Precooled cryogenic ablation system
View Patent ↗A method and apparatus for using a secondary refrigerant to precool and liquefy a primary refrigerant, then vaporizing and expanding the primary refrigerant to cool a cold tip of a cryosurgical instrument for ablation of biological tissue, such as cardiovascular tissue, in particular endocardiac tissue and tissue inside a cardiac blood vessel. The secondary refrigerant has a critical temperature above the critical temperature of the primary refrigerant, and a cooling temperature below the critical temperature of the primary refrigerant, thereby facilitating the use of the precooling step to provide liquid primary refrigerant in an operating room environment in which the primary refrigerant could not otherwise be provided in the liquid phase.
1. A cryosurgical instrument for ablation of endocardiac tissue, comprising:
a source of a gaseous primary refrigerant said source providing said primary refrigerant at a temperature above the critical temperature of said primary refrigerant;
a source of a liquid secondary refrigerant, said secondary refrigerant having a critical temperature higher than said critical temperature of said primary refrigerant;
a secondary expansion element connected to receive said liquid secondary refrigerant, said secondary expansion element being constructed to vaporize and expand said secondary refrigerant to a temperature below said critical temperature of said primary refrigerant;
a primary-to-secondary heat exchanger having a primary refrigerant flow path connected to receive said gaseous primary refrigerant, and a secondary refrigerant flow path connected to receive said vaporized and expanded secondary refrigerant from said secondary expansion element, said heat exchanger being constructed to cool and liquefy said primary refrigerant;
a primary expansion element connected to receive said liquid primary refrigerant from said heat exchanger, said primary expansion element being constructed to vaporize and expand said primary refrigerant to a selected cryogenic temperature; and
a cryoablation heat transfer element connected to receive said vaporized and expanded primary refrigerant;
wherein said primary refrigerant comprises SUVA-95, and said secondary refrigerant comprises AZ-20.
2. A cryosurgical instrument for ablation of cardiac tissue, comprising:
a source of a gaseous primary refrigerant, wherein said primary refrigerant is a single gas and has a critical temperature;
a source of a liquid secondary refrigerant, said secondary refrigerant having a critical temperature higher than said critical temperature of said primary refrigerant;
a secondary expansion element connected to receive said liquid second refrigerant, said secondary expansion element being constructed to vaporize and expand said secondary refrigerant to a temperature below said critical temperature of said primary refrigerant;
a primary - to - secondary heat exchanger having a primary refrigerant flow path connected to receive said gaseous primary refrigerant, and a secondary refrigerant flow path connected to receive said vaporized and expanded secondary refrigerant from said secondary expansion element, said heat exchanger being constructed to cool and liquefy said primary refrigerant;
a primary expansion element connected to receive said liquid primary refrigerant from said heat exchanger, said primary expansion element being constructed to vaporize and expand said primary refrigerant to a selected cryogenic temperature; and
a cryoablation heat transfer element connected to receive said vaporized and expanded primary refrigerant.
3. A cryosurgical instrument as recited in claim 2 further comprising:
a first conduit connecting said primary - to - secondary heat exchanger in fluid communication with said primary expansion element for flowing said liquid primary refrigerant from said heat exchanger to said primary expansion element; and
a second conduit juxtaposed with said first conduit for back flowing said primary refrigerant from said primary expansion element for exit through said primary - to - secondary heat exchanger.