Modular pulsed pressure device for the transport of liquid cryogen to a cryoprobe
A cryogenic medical device for delivery of subcooled liquid cryogen to various configurations of cryoprobes is designed for the treatment of damaged, diseased, cancerous or other unwanted tissues. The device is a closed or semi-closed system in which the liquid cryogen is contained in both the supply and return stages. The device is capable of generating cryogen to a supercritical state and may be utilized in any rapid cooling systems. As designed, the device comprises a number of parts including a vacuum insulated outer dewar, submersible cryogen pump, baffled linear heat exchanger, multiple pressurization cartridges, a return chamber, and a series of valves to control the flow of the liquid cryogen. The cryogenic medical device promotes the subcooling to any external cryogenic instrument.
1. A cryogenic system for use in treating cardiovascular disease comprising:
i) a cryoengine comprising:
a) a dewar that can be filled with cryogen;
b) a first cartridge subassembly comprising a first cryogen supply cylinder linked to a first cryogen pressurization cartridge, one or more first heaters, and a first cartridge subassembly venting valve, wherein (i) said first cryogen supply cylinder is positioned to be immersed in the cryogen when the dewar is filled with the cryogen and (ii) said first cryogen pressurization cartridge is positioned outside of the dewar;
c) a second cartridge subassembly comprising a second cryogen supply cylinder linked to a second cryogen pressurization cartridge, one or more second heaters, and a second cartridge subassembly venting valve, wherein (i) said second cryogen supply cylinder is positioned to be immersed in the cryogen when the dewar is filled with the cryogen and (ii) said second cryogen pressurization cartridge is positioned outside of the dewar; and
d) an immersible cryogen pump positioned to be immersed in the cryogen when the dewar is filled with the cryogen;
ii) a cryoprobe or a cryocatheter positioned outside said dewar and adapted for insertion into a body at the heart for ablating cardiac tissue;
iii) at least one supply line connected to said cryoengine and to said cryoprobe or cryocatheter and configured to deliver cryogen from the first cartridge subassembly or the second cartridge subassembly to said cryoprobe or said cryocatheter; and
iv) at least one return line connected to said cryoprobe or cryocatheter and to configured to deliver the cryogen from said cryoprobe or said cryocatheter to said dewar;
wherein said cryogenic system is configured so that when the dewar is filled with the cryogen, the cryogenic system operates as follows:
(A) activation of the immersible cryogen pump sequentially fills the first cartridge subassembly and the second cartridge subassembly with cryogen, wherein said first cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said first cartridge subassembly, and said second cartridge subassembly vent valve allows gas to be vented from said second cartridge subassembly during filling of said second cartridge subassembly;
(B) activation of said one or more first or second heaters generates pressure in the first cartridge subassembly or the second cartridge subassembly to convert the cryogen to supercritical cryogen, wherein the cryogen converted to the supercritical cryogen is in the first cryogen supply cylinder that is immersed in the cryogen in said dewar or in the second cryogen supply cylinder that is immersed in the cryogen in said dewar, wherein said supercritical cryogen in said first cryogen supply cylinder and in said second cryogen supply cylinder, which are immersed in the cryogen in the dewar, becomes subcooled, and said subcooled supercritical cryogen can be delivered from said first cartridge subassembly to said cryoprobe or cryocatheter and returned to the dewar, and
(C) upon emptying of said subcooled supercritical cryogen from said first cartridge subassembly, said cryoengine is configured to deliver subcooled supercritical cryogen from said second cartridge subassembly to said cryoprobe or cryocatheter and said cryogen is returned from cryoprobe or cryocatheter to the dewar.
2. The cryogenic system of claim 1 , further comprising cryogen in the dewar.
3. The cryogenic system of claim 1 , further comprising a heat exchanger.
4. The cryogenic system of claim 1 , wherein said supercritical cryogen is supercritical nitrogen.
5. A method of delivering cryogen to a cryoprobe or cryocatheter for treatment of cardiovascular disease utilizing the cryogenic system of claim 1 , said method comprising the steps of:
filling the dewar with cryogen;
activating the immersible cryogen pump submersed within the cryogen to sequentially fill the first cartridge subassembly and the second cartridge subassembly with the cryogen, wherein said first cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said first cartridge subassembly, and said second cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said second cartridge subassembly;
activating said one or more first heaters to generate pressure in said first cartridge subassembly to convert the cryogen in said first cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said first cryogen supply cylinder becomes subcooled supercritical cryogen;
activating said one or more second heaters to generate pressure in said second cartridge subassembly to convert the cryogen in said second cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said second cryogen supply cylinder becomes subcooled supercritical cryogen;
directing said subcooled supercritical cryogen from said first supply cylinder through said at least one supply line linked to said one or more cryoprobes or cryocatheters that is inserted into a body and in contact with cardiac tissue, wherein said subcooled supercritical cryogen flows to a tip of said one or more cryoprobes or cryocatheters that is in contact with cardiac tissue at a targeted site and ablates cardiac tissue at the targeted site, and said subcooled supercritical cryogen flows through said at least one return line to said dewar and said first cartridge subassembly becomes empty of the cryogen; and
upon emptying said first cartridge subassembly, subcooled supercritical cryogen from said second supply cylinder is directed through said at least one supply line linked to said one or more cryoprobes or cryocatheter that is inserted into a body and in contact with cardiac tissue, wherein said subcooled supercritical cryogen flows to the tip of said one or more cryoprobes or cryocatheters that is in contact with cardiac tissue at a targeted site and ablates cardiac tissue at the targeted site, and said subcooled supercritical cryogen flows through said at least one return line to said dewar.
6. A cryogenic system comprising:
i) a cryoengine comprising:
a) a dewar that can be filled with cryogen;
b) a first cartridge subassembly comprising a first cryogen supply cylinder linked to a first cryogen pressurization cartridge, one or more first heaters, and a first cartridge subassembly venting valve, wherein (i) said first cryogen supply cylinder is positioned to be immersed in the cryogen when the dewar is filled with the cryogen and (ii) said first cryogen pressurization cartridge is positioned outside of the dewar;
c) a second cartridge subassembly comprising a second cryogen supply cylinder linked to a second cryogen pressurization cartridge, one or more second heaters, and a second cartridge subassembly venting valve, wherein (i) said second cryogen supply cylinder is positioned to be immersed in the cryogen when the dewar is filled with the cryogen and (ii) said second cryogen pressurization cartridge is positioned outside of the dewar; and
d) an immersible cryogen pump positioned to be immersed in the cryogen when the dewar is filled with the cryogen;
ii) at least one supply line connected to said cryoengine and configured to connect with a cryoprobe or cryocatheter and to deliver the cryogen from the first cartridge subassembly or the second cartridge subassembly to said cryoprobe or said cryocatheter; and
iii) at least one return line configured to connect to said cryoprobe or cryocatheter and to deliver the cryogen from said cryoprobe or said cryocatheter to said dewar;
wherein said cryogenic system is configured so that when the dewar is filled with the cryogen, the cryogenic system operates as follows:
(A) activation of the immersible the cryogen pump sequentially fills the first cartridge subassembly and the second cartridge subassembly with the cryogen, wherein said first cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said first cartridge subassembly, and said second cartridge subassembly venting valve allows gas to be vented from said second cartridge subassembly during filling of said second cartridge subassembly;
(B) activation of said one or more first or second heaters generates pressure in the first cartridge subassembly or the second cartridge subassembly to convert the cryogen to supercritical cryogen, wherein the cryogen converted to supercritical cryogen is in the first cryogen supply cylinder that is immersed in the cryogen in said dewar or in the second cryogen supply cylinder that is immersed in the cryogen in said dewar, wherein said supercritical cryogen in said first cryogen supply cylinder and in said second cryogen supply cylinder, which are immersed in the cryogen in the dewar, becomes subcooled, and said subcooled supercritical cryogen can be delivered from said first cartridge subassembly to said cryoprobe or cryocatheter and returned to the dewar, and
(C) upon emptying of said subcooled supercritical cryogen from said first cartridge subassembly, said cryoengine is configured to deliver subcooled supercritical cryogen from said second cartridge subassembly to said cryoprobe or cryocatheter and said cryogen is returned from cryoprobe or cryocatheter to the dewar.
7. The cryogenic system of claim 6 , further comprising cryogen in the dewar.
8. The cryogenic system of claim 7 , further comprising one or more cryoprobes or cryocatheters.
9. The cryogenic system of claim 7 , wherein said supercritical cryogen is supercritical nitrogen.
10. The cryogenic system of claim 9 , wherein the pressure of the supercritical nitrogen in the first cartridge subassembly or the second cartridge subassembly is pressurized to about 1,000 psi.
11. The cryogenic system of claim 7 , wherein, upon emptying of said subcooled supercritical cryogen from said first cartridge subassembly, the immersible cryogen pump is activated to refill the first cartridge subassembly with the cryogen from the dewar.
12. The cryogenic system of claim 6 further comprising one or more cryoprobes or cryocatheters connected to said at least one supply line.
13. The cryogenic system of claim 6 , further comprising a heat exchanger.
14. A method of generating supercritical cryogen in a cryogenic system of claim 6 comprising the steps of:
filling the dewar with cryogen;
activating the immersible cryogen pump to sequentially fill the first cartridge subassembly and the second cartridge subassembly with the cryogen, wherein said first cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said first cartridge subassembly, and said second cartridge subassembly venting valve allows gas to be vented from said second cartridge subassembly during filling of said second cartridge subassembly;
activating said one or more first heaters to generate pressure in said first cartridge subassembly to convert the cryogen in said first cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said first cryogen supply cylinder becoming subcooled supercritical cryogen; and
activating said one or more second heaters to generate pressure in said second cartridge subassembly to convert the cryogen in said cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said second cryogen supply cylinder becoming subcooled supercritical cryogen.
15. The method of claim 14 wherein said cryogen is nitrogen.
16. The method of claim 14 wherein said cryogenic system further comprises one or more cryoprobes or cryocatheters.
17. The method of claim 15 , wherein the step of activating said one or more first heaters or said one or more second heaters generates pressure of the supercritical nitrogen in the first supply cylinder or the second supply cylinder of about 1,000 psi.
18. A method of delivering cryogen to one or more cryoprobes or cryocatheters utilizing the cryogenic system of claim 12 , said method comprising the steps of:
filling the dewar with cryogen;
activating the immersible cryogen pump to sequentially fill the first cartridge subassembly and the second cartridge subassembly with the cryogen, wherein said first cartridge subassembly venting valve allows gas to be vented from said first cartridge subassembly during filling of said first cartridge subassembly, and said second cartridge subassembly venting valve allows gas to be vented from said second cartridge subassembly during filling of said second cartridge subassembly;
activating said one or more first heaters to generate pressure in said first cartridge subassembly to convert the cryogen in said first cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said first cryogen supply cylinder becoming subcooled supercritical cryogen;
activating said one or more second heaters to generate pressure in said second cartridge subassembly to convert the cryogen in said second cryogen supply cylinder that is immersed in the cryogen in the dewar to supercritical cryogen, said supercritical cryogen in said second cryogen supply cylinder becomes subcooled supercritical cryogen;
directing said subcooled supercritical cryogen from said first supply cylinder through said at least one supply line to said one or more cryoprobes or cryocatheters; and
directing said subcooled supercritical cryogen from said second supply cylinder upon emptying of cryogen from said first cartridge subassembly through said at least one supply line to said one or more cryoprobes or cryocatheter.
19. The method of claim 18 wherein said cryogen is nitrogen.
20. The method of claim 19 , wherein the step of activating said one or more first heaters or said one or more second heaters generates pressure of the supercritical nitrogen in the first supply cylinder or the second supply cylinder of about 1,000 psi.