CA2252988A1 - Method and device for trans myocardial cryo revascularization - Google Patents

Method and device for trans myocardial cryo revascularization

Info

Publication number
CA2252988A1
CA2252988A1 CA002252988A CA2252988A CA2252988A1 CA 2252988 A1 CA2252988 A1 CA 2252988A1 CA 002252988 A CA002252988 A CA 002252988A CA 2252988 A CA2252988 A CA 2252988A CA 2252988 A1 CA2252988 A1 CA 2252988A1
Authority
CA
Canada
Prior art keywords
passageway
myocardial
operating member
operating
gas
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
CA002252988A
Other languages
French (fr)
Other versions
CA2252988C (en
Inventor
Rony Ammar
Mordechai Bliweis
Glinka Ofer
Gideon Even Sturlesi
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.)
Galil Medical Ltd
Original Assignee
Galil Medical Ltd
Rony Ammar
Mordechai Bliweis
Glinka Ofer
Gideon Even Sturlesi
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 Galil Medical Ltd, Rony Ammar, Mordechai Bliweis, Glinka Ofer, Gideon Even Sturlesi filed Critical Galil Medical Ltd
Publication of CA2252988A1 publication Critical patent/CA2252988A1/en
Application granted granted Critical
Publication of CA2252988C publication Critical patent/CA2252988C/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation
    • 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
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F25—REFRIGERATION OR COOLING; COMBINED HEATING AND REFRIGERATION SYSTEMS; HEAT PUMP SYSTEMS; MANUFACTURE OR STORAGE OF ICE; LIQUEFACTION SOLIDIFICATION OF GASES
    • F25B—REFRIGERATION MACHINES, PLANTS OR SYSTEMS; COMBINED HEATING AND REFRIGERATION SYSTEMS; HEAT PUMP SYSTEMS
    • F25B2309/00—Gas cycle refrigeration machines
    • F25B2309/02—Gas cycle refrigeration machines using the Joule-Thompson effect
    • F25B2309/021—Gas cycle refrigeration machines using the Joule-Thompson effect with a cryosurgical probe tip having a specific construction

Abstract

Cryosurgery method and device for performing traps myocardial revascularization are provided. The method includes: forming trans myocardial channels by cryoablating selected portions of the myocardial tissue. The cryosurgery device includes:(a) an operating member having an operating surface and a hollow; and a housing member connected thereto; (b) a first passageway extending along the device for providing high pressure gas to the operating member, the first passageway including a primary Joule Thomson heat exchanger in the form of a primary orifice located on the first passageway for enabling expansion of gas within the hollow of the operating member, thereby providing a desired temperature to the surface of the operating member; (c) a second passageway extending through the length of the housing member for evacuating gas from the operating tip to atmosphere; (d) a third passageway extending along a portion of the device and including a secondary Joule Thomson heat exchanger for providing a desired temperature to gas flowing through the first passageway. Method and device according to the present invention enable to form durable transmyocardial channels without causing considerable trauma to the myocardial tissue.
CA002252988A 1997-12-02 1998-12-01 Method and device for trans myocardial cryo revascularization Expired - Fee Related CA2252988C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/982,860 1997-12-02
US08/982,860 US5885276A (en) 1997-12-02 1997-12-02 Method and device for transmyocardial cryo revascularization

Publications (2)

Publication Number Publication Date
CA2252988A1 true CA2252988A1 (en) 1999-06-02
CA2252988C CA2252988C (en) 2006-10-31

Family

ID=25529577

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002252988A Expired - Fee Related CA2252988C (en) 1997-12-02 1998-12-01 Method and device for trans myocardial cryo revascularization

Country Status (5)

Country Link
US (2) US5885276A (en)
EP (1) EP0919197B1 (en)
JP (1) JPH11276495A (en)
CA (1) CA2252988C (en)
DE (1) DE69829028T2 (en)

Families Citing this family (77)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5800487A (en) * 1996-07-23 1998-09-01 Endocare, Inc. Cryoprobe
US6120520A (en) 1997-05-27 2000-09-19 Angiotrax, Inc. Apparatus and methods for stimulating revascularization and/or tissue growth
US6102926A (en) 1996-12-02 2000-08-15 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having means for sensing tissue parameters and methods of use
US6051008A (en) 1996-12-02 2000-04-18 Angiotrax, Inc. Apparatus having stabilization members for percutaneously performing surgery and methods of use
US6281175B1 (en) 1997-09-23 2001-08-28 Scimed Life Systems, Inc. Medical emulsion for lubrication and delivery of drugs
US6251105B1 (en) 1998-03-31 2001-06-26 Endocare, Inc. Cryoprobe system
US6261304B1 (en) 1998-09-10 2001-07-17 Percardia, Inc. Delivery methods for left ventricular conduit
JP2003535615A (en) * 1999-02-12 2003-12-02 コルパン，ニコライ Cryosurgical devices, especially for the treatment of tumors
US6468271B1 (en) 1999-02-24 2002-10-22 Scimed Life Systems, Inc. Device and method for percutaneous myocardial revascularization
US6217575B1 (en) 1999-02-24 2001-04-17 Scimed Life Systems, Inc. PMR catheter
US6546932B1 (en) 1999-04-05 2003-04-15 Cryocath Technologies Inc. Cryogenic method and apparatus for promoting angiogenesis
US6626899B2 (en) * 1999-06-25 2003-09-30 Nidus Medical, Llc Apparatus and methods for treating tissue
US6329348B1 (en) 1999-11-08 2001-12-11 Cornell Research Foundation, Inc. Method of inducing angiogenesis
EP1237616A2 (en) * 1999-11-12 2002-09-11 Cryocath Technologies inc. Cryomedical device for promoting angiogenesis
US6503246B1 (en) * 2000-07-05 2003-01-07 Mor Research Applications Ltd. Cryoprobe and method of treating scars
AU2001273421A1 (en) * 2000-07-13 2002-01-30 Bioheart, Inc. Deployment system for myocardial cellular material
US20070088247A1 (en) * 2000-10-24 2007-04-19 Galil Medical Ltd. Apparatus and method for thermal ablation of uterine fibroids
US6706037B2 (en) * 2000-10-24 2004-03-16 Galil Medical Ltd. Multiple cryoprobe apparatus and method
US20020068929A1 (en) * 2000-10-24 2002-06-06 Roni Zvuloni Apparatus and method for compressing a gas, and cryosurgery system and method utilizing same
US20020188287A1 (en) * 2001-05-21 2002-12-12 Roni Zvuloni Apparatus and method for cryosurgery within a body cavity
US20080045934A1 (en) * 2000-10-24 2008-02-21 Galil Medical Ltd. Device and method for coordinated insertion of a plurality of cryoprobes
US6533779B2 (en) 2001-01-16 2003-03-18 Scimed Life Systems, Inc. PMR catheter and associated methods
US6544220B2 (en) 2001-02-14 2003-04-08 Scimed Life Systems, Inc. Fluid jet PMR
US6755823B2 (en) * 2001-02-28 2004-06-29 Cryocath Technologies Inc. Medical device with enhanced cooling power
US20080051776A1 (en) * 2001-05-21 2008-02-28 Galil Medical Ltd. Thin uninsulated cryoprobe and insulating probe introducer
US20080051774A1 (en) * 2001-05-21 2008-02-28 Galil Medical Ltd. Device and method for coordinated insertion of a plurality of cryoprobes
US6585728B2 (en) * 2001-05-25 2003-07-01 Biosense Webster, Inc. Cryoablation catheter with an improved gas expansion chamber
AU2002341359A1 (en) * 2001-09-27 2003-04-07 Galil Medical Ltd. Apparatus and method for cryosurgical treatment of tumors of the breast
AU2002337596A1 (en) * 2001-09-27 2003-04-07 Galil Medical Ltd. Cryoplasty apparatus and method
US6589234B2 (en) 2001-09-27 2003-07-08 Cryocath Technologies Inc. Cryogenic medical device with high pressure resistance tip
ES2442445T3 (en) * 2003-01-15 2014-02-11 Cryodynamics, Llc. Cryotherapy system
US7410484B2 (en) * 2003-01-15 2008-08-12 Cryodynamics, Llc Cryotherapy probe
US7273479B2 (en) * 2003-01-15 2007-09-25 Cryodynamics, Llc Methods and systems for cryogenic cooling
US7083612B2 (en) 2003-01-15 2006-08-01 Cryodynamics, Llc Cryotherapy system
US6936048B2 (en) * 2003-01-16 2005-08-30 Charlotte-Mecklenburg Hospital Authority Echogenic needle for transvaginal ultrasound directed reduction of uterine fibroids and an associated method
US20040204705A1 (en) 2003-04-10 2004-10-14 Scimed Life Systems, Inc. Cryotreatment devices and methods of forming conduction blocks
US7039075B2 (en) * 2003-04-11 2006-05-02 Thornton Robert L Fiber extended, semiconductor laser
US7381207B2 (en) * 2003-06-25 2008-06-03 Endocare, Inc. Quick disconnect assembly having a finger lock assembly
US7160291B2 (en) * 2003-06-25 2007-01-09 Endocare, Inc. Detachable cryosurgical probe
US8308708B2 (en) * 2003-07-15 2012-11-13 Abbott Cardiovascular Systems Inc. Deployment system for myocardial cellular material
US8007847B2 (en) 2004-01-13 2011-08-30 Eytan Biderman Feeding formula appliance
US8029502B2 (en) * 2005-05-19 2011-10-04 Endocare, Inc. Cryosurgical probe assembly with multiple deployable cryoprobes
JP2009524469A (en) * 2006-01-26 2009-07-02 ガリル メディカル リミテッド Apparatus and method for coordinated insertion of multiple cryoprobes
EP1989212B1 (en) 2006-02-17 2013-06-19 Cascade Prodrug Inc. Treatment of hyperproliferative diseases with vinca alkaloid n-oxide and analogs
US7425211B2 (en) * 2006-08-03 2008-09-16 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
US7803154B2 (en) * 2006-08-03 2010-09-28 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
ATE489048T1 (en) * 2006-09-08 2010-12-15 Arbel Medical Ltd DEVICE FOR COMBINED TREATMENT
WO2008035331A1 (en) * 2006-09-18 2008-03-27 Arbel Medical Ltd. Cryosurgical instrument
US20080208181A1 (en) * 2007-01-19 2008-08-28 Arbel Medical Ltd. Thermally Insulated Needles For Dermatological Applications
US20100162730A1 (en) * 2007-06-14 2010-07-01 Arbel Medical Ltd. Siphon for delivery of liquid cryogen from dewar flask
WO2009007963A1 (en) * 2007-07-09 2009-01-15 Arbel Medical Ltd. Cryosheath
WO2009066292A1 (en) * 2007-11-21 2009-05-28 Arbel Medical Ltd. Pumping unit for delivery of liquid medium from a vessel
WO2009090647A2 (en) * 2008-01-15 2009-07-23 Arbel Medical Ltd. Cryosurgical instrument insulating system
US8083733B2 (en) 2008-04-16 2011-12-27 Icecure Medical Ltd. Cryosurgical instrument with enhanced heat exchange
US8845627B2 (en) 2008-08-22 2014-09-30 Boston Scientific Scimed, Inc. Regulating pressure to lower temperature in a cryotherapy balloon catheter
US20100281917A1 (en) * 2008-11-05 2010-11-11 Alexander Levin Apparatus and Method for Condensing Contaminants for a Cryogenic System
US7967814B2 (en) 2009-02-05 2011-06-28 Icecure Medical Ltd. Cryoprobe with vibrating mechanism
WO2010105158A1 (en) * 2009-03-12 2010-09-16 Icecure Medical Ltd. Combined cryotherapy and brachytherapy device and method
US20100305439A1 (en) * 2009-05-27 2010-12-02 Eyal Shai Device and Method for Three-Dimensional Guidance and Three-Dimensional Monitoring of Cryoablation
US7967815B1 (en) 2010-03-25 2011-06-28 Icecure Medical Ltd. Cryosurgical instrument with enhanced heat transfer
US7938822B1 (en) 2010-05-12 2011-05-10 Icecure Medical Ltd. Heating and cooling of cryosurgical instrument using a single cryogen
US8080005B1 (en) 2010-06-10 2011-12-20 Icecure Medical Ltd. Closed loop cryosurgical pressure and flow regulated system
US20140271453A1 (en) 2013-03-14 2014-09-18 Abbott Laboratories Methods for the early detection of lung cancer
EP3049005B1 (en) 2013-09-24 2022-08-10 Adagio Medical, Inc. Endovascular near critical fluid based cryoablation catheter
EP3131487A4 (en) 2014-04-17 2017-12-13 Adagio Medical, Inc. Endovascular near critical fluid based cryoablation catheter having plurality of preformed treatment shapes
EP3217903A4 (en) 2014-11-13 2018-05-30 Adagio Medical, Inc. Pressure modulated cryoablation system and related methods
US11051867B2 (en) 2015-09-18 2021-07-06 Adagio Medical, Inc. Tissue contact verification system
WO2017095756A1 (en) 2015-11-30 2017-06-08 Adagio Medical, Inc. Ablation method for creating elongate continuous lesions enclosing multiple vessel entries
WO2018102786A1 (en) 2016-12-03 2018-06-07 Juno Therapeutics, Inc. Methods for modulation of car-t cells
KR102584105B1 (en) 2017-01-17 2023-10-05 콜피고, 인코포레이티드. Apparatus for ablation of tissue surfaces, and related systems and methods
AU2018328115A1 (en) 2017-09-05 2020-04-02 Adagio Medical, Inc. Ablation catheter having a shape memory stylet
CA3087772A1 (en) 2018-01-10 2019-07-18 Adagio Medical, Inc. Cryoablation element with conductive liner
US20210169546A1 (en) * 2018-05-01 2021-06-10 The Johns Hopkins University Carbon dioxide-based percutaneous cryosurgical system
US20200305948A1 (en) * 2019-03-25 2020-10-01 Biocompatibles Uk Limited Cryoprobe
AU2020328064B2 (en) * 2019-08-14 2024-02-08 Biocompatibles Uk Limited Dual stage cryocooler
CN110974398A (en) * 2019-12-04 2020-04-10 宁波胜杰康生物科技有限公司 Cryoablation system with magnetic navigation
US11633224B2 (en) 2020-02-10 2023-04-25 Icecure Medical Ltd. Cryogen pump

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3880552A (en) * 1973-12-03 1975-04-29 John S Mason Counteractuated articulated waterwheels
JP2702930B2 (en) * 1987-06-29 1998-01-26 株式会社日立製作所 Filtering method
GB2226497B (en) * 1988-12-01 1992-07-01 Spembly Medical Ltd Cryosurgical probe
US5254116A (en) * 1991-09-06 1993-10-19 Cryomedical Sciences, Inc. Cryosurgical instrument with vent holes and method using same
US5281215A (en) * 1992-04-16 1994-01-25 Implemed, Inc. Cryogenic catheter
IL104506A (en) * 1993-01-25 1997-11-20 Israel State Fast changing heating- cooling device and method, particularly for cryogenic and/or surgical use
NL9301851A (en) * 1993-10-26 1995-05-16 Cordis Europ Cryo-ablation catheter.
IL107460A (en) * 1993-11-01 1999-06-20 Israel State Controlled cryogenic contact system
GB2283678B (en) * 1993-11-09 1998-06-03 Spembly Medical Ltd Cryosurgical catheter probe
US5452582A (en) * 1994-07-06 1995-09-26 Apd Cryogenics, Inc. Cryo-probe
IL113116A0 (en) * 1995-03-24 1995-06-29 Levin Alexander Cryogenic device for performance of cryosurgical or cosmetic treatments
ES2204957T3 (en) * 1995-04-28 2004-05-01 Endocare, Inc. INTEGRATED CONTROL AND MONITORING SYSTEM FOR CRIOCIRUGIA.
US5758505C1 (en) * 1995-10-12 2001-10-30 Cryogen Inc Precooling system for joule-thomson probe
US5716353A (en) * 1996-05-03 1998-02-10 Urds, Corp. Cryosurgical instrument
US5893848A (en) * 1996-10-24 1999-04-13 Plc Medical Systems, Inc. Gauging system for monitoring channel depth in percutaneous endocardial revascularization
US5853368A (en) * 1996-12-23 1998-12-29 Hewlett-Packard Company Ultrasound imaging catheter having an independently-controllable treatment structure

Also Published As

Publication number Publication date
EP0919197A1 (en) 1999-06-02
DE69829028T2 (en) 2006-01-05
US5885276A (en) 1999-03-23
JPH11276495A (en) 1999-10-12
EP0919197B1 (en) 2005-02-16
DE69829028D1 (en) 2005-03-24
CA2252988C (en) 2006-10-31
US5993444A (en) 1999-11-30

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Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed