Method and apparatus for cryogenic spray ablation of...

A - Human Necessities – 61 – B

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A61B 18/02 (2006.01) A61B 18/00 (2006.01) A61M 25/00 (2006.01)

Patent

CA 2290635

This invention is a method and apparatus to treat Barrett's tissue, a pre- cancerous condition, by removing the epithelium above the lower esophageal sphincter through cryo-ablation. An endoscope (10) with fiber optics is used to view the operation, and a catheter (20) for supplying liquid nitrogen (LG) is passed through the lumen of the endoscope. Liquid nitrogen is sprayed directly onto the Barrett's tissue through the catheter while the physician views the operation through the fiber optics of the endoscope, and controls the spray via a valve. Freezing is indicated by whiteness, and shows that the epithelium has been cryo-ablated. The apparatus can also be used to various other gastrointestinal tract lesions. A most important and significant feature of this invention is the fact that the liquid nitrogen spray is applied in the esophagus at low pressure.

L'invention concerne un procédé et un appareil de traitement des tissus de Barrett, un état pré-cancéreux en enlevant par cryo-ablation l'épithélium se trouvant au-dessus du sphincter oesophagien inférieur. On utilise un endoscope (10) avec fibre optique pour visionner l'opération et on fait passer au travers du canal intérieur de l'endoscope un cathéter (20) d'alimentation en azote liquide (LG). L'azote liquide est atomisé directement sur les tissus de Barrett par l'intermédiaire du cathéter pendant que le chirurgien visionne l'opération à l'aide de la fibre optique de l'endoscope et peut contrôler l'atomisation par l'intermédiaire d'une soupape. La blancheur est une indication de congélation et signifie que l'épithélium a été enlevé par cryo-ablation. L'appareil peut également être utilisé pour d'autres lésions du tractus gastro-intestinal. La caractéristique la plus importante et significative de cette invention réside dans le fait que l'azote liquide est atomisé à basse pression dans l'oesophage.

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