CA2435429A1 - Catheter - Google Patents

Catheter Download PDF

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Publication number
CA2435429A1
CA2435429A1 CA002435429A CA2435429A CA2435429A1 CA 2435429 A1 CA2435429 A1 CA 2435429A1 CA 002435429 A CA002435429 A CA 002435429A CA 2435429 A CA2435429 A CA 2435429A CA 2435429 A1 CA2435429 A1 CA 2435429A1
Authority
CA
Canada
Prior art keywords
coolant
enclosure
catheter
supply line
inlet
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002435429A
Other languages
French (fr)
Other versions
CA2435429C (en
Inventor
Marwan Abboud
Rachid Mahrouche
Jean-Pierre Lalonde
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Cryocath LP
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=25090471&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2435429(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Priority to CA2651832A priority Critical patent/CA2651832C/en
Priority to CA2651835A priority patent/CA2651835C/en
Publication of CA2435429A1 publication Critical patent/CA2435429A1/en
Application granted granted Critical
Publication of CA2435429C publication Critical patent/CA2435429C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231Characteristics of handpieces or probes
    • A61B2018/0262Characteristics of handpieces or probes using a circulating cryogenic fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231Characteristics of handpieces or probes
    • A61B2018/0262Characteristics of handpieces or probes using a circulating cryogenic fluid
    • A61B2018/0268Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow

Abstract

A cryogenic medical system includes a medical device and a console connectable to the medical device at a connection point. The console controls the temperature of the medical device. The console includes a first cooling system directing coolant to the medical device at a first temperature along a coolant supply line and a second cooling system chilling the coolant within the coolant supply line to a temperature below the first temperature before the coolant reaches the connection point.

Claims (12)

1. A cryogenic medical system comprising:

a medical device including a medical probe;
a console connectable to the medical device at a connection point, the console controlling temperature of the medical device, and the console including;

a first cooling system comprising a substantially closed loop having a coolant supply line leading to the medical probe and a coolant return line leading from the medical device, the first cooling system directing coolant to the medical device at a first temperature along the coolant supply line;

a first compressor un fluid communication with a first condenser outputting coolant into the coolant supply line; and a vacuum pump in fluid communication with the first compressor and the medical probe; and a second cooling system chilling the coolant within the coolant supply line to a temperature below the first temperature before the coolant reaches the connection point.
2. The system of claim 1, wherein the medical device includes a catheter.
3. The system of claim 1, wherein the vacuum pump establishes a pressure within the coolant return line and the medical device that is below ambient atmospheric pressure.
4. The system of claim 1, wherein the second cooling system includes an enclosure having an inlet and an outlet; the enclosure defining a fluid path from the inlet to the outlet, and the enclosure enveloping a portion of the coolant supply line wherein the portion of the fluid supply line defines one or more orifices, the one or more orifices being the inlet to the enclosure.
5. The system of claim 4, further comprising a second compressor in fluid communication with a second condenser outputting coolant to the inlet of the enclosure and receiving coolant from the outlet of the enclosure.
6. The system of claim 5, further comprising a second compressor in fluid communication with a second condenser outputting coolant to the inlet of the enclosure and receiving coolant from the outlet of the enclosure.
7. The system of claim 2, wherein the first cooling system includes a coolant return line leading from the catheter to a coolant scavenging system, and wherein the first cooling system and the catheter comprise a substantially open-loop.
8. The system of claim 7, wherein the first cooling system includes:
a coolant reservoir in fluid communication with the fluid supply line; and a vacuum pump interposed between the catheter and the coolant collection tank.
9. The system of claim 8, wherein the vacuum pump creates a pressure within the catheter that is below ambient atmospheric pressure.
10. The system of claim 7, wherein the second cooling system includes an enclosure having an inlet and an outlet; the enclosure defining a fluid path from the inlet to the outlet, and the enclosure enveloping a portion of the coolant supply line.
11. The system of claim 10, further comprising a compressor in fluid communication with a condenser outputting coolant to the inlet of the enclosure and receiving coolant from the outlet of the enclosure.

6. The system of claim 4, further comprising:
a temperature sensor far measuring the temperature within the enclosure; and a coolant flow regulator responsive to the temperature sensor for controlling fluid flow from the second fluid supply line into the enclosure.

7. A cryogenic medical system comprising:
a catheter;
a console including accessories, the console connectable to the catheter at a connection point, the console controlling temperature of the catheter, and the console including a first cooling system including a coolant supply line leading to the catheter, a coolant return line leading from the catheter, a first compressor in fluid communication with a first condenser outputting a liquid coolant into the coolant supply line, and a vacuum pump in fluid communication with the first compressor that establishes a pressure within the coolant return line that is below ambient atmospheric pressure; and a second cooling system including an enclosure having an inlet and an outlet, wherein the enclose defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line of the first cooling system; and a second compressor in fluid communication with a second condenser outputting coolant to the inlet of the enclosure and receiving coolant tom the outlet of the enclosure.

A cryogenic medical system comprising:
a catheter;
a console including accessories, the console connectable to the catheter at a connection point, the console controlling temperature of the catheter, and the console including a first cooling system including a coolant supply line leading to the catheter, a coolant return line leading from the catheter, a coolant reservoir in fluid communication with the fluid supply line, a coolant collection tank in fluid communication with the coolant return line, and a vacuum pump interposed between the catheter and the coolant collection tank that establishes a pressure within the coolant return line below ambient atmospheric pressure; and a second cooling system including an enclosure having an inlet and an outlet, wherein the enclosure defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line of the first cooling system; and a second fluid supply line in fluid communication with the coolant reservoir and the inlet of the enclosure.

9. A cryogenic medical system comprising:
a medical device;
a console including accessories, the console being connectable to the medical devise at a connection point, the console controlling temperature of the medical device, and the console including a first system directing coolant in a mixed gas and liquid state to the medical device along a coolant supply line; and a second system decreasing the percentage of gas in the coolant before the coolant reaches the connection point.

10. The system of claim 9, wherein the second system decreases the percentage of gas in the coolant by reducing the temperature of the coolant, and wherein the system further comprises a chamber having an inlet and an outlet, wherein the enclosure defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line;
and a controller for controlling coolant flow into the chamber.

11. The system of 10, wherein the controller establishes a duty cycle for cyclically allowing and denying entry of coolant into the chamber at a rate responsive to sensed temperature within the chamber to selectively raise, lower, and maintain temperature of coolant within the coolant supply line.
12. The system of claim 10, wherein the inlet is provide inside the enclosure.

15. A cryogenic medical system comprising:
a catheter;
a console including accessories, the console connectable to the catheter at a connection point, the console controlling temperature of the catheter, and the console including a first cooling system including a coolant supply line leading to the catheter, a coolant return line leading from the catheter, a first compressor in fluid communication with a first condenser outputting coolant into the coolant supply line, and a vacuum pump in fluid communication with the first compressor that establishes a pressure within the coolant return line that is below ambient atmospheric pressure; and a second cooling system including an enclosure having an inlet and an outlet, wherein the enclosure defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line of the first cooling system; and a second compressor in fluid communication with a second condenser outputting coolant to the inlet of the enclosure and receiving coolant from the outlet of the enclosure.

16. A cryogenic medical system comprising:
a catheter;
a console including accessories, the console connectable to the catheter at a connection point, the console controlling temperature of the catheter, and the console including a first cooling system including a coolant supply line leading to the catheter, a coolant return line leading from the catheter, a coolant reservoir in fluid communication with the fluid supply line, a coolant collection tank in fluid communication with the coolant return line, and a vacuum pump interposed between the catheter and the coolant collection tank that establishes a pressure within the coolant return line below ambient atmospheric pressure; and a second cooling system including an enclosure having an inlet and an outlet, wherein the enclosure defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line of the first cooling system; and a second fluid supply line in fluid communication with the coolant reservoir and the inlet of the enclosure.

17. A cryogenic medical system comprising:
a medical device;
a console including accessories, the connectable to the medical device at a connection point, the console controlling temperature of the medical device, and the console including a first system directing coolant in a mixed gas and liquid state to the medical device along a coolant supply line; and a second system decreasing the percentage of gas in the coolant before the coolant reaches the connection point.

18. The system of claim 17, wherein the second system decreases the percentage of gas in the coolant by reducing the temperature of the coolant, and wherein the system further comprises an chamber having an inlet and an outlet, wherein the enclosure defines a fluid path from the inlet to the outlet, and the enclosure envelops a portion of the coolant supply line; and a controller for controlling coolant flow into the chamber.

19. The system of claim 18, wherein the controller establishes a duty cycle for cyclically allowing and denying entry of coolant into the chamber at a rate responsive to sensed temperature within the chamber to selectively raise, lower, and maintain temperature of coolant within the coolant supply line.

20. The system of claim 10, wherein the inlet is provided inside the enclosure.
CA002435429A 2001-01-26 2002-01-25 Catheter Expired - Fee Related CA2435429C (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CA2651832A CA2651832C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system
CA2651835A CA2651835C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/771,031 US6592577B2 (en) 1999-01-25 2001-01-26 Cooling system
US09/771,031 2001-01-26
PCT/CA2002/000088 WO2002058576A1 (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system

Related Child Applications (2)

Application Number Title Priority Date Filing Date
CA2651835A Division CA2651835C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system
CA2651832A Division CA2651832C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system

Publications (2)

Publication Number Publication Date
CA2435429A1 true CA2435429A1 (en) 2002-08-01
CA2435429C CA2435429C (en) 2010-01-05

Family

ID=25090471

Family Applications (3)

Application Number Title Priority Date Filing Date
CA2651835A Expired - Fee Related CA2651835C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system
CA2651832A Expired - Fee Related CA2651832C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system
CA002435429A Expired - Fee Related CA2435429C (en) 2001-01-26 2002-01-25 Catheter

Family Applications Before (2)

Application Number Title Priority Date Filing Date
CA2651835A Expired - Fee Related CA2651835C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system
CA2651832A Expired - Fee Related CA2651832C (en) 2001-01-26 2002-01-25 Precooled cryogenic medical system

Country Status (6)

Country Link
US (5) US6592577B2 (en)
EP (1) EP1357847B1 (en)
AT (1) ATE320766T1 (en)
CA (3) CA2651835C (en)
DE (1) DE60210046T2 (en)
WO (1) WO2002058576A1 (en)

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US20040049178A1 (en) 2004-03-11
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US7207986B2 (en) 2007-04-24
US8361059B2 (en) 2013-01-29
US20070093799A1 (en) 2007-04-26
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