WO2000047121A3 - Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung - Google Patents

Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung Download PDF

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Publication number
WO2000047121A3
WO2000047121A3 PCT/AT2000/000025 AT0000025W WO0047121A3 WO 2000047121 A3 WO2000047121 A3 WO 2000047121A3 AT 0000025 W AT0000025 W AT 0000025W WO 0047121 A3 WO0047121 A3 WO 0047121A3
Authority
WO
WIPO (PCT)
Prior art keywords
cryoinstrument
housing
carrying
tissue
treating tumors
Prior art date
Application number
PCT/AT2000/000025
Other languages
English (en)
French (fr)
Other versions
WO2000047121A2 (de
Inventor
Nikolai Korpan
Jaroslav Zharkov
Original Assignee
Nikolai Korpan
Jaroslav Zharkov
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
Priority claimed from AT20399A external-priority patent/AT409715B/de
Priority claimed from AT57199A external-priority patent/AT409716B/de
Priority claimed from AT0074199A external-priority patent/AT409585B/de
Priority claimed from AT75399A external-priority patent/AT409453B/de
Priority claimed from AT76799A external-priority patent/AT409454B/de
Priority to EP00903424A priority Critical patent/EP1083838B1/de
Priority to DE50001844T priority patent/DE50001844D1/de
Priority to AT00903424T priority patent/ATE238004T1/de
Priority to ES00903424T priority patent/ES2198278T3/es
Application filed by Nikolai Korpan, Jaroslav Zharkov filed Critical Nikolai Korpan
Priority to US09/673,129 priority patent/US6565556B1/en
Priority to JP2000598075A priority patent/JP2003535615A/ja
Publication of WO2000047121A2 publication Critical patent/WO2000047121A2/de
Publication of WO2000047121A3 publication Critical patent/WO2000047121A3/de

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
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F28—HEAT EXCHANGE IN GENERAL
    • F28F—DETAILS OF HEAT-EXCHANGE AND HEAT-TRANSFER APPARATUS, OF GENERAL APPLICATION
    • F28F13/00—Arrangements for modifying heat-transfer, e.g. increasing, decreasing
    • F28F13/003—Arrangements for modifying heat-transfer, e.g. increasing, decreasing by using permeable mass, perforated or porous materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • 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
    • A61B2018/0225—Surgical 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 for clamping tissue, e.g. forceps
    • 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
    • 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
    • A61B2018/0275—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using porous elements
    • 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
    • A61B2018/0293—Surgical 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 interstitially inserted into the body, e.g. needle

Abstract

Gegenstand der Erfindung ist ein Kryoinstrument für kryochirurgische Eingriffe im human- und veterinärmedizinischen Bereich, insbesondere in der Tumorbehandlung, sowie in der Phytopathologie zum Anschluß an einer Verbindungsanordnung eines kryogenen Gerätes bzw. Systemes. Es besteht aus einem Gehäuse (1), in dem sich je eine Leitung für den Direkt- (2) und Rückstrom (3) eines kryogenen Mediums, z.B. flüssiger Stickstoff, befindet, mit mindestens einem geschlossenen Endstück (4), welches eine Arbeitsfläche (5) mit einer Außenseite (6) für die Abkühlung eines Gewebes bildet, sowie einem Temperatursensor (7). Zum Erreichen und Konstanthalten der Minimaltemperatur, insbesondere zwischen -40 °C und -196 °C, mit geringem Verlust des kryogenen Mediums and der Arbeitsaußenseite des Kryoinstrumentes im Kontakt mit biologischem Gewebe, insbesondere Krebsgewebe, ist im Gehäuse (1) ein Element mit einer porigen Struktur (8), beispielsweise aus Cuprum, deren Grad der Porösität und Porengröße, in der Dimension von etwa 10 νm bis 15 νm, von innen nach außen zunimmt, angeordnet.
PCT/AT2000/000025 1999-02-12 2000-02-04 Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung WO2000047121A2 (de)

Priority Applications (6)

Application Number Priority Date Filing Date Title
JP2000598075A JP2003535615A (ja) 1999-02-12 2000-02-04 特に腫瘍治療のための冷凍外科処置用装置
US09/673,129 US6565556B1 (en) 1999-02-12 2000-02-04 Device for carrying out cryosurgical interventions, especially for treating tumors
EP00903424A EP1083838B1 (de) 1999-02-12 2000-02-04 Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung
ES00903424T ES2198278T3 (es) 1999-02-12 2000-02-04 Dispositivo para realizar intervenciones crioquirurgicas, especialmente para tratar tumores.
AT00903424T ATE238004T1 (de) 1999-02-12 2000-02-04 Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung
DE50001844T DE50001844D1 (de) 1999-02-12 2000-02-04 Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
AT20399A AT409715B (de) 1999-02-12 1999-02-12 Kryoapplikator
ATA203/99 1999-02-12
ATA571/99 1999-03-29
AT57199A AT409716B (de) 1999-03-29 1999-03-29 Kryoinstrument
ATA741/99 1999-04-27
AT0074199A AT409585B (de) 1999-04-27 1999-04-27 Kryosonde
ATA753/99 1999-04-28
AT75399A AT409453B (de) 1999-04-28 1999-04-28 Kryoklemme
AT76799A AT409454B (de) 1999-04-29 1999-04-29 Kryomammotom
ATA767/99 1999-04-29

Publications (2)

Publication Number Publication Date
WO2000047121A2 WO2000047121A2 (de) 2000-08-17
WO2000047121A3 true WO2000047121A3 (de) 2000-12-21

Family

ID=27506153

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AT2000/000025 WO2000047121A2 (de) 1999-02-12 2000-02-04 Vorrichtung für kryochirurgische eingriffe, insbesondere für die tumorbehandlung

Country Status (7)

Country Link
US (1) US6565556B1 (de)
EP (1) EP1083838B1 (de)
JP (1) JP2003535615A (de)
AT (1) ATE238004T1 (de)
DE (1) DE50001844D1 (de)
ES (1) ES2198278T3 (de)
WO (1) WO2000047121A2 (de)

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US6626899B2 (en) * 1999-06-25 2003-09-30 Nidus Medical, Llc Apparatus and methods for treating tissue
US6709431B2 (en) * 2001-12-18 2004-03-23 Scimed Life Systems, Inc. Cryo-temperature monitoring
AT410929B (de) * 2002-01-29 2003-08-25 Nikolai Dr Korpan Vorrichtung zur kühlung von bauteilen in raumflugkörpern
US20040204705A1 (en) 2003-04-10 2004-10-14 Scimed Life Systems, Inc. Cryotreatment devices and methods of forming conduction blocks
US7582083B2 (en) 2004-05-10 2009-09-01 Boston Scientific Scimed, Inc. Probe based low temperature lesion formation apparatus, systems and methods
US7291142B2 (en) 2004-05-10 2007-11-06 Boston Scientific Scimed, Inc. Low temperature lesion formation apparatus, systems and methods
US7288088B2 (en) * 2004-05-10 2007-10-30 Boston Scientific Scimed, Inc. Clamp based low temperature lesion formation apparatus, systems and methods
US7572268B2 (en) 2005-10-13 2009-08-11 Bacoustics, Llc Apparatus and methods for the selective removal of tissue using combinations of ultrasonic energy and cryogenic energy
US7842032B2 (en) 2005-10-13 2010-11-30 Bacoustics, Llc Apparatus and methods for the selective removal of tissue
US20070088386A1 (en) * 2005-10-18 2007-04-19 Babaev Eilaz P Apparatus and method for treatment of soft tissue injuries
JP2009534156A (ja) * 2006-04-24 2009-09-24 トーマス・ジェファーソン・ユニバーシティ クライオニードルおよび凍結治療システム
US7803154B2 (en) * 2006-08-03 2010-09-28 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
US7425211B2 (en) * 2006-08-03 2008-09-16 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
US20080039727A1 (en) * 2006-08-08 2008-02-14 Eilaz Babaev Ablative Cardiac Catheter System
US20090221955A1 (en) * 2006-08-08 2009-09-03 Bacoustics, Llc Ablative ultrasonic-cryogenic methods
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
US8083733B2 (en) 2008-04-16 2011-12-27 Icecure Medical Ltd. Cryosurgical instrument with enhanced heat exchange
DE102008061063B4 (de) * 2008-10-29 2016-12-29 Erbe Elektromedizin Gmbh Kryosonde, Kryochirurgisches Gerät
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
DE102009018291A1 (de) * 2009-04-21 2010-10-28 Erbe Elektromedizin Gmbh Kryochirurgisches Instrument
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
US8834459B2 (en) * 2012-03-26 2014-09-16 Mark Chak Needle for treating diseases
CA2888590C (en) * 2012-10-30 2020-06-02 Nitro Medical Limited Apparatus, probe and method for a cryogenic system
US10646666B2 (en) * 2014-08-27 2020-05-12 Tva Medical, Inc. Cryolipolysis devices and methods therefor
FR3034511B1 (fr) * 2015-03-31 2019-04-05 L'air Liquide, Societe Anonyme Pour L'etude Et L'exploitation Des Procedes Georges Claude Echangeur thermique pour le transport cryogenique de produits thermosensibles
KR102584105B1 (ko) 2017-01-17 2023-10-05 콜피고, 인코포레이티드. 조직 표면의 어블레이션을 위한 장치, 및 관련 시스템 및 방법
US10833384B2 (en) * 2018-06-27 2020-11-10 International Business Machines Corporation Thermalization of microwave attenuators for quantum computing signal lines
EP3594606A1 (de) * 2018-07-09 2020-01-15 W. Schoonen Beheer B.V. Füllung für wärmetauscher
US11633224B2 (en) 2020-02-10 2023-04-25 Icecure Medical Ltd. Cryogen pump

Citations (4)

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FR2429988A1 (fr) * 1978-06-28 1980-01-25 Commissariat Energie Atomique Echangeur de chaleur a structure poreuse anisotrope
US5324286A (en) * 1993-01-21 1994-06-28 Arthur A. Fowle, Inc. Entrained cryogenic droplet transfer method and cryosurgical instrument
FR2727618A1 (fr) * 1994-12-06 1996-06-07 Cryotech International Dispositif comprenant un outil tel qu'une panne devant etre porte et maintenu a une temperature tres basse
WO1997014005A1 (en) * 1995-10-12 1997-04-17 Cryogen, Inc. Miniature mixed gas refrigeration system

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US5324286A (en) * 1993-01-21 1994-06-28 Arthur A. Fowle, Inc. Entrained cryogenic droplet transfer method and cryosurgical instrument
FR2727618A1 (fr) * 1994-12-06 1996-06-07 Cryotech International Dispositif comprenant un outil tel qu'une panne devant etre porte et maintenu a une temperature tres basse
WO1997014005A1 (en) * 1995-10-12 1997-04-17 Cryogen, Inc. Miniature mixed gas refrigeration system

Also Published As

Publication number Publication date
ATE238004T1 (de) 2003-05-15
US6565556B1 (en) 2003-05-20
ES2198278T3 (es) 2004-02-01
DE50001844D1 (de) 2003-05-28
WO2000047121A2 (de) 2000-08-17
EP1083838A2 (de) 2001-03-21
JP2003535615A (ja) 2003-12-02
EP1083838B1 (de) 2003-04-23

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