CA2311375A1 - Method and apparatus for tubal occlusion - Google Patents

Method and apparatus for tubal occlusion Download PDF

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Publication number
CA2311375A1
CA2311375A1 CA002311375A CA2311375A CA2311375A1 CA 2311375 A1 CA2311375 A1 CA 2311375A1 CA 002311375 A CA002311375 A CA 002311375A CA 2311375 A CA2311375 A CA 2311375A CA 2311375 A1 CA2311375 A1 CA 2311375A1
Authority
CA
Canada
Prior art keywords
plug
uterotubal junction
catheter
tubal occlusion
occluding
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
Application number
CA002311375A
Other languages
French (fr)
Other versions
CA2311375C (en
Inventor
Douglas C. Harrington
Brett S. Bowman
Peter Breining
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Adiana Inc
Original Assignee
Adiana, Inc.
Douglas C. Harrington
Brett S. Bowman
Peter Breining
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Adiana, Inc., Douglas C. Harrington, Brett S. Bowman, Peter Breining filed Critical Adiana, Inc.
Publication of CA2311375A1 publication Critical patent/CA2311375A1/en
Application granted granted Critical
Publication of CA2311375C publication Critical patent/CA2311375C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12159Solid plugs; being solid before insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F6/00Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/20Vas deferens occluders; Fallopian occluders
    • A61F6/22Vas deferens occluders; Fallopian occluders implantable in tubes
    • A61F6/225Vas deferens occluders; Fallopian occluders implantable in tubes transcervical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
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    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
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    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
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    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
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    • A61B2018/00702Power or energy
    • A61B2018/00708Power or energy switching the power on or off
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    • A61B2018/00738Depth, e.g. depth of ablation
    • AHUMAN NECESSITIES
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    • A61B2018/00755Resistance or impedance
    • AHUMAN NECESSITIES
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    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636Sensing and controlling the application of energy
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    • A61B2018/00815Temperature measured by a thermistor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00791Temperature
    • A61B2018/00821Temperature measured by a thermocouple
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/1253Generators therefor characterised by the output polarity monopolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1435Spiral
    • A61B2018/1437Spiral whereby the windings of the spiral touch each other such as to create a continuous surface
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925Markers, e.g. radio-opaque or breast lesions markers ultrasonic
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
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Abstract

This invention is a device for sterilizing females by occluding the uterotubal junction. The device includes a catheter (20) with a releasable heat generating plug (24) which is used to thermally damage the uterotubal junction, causing it to constrict around the plug after which the plug is released from the catheter, and left in place in the uterotubal junction.
CA002311375A 1997-06-05 1998-04-20 Method and apparatus for tubal occlusion Expired - Fee Related CA2311375C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US4863297P 1997-06-05 1997-06-05
US60/048,632 1997-06-05
US5438897P 1997-07-31 1997-07-31
US60/054,388 1997-07-31
PCT/US1998/008111 WO1998055046A1 (en) 1997-06-05 1998-04-20 Method and apparatus for tubal occlusion

Publications (2)

Publication Number Publication Date
CA2311375A1 true CA2311375A1 (en) 1998-12-10
CA2311375C CA2311375C (en) 2008-08-12

Family

ID=26726348

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002311375A Expired - Fee Related CA2311375C (en) 1997-06-05 1998-04-20 Method and apparatus for tubal occlusion

Country Status (9)

Country Link
US (7) US5954715A (en)
EP (2) EP1568325B1 (en)
AT (2) ATE291889T1 (en)
AU (1) AU758284B2 (en)
CA (1) CA2311375C (en)
DE (2) DE69842144D1 (en)
ES (1) ES2238759T3 (en)
HK (1) HK1025240A1 (en)
WO (1) WO1998055046A1 (en)

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US6346102B1 (en) 2002-02-12
US7220259B2 (en) 2007-05-22
EP1568325A1 (en) 2005-08-31
DE69829569T2 (en) 2006-03-23
AU758284B2 (en) 2003-03-20
US7905880B2 (en) 2011-03-15
EP1005296A4 (en) 2001-01-24
EP1005296B1 (en) 2005-03-30
US20020072744A1 (en) 2002-06-13
US20110308527A1 (en) 2011-12-22
ATE499045T1 (en) 2011-03-15
EP1005296B8 (en) 2005-06-08
CA2311375C (en) 2008-08-12
HK1025240A1 (en) 2000-11-10
DE69829569D1 (en) 2005-05-04
US6068626A (en) 2000-05-30
EP1005296A1 (en) 2000-06-07
ES2238759T3 (en) 2005-09-01
US20040204720A1 (en) 2004-10-14
EP1568325B1 (en) 2011-02-23
US5954715A (en) 1999-09-21
ATE291889T1 (en) 2005-04-15
AU7148198A (en) 1998-12-21
US6726682B2 (en) 2004-04-27
DE69842144D1 (en) 2011-04-07
WO1998055046A1 (en) 1998-12-10
US20070215163A1 (en) 2007-09-20

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