公开(公告)号：US20050085681A1

公开(公告)日：2005-04-21

申请号：US10897382

申请日：2004-07-22

申请人： James Stubbs ,  Rance Winkler

发明人： James Stubbs ,  Rance Winkler

IPC分类号： A61B17/00 ,  A61B19/00 ,  A61N5/10 ,  A61M36/04

CPC分类号： A61N5/1027 ,  A61B90/04 ,  A61B2017/00867 ,  A61B2090/0427 ,  A61M37/0069 ,  A61N2005/1094

摘要： A brachytherapy device including a spacing member is disclosed herein. The spacing member is useful in that the instrument is effective to limit the amount of radiation that comes into contact with the sensitive tissue, and thereby protect sensitive tissue from overheating or hotspots, and/or protect against radiation exposure outside of the patient's body which may affect healthcare providers or others who might come close to the patient. In particular, the spacing apparatus is effective to control the proximity of a brachytherapy device to the outer surface of the sensitive tissue proximate to a surgical excision site.

摘要翻译： 本文公开了包括间隔构件的近距离放射治疗装置。 间隔构件是有用的，因为该仪器有效地限制与敏感组织接触的辐射量，从而保护敏感组织免于过热或热点，和/或防止辐射暴露在患者体外，可能 影响医疗保健提供者或其他可能接近病人的人。 特别地，间隔装置有效地控制近距离放射治疗装置邻近手术切除部位的敏感组织的外表面。

公开(公告)号：US20050101825A1

公开(公告)日：2005-05-12

申请号：US10704344

申请日：2003-11-07

申请人： Rance Winkler ,  Bartolome Salazar ,  Timothy Patrick ,  James Stubbs

发明人： Rance Winkler ,  Bartolome Salazar ,  Timothy Patrick ,  James Stubbs

IPC分类号： A61N5/10 ,  A61M36/00

CPC分类号： A61N5/1015 ,  A61N2005/1021

摘要： A brachytherapy device is provided for treating a target tissue through an external surface area of the target tissue. The device includes an insertion member having a proximal portion, a distal portion, and at least one lumen extending therethrough. A fluid retaining member is mated to the distal portion of the insertion member and has a first surface shaped to conform to a predetermined external surface area of a tissue to be treated, and a cavity formed therein in fluid communication with the at least one lumen in the insertion member. A plurality of anchor members can be distributed about a periphery of the first surface to anchor the first surface to an external surface area of a tissue to be treated.

摘要翻译： 提供了一种近距离放射治疗装置，用于通过靶组织的外表面区域处理靶组织。 该装置包括具有近端部分，远侧部分和延伸穿过其中的至少一个内腔的插入部件。 流体保持构件配合到插入构件的远端部分，并且具有成形为符合要处理的组织的预定外表面区域的第一表面和形成在其中的与所述至少一个内腔流体连通的空腔 插入构件。 多个锚固构件可以围绕第一表面的周边分布，以将第一表面锚定到待处理组织的外表面区域。

公开(公告)号：US20050027157A1

公开(公告)日：2005-02-03

申请号：US10867062

申请日：2004-06-14

申请人： Rance Winkler ,  Timothy Patrick ,  Carribeth Ramey

发明人： Rance Winkler ,  Timothy Patrick ,  Carribeth Ramey

IPC分类号： A61N5/10 ,  A61N5/00

CPC分类号： A61N5/1027 ,  A61N2005/1003 ,  A61N2005/1021

摘要： A brachytherapy system for treating metastases on and around a patient's spinous process is provided. The device generally includes a catheter member having a proximal portion, a distal portion, and at least one lumen extending therethrough. The distal portion of the catheter member includes first and second branch members that are adapted to be positioned on opposed sides of a patient's spinous process. The device further includes first and second elongate anchoring elements disposed on the first and second branch members, and optionally can include at least one centering mechanism disposed within each of the first and second anchoring elements. The first and second anchoring elements are preferably adapted to be positioned between a spinous process and transverse process of at least one vertebral body, and to extend along a length of a patient's spinal column, such that the first and second anchoring elements, when expanded, engage and anchor the first and second branch members between the spinous process and transverse process of at least one vertebral body.

摘要翻译： 提供了一种用于治疗患者棘突周围转移的近距离放射治疗系统。 该装置通常包括具有近端部分，远侧部分和延伸穿过其中的至少一个内腔的导管部件。 导管构件的远端部分包括适于定位在患者棘突的相对侧上的第一和第二分支构件。 该装置还包括设置在第一和第二分支构件上的第一和第二细长锚固元件，并且可选地可包括设置在第一和第二锚固元件的每一个内的至少一个定中心机构。 第一和第二锚定元件优选地适于定位在棘突和至少一个椎体的横向过程之间，并且沿着患者的脊柱的长度延伸，使得当第一和第二锚定元件膨胀时， 在至少一个椎体的棘突和横向过程之间啮合并固定第一和第二分支部件。

公开(公告)号：US20070156224A1

公开(公告)日：2007-07-05

申请号：US11324902

申请日：2006-01-04

申请人： Iulian Cioanta ,  Cesar Rincon ,  Brian Wilkins ,  Rance Winkler

发明人： Iulian Cioanta ,  Cesar Rincon ,  Brian Wilkins ,  Rance Winkler

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/95 ,  A61F2002/9517

摘要： A handle system of a delivery catheter for the deployment of prosthetic implants includes a first stationary portion, at least one guide rail secured to the first stationary portion and extending generally longitudinally with the handle system, and a generally cylindrical second rotating portion rotably connected to the first stationary portion. A sheath mount is secured to an outer sheath of the delivery catheter, and includes one or more bearing surfaces to engage with at least one of the one or more guide rails. Rotation of the second rotating portion longitudinally displaces the sheath mount by interaction with the sheath mount. Interaction may be by internal thread of the rotating portion and external thread of the sheath mount, or alternately by rotating one or more drive screws by turning the rotating portion, the drive screws interacting with through holes in the sheath mount configured to receive and engage the drive screws.

摘要翻译： 用于部署假体植入物的输送导管的手柄系统包括第一固定部分，固定到第一固定部分并且与手柄系统大致纵向延伸的至少一个导轨，以及可旋转地连接到第二固定部分的大致圆柱形的第二旋转部分 第一静止部分。 护套安装件被固定到输送导管的外护套上，并且包括一个或多个支承表面，以与一个或多个导轨中的至少一个接合。 第二旋转部分的旋转通过与护套安装件的相互作用纵向地移动护套安装座。 相互作用可以是旋转部分的内螺纹和护套安装件的外螺纹，或者通过转动旋转部分来旋转一个或多个驱动螺钉，驱动螺钉与护套安装件中的通孔相配合，用于接收和接合 驱动螺丝

公开(公告)号：US20060047178A1

公开(公告)日：2006-03-02

申请号：US11260643

申请日：2005-10-27

申请人： Rance Winkler ,  Timothy Patrick ,  Carribeth Ramey

发明人： Rance Winkler ,  Timothy Patrick ,  Carribeth Ramey

IPC分类号： A61M36/00 ,  A61F2/44

CPC分类号： A61F2/446 ,  A61F2002/30777 ,  A61F2002/30785 ,  A61F2002/30858 ,  A61F2002/4475 ,  A61M25/10 ,  A61M29/02 ,  A61M2210/1003 ,  A61N5/1027 ,  A61N2005/1005 ,  A61N2005/1021

摘要： A radiotherapy system, and preferably a brachytherapy system, for delivering radiation to tissue surrounding an interstitial space is provided. While the system can be used for a variety of purposes, the system is preferably used to treat spinal metastases. In general, the system includes a catheter member having a proximal end, a distal end, and an inner lumen extending therethrough, and a structural support adapted to fit within an interstitial space in load bearing portion of a patient's body and having an internal space for removably receiving the distal end of the catheter member. At least one anchoring element can be disposed proximate to the distal end of the catheter. The anchoring element is preferably adapted to fit within the internal space in the structural support so as to anchor the distal end of the catheter therein. The system further includes a radiation source disposable within the internal space of the structural support through the lumen in the catheter for delivering radiation to tissue surrounding the interstitial space.

摘要翻译： 提供了放射治疗系统，优选近距离放射治疗系统，用于将辐射递送到间质空间周围的组织。 尽管该系统可用于各种目的，但该系统优选用于治疗脊柱转移。 通常，该系统包括具有近端，远端和延伸穿过其中的内腔的导管构件，以及适于装配在患者身体的承载部分中的间隙空间内的结构支撑件，并具有用于 可移除地接收导管构件的远端。 至少一个锚定元件可以布置成靠近导管的远端。 锚固元件优选地适于装配在结构支撑件内的内部空间中，以便将导管的远端固定在其中。 该系统还包括通过导管中的内腔在结构支撑件的内部空间内一次性放射的辐射源，用于将辐射传送到围绕间隙空间的组织。