Endoscopic cryoablation catheter

1. An cryoablation device comprising:

a catheter shaft;

a cryogen return line disposed within the catheter shaft;

a cryogen supply line disposed within the cryogen return line, such that the cryogen supply line, the cryogen return line, and the catheter shaft are all substantially coaxial;

a needle tip probe affixed to a distal end of the cryogen return line,

wherein the cryogen supply line extends in a distal direction beyond a distal end of the cryogen return line and into the needle tip probe, and

wherein the catheter shaft is axially movable relative to the needle tip probe and the cryogen return line, and the catheter shaft is configured such that the catheter shaft is distally extended over the needle tip probe in an extended position,

an accessory injection tube disposed within the catheter shaft, such that the accessory injection tube is parallel to the cryogen return line; and

an insulating lumen circumferentially disposed around the return line, between an inner diameter of the catheter shaft and an outer diameter of the return line,

wherein the accessory injection tube is disposed within the insulating lumen.

2. The cryoablation device of claim 1 , wherein the insulating lumen further comprises a vacuum sleeve, an actively drawn vacuum, or an air gap.

3. The cryoablation device of claim 1 , wherein the needle tip probe is affixed to the distal end of an outer wall of the cryogen return line.

4. The cryoablation device of claim 1 , wherein the needle tip probe is affixed to the distal end of an inner wall of the cryogen return line.

5. The cryoablation device of claim 1 , further comprising an insulating tube disposed circumferentially around the cryogen return line and within the catheter shaft,

wherein a position of the insulating tube is fixed relative to the needle tip probe and the cryogen return line, a position of the catheter shaft is axially and rotationally movable with respect to the insulating tube, the cryogen return line, and the needle tip probe.

6. The cryoablation device of claim 1 , wherein the needle tip probe further includes insulation disposed on a proximal end thereof, and wherein the insulation disposed on the proximal end of the needle tip probe defines an ablation zone on a distal end of the needle tip probe for providing treatment.

7. The cryoablation device of claim 1 , wherein a ratio of a volume of the supply line to a volume of the return line is 1:1, 1:1.5; or 1:2.

8. The cryoablation device of claim 1 , wherein a ratio of a cross sectional area of the supply line to a cross sectional area of the return line is 1:1, 1:1.5; or 1:2.

9. The cryoablation device of claim 1 , further comprising at least one heating element embedded within a wall of the catheter shaft.

10. The cryoablation device of claim 1 , further comprising at least deflection wire embedded within, or disposed adjacent to a wall of the catheter shaft.

11. The cryoablation device of claim 1 , further comprising an exit portal in the needle tip probe,

wherein accessory injection tube terminates at a distal end thereof at the exit portal, and the exit portal is configured to deliver a treatment agent to a treatment site, or to remove a tissue or a fluid from the treatment site.

12. A cryoablation device comprising:

a catheter shaft;

a cryogen return line disposed within the catheter shaft;

a cryogen supply line disposed within the cryogen return line, such that the cryogen supply line, the cryogen return line, and the catheter shaft are all substantially coaxial;

an insulating lumen circumferentially disposed around the return line, between an inner diameter of the catheter shaft and an outer diameter of the return line

a needle tip probe disposed at a distal end of the cryogen return line, wherein the cryogen supply line extends in a distal direction beyond a distal end of the cryogen return line and into the needle tip probe; and

an insulating tube disposed circumferentially around the cryogen return line and within the catheter shaft,

wherein a position of the insulating tube is fixed relative to the needle tip probe and the cryogen return line, a position of the catheter shaft is axially and rotationally movable with respect the cryogen return line and the needle tip probe.

13. The cryoablation device of claim 12 , wherein the needle tip probe further includes insulation disposed on a proximal end thereof, and wherein the insulation disposed on the proximal end of the needle tip probe defines an ablation zone on a distal end of the needle tip probe for providing treatment.

14. The cryoablation device of claim 13 , wherein the insulation is affixed to the needle tip probe at a proximal end thereof.

15. The cryoablation device of claim 12 , wherein the needle tip probe is affixed to the distal end of an outer wall of the cryogen return line.

16. The cryoablation device of claim 12 , wherein the needle tip probe is affixed to the distal end of an inner wall of the cryogen return line.

17. The cryoablation device of claim 12 , wherein the needle tip probe further includes insulation disposed on a proximal end thereof, and wherein the insulation disposed on the proximal end of the needle tip probe defines an ablation zone on a distal end of the needle tip probe for providing treatment.

18. The cryoablation device of claim 12 , wherein a ratio of a volume of the supply line to a volume of the return line is 1:1, 1:1.5; or 1:2.

19. The cryoablation device of claim 12 , wherein a ratio of a cross sectional area of the supply line to a cross sectional area of the return line is 1:1, 1:1.5; or 1:2.

20. The cryoablation device of claim 12 , further comprising at least deflection wire embedded within, or disposed adjacent to a wall of the catheter shaft.