Expandable Dielectric Balloon for Uniform Endometrial Ablation
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Solution Overview
Problem
Existing electrosurgical devices for endometrial ablation face challenges such as slow treatment times, incomplete treatments, non-uniform ablation depths, and risk of injury to adjacent organs.
Innovation Solution
The system employs a hand-held electrosurgical device with an expandable thin-wall dielectric structure that capacitively couples radiofrequency current through an ionized gas, allowing for controlled ablation depth and reduced risk of injury.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If solid electrodes or balloon electrodes are used for endometrial ablation, then treatment can be performed, but treatment time is slow and ablation depth is non-uniform
Solution Approach 1:
The patent introduces an ionized gas (plasma) as an intermediary medium between the electrode and the endometrial tissue. The plasma is generated within a balloon chamber and allows radiofrequency energy to be transferred uniformly to the tissue through capacitive coupling, eliminating the need for direct electrode-tissue contact. This intermediary plasma layer enables rapid and uniform ablation by distributing energy evenly across the tissue surface.
Solution Approach 2:
The patent changes the physical state of the gas within the balloon from non-ionized to ionized (plasma) state by applying radiofrequency energy. This parameter change allows the gas to become conductive and transfer energy efficiently to the tissue, achieving both rapid treatment and uniform ablation depth through controlled plasma generation and maintenance.
2Productivity
If high energy is applied for rapid ablation, then treatment time is reduced, but risk of injury to adjacent organs increases
Solution Approach 1:
The patent applies energy locally and controllably through the plasma medium confined within the balloon chamber. The balloon acts as a physical barrier that limits the spread of high-energy plasma to only the intended treatment area (endometrial tissue), preventing damage to adjacent organs while maintaining high energy application for rapid ablation.
Solution Approach 2:
The system incorporates monitoring of plasma generation and balloon inflation to provide feedback control. By monitoring the plasma state and balloon pressure, the system can adjust energy delivery in real-time, ensuring that high energy is applied only when and where needed, thereby reducing the risk of injury to adjacent organs while maintaining treatment efficiency.
3Ease of operation
If transcervical probes are introduced into the uterine cavity, then ablation treatment can be performed, but risk of uterine wall perforation increases
Solution Approach 1:
The patent performs a preliminary action by introducing a balloon through the cervix into the uterine cavity before applying high-energy radiofrequency plasma. The balloon serves as a protective precursor that can be inflated to create a barrier between the electrode system and the uterine wall, allowing safe access and energy delivery while minimizing perforation risk.
Solution Approach 2:
The balloon acts as a cushioning barrier introduced beforehand to protect the uterine wall from direct contact with high-energy plasma and electrode components. This beforehand cushioning provides a safety buffer that absorbs or redirects energy away from the uterine wall, preventing perforation while enabling effective ablation treatment.
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 enables rapid and uniform endometrial ablation, minimizing the risk of injury to adjacent organs and ensuring effective treatment.
Implementation Method 1
capacitively coupling the current through an expandable, thin-wall dielectric member enclosing an ionized gas
Implementation Method 2
applying radiofrequency current to endometrial tissue by means of capacitively coupling the current
Implementation Method 3
enclosing an ionized gas
Implementation Method 4
endometrial ablation using radiofrequency current
Data Source
AI summary
Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO2) through the probe into the uterine cavity and monitoring the rate of the flow to characterize the uterine cavity as perforated or non-perforated based on a change in the flow rate.


