US5366490A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Medical probe device and method
Assignee: Medtronic Vidamed Inc
•
Filing: 1993-12-22
•
Granted: 1994-11-22
•
Expires: 2013-12-22
Abstract
Abstract A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and guide means for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The style can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue. It can also include a fiber optic cable for laser treatment. The catheter can include one or more inflatable balloons located adjacent to the stylet port for anchoring the catheter or dilation. Ultrasound transducers and temperature sensors can be attached to the probe end and/or stylet.
Inventors
- 👤 Stuart D. Edwards
- 👤 Ronald G. Lax
- 👤 Ingemar H. Lundquist
- 👤 Hugh R. Sharkey
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 02:22
CPC Classifications
A; A61; A61N; A61N5/00; A61N5/02; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1477; A61B18/1485; A61B18/18; A61B18/1815; A61N1/00; A61N1/02; A61N1/04; A61N1/06; A61N1/40; A61N1/403; A61N5/04; A61N5/045; A61B10/00; A61B10/02; A61B10/0233; A61B10/0241; A61B18/08; A61B18/082; A61B18/1206; A61B18/148; A61B18/20; A61B18/22; A61B18/24; A61B17/00; A61B2017/00017; A61B2017/00022; A61B2017/00084; A61B2017/00092; A61B2017/00106; A61B17/00234; A61B2017/00238; A61B2017/00274; A61B2017/00292; A61B2017/003; A61B2017/00831; A61B2017/00867; A61B17/22; A61B2017/22072; A61B2017/22074; A61B2017/22077; A61B2017/22082; A61B17/24; A61B2017/248; A61B17/28; A61B17/29; A61B2017/2926; A61B2017/2932; A61B2017/2939; A61B17/34; A61B2017/348; A61B2017/3482; A61B2017/3484; A61B2017/3488; A61B2018/00005; A61B2018/00011; A61B2018/00053; A61B2018/00059; A61B2018/00071; A61B2018/00083; A61B2018/00089; A61B2018/00095; A61B2018/00184; A61B2018/00196; A61B2018/00214; A61B2018/0022; A61B2018/00315; A61B2018/00547; A61B2018/00571; A61B2018/00577; A61B2018/00636; A61B2018/00666; A61B2018/00678; A61B2018/00696; A61B2018/00702; A61B2018/00726; A61B2018/00744; A61B2018/0075; A61B2018/00761; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00821; A61B2018/00869; A61B2018/00886; A61B2018/0091; A61B2018/00916; A61B2018/0094; A61B2018/00946; A61B2018/00982; A61B2018/1246; A61B2018/1253; A61B2018/126; A61B2018/1273; A61B2018/128; A61B2018/1405; A61B2018/1412; A61B2018/1425; A61B2018/1861; A61B2018/2238; A61B90/00; A61B90/08; A61B2090/0814; A61B90/36; A61B90/361; A61B2090/3614; A61B90/37; A61B2090/378; A61B2090/3782; A61B90/39; A61B2090/3925; A61F; A61F7/00; A61F2007/0054; A61M; A61M25/00; A61M25/0067; A61M25/0082; A61M25/0084; A61M2025/0085; A61M2025/0086; A61M2025/0087; A61M2025/0089; A61M2025/009; A61M2025/0096; A61M25/01; A61M2025/018; A61M25/0068; A61M25/0069; A61M25/008
Claims Analysis
Total Claims: 20
Claim 1
Independent Claim
137 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radio-frequency electrode with a sharpened tip from the catheter through the wall of the urethra into the prostate tissue to be treated, the electrode being retained within an insulating sleeve which is movable relative to the electrode and which sleeve extends through the urethra wall, the sharpened tip puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 2
Independent Claim
137 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radio-frequency electrode with a sharpened tip from the catheter through the wall of the urethra into the prostate tissue to be treated, the electrode being retained within an insulating sleeve which is movable relative to the electrode and which sleeve extends through the urethra wall, the sharpened tip puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 3
Dependent Claim
28 words
A method of claim 1 wherein the insulating sleeve is axially movable on the electrode, the sleeve being moved axially to define the exposed length of the electrode.
Claim 4
Dependent Claim
22 words
A method of claim 1 wherein the electrode, extended into the tissue to be treated, is positioned by use of ultrasound imaging.
Claim 5
Dependent Claim
19 words
A method of claim 3 wherein the ultrasound imaging is obtained with an ultrasound transducer positioned on the electrode.
Claim 6
Dependent Claim
29 words
A method of claim 1 wherein the catheter is positioned by ultrasound imaging, the ultrasound imaging being obtained with an ultrasound transducer positioned at the end of the catheter.
Claim 7
Dependent Claim
30 words
A method of claim 1 wherein the temperature of the target tissue being treated is monitored during the treatment using a temperature sensor attached to the catheter or flexible electrode.
Claim 8
Independent Claim
148 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radiofrequency electrode with a sharpened tip through a catheter port in the sidewall of the catheter and through the surrounding tissue of the urethra wall into the prostate tissue to be treated, the electrode being retained within an insulating sleeve which is movable relative to the electrode and which sleeve extends through the urethra wall, the sharpened tip puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of the prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 9
Independent Claim
148 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radiofrequency electrode with a sharpened tip through a catheter port in the sidewall of the catheter and through the surrounding tissue of the urethra wall into the prostate tissue to be treated, the electrode being retained within an insulating sleeve which is movable relative to the electrode and which sleeve extends through the urethra wall, the sharpened tip puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of the prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 10
Dependent Claim
28 words
A method of claim 7 wherein the insulating sleeve is axially movable on the electrode, the sleeve being moved axially to define the exposed length of the electrode.
Claim 11
Dependent Claim
22 words
A method of claim 7 wherein the stylet, extended into the tissue to be treated, is positioned by use of ultrasound imaging.
Claim 12
Dependent Claim
19 words
A method of claim 9 wherein the ultrasound imaging is obtained with an ultrasound transducer positioned on the electrode.
Claim 13
Dependent Claim
29 words
A method of claim 7 wherein the catheter is positioned by ultrasound imaging, the ultrasound imaging being obtained with an ultrasound transducer positioned at the end of the catheter.
Claim 14
Dependent Claim
30 words
A method of claim 7 wherein the temperature of the target tissue being treated is monitored during the treatment using a temperature sensor attached to the catheter or flexible electrode.
Claim 15
Independent Claim
173 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radiofrequency electrode with a sharpened tip through a catheter port in the sidewall of the catheter and through the surrounding tissue of the urethra wall into the prostate tissue to be treated, the electrode being retained with an axially moveable insulating sleeve wherein said sleeve is positioned to enclose a first portion of the electrode which extends through the urethra wall while leaving exposed a second portion of the electrode, said sleeve extending through the urethra wall and the sharpened tip of the electrode puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 16
Independent Claim
173 words
A method for medical treatment of the prostate, comprising the steps of: a) introducing a catheter through the urethra to a zone adjacent to the prostate; b) advancing a flexible radiofrequency electrode with a sharpened tip through a catheter port in the sidewall of the catheter and through the surrounding tissue of the urethra wall into the prostate tissue to be treated, the electrode being retained with an axially moveable insulating sleeve wherein said sleeve is positioned to enclose a first portion of the electrode which extends through the urethra wall while leaving exposed a second portion of the electrode, said sleeve extending through the urethra wall and the sharpened tip of the electrode puncturing and penetrating the urethra wall; c) retracting the insulating sleeve within the prostate tissue to expose a predetermined length of electrode in the prostate tissue; and d) passing sufficient electric current through the electrode to raise the temperature of prostate tissue adjacent the predetermined length of electrode to a temperature causing destruction of cells of said prostate tissue.
Claim 17
Dependent Claim
22 words
A method of claim 13 wherein the electrode, extended into the tissue to be treated, is positioned by use of ultrasound imaging.
Claim 18
Dependent Claim
19 words
A method of claim 14 wherein the ultrasound imaging is obtained with an ultrasound transducer positioned on the electrode.
Claim 19
Dependent Claim
29 words
A method of claim 13 wherein the catheter is positioned by ultrasound imaging, the ultrasound imaging being obtained with an ultrasound transducer positioned at the end of the electrode.
Claim 20
Dependent Claim
30 words
A method of claim 13 wherein the temperature of the target tissue being treated is monitored during the treatment using a temperature sensor attached to the catheter or flexible electrode.
References Cited (Backward Citations)
US1950788A
Cited
US1879249A
Cited
US1968997A
Cited
US2022065A
Cited
US2047535A
Cited
US2008526A
Cited
US2118631A
Cited
US2710000A
Cited
US3230957A
Cited
US3339542A
Cited
US3556079A
Cited
US3682162A
Cited
US3598108A
Cited
US3595239A
Cited
US3840016A
Cited
US3884237A
Cited
US3835842A
Cited
US3850175A
Cited
US3924628A
Cited
US3828780A
Cited
US3939840A
Cited
US3942530A
Cited
US3991770A
Cited
US4011872A
Cited
US3858577A
Cited
US3948270A
Cited
USRE32066E
Cited
US4119102A
Cited
US4137920A
Cited
US4312364A
Cited
US4136566A
Cited
US4154246A
Cited
US4228809A
Cited
US4204549A
Cited
US4311154A
Cited
US4402311A
Cited
US4295467A
Cited
US4448198A
Cited
US4267828A
Cited
US4311145A
Cited
US4307720A
Cited
US4375220A
Cited
US4565200A
Cited
US4411266A
Cited
US4805616A
Cited
US4562838A
Cited
US4452236A
Cited
US4397314A
Cited
US4568329A
Cited
US4470407A
Cited
US4494539A
Cited
DE3218314C2
Cited
US4405314A
Cited
US4676258A
Cited
US4774949A
Cited
US4672962A
Cited
US4601296A
Cited
US4798215A
Cited
US4612940A
Cited
US4682596A
Cited
US4552554A
Cited
US4697595A
Cited
US4706681A
Cited
US4800899A
Cited
US4580551A
Cited
US4817601A
Cited
US4594074A
Cited
US4669475A
Cited
US4681122A
Cited
US4785829A
Cited
US4818954A
Cited
US4776086A
Cited
US5057106A
Cited
US4700716A
Cited
US4822333A
Cited
US4823812A
Cited
US4813429A
Cited
US4709698A
Cited
US4949706A
Cited
US4872458A
Cited
US4893623A
Cited
US4946449A
Cited
US4719914A
Cited
US4765331A
Cited
US4823791A
Cited
US4905667A
Cited
US4943290A
Cited
US4769005A
Cited
US4784638A
Cited
US4961435A
Cited
US4860744A
Cited
US4911173A
Cited
US4950267A
Cited
US5035695A
Cited
US4919129A
Cited
US4907589A
Cited
US4932958A
Cited
US5030227A
Cited
US5178620A
Cited
US4998933A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1997-11-21 | 1998-05-23 | 1998-11-22 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2001-11-21 | 2002-05-23 | 2002-11-22 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2005-11-21 | 2006-05-23 | 2006-11-22 | $7700.00 | Window Closed / Lapsed |