Medical device for treating airways and related methods of use

• US 9,572,619 B2
• Filed: 01/20/2016
• Issued: 02/21/2017
• Est. Priority Date: 11/02/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Laufer, Michael D., Wizeman, William, Webster, Noah, Jarrard, Jerry
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US15/001,440
• Publication Number:
  US 20160135867A1
• Time in Patent Office: 398 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, 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 a measurement from a sensor unit or from at least one of the plurality of energy delivery elements, wherein the measurement is indicative of a size of a body lumen in which the expandable member is disposed;

activate a first number of the plurality of energy delivery elements when the control unit determines, based on the measurement, that the expandable member is at a first expanded configuration, the first number being at least one; and

activate a second number of the plurality of energy delivery elements when the control unit determines, based on the measurement, that the expandable member is at a second expanded configuration, the second number being greater than the first number.

2. The medical device of claim 1, wherein a diameter of the expandable member is greater while in the second expanded configuration than while in the first expanded configuration.

3. The medical device of claim 1, wherein the control unit is configured to activate all of the plurality of energy delivery elements when the control unit determines, based on the measurement, that the expandable member is in the second expanded configuration.

4. The medical device of claim 1, wherein the control unit is configured to activate only alternating energy delivery elements of the plurality of energy delivery elements when the control unit determines, based on the measurement, that the expandable member is in the first expanded configuration.

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

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

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

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

9. The medical device of claim 8, 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.

10. 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.

11. A medical 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 a 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 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 measurement, that the expandable member is expanded to a second diameter, wherein the second diameter is greater than the first diameter.

12. The medical device of claim 11, 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.

13. The medical device of claim 11, wherein at least two of the plurality of energy delivery elements are circumferentially spaced apart from one another.

14. The medical device of claim 11, wherein at least two of the plurality of energy delivery elements are longitudinally spaced apart from one another.

15. The medical device of claim 11, wherein the energy delivery elements are electrodes configured to deliver RF energy.

16. The medical device of claim 11, wherein distal ends of the plurality of energy delivery elements converge toward one another.

17. A method of delivering energy to a body, the method comprising:

determining a size of a first body lumen with a sensor unit or a medical device, wherein the medical device includes an expandable member movable between a collapsed configuration and one or more expanded configurations, the expandable member including a plurality of energy delivery elements;

activating at least one of the plurality of energy delivery elements when the medical device is positioned within the first body lumen and based on the determined size of the first body lumen;

determining a size of a second body lumen with the sensor unit or the medical device, wherein the size of the second body lumen is larger than the size of the first body lumen; and

activating more of the plurality of energy delivery elements than were activated in the first body lumen when the medical device is positioned within the second body lumen and based on the determined size of the second body lumen.

18. The method of claim 17, wherein determining the size of the first body lumen includes determining an amount of expansion of the expandable member when the medical device is disposed in the first body lumen.

19. The method of claim 17, wherein, activating at least one of the plurality of energy delivery elements when the medical device is positioned within the first body lumen and after determining the size of the first body lumen further includes activating only alternating energy delivery elements of the plurality of energy delivery elements.

20. The method of claim 17, wherein activating more of the plurality of energy delivery elements than were activated in the first body lumen when the medical device is positioned within the second body lumen and after determining the size of the second body lumen further includes activating all of the plurality of energy delivery elements.