U.S. patent number 3,918,439 [Application Number 05/473,194] was granted by the patent office on 1975-11-11 for cryoprobe construction.
This patent grant is currently assigned to Dragerwerk AG. Invention is credited to Hildebrand Zimmer.
United States Patent |
3,918,439 |
Zimmer |
November 11, 1975 |
Cryoprobe construction
Abstract
A cryoprobe particularly for the low temperature treatment of
body organs particularly for use in body cavities such as adjacent
a bladder comprises an elongated hollow shaft having an interior
portion for the conduction of a cooling medium to an outer front
probe portion and with an insulation formed around the coolant
conduit and which also includes an observation optics which is
mounted on the hollow shaft for viewing along the interior to the
front portion of the probe. The front portion of the probe is
disposed at an angle to the longitudinal axis of the hollow shaft.
The hollow shaft is advantageously of oval shape and a hollow
optics tube is mounted to extend through the oval shape shaft at
the top portion thereof over concentrically arranged hollow tubes
for the passage and return passage of cooling medium. The device
also includes an outer hollow oval tube having a horizontal major
axis which is extended on each side of the hollow shaft for the
transmission of a scavenging agent in the space or channel between
the outer hollow tube and the shaft.
Inventors: |
Zimmer; Hildebrand (Ahrensburg,
DT) |
Assignee: |
Dragerwerk AG
(DT)
|
Family
ID: |
5882039 |
Appl.
No.: |
05/473,194 |
Filed: |
May 24, 1974 |
Foreign Application Priority Data
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May 24, 1974 [DT] |
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2326507 |
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Current U.S.
Class: |
600/104; 600/128;
600/129; 600/156; 606/21 |
Current CPC
Class: |
A61B
18/02 (20130101) |
Current International
Class: |
A61B
18/02 (20060101); A61B 18/00 (20060101); A61B
001/30 (); A61B 017/36 () |
Field of
Search: |
;128/6,7,303.1 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: McGlew and Tuttle
Claims
What is claimed is:
1. A cryoprobe for low temperature treatment to be formed in body
cavities, particularly in the bladder, comprising an elongated
hollow shaft having insulation therein against low temperature, an
observation optics mounted in said shaft for displaceable movement,
said shaft having a front portion which is disposed at an angle to
the longitudinal axis of said shaft and which forms a probe, means
for cooling said probe and scavening passage means extending along
said shaft and having an opening adjacent said probe.
2. A cryoprobe according to claim 1, wherein the angle formed by
the front portion of said shaft with said shaft is from 20.degree.
to 40.degree. and preferably 30.degree..
3. A cryoprobe according to claim 1 wherein only the tip of said
front portion is capable of being cooled.
4. A cryoprobe construction comprising a hollow tubular shaft
portion, an optics tube extending through said shaft portion and
having a front end extending outwardly therefrom with a view area,
said optics tube being movably mounted within said shaft tube, said
tubular shaft portion having a front portion disposed at an angle
to the axis of said shaft tube with a tip area forming a probe, a
coolant supply tube and a coolant return tube located within said
shaft tube for respectively conducting and returning a coolant to
said probe, and scavenging passage means adjacent said tubular
shaft portion for scavening agents terminating in openings adjacent
said probe.
5. A cryoprobe according to claim 4 said passage means including at
least one tubular element surrounding at least a portion of said
shaft tube and defining a channel for evacuation of body
substancess terminating adjacent said probe in openings for
receiving such substances.
6. A cryoprobe according to claim 4, wherein an outer tube extends
outwardly from each side of said shaft and defines an interior
evacuation channel forming said passage means along at least a
portion of the length of said shaft each channel terminating in
screened openings, one serving to supply and the other to evacuate
the scavenging agent.
7. A cryoprobe according to claim 6, wherein said optics tube is
arranged within an insulation tube within said shaft and is axially
and rotatably movable in respect thereto.
8. A cryoprobe according to claim 4, wherein said shaft tube is of
oval cross section with a major axis vertical, said outer tube
being of oval cross section with a major axis horizontal and being
arranged on each side of said hollow shaft, the overall cross
section being substantially circular.
9. A cryoprobe according to claim 4, wherein said hollow shaft
includes an upper tube carrying said optics, said coolant supply
and coolant return tubes for the cooling medium being below said
optics tube, and a space between said tubes for the pssage of
electrical cable for a heater adjacent said cryoprobe.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates in general to construction of a cryoprobe
and in particular to a new and useful cryoprobe which is adapted to
be inserted into a body cavity for effecting a low temperature
treatment of various body conditions and which includes a hollow
shaft for conducting a coolant to a front probe end which is
oriented at an angle to the shaft.
2. Description of the Prior Art
The invention is particularly applicable to the low temperature
treatment of areas in the body located in cavities particularly
bladders where it is desired to freeze various portions of the
bladder in order to effect a predetermined treatment. Cryoprobes of
this general type are known. A difficulty in the use of the known
equipment however is that the optical viewing systems for viewing
the place of treatment in the body cavity must be mounted so that
they are located relatively far away from the place of treatment in
order to prevent a fog formation at the freezing end of the probe.
In such a position a shaft of the probe which is immediately
adjacent the objects will considerably limit the field of
sight.
SUMMARY OF THE INVENTION
The invention provides a cryoprobe for the low temperature
treatment of various portions of the body particularly bladders
which comprises a hollow shaft which contains insulation against
low temperature and which provides a mounting for an observation
optics at the rear end thereof which permits displacement of the
optics for view adjustment. A front portion of the probe is capable
of being cooled and the arrangement of all the parts is such that
there is no impairment of sight during the low temperature
treatment.
With the inventive arrangement the front portion of the probe is
disposed at an angle to the longitudinal axis of the probe shaft.
In such an arrangement the optics is permanently and sufficiently
spaced from the cooled tip of the probe so that even during the
freeze treatment the sight is not hindered by any fog formation on
the optics and in fact the optics are arranged so that they will be
adequately protected.
The angle formed by the front portion of the probe with the
longitudinal axis of the shaft is advantageously 20.degree. to
40.degree. and preferably 30.degree.. By providing such an angular
range there are substantially no difficulties in the introduction
of the probe into the body cavity for example into the bladder to
be treated while the optics are retracted.
It is also useful to provide an arrangement wherein only the tip of
the deflected front portion of the probe is capable of being
cooled. Such a measure assures that no part of the optics is
located immediately adjacent the cooled zones.
The elimination of the sight hindrances in the use of cryoprobes of
this type is further improved by providing the probe with a channel
which serves to supply scavenging agents. The possibility therefore
is given to scavenge the treatment zone during the freezing and so
for example to keep it clear of blood so that optimal sight
possibilities are given to the physician. The scavenging means may
comprise an arrangement wherein the blood may be sucked off with
the aid of a catheter independently of the probe or in accordance
with another feature of the invention by means of another scavenger
means channel formation on the probe which is connected to an
exhaustion device. The channels are advantageously provided at the
front end which enters the body cavity with a screen or
perforations.
Accordingly it is an object of the invention to provide a cryoprobe
which includes a hollow shaft carrying an optics tube with optics
mounted thereon for view adjustment movement in which it has a
front portion which is disposed at an angle to the shaft forming a
probe, and wherein the shaft carries means for conducting a coolant
medium out to the probe and insulation surrounding the means and
also advantageously includes separate channels which extend to the
vicinity of the probe and which terminate in screened openings at
the probe location.
A further object of the invention is to provide a cryoprobe which
is simple in design, rugged in construction and economical to
manufacture.
For an understanding of the principles of the invention, reference
is made to the following description of a typical embodiment
thereof as illustrated in the accompanying drawings.
In the drawings:
FIG. 1 is a side elevational view of a cryoprobe constructed in
accordance with the invention; and
FIG. 2 is a section taken along the line II--II of FIG. 1.
GENERAL DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring to the drawings in particular the invention embodied
therein comprises a cryoprobe generally designated 1 which includes
a hollow oval shaped shaft 2 having a major axis vertical which is
connected at one end to a handle portion 3 and which includes a
front end portion 4 having a probe tip 5. The probe tip 5 is
adapted to be cooled for example by a cooling medium such as by a
low boiling point liquid which is directed into an evaporation
chamber formed at the interior of the probe tip 5.
In accordance with the invention the hollow shaft 2 provides a
space for an elongated guide tube 7 forming a surrounding
protection for a hollow optics tube 8 which is concentrically
arranged therein and which extends at the front end outwardly from
the shaft 2 and terminates in a viewing area end 8a which may be
oriented directly above the probe 5. The rear end is provided with
viewing optics 8b which are mounted so that they may be displaced
for view adjustment when aligned with a person's eye 20 as
indicated in FIG. 1.
In accordance with a feature of the invention the optics tube 8 is
mounted in the guide tube 7 so that it may be rotated and shifted
axially in order that the viewing area end 8a be properly oriented
in respect to the body tissue which is being treated.
In accordance with a further feature of the invention an outer
cover tube 22 which is of oval shape and which has a major axis
which is on the horizontal engages over each side of the shaft 2
and it forms scavening passage means hollow passages or channels 9
and 10 with the respective sides thereof. These hollow passages 9
and 10 are advantageously connectable at the rear end to evacuation
means such as an evacuation pump and their front ends are provided
with seive openings or screens 11 in the vicinity of the probe 5
for the purpose of conducting away blood and other materials of the
body during the operation. One or more connection fittings
generally designated 12 having control valves 13 are connected to
the channels 9 and 10 also to an inner coolant supply tube 14 which
is arranged concentrically within an outer coolant return tube 15
within a vacuum jacket tube 16 below the insulated tube 7. The
coolant is supplied in through the supply tube 14 through an
evacuation chamber in the probe tip 5 and is then returned in the
space between the tube 14 and 15. The vacuum space 17 is left
between the outer coolant tube 15 and the vacuum jacket 16 and
provides a low temperature insulation. The arrangement is such that
the optics in the tube 8 are also protected against the affect of
the low temperature.
In the space between the tube 7 and 16 the shaft provides
sufficient area for the passage of electrical cables 18 for heating
and thermocouple elements which are provided along the shaft 2 and
in the probe tip 5. The handle 3 is provided with a coupling 19
which provides a connection means for the electrical supply lines
as well as other connecting elements if desired.
The channels 9 and 10 are of half circular cross section which
complements the oval cross section of the shaft 2 so that the
overall cross section of the device is substantially circular.
While a specific embodiment of the invention has been shown and
described in detail to illustrate the application of the principles
of the invention, it will be understood that the invention may be
embodied otherwise without departing from such principles.
* * * * *