Radially-firing electrohydraulic lithotripsy probe

• US 9,579,114 B2
• Filed: 11/22/2011
• Issued: 02/28/2017
• Est. Priority Date: 05/07/2008
• Status: Active Grant

• Current Assignee: Northgate Technologies Incorporated
• Original Assignee: Northgate Technologies Incorporated
• Inventors: Zander, Joanna L., Mantell, Robert R., Lipowski, Stan J., Zander, Chuck
• Primary Examiner(s): Severson, Ryan J
• Assistant Examiner(s): DANG, ANH TIEU
• Application Number:
  US13/302,706
• Publication Number:
  US 20120071889A1
• Time in Patent Office: 1,925 Days
• Field of Search: 606/127, 606/128, 606/32, 606/33, 601/4
• US Class Current: 1/1
• CPC Class Codes: A61B 17/22022 using electric discharge
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/22025 applying a shock wave A61B2017/22091 takes precedence
• CPC Class Codes: A61B 2017/22098 Decalcification of valves
• 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 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: G10K 15/06 using electric discharge

Abstract

Invasive side-firing electrohydraulic lithotripsy probes that creates a substantially annular shockwave to break up concretions are disclosed. Generally, the side-firing electrohydraulic lithotripsy probe includes a lithotripter tip including a first electrode and a second electrode. The first electrode is positioned at a distal end of the lithotripter tip and the second electrode is positioned in the lithotripter tip such that an end of the second electrode is coaxially aligned with an end of the first electrode. An electric arc between the first and second electrodes causes a shockwave to radiate radially from the lithotripter tip.

Claims

1. An invasive lithotripter probe comprising:

a water-tight flexible encapsulating member encapsulating a liquid; and

a lithotripter tip positioned within the liquid encapsulated by the water-tight flexible encapsulating member, the lithotripter tip comprising;

a first electrode; and

a second electrode;

wherein the invasive lithotripter probe is dimensioned and configured to be threaded through a human vein or artery of a patient and delivered to a position within an interior of a small lumen of a body organ of the patient such that the water-tight flexible encapsulating member is positioned against the interior of the small lumen of the body organ of the patient; and

wherein the first and second electrodes are positioned on the lithotripter tip such that an electric arc between the ends of the first and second electrodes causes an annular shockwave within the liquid to radiate radially in a direction that is transverse from the longitudinal axis of the invasive lithotripter probe, such that while the invasive lithotripter probe is positioned within the interior of the small lumen of the body organ, the invasive lithotripter probe is configured to disturb tissue within the interior of the small lumen of the body organ that is positioned against the water-tight flexible encapsulating member in a location substantially transverse to the longitudinal axis of the invasive lithotripter probe.

2. The invasive lithotripter probe of claim 1, wherein the small lumen of the body organ is a fallopian tube.

3. The invasive lithotripter probe of claim 1, wherein the first electrode is positioned at a distal end of the lithotripter tip and wherein an end of the second electrode is coaxially aligned with an end of the first electrode.

4. The invasive lithotripter probe of claim 1, wherein the liquid comprises saline.

5. The invasive lithotripter probe of claim 1, wherein a distance between a tip of the first electrode and a point on the second electrode that is closest to the tip of the first electrode is between 0.006 and 0.100 inch.

6. An invasive lithotripter probe system comprising:

a water-tight flexible encapsulating member encapsulating a liquid;

a lithotripter tip positioned within the liquid encapsulated by the water-tight water-tight flexible encapsulating member, the lithotripter tip and flexible encapsulating member dimensioned and configured to be threaded through a human vein or artery of a patient and delivered to a position within an interior of a human vein, artery, or lumen of a body organ such that the water-tight flexible encapsulating member is positioned against the interior of the human vein, artery, or lumen of a body organ, the lithotripter tip comprising;

a first electrode; and

a second electrode;

and

an electrical source configured to charge the first electrode to a first polarity;

wherein the first and second electrodes are positioned on the lithotripter tip such that an electric arc between the ends of the first and second electrodes causes an annular shockwave within the liquid to radiate radially in a direction that is transverse from the longitudinal axis of the invasive lithotripter probe, such that while the lithotripter tip and the watertight flexible encapsulating member are positioned within the interior of the human vein, artery, or lumen of the body organ, the annular shockwave within the liquid causes the water-tight flexible encapsulating member to disturb tissue within the interior of the human vein, artery, or lumen of the body organ that is positioned against the water-tight flexible encapsulating member in a location substantially transverse to the longitudinal axis of the invasive lithotripter probe.

7. The invasive lithotripter probe system of claim 6, wherein the electrical source comprises an electrohydraulic generator.

8. The invasive lithotripter probe system of claim 6, wherein the electrical source comprises a fusable link configured to disable the lithotripter tip.

9. The invasive lithotripter probe system of claim 8 wherein the electrical source is configured to monitor a number of times the lithotripter tip has fired and power levels used during firing of the lithotripter tip, and to determine when the lithotripter tip is near End of Life based on the monitoring.

10. The invasive lithotripter probe system of claim 9, wherein the electrical source is further configured to cause the fusable link to open in response to determining the lithotripter tip is near End of Life.

11. The invasive lithotripter probe system of claim 6, wherein the invasive lithotripter probe is dimensioned to be threaded through a human vein or artery.

12. The invasive lithotripter probe system of claim 6, wherein the lithotripter tip is dimensioned to be delivered to a small lumen of a body organ.

13. The invasive lithotripter probe system of claim 12, wherein the small lumen of the body organ is a fallopian tube.

14. The invasive lithotripter probe system of claim 6, wherein the first electrode is positioned at a distal end of the lithotripter tip and wherein an end of the second electrode is coaxially aligned with an end of the first electrode.

15. The invasive lithotripter probe system of claim 6, wherein the liquid comprises saline.

16. The invasive lithotripter probe system of claim 6, wherein a distance between a tip of the first electrode and a point on the second electrode that is closest to the tip of the first electrode is between 0.006 and 0.100 inch.

17. An invasive lithotripter probe comprising:

a water-tight flexible encapsulating member encapsulating a liquid; and

a lithotripter tip positioned within the liquid encapsulated by the water-tight flexible encapsulating member, the lithotripter tip comprising;

a first electrode; and

a second electrode;

wherein the lithotripter tip and the body organ flexible encapsulating member are dimensioned and configured to be threaded through a human vein or artery of a patient and delivered to a position within an interior of a human vein, artery, or lumen of a body organ such that the water-tight flexible encapsulating member is positioned against concretions within the interior of the human vein, artery, or lumen of the body organ;

wherein the first and second electrodes are positioned on the lithotripter tip such that an electric arc between the ends of the first and second electrodes causes an annular shockwave within the liquid to radiate radially in a direction that is transverse from the longitudinal axis of the invasive lithotripter probe, such that while the lithotripter tip and the watertight flexible encapsulating member are positioned within the interior of the human vein, artery, or lumen of the body organ, the annular shockwave within the liquid causes the water-tight flexible encapsulating member to disturb concretions within the interior of the human vein, artery, or lumen of the body organ that are positioned against the water-tight flexible encapsulating member in a location substantially transverse to the longitudinal axis of the invasive lithotripter probe.