Methods and devices for use of degassed fluids with fluid enhanced ablation devices
Devices, systems, and methods for degassing fluid prior to applying fluid to a treatment site during ablation therapy are provided. In one embodiment, an ablation system can include an elongate body, an ablation element, a heating assembly, and a fluid source. Fluid in the fluid source can be at least partially degassed prior to being provided as part of the system, or, in some embodiments, a degassing apparatus can be provided that can be configured to degas fluid within the system prior to applying the fluid to the treatment site. The degassing apparatus can include one or more gas-permeable and fluid-impermeable tubes disposed therein, which can allow gas to be removed from fluid passing through the apparatus. Other exemplary devices, systems, and methods are also provided.
1. A method for ablating tissue, comprising:
inserting an elongate body into a tissue mass by passing a tissue-penetrating distal tip of the elongated body into the tissue mass;
delivering a fluid into the tissue mass from the elongate body, wherein the fluid is at least partially degassed such that the fluid contains one or more gases having less than a predetermined partial pressure; and
delivering thermal energy into the tissue mass.
2. The method of claim 1 , wherein delivering thermal energy into the tissue mass includes activating an ablation element configured to ablate tissue adjacent to the elongate body.
3. The method of claim 1 , wherein delivering a fluid into the tissue mass from the elongate body includes urging fluid through an inner lumen of the elongate body towards at least one outlet port formed in a sidewall of the elongate body.
4. The method of claim 3 , wherein delivering thermal energy into the tissue mass includes heating the fluid prior to introduction into the tissue mass.
5. The method of claim 4 , wherein heating the fluid prior to introduction into the tissue mass includes activating a heating element disposed within the inner lumen of the elongate body.
6. The method of claim 1 , wherein delivering the fluid into the tissue mass and delivering thermal energy into the tissue mass are performed simultaneously.
7. The method of claim 1 , further comprising, prior to delivering the fluid into the tissue mass, at least partially degassing the fluid to bring the one or more gases contained therein below the predetermined partial pressure.
8. The method of claim 7 , wherein at least partially degassing the fluid includes passing the fluid through a mass exchanger prior to delivering the fluid to the elongate body.
9. The method of claim 1 , wherein the fluid consists essentially of normal saline solution.
10. The method of claim 1 , wherein the fluid consists essentially of concentrated saline solution.
11. The method of claim 1 , wherein the fluid consists essentially of Ringer's solution.
12. The method of claim 1 , further comprising, prior to delivering the fluid into the tissue mass, determining a partial pressure of at least one gas in the fluid with a sensor.
13. The method of claim 1 , wherein inserting the elongate body into the tissue mass includes passing a tissue-puncturing distal tip of the elongate body into the tissue mass.
14. A method for ablating tissue, comprising:
inserting an elongate body into a tissue mass;
delivering through an inner lumen of the elongate body fluid that is at least partially degassed such that the fluid contains one or more gases having less than a predetermined partial pressure;
delivering energy to at least one heating assembly disposed within the inner lumen to heat the at least partially degassed fluid flowing through the lumen prior to the at least partially degassed fluid flowing into the tissue mass through at least one outlet port in the elongate body; and
delivering energy to an ablation element, while simultaneously delivering energy to the at least one heating assembly, to ablate the tissue mass.
15. The method of claim 14 , further comprising, prior to delivering the at least partially degassed fluid through the inner lumen, activating a pump to deliver fluid through a mass exchanger that at least partially degasses the fluid, the at least partially degassed fluid flowing from the mass exchanger into the inner lumen of the elongate body.
16. The method of claim 14 , wherein delivering the at least partially degassed fluid through the inner lumen comprises activating a pump to force the at least partially degassed fluid from a reservoir into the inner lumen.
17. The method of claim 14 , wherein the fluid consists essentially of normal saline solution.
18. The method of claim 14 , wherein the fluid consists essentially of concentrated saline solution.
19. The method of claim 14 , wherein the fluid consists essentially of Ringer's solution.
20. The method of claim 14 , further comprising, prior to delivering at least partially degassed fluid through the inner lumen of the elongate body, determining an amount of a gas in the at least partially degassed fluid with a sensor.
21. The method of claim 14 , wherein inserting the elongate body into the tissue mass includes passing a tissue-puncturing distal tip of the elongate body into the tissue mass.