Systems and methods for treating the bladder with condensable vapor
A vapor delivery system and method is provided that is adapted for ablating bladder tissue to treat overactive bladder (OAB). The vapor delivery system includes an anchor tip configured anchor the system in the bladder while condensable vapor is delivered to target tissue. In one method, the vapor delivery system is advanced transurethrally into the patient to access the target tissue of the bladder, which can include a surface sensor of the bladder responsible for creating an urge incontinence sensation. The vapor delivery system includes a vapor source that provides a high quality vapor for delivery to tissue.
1. A method of treatment, comprising the steps of:
inserting a vapor delivery device into a urethra of a patient, the vapor delivery device including a shaft and a needle, the needle including a distal tip;
advancing the distal tip of the vapor delivery device into a bladder of the patient;
positioning the distal tip on a surface of a tissue of the bladder;
advancing the distal tip into the tissue to deform the tissue without puncturing through a thickness of the tissue; and
delivering vapor through the distal tip to directly contact the tissue to ablate the surface of the tissue.
2. The method of claim 1 , wherein the advancing the distal tip includes advancing the needle relative to the shaft.
3. The method of claim 1 , further comprising:
determining the thickness of the tissue; and
adjusting a length of the needle such that the length is less than the thickness of the tissue.
4. The method of claim 1 , further comprising advancing the distal tip less than 10 mm into the tissue.
5. The method of claim 1 , further comprising advancing the distal tip less than 5 mm into the tissue.
6. The method of claim 1 , wherein a portion of the vapor delivery device defines at least one vapor delivery port, and wherein the distal tip is narrower than the portion of the vapor delivery device defining the at least one vapor delivery port.
7. The method of claim 1 , further comprising:
determining a degree to which the tissue is deformed by observing a distance of a visualization feature from a visualization device.
8. The method of claim 1 , further comprising:
determining a desired pattern of vapor deposition; and
determining whether a degree of deformation of the tissue corresponds to the desired pattern of vapor deposition.
9. The method of claim 1 , wherein the shaft is steerable.
10. A method of treatment, comprising the steps of:
positioning a shaft of a vapor delivery device, having a portion defining at least one vapor delivery port, within a bladder of a patient such that a needle of a distal tip of the vapor delivery device contacts a surface of a tissue of the bladder, wherein the needle is narrower than the portion of the vapor delivery device defining the at least one vapor delivery port;
advancing the needle into the surface of the tissue such that the distal tip deforms the tissue but does not puncture through a thickness of the tissue; and
delivering vapor through the at least one vapor delivery port to the surface of the tissue to ablate the tissue.
11. The method of claim 10 , wherein the needle is configured to move relative to the shaft.
12. The method of claim 10 , further comprising:
determining the thickness of the tissue; and
adjusting a length of the needle such that the length is less than the thickness of the tissue.
13. The method of claim 10 , further comprising:
determining a degree to which the tissue is deformed by observing a distance of a visualization feature from a visualization device.
14. The method of claim 10 , further comprising:
determining a desired pattern of vapor deposition; and
determining whether a degree of deformation of the tissue corresponds to the desired pattern of vapor deposition.
15. The method of claim 10 , wherein the shaft is steerable.
16. A method of treatment, comprising the steps of:
determining a thickness of a tissue of a bladder of a patient;
inserting a vapor delivery device into a urethra of the patient;
advancing a distal tip of the vapor delivery device into the bladder;
positioning the distal tip of the vapor delivery device on a surface of the tissue;
advancing a needle of the distal tip 10 mm or less into the tissue to deform the tissue without puncturing through the thickness of the tissue; and
delivering vapor through the vapor delivery device to the tissue to ablate the surface of the tissue.
17. The method of claim 16 , further comprising adjusting a length of the distal tip of the vapor delivery device such that the length is less than the thickness of the tissue.
18. The method of claim 16 , wherein the distal tip is narrower than a portion of the vapor delivery device proximal of the distal tip.
19. The method of claim 16 , further comprising:
determining a degree to which the tissue is deformed by observing a distance of a visualization feature from a visualization device.
20. The method of claim 16 , further comprising:
determining a desired pattern of vapor deposition; and
determining whether a degree of deformation of the tissue corresponds to the desired pattern of vapor deposition.