Cryoprobe Heater Control for Bleeding-Free Needle Repositioning
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Solution Overview
Problem
Existing cryoablation apparatuses and methods face challenges in safely repositioning needles during treatments, as they may transfer abnormal tissue or cause bleeding, particularly when moving the needle after initial placement.
Innovation Solution
The apparatuses and methods utilize a cautery feature to raise the temperature of the needle to cauterize surrounding tissue, providing real-time feedback and control to ensure complete cauterization before allowing needle movement, thereby minimizing tissue transfer and bleeding.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If the needle is moved after being placed at or near target tissue, then the needle can be repositioned to achieve better treatment outcomes, but abnormal tissue may be transferred to neighboring healthy tissue or locations absent of abnormal tissue
Solution Approach 1:
The system performs cauterization of the tissue tract before needle repositioning by heating the needle to a temperature sufficient to coagulate tissue (typically 60-100°C). This preliminary thermal treatment seals the tissue pathway, preventing abnormal tissue cells from being dislodged and transferred during subsequent needle movement, thereby enabling safe repositioning while eliminating the harmful tissue transfer effect
2Ease of operation
If the needle is moved after insertion, then repositioning can be achieved, but bleeding may occur causing undesirable effects on the patient and additional recovery time
Solution Approach 1:
The system applies thermal energy to the needle and surrounding tissue before needle repositioning, heating the tissue tract to a coagulation temperature. This preliminary thermal coagulation seals blood vessels and stops bleeding in advance, allowing the needle to be moved without causing hemorrhage or requiring additional recovery time, thus eliminating the bleeding harmful effect while preserving repositioning capability
3Productivity
If the needle is moved without cauterization, then the procedure is simpler and faster, but the likelihood of tissue transfer and bleeding increases
Solution Approach 1:
The system combines the cauterization function and needle repositioning function into a single integrated workflow. The control system automatically sequences the thermal treatment and needle movement operations, merging two separate procedural steps into one coordinated process. This integration maintains high safety standards by ensuring cauterization precedes repositioning, while preserving procedural efficiency through automated control and streamlined operation
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
This approach reduces the likelihood of transferring abnormal tissue and minimizes bleeding by ensuring complete cauterization before repositioning the needle, enhancing the safety and efficiency of cryoablation treatments.
Implementation Method 1
energizing a heater in the cryoprobe to heat a tip of the cryoprobe to a predetermined cautery temperature threshold
Implementation Method 2
cooling the tip of the cryoprobe to a temperature less than or equal to a movement temperature
Implementation Method 3
Heat from the tissue passes from the tissue, through the probe, and into the cryogen that removes heat from the targeted tissue. This removal of heat causes tissue to freeze
Implementation Method 4
This removal of heat causes tissue to freeze, resulting in the destruction of the targeted tissue
Data Source
AI summary
A method of positioning a cryoprobe includes receiving a cryoprobe repositioning selector indicating a desire to reposition a cryoprobe relative to a target tissue; obtaining cryoprobe operating information from one or more sensors positioned in the cryoprobe, wherein the cryoprobe operating information characterizes one or more operating parameters of the cryoprobe; energizing a heater in the cryoprobe to heat a tip of the cryoprobe to a predetermined cautery temperature threshold; and displaying a cautery indicator when the tip of the cryoprobe is greater than or equal to the cautery temperature threshold.


