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
  • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
• • 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
  • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
  • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
• • 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
  • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
  • A61B2018/0231—Characteristics of handpieces or probes
  • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
  • A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
  • A61B2018/0281—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs
• • 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
  • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
  • A61B2018/0231—Characteristics of handpieces or probes
  • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
  • A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
  • A61B2018/0281—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs
  • A61B2018/0287—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs the fluid flowing through a long thin tube with spiral shape

Definitions

• Embodiments of the present invention relate generally to cryosurgical instruments such as cryoprobes and, more particularly, to phase separation of cryogen in cryosurgical instruments for heat exchanging advantage.
• thermodynamically known as adiabatic expansion thermodynamically known as adiabatic expansion
• cryogen is supplied as a liquid or a two-phase (gas/liquid) fluid
• cooling methods use the energy required for the change of phase of the inlet cryogen.
• the temperature of the inlet fluid and the return fluid may be the same or close in value, and would minimize, or annul heat exchange between the inlet and outlet fluids, due to a small differential temperature.
• the application of a coil serves as a separator of the phases in a two-phase flow. This is because the liquid phase has greater specific gravity, which tends to cause the liquid phase toward the outer (greater) diameter. The greater diameter of the coil is close to the external surface and, as a result, the boiling or change of phase of the liquid occurs close to the external surface.
• This arrangement utilizes the physical shape of the coil as a centrifugal force generator to separate the heavier liquid phase from the lighter gaseous phase, forcing (urging) the liquid towards the outer surface of the coil.
• cryogens either in gaseous form or two-phase form, enter in a straight inlet tube, or lumen
• flow directing elements such as those described in U.S. Patent No. 5,800,487
• baffles such as those described in U.S. Patent Publication No. 2009/0163902 Al, U.S. Patent Publication No. 2007/0149957 Al, U.S. Patent Publication No.2007/0149959 Al, and U.S. Patent Publication No.2009/0182320 Al
• baffles such as those described in U.S. Patent Publication No. 2009/0163902 Al,
• a cryosurgical instrument includes a coiled tube that serves as both a cryogen delivery tube and a phase separator that separates cryogen into liquid and gaseous phases.
• a fluid cryogen flows into the coiled tube that, in turn, is in energy exchange contact with the outer wall of a portion of a cryosurgical instrument.
• the incoming flow spins as it spirals such that it separates into the two phases, with the heaver liquid phase being urged (i.e., forced) into contact with the outer wall of the coil, which is in contact with the outer wall of the cooling zone.
• the heat exchange zone comprises at least the distal/downstream tip of the cryosurgical instrument, from the tip of the probe to the insulation, where the fluid is in contact with the outer shaft's inner surface. In this way, the centrifugal force can be advantageously used.
• a cryosurgical instrument including: a shaft having a closed distal end defining an expansion chamber and an open proximal end adapted and configured (i) to receive an inflow of cryogen and (ii) to exhaust a flow of expanded cryogen; and a heat exchanger.
• the heat exchanger includes: a solid core element extending along a longitudinal axis of the heat exchanger; and a cryogen delivery tube that spirals around and contacts the solid core element. The spirals of the cryogen delivery tube are spaced from each other and in fluid tight contact with the solid core and an inner surface of the shaft so as to form a spiraling cryogen exhaust pathway from the distal end of the shaft to the proximal end of the shaft.
• a cryosurgical instrument including: a shaft having a closed distal end defining an expansion chamber at which cryogen boils and a proximal end adapted and configured (i) to receive an inflow of cryogen, (ii) deliver the inflow of cryogen to the expansion chamber, and (iii) to exhaust a flow of cryogen that has expanded in the expansion chamber; a solid core element extending along a longitudinal axis of the shaft; and a helical cryogen delivery tube that spirals around the core, is in fluid tight contact with the core, and is in fluid tight contact with an inner surface of the shaft, the respective spirals of the delivery tube being respectively spaced.
• a cryosurgical instrument having a hollow shaft having a closed distal end forming a tip
• the instrument including a phase separator that includes: a solid core element disposed within the shaft and extending along a longitudinal axis of the shaft; and a coiled cryogen delivery tube that (i) spirals around the longitudinal axis such that the respective spirals are spaced from each other.
• the respective spirals are in fluid tight contact with the core and an inner surface of the shaft.
• the spaced spirals of the cryogen delivery tube, the solid core, and an inner surface of the shaft cooperate so as to form a spiraling cryogen exhaust pathway that spins a flow of expanded cryogen flowing away from the tip.
• the spinning causes separation of the flow of expanded cryogen into a liquid phase and a gaseous phase and urges a heavier liquid phase of the expanded cryogen against a portion of the inner surface of the shaft.
• a method including: directing a flow of cryogen to an expansion chamber at a tip end of a shaft of a cryosurgical instrument; permitting cryogen in the expansion chamber to expand and cool at least the tip of the cryosurgical instrument; directing a flow of expanded cryogen into an exhaust pathway so that the flow of expanded cryogen flows away from the tip; and spinning the flow of expanded cryogen.
• the spinning separates the expanded cryogen into a liquid phase and a gas phase and urges the liquid phase into contact with an inner surface of the shaft.
• FIG. 1A is cross-sectional view of a non-limiting example of a cryosurgical instrument consistent with an exemplary embodiment of the present invention.
• Figure IB is a perspective view of portions of heat exchanging components of the cryosurgical instrument of FIG. 1A.
• centrifugal force refers to the tendency of a flow following a curved path to be urged away from the center of curvature due to inertia. Centrifugal force is referred to as a force for convenience and ease of explanation. This centrifugal force urges the liquid phase of two-phase flow following a curved path to be urged away from the center of curvature due to greater specific gravity than the gaseous phase.
• FIGS. 1A and IB there is shown a non-limiting example of a cryosurgical instrument comprising a heat exchanger that features multiple helical coils, which is consistent with an exemplary embodiment of the present invention.
• the cryosurgical instrument 100 includes a shaft 103 surrounding an inlet 102, a core 116, a coiled (i.e. helical) cryogen delivery tube 101, and a tip 109.
• a rear portion of the instrument 100 includes insulation 104 that separates the inner surface of the shaft 103 from a return flow 113 of cryogen.
• the portion of the cryosurgical instrument from the tip 109 to the insulation 104 defines a cooling zone 105. This cooling zone is where heat is exchanged between the cryogen and the cryoprobe. Thus, the freezing (ablation) of tissue occurs around the cooling zone 105, when the instrument is in operation and in contact with tissue.
• the inlet 102 receives cryogen and delivers the received cryogen into the shaft 103.
• the shaft 103 features insulation 104 that surrounds the shaft 103 and is mounted to the inner surface of the shaft 103.
• the insulation 104 is disposed outside of the cooling (heat exchange) zone 105. The presence of the insulation 104 ensures that freezing occurs only where treatment is desired, which is generally around the cooling zone 105.
• the core 116 is disposed lengthwise along a longitudinal or lengthwise axis of the cryosurgical instrument. For this reason, it is preferable that the core has a substantially cylindrical shape with a substantially circular cross-section. It is to be understood, that the core may have other cross-sectional shapes.
• cryogen enters through the inlet 102, as indicated by arrows 114, and is directed to coil 101.
• This inflowing of cryogen then enters the coil 101 and flows in the helical coil such that it spirals around the core 116 as it travels toward the tip 109.
• This spinning of the inflowing cryogen causes the cryogen to at least partially separate into a liquid phase and a gaseous phase, with the heavier liquid phase tending to displace the gaseous phase along the inner surface of the coil 101.
• the return flow indicated by arrows 115, flows in the spiral gap created by the outside surface of the coil 101, the inner surface of the shaft 103, and the outer surface of the core 116.
• FIG. IB The relationship between the coil 101 and the core 116, and the cooling zone is illustrated in FIG. IB.
• the tip 109 is hollow, and the reflective surface 108 is optionally placed close to the inner surface of tip 109, as shown. It is to be understood, however, that the tip 109 need not be hollow and/or the reflective surface 108 may be placed distal to the inner surface of the tip 109 (not shown).
• the inflowing cryogen (indicated by arrows 114) boils at the inner side of the reflective surface 108 and in a return flow gap 152 between the coiled tubes of the coil 101, the core 116, and the inner surface of the outer shaft 103.
• This volume defined by the reflective surface 105, the distal end of the core 116 and the return flow gap 152 represents an expansion chamber. The boiling that occurs in the expansion chamber cools the cooling zone 105 as heat energy is absorbed by the expanding cryogen.
• the exhausted cryogen flows through the gap 152 between the heat exchanger 101 and the shaft 103, as shown.
• the curved gap 152 enhances the continued boiling of the liquid phase close to the external wall, as described before.
• the direction of this return flow is shown by return flow arrows 115.
• the cryosurgical instrument 100 may optionally include a solid core 116 at the innermost part of the shaft 103 and in cooling zone 105, such that neither the coil 101 nor the gap 152 are present within the core 116. Instead, both the coil 101 and the gap 152 are preferably arranged around the core 116 as shown.
• heat exchange between the inlet and the outlet flow is negligible in this arrangement, due to the negligible temperature difference between the respective flows.
• the return flow of exhausted cryogen leaves the cooling zone 105 and continues as the return flow 113, as shown, through a return plenum 111 and into a return gap 107.
• the exhausted cryogen then exits through a cryogen exhaust outlet 153 at an end of the cryosurgical instrument 100 distal from the tip 109.
• the return flow is preferably permitted only between the inlet tube of the coil 101 and the inner surface of the shaft 103 at the cooling zone 105, by providing a core 116 that prevents the return flow from returning through the inner gap of the cryosurgical instrument 100 (i.e., the inlet and the return flow are centrifugal). Flow in the center of the helical coil (defined by the coils of the coil 1014) would have been straight.
• an aspect of the present invention yields a heat exchanger that advantageously uses centrifugal force to separate an exhaust flow of cryogen into two phases by spinning a flow of cryogen.
• the exhaust flow is directed away from the expansion chamber in a spiraling manner between the core and the inner surface of the shaft. This spiraling urges the heavier liquid phase of the exhaust cryogen against the inner surface of the shaft, which encourages enhanced cooling in the cooling zone since the liquid phase has a higher heat capacity (i.e. thermal capacity) than the gaseous phase.
• the incoming flow of cryogen which is delivered via a helical coil, also spins and tends to separate into liquid and gaseous phases.
• the spiraling flow of the exhausted cryogen is achieved by the cooperation of a solid core element extending along a longitudinal axis of the heat exchanger and a cryogen delivery tube that spirals around and contacts the solid core element.
• the spirals of the cryogen delivery tube are
• phase separation that occurs may occur during cryogen delivery and/or during cryogen exhaust. It may be partial, substantially complete, or complete. Indeed, it may be partial during delivery and completed during exhaust. Also, it is to be appreciated that the amount of phase separation during delivery may be the same or different than the amount of phase separation during exhaust.

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• 2014
  • 2014-11-06 CN CN201480078316.0A patent/CN106456230A/zh active Pending
  • 2014-11-06 WO PCT/US2014/064292 patent/WO2015138010A1/en active Application Filing
  • 2014-11-06 EP EP14806769.7A patent/EP3116428A1/de not_active Withdrawn

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