electrical contacts on the elongate flexible shaft; and

a second heating element having second electrical contacts removeably connectable to the first electrical contacts, a heated portion of the second heating element having a second outer diameter measured orthogonal to the longitudinal axis of the elongate flexible shaft that is greater than the first outer diameter, wherein, when the second electrical contacts are connected to the first electrical contacts the heated portion of the second heating element at least partially surrounds the heated portion of the first heating element.

7. The medical treatment kit of claim 6, in combination with a power source, wherein the power source is configured to automatically detect whether the second electrical contacts are connected to the first electrical contacts and adjust an energy output to the second heating element to a desired energy output.

8. The medical treatment kit of claim 7, wherein the power source is configured to automatically detect whether the second electrical contacts are connected to the first electrical contacts by at least measuring at least one of a resistance value or an inductance value of the second heating element by passing a detecting current through the second heating element.

9. The medical treatment kit of claim 6, wherein the second heating element is removeably connectable to the distal end of the elongate flexible shaft by one of a screw joint or a latch joint.

10. The medical treatment kit of claim 6, further comprising a third heating element having third electrical contacts removeably connectable to the first electrical contacts when the second electrical contacts are not connected to the first electrical contacts, a heated portion of the third heating element having a third outer diameter measured orthogonal to the longitudinal axis of the elongate flexible shaft that is greater than the second outer diameter.

11. A medical treatment system having an adjustable treatment diameter, comprising:

a catheter having an elongate flexible shaft with a proximal end and a distal end;

a first heating element disposed at and connected to the distal end of the elongate flexible shaft, a heated portion of the first heating element having a first outer diameter orthogonal to a longitudinal axis of the elongate flexible shaft;

a second heating element removeably connectable to the distal end of the elongate flexible shaft over the first heating element, a heated portion of the second heating element having a second outer diameter orthogonal to the longitudinal axis of the elongate flexible shaft that is greater than the first outer diameter; and

a power source, wherein the power source is configured to automatically detect whether the second heating element is connected to the distal end of the elongate flexible shaft and adjust an energy output to the second heating element to a desired energy output, wherein, when the second heating element is connected to the distal end of the elongate flexible shaft, the heated portion of the second heating element at least partially surrounds the heated element of the first heating element.

12. The medical treatment system of claim 11, wherein the power source is configured to automatically detect whether the second electrical contacts are connected to the first electrical contacts by at least measuring at least one of a resistance value and an inductance value of the second heating element by passing a detecting current through the second heating element.

13. The medical treatment system of claim 11, further comprising electrical contacts on the elongate flexible shaft, the electrical contacts configured to electrically connect the second heating element to the power source.

14. The medical treatment system of claim 13, wherein the power source is configured to automatically detect whether the second heating element is connected to the electrical contacts and adjust an energy output to the second heating element to a desired energy output.

15. The medical treatment system of claim 14, wherein the power source is configured to detect whether the second heating element is connected to the electrical contacts by at least detecting whether a detecting current is flowing between the electrical contacts.

16. The medical treatment system of claim 14, wherein the power source is configured to detect whether the second heating element is connected to the electrical contacts by at least measuring at least one of a resistance value or an inductance value of the second heating element by passing a detecting current through the second heating element.

17. The medical treatment system of claim 11, wherein the second heating element is connectable to the distal end of the elongate flexible shaft by one of a screw joint, or a latch joint.

18. The medical treatment system of claim 11, further comprising a third heating element removeably connectable to the distal end of the elongate flexible shaft over the first heating element when the second heating element is not connected to the distal end of the elongate flexible shaft, a heated portion of the third heating element having a third outer diameter measured orthogonal to the longitudinal axis of the elongate flexible shaft that is greater than the second outer diameter.

19. The medical treatment system of claim 11, wherein the second heating element comprises an inner diameter measured orthogonal to the longitudinal axis of the elongate flexible shaft that is greater than or equal to the first outer diameter of the heated portion of the first heating element.