CA2434151A1 - Bone-treatment instrument and method - Google Patents
Bone-treatment instrument and method Download PDFInfo
- Publication number
- CA2434151A1 CA2434151A1 CA002434151A CA2434151A CA2434151A1 CA 2434151 A1 CA2434151 A1 CA 2434151A1 CA 002434151 A CA002434151 A CA 002434151A CA 2434151 A CA2434151 A CA 2434151A CA 2434151 A1 CA2434151 A1 CA 2434151A1
- Authority
- CA
- Canada
- Prior art keywords
- tumor
- bone
- distal
- electrodes
- conduit
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1477—Needle-like probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
- A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/00142—Coatings on the energy applicator lubricating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
- A61B2018/00654—Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00755—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00797—Temperature measured by multiple temperature sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1435—Spiral
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
Abstract
Disclosed is a system for palliatively treating a pain-causing tumor on or i n bone. The system includes an instrument having a distal-end structure adapte d to be inserted into the bone tumor, where the structure is activatable to ablate tumor tissue, and a conduit in the instrument through which a liquid can be supplied to the tumor, when the ablating structure is inserted into t he tumor. Also included are a first connecting structure for connecting the distal-end structure to an activating device, such as an RF current source, and a second connecting structure for connecting the conduit to a source of the liquid.
Claims (12)
1. A system for palliatively treating a pain-causing bone tumor that may reside (i) on the exterior of compact bone region, below the bone periosteum, (ii) at least partially within the compact bone region, or (iii) within a cancellous region of the bone, comprising:
an instrument having a distal-end structure adapted to be inserted into the bone tumor, said tip being activatable to ablate tumor tissue, a conduit in said instrument through which a liquid can be supplied to said tumor, when said tip is inserted into the tumor, first connecting structure for connecting said distal-end structure to an activating device, and second connecting structure for connecting said conduit to a source of said liquid.
an instrument having a distal-end structure adapted to be inserted into the bone tumor, said tip being activatable to ablate tumor tissue, a conduit in said instrument through which a liquid can be supplied to said tumor, when said tip is inserted into the tumor, first connecting structure for connecting said distal-end structure to an activating device, and second connecting structure for connecting said conduit to a source of said liquid.
2. The system of claim 1, wherein said instrument includes a probe with a distal end, and at least one electrode movable from a retracted position within the probe to a deployed position extending from the probe's distal end, forming said distal-end structure when deployed.
3. The system of claim 2, wherein said instrument includes a plurality of curved, deployable electrodes, and said deploying is effective to create an array of deployed electrodes that defines a substantially two-dimensional surface expanse or a three-dimensional volume within the tumor.
4. The system of claim 3, for use in treating a bone tumor on the exterior or interior surface of a compact region of a bone, wherein said electrodes, when deployed, create an array that defines a two-dimensional expanse that is coextensive with a portion of the surface of the compact bone region surrounded by said tumor.
5. The system of claim 3, wherein said electrodes, when deployed form a three-dimensional volume that encompasses said distal tip.
6. The system of claim 3, wherein said electrodes, when deployed form a three-dimensional volume that converges at said distal tip.
7. The system of claim 3, wherein the curvature of at least one of said electrodes is shapable, prior to said positioning, such that the electrode(s), when inserted into the tumor, define a selected geometry within the tumor.
8. The system of claim 3, wherein at least one of said electrodes is a needle forming at least part of said conduit.
9. The system of claim 1, wherein said first connecting structure is adapted to connect said conduit to a reservoir of electrolyte liquid.
10. The system of claim 1, wherein said first connecting structure is adapted to connect said conduit to a reservoir of thermoset or thermoplastic polymer liquid.
11. The system of claim 1, wherein said first connecting structure is adapted to connect said conduit to a reservoir of chemotherapeutic agent liquid.
12. The system of claim 11, wherein said second connecting structure is adapted to connect said distal-end structure to a source of RF current.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US26129701P | 2001-01-11 | 2001-01-11 | |
US60/261,297 | 2001-01-11 | ||
PCT/US2002/000683 WO2002054941A2 (en) | 2001-01-11 | 2002-01-11 | Bone-treatment instrument and method |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2434151A1 true CA2434151A1 (en) | 2002-07-18 |
CA2434151C CA2434151C (en) | 2009-12-22 |
Family
ID=22992683
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002434151A Expired - Fee Related CA2434151C (en) | 2001-01-11 | 2002-01-11 | Bone-treatment instrument and method |
Country Status (6)
Country | Link |
---|---|
US (2) | US6622731B2 (en) |
EP (1) | EP1363700A4 (en) |
JP (2) | JP4111829B2 (en) |
AU (1) | AU2002245243B2 (en) |
CA (1) | CA2434151C (en) |
WO (1) | WO2002054941A2 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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US9204913B2 (en) | 2006-04-07 | 2015-12-08 | Sociéte de Commercialisation Des Produits de la Recherche Appliquée SOCPRA Sciences et Génie S.E.C. | Integrated cement delivery system for bone augmentation procedures and methods |
US9867646B2 (en) | 2006-04-07 | 2018-01-16 | Gamal Baroud | Integrated cement delivery system for bone augmentation procedures and methods |
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US10004549B2 (en) | 2006-04-07 | 2018-06-26 | Gamal Baroud | Integrated cement delivery system for bone augmentation procedures and methods |
Also Published As
Publication number | Publication date |
---|---|
US20040059328A1 (en) | 2004-03-25 |
WO2002054941A2 (en) | 2002-07-18 |
WO2002054941A9 (en) | 2003-12-18 |
WO2002054941A3 (en) | 2003-09-18 |
US7108696B2 (en) | 2006-09-19 |
CA2434151C (en) | 2009-12-22 |
AU2002245243B2 (en) | 2007-03-22 |
JP4111829B2 (en) | 2008-07-02 |
JP2008119523A (en) | 2008-05-29 |
US20020133148A1 (en) | 2002-09-19 |
US6622731B2 (en) | 2003-09-23 |
EP1363700A2 (en) | 2003-11-26 |
JP2004523272A (en) | 2004-08-05 |
EP1363700A4 (en) | 2005-11-09 |
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