Surgical probe for supporting inflatable therapeutic devices in contact with tissue in or around body orifices and within tumors

Abstract

A probe that facilitates the creation of lesions in bodily tissue. The probe includes a relatively short shaft and an inflatable therapeutic element.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application is a continuation-in-part of U.S. application Ser. No. 09 / 083,874, filed May 22, 1998, which is incorporated herein in its entirety.BACKGROUND OF THE INVENTIONS [0002] 1. Field of Inventions [0003] The present inventions relate generally to surgical probes that support therapeutic devices in contact with body tissue. [0004] 2. Description of the Related Art [0005] There are many instances where diagnostic and therapeutic elements must be inserted into the body. One instance involves the treatment of cardiac conditions such as atrial fibrillation and atrial flutter which lead to an unpleasant, irregular heart beat, called arrhythmia. [0006] Normal sinus rhythm of the heart begins with the sinoatrial node (or “SA node”) generating an electrical impulse. The impulse usually propagates uniformly across the right and left atria and the atrial septum to the atrioventricular node (or “AV node”). This propagation causes the atr...

AI Technical Summary

Benefits of technology

The present invention provides a device that can create circumferential lesions in or around the pulmonary vein and other bodily orifices in a more efficient manner than conventional apparatus. The device includes a surgical probe with an inflatable therapeutic element that can form a continuous lesion around a pulmonary vein. The therapeutic element can be easily inserted into the heart and placed against the target tissue with the desired level of contact, thereby eliminating many of the problems associated with catheter-based procedures. The flexibility of the inflatable therapeutic element allows the physician to achieve the appropriate level of tissue contact, even when the shaft is not perfectly perpendicular to the target tissue area, the target tissue has become rigid due to calcification, or the shaft is not perfectly perpendicular to the tumor. The inflatable therapeutic element can be inserted into a tumor, inflated and used to uniformly coagulate the entire tumor without charring. The device can be easily directed into tissue, such as tumor tissue, and the conductive fluid within the inflatable porous therapeutic elements will draw heat away from the therapeutic element and the adjacent tissue, resulting in the formation of relatively deep, large volume lesions without the charring and coagulation associated with conventional needle electrodes.

Problems solved by technology

These wavelets, called “reentry circuits,” disrupt the normally uniform activation of the left and right atria.

Because of a loss of atrioventricular synchrony, the people who suffer from atrial fibrillation and flutter also suffer the consequences of impaired hemodynamics and loss of cardiac efficiency.

They are also at greater risk of stroke and other thromboembolic complications because of loss of effective contraction and atrial stasis.

However, the maze procedure is technically difficult to do.

Nevertheless, the inventors herein have determined that catheter-based procedures are not appropriate in every situation and that conventional catheters are not capable of reliably forming all types of lesions.

For example, one lesion that has proven to be difficult to form with conventional catheter devices is the circumferential lesion that is used to isolate the pulmonary vein and cure ectopic atrial fibrillation.

Such techniques have proven to be less than effective because they are slow and gaps of conductive tissue can remain after the procedure.

It can also be difficult to achieve the adequate tissue contact with conventional catheters.

Heretofore, tumors have been treated with highly toxic drugs that have proven to have severe side effects.

Most notably, the needle-like electrodes produce non-uniform, shallow lesions and / or spot lesions and also fail to coagulate the entire volume of tumor tissue.

This failure can ultimately result in the tumor growing to be even larger than its original size.

The needle-like electrodes can also cause tissue charring.

Moreover, tissue tends to shrink around the needle-like electrodes during the coagulation process.

This makes it very difficult to withdraw the electrodes from the patient and often results in tissue trauma.

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