Open system heat exchange catheters and methods of use

Abstract

Various embodiments of open system heat exchange catheters and methods of use are disclosed. The various catheters can be used with various ablative surgical devices. One specific exemplary use is in conjunction with cryosurgical probes involving ablation of the prostate, in which the integrity of the urethra is desired to be maintained. Other uses involve various heating ablative devices. In one embodiment an injection tube assembly is used to provide heat exchange fluid through the urethra to the bladder where it is then expelled via a suprapubic suction tube. In other embodiments a coaxial tube assembly is utilized which defines a passageway for either expelling the bladder fluid or for providing access to an endoscope. In other embodiments a double lumen assembly is utilized that defines a passageway for expelling bladder fluid.

Description

BACKGROUND OF THE INVENTION [0001] 1. Field of the Invention [0002] The present invention relates to urological warming and cooling devices and more particularly to a method of warming or alternatively cooling the urethra of a patient during ablative surgery. [0003] 2. Description of the Related Art [0004] Cryosurgical probes are used to treat a variety of diseases. The cryosurgical probes quickly freeze diseased body tissue, causing the tissue to die after which it will be absorbed by the body, expelled by the body or sloughed off. Cryothermal treatment is currently used to treat prostate cancer and benign prostate disease, breast tumors and breast cancer, liver tumors and liver cancer, lung tumors, kidney tumors, bone tumors, glaucoma and other eye diseases. Cryosurgery is also proposed for the treatment of a number of other diseases. [0005] The use of cryosurgical probes for cryoablation of the prostate is described in Onik, Ultrasound-Guided Cryosurgery, Scientific American at 6...

AI Technical Summary

Benefits of technology

"The present invention is about open system heat exchange catheters and methods of use. These catheters can be used with various ablative surgical devices, such as cryosurgical probes for ablation of the prostate. The method involves inserting a suction tube into the bladder of a patient and delivering heat exchange fluid through an injection tube assembly into the bladder. The suction tube expels bladder fluid, which includes the heat exchange fluid, to warm or cool the ureter to preserve living tissue. The invention provides an open system in which the heat exchange fluid is not isolated from the bladder fluid. Instead, it is mixed with the bladder fluid and then expelled. The technical effect of the invention is to provide a safe and effective method for heat exchange during surgical procedures without the need for a separate suction tube."

Problems solved by technology

However, other necrosed tissue may slough off and pass through the urethra, often causing undesirable blockage.

As a result, the urethral tissue near the bladder neck sphincter (near the hot water outlet) is heated more than the urethral tissue near the external sphincter, creating a strong thermal gradient in the prostatic urethra and an uneven heating effect.

By the time the hot water reaches the external sphincter, it may have lost so much heat to the upper region of the urethra that it is not warm enough to protect the external sphincter from freezing.

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