Systems and methods for endometrial ablation

1. A system for transcervical introduction to a patient's uterus, said system comprising:

a radially expandable sleeve having a proximal end, a distal end, and a central passage therebetween, said sleeve comprising a ridge region and a distal balloon which can be inflated to engage an interior surface of a cervical os, the balloon being adapted to be introduced into a cervix in a reduced width configuration and to be immobilized in the cervix in an expanded width configuration, wherein the distal balloon has a cylindrical shape in the expanded width configuration, wherein the ridge region comprises a plurality of ridges and valleys disposed in between one another, and wherein the plurality of ridges and valleys are configured to differentially expand when the sleeve is expanded to the expanded width configuration,

a pressurized fluid source connected to selectively inflate the sleeve, wherein the plurality of valleys have a higher durometer than the plurality of ridges, and wherein the pressurized fluid source is configured to apply pressurized fluid to the sleeve to expand the plurality of ridges, but not the plurality of valleys, in accordance with the respective durometers; and

a probe shaft slidably received in the central passage of the sleeve, wherein the probe shaft may be advanced and retracted within the central passage while the sleeve remains immobilized in the cervix.

2. A system as in claim 1 , wherein the sleeve comprises a proximal collar with a locking mechanism that selectively locks the sleeve to the probe shaft.

3. A system as in claim 2 , wherein the locking mechanism comprises a button on the collar which can be pushed inwardly to engage and lock the probe shaft.

4. A system as in claim 1 , wherein the distal balloon is configured for engaging and sealing around the internal cervical os and the ridge region is proximal of the distal balloon and is configured for extending through a cervical canal, and wherein the distal balloon has a greater diameter than the ridge region.

5. A system as in claim 1 , wherein the distal balloon and the ridge region can be inflated sequentially.

6. A system as in claim 1 , wherein the ridge region of the sleeve comprises an elastomeric material.

7. A system as in claim 1 , wherein the ridge region of the sleeve comprises a thin wall silicone.

8. A system as in claim 1 , wherein the plurality of ridges and valleys of the ridge region are annular or helical.

9. A system for transcervical introduction to a patient's uterus, said system comprising:

a pressurized fluid source;

a radially expandable sleeve having a proximal end, a distal end, and a central passage therebetween, said sleeve being adapted to be introduced into a cervix in a reduced width configuration and to be immobilized in the cervix in an expanded width configuration; and

a probe shaft slidably received in the central passage of the sleeve, wherein the probe shaft may be advanced and retracted within the central passage while the sleeve remains immobilized in the cervix,

wherein the sleeve comprises a tubular assembly and a deformable thin-walled seal disposed over the tubular assembly, the seal configured for axial deformation between a first transversely expanded and axially shortened shape for engaging a cervical canal and a second transversely non-expanded and axially extended shape for trans-cervical insertion,

wherein the deformable thin-walled seal comprises a plurality of annular or helical ridge and valley regions disposed in between one another,

wherein the plurality of ridge and valley regions form when the seal is axially deformed from the second transversely non-expanded and axially extended shape to the first transversely expanded and axially shortened shape,

wherein the pressurized fluid source is connected to selectively inflate the deformable thin-walled seal when said seal is in its transversely expanded shape, and

wherein the annular or helical ridge and valley regions have first and second durometers, respectively, with the valley regions having a higher durometer than the ridge regions; and wherein the pressurized fluid source is configured to apply pressurized fluid to the seal to expand the ridge regions, but not the valley regions, in accordance with the respective durometers of the regions.

10. A system as in claim 9 , wherein the proximal and distal ends of the seal are coupled to first and second concentric tubes, respectively, wherein relative axially movement of the seal provides said axial deformation.

11. A system as in claim 9 , wherein the seal comprises an elastomeric material.

12. A system as in claim 9 , wherein the seal comprises a thin wall silicone.

13. A system as in claim 9 , wherein the plurality of ridge and valley regions are configured for folding and unfolding upon said axial deformation.