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WO2008142686A3 - Ablation probe - Google Patents

Ablation probe Download PDF

Info

Publication number
WO2008142686A3
WO2008142686A3 PCT/IL2008/000688 IL2008000688W WO2008142686A3 WO 2008142686 A3 WO2008142686 A3 WO 2008142686A3 IL 2008000688 W IL2008000688 W IL 2008000688W WO 2008142686 A3 WO2008142686 A3 WO 2008142686A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
volume
cryo
pole
probe
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.)
Ceased
Application number
PCT/IL2008/000688
Other languages
French (fr)
Other versions
WO2008142686A2 (en
Inventor
Roni Zvuloni
Yeshayahu Schatzberger
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.)
UC Care Ltd
Original Assignee
UC Care Ltd
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
Application filed by UC Care Ltd filed Critical UC Care Ltd
Publication of WO2008142686A2 publication Critical patent/WO2008142686A2/en
Publication of WO2008142686A3 publication Critical patent/WO2008142686A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1477—Needle-like probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00017—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids with gas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00041—Heating, e.g. defrosting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
    • A61B2018/0243—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink
    • A61B2018/0256—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink by circulating gas, e.g. air
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
    • A61B2018/0281—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs
    • A61B2018/0287—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs the fluid flowing through a long thin tube with spiral shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1266—Generators therefor with DC current output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Surgical Instruments (AREA)

Abstract

A device for tissue ablation at least by high frequency energy comprising at least one group of probes. Each group includes a couple of high frequency probes having a single pole and being adapted for individual disposition of the pole adjacent the tissue at a desired distance from the pole of the other probe, the poles constituting a dipole adapted to apply the energy to a first volume of the tissue. The device further comprises at least one cryo probe having a cryo tip and is adapted for the disposition of the cryo tip between the poles, for cooling the tissue, inducing ablation of a second volume of the tissue which is greater than the first volume.
PCT/IL2008/000688 2007-05-21 2008-05-21 Ablation probe Ceased WO2008142686A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US92456307P 2007-05-21 2007-05-21
US60/924,563 2007-05-21

Publications (2)

Publication Number Publication Date
WO2008142686A2 WO2008142686A2 (en) 2008-11-27
WO2008142686A3 true WO2008142686A3 (en) 2009-05-07

Family

ID=39760916

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2008/000688 Ceased WO2008142686A2 (en) 2007-05-21 2008-05-21 Ablation probe

Country Status (1)

Country Link
WO (1) WO2008142686A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10864040B2 (en) 2015-12-29 2020-12-15 Warsaw Orthopedic, Inc. Multi-probe system using bipolar probes and methods of using the same

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8672932B2 (en) 2006-03-24 2014-03-18 Neuwave Medical, Inc. Center fed dipole for use with tissue ablation systems, devices and methods
EP1998698B1 (en) 2006-03-24 2020-12-23 Neuwave Medical, Inc. Transmission line with heat transfer ability
CN102784007B (en) * 2006-07-14 2015-09-30 纽华沃医药公司 Energy transmission system and uses thereof
US10376314B2 (en) 2006-07-14 2019-08-13 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US11389235B2 (en) 2006-07-14 2022-07-19 Neuwave Medical, Inc. Energy delivery systems and uses thereof
RU2470607C2 (en) * 2009-06-04 2012-12-27 Константин Станиславович Авраменко Method of biological tissue ablation
CN102625676A (en) 2009-07-28 2012-08-01 纽韦弗医疗设备公司 Energy delivery systems and their uses
EP3804651A1 (en) 2010-05-03 2021-04-14 Neuwave Medical, Inc. Energy delivery systems
US9204916B2 (en) 2011-10-27 2015-12-08 Medtronic Cryocath Lp Cryogenic balloon device with radiofrequency tip
JP2015503963A (en) 2011-12-21 2015-02-05 ニューウェーブ メディカル, インコーポレイテッドNeuwave Medical, Inc. Energy supply system and method of use thereof
US9113911B2 (en) 2012-09-06 2015-08-25 Medtronic Ablation Frontiers Llc Ablation device and method for electroporating tissue cells
US10327830B2 (en) 2015-04-01 2019-06-25 Monteris Medical Corporation Cryotherapy, thermal therapy, temperature modulation therapy, and probe apparatus therefor
JP6857187B2 (en) 2015-10-26 2021-04-14 ニューウェーブ メディカル, インコーポレイテッドNeuwave Medical, Inc. Energy supply system and its use
JP6949873B2 (en) 2016-04-15 2021-10-13 ニューウェーブ メディカル, インコーポレイテッドNeuwave Medical, Inc. Systems and methods for energy supply
US11672596B2 (en) 2018-02-26 2023-06-13 Neuwave Medical, Inc. Energy delivery devices with flexible and adjustable tips
US11628007B2 (en) 2018-09-14 2023-04-18 Atricure, Inc. Cryoprobe
KR20210136058A (en) 2019-03-01 2021-11-16 램파트 헬스, 엘.엘.씨. Pharmaceutical composition combining immunological and chemotherapeutic methods for the treatment of cancer
US11832879B2 (en) 2019-03-08 2023-12-05 Neuwave Medical, Inc. Systems and methods for energy delivery
EP4291168A2 (en) 2021-02-12 2023-12-20 Rampart Health, L.L.C. Therapeutic composition and method combining multiplex immunotherapy with cancer vaccine for the treatment of cancer
US20230293218A1 (en) * 2022-03-17 2023-09-21 Varian Medical Systems, Inc. Apparatuses and methods for monitoring and controlling bleeding during cryoablation treatments
US12376897B2 (en) 2022-03-17 2025-08-05 Varian Medical Systems, Inc. Apparatuses and methods for the control and optimization of ice formation during cryoablation treatments
US12488864B2 (en) 2022-03-17 2025-12-02 Varian Medical Systems, Inc. Apparatuses and methods for adaptively controlling cryoablation systems

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001041664A1 (en) * 1999-12-09 2001-06-14 Cryocath Technologies, Inc. Catheter with cryogenic and electrical heating ablation
WO2002009571A2 (en) * 2000-07-31 2002-02-07 Galil Medical Ltd. Planning and facilitation systems and methods for cryosurgery
US6379348B1 (en) * 2000-03-15 2002-04-30 Gary M. Onik Combined electrosurgical-cryosurgical instrument
DE10107800C1 (en) * 2001-02-16 2002-10-10 Tricumed Medizintechnik Gmbh Cryo-probe with thermoelement has shaft and tip of different metals joined together to form thermoelement; reference lines of same materials lead to reference point at known temperature
US20020156469A1 (en) * 1998-03-31 2002-10-24 Yon Steven A. Method and device for performing colling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection
US20040204705A1 (en) * 2003-04-10 2004-10-14 Scimed Life Systems, Inc. Cryotreatment devices and methods of forming conduction blocks

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020156469A1 (en) * 1998-03-31 2002-10-24 Yon Steven A. Method and device for performing colling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection
WO2001041664A1 (en) * 1999-12-09 2001-06-14 Cryocath Technologies, Inc. Catheter with cryogenic and electrical heating ablation
US6379348B1 (en) * 2000-03-15 2002-04-30 Gary M. Onik Combined electrosurgical-cryosurgical instrument
WO2002009571A2 (en) * 2000-07-31 2002-02-07 Galil Medical Ltd. Planning and facilitation systems and methods for cryosurgery
DE10107800C1 (en) * 2001-02-16 2002-10-10 Tricumed Medizintechnik Gmbh Cryo-probe with thermoelement has shaft and tip of different metals joined together to form thermoelement; reference lines of same materials lead to reference point at known temperature
US20040204705A1 (en) * 2003-04-10 2004-10-14 Scimed Life Systems, Inc. Cryotreatment devices and methods of forming conduction blocks

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
HINES-PERALTA ET AL: "Hybrid Radiofrequency and Cryoablation Device: Preliminary Results in an Animal Model", JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, VA, vol. 15, no. 10, 1 October 2004 (2004-10-01), pages 1111 - 1120, XP022010842, ISSN: 1051-0443 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10864040B2 (en) 2015-12-29 2020-12-15 Warsaw Orthopedic, Inc. Multi-probe system using bipolar probes and methods of using the same

Also Published As

Publication number Publication date
WO2008142686A2 (en) 2008-11-27

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