Brachytherapy apparatus, systems, and methods for using them

    公开(公告)号:US09883919B2

    公开(公告)日:2018-02-06

    申请号:US12841111

    申请日:2010-07-21

    摘要: A brachytherapy treatment apparatus is provided that includes a center catheter including proximal and distal ends defining a central longitudinal axis therebetween, the center catheter including a bend between the proximal and distal ends. The apparatus includes a pair of expandable catheters including pathways extending between the proximal and distal ends thereof, the expandable catheter distal ends coupled to the distal end of the core member. An actuator is coupled to the expandable catheters adjacent expandable portions that is movable relative to the center catheter for moving the expandable portions between a collapsed configuration wherein the expandable portions extend substantially parallel to the center catheter and an expanded configuration wherein the expandable portions bow away from one another substantially within a curved plane aligned generally with a bend of to the center catheter. A balloon is provided adjacent the expandable portions and surrounding a portion of the catheters.

    Brachytherapy apparatus, systems, and methods for using them
    2.
    发明授权
    Brachytherapy apparatus, systems, and methods for using them 有权
    近距离放射治疗仪器,系统和使用方法

    公开(公告)号:US08636635B2

    公开(公告)日:2014-01-28

    申请号:US12543469

    申请日:2009-08-18

    IPC分类号: A61N5/00 A61M36/00

    CPC分类号: A61N5/1015 A61N5/1016

    摘要: An applicator for delivering brachytherapy includes elongate members movable between collapsed and expanded configurations for delivering brachytherapy within a lumpectomy cavity, a vaginal cavity, or other target region. The elongate members may be expandable into a symmetrical or asymmetrical expanded configuration, e.g., into a generally spherical, pear-shaped, or planar configuration. A system for delivering brachytherapy includes the applicator and an access device for lining and/or dilating a body cavity and/or for receiving the applicator therein. The access device is advanced into a body cavity, an expandable member on the access device is inflated, the applicator is advanced into the access device, and the elongate members are expanded to deliver radiation to the target region. Alternatively, the access device carries an expandable device into the target region, the expandable device is removed after dilating the target region, and the applicator is introduced through the access device to deliver radiation.

    摘要翻译: 用于递送近距离放射治疗的施放器包括可在塌陷和膨胀构型之间移动的细长构件,用于在乳房切除腔,阴道腔或其它目标区域内输送近距离放射治疗。 细长构件可以可扩展成对称或不对称的膨胀构型,例如,变成大致球形的梨形或平面构型。 用于递送近距离放射治疗的系统包括施用器和用于衬里和/或扩张体腔和/或用于在其中接收施用器的进入装置。 进入装置前进到体腔中,进入装置上的可膨胀构件被充气,施加器前进到进入装置中,并且细长构件被扩张以将辐射传递到目标区域。 或者,接入设备将可扩展设备携带到目标区域中,在扩大目标区域之后移除可扩展设备,并且通过接入设备引入施加器以传送辐射。

    EXPANDABLE BRACHYTHERAPY APPARATUS AND METHODS FOR USING THEM
    3.
    发明申请
    EXPANDABLE BRACHYTHERAPY APPARATUS AND METHODS FOR USING THEM 有权
    可扩展的宽带设备及其使用方法

    公开(公告)号:US20120108881A1

    公开(公告)日:2012-05-03

    申请号:US12939121

    申请日:2010-11-03

    IPC分类号: A61M36/04

    摘要: Brachytherapy treatment apparatus are provided that include an elongate core member, a plurality of expandable catheters or other elongate members and a balloon or other expandable member on a distal portion adjacent the core member. Each catheter includes a distal end coupled to the core member distal end, a proximal end movable relative to the core member, and a lumen extending between the proximal and distal ends for receiving a source of radiation therealong. The balloon is expandable independently of the catheters such that the balloon may be expanded after expanding the catheters, e.g., to facilitate imaging and/or dose planning. Optionally, a working channel may be provided for receiving an aspiration catheter or other instrument or at least one of the catheters may include an aspiration lumen and one or more ports, e.g., for aspirating material from a region surrounding the distal portion.

    摘要翻译: 提供了近距离放射疗法治疗装置,其包括细长芯部件,多个可膨胀导管或其它细长部件以及邻近该芯部件的远侧部分上的球囊或其它可扩张部件。 每个导管包括联接到芯构件远端的远端,可相对于芯构件移动的近端,以及在近端和远端之间延伸的腔,用于在其周围接收辐射源。 气囊可以独立于导管扩张,使得气囊可以在扩张导管之后膨胀,例如以便于成像和/或剂量计划。 可选地,可以提供工作通道用于接收抽吸导管或其他器械,或者至少一个导管可以包括抽吸腔和一个或多个端口,例如用于从围绕远端部分的区域抽吸材料。

    Surgical clamp with improved traction
    4.
    发明授权
    Surgical clamp with improved traction 有权
    手术钳具有改善的牵引力

    公开(公告)号:US08092473B2

    公开(公告)日:2012-01-10

    申请号:US10412016

    申请日:2003-04-11

    IPC分类号: A61B17/122

    摘要: A surgical clamp includes opposing jaws and a covering enhancing traction between the jaws and a body conduit. A multiplicity of fibers oriented to extend longitudinally between the clamp and conduit may be composed of filaments and either woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material, adding its own characteristics to the resulting fabric insert or clamp.

    摘要翻译: 手术夹具包括相对的钳口和覆盖物,其增强了钳口和身体导管之间的牵引力。 定向为在夹具和导管之间纵向延伸的多根纤维可以由细丝组成,也可以是编织的或非织造的以形成织物。 各种编织被设想为提供不同的纹理,每一种具有其自身的牵引特性。 织物的性质可以控制平滑度,吸收性和质感等特性。 纤维或细丝可以由任何固体或半固体材料形成,将其自己的特征加到所得的织物插入物或夹具上。

    Brachytherapy apparatus and methods for using them
    6.
    发明授权
    Brachytherapy apparatus and methods for using them 有权
    近距离放射治疗仪及其使用方法

    公开(公告)号:US07862496B2

    公开(公告)日:2011-01-04

    申请号:US11276851

    申请日:2006-03-16

    IPC分类号: A61N5/00

    CPC分类号: A61N5/1015 A61N2005/1018

    摘要: Apparatus for delivering brachytherapy to a target tissue region includes an elongate body including a proximal end, a distal end sized for introduction into a tissue tract and carrying a plurality of elongate members including pathways for receiving a source of radiation. The elongate members are movable between collapsed and expanded configurations. During use, a tract is created through tissue, and the elongate body carrying the elongate members is advanced through the tract into a target location with the elongate members in the collapsed configuration. The elongate members are directed to the expanded configuration at the target location, and radiation is delivered to treat tissue at the target location, e.g., by introducing one or more radiation sources along the pathways.

    摘要翻译: 用于将近距离放射治疗递送到目标组织区域的装置包括细长主体,其包括近端,远端,其尺寸适于引入到组织道中并且承载多个细长构件,包括用于接收辐射源的路径。 细长构件可在折叠和膨胀构型之间移动。 在使用期间,通过组织产生管道,并且携带细长构件的细长体通过管道前进到目标位置,细长构件处于收缩构型。 细长构件在目标位置处被引导到扩展构型,并且例如通过沿着路径引入一个或多个辐射源,传送辐射以在目标位置处理组织。

    BRACHYTHERAPY APPARATUS, SYSTEMS, AND METHODS FOR USING THEM

    公开(公告)号:US20100048977A1

    公开(公告)日:2010-02-25

    申请号:US12543463

    申请日:2009-08-18

    IPC分类号: A61M36/10 A61M36/12

    CPC分类号: A61N5/1015 A61N5/1016

    摘要: An applicator for delivering brachytherapy includes elongate members movable between collapsed and expanded configurations for delivering brachytherapy within a lumpectomy cavity, a vaginal cavity, or other target region. The elongate members may be expandable into a symmetrical or asymmetrical expanded configuration, e.g., into a generally spherical, pear-shaped, or planar configuration. A system for delivering brachytherapy includes the applicator and an access device for lining and/or dilating a body cavity and/or for receiving the applicator therein. The access device is advanced into a body cavity, an expandable member on the access device is inflated, the applicator is advanced into the access device, and the elongate members are expanded to deliver radiation to the target region. Alternatively, the access device carries an expandable device into the target region, the expandable device is removed after dilating the target region, and the applicator is introduced through the access device to deliver radiation.

    Surgical clamp with improved traction
    10.
    发明申请
    Surgical clamp with improved traction 有权
    手术钳具有改善的牵引力

    公开(公告)号:US20070179526A1

    公开(公告)日:2007-08-02

    申请号:US10412016

    申请日:2003-04-11

    IPC分类号: A61B17/00

    摘要: A surgical clamp includes opposing jaws and a covering enhancing traction between the jaws and a body conduit. A multiplicity of fibers oriented to extend longitudinally between the clamp and conduit may be composed of filaments and either woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material, adding its own characteristics to the resulting fabric insert or clamp.

    摘要翻译: 手术夹具包括相对的钳口和覆盖物,其增强了钳口和身体导管之间的牵引力。 定向为在夹具和导管之间纵向延伸的多根纤维可以由细丝组成,也可以是编织的或非织造的以形成织物。 各种编织被设想为提供不同的纹理,每一种具有其自身的牵引特性。 织物的性质可以控制平滑度,吸收性和质感等特性。 纤维或细丝可以由任何固体或半固体材料形成,将其自己的特征加到所得的织物插入物或夹具上。