Prism-Tipped Laser Fiber for Bladder Tissue Ablation

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Solution Overview

Problem

Current treatments for overactive bladder, such as Botox injections, target the entire bladder and do not specifically address local anatomical abnormalities, leading to incomplete treatment and potential urinary retention, while existing tissue ablation devices are limited by the diameter of the laser fiber, restricting the area that can be treated.

Innovation Solution

A medical device featuring a needle with a moveable laser fiber and a prism at the distal end that changes the direction of laser energy, allowing for the ablation of a larger tissue area without increasing the diameter of the laser fiber, while minimizing damage to the bladder mucosa.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Area of stationary object

If a larger area of tissue is treated by increasing the laser fiber diameter, then the treated area expands, but the trauma to the bladder mucosa increases

Engineering Contradiction:
Improvetreated tissue areaVSAvoidmucosa damage
Core Design Contradiction:
Area of stationary objectVSObject-affected harmful factors

Solution Approach 1:

The patent transforms the laser energy delivery from a single-point axial application to a multi-directional treatment by incorporating a reflector that redirects laser energy laterally. This dimensional change allows the laser to treat a broader tissue area without requiring a larger fiber diameter, thereby expanding the effective treatment zone while maintaining a small insertion profile that minimizes mucosal trauma.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Solution Approach 2:

The reflector acts as an intermediary component that receives laser energy from the fiber and redistributes it to the surrounding tissue. This mediator enables the laser energy to reach a larger treatment area indirectly, avoiding the need to increase the fiber diameter which would cause greater direct trauma to the mucosa during insertion and positioning.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Object-affected harmful factors

If current ablation devices use a small laser fiber diameter, then mucosa damage is minimized, but the treated area is limited

Engineering Contradiction:
Improvemucosa damageVSAvoidtreated tissue area
Core Design Contradiction:
Object-affected harmful factorsVSArea of stationary object

Solution Approach 1:

By introducing a reflector that redirects laser energy at angles perpendicular to the fiber axis, the patent expands the treatment area laterally without increasing the fiber diameter. This dimensional redirection of energy allows a single small-diameter fiber to treat a broader tissue volume, effectively decoupling the fiber size from the treatment zone size.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Solution Approach 2:

The treatment process is segmented into multiple directional applications of laser energy. Instead of relying on a single large-diameter fiber, the system uses a small fiber combined with a reflector to deliver energy in multiple directions (axial and lateral), effectively segmenting the treatment zones to achieve comprehensive coverage with minimal invasive insertion.

Inventive Principle:
Principle #1Segmentation

3Area of stationary object

If Botox injections are administered to treat the entire bladder, then coverage is comprehensive, but local anatomical abnormalities are not specifically addressed

Engineering Contradiction:
Improvebladder coverage areaVSAvoidlocal abnormality targeting precision
Core Design Contradiction:
Area of stationary objectVSMeasurement precision

Solution Approach 1:

The patent enables localized treatment by allowing precise positioning of the laser fiber and reflector assembly to target specific regions of the bladder wall. The system can deliver concentrated laser energy to discrete focal points or linear segments, treating only the areas with anatomical abnormalities while leaving healthy tissue untouched, thereby achieving both local precision and the ability to cover comprehensive areas through multiple targeted applications.

Inventive Principle:
Principle #3Local quality

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

Enables precise and effective ablation of target tissue in the bladder, expanding the treated area beyond the laser fiber diameter, thus providing a more comprehensive treatment for overactive bladder and other conditions with minimal mucosa damage.

Implementation Method 1

a tip portion at a distal end of the laser fiber may be configured to change a direction of travel for laser energy emitted by laser fiber

Methodology Applied
Scientific EffectRefraction: Refraction

Implementation Method 2

Ablation is currently used in a variety of treatments to remove biological tissue via heating

Methodology Applied
Scientific EffectLaser heating: Laser

Implementation Method 3

Ablation is currently used in a variety of treatments to remove biological tissue via heating

Methodology Applied
Scientific EffectAblation: Ablation

Data Source

PatentUS10695128B2Methods and devices for targeted ablation of tissue
Publication Date: 2020.06.30 BOSTON SCIENTIFIC SCIMED INC
  • US10695128B2 patent drawing
  • US10695128B2 patent drawing
  • US10695128B2 patent drawing

AI summary

In one aspect, the present disclosure is directed to a system and method for ablating tissue. The method may comprise, for example, aligning a needle of a medical device with the target tissue; piercing tissue adjacent to the target tissue with the needle; sliding into the target tissue a laser fiber moveably disposed within the needle, wherein the needle is hollow and the laser fiber includes a prism; and delivering laser energy through the laser fiber and prism.