WO2000059390A1 - Heater control of cryocatheter tip temperature - Google Patents

Heater control of cryocatheter tip temperature Download PDF

Info

Publication number
WO2000059390A1
WO2000059390A1 PCT/CA2000/000366 CA0000366W WO0059390A1 WO 2000059390 A1 WO2000059390 A1 WO 2000059390A1 CA 0000366 W CA0000366 W CA 0000366W WO 0059390 A1 WO0059390 A1 WO 0059390A1
Authority
WO
WIPO (PCT)
Prior art keywords
heating element
cryocatheter
coolant
cooling chamber
flow path
Prior art date
Application number
PCT/CA2000/000366
Other languages
French (fr)
Inventor
Marwan Abboud
Steven Arless
Original Assignee
Cryocath Technologies, Inc.
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 Cryocath Technologies, Inc. filed Critical Cryocath Technologies, Inc.
Publication of WO2000059390A1 publication Critical patent/WO2000059390A1/en

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
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • 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
    • A61B2018/0212—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 inserted into a body lumen, e.g. catheter
    • 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

Definitions

  • This invention relates to catheters, and more particularly to tip temperature control for cryogenic catheters.
  • a cryocatheter can generally be described as an elongate, slender, flexible body that is capable of delivering extreme cold to provide a medically therapeutic effect.
  • Exemplary cryocatheters are disclosed in United States Patent Nos. 5,899,898 and 5,899,899 to Arless.
  • Known techniques for creating the extremely low temperatures delivered by a cryocatheter include provision of a cooling chamber where a high pressure gas is allowed to rapidly expand, or where a liquid changes phase to a gas. While both of these techniques can provide extremely cold temperatures (at or above 0° C to -70° C or below), it can be very difficult to regulate coolant flow and expansion or phase change with enough precision to ensure that specific temperatures are achieved and maintained. For example, a selected temperature can be therapeutic, but a temperature a few degrees above or below the selected temperature can be either ineffective or injurious.
  • coolant performance can be affected if the coolant absorbs moisture, or if subjected to turbulent flow. Coolant performance is also affected by the particular thermal environment in which it is used and the heat load that it is subjected to.
  • Prior art cryogenic devices attempt to control temperature, typically at or near the distal tip of the device, by adjusting the injection pressure and volume of coolant in the tip using combinations of pressure regulators and/or pumps.
  • temperature regulation achieved by precise coolant pressure and/or volume control is difficult, especially if one attempts to correct for coolant sensitivity to ambient humidity, room temperature, and temperature variations of a pumping apparatus and a control console. It would therefore be desirable to provide a cryocatheter with improved temperature control features.
  • a cryocatheter with improved temperature control features. Whereas prior art cryogenic devices adjust device temperature through a reduction or increase in cooling power by control of coolant flow, the present invention provides an optimized coolant flow and adjusts device temperature with a heating element to reach and maintain a desired temperature.
  • a cryocatheter includes a catheter body defining a coolant flow path, a catheter tip exposed to the coolant flow path, and a heating element associated with the catheter tip.
  • the heating element can be disposed entirely or partially within the catheter tip. Alternatively, the heating element can be exterior to the catheter tip.
  • the heating element can include an electrically resistive element.
  • FIG. 1 illustrates a cryocatheter in accordance with the invention with the distal tip enlarged to show detail
  • FIG. 2A and 2B are cross-sectional views of exemplary distal tip embodiments.
  • FIG. 1 depicts a cryocatheter in accordance with the invention.
  • the cryocatheter includes a flexible body 10, as is known in the art, that defines or contains two or more lumens.
  • the body 10 defines a first lumen 12 within which a tube 14 (defining a second lumen 16) is disposed.
  • the body has a proximal end 18 and a distal end 20. In FIG. 1, the distal end 20 is enlarged to show additional detail.
  • the distal end 20 includes a tip 22 that seals the body 10 and defines a coolant expansion chamber 24.
  • the tip 22, as well as other portions of the body, can be formed from or include a thermally transmisive material, suitable for cooling or heating tissue or for otherwise performing cryotherapy.
  • the second lumen 16, defined by the tube 14 provides a path for coolant (shown by arrows) to flow from a source (not shown) to the cooling chamber 24. Coolant exits the cooling chamber 24 through the first lumen 12, defined by the body 10.
  • cooling chamber 24 is shown at the distal end 20 of the catheter body 10, the cooling chamber can also be configured as a "pass-through" structure, such as a continuous or segmented cylinder, disposed at a point between the proximal and the distal end of the catheter body.
  • a steering wire 26 in communication with a handle unit 28, is secured to an anchor portion 30. Applying tension to the steering wire 26 causes the catheter body 10 to deflect.
  • the handle unit 28 provides a connection point for a coolant supply and return umbilical 32, as well as a connection point for an electrical/sensor umbilical 34.
  • a heating element 36 is positioned within the distal end 20 at a location where it can heat the tip 22.
  • a wire 38 connects the heating element 36 to an energy source (not shown).
  • Exemplary heating elements 36 include resistive wires and thin films as are known in the electrical and heating arts.
  • the heating element 36 is a metal cylinder placed inside the tip 22.
  • the heating element 36 is a thin film resistance heater which operates at a power of about 10 to 15 Watts.
  • One or more thermocouples 40 are provided to measure temperature of the tip 22.
  • FIGS. 2 A and 2B illustrate alternative configurations for the heating element 36.
  • a heating element 36' may be placed on the exterior of the tip 22, whereas the heating element 36 of FIG. 1 is entirely within the tip 22.
  • FIG. 2B illustrates a heating element 36" that includes a first portion within the catheter body 10 and a second portion that is external with respect thereto.
  • a complete system includes a control console for controlling coolant flow, monitoring tip temperature, and controlling heater activation.
  • a coolant injection pressure is set at a fixed value which optimizes the cooling efficiency for the selected catheter dimensions and treatment to be performed, as well as to eliminate turbulent flow, cavitation, and bubble formation to provide a selected tip temperature below a selected therapy temperature.
  • the coolant can be injected to provide a temperature of about -60°C and the heating element 36 can be activated to raise the temperature of the tip 22 to -55°C.
  • the heating element 36 is energized and de-energized as required to maintain a consistent, selected temperature.
  • the heating element 36 is operative to control the catheter tip's temperature between minus 70°C and approximately plus 37°C.
  • the heating element 36 allows the selected temperature to be changed more rapidly that would be possible by reducing coolant flow alone. Additionally, the control console can be more simple than a console of the prior art because relatively complicated fluid control regulators are not required.

Abstract

A cryocatheter includes a catheter body (10) defining a coolant flow path, a catheter tip (22) exposed to the coolant flow path, and a heating element (36) associated with the catheter tip. The heating element can be disposed entirely or partially within the catheter tip. Alternatively, the heating element can be exterior to the catheter tip. The heating element can include an electrically resistive element.

Description

HEATER CONTROL OF CRYOCATHETER TIP TEMPERATURE
CROSS-REFERENCE TO RELATED APPLICATIONS
This application claims priority from United States Provisional Patent Application Serial No. 60/127,986, filed April 6, 1999.
STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH Not applicable.
FIELD OF THE INVENTION
This invention relates to catheters, and more particularly to tip temperature control for cryogenic catheters.
BACKGROUND OF THE INVENTION A cryocatheter can generally be described as an elongate, slender, flexible body that is capable of delivering extreme cold to provide a medically therapeutic effect. Exemplary cryocatheters are disclosed in United States Patent Nos. 5,899,898 and 5,899,899 to Arless.
Known techniques for creating the extremely low temperatures delivered by a cryocatheter include provision of a cooling chamber where a high pressure gas is allowed to rapidly expand, or where a liquid changes phase to a gas. While both of these techniques can provide extremely cold temperatures (at or above 0° C to -70° C or below), it can be very difficult to regulate coolant flow and expansion or phase change with enough precision to ensure that specific temperatures are achieved and maintained. For example, a selected temperature can be therapeutic, but a temperature a few degrees above or below the selected temperature can be either ineffective or injurious.
Additionally, many coolants perform differently under certain conditions. For example, coolant performance can be affected if the coolant absorbs moisture, or if subjected to turbulent flow. Coolant performance is also affected by the particular thermal environment in which it is used and the heat load that it is subjected to.
Prior art cryogenic devices attempt to control temperature, typically at or near the distal tip of the device, by adjusting the injection pressure and volume of coolant in the tip using combinations of pressure regulators and/or pumps. However, for very small diameter catheters (e.g., 3 Fr to 9 Fr), temperature regulation achieved by precise coolant pressure and/or volume control is difficult, especially if one attempts to correct for coolant sensitivity to ambient humidity, room temperature, and temperature variations of a pumping apparatus and a control console. It would therefore be desirable to provide a cryocatheter with improved temperature control features.
SUMMARY OF THE INVENTION The present invention provides a cryocatheter with improved temperature control features. Whereas prior art cryogenic devices adjust device temperature through a reduction or increase in cooling power by control of coolant flow, the present invention provides an optimized coolant flow and adjusts device temperature with a heating element to reach and maintain a desired temperature. In an exemplary embodiment, a cryocatheter includes a catheter body defining a coolant flow path, a catheter tip exposed to the coolant flow path, and a heating element associated with the catheter tip. The heating element can be disposed entirely or partially within the catheter tip. Alternatively, the heating element can be exterior to the catheter tip. The heating element can include an electrically resistive element. BRIEF DESCRIPTION OF THE DRAWINGS
A more complete understanding of the present invention, and the attendant advantages and features thereof, will be more readily understood by reference to the following detailed description when considered in conjunction with the accompanying drawings, wherein:
FIG. 1 illustrates a cryocatheter in accordance with the invention with the distal tip enlarged to show detail; and
FIG. 2A and 2B are cross-sectional views of exemplary distal tip embodiments.
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 depicts a cryocatheter in accordance with the invention. The cryocatheter includes a flexible body 10, as is known in the art, that defines or contains two or more lumens. In the illustrated embodiment, the body 10 defines a first lumen 12 within which a tube 14 (defining a second lumen 16) is disposed. The body has a proximal end 18 and a distal end 20. In FIG. 1, the distal end 20 is enlarged to show additional detail.
The distal end 20 includes a tip 22 that seals the body 10 and defines a coolant expansion chamber 24. The tip 22, as well as other portions of the body, can be formed from or include a thermally transmisive material, suitable for cooling or heating tissue or for otherwise performing cryotherapy. In the illustrated embodiment, the second lumen 16, defined by the tube 14, provides a path for coolant (shown by arrows) to flow from a source (not shown) to the cooling chamber 24. Coolant exits the cooling chamber 24 through the first lumen 12, defined by the body 10. Although the cooling chamber 24 is shown at the distal end 20 of the catheter body 10, the cooling chamber can also be configured as a "pass-through" structure, such as a continuous or segmented cylinder, disposed at a point between the proximal and the distal end of the catheter body. A steering wire 26. in communication with a handle unit 28, is secured to an anchor portion 30. Applying tension to the steering wire 26 causes the catheter body 10 to deflect. The handle unit 28 provides a connection point for a coolant supply and return umbilical 32, as well as a connection point for an electrical/sensor umbilical 34.
A heating element 36 is positioned within the distal end 20 at a location where it can heat the tip 22. A wire 38 connects the heating element 36 to an energy source (not shown). Exemplary heating elements 36 include resistive wires and thin films as are known in the electrical and heating arts. As shown, the heating element 36 is a metal cylinder placed inside the tip 22. In another embodiment, the heating element 36 is a thin film resistance heater which operates at a power of about 10 to 15 Watts. One or more thermocouples 40 are provided to measure temperature of the tip 22.
FIGS. 2 A and 2B illustrate alternative configurations for the heating element 36. As shown in FIG. 2A, a heating element 36' may be placed on the exterior of the tip 22, whereas the heating element 36 of FIG. 1 is entirely within the tip 22. FIG. 2B illustrates a heating element 36" that includes a first portion within the catheter body 10 and a second portion that is external with respect thereto.
A complete system includes a control console for controlling coolant flow, monitoring tip temperature, and controlling heater activation. Thus, in operation a coolant injection pressure is set at a fixed value which optimizes the cooling efficiency for the selected catheter dimensions and treatment to be performed, as well as to eliminate turbulent flow, cavitation, and bubble formation to provide a selected tip temperature below a selected therapy temperature. For example, the coolant can be injected to provide a temperature of about -60°C and the heating element 36 can be activated to raise the temperature of the tip 22 to -55°C. In response to thermal changes in the cryocatheter and the tissue being treated, the heating element 36 is energized and de-energized as required to maintain a consistent, selected temperature. In the illustrated embodiments, the heating element 36 is operative to control the catheter tip's temperature between minus 70°C and approximately plus 37°C.
In addition to providing precise temperature control, the heating element 36 allows the selected temperature to be changed more rapidly that would be possible by reducing coolant flow alone. Additionally, the control console can be more simple than a console of the prior art because relatively complicated fluid control regulators are not required.
A variety of modifications and variations of the present invention are possible in light of the above teachings. Specifically, although the heated tip is shown with respect to a slender and flexible catheter, it is also applicable to other embodiments that are thick and rigid. It is therefore understood that, within the scope of the appended claims, the present invention may be practiced otherwise than as specifically described hereinabove. All references cited herein are expressly incorporated by reference in their entirety.

Claims

What is claimed is:
1. A cryocatheter comprising: a catheter body having a proximal end, a distal end; a coolant flow path through the catheter body; a cooling chamber exposed to the coolant flow path; and a heating element associated with the cooling chamber.
2. The cryocatheter of claim 1, wherein the heating element is disposed within the cooling chamber.
3. The cryocatheter of claim 1, wherein the heating element is disposed on an outer surface of the cooling chamber.
4. The cryocatheter of claim 1, wherein a first portion of the heating element is disposed on an outer surface of the cooling chamber and a second portion of the heating element is disposed within the coolant flow path.
5. The cryocatheter of claim 1, further comprising a thermocouple associated with the cooling chamber.
6. The cryocatheter of claim 1, wherein the heating element includes an electrically resistive element.
7. The cryocatheter of claim 1, wherein the heating element includes a thin film resistance heater.
8. The cryocatheter of claim 1. wherein the cooling chamber seals the distal end of the catheter body and defines a coolant expansion chamber, and wherein the heating element is disposed within the coolant expansion chamber.
9. The cryocatheter of claim 1, wherein the heating element operates at a power up to 15 Watts.
10. The cryocatheter of claim 1, further comprising coolant operative to cool an exterior portion of the cooling chamber to approximately -80°C, and wherein the heating element is operative to control the temperature of the exterior portion of the cooling chamber to a temperature between -80°C and approximately +37°C.
11. The cryocatheter of claim 1, wherein at least a portion of the heating element is flush with the catheter body.
12. The cryocatheter of claim 1, wherein at least a portion of the heating element is flush with an inner face of the cooling chamber.
13. The cryocatheter of claim 1, wherein at least a portion of the heating element is flush with an outer face of the cooling chamber.
14. A cryocatheter comprising: a catheter body having a proximal end, a distal end, and a coolant flow path from the proximal end to the distal end; a catheter tip exposed to the coolant flow path, sealing the distal end of the catheter body, and defining a coolant expansion chamber; coolant operative to cool the catheter tip to approximately -80°C; a substantially cylindrical heating element disposed within the coolant expansion chamber operative to control the catheter tip temperature between -80°C and approximately +37°C; and a thermocouple associated with the catheter tip.
15. A method of controlling cryocatheter tip temperature comprising the steps of: providing a cryocatheter having a catheter body having a proximal end, a distal end, and a coolant flow path from the proximal end to the distal end, a catheter tip exposed to the coolant flow path, and a heating element associated with the catheter tip, circulating coolant through the coolant flow path at a fixed rate; and energizing the heating element as required to maintain a selected temperature.
PCT/CA2000/000366 1999-04-06 2000-04-06 Heater control of cryocatheter tip temperature WO2000059390A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12798699P 1999-04-06 1999-04-06
US60/127,986 1999-04-06

Publications (1)

Publication Number Publication Date
WO2000059390A1 true WO2000059390A1 (en) 2000-10-12

Family

ID=22433012

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CA2000/000366 WO2000059390A1 (en) 1999-04-06 2000-04-06 Heater control of cryocatheter tip temperature

Country Status (2)

Country Link
US (1) US6562030B1 (en)
WO (1) WO2000059390A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6749615B2 (en) 2001-06-25 2004-06-15 Abbott Laboratories Apparatus and methods for performing an anastomosis
WO2006061831A2 (en) * 2004-12-06 2006-06-15 Galil Medical Ltd. Gas-heated gas-cooled cryoprobe utilizing electrical heating and a single gas source

Families Citing this family (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7025762B2 (en) * 1997-05-23 2006-04-11 Crymed Technologies, Inc. Method and apparatus for cryogenic spray ablation of gastrointestinal mucosa
US7255693B1 (en) * 1997-05-23 2007-08-14 Csa Medical, Inc. Heated catheter used in cryotherapy
US7004936B2 (en) * 2000-08-09 2006-02-28 Cryocor, Inc. Refrigeration source for a cryoablation catheter
GB9920112D0 (en) * 1999-08-26 1999-10-27 Aortech Int Plc Improvements relating to catheters (I)
GB0111986D0 (en) * 2001-05-16 2001-07-04 Optomed As Cryosurgical apparatus and methods
US20040243118A1 (en) * 2001-06-01 2004-12-02 Ayers Gregory M. Device and method for positioning a catheter tip for creating a cryogenic lesion
US7004937B2 (en) * 2002-07-31 2006-02-28 Cryocor, Inc. Wire reinforced articulation segment
US20040034365A1 (en) * 2002-08-16 2004-02-19 Lentz David J. Catheter having articulation system
US6955673B2 (en) * 2002-08-16 2005-10-18 Cryocor, Inc. Heat transfer segment for a cryoablation catheter
US20040034344A1 (en) * 2002-08-16 2004-02-19 Eric Ryba Tip pressure monitoring for cryoablation catheters
US20040116921A1 (en) * 2002-12-11 2004-06-17 Marshall Sherman Cold tip rf/ultrasonic ablation catheter
US6893433B2 (en) * 2002-12-11 2005-05-17 Cryocor, Inc. System and method for performing a single step cryoablation
US6796979B2 (en) * 2002-12-11 2004-09-28 Cryocor, Inc. Coaxial catheter system for performing a single step cryoablation
US7195625B2 (en) 2002-12-11 2007-03-27 Cryocor, Inc. Catheter system for performing a single step cryoablation
US6824543B2 (en) 2002-12-11 2004-11-30 Cryocor, Inc. Guidance system for a cryocatheter
US6981382B2 (en) * 2003-07-24 2006-01-03 Cryocor, Inc. Distal end for cryoablation catheters
US20050027289A1 (en) * 2003-07-31 2005-02-03 Thomas Castellano Cryoablation systems and methods
US7070594B2 (en) * 2004-02-10 2006-07-04 Cryocor, Inc. System and method for assessing ice ball formation during a cryoablation procedure
US20050198972A1 (en) * 2004-03-10 2005-09-15 Lentz David J. Pressure-temperature control for a cryoablation catheter system
US20050283146A1 (en) * 2004-06-17 2005-12-22 Lentz David J Thermally extended spiral cryotip for a cryoablation catheter
US7156840B2 (en) * 2004-06-29 2007-01-02 Cryocor, Inc. Pressure monitor for cryoablation catheter
US7357797B2 (en) * 2004-06-30 2008-04-15 Cryocor, Inc. System and method for varying return pressure to control tip temperature of a cryoablation catheter
US7163535B2 (en) * 2004-06-30 2007-01-16 Cryocor, Inc. System for detecting leaks and occlusions in a cryoablation catheter
US20060178662A1 (en) * 2005-02-04 2006-08-10 Ripley Kenneth L Warming gradient control for a cryoablation applicator
US7713266B2 (en) 2005-05-20 2010-05-11 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US7850683B2 (en) * 2005-05-20 2010-12-14 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US9254162B2 (en) 2006-12-21 2016-02-09 Myoscience, Inc. Dermal and transdermal cryogenic microprobe systems
US20080208181A1 (en) * 2007-01-19 2008-08-28 Arbel Medical Ltd. Thermally Insulated Needles For Dermatological Applications
US8409185B2 (en) * 2007-02-16 2013-04-02 Myoscience, Inc. Replaceable and/or easily removable needle systems for dermal and transdermal cryogenic remodeling
US8298216B2 (en) * 2007-11-14 2012-10-30 Myoscience, Inc. Pain management using cryogenic remodeling
EP2303168A1 (en) 2008-04-16 2011-04-06 Arbel Medical Ltd. Cryosurgical instrument with enhanced heat exchange
WO2010075438A1 (en) 2008-12-22 2010-07-01 Myoscience, Inc. Integrated cryosurgical system with refrigerant and electrical power source
US8480664B2 (en) * 2009-01-15 2013-07-09 Boston Scientific Scimed, Inc. Controlling depth of cryoablation
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
US20100241113A1 (en) * 2009-03-20 2010-09-23 Boston Scientific Scimed, Inc. Protecting the phrenic nerve while ablating cardiac tissue
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
EP2802279B1 (en) 2012-01-13 2017-08-16 Myoscience, Inc. Cryogenic needle with freeze zone regulation
US9241753B2 (en) 2012-01-13 2016-01-26 Myoscience, Inc. Skin protection for subdermal cryogenic remodeling for cosmetic and other treatments
CA2861116A1 (en) 2012-01-13 2013-07-18 Myoscience, Inc. Cryogenic probe filtration system
US9017318B2 (en) 2012-01-20 2015-04-28 Myoscience, Inc. Cryogenic probe system and method
US9295512B2 (en) 2013-03-15 2016-03-29 Myoscience, Inc. Methods and devices for pain management
US9668800B2 (en) 2013-03-15 2017-06-06 Myoscience, Inc. Methods and systems for treatment of spasticity
CN105208954B (en) 2013-03-15 2019-06-04 肌肉科技股份有限公司 Low temperature Blunt dissection method and apparatus
US9610112B2 (en) 2013-03-15 2017-04-04 Myoscience, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
WO2015069792A1 (en) 2013-11-05 2015-05-14 Myoscience, Inc. Secure cryosurgical treatment system
EP4349396A2 (en) 2016-05-13 2024-04-10 Pacira CryoTech, Inc. Systems for locating and treating with cold therapy
US11134998B2 (en) 2017-11-15 2021-10-05 Pacira Cryotech, Inc. Integrated cold therapy and electrical stimulation systems for locating and treating nerves and associated methods
PL3628252T3 (en) * 2018-09-28 2023-06-12 Medinice S.A. Cardiosurgical cryoapplicator
US11633224B2 (en) 2020-02-10 2023-04-25 Icecure Medical Ltd. Cryogen pump

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3910277A (en) * 1973-04-26 1975-10-07 Draegerwerk Ag Cryoprobe and flexible connector therefor
US4213460A (en) * 1978-09-18 1980-07-22 Weiner Israel H Tick removing forceps
US4487253A (en) * 1980-11-12 1984-12-11 Vyzkumny Ustav Silnoproude Elektrotechniky Heat exchanger for cryosurgical instruments
DE19724082A1 (en) * 1997-06-07 1998-12-10 Tricumed Gmbh Cryoprobe for drawing heat from region of human body with probe body
US5899898A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3298371A (en) * 1965-02-11 1967-01-17 Arnold S J Lee Freezing probe for the treatment of tissue, especially in neurosurgery
DE2343910C3 (en) * 1973-08-31 1979-02-15 Draegerwerk Ag, 2400 Luebeck Cryomedical facility
DE2422103C2 (en) * 1974-05-07 1986-12-18 Erbe Elektromedizin Gmbh, 7400 Tuebingen Cryosurgical device
US4870838A (en) * 1988-03-21 1989-10-03 Zeamer Geoffrey H Cryostat
NL9301851A (en) * 1993-10-26 1995-05-16 Cordis Europ Cryo-ablation catheter.
US5818097A (en) * 1995-01-05 1998-10-06 Superconductor Technologies, Inc. Temperature controlling cryogenic package system
US6241722B1 (en) * 1998-06-17 2001-06-05 Cryogen, Inc. Cryogenic device, system and method of using same

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3910277A (en) * 1973-04-26 1975-10-07 Draegerwerk Ag Cryoprobe and flexible connector therefor
US4213460A (en) * 1978-09-18 1980-07-22 Weiner Israel H Tick removing forceps
US4487253A (en) * 1980-11-12 1984-12-11 Vyzkumny Ustav Silnoproude Elektrotechniky Heat exchanger for cryosurgical instruments
US5899898A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation
US5899899A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation structure
DE19724082A1 (en) * 1997-06-07 1998-12-10 Tricumed Gmbh Cryoprobe for drawing heat from region of human body with probe body

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6749615B2 (en) 2001-06-25 2004-06-15 Abbott Laboratories Apparatus and methods for performing an anastomosis
WO2006061831A2 (en) * 2004-12-06 2006-06-15 Galil Medical Ltd. Gas-heated gas-cooled cryoprobe utilizing electrical heating and a single gas source
WO2006061831A3 (en) * 2004-12-06 2006-08-03 Galil Medical Ltd Gas-heated gas-cooled cryoprobe utilizing electrical heating and a single gas source
US7846154B2 (en) 2004-12-06 2010-12-07 Galil Medical Ltd. Gas-heated gas-cooled cryoprobe utilizing electrical heating and a single gas source

Also Published As

Publication number Publication date
US6562030B1 (en) 2003-05-13

Similar Documents

Publication Publication Date Title
US6562030B1 (en) Heater control of cryocatheter tip temperature
US6149676A (en) Catheter system for controlling a patient's body temperature by in situ blood temperature modification
US8506494B2 (en) Method and apparatus for controlling a patient's body temperature by in situ blood temperature modification
US6328735B1 (en) Thermal ablation system
US6899709B2 (en) Coolant injection
US8491580B2 (en) Targeted cooling of deployable microwave antenna and methods of use
EP1946712B1 (en) Balloon catheter system
US8480664B2 (en) Controlling depth of cryoablation
US8192392B2 (en) Methods for selective thermal treatment
EP1765209B1 (en) Pressure monitor for cryoablation catheter
CN105744906A (en) Catheter for plaque stablisation
KR20050012131A (en) Distal end for cryoablation catheters
WO2006006989A2 (en) System and method for varying return pressure to control tip temperature of a cryoablation catheter
US20040167467A1 (en) Delivering cooled fluid to sites inside the body
EP1596791B1 (en) Delivering cooled fluid to sites inside the body
WO2019189205A1 (en) Hot balloon catheter
WO2022211010A1 (en) Ablation catheter system
AU768933B2 (en) Method and apparatus for controlling body temperature

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): CA

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE

121 Ep: the epo has been informed by wipo that ep was designated in this application
DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
122 Ep: pct application non-entry in european phase