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. An ablation system, comprising:
an elongate body configured to contact tissue and having an inner lumen configured to deliver fluid from a distal portion of the elongate body;
an ablation element configured to heat tissue in contact with the elongate body; and
a fluid source separate from the elongate body and in fluid communication with the inner lumen for delivering fluid through the inner lumen, the fluid source containing a volume of fluid that is at least partially degassed such that the fluid contains one or more gases having less than a predetermined partial pressure.
2. The system of claim 1 , further comprising a pump coupled to the fluid source and configured to pump fluid from the fluid source through the inner lumen of the elongate body.
3. The system of claim 1 , further comprising a mass exchanger coupled to the fluid source and configured to at least partially degas the fluid.
4. The system of claim 1 , wherein the fluid source comprises a syringe configured to couple to the elongate body for delivering fluid to the inner lumen.
5. The system of claim 1 , wherein the fluid comprises saline.
6. The system of claim 1 , further comprising a sensor configured to measure an amount of the gas in the fluid.
7. The system of claim 6 , wherein the sensor measures partial pressure of at least one gas to determine the amount of the gas in the fluid.
8. The system of claim 1 , wherein the elongate body includes a blunt distal tip configured to contact tissue without penetrating into the tissue.
9. The system of claim 1 , further comprising a heating assembly disposed within the inner lumen of the elongate body and configured to heat the fluid to be delivered from the elongate body.
10. The system of claim 1 , wherein a partial pressure of oxygen contained in the fluid is in a range of about 20 mm to about 40 mm of mercury.
11. The system of claim 1 , wherein the fluid consists essentially of normal saline solution.
12. The system of claim 1 , wherein the fluid consists essentially of concentrated saline solution.
13. The system of claim 1 , wherein the fluid consists essentially of Ringer's solution.
14. An ablation system, comprising:
a mass exchanger in communication with a fluid source and configured to at least partially degas fluid from the fluid source;
an elongate body configured to contact tissue and deliver the fluid from a distal portion of the elongate body; and
an ablation element configured to heat the tissue in contact with the elongate body.
15. The system of claim 14 , wherein the mass exchanger includes a plurality of non-coaxial gas-permeable and fluid-impermeable conduits.
16. The system of claim 14 , wherein the mass exchanger includes at least one outlet configured to couple to a gas source for adjusting the amount of gas in the fluid flowing through the mass exchanger.
17. The system of claim 16 , wherein the gas source comprises a vacuum source for removing gas from the fluid.
18. The system of claim 16 , wherein the gas source comprises a volume of one or more gases having less than a predetermined pressure.
19. The system of claim 14 , further comprising a heating assembly configured to heat the fluid to be delivered from the elongate body.
20. The system of claim 19 , wherein the mass exchanger is disposed proximal of the heating assembly such that fluid is at least partially degassed before being heated by the heating assembly.
21. The system of claim 14 , wherein the mass exchanger is disposed within a control unit coupled to a proximal end of the elongate body, the control unit having a pump effective to pump fluid from a fluid source, through the mass exchanger, and into the inner lumen of the elongate body.
22. The system of claim 14 , further comprising a sensor configured to measure an amount of a gas in fluid after it flows through the mass exchanger.
23. The system of claim 22 , wherein the sensor measures partial pressure of at least one gas to determine the amount of the gas in the fluid.
24. The ablation system of claim 14 , wherein the elongate body includes a blunt distal tip configured to contact tissue without penetrating into the tissue.
25. The system of claim 14 , wherein a partial pressure of oxygen contained in the fluid upon exiting the mass exchanger is in a range of about 20 mm to about 40 mm of mercury.
26. The system of claim 14 , wherein the fluid consists essentially of normal saline solution.
27. The system of claim 14 , wherein the fluid consists essentially of concentrated saline solution.
28. The system of claim 14 , wherein the fluid consists essentially of Ringer's solution.