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公开(公告)号：US08568284B2
公开(公告)日：2013-10-29
申请号：US12710308
申请日：2010-02-22
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61N5/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A method for brachytherapy in a lumpectomy cavity of a breast including, positioning a distal end of a brachytherapy device within the cavity, expanding an expandable surface portion located between proximal and distal ends of the device within the cavity, the source lumen tubes defining a curved configuration within the cavity; and positioning a source of radiation sequentially within one or more source lumens of the source lumen tubes according to a brachytherapy treatment plan. The device includes an inner tube, and a plurality of source lumen tubes located around the inner tube and including distal ends secured together with the inner tube at the distal end disposed within the body cavity, the source lumen tubes comprising proximal portions sufficiently long to extend outside the breast.
摘要翻译： 一种用于乳房肿瘤切除腔的近距离放射治疗方法，包括将近距离放射治疗装置的远端定位在腔内，使位于腔内的装置的近端和远端之间的可扩张表面部分膨胀，源腔管限定弯曲 腔内配置; 以及根据近程放射疗法治疗计划将辐射源依次定位在源腔管的一个或多个源腔内。 所述装置包括内管和位于所述内管周围的多个源管腔，并且包括远端，所述远端与设置在所述体腔内的远端处与所述内管固定在一起，所述源腔管包括足够长以延伸的近端部分 在乳房外面
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公开(公告)号：US08562504B2
公开(公告)日：2013-10-22
申请号：US12775636
申请日：2010-05-07
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61M36/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A method for brachytherapy in a lumpectomy cavity of a breast including, positioning a distal end of a brachytherapy device within the cavity, expanding an expandable surface portion located between proximal and distal ends of the device within the cavity, the source lumen tubes defining a curved configuration within the cavity; and positioning a source of radiation sequentially within one or more source lumens of the source lumen tubes according to a brachytherapy treatment plan. The device includes an inner tube, and a plurality of source lumen tubes located around the inner tube and including distal ends secured together with the inner tube at the distal end disposed within the body cavity, the source lumen tubes comprising proximal portions sufficiently long to extend outside the breast.
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公开(公告)号：US08360951B2
公开(公告)日：2013-01-29
申请号：US11877339
申请日：2007-10-23
申请人： David Schreiber , Jack C. White , David Wesley Stephens , Henry C. Goode, Jr. , Nathan Christopher Griffith , Ming K. Tai
发明人： David Schreiber , Jack C. White , David Wesley Stephens , Henry C. Goode, Jr. , Nathan Christopher Griffith , Ming K. Tai
IPC分类号： A61M36/00
CPC分类号： A61N5/1001 , A61N2005/1009 , A61N2005/1023
摘要： A point-of-care seed stranding device for automating assembly of brachytherapy seed strands for implantation in patients. The device includes a number of features to reduce the potential for mistakes by the user, as well as to reduce the potential for damaging the radioactive seeds during the stranding process. Tactile feedback may be provided to prevent exertion of too much force in the packing step of the stranding process, as well as to indicate that the seed and/or strand cartridges are empty and need to be replaced. The device may also include a mechanism for holding seeds or spacers in place to allow automated packing of seeds or spacers having corresponding geometries. The device may also be provided with a seed counter which can be employed to preset the number of seeds in a strand and which disables the device from dispensing or packing additional seeds once the preset number of seeds has been packed into the strand. Also, methods for automated assembly of seed strands including the steps of setting the number of seeds, dispensing seeds and spacers, packing seeds and spacers and transferring assembled strands to another device.
摘要翻译： 一种用于自动装配近距离放射治疗种子股的护理种子绞合装置，用于植入患者。 该装置包括许多特征，以减少使用者的错误的可能性，以及减少在绞合过程中损坏放射性种子的可能性。 可以提供触觉反馈以防止在绞合过程的包装步骤中施加过大的力，并且指示种子和/或线束筒是空的并且需要更换。 该装置还可以包括用于将种子或间隔物保持在适当位置以允许自动包装具有相应几何形状的种子或间隔物的机构。 该装置还可以具有种子计数器，该种子计数器可用于预定股线中的种子数量，并且一旦预定数量的种子已经被包装到股线中，该种子计数器就禁止装置分配或包装额外的种子。 此外，种子股线的自动装配的方法包括以下步骤：设定种子数量，分配种子和间隔物，包装种子和间隔物并将组装的股转移到另一装置。
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公开(公告)号：US20090264696A1
公开(公告)日：2009-10-22
申请号：US12493884
申请日：2009-06-29
申请人： JACK C. WHITE , DAVID WESLEY STEPHENS , AMIT PRAKASH GOVIL , JOSHUA J. BERGMAN , NATHAN CHRISTOPHER GRIFFITH , KYLE KEVIN MILLAGE
发明人： JACK C. WHITE , DAVID WESLEY STEPHENS , AMIT PRAKASH GOVIL , JOSHUA J. BERGMAN , NATHAN CHRISTOPHER GRIFFITH , KYLE KEVIN MILLAGE
IPC分类号： A61M36/12
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A brachytherapy device for the provision of brachytherapy is disclosed. The brachytherapy device has at least one source lumen located outside a movable surface of the device. The source lumen may be secured to the movable outer surface in a manner whereby relative movement of the source lumen relative to the movable outer surface is permitted. The brachytherapy device is inserted into a body cavity. After insertion, the movable surface is moved to position the at least one source lumen closer to the tissue boundary of the cavity. One or more sources of radiation are then placed within the at least one source lumen to provide a customizable treatment. Also disclosed are methods for providing brachytherapy via body cavities.
摘要翻译： 公开了一种用于提供近距离放射治疗的近距离放射治疗装置。 近程放射治疗装置具有位于装置的可移动表面外部的至少一个源腔。 源腔可以以允许源腔相对于可移动外表面的相对运动的方式固定到可移动外表面。 近距离放射治疗装置插入体腔。 在插入之后，可移动表面被移动以使至少一个源管腔更靠近腔的组织边界。 然后将一个或多个辐射源放置在至少一个源腔内以提供可定制的治疗。 还公开了通过体腔提供近距离放射治疗的方法。
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公开(公告)号：US08795311B2
公开(公告)日：2014-08-05
申请号：US13487815
申请日：2012-06-04
CPC分类号： A61B17/3421 , A61B17/02 , A61B17/3439 , A61M25/0668 , A61M29/00
摘要： A stoma dilator having a base dilator and a plurality of dilators coaxially disposed over the base dilator. The base dilator has a hub and an opening therethrough. Each of the plurality of dilators has a tapered distal end, a proximal end, and a tubular body, and are held in separated, telescoping position by a dilator positioner such that part of each distal end is exposed from beneath another dilator and is graspable for movement such that a smaller dilator does not become inaccessible inside of a larger dilator. The stoma dilator includes a hollow sheath positioned over an outermost dilator to hold open a tissue opening created by the plurality of dilators. The base dilator and the plurality of dilators may be removed while the sheath remains in a tissue opening. Another device may be inserted through the sheath, and the sheath may be peeled away therefrom.
摘要翻译： 一种造口扩张器，具有基底扩张器和同轴地设置在基底扩张器上的多个扩张器。 底部扩张器具有毂和穿过其中的开口。 多个扩张器中的每一个具有锥形远端，近端和管状体，并且由扩张器定位器保持在分离的伸缩位置，使得每个远端的一部分从另一个扩张器下方暴露，并且可被抓握 运动使得较小的扩张器在较大的扩张器内部不会变得不可接近。 造口扩张器包括位于最外侧扩张器之上的中空护套，以保持由多个扩张器产生的组织开口。 当护套保持在组织开口中时，可以移除基础扩张器和多个扩张器。 另一个装置可以穿过护套插入，护套可以从其中剥离。
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公开(公告)号：US07662082B2
公开(公告)日：2010-02-16
申请号：US11266994
申请日：2005-11-04
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61N5/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A brachytherapy device for the provision of brachytherapy is disclosed. The brachytherapy device has at least one source lumen located outside a movable surface of the device. The source lumen may be secured to the movable outer surface in a manner whereby relative movement of the source lumen relative to the movable outer surface is permitted. The brachytherapy device is inserted into a body cavity. After insertion, the movable surface is moved to position the at least one source lumen closer to the tissue boundary of the cavity. One or more sources of radiation are then placed within the at least one source lumen to provide a customizable treatment. Also disclosed are methods for providing brachytherapy via body cavities.
摘要翻译： 公开了一种用于提供近距离放射治疗的近距离放射治疗装置。 近程放射治疗装置具有位于装置的可移动表面外部的至少一个源腔。 源腔可以以允许源腔相对于可移动外表面的相对运动的方式固定到可移动外表面。 近距离放射治疗装置插入体腔。 在插入之后，可移动表面被移动以使至少一个源管腔更靠近腔的组织边界。 然后将一个或多个辐射源放置在至少一个源腔内以提供可定制的治疗。 还公开了通过体腔提供近距离放射治疗的方法。
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公开(公告)号：US20090062832A1
公开(公告)日：2009-03-05
申请号：US11848502
申请日：2007-08-31
IPC分类号： A61M29/00
CPC分类号： A61B17/3421 , A61B17/02 , A61B17/3439 , A61M25/0668 , A61M29/00
摘要： A stoma dilator is provided which has a base dilator and a plurality of dilators which are coaxially disposed over the base dilator. The base dilator has a hub and an opening therethrough. The base dilator is configured to be positioned over a wire into a patient's tissue. Each of the plurality of dilators has a tapered distal end, a proximal end, and a tubular body, and are held in separated, telescoping position by the dilator positioner such that a portion of each distal end is exposed from beneath another dilator and is graspable by a health care practitioner for movement such that a smaller diameter dilator does not become inaccessible inside of a larger diameter dilator. The stoma dilator may include a hollow sheath positioned over an outermost dilator. The sheath is configured to hold open a tissue opening created by the plurality of dilators. The base dilator and the plurality of dilators may be removed while the sheath remains in a tissue opening. Another device may be inserted through the sheath, and the sheath may be peeled away therefrom.
摘要翻译： 提供了一种造口扩张器，其具有基部扩张器和多个扩张器，其同轴地设置在基础扩张器上。 底部扩张器具有毂和穿过其中的开口。 底部扩张器被配置成被放置在患者组织中的线上。 多个扩张器中的每一个具有锥形远端，近端和管状体，并且由扩张器定位器保持在分离的伸缩位置，使得每个远端的一部分从另一个扩张器下方露出并且可被抓握 由保健医生进行运动，使得较小直径的扩张器在较大直径的扩张器内不会变得不可接近。 造口扩张器可以包括位于最外侧扩张器上方的中空鞘。 护套构造成保持打开由多个扩张器产生的组织开口。 当护套保持在组织开口中时，可以移除基础扩张器和多个扩张器。 另一个装置可以穿过护套插入，护套可以从其中剥离。
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公开(公告)号：US07497819B2
公开(公告)日：2009-03-03
申请号：US11682681
申请日：2007-03-06
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61N5/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A brachytherapy device for the provision of brachytherapy is disclosed. The brachytherapy device has at least one source lumen located outside a movable surface of the device. The source lumen may be secured to the movable outer surface in a manner whereby relative movement of the source lumen relative to the movable outer surface is permitted. The brachytherapy device is inserted into a body cavity. After insertion, the movable surface is moved to position the at least one source lumen closer to the tissue boundary of the cavity. One or more sources of radiation are then placed within the at least one source lumen to provide a customizable treatment. Also disclosed are methods for providing brachytherapy via body cavities.
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公开(公告)号：US08690746B2
公开(公告)日：2014-04-08
申请号：US12493884
申请日：2009-06-29
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61N5/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A brachytherapy device for the provision of brachytherapy is disclosed. The brachytherapy device has at least one source lumen located outside a movable surface of the device. The source lumen may be secured to the movable outer surface in a manner whereby relative movement of the source lumen relative to the movable outer surface is permitted. The brachytherapy device is inserted into a body cavity. After insertion, the movable surface is moved to position the at least one source lumen closer to the tissue boundary of the cavity. One or more sources of radiation are then placed within the at least one source lumen to provide a customizable treatment. Also disclosed are methods for providing brachytherapy via body cavities.
摘要翻译： 公开了一种用于提供近距离放射治疗的近距离放射治疗装置。 近程放射治疗装置具有位于装置的可移动表面外部的至少一个源腔。 源腔可以以允许源腔相对于可移动外表面的相对运动的方式固定到可移动外表面。 近距离放射治疗装置插入体腔。 在插入之后，可移动表面被移动以使至少一个源管腔更靠近腔的组织边界。 然后将一个或多个辐射源放置在至少一个源腔内以提供可定制的治疗。 还公开了通过体腔提供近距离放射治疗的方法。
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公开(公告)号：US08684899B2
公开(公告)日：2014-04-01
申请号：US12694741
申请日：2010-01-27
申请人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
发明人： Jack C. White , David Wesley Stephens , Amit Prakash Govil , Joshua J. Bergman , Nathan Christopher Griffith , Kyle Kevin Millage
IPC分类号： A61N5/00
CPC分类号： A61N5/1015 , A61M29/02 , A61N5/1007 , A61N2005/1008 , A61N2005/1018 , A61N2005/1024
摘要： A method for brachytherapy in a lumpectomy cavity of a breast including, positioning a distal end of a brachytherapy device within the cavity, expanding an expandable surface portion located between proximal and distal ends of the device within the cavity, the source lumen tubes defining a curved configuration within the cavity; and positioning a source of radiation sequentially within one or more source lumens of the source lumen tubes according to a brachytherapy treatment plan. The device includes an inner tube, and a plurality of source lumen tubes located around the inner tube and including distal ends secured together with the inner tube at the distal end disposed within the body cavity, the source lumen tubes comprising proximal portions sufficiently long to extend outside the breast.
摘要翻译： 一种用于乳房肿瘤切除腔的近距离放射治疗方法，包括将近距离放射治疗装置的远端定位在腔内，使位于腔内的装置的近端和远端之间的可扩张表面部分膨胀，源腔管限定弯曲 腔内配置; 以及根据近程放射疗法治疗计划将辐射源依次定位在源腔管的一个或多个源腔内。 所述装置包括内管和位于所述内管周围的多个源管腔，并且包括远端，所述远端与设置在所述体腔内的远端处与所述内管固定在一起，所述源腔管包括足够长以延伸的近端部分 在乳房外面
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