RU2001107852A - ELECTRIC CATHETER TO ENSURE STENOSIS OF A VESSEL HAVING TWO SETS OF DIVERSING ELECTRODES - Google Patents

ELECTRIC CATHETER TO ENSURE STENOSIS OF A VESSEL HAVING TWO SETS OF DIVERSING ELECTRODES

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RU2001107852A
RU2001107852A RU2001107852/14A RU2001107852A RU2001107852A RU 2001107852 A RU2001107852 A RU 2001107852A RU 2001107852/14 A RU2001107852/14 A RU 2001107852/14A RU 2001107852 A RU2001107852 A RU 2001107852A RU 2001107852 A RU2001107852 A RU 2001107852A
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Russia
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electrode
electrodes
terminals
anatomical structure
hollow anatomical
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RU2001107852/14A
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Russian (ru)
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RU2207823C2 (en
Inventor
Кристофер С. ДЖОУНС
Артур У. ЗИКОРУС
Марк П. ПАРКЕР
Брайан Э. ФАРЛИ
Джозеф М. ТАРТАЛЬЯ
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Ви-Эн-Ю-Эс Медикал Текнолоджиз Инк.
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Priority claimed from US09/138,472 external-priority patent/US6179832B1/en
Application filed by Ви-Эн-Ю-Эс Медикал Текнолоджиз Инк. filed Critical Ви-Эн-Ю-Эс Медикал Текнолоджиз Инк.
Publication of RU2001107852A publication Critical patent/RU2001107852A/en
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Publication of RU2207823C2 publication Critical patent/RU2207823C2/en

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Claims (52)

1. Устройство для подачи энергии к полой анатомической структуре, содержащее катетер, имеющий стержень с рабочим концом для подачи энергии к структуре, первое множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, каждый из которых имеет электрод, второе множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, отдельное и отстоящее в продольном направлении от первого множества, причем каждый вывод имеет электрод, при этом каждый из электродов первого и второго множеств имеет развернутое положение, в котором электрод расположен в направлении наружу от стержня катетера, и сжатое положение, в котором электрод расположен ближе к стержню, а устройство также содержит приспособление для развертывания, смонтированное на катетере и имеющее первое положение, в котором выбранные электроды находятся в сжатом положении, и второе положение, в котором электроды находятся в развернутом положении.1. Device for supplying energy to a hollow anatomical structure, containing a catheter having a rod with a working end for supplying energy to the structure, the first set of deployable electrode leads mounted on the working end of the catheter, each of which has an electrode, the second set of deployable electrode leads mounted on the working end of the catheter, separate and spaced longitudinally from the first set, each terminal having an electrode, with each of the electrodes being and the second sets has a deployed position in which the electrode is located outward from the catheter shaft, and a compressed position in which the electrode is located closer to the shaft, and the device also includes a deployment device mounted on the catheter and having a first position in which the selected electrodes are in a compressed position, and a second position in which the electrodes are in a deployed position. 2. Устройство по п. 1, отличающееся тем, что электродные выводы первого множества выполнены так, чтобы они побуждались к движению в направлении наружу от стержня катетера, причем приспособление для развертывания содержит подвижный корпус, имеющий первое положение, в котором он окружает по меньшей мере часть электродных выводов первого множества и ограничивает окруженные выводы сжатым положением, и второе положение, в котором он обеспечивает множеству электродных выводов возможность развертывания в направлении наружу. 2. The device according to p. 1, characterized in that the electrode leads of the first set are made so that they are prompted to move in the direction outward from the rod of the catheter, and the deployment tool comprises a movable housing having a first position in which it surrounds at least a portion of the electrode terminals of the first set and limits the surrounded terminals to a compressed position, and a second position in which it allows the plurality of electrode terminals to be deployed outward. 3. Устройство по п. 2, отличающееся тем, что электродные выводы второго множества выполнены так, чтобы они побуждались к движению в направлении наружу от стержня катетера, при этом подвижный корпус в первом положении окружает по меньшей мере часть электродных выводов второго множества и ограничивает окруженные выводы сжатым положением, а во втором положении обеспечивает второму множеству электродных выводов возможность развертывания в направлении наружу. 3. The device according to p. 2, characterized in that the electrode leads of the second set are made so that they are encouraged to move outward from the rod of the catheter, while the movable body in the first position surrounds at least a portion of the electrode leads of the second set and limits the terminals in a compressed position, and in the second position provides the second set of electrode terminals with the ability to deploy outward. 4. Устройство по п. 1, отличающееся тем, что каждый из электродных выводов первого и второго множеств выполнен с изгибом в направлении наружу, побуждающим дальнюю часть каждого вывода развертываться в направлении наружу. 4. The device according to p. 1, characterized in that each of the electrode leads of the first and second sets is made with a bend in the direction of the outside, causing the far part of each output to unfold in the direction of the outward. 5. Устройство по п. 2, отличающееся тем, что второе множество электродных выводов смонтировано на катетере вблизи от первого множества, при этом подвижный корпус в первом положении удален от изгибов первого множества электродных выводов и удерживает первое и второе множества в сжатом положении, а во втором положении - приближен к изгибам первого и второго множеств и позволяет первому и второму множествам развертываться в направлении наружу. 5. The device according to p. 2, characterized in that the second set of electrode leads is mounted on a catheter close to the first set, while the movable body in the first position is removed from the bends of the first set of electrode leads and holds the first and second sets in a compressed position, and the second position is close to the bends of the first and second sets and allows the first and second sets to unfold in the direction outward. 6. Устройство по п. 1, отличающееся тем, что электродные выводы, смонтированные на рабочем конце, образуют консольную конструкцию. 6. The device according to claim 1, characterized in that the electrode leads mounted on the working end form a cantilever structure. 7. Устройство по п. 1, отличающееся тем, что каждый из электродных выводов первого и второго множеств расположен относительно рабочего конца так, чтобы в развернутом положении электроды выводов образовывали по существу симметричную конфигурацию по существу одинаково отстоящих друг от друга электродов. 7. The device according to claim 1, characterized in that each of the electrode leads of the first and second sets is located relative to the working end so that, when deployed, the lead electrodes form a substantially symmetrical configuration of substantially equally spaced electrodes. 8. Устройство по п. 1, отличающееся тем, что каждый электродный вывод выполнен из электропроводного материала, изолированного вдоль его длины, и имеет обращенную наружу неизолированную часть, образующую электрод. 8. The device according to claim 1, characterized in that each electrode terminal is made of an electrically conductive material insulated along its length and has an outwardly insulated part forming an electrode. 9. Устройство по п. 1, отличающееся тем, что электродные выводы выполнены из материала, имеющего прочность, выбранную так, чтобы при нахождении корпуса во втором положении выводы имели прочность, достаточную для движения в контактном взаимодействии с полой анатомической структурой, позволяя анатомической структуре сокращаться, при этом выводы должны оставаться в контактном взаимодействии с сокращающейся структурой. 9. The device according to claim 1, characterized in that the electrode leads are made of a material having a strength selected so that when the housing is in the second position, the leads have a strength sufficient to move in contact with the hollow anatomical structure, allowing the anatomical structure to contract , while the findings should remain in contact with the contracting structure. 10. Устройство по п. 1, отличающееся тем, что первое множество электродных выводов смонтировано на первом электропроводном монтажном кольце, с которым электрически соединены электроды этих выводов. 10. The device according to claim 1, characterized in that the first plurality of electrode terminals is mounted on a first electrically conductive mounting ring with which the electrodes of these terminals are electrically connected. 11. Устройство по п. 10, отличающееся тем, что второе множество электродных выводов смонтировано на втором электропроводном монтажном кольце, с которым электрически соединены электроды этих выводов. 11. The device according to p. 10, characterized in that the second plurality of electrode leads is mounted on a second electrically conductive mounting ring with which the electrodes of these leads are electrically connected. 12. Устройство по п. 11, отличающееся тем, что оно дополнительно содержит третье электропроводное монтажное кольцо, с которым соединены чередующиеся электродные выводы выбранного одного из множеств электродных выводов для соединения смежных выводов выбранного множества с разными монтажными кольцами. 12. The device according to p. 11, characterized in that it further comprises a third conductive mounting ring, to which alternating electrode leads of a selected one of the plurality of electrode leads are connected to connect adjacent leads of the selected set with different mounting rings. 13. Устройство по п. 12, отличающееся тем, что оно дополнительно содержит четвертое электропроводное монтажное кольцо, с которым соединены чередующиеся электродные выводы другого из множеств электродных выводов для соединения смежных выводов обоих множеств с разными монтажными кольцами. 13. The device according to p. 12, characterized in that it further comprises a fourth conductive mounting ring, to which alternating electrode leads of another of the plurality of electrode leads are connected to connect adjacent leads of both sets with different mounting rings. 14. Устройство по п. 12, отличающееся тем, что оно дополнительно содержит источник питания, соединенный с электродами, контроллер, управляющий источником питания, и переключатель, соединенный с контроллером и имеющий первое положение, в котором контроллер обеспечивает получение на первом и третьем монтажных кольцах разных полярностей, и второе положение, в котором контроллер обеспечивает получение на первом и третьем монтажных кольцах одной полярности. 14. The device according to p. 12, characterized in that it further comprises a power source connected to the electrodes, a controller that controls the power source, and a switch connected to the controller and having a first position in which the controller receives on the first and third mounting rings different polarities, and a second position in which the controller provides on the first and third mounting rings of the same polarity. 15. Устройство по п. 1, отличающееся тем, что оно дополнительно содержит источник питания, соединенный с электродами, контроллер, управляющий источником питания, и датчик температуры, смонтированный на электродном выводе и формирующий температурные сигналы, поступающие к контроллеру для управления источником питания в ответ на температурные сигналы. 15. The device according to claim 1, characterized in that it further comprises a power source connected to the electrodes, a controller controlling the power source, and a temperature sensor mounted on the electrode terminal and generating temperature signals received by the controller to control the power source in response to temperature signals. 16. Устройство по п. 1, отличающееся тем, что оно содержит источник питания, соединенный с электродами, и контроллер, управляющий выходной мощностью источника питания, подаваемой на электродные выводы, и выполненный с возможностью переключения электрической полярности выбранных выводов. 16. The device according to p. 1, characterized in that it contains a power source connected to the electrodes, and a controller that controls the output power of the power source supplied to the electrode terminals, and configured to switch the electrical polarity of the selected terminals. 17. Устройство по п. 1, отличающееся тем, что оно содержит источник питания, соединенный с электродами, и контроллер, выполненный с возможностью управления выходной мощностью источника питания, подаваемой на электродные выводы так, чтобы смежные электроды первого множества выводов имели противоположную полярность при поддержании электрически нейтральной полярности второго множества электродов, а также с возможностью переключения полярности электродов первого множества выводов так, чтобы все они имели одну полярность при спадении стенок полой анатомической структуры вокруг первого множества выводов, и управления источником питания так, чтобы электроды второго множества выводов имели противоположную полярность относительно электродов первого множества выводов при переключении полярности электродов на одну полярность. 17. The device according to p. 1, characterized in that it contains a power source connected to the electrodes, and a controller configured to control the output power of the power source supplied to the electrode terminals so that the adjacent electrodes of the first set of terminals have the opposite polarity while maintaining electrically neutral polarity of the second set of electrodes, as well as with the ability to switch the polarity of the electrodes of the first set of terminals so that they all have the same polarity when the wall falls to a hollow anatomical structure around the first set of terminals, and controlling the power source so that the electrodes of the second set of terminals have opposite polarity with respect to the electrodes of the first set of terminals when switching the polarity of the electrodes to one polarity. 18. Устройство по п. 1, отличающееся тем, что контроллер дополнительно выполнен с возможностью управления источником питания так, чтобы смежные электроды первого множества выводов имели противоположную полярность, смежные электроды второго множества выводов имели противоположную полярность и полярности электродов второго множества были выбраны так, чтобы противоположные полярности в продольном направлении были выровнены с электродами первого множества. 18. The device according to claim 1, characterized in that the controller is further configured to control the power source so that adjacent electrodes of the first set of terminals have opposite polarity, adjacent electrodes of the second set of terminals have opposite polarity and the polarities of the electrodes of the second set are selected so that opposite polarities in the longitudinal direction were aligned with the electrodes of the first set. 19. Устройство по п. 1, отличающееся тем, что оно содержит спинную пластину, расположенную на поверхности пациента, при этом контроллер дополнительно выполнен с возможностью управления энергией, подаваемой по меньшей мере к одному из множеств электродных выводов так, чтобы электроды имели первую полярность, а пластина - вторую полярность. 19. The device according to p. 1, characterized in that it contains a back plate located on the patient’s surface, and the controller is further configured to control the energy supplied to at least one of the plurality of electrode leads so that the electrodes have a first polarity, and the plate is the second polarity. 20. Устройство по п. 19, отличающееся тем, что контроллер выполнен с возможностью управления энергией, подаваемой к другим множествам электродных выводов так, чтобы электроды этого множества имели первую полярность. 20. The device according to p. 19, characterized in that the controller is configured to control the energy supplied to other sets of electrode terminals so that the electrodes of this set have a first polarity. 21. Устройство по п. 1, отличающееся тем, что каждый из электродных выводов первого и второго множеств выполнен с изгибом в направлении наружу, побуждающим дальнюю часть каждого вывода развертываться в направлении наружу, при этом каждый из выводов расположен относительно рабочего конца так, чтобы в развернутом положении электроды выводов образовывали по существу симметричную конфигурацию по существу одинаково отстоящих друг от друга электродов, каждый из электродов выполнен из электропроводного материала, имеющего прочность, выбранную так, чтобы при нахождении корпуса во втором положении, выводы имели прочность, достаточную для движения в контактном взаимодействии с полой анатомической структурой, позволяя полой анатомической структуре сокращаться, причем выводы должны оставаться в контактном взаимодействии с сокращающейся структурой, при этом каждый электродный вывод изолирован вдоль его длины и имеет обращенную наружу неизолированную часть, образующую электрод, предназначенный для приведения в контактное взаимодействие с полой анатомической структурой. 21. The device according to p. 1, characterized in that each of the electrode leads of the first and second sets is made with a bend in the direction of the outside, causing the far part of each output to unfold in the direction of the outside, with each of the terminals located relative to the working end so in the expanded position, the terminal electrodes formed a substantially symmetrical configuration of substantially equally spaced electrodes, each of the electrodes made of an electrically conductive material having a strength selected so that when the housing is in the second position, the conclusions have a strength sufficient to move in contact with the hollow anatomical structure, allowing the hollow anatomical structure to contract, and the conclusions must remain in contact with the contracting structure, with each electrode terminal isolated along length and has an outwardly insulated part forming an electrode designed to bring into contact interaction with a hollow anatomical structure. 22. Устройство по п. 2, отличающееся тем, что оно дополнительно содержит полость для подачи жидкости, расположенную между стержнем катетера и подвижным корпусом. 22. The device according to p. 2, characterized in that it further comprises a fluid supply cavity located between the catheter shaft and the movable body. 23. Устройство по п. 1, отличающееся тем, что оно дополнительно содержит полость, предназначенную для приема проволочного направителя. 23. The device according to p. 1, characterized in that it further comprises a cavity intended for receiving a wire guide. 24. Устройство по п. 23, отличающееся тем, что полость для проволочного направителя выполнена с возможностью соединения с системой подачи жидкости. 24. The device according to p. 23, characterized in that the cavity for the wire guide is made with the possibility of connection with the fluid supply system. 25. Устройство для подачи энергии к биологической ткани, содержащее катетер, имеющий стержень с рабочим концом для подачи энергии к ткани, первое множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, каждый из которых имеет электрод, второе множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, отдельное и отстоящее в продольном направлении от первого множества выводов, причем каждый вывод имеет электрод, при этом электродные выводы первого и второго множеств смонтированы на, соответственно, первом и втором монтажных кольцах так, чтобы в развернутом положении каждое множество выводов образовывало по существу симметричную конфигурацию по существу одинаково отстоящих друг от друга электродов, причем развернутые электроды первого множества в продольном направлении отстоят от развернутых электродов второго множества, при этом каждое множество электродных выводов имеет сжатое положение, в котором электродные выводы расположены ближе к стержню, а устройство содержит также подвижный корпус, имеющий первое положение, в котором он окружает по меньшей мере часть электродных выводов первого и второго множества и ограничивает окруженные выводы сжатым положением, и второе положение, в котором он обеспечивает множествам электродных выводов возможность развертывания в направлении наружу. 25. A device for supplying energy to biological tissue, comprising a catheter having a rod with a working end for supplying energy to tissue, a first plurality of deployable electrode leads mounted on a working end of the catheter, each of which has an electrode, a second plurality of deployable electrode leads, mounted on the working end of the catheter, separate and spaced in the longitudinal direction from the first set of leads, with each lead having an electrode, while the electrode leads of the first and second of the plurality of sets are mounted on the first and second mounting rings, respectively, so that, in the expanded position, each set of terminals forms a substantially symmetrical configuration of substantially equally spaced electrodes, wherein the expanded electrodes of the first set are longitudinally spaced from the expanded electrodes of the second set, wherein each set of electrode terminals has a compressed position in which the electrode terminals are located closer to the rod, and the device also contains movable a second housing having a first position in which it surrounds at least a portion of the electrode terminals of the first and second sets and limits the surrounded terminals to a compressed position, and a second position in which it allows the plurality of electrode terminals to be deployed outward. 26. Устройство по п. 25, отличающееся тем, что каждый электродный вывод выполнен из электропроводного материала, изолированного вдоль его длины, и имеет обращенную наружу неизолированную часть, образующую электрод. 26. The device according to p. 25, characterized in that each electrode terminal is made of an electrically conductive material insulated along its length, and has an outwardly insulated part forming an electrode. 27. Устройство по п. 25, отличающееся тем, что первое монтажное кольцо, на котором смонтировано первое множество электродных выводов, и второе монтажное кольцо, на котором смонтировано второе множество электродных выводов, выполнены с возможностью получения общих электрических соединений для соответствующих электродов, соединенных с ними. 27. The device according to p. 25, characterized in that the first mounting ring on which the first plurality of electrode terminals are mounted, and the second mounting ring on which the second plurality of electrode terminals are mounted, are configured to obtain common electrical connections for the respective electrodes connected to them. 28. Устройство по п. 27, отличающееся тем, что оно дополнительно содержит третье электропроводное монтажное кольцо, с которым соединены чередующиеся электродные выводы выбранного одного из множеств электродных выводов для соединения смежных выводов выбранного множества с разными монтажными кольцами. 28. The device according to p. 27, characterized in that it further comprises a third conductive mounting ring with which alternating electrode leads of a selected one of the plurality of electrode leads are connected to connect adjacent leads of the selected set with different mounting rings. 29. Устройство по п. 28, отличающееся тем, что оно дополнительно содержит источник питания, соединенный с электродами, контроллер, управляющий источником питания, и переключатель, соединенный с контроллером и имеющий первое положение, в котором контроллер обеспечивает получение на первом и третьем монтажных кольцах разных полярностей, и второе положение, в котором контроллер обеспечивает получение на первом и третьем монтажных кольцах одной полярности. 29. The device according to p. 28, characterized in that it further comprises a power source connected to the electrodes, a controller controlling the power source, and a switch connected to the controller and having a first position in which the controller receives on the first and third mounting rings different polarities, and a second position in which the controller provides on the first and third mounting rings of the same polarity. 30. Устройство по п. 25, отличающееся тем, что оно дополнительно содержит источник питания, соединенный с электродами, контроллер, управляющий источником питания, и датчик температуры, смонтированный на электродном выводе и формирующий температурные сигналы, поступающие к контроллеру для управления источником питания в ответ на температурные сигналы. 30. The device according to p. 25, characterized in that it further comprises a power source connected to the electrodes, a controller controlling the power source, and a temperature sensor mounted on the electrode terminal and generating temperature signals received by the controller to control the power source in response to temperature signals. 31. Устройство по п. 25, отличающееся тем, что оно дополнительно содержит источник питания, соединенный с электродами, и контроллер, управляющий выходной мощностью источника питания, подаваемой на электродные выводы, и выполненный с возможностью переключения электрической полярности выбранных выводов. 31. The device according to p. 25, characterized in that it further comprises a power source connected to the electrodes, and a controller that controls the output power of the power source supplied to the electrode terminals, and configured to switch the electrical polarity of the selected terminals. 32. Устройство по п. 25, отличающееся тем, что оно дополнительно содержит полость для подачи жидкости, расположенную между стержнем катетера и подвижным корпусом. 32. The device according to p. 25, characterized in that it further comprises a fluid supply cavity located between the catheter shaft and the movable body. 33. Устройство по п. 25, отличающееся тем, что оно дополнительно содержит полость, предназначенную для приема проволочного направителя. 33. The device according to p. 25, characterized in that it further comprises a cavity intended for receiving a wire guide. 34. Устройство по п. 33, отличающееся тем, что полость для проволочного направителя выполнена с возможностью соединения с системой подачи жидкости. 34. The device according to p. 33, characterized in that the cavity for the wire guide is made with the possibility of connection with the fluid supply system. 35. Устройство для подачи энергии к полой анатомической структуре, содержащее катетер, имеющий стержень с рабочим концом для подачи энергии к структуре, первое множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, каждый из которых имеет часть, предназначенную для подачи энергии к полой анатомической структуре, и второе множество поддающихся развертыванию электродных выводов, смонтированных на рабочем конце катетера, отдельное и отстоящее в продольном направлении от первого множества, причем каждый поддающийся развертыванию вывод второго множества имеет часть, предназначенную для подачи энергии к полой анатомической структуре, при этом каждый из выводов первого и второго множеств выполнен с возможностью принятия развернутого положения, в котором часть, предназначенная для подачи энергии, расположена в направлении наружу от стержня катетера, причем выводы имеют прочность, достаточную для движения в контактном взаимодействии с полой анатомической структурой, непротиводействуя уменьшению диаметра полой анатомической структуры при подаче энергии к дальнему концу выводов. 35. A device for supplying energy to the hollow anatomical structure, comprising a catheter having a rod with a working end for supplying energy to the structure, the first set of deployable electrode leads mounted on the working end of the catheter, each of which has a part for supplying energy to the hollow anatomical structure, and the second set of deployable electrode leads mounted on the working end of the catheter, separate and spaced longitudinally from the first set, m each deployable output of the second set has a part intended for supplying energy to the hollow anatomical structure, while each of the conclusions of the first and second sets is configured to take a deployed position in which the part for supplying energy is located outward from the rod catheters, and the findings have a strength sufficient to move in contact with the hollow anatomical structure, not counteracting the reduction in the diameter of the hollow anatomical st power when supplying the far end of the findings. 36. Устройство по п. 35, отличающееся тем, что выводы первого и второго множеств скомпонованы с возможностью избирательной подачи питания. 36. The device according to p. 35, characterized in that the conclusions of the first and second sets are arranged with the possibility of selective power supply. 37. Устройство по п. 35, отличающееся тем, что выводы первого и второго множеств скомпонованы с возможностью подачи питания для прохождения энергии между выбранными выводами одной полярности. 37. The device according to p. 35, characterized in that the conclusions of the first and second sets are arranged with the possibility of supplying power for the passage of energy between the selected conclusions of the same polarity. 38. Устройство по п. 35, отличающееся тем, что выводы первого и второго множеств скомпонованы с возможностью подачи питания для прохождения энергии между выбранными выводами первой полярности и выбранными выводами второй полярности. 38. The device according to p. 35, characterized in that the conclusions of the first and second sets are arranged to supply power for the passage of energy between the selected terminals of the first polarity and the selected terminals of the second polarity. 39. Устройство по п. 35, отличающееся тем, что выводы первого и второго множеств скомпонованы с возможностью подачи энергии вдоль полой анатомической структуры. 39. The device according to p. 35, characterized in that the conclusions of the first and second sets are arranged with the possibility of supplying energy along the hollow anatomical structure. 40. Устройство по п. 35, отличающееся тем, что поддающиеся развертыванию выводы скомпонованы с возможностью движения катетера в полой анатомической структуре при одновременной подаче выводами энергии к полой анатомической структуре. 40. The device according to p. 35, characterized in that the deployable findings are arranged with the possibility of the movement of the catheter in the hollow anatomical structure while supplying the leads with energy to the hollow anatomical structure. 41. Устройство по п. 40, отличающееся тем, что части выводов, предназначенные для подачи энергии, скруглены для обеспечения возможности движения выводов с катетером, оставаясь в непроникающем контактном взаимодействии с полой анатомической структурой. 41. The device according to p. 40, characterized in that the portions of the terminals intended to supply energy are rounded to allow the terminals to move with the catheter, remaining in non-penetrating contact with the hollow anatomical structure. 42. Устройство по п. 35, отличающееся тем, что каждый вывод на своем дальнем конце имеет электрод, предназначенный для подачи электрической энергии к полой анатомической структуре и скомпонованный с возможностью движения катетера и выводов в полой анатомической структуре в процессе подачи электродами энергии к полой анатомической структуре. 42. The device according to p. 35, characterized in that each terminal at its far end has an electrode designed to supply electrical energy to the hollow anatomical structure and arranged to move the catheter and the leads in the hollow anatomical structure during the supply of energy to the hollow anatomical electrodes structure. 43. Устройство по п. 35, отличающееся тем, что каждый из электродных выводов первого и второго множеств выполнен с изгибом в направлении наружу, побуждающим дальнюю часть каждого вывода развертываться в направлении наружу. 43. The device according to p. 35, characterized in that each of the electrode leads of the first and second sets is made with a bend in the outward direction, causing the far part of each output to unfold in the outward direction. 44. Устройство по п. 35, отличающееся тем, что выводы смонтированы на рабочем конце, образуя консольную конструкцию. 44. The device according to p. 35, characterized in that the findings are mounted on the working end, forming a cantilever structure. 45. Устройство по п. 35, отличающееся тем, что каждый из электродных выводов первого и второго множеств расположен относительно рабочего конца так, чтобы в развернутом положении выводы образовывали по существу симметричную конфигурацию по существу одинаково отстоящих друг от друга выводов. 45. The device according to p. 35, characterized in that each of the electrode leads of the first and second sets is located relative to the working end so that in the deployed position, the leads form a substantially symmetrical configuration of substantially equally spaced leads. 46. Устройство по п. 35, отличающееся тем, что оно дополнительно содержит полость для подачи жидкости, расположенную между стержнем катетера и подвижным корпусом. 46. The device according to p. 35, characterized in that it further comprises a fluid supply cavity located between the catheter shaft and the movable body. 47. Устройство по п. 35, отличающееся тем, что оно дополнительно содержит полость, предназначенную для приема проволочного направителя. 47. The device according to p. 35, characterized in that it further comprises a cavity intended for receiving a wire guide. 48. Устройство по п. 47, отличающееся тем, что полость для проволочного направителя выполнена с возможностью подачи жидкости к полой анатомической структуре. 48. The device according to p. 47, characterized in that the cavity for the wire guide is configured to supply fluid to the hollow anatomical structure. 49. Устройство для конструктивного преобразования фибрилл коллагена полой анатомической структуры, содержащее катетер, имеющий стержень с рабочим концом для подачи энергии к структуре, средство для подачи энергии к полой анатомической структуре, обеспечивающее нагрев ткани полой анатомической структуры, достаточный для спада стенок полой анатомической структуры и обеспечения эффективной окклюзии полой анатомической структуры, при этом средство для подачи энергии дополнительно содержит поддающиеся развертыванию элементы, имеющие достаточную прочность, не препятствующую уменьшению диаметра полой анатомической структуры при подаче энергии с помощью средства для подачи энергии. 49. A device for constructive conversion of collagen fibrils of a hollow anatomical structure, comprising a catheter having a rod with a working end for supplying energy to the structure, means for supplying energy to the hollow anatomical structure, providing heating of the tissue of the hollow anatomical structure, sufficient for the walls of the hollow anatomical structure to decay and ensuring effective occlusion of the hollow anatomical structure, while the means for supplying energy further comprises deployable elements having up to Static strength, which does not impede the reduction of the diameter of the hollow anatomical structure when applying energy using means for supplying energy. 50. Устройство по п. 49, отличающееся тем, что средство для подачи энергии имеет форму, обеспечивающую возможность движения катетера в полой анатомической структуре одновременно с подачей выводами энергии к полой анатомической структуре. 50. The device according to p. 49, characterized in that the means for supplying energy has a shape that allows the catheter to move in the hollow anatomical structure simultaneously with the supply of energy to the hollow anatomical structure. 51. Устройство по п. 49, отличающееся тем, что поддающиеся развертыванию элементы средства для подачи энергии выполнены с возможностью развертывания для контактного взаимодействия в полости полой анатомической структуры. 51. The device according to p. 49, characterized in that the deployable elements of the means for supplying energy are configured to deploy for contact interaction in the cavity of the hollow anatomical structure. 52. Устройство по п. 49, отличающееся тем, что оно дополнительно содержит средство для подачи жидкости для обескровливания полой анатомической структуры. 52. The device according to p. 49, characterized in that it further comprises means for supplying liquid for bleeding the hollow anatomical structure.
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