Action/counteraction superimposed double chamber broad area tissue ablation device

Inventors

Sperling, Jason

Assignees

Corfigo Inc

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Publication Number

US-10166058-B2

Patent

Publication Date

2019-01-01

Expiration Date


Abstract

A non-linear ablation device includes two opposing surfaces, which are associated with two overlying and separate compartments. A first compartment of the two overlying and separate compartments is configured to emit or resorb energy. A second compartment of the two overlying and separate compartments is configured to either resorb or emit energy to oppose a direction of energy transfer of the first compartment. Other embodiments of the non-linear ablation device are further disclosed.

Core Innovation

The invention provides a non-linear, broad-area cryoablation device that treats an exterior surface of an internal organ using an ablation body having two opposing compartments. A first compartment defines a cryoablation compartment and includes a cryoablation surface that resorbs energy by cryothermy/freezing, and a second opposing compartment defines an insulation compartment that insulates surrounding tissues from the cryoablation compartment. The compartments are arranged to act against an energy transfer direction so that energy does not continue to act on unintended adjacent tissues.

In an expanded deployment configuration, the cryoablation surface is substantially flat and quadrilateral and is sized and shaped to contact a large planar area of the exterior surface of the internal organ. Each of the cryoablation surface and the insulation surface has a surface area of at least six cm2 in the expanded deployment configuration. The insulation compartment contains an increased amount of an insulation fluid in the inflated or expanded configuration to protect adjacent structures disposed adjacent to the insulation surface.

The device further includes ablation fluid delivery and removal lines that deliver and remove an ablation fluid such that the ablation fluid is continuously shuttled through the cryoablation compartment. The ablation body is collapsible into a collapsed configuration suitable for minimally invasive procedure and deployable into the expanded configuration, and the documented embodiments describe expandable and collapsible deployment such as roll-up and unrolling into a generally quadrilateral or rectangular shape with an elongated or displaced corner. Integrated temperature sensors may be included to monitor dynamic and steady-state temperatures during operation.

A related ablation method is also described, including positioning an ablation device adjacent to an exterior surface of an internal organ, deploying an ablation body from an uninflated or collapsed configuration to an inflated or expanded configuration, contacting the cryoablation surface to a substantial portion of the exterior surface, and ablating the exterior surface by causing the cryoablation surface to resorb energy through delivery of ablation fluid while continuously shuttling the ablation fluid through the cryoablation compartment. Structures disposed adjacent to the insulation surface are protected by insulating the structures from the energy of the cryoablation surface.

Claims Coverage

The provided claim set includes three independent claims. Across these claims, the core inventive features revolve around an ablation body that transitions from a collapsed minimally invasive configuration to an expanded configuration with a flat quadrilateral cryoablation surface, an adjacent insulation compartment with increased insulation fluid to insulate surrounding tissues, and continuous shuttling of ablation fluid via delivery and removal lines coupled to the ablation body.

Cryoablation surface with adjacent insulation compartment in expanded configuration

a cryoablation surface defining a portion of a cryoablation compartment and an insulation surface defining a portion of an insulation compartment disposed adjacent to the cryoablation compartment, wherein each of the cryoablation surface and the insulation surface has a surface area of at least six cm2 in the expanded deployment configuration.

Collapsed to expanded deployment with minimally invasive delivery

a collapsed configuration wherein the ablation body comprises a collapsed size and shape such that the ablation body can be deployed via a minimally invasive procedure and an expanded deployment configuration wherein the cryoablation surface is substantially flat and quadrilateral and is sized and shaped in the expanded deployment configuration to contact a large planar area of the exterior surface of the internal organ of a patient.

Inflated insulation compartment with increased insulation fluid

the insulation compartment comprises an inflated configuration wherein the insulation compartment contains an increased amount of an insulation fluid, and wherein the insulation compartment is configured to insulate surrounding tissues from the cryoablation compartment.

Continuous shuttling cryoablation fluid via delivery and removal lines

an ablation fluid delivery line in fluidic communication with the cryoablation compartment and an ablation fluid removal line in fluidic communication with the cryoablation compartment, wherein the ablation fluid delivery line is constructed and arranged to deliver an ablation fluid and the ablation fluid removal line is constructed and arranged to remove the ablation fluid such that the ablation fluid is continuously shuttled through the cryoablation compartment.

Positioning adjacent to exterior surface and ablation while protecting adjacent structures

positioning an ablation device adjacent to an exterior surface of an internal organ of a patient, deploying the ablation body from an uninflated configuration to an inflated configuration, contacting the inflated configuration of the cryoablation surface to a substantial portion of the exterior surface of the internal organ of the patient, ablating the exterior surface of the target organ by causing the cryoablation surface to resorb energy by delivering an ablation fluid to the cryoablation compartment via an ablation fluid delivery line and removing the ablation fluid via an ablation fluid removal line such that the ablation fluid is continuously shuttled through the cryoablation compartment, and protecting structures disposed adjacent to the insulation surface by insulating the structures from the energy of the cryoablation surface.

Quadrilateral cryoablation compartment and opposite-side insulation compartment

a cryoablation compartment comprising a cryoablation surface, and an insulation compartment disposed adjacent to the cryoablation compartment, the insulation compartment comprising an insulation surface disposed on an opposite side of the ablation body in relation to the cryoablation surface.

Inflated deployment configuration with increased insulation fluid

an inflated configuration wherein the cryoablation compartment and the cryoablation surface comprise a relatively flat and quadrilateral shape and the insulation compartment comprises an increased amount of an insulation fluid disposed in the insulation compartment, wherein each of the cryoablation surface and the insulation surface has a surface area of at least six cm2 in the inflated configuration.

Across the independent claims, the coverage centers on an ablation body with a flat quadrilateral cryoablation surface sized to contact a large planar area, an adjacent opposite-side insulation compartment containing increased insulation fluid to insulate surrounding tissues, deployment between collapsed minimally invasive and expanded inflated configurations, and delivery and removal lines arranged to continuously shuttle ablation fluid through the cryoablation compartment while the insulation surface protects adjacent structures.

Stated Advantages

Insulates surrounding tissues from the cryoablation compartment.

Protects structures disposed adjacent to the insulation surface by insulating the structures from the energy of the cryoablation surface.

Documented Applications

Ablating an exterior surface of an internal organ.

Ablating an exterior surface of the posterior wall of the left atrium of a patient.

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