A method and apparatus for using a secondary refrigerant to precool and
liquefy a primary refrigerant, then vaporizing and expanding the primary
refrigerant to cool a cold tip of a cryosurgical instrument for ablation
of biological tissue, such as cardiovascular tissue, in particular
endocardiac tissue and tissue inside a cardiac blood vessel. The
secondary refrigerant has a critical temperature above the critical
temperature of the primary refrigerant, and a cooling temperature below
the critical temperature of the primary refrigerant, thereby facilitating
the use of the precooling step to provide liquid primary refrigerant in
an operating room environment in which the primary refrigerant could not
otherwise be provided in the liquid phase.