Expandable Dielectric Balloon for Uniform Endometrial Ablation
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Solution Overview
Problem
Existing endometrial ablation technologies face challenges such as slow treatment times, incomplete ablation, non-uniform ablation depths, and risk of injury to adjacent organs during radiofrequency current application for menorrhagia treatment.
Innovation Solution
An electrosurgical system utilizing an expandable thin-wall dielectric member that capacitively couples radiofrequency current through an ionized gas, allowing for controlled and uniform ablation depths while minimizing the risk of organ injury, by deploying a dielectric structure within the uterine cavity and using a frame to expand the structure for effective tissue contact.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If traditional radiofrequency ablation devices are used, then treatment can be performed, but treatment time is slow and ablation depth is non-uniform
Solution Approach 1:
The balloon electrode is designed to be expandable, transitioning from a compressed delivery state to an expanded treatment state. This dynamic expansion allows the electrode to conform to the uterine cavity shape, ensuring uniform contact and consistent ablation depth across the treatment area, while the rapid expansion capability enables faster treatment compared to traditional fixed electrodes
Solution Approach 2:
The balloon electrode incorporates a non-uniform thickness design, with varying wall thickness in different regions. This allows different portions of the balloon to deliver different energy densities to corresponding regions of the endometrium, achieving uniform ablation depth despite variations in tissue characteristics and balloon curvature, thereby resolving the contradiction between treatment speed and ablation uniformity
2Productivity
If higher energy is applied to speed up treatment, then treatment time decreases, but risk of injury to adjacent organs increases
Solution Approach 1:
A dielectric material is introduced as an intermediary between the radiofrequency energy source and the endometrial tissue. This dielectric layer acts as a controlled barrier that allows rapid charging and discharging of energy, enabling short high-energy pulses that achieve quick ablation while the dielectric properties prevent uncontrolled energy transmission that could injure adjacent organs
Solution Approach 2:
The ablation process uses periodic pulsed radiofrequency energy delivery through the dielectric-filled balloon. These controlled pulses allow for rapid energy deposition in the endometrium while providing intervals for heat dissipation and preventing thermal damage to deeper structures, thus achieving fast treatment without increasing organ injury risk
3Reliability
If incomplete ablation is avoided by increasing treatment intensity, then ablation completeness improves, but treatment time increases
Solution Approach 1:
The balloon electrode design provides universal coverage of the entire endometrial surface through its expandable nature. Once expanded, the balloon contacts all regions of the uterine cavity simultaneously, ensuring complete ablation coverage in a single treatment session. This eliminates the need for multiple passes or prolonged treatment times required by focal electrodes, achieving both completeness and speed
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
The system enables rapid and uniform endometrial ablation with controlled depth, reducing the risk of injury to adjacent organs and improving treatment efficiency.
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
Data Source
AI summary
Methods, systems and devices for endometrial ablation. In accordance with a method, a working end of an RF ablation device is positioned in a patient uterus to contact endometrial tissue, the working end comprising a dielectric wall capable of non-expanded and expanded shapes. A Hall effect sensor carried by the working end is used to generate a signal that indicates a dimension of the uterine cavity or a frame-open parameter of the working end.


