WO2007005791B1 - Transvaginal uterine artery occlusion - Google Patents

Transvaginal uterine artery occlusion

Info

Publication number
WO2007005791B1
WO2007005791B1 PCT/US2006/025913 US2006025913W WO2007005791B1 WO 2007005791 B1 WO2007005791 B1 WO 2007005791B1 US 2006025913 W US2006025913 W US 2006025913W WO 2007005791 B1 WO2007005791 B1 WO 2007005791B1
Authority
WO
WIPO (PCT)
Prior art keywords
artery
tool
energy
vaginal wall
visualizing
Prior art date
Application number
PCT/US2006/025913
Other languages
French (fr)
Other versions
WO2007005791A3 (en
WO2007005791A2 (en
Inventor
Joseph Eder
Camran Nezhat
John Maroney
Roger A Stern
Original Assignee
Aragon Surgical Inc
Joseph Eder
Camran Nezhat
John Maroney
Roger A Stern
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 Aragon Surgical Inc, Joseph Eder, Camran Nezhat, John Maroney, Roger A Stern filed Critical Aragon Surgical Inc
Priority to JP2008519674A priority Critical patent/JP2009501029A/en
Priority to AU2006265681A priority patent/AU2006265681A1/en
Priority to MX2008000369A priority patent/MX2008000369A/en
Priority to EP06786176A priority patent/EP1898800A2/en
Publication of WO2007005791A2 publication Critical patent/WO2007005791A2/en
Publication of WO2007005791A3 publication Critical patent/WO2007005791A3/en
Publication of WO2007005791B1 publication Critical patent/WO2007005791B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • 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
    • 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
    • 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure

Abstract

Uterine artery occlusion is performed for the treatment of uterine fibroid using a tool which is introduced through the vaginal wall to the exterior of the uterus. The tool carried clamping elements which may be positioned over the uterine artery. Electrodes or other energy applying devices on the clamping elements may be used to deliver energy to seal the uterine artery. Optionally, the tool may carry ultrasonic, visual, or proximity sensors for detecting the presence of the uterine artery prior to delivering energy.

Claims

AMENDED CLAIMS received by the International Bureau on 22 March 2007(22.03.2007)
1. A method for treating uterine fibroids, said method comprising: advancing a tool through a vaginal wall to an artery which feeds the. uterus, using the tool to compress and apply energy to occlude the artery; wherein using the tool comprises clamping opposed clamping elements of the tool on the artery and applying energy through the clamping elements to the artery under conditions which seal the artery lumen but leave the artery otherwise intact.
2. A method as in claim 1 , wherein the tool is advanced through a location in the vaginal wall adjacent to the cervix.
3. A method as in claim 1 , further comprising penetrating the vaginal wall with a tool.
4. A method as in claim 3, wherein the tool which penetrates the vaginal wall is a different tool than the one which compresses and applies energy to the artery.
5. A method as in claim 3, wherein the tool which penetrates the vaginal wall is the same tool as the one which compresses and applies energy to the artery.
6. A method in which claim 1, further comprising confirming that the tool is adjacent to the artery prior to using the tool to compress and apply energy to occlude the artery.
7. A method as in claim 6, wherein confirming comprises visualizing the tool and/or the artery.
3
8. A method as in claim 7, wherein visualizing comprises laparoscopic imaging of the artery.
9. A method as in claim 7, wherein visualizing comprises external imaging using ultrasound or fluoroscopy.
10. A method as in claim 7, wherein visualizing comprises rectal imaging using ultrasound.
11. A method as in claim 7, wherein visualizing is performed using an imaging element on the tool which is used to compress and apply energy to the artery.
12. A method as in claim 6, wherein confirming comprising detecting, proximity of the tool to blood flow through the artery.
13. A method as in claim 6, wherein detecting is performed using a Doppler ultrasound element on the tool.
14. A method as in claim 1 , wherein the tool delivers radiofrequency, energy to the artery.
15. A device for occluding an artery which feeds the uterus, said device comprising: a shaft structure adapted to be positioned through a vaginal wall to position a distal end thereof adjacent to the artery; opposed clamping elements on the shaft near the distal end; and means for applying energy from the clamping elements to the artery when the artery is clamped therebetween; wherein the shaft comprises two hinged arms, each of which carries at least one electrode.
16. A device as in claim 15, wherein at least one arm carries a proximity sensor.
4
17. A device as in claim 16, wherein the proximity sensor comprises a Doppler ultrasound element.
18. A device as in claim 15, wherein the shaft consists essentially of a single tubular element having an advanceable clamping element therein.
19. A device as in claim 18, wherein the tubular elements and the advanceable clamping element carry opposable electrodes.
20. A device as in claim 19, wherein the shaft further carries a proximity sensor.
21. A system for occluding an artery which feeds the uterus, said system comprising: a device as in any one of claims 15 to 20; a power supply and control unit for applying energy through the energy applying means to the artery.
22. A system as in claim 21 , wherein the power supply delivers radiofrequency energy to the energy applying means.
23. A system as in claim 22, wherein the power supply and control unit further comprises a proximity sensor which receives signals from the device when the distal end is adjacent to the artery.
24. A system as in claim 22, further comprising an audible or visual signal when the energy applying means is positioned adjacent to the artery.
5
PCT/US2006/025913 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion WO2007005791A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2008519674A JP2009501029A (en) 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion
AU2006265681A AU2006265681A1 (en) 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion
MX2008000369A MX2008000369A (en) 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion.
EP06786176A EP1898800A2 (en) 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/173,478 2005-06-30
US11/173,478 US20070005061A1 (en) 2005-06-30 2005-06-30 Transvaginal uterine artery occlusion

Publications (3)

Publication Number Publication Date
WO2007005791A2 WO2007005791A2 (en) 2007-01-11
WO2007005791A3 WO2007005791A3 (en) 2007-03-15
WO2007005791B1 true WO2007005791B1 (en) 2007-05-10

Family

ID=37590620

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/025913 WO2007005791A2 (en) 2005-06-30 2006-06-30 Transvaginal uterine artery occlusion

Country Status (8)

Country Link
US (2) US20070005061A1 (en)
EP (1) EP1898800A2 (en)
JP (1) JP2009501029A (en)
KR (1) KR20080027283A (en)
CN (1) CN101212932A (en)
AU (1) AU2006265681A1 (en)
MX (1) MX2008000369A (en)
WO (1) WO2007005791A2 (en)

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MX2008000369A (en) 2008-03-07
CN101212932A (en) 2008-07-02
US20070244538A1 (en) 2007-10-18
AU2006265681A1 (en) 2007-01-11
WO2007005791A3 (en) 2007-03-15
KR20080027283A (en) 2008-03-26
EP1898800A2 (en) 2008-03-19
US20070005061A1 (en) 2007-01-04
WO2007005791A2 (en) 2007-01-11
JP2009501029A (en) 2009-01-15

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