Systems and methods for treating tissue with radiofrequency energy

• US 9,775,664 B2
• Filed: 08/28/2015
• Issued: 10/03/2017
• Est. Priority Date: 09/22/2009
• Status: Active Grant

• Current Assignee: Mederi Rf, LLC
• Original Assignee: Mederi Therapeutics, Inc. (Respiratory Technology Corp.)
• Inventors: Shikhman, Oleg, Green, Ronald L., Radziunas, Jeffrey
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US14/839,905
• Publication Number:
  US 20150366604A1
• Time in Patent Office: 767 Days
• Field of Search: 606 41- 50
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00488 Esophagus
• CPC Class Codes: A61B 2018/00494 Stomach, intestines or bowel
• CPC Class Codes: A61B 2018/005 Rectum
• CPC Class Codes: A61B 2018/00553 Sphincter
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00761 : Duration
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00916 : with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/0212 : using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/044 : the surgical action being effected by a circulating hot fluid
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/143 : multiple needles
• CPC Class Codes: A61B 2018/1467 : using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1475 : Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2034/252 : indicating steps of a surgical procedure
• CPC Class Codes: A61B 2034/254 : being adapted depending on the stage of the surgical procedure
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61B 2218/007 : Aspiration
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems
• CPC Class Codes: A61N 7/022 : intracavitary
• CPC Class Codes: G06F 3/0481 : based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance

Abstract

A device for applying radiofrequency energy for sphincter treatment comprising a flexible outer tube, an expandable basket having a plurality of arms movable from a collapsed position to an expanded position, and a plurality of electrodes movable with respect to the arms from a retracted position to an extended position. An advancer is slidably disposed within the outer tube to move the plurality of electrodes to the extended position. An actuator moves the advancer from a first position to a second position to advance the plurality of electrodes. An aspiration tube extends within the outer tube. An assembly includes an aspiration disabler having a first position to enable aspiration from a distal portion of the aspiration tube to a proximal portion and a second position to disable aspiration.

Claims

1. A device for applying radiofrequency energy for sphincter treatment comprising:

a flexible outer tube;

an expandable basket having a plurality of arms movable from a collapsed position to an expanded position, and an opening in each of the arms of the plurality of arms;

a plurality of electrodes movable with respect to the plurality of arms, each electrode of the plurality of electrodes is movable from a retracted position to an extended position to extend through each of the openings in each arm of the plurality of arms;

an advancer slidably disposed within the outer tube, the plurality of electrodes operably coupled to the advancer such that movement of the advancer advances each electrode of the plurality of electrodes through each of the openings in each arm of the plurality of arms to the extended position;

a handle portion;

an actuator extending from the handle portion for moving the advancer from a first position to a second position to advance the plurality of electrodes;

an aspiration tube extending within the outer tube and having an opening in a sidewall inside the handle portion; and

an assembly at the handle portion for disabling aspiration through the aspiration tube, the assembly including a disabler having a first position to enable aspiration from a distal portion of the aspiration tube to a proximal portion, the disabler movable to a second position to disable aspiration, the side opening in the aspiration tube communicating with a space within the handle portion to enable air escape into the handle portion when the disabler is moved to the second position.

2. The device of claim 1, wherein the disabler includes a sliding mechanism axially slidable in a longitudinal direction between first and second positions, wherein in the first position of the sliding mechanism, an opening in the aspiration tube is closed to enable aspiration and in the second position of the sliding mechanism the opening is open to disable aspiration.

3. The device of claim 2, wherein the sliding mechanism is connected to a pivotable linkage, wherein movement of the sliding mechanism pivots the linkage to open and close the opening in the aspiration tube.

4. The device of claim 1, wherein the disabler includes a mechanism movable transverse to a longitudinal axis of the aspiration tube between outer and inner positions, wherein in the outer position of the mechanism an opening in the aspiration tube is closed to enable aspiration and in the inner position of the mechanism the opening in the aspiration tube is open to disable aspiration, the inner position defined as the mechanism positioned further into a longitudinal lumen of the aspiration tube.

5. The device of claim 1, wherein the disabler includes a mechanism pivotable with respect to the aspiration tube, wherein in a first position of the mechanism a longitudinally extending lumen of the aspiration is open to enable aspiration and in a second position of the mechanism the longitudinally extending lumen of the aspiration tube is closed to disable aspiration, the mechanism having an engagement surface to apply a force to and deform a wall of the aspiration tube to close the longitudinally extending lumen.

6. The device of claim 5, wherein the mechanism includes a retention locking feature to lock the mechanism in one or both of the first and second positions.

7. The device of claim 1, further comprising an elongated spacer positioned within the flexible outer tube, the spacer having a central lumen to receive the advancer and to maintain a central position of the advancer, wherein the spacer has a rib extending from a wall defining the central lumen to an inner wall of the spacer, wherein the spacer has a slit forming a closable flap, and the flap is elongated and extends longitudinally along at least a portion of the spacer and the flap is openable progressively to progressively lay a plurality of wires within the spacer.

8. The device of claim 7, wherein the spacer includes a plurality of transverse ribs to form separate internal regions of the spacer and a plurality of longitudinally slits are formed in the outer wall of the spacer to provide access to each of the internal regions for placement of one or both of an irrigation tube or aspiration tube within the interior of the spacer.

9. The device of claim 1, wherein each electrode of the plurality of electrodes includes a location feature engageable with an electrode holder to maintain radial spacing of the plurality of electrodes and each of the plurality of arms has an alignment feature engageable with an arm holder to maintain alignment of the plurality of arms.

10. The device of claim 9, wherein the location feature of each electrode of the plurality of electrodes maintains an equidistant spacing of distal tips of the plurality of electrodes.

11. The device of claim 1, wherein each electrode of the plurality of electrodes includes a substantially conical non-penetrating tip.

12. The device of claim 1, wherein the disabler disables aspiration by controlling covering of the side opening in the aspiration tube.

13. The device of claim 12, wherein the disabler is slidable in an axial direction along a longitudinal axis.

14. The device of claim 12, wherein the disabler in its initial position disables suction.

15. The device of claim 1, wherein the disabler includes a support, the support extending into the side opening of the aspiration tube for attachment to the aspiration tube, and the disabler further includes a control extending from the handle portion and externally thereof.