FR2613611A1 - Thermoelectric-effect device and its control and regulating members, for treating cancers and other tumours, by the method of iterative cryogenic applications - Google Patents
Thermoelectric-effect device and its control and regulating members, for treating cancers and other tumours, by the method of iterative cryogenic applications Download PDFInfo
- Publication number
- FR2613611A1 FR2613611A1 FR8704835A FR8704835A FR2613611A1 FR 2613611 A1 FR2613611 A1 FR 2613611A1 FR 8704835 A FR8704835 A FR 8704835A FR 8704835 A FR8704835 A FR 8704835A FR 2613611 A1 FR2613611 A1 FR 2613611A1
- Authority
- FR
- France
- Prior art keywords
- control
- iterative
- treatment
- cold
- thermoelectric
- 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.)
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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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- 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
- A61B2018/044—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
- A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/007—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
- A61F2007/0075—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating using a Peltier element, e.g. near the spot to be heated or cooled
Abstract
Description
La présente invention corcerne un dispositif pour dé-
truire les cellules tumorales ou non.Il permet d'appliquer
sur elles un froid intense très focalisé provoquant leur
destruction.The present invention relates to a device for
whether to kill tumor cells or not.
on them a very focused intense cold causing them
destruction.
Il permet également par son action locale sur la tueur
de stimuler une réponse immunitaire contre celle-ci.It also allows by its local action on the killer
to stimulate an immune response against it.
En effet,la cellule canczreuse tuée nar le froid,conser
vée dans ses structures antigéniques,induit une immunité
relative dirige contre les métastases déjà existantes,
ralentissant la croissance de celles-ci (expériences ran
domismes chez l'animal) et ce,en corrzlation avec la for
nation de cellules cytotoxiques dirigées contre les cellu-
les t'orales (expzrience in vi-tro). Références:"Immunothe-
rapeutic Effect of Cryosurgical Tumor Necrosis". Veterinary
Clinics of North America Small Animal Practice. Novembre
1980, pages 763 n 769.Indeed, the canczrous cell killed nar cold, conser
vee in its antigenic structures, induces immunity
relative points against already existing metastases,
slowing the growth of these (ran experiments
domisms in animals) and this, in correlation with the for
nation of cytotoxic cells against cells
les t'orales (experience in vi-tro). References: "Immunothe-
rapeutic Effect of Cryosurgical Tumor Necrosis ". Veterinary
Clinics of North America Small Animal Practice. November
1980, pages 763 no 769.
Il permet donc,d'une façon classique,d'induire une ré
ponse immunitaire après la cryocoagulation globale o la
tumeur, réponse immunitaire liée à l'effet dose (masse de
tumeur congelée.)
Mais,de plus,il permet de provoquer des cryocoagulations
itératives sur des zones différentes de la tumeur.Ces cro-
applications par zone peuvent etre l'équivalent de la réin-
troduction d'un vaccin in situ.It therefore allows, in a conventional manner, to induce a re
immune response after global cryocoagulation where the
tumor, dose-related immune response (mass of
frozen tumor.)
But, moreover, it makes it possible to cause cryocoagulations
iterative on different areas of the tumor.
applications per area can be the equivalent of rein-
production of a vaccine in situ.
En effet,dès lors que la cellule cancéreuse congelée est
reconnue comme dotant un substrat de la réponse immunitaire,
il convient peut être de gérer sur l'animal la tumeur en
tière en essayant de l'utiliser à la manière d'un vaccin.Indeed, as soon as the frozen cancer cell is
recognized as providing a substrate for the immune response,
it may be appropriate to manage the tumor on the animal by
trying to use it like a vaccine.
Il est impossible de juger, priori, de la supériorit
u non de l'effet "dose répétition" par rapport à l'effet
'dose simple".It is impossible to judge, a priori, of the superiority
u no of the "repeat dose" effect compared to the effect
'single dose'.
Exemple de rzalisation: la tumeur est soumise à des cryo-
apnlications itératives, à des intervalles de temps laissant
entre eux la possibilité d'une mémorisation immunitaire optimale,
Ces cryoapllications itératives sont effectuées sur des
zones à chaque fois différentes de la tumeur.la première zone à cryocoaguler couvre la périphérie de la tumeur, les zones suivantes étant de plus en plus rapprochées du centre de celle-ci.Example of alignment: the tumor is subjected to cryopresence
iterative applications, at time intervals leaving
between them the possibility of an optimal immune memorization,
These iterative cryoapllications are performed on
each time different areas of the tumor. the first area to cryocoagulate covers the periphery of the tumor, the following areas being closer and closer to the center of the latter.
le procsdz décrit (cryoapplications itératives) correspond à une innovation qui ncessite,poursa réalisation,un dispositif cryogenique adapté. the described procsdz (iterative cryoapplications) corresponds to an innovation which requires, for its realization, a suitable cryogenic device.
Les dispositifs cryogdniques traditionnellement utilisés en médecine,dans le traitement des cancers et autres destructions cellulaires (sondes cryochirurgicales),utilisent l'effet d'un gaz réfrigéré (azote liquide ou autre gaz froid) applique directement sur le tissu cellulaire à traiter.Leurs inconvénients: le maniement très aléatoire des gaz froids,le contrôle à postériori de la quantité de froid délivrée et la mauvaise focalisation dua à la diffusion. The cryogenic devices traditionally used in medicine, in the treatment of cancers and other cellular destruction (cryosurgical probes), use the effect of a refrigerated gas (liquid nitrogen or other cold gas) applied directly to the cellular tissue to be treated. : the very random handling of cold gases, the a posteriori control of the quantity of cold delivered and the poor focusing due to diffusion.
Le dispositif,selon l'invention,permet de remédie à ces inconvénients. The device according to the invention overcomes these drawbacks.
Il permet un réglage avant l'expérience et indique en retour la quantitd de chaleur réellement absorbée (qui varie avec le contact réel de la face absorbante du dispositif avec la tumeur.)
Il focalise le refroidissement du tissu cellulaire suivant l'axe choisi par l'opérateur,sans diffusion parasité.It allows adjustment before the experiment and indicates in return the quantity of heat actually absorbed (which varies with the actual contact of the absorbent face of the device with the tumor.)
It focuses the cooling of the cellular tissue along the axis chosen by the operator, without parasitic diffusion.
Il permet de traiter des surfaces de l'ordre du millimètre carré,par exemple,tout en pouvant délivrer un froid très intense en profondeur. It makes it possible to treat surfaces of the order of a square millimeter, for example, while being able to deliver very intense cold at depth.
Le dispositif,selon l'invention,est constitué d'un boitier extérieur étanche (I) contenant un empilement de modules thermoélectriques reliés entre eux,en série, par des connections électriques alimentées par un courant continu. The device according to the invention consists of a sealed outer casing (I) containing a stack of thermoelectric modules connected together, in series, by electrical connections supplied by a direct current.
L'échangeur du dispositif (2),en réfrigérant la face chaude du premier module (3),permet d'en améliorer le rendevent thermique. The device exchanger (2), by refrigerating the hot face of the first module (3), improves its thermal rendering.
La puissance thermique produite par chaque module est décroissante du premier module au dernier module,d'où il résulte que la température des faces froides est de plus er ,)'uv basse de la première à la dernière face froide (4). The thermal power produced by each module decreases from the first module to the last module, from which it follows that the temperature of the cold faces is higher,) 'uv low from the first to the last cold face (4).
Selon une variante,le dernier module présente une sonde de traitement par réfrigération (5),c'est à dire une pièce rapportée, aux dimensions choisieS,accole à la surface froide (5) la figure I représente, en coupe, le dispositif de traitement
selon l'invention.According to a variant, the last module has a refrigeration treatment probe (5), that is to say an insert, with the chosen dimensions, attached to the cold surface (5) FIG. I represents, in section, the device for treatment
according to the invention.
Ta figure 2 reprzsente la grandeur approximative de ce dis
positif.Your figure 2 represents the approximate size of this dis
positive.
La figure 3 représente une varianteselon la disposition
des éléments constitutifs du dispositif,pouvant
permettre,en outre,une utilisation par voie
endoscopique.Figure 3 shows a variant according to the arrangement
component parts of the device, which can
allow, in addition, use by
endoscopic.
Sa figure 4 représente, selon une deuxième variante,la der
nière pièce froide épointée (6). Il ne sera pas
nécessaire d'y adjoindre une pièce rapportée
telle que (5).Its figure 4 represents, according to a second variant, the der
neat blunt cold room (6). He will not be
necessary to add a patch
such as (5).
la figure 5 schématise le dispositif de traitement,accom
pagnd de ses organes de régulation d'une part
et de mesure d'autre part:
- enceinte réfrigérée isothermique (7).Figure 5 shows schematically the treatment device, accom
pagnd of its regulatory bodies on the one hand
and on the other hand:
- isothermal refrigerated enclosure (7).
- contrôle de température (8). - temperature control (8).
-pompe de réglage du débit du liquide r4frigé-
rant (9).-pump for adjusting the flow rate of the refrigerated liquid
rant (9).
-alimentation en courant continu (I0). - DC power supply (I0).
- voltmètre réglable,avec régulateur de ten
sion (II). - adjustable voltmeter, with voltage regulator
Zion (II).
- thermosonde de contrôle (I2) de la sne de
traitement par réfrigération (5).- control thermoprobe (I2) of the
refrigeration treatment (5).
- régulateur de température (I3) de commande
du voltmètre (II).- control temperature controller (I3)
of the voltmeter (II).
La figure 6 représente, en coupe, le dispositif selon une
variante,qui permet d'adapter celui-ci sur la
tumeur,en tant que prothèse amarrée par des
attaches de fixation latérales (I5). FIG. 6 represents, in section, the device according to a
variant, which allows it to be adapted to the
tumor, as a prosthesis moored by
lateral fixing clips (I5).
Le dispositif est utilisable manuellement et également
comme thermocautère par hmersion du sens du courant
d'alimentation. The device can be used manually and also
as a thermocautery by reversing the direction of the current
power supply.
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR8704835A FR2613611A1 (en) | 1987-04-07 | 1987-04-07 | Thermoelectric-effect device and its control and regulating members, for treating cancers and other tumours, by the method of iterative cryogenic applications |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR8704835A FR2613611A1 (en) | 1987-04-07 | 1987-04-07 | Thermoelectric-effect device and its control and regulating members, for treating cancers and other tumours, by the method of iterative cryogenic applications |
Publications (1)
Publication Number | Publication Date |
---|---|
FR2613611A1 true FR2613611A1 (en) | 1988-10-14 |
Family
ID=9349853
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR8704835A Withdrawn FR2613611A1 (en) | 1987-04-07 | 1987-04-07 | Thermoelectric-effect device and its control and regulating members, for treating cancers and other tumours, by the method of iterative cryogenic applications |
Country Status (1)
Country | Link |
---|---|
FR (1) | FR2613611A1 (en) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0386111A1 (en) * | 1987-11-02 | 1990-09-12 | Raj K Anand | Thermoelectrically controlled heat medical catheter. |
WO1992020289A1 (en) * | 1991-05-13 | 1992-11-26 | Hamilton Archie C | Electronic cryogenic surgical probe apparatus and method |
EP0672400A2 (en) * | 1994-02-22 | 1995-09-20 | Trop Life Ltd. | Cooling cylindrical device for therapeutic treatment of hemorrhoids |
WO1998006339A1 (en) * | 1996-08-14 | 1998-02-19 | Stephen James Rowland | Medical cryo-surgical device |
EP0840078A1 (en) * | 1996-11-04 | 1998-05-06 | Luc Pira | Cryoprobe based on a Peltier module |
GB2331847A (en) * | 1996-08-14 | 1999-06-02 | Stephen James Rowland | Medical cryo-surgical device |
EP2687174A1 (en) | 2012-07-19 | 2014-01-22 | Jose Antonio Sanchez Jaime | Head end for device for cool therapy and method for applying locally a cool therapy with the use of the head end |
EP2988690A4 (en) * | 2012-04-30 | 2017-03-08 | Berger Thermal Research Ltd. | Cyrocatheter with coolant fluid cooled thermoelectric module |
-
1987
- 1987-04-07 FR FR8704835A patent/FR2613611A1/en not_active Withdrawn
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0386111A1 (en) * | 1987-11-02 | 1990-09-12 | Raj K Anand | Thermoelectrically controlled heat medical catheter. |
EP0386111A4 (en) * | 1987-11-02 | 1991-01-16 | Raj K. Anand | Thermoelectrically controlled heat medical catheter |
WO1992020289A1 (en) * | 1991-05-13 | 1992-11-26 | Hamilton Archie C | Electronic cryogenic surgical probe apparatus and method |
EP0672400A2 (en) * | 1994-02-22 | 1995-09-20 | Trop Life Ltd. | Cooling cylindrical device for therapeutic treatment of hemorrhoids |
EP0672400A3 (en) * | 1994-02-22 | 1995-12-20 | Trop Life Ltd | Cooling cylindrical device for therapeutic treatment of hemorrhoids. |
WO1998006339A1 (en) * | 1996-08-14 | 1998-02-19 | Stephen James Rowland | Medical cryo-surgical device |
GB2331847B (en) * | 1996-08-14 | 2001-07-18 | Stephen James Rowland | Medical cryo-surgical device |
GB2331847A (en) * | 1996-08-14 | 1999-06-02 | Stephen James Rowland | Medical cryo-surgical device |
US6017337A (en) * | 1996-11-04 | 2000-01-25 | Pira; Luc | Cryoprobe based on a peltier module |
EP0840078A1 (en) * | 1996-11-04 | 1998-05-06 | Luc Pira | Cryoprobe based on a Peltier module |
EP1239239A2 (en) * | 1996-11-04 | 2002-09-11 | Luc Pira | Cryoprobe based on a Peltier module |
EP1239239A3 (en) * | 1996-11-04 | 2004-08-11 | Luc Pira | Cryoprobe based on a Peltier module |
EP2988690A4 (en) * | 2012-04-30 | 2017-03-08 | Berger Thermal Research Ltd. | Cyrocatheter with coolant fluid cooled thermoelectric module |
US9820795B2 (en) | 2012-04-30 | 2017-11-21 | Berger Thermal Research Ltd. | Cryocatheter with single phase coolant fluid cooled thermoelectric module and cerebral medical procedures employing local ice ball |
US11160596B2 (en) | 2012-04-30 | 2021-11-02 | Berger Thermal Research Ltd. | Catheter with jet impingement cooled thermoelectric module |
EP2687174A1 (en) | 2012-07-19 | 2014-01-22 | Jose Antonio Sanchez Jaime | Head end for device for cool therapy and method for applying locally a cool therapy with the use of the head end |
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