| CPC A61B 18/02 (2013.01) [A61B 2018/00041 (2013.01); A61B 2018/00577 (2013.01); A61B 2018/0212 (2013.01)] | 20 Claims |

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1. A cryoablation tool comprising:
a shaft having a proximal end and a distal end;
a primary supply conduit configured to supply a primary fluid from a high-pressure cryogenic gas source to a distal end of the shaft, the primary supply conduit comprising a first Joule-Thomson (J-T) orifice, configured to deliver the primary fluid to a first expansion chamber;
a primary return conduit configured to carry the primary fluid away from the first expansion chamber;
a secondary supply conduit configured to supply a secondary fluid to a second J-T orifice, the second J-T orifice configured to deliver the secondary fluid to a second expansion chamber; and
a secondary return conduit configured to carry the secondary fluid away from the second expansion chamber,
the primary supply conduit comprising a primary-secondary heat exchange region and a primary-primary heat exchange region, the primary-primary heat exchange region being down stream of the primary-secondary heat exchange region; and the secondary supply conduit comprising a secondary-secondary heat exchange region up stream of the second J-T orifice, and
the primary return conduit further configured to pass the primary fluid over the primary-primary heat exchange region, in counterflow to the supply direction; the secondary return conduit further configured to pass the secondary fluid sequentially over the primary-secondary heat exchange region and the secondary-secondary heat exchange region in counterflow to the supply direction.
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