The invention relates to a marking arrangement (10) for marking positions of a medical device along a source trajectory (200), comprising a plurality of markers arranged in series along the source trajectory. Each marker (100) is aligned with the source trajectory and made of a first material and comprises a coating (110), wherein the coating is made of a second material disposed on a surface of the marker. A thickness (T) of the coating is smaller than 1 micrometer, and an interdistance (S) between each marker is smaller than 3 millimeter. The invention further relates to a system for reconstructing a planned trajectory of a medical device, comprising a detection module arranged for detecting the marking arrangement (10) and a treatment calculation module arranged for determining trajectories and dwell times.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
According to one aspect, a brachytherapy sensor cable is provided which can be moved through a lumen towards an applicator positioned in a human body and wherein a distal part of the sensor cable comprises a sensor; wherein a hollow passage is formed between the proximal part and the distal part to guide signal wiring of the sensor through the hollow conduit of distal part and proximal part towards a connector that is connectable to the afterloader system.
Embodiments of the disclosure may be drawn to brachytherapy applicators. Exemplary applicators may include an interstitial tube having a body with a proximal end and a distal end and a central conduit extending from the distal end of the body, wherein the central conduit includes a proximal opening, a distal opening, and a channel extending from the proximal opening to the distal opening, and wherein the proximal opening is offset from an axis of the body. The proximal opening may be configured to fluidly connect to a brachytherapy guide tube, and the channel of the central conduit may be dimensioned to receive at least one of a needle or a catheter therethrough.
The invention relates to a marking arrangement (10) for marking positions of a medical device along a source trajectory (200), comprising a plurality of markers arranged in series along the source trajectory. Each marker (100) is aligned with the source trajectory and made of a first material and comprises a coating (110), wherein the coating is made of a second material disposed on a surface of the marker. A thickness (T) of the coating is smaller than 1 micrometer, and an interdistance (S) between each marker is smaller than 3 millimeter. The invention further relates to a system for reconstructing a planned trajectory of a medical device, comprising a detection module arranged for detecting the marking arrangement (10) and a treatment calculation module arranged for determining trajectories and dwell times.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
According to one aspect, a brachytherapy sensor cable is provided which can be moved through a lumen towards an applicator positioned in a human body and wherein a distal part of the sensor cable comprises a sensor; wherein a hollow passage is formed between the proximal part and the distal part to guide signal wiring of the sensor through the hollow conduit of distal part and proximal part towards a connector that is connectable to the afterloader system.
The invention relates to a medical device for transporting and positioning a therapeutic emitting element into a treatment channel to be temporarily placed in or at the body of the patient to treat tumours. The therapeutic emitting element is connected to a transport element and which is driven by at least one drive motor. The device has a connecting element comprising multiple connector openings. The connecting element is used for connecting a transport tube to a respective connector opening. The transport tube is connected to an applicator, needle, tube or catheter for driving the transport element into the treatment channel. The device has a selector mechanism through which the plurality of transport elements are driven. An annular guiding arrangement guides the transport elements into connector openings in the connecting element. The annular guiding arrangement also comprises a plurality of spaced outlets. The inlets of the multiple patterns are each connected to an outlet by guiding channels. Each outlet aligns to a connector opening in the connecting element to allow the transport element from each outlet to be driven into the connector openings.
Embodiments of the disclosure may be drawn to brachytherapy markers. Exemplary markers may include an inner ring consisting of one or more of copper, brass, gold, silver, or titanium; an outer coating consisting of one or more of nickel or iron oxide, wherein a thickness of the outer coating may be about 1 μm to about 30 μm; and a central opening, wherein a diameter of the central opening may be about 0.50 mm to about 3.00 mm.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A sensing apparatus for sensing the presence of a radioactive source, or check-dummy- or sensor cable, at a point along the sensing apparatus during a brachytherapy procedure. The sensing apparatus comprises a transfer tube comprising a first end and a second end. The second end being downstream of the first end. The sensing apparatus further comprises sensing means operable to detect the presence of a radioactive source, or check-dummy- or sensor cable, at a point downstream of the first end of the transfer tube. The reason for the plurality of “prisms” or the semispheres, is that they are orientation independent to the light fibers, simplifying assembly. Alternatively the plurality of prisms may be substituted by two half-spherical “prisms”. Between the prisms, a light blocking surface need to be placed to avoid optical short circuits.
Embodiments of the disclosure may be drawn to brachytherapy source assemblies. Exemplary source assemblies may include a cable made of an electrically non-conductive material and a guide wire coupled to and extending from a distal end of the cable. The guide wire may have a distal end region and a proximal end region, and the guide wire may have a length that is shorter than a length of the cable. The assembly may also include a capsule located at a distal end region of the guide wire, and the capsule may include a chamber configured to contain a radioactive source. The capsule may be formed of a non-ferromagnetic material and may have a ferromagnetic coating that at least partially covers the capsule.
Exemplary brachytherapy applicators may include an interstitial tube having a body with a proximal end and a distal end and a central conduit extending from the distal end of the body, wherein the central conduit includes a proximal opening, a distal opening, and a channel extending from the proximal opening to the distal opening, and wherein the proximal opening is offset from an axis of the body. The proximal opening may be configured to fluidly connect to a brachytherapy guide tube, and the channel of the central conduit may be dimensioned to receive at least one of a needle or a catheter therethrough.
The invention relates to a medical device for transporting and positioning a therapeutic emitting element into a treatment channel to be temporarily placed in or at the body of the patient to treat tumours. The therapeutic emitting element is connected to a transport element and which is driven by at least one drive motor. The device has a connecting element comprising multiple connector openings. The connecting element is used for connecting a transport tube to a respective connector opening. The transport tube is connected to an applicator, needle, tube or catheter for driving the transport element into the treatment channel. The device has a selector mechanism through which the plurality of transport elements are driven. An annular guiding arrangement guides the transport elements into connector openings in the connecting element. The annular guiding arrangement also comprises a plurality of spaced outlets. The inlets of the multiple patterns are each connected to an outlet by guiding channels. Each outlet aligns to a connector opening in the connecting element to allow the transport element from each outlet to be driven into the connector openings.
A sensing apparatus for sensing the presence of a radioactive source, or check- dummy- or sensor cable, at a point along the sensing apparatus during a brachytherapy procedure. The sensing apparatus comprises a transfer tube comprising a first end and a second end. The second end being downstream of the first end. The sensing apparatus further comprises sensing means operable to detect the presence of a radioactive source, or check- dummy- or sensor cable, at a point downstream of the first end of the transfer tube. The reason for the plurality of "prisms" or the semispheres, is that they are orientation independent to the light fibers, simplifying assembly. Alternatively the pluraliy of prisms may be substituted by two half-spherical "prisms". Between the prisms, a light blocking surface need to be placed to avoid optical short circuits.
Embodiments of the disclosure may be drawn to brachytherapy source assemblies. Exemplary source assemblies may include a cable made of an electrically non-conductive material and a guide wire coupled to and extending from a distal end of the cable. The guide wire may have a distal end region and a proximal end region, and the guide wire may have a length that is shorter than a length of the cable. The assembly may also include a capsule located at a distal end region of the guide wire, and the capsule may include a chamber configured to contain a radioactive source. The capsule may be formed of a non-ferromagnetic material and may have a ferromagnetic coating that at least partially covers the capsule.
Embodiments of the disclosure may be drawn to brachytherapy markers. Exemplary markers may include an inner ring consisting of one or more of copper, brass, gold, silver, or titanium; an outer coating consisting of one or more of nickel or iron oxide, wherein a thickness of the outer coating may be about 1 μm to about 30 μm; and a central opening, wherein a diameter of the central opening may be about 0.50 mm to about 3.00 mm.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Embodiments of the disclosure may be drawn to brachytherapy applicators. Exemplary applicators may include an interstitial tube having a body with a proximal end and a distal end and a central conduit extending from the distal end of the body, wherein the central conduit includes a proximal opening, a distal opening, and a channel extending from the proximal opening to the distal opening, and wherein the proximal opening is offset from an axis of the body. The proximal opening may be configured to fluidly connect to a brachytherapy guide tube, and the channel of the central conduit may be dimensioned to receive at least one of a needle or a catheter there through.
Embodiments of the disclosure may be drawn to wireless afterloaders. Exemplary afterloaders may include a central processing unit, a first complex programmable logic device having a memory, a transceiver operably connected to the complex programmable logic device, wherein the transceiver is configured to wirelessly receive data from a second complex programmable logic device separate from the wireless afterloader, and a battery.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
22.
Brachytherapy applicators having ultrasound elements
A brachytherapy system includes a brachytherapy applicator. The brachytherapy applicator includes an applicator tube and a radiation source configured to deliver radiation to a tumor. At least a portion of the applicator tube is configured to conform to at least a portion of a patient's anatomy. At least one ultrasound element or probe is coupled to or embedded with the applicator tube.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Systems, methods, and apparatuses are provided for an advanced gynecological applicator. In accordance with some embodiments, a brachytherapy applicator head and assembly is provided. The assembly may include two ovoid tubes configured to receive radiation sources, the two ovoid tubes combining to form a rounded applicator having a middle opening and comprising a plurality of needle holes to guide interstitial needles. The assembly may also include a central applicator tube configured to receive a radiation source that is located within the middle opening. Additionally, the assembly may include a vaginal cap that includes a tool-free connection to the two ovoid tubes and includes needle guides that align with the needle holes of the two ovoid tubes. The assembly may include a one-piece template for securing interstitial needles. The assembly may further include a tool-free connector to secure the two ovoid tubes to the central applicator tube.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 1/303 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour le vagin, c.-à-d. vaginoscopes
A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
24.
Methods and systems for brachytherapy planning based on imaging data
Systems and methods for generating a radiation therapy treatment plan by using ultrasound images are disclosed. The method includes obtaining a first set of image data representing a first image of an anatomical region that includes a treatment applicator inserted into the anatomical region. The method further includes receiving tracking information indicating a position of the treatment applicator as represented in the first set of image data, obtaining a second set of image data representing a second image of the anatomical region, and combining at least a portion of the first set of image data with the second set of image data. One of the first set and the second set of image data is used to identify a target tissue portion in the anatomical region. The method further includes generating, based on the combined image data, treatment plan information for treating the target tissue portion in the anatomical region.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 6/12 - Agencements pour détecter ou localiser des corps étrangers
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A system for transporting a source for brachytherapy may include a source guide, a detector, and a controller. The source guide may be configured to guide a source transport for transporting the source, wherein the source guide includes at least one electronic tag. The detector may be configured to detect a frequency signal generated by the at least one electronic tag, wherein the frequency signal varies when the source transport is proximate to the at least one electronic tag. The controller may be configured to receive the frequency signal from the detector and determine a path of the source transport based on the frequency signal. A method for transporting a source used for brachytherapy may include detecting a frequency signal generated by at least one electronic tag associated with a source guide configured to guide a source transport for transporting the source. The frequency may vary when the source transport is proximate to the at least one electronic tag. The method may further include determining a path of the source transport based on the frequency signal.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
26.
BRACHYTHERAPY APPLICATORS HAVING ULTRASOUND ELEMENTS
A brachytherapy system includes a brachytherapy applicator. The brachytherapy applicator includes an applicator tube and a radiation source configured to deliver radiation to a tumor. At least a portion of the applicator tube is configured to conform to at least a portion of a patient's anatomy. At least one ultrasound element or probe is coupled to or embedded with the applicator tube.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
In one embodiment, a verification system for confirming the position of a conduit inserted within a patient may include an elongate control element dimensioned for insertion within the conduit. The control element has a proximal end and a distal end, and a verification element coupled to a distal region. The verification element may be configured to detect the presence of a reference marker associated with the conduit and communicate a signal indicative of the position of the reference marker relative to the verification element. The control element may also be configured to maneuver the verification element along a length of the conduit. The system may also include a drive device coupled to a proximal region of the control element for controlling movement of the control element through the conduit, a controller associated with the verification element and configured to communicate with the verification element, and a signal conductor for conducting the signal between the verification element and the controller.
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Systems, methods, and apparatuses are provided for an advanced gynecological applicator. In accordance with some embodiments, a brachytherapy applicator head and assembly is provided. The assembly may include two ovoid tubes configured to receive radiation sources, the two ovoid tubes combining to form a rounded applicator having a middle opening and comprising a plurality of needle holes to guide interstitial needles. The assembly may also include a central applicator tube configured to receive a radiation source that is located within the middle opening. Additionally, the assembly may include a vaginal cap that includes a tool-free connection to the two ovoid tubes and includes needle guides that align with the needle holes of the two ovoid tubes. The assembly may include a one-piece template for securing interstitial needles. The assembly may further include a tool- free connector to secure the two ovoid tubes to the central applicator tube.
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base accommodating a control unit for controlling an X-ray applicator and a power supply for supplying power to the X-ray applicator. The mobile X-ray unit may further include an arm associated with the base. The arm may be configured to support an X-ray applicator having an X-ray tube. The arm may be articuable. The X-ray tube may include a target element configured to generate an X-ray beam and a collimator configured to shape the X-ray beam. The target element may be disposed at a set distance from the collimator.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
Systems and methods for generating a radiation therapy treatment plan by using ultrasound images are disclosed. The method comprises obtaining a first set of image data representing a first image of an anatomical region that includes a treatment applicator inserted into the anatomical region. The method further comprises receiving tracking information indicating a position of the treatment applicator as represented in the first set of image data, obtaining a second set of image data representing a second image of the anatomical region, and combining at least a portion of the first set of image data with the second set of image data. One of the first set and the second set of image data is used to identify a target tissue portion in the anatomical region. The method further comprises generating, based on the combined image data, treatment plan information for treating the target tissue portion in the anatomical region.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
31.
Brachytherapy applicator device for insertion in a body cavity
The invention relates to a brachytherapy applicator device for insertion in a body cavity. The applicator device comprises an applicator shaped for insertion in the body cavity; the applicator comprising connectable segments; at least one connectable part having a form following wall surface shaped to follow the body cavity, the wall surface having a multichannel groove structure, so as to guide a plurality of catheters along the grooves in the groove structure along the wall surface.
The invention relates to a brachytherapy instrument comprising a body, wherein the body is provided with at least one marker comprising a material suitable to be visualized using an ultrasonic and/or magnetic resonance imaging technique. The invention further relates to an image acquisition system and a method of image acquisition.
A61B 5/055 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio faisant intervenir la résonance magnétique nucléaire [RMN] ou électronique [RME], p. ex. formation d'images par résonance magnétique
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 90/96 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des symboles, p. ex. du texte utilisant des codes-barres
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Embodiments of the disclosure are drawn to methods of forming an applicator body of an applicator for insertion into an anatomical cavity of a patient for delivering a treatment to the patient. In some instances, the method may include receiving a first three-dimensional image of the anatomical cavity, which was generated while the anatomical cavity contained an expandable container adjacent a tissue region of the patient, and while the expandable container was filled with fluid such that the container was expanded to substantially conform to the shape of at least a portion of the tissue region. The method also may include isolating, from the first three-dimensional image, a first sub-image corresponding to an image of the filled expanded container. The method further may include using the first sub-image as a design template for forming the applicator body for use with the patient.
B29C 41/02 - Façonnage par revêtement d'un moule, noyau ou autre support, c.-à-d. par dépôt de la matière à mouler et démoulage de l'objet forméAppareils à cet effet pour la fabrication d'objets de longueur définie, c.-à-d. d'objets séparés
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
B29C 33/38 - Moules ou noyauxLeurs détails ou accessoires caractérisés par la matière ou le procédé de fabrication
B29C 67/00 - Techniques de façonnage non couvertes par les groupes , ou
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base and an arm associated with the base. The arm may be configured to support an X-ray applicator having an X-ray tube. The X-ray tube may be configured to generate an X-ray beam. The X-ray applicator may include an exit surface through which the X-ray beam passes in use. The X-ray unit may further include an applicator cap for covering at least the exit surface of the X-ray applicator.
An afterloading device for effectuating a brachytherapy treatment, comprising a first elongated flexible transport element, arranged to maneuver a radiation source between a storage position inside the afterloading device and a treatment position outside the afterloading device, the afterloading device further comprising a second elongated flexible transport element, having at least one transducer, the second transport element being arranged to move the at least one transducer between a first transducer position and a second transducer position.
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include an X-ray applicator for emitting an X-ray beam for irradiating an object. The mobile X-ray unit may further include a phantom-based dosimetry system configured to perform a dosimetry check of the X-ray beam. The phantom-based dosimetry system may include two sets of dose meters, each set being positioned on a surface at a distinct depth. The mobile X-ray unit may also include a dosimetry control unit configured to receive measurements from the two sets of dose meters and determine whether the dosimetry check is passed based on the measurements.
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
An embodiment of the present disclosure is directed to a brachytherapy source assembly including a guiding wire and a brachytherapy capsule located at a distal end of the guiding wire. The capsule includes a chamber defined by a wall for holding a radioactive source. At least a portion of an exterior surface of the wall of the capsule includes at least one of a friction-reducing coating, a wear-resistant coating, and a wear-indication coating a coating.
The invention relates to a brachytherapy instrument comprising a body, wherein the body is provided with at least one marker comprising a material suitable to be visualized using an ultrasonic and/or magnetic resonance imaging technique. The invention further relates to an image acquisition system and a method of image acquisition.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
Embodiments of the disclosure relate to a method for reconstructing a spatial position of a conduit arranged to accommodate a radiotherapeutic radioactive source, The method includes displacing an object emitting radiation inside the conduit prior to the administration of a treatment, detecting said radiation using detectors; generating data upon detecting the said radiation using a processor; and reconstructing the spatial position of the conduit by the processor based on the said data to identify a delivery path of the treatment.
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
Embodiments of the present disclosure are directed to forming an applicator for insertion into an anatomica! cavity of a patient for delivering a treatment to the patient The method may include receiving a three-dimensionai image of the anatomical cavity, wherein the three-dimensional image is generated while the anatomical cavity contains an expandable container adjacent a tissue region of the patient. The container may be expanded when contained in the anatomical cavity to substantially conform to the shape of at least a portion of the tissue region forming at least a portion of the anatomical cavity. The method may further include isolating, from the three-dimensional image, a first sub-image corresponding to an image of the filled expanded container and using the sub-image as a design template for forming the applicator for use with the patient.
The invention relates to an esophagus applicator for brachy therapy, comprising a molded plastic body comprising a proximal portion and a distal portion, said body accommodating a plurality of conduits, wherein at least one conduit from the said plurality of conduits is adapted to accommodate a displaceable radioactive source, and a further conduit from the said plurality of conduits is arranged to accommodate a guidewire, said proximal portion being connectable to an after loader device, said distal portion being substantially cone-shaped.
A modular applicator (10) for enabling a brachytherapy treatment comprising a central element (1a, 1b) and one or more of peripheral elements, wherein the central element is adapted with a fixation mechanism having a core (4) for affixing the said peripheral elements thereto, wherein the fixation mechanism prevents a rotational displacement of the peripheral elements attached to the core (4) of the fixation element with respect to the central element (1a, 1b).
Embodiments of the present disclosure relate to a modular applicator for enabling a brachytherapy treatment, comprising a central core and an outer sleeve, wherein the central core is adapted with a fixation mechanism for affixing the outer sleeve to the central core, wherein the outer sleeve is manufactured from a substantially rigid or shapeable material.
A modular applicator for enabling a brachytherapy treatment comprising a central element and one or more of peripheral elements, wherein the central element is adapted with a fixation mechanism having a core for affixing the said peripheral elements thereto, wherein the fixation mechanism prevents a rotational displacement of the peripheral elements attached to the core of the fixation element with respect to the central element.
The invention relates to a modular applicator (15) for enabling a brachytherapy treatment, comprising a central core (8) and an outer sleeve (9), wherein the central core is adapted with a fixation mechanism (8a) for affixing the outer sleeve to the central core, wherein the outer sleeve is manufactured from a substantially rigid or shapeable material.
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Educational services, namely, conducting educational programs, workshops, e-learning sessions and webcasts in the field of internal radiotherapy Medical services, namely, providing medical information by the internet
Medical apparatus and instruments for use in the field of
cancer diagnostics, treatment and brachytherapy, namely,
medical apparatus for surgical interventions and
applications; brachytherapy apparatus using ionising
radiation for medical use, namely, pre-assembled sterile
needle-catheter combinations for interstitial brachytherapy
treatments.
(1) Medical apparatus and instruments for use in the field of cancer diagnostics, treatment and brachytherapy, namely, catheters for surgical interventions and applications; brachytherapy apparatus using ionising radiation for medical use, namely, pre-assembled sterile needle-catheter combinations for interstitial brachytherapy treatments.
Medical apparatus and instruments for use in the field of cancer diagnostics, treatment and brachytherapy, namely, medical apparatus for surgical interventions and applications; brachytherapy apparatus using ionising radiation for medical use, namely, pre-assembled sterile needle-catheter combinations for interstitial brachytherapy treatments
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Education services; educational programs and workshops; e-learning and webcasts. Medical services, namely providing medical information by the internet.
53.
Brachytherapy applicator device for insertion in a body cavity
The invention relates to a brachytherapy applicator device for insertion in a body cavity. The applicator device comprises an applicator shaped for insertion in the body cavity; the applicator comprising connectable segments; at least one connectable part having a form following wall surface shaped to follow the body cavity, the wall surface having a multichannel groove structure, so as to guide a plurality of catheters along the grooves in the groove structure along the wall surface.
A device, system and method for administering radiation therapy to a tissue surface of a patient utilizes an applicator capable of controlled movement and repositioning over a selected area of tissue, under the control of a computer or controller. A servo-controlled manipulator can effect a raster scan of the desired area, such as an area of the skin, and this can be in any desired pattern such as serpentine, spiral, parallel but unidirectional, or irregular patterns. Preferably a third direction of control is included, i.e. a depth direction, with an appropriate form of depth sensor, a signal from which can be used to adjust the radiation source so that radiation of the tissue surface is consistent over varied contoured.
Medical apparatus and instruments for use in the field of cancer diagnostics, treatment and brachytherapy, namely, medical apparatus for surgical interventions and applications; treatment delivery positioning accessories, namely catheters for intraluminal brachytherapy treatments.
Medical apparatus and instruments for use in the field of cancer diagnostics, treatment and brachytherapy, namely, medical apparatus for surgical interventions and applications; brachytherapy apparatus using ionising radiation for medical use, namely, pre-assembled sterile needle-catheter combinations for interstitial brachytherapy treatments.
57.
Applicators and methods for intraoperative treatment of proliferative diseases of the breast
A device for administering brachytherapy to a patient includes a vessel that may be in the form of a hollow cylindrical cup, for fleshing into and substantially filling the open-ended cavity. The vessel has a closed outer end, which may be a removable cover, and a source guide penetrates the closed outer end so as to extend deep into the vessel, to receive a radiation source in the source guide. A manipulator can be connected to the radiation source, and also to the source guide, for allowing several different types of manipulation of the source orientation and position within the vessel during the brachytherapy procedure.
The invention relates to a radioactive source tracking system adapted to determine in real time a spatial position of a gamma source (la, lb) in a volume, comprising a set of spatially distributed position sensitive detectors (PSD) (5) operable in real time arranged about the volume, a real time computer system adapted to calculate the spatial position per time stamp of the gamma source in the said volume based on respective signals generated by said PSD's, wherein the radioactive source is represented by a 3D or 4D data stream in real time. The invention further relates to a method for tracking a radioactive gamma source and a computer program product for causing a processor to determine a real time 3D or a 4D spatial position of a gamma source.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
G01T 1/178 - Dispositions de circuits non adaptés à un type particulier de détecteur pour la mesure d'une activité spécifique en présence d'autres substances radioactives, p. ex. des substances naturelles, présentes dans l'air ou dans des liquides tels que l'eau de pluie
A flexible, lightweight radiation absorbing sheet or shield includes heavy metal particles in one layer and mid-atomic number particles in another layer, the layer that will be adjacent to the patient. The shield is particularly intended for protection of the wearer and others from radiation emanating from a therapeutic source positioned within the patient's body. With the disclosed multi-layer shield construction, backscattered radiation off the heavy metal particle layer, affecting the patient's adjacent tissue, is minimized.
The invention is directed to a brachytherapy source assembly, to a kit of parts, to a method for preparing a brachytherapy source assembly, to uses of a specific coating, and to a brachytherapy treatment. The brachytherapy source assembly of the invention comprises a push/pull wire and at the distal end thereof a capsule suitable for brachytherapy, wherein said capsule comprises a chamber for holding one or more radioactive sources, said chamber being defined by a wall, and wherein at least part of the exterior surface of the wall of the capsule comprises a coating, the coating comprising one or more selected from TiN, TiCN, TiCrN, CrN, TiA1CrN, DLC, and MοS2, wherein said capsule is attached to the push/pull wire or wherein said capsule is comprised in the push/pull wire.
RADIATION THERAPY APPARATUS, NAMELY A MINIATURE ELECTRONIC X-RAY TUBE, A BALLOON APPLICATOR AND CATHETER FOR RECEIVING THE MINIATURE X-RAY TUBE TO ADMINISTER RADIATION TO A PATIENT, AN ELECTRONIC CONTROLLER FOR THE X-RAY TUBE AND FOR THE BALLOON APPLICATOR, AND A FLEXIBLE XRAY SHIELD FOR USE ON A PATIENT TO CONTAIN RADIATION
05 - Produits pharmaceutiques, vétérinaires et hygièniques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Pharmaceutical products, especially for skin cancer. Surgical and medical devices and instruments and diagnosis
devices, especially for skin cancer. Medical services, especially related to skin cancer.
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base for accommodating a control unit, a power supply, and a cooler. The mobile X-ray unit further including an articulated arm associated with the base and coupled to an X-ray applicator. The X-ray applicator including an X-ray tube having an anode for generating an acceleration field and a target element for generating an X-ray beam, wherein a longitudinal axis of the anode is substantially parallel to a longitudinal axis of the X-ray tube.
The invention relates to a mobile X-ray unit(10) comprising a base (2) for accommodating a control unit, a power supply and a cooler and further comprising an articulated displaceable arm (4a) supporting an X-ray applicator (4) comprising an X-ray tube having a longitudinal axis, said X-ray applicator being connected to the base, the X-ray tube comprising an anode for generating an acceleration field and a target for generating an X-ray beam, the anode being disposed substantially parallel to the longitudinal axis of the X-ray tube. The invention further relates to a method of manufacturing a mobile X-ray tube and a method of delivering an X-ray beam.
The invention relates to a mobile X-ray unit (10) comprising a base(2) for accommodating a control unit, a power supply and a cooler and further comprising an articulated displaceable arm (4a) supporting an X-ray applicator (4) provided with an X-ray tube, said X-ray applicator being connected to the base, the X-ray tube comprising a target for generating an X-ray beam and a collimator for shaping the generated X-ray beam, a distance between the target and the collimator being in the range between 4 and 10 cm.
The invention relates to a mobile X-ray unit (10) comprising a base(2) for accommodating a control unit and a power supply further comprising an articulated displaceable arm (4a) supporting an X-ray applicator(4) having an X-ray tube, said X-ray applicator being connected to the base using a flexible cable (3), wherein the X-ray tube comprises a target for generating an X-ray beam (8a), a collimator for shaping the generated X- ray beam and an exit surface (8) through which the X-ray beam passes in use, wherein the X-ray unit further comprises an indicator for providing a visual indication of at least a portion of the X-ray beam emitted from the exit surface.
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base for accommodating a control unit for controlling an X-ray applicator and a power supply for supplying power to the X-ray applicator. The mobile X-ray unit may further include an articulated arm associated with the base and coupled to the X-ray applicator. The X-ray applicator may have an X-ray tube configured to emit an X-ray beam through an exit window to irradiate an object. The mobile X-ray unit may further include a dosimetry system adapted for real time dosimetry.
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base for accommodating a control unit configured to control an X-ray applicator and a power supply configured to supply power to the X-ray applicator. The mobile X-ray unit may further include an articulated arm associated with the base. The arm may be configured to support the X-ray applicator. The X-ray applicator may have an X-ray tube for emitting an X-ray beam for irradiating an object. The mobile X-ray unit may further include a phantom-based dosimetry system configured to perform a dosimetry check of the X-ray beam.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
H05G 1/28 - Mesure ou enregistrement du temps d'exposition effectifComptage du nombre des expositionsMesure du temps d'exposition nécessaire
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
One embodiment of the present disclosure is directed to a mobile X-ray unit. The mobile X-ray unit may include a base and an arm associated with the base. The arm may be configured to support an X-ray applicator having an X-ray tube. The X-ray tube may be configured to generate an X-ray beam. The X-ray applicator may include an exit surface through which the X-ray beam passes in use. The X-ray unit may further include an applicator cap for covering at least the exit surface of the X-ray applicator.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
H05G 1/04 - Montage du tube à rayons X à l'intérieur d'une gaine fermée
70.
Method for identifying the location at least one treatment channel from a group of a plurality of treatment channels as well as a system for effecting radiation treatment on a pre-selected anatomical portion of an animal body
The invention relates to a method for identifying the location at least one treatment channel from a group of a plurality of treatment channels as wells as a system for effecting radiation treatment on a pre-selected anatomical portion of an animal body.
C comparing said reconstructed location said pre-planned plurality of locations.
Furthermore the system according to the invention is characterized in that identifying means are present for identifying the location of at least one treatment channel from said group of said plurality of inserted treatment channels and comparing said identified location with one or more of said pre-planned locations present in said treatment plan.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
The invention relates to a mobile X-ray unit comprising a base (2), a mast (5) cooperating with the base and an articulated arm (4a), mechanically coupled to the mast and supporting an X-ray applicator (4) provided with an X-ray tube, the mast (5) being displaceable with respect the base (2) in an upward direction, the articulated arm (4a) comprising a ball joint (6b) at one end and a rotational joint (6a) at another end for adjusting a spatial position of the X-ray applicator (4) in use.
The invention relates to a mobile X-ray unit (10) comprising a base (2) for accommodating a control unit and a power supply, further comprising an articulated displaceable arm (4a) supporting an X-ray applicator (4) provided with an X-ray tube, the X-ray applicator comprising an exit surface through which the X-ray beam passes in use and an applicator cap for covering at least the exit surface.
The invention relates to a mobile X-ray unit comprising a base (2) for accommodating a control unit and a power supply further comprising an articulated displaceable arm (4a) supporting an X-ray applicator (4) having an X-ray tube for emitting an X-ray beam (8a) through an exit window (8) for irradiating an object, wherein the X-ray unit further comprises a phantom- based dosimetry system (9a, 9b, 9c) adapted to perform the on-line or real-time dosimetry check of the X-ray beam.
The invention relates to a mobile X-ray unit (10) comprising a base(2) for accommodating a control unit and a power supply further comprising an articulated displaceable arm (4a) supporting an X-ray applicator(4) having an X-ray tube for emitting an X-ray beam (8a) through an exit window (8) for irradiating an object, the X-ray unit further comprises a built-in dosimetry system (9) adapted to carry out the on-line or real time dosimetry.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
H05G 1/44 - Commande du temps d'exposition en utilisant des dispositions pour interrompre lorsqu'une dose prédéterminée de radiation a été appliquée, p. ex. dans lequel l'instant d'interruption est déterminé par la mesure de l'énergie électrique fournie au tube dans lequel l'instant d'interruption est déterminé directement par la quantité de rayonnement
05 - Produits pharmaceutiques, vétérinaires et hygièniques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
[ Pharmaceutical preparations for treatment of skin cancer ] [ Surgical and ] medical devices [ and instruments and diagnosis devices ] used in the treatment of skin cancer, namely, medical x-ray [ apparatus and medical ] radiation [ apparatus to deliver x-ray radiation for surface ] * treatment apparatus for skin * brachytherapy procedures [ Medical services, especially related to skin cancer ]
76.
Method and apparatus for determining the position of a surgical tool relative to a target volume inside an animal body
The invention relates to a method for determining the position of a surgical tool relative to a target volume inside an animal body according to a pre-plan comprising the steps of i) obtaining a plurality of two-dimensional images of said target volume using imaging means, each 2D-image being represented by an image data slice I(x,y,z); ii) reconstructing from said plurality of image data slices I(x,y,z) a three-dimensional image of said target volume using transformation means, said 3D-image being represented by a volumetric image data array V(x,y,z); iii) displaying said three-dimensional image of said target volume to an user using displaying means.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 5/055 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio faisant intervenir la résonance magnétique nucléaire [RMN] ou électronique [RME], p. ex. formation d'images par résonance magnétique
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
77.
Proportional attenuation of radiation in brachytheraphy treatment
Attenuating masks for selective attenuation of radiation, particularly from an x-ray source in brachytherapy, employ materials having atomic number in a specific range, so as to attenuate radiation dose intensity generally proportionally through a range of distance from the source. Some preferred attenuation materials are silver and molybdenum. A set of small masks can be provided for a particular design of catheter that holds a radiation source, each mask having a size and shape to define a different solid angle of masking, so that in a brachytherapy procedure, sensitive tissue such as bone or skin can be protected by proper selection of and positioning of the attenuating mask, to reduce the dose intensity to that tissue.
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
78.
Components and assembly for performing brachytherapy treatment of tumour tissue in a human and animal body
The invention relates to an assembly for performing brachytherapy treatment of tumor tissue in a human or animal body comprising an intracavitary component and at least one guiding unit, said at least one guiding unit exhibiting a longitudinal axis and being connectable to said intracavitary component, and wherein said at least one guiding unit is provided with coupling means for coupling at least one interstitial needle-assembly for delivering treatment to said tumor tissue. The assembly has coupling/uncoupling means arranged to allow a displacement of said at least one interstitial needle-assembly in a direction transverse to said longitudinal axis and to prevent a displacement of said at least one interstitial needle-assembly in a direction parallel to or a pre-defined angle to said longitudinal axis. This coupling principle allows for the preparation of the guiding unit before the patient is being hospitalized and positioned in the treatment room and will prevent the unwanted uncoupling of the interstitial needle-assembly during the actual treatment being performed, further reducing the risk of adversely affected treatment parameters (location and duration of the radiation being administered to the patient).
A61M 36/10 - Application utéro-vaginale ou pelvienne
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A61M 37/00 - Autres appareils pour introduire des agents dans le corpsPercutanisation, c.-à-d. introduction de médicaments dans le corps par diffusion à travers la peau
A61B 90/11 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre avec des guides pour aiguilles ou instruments, p. ex. des glissières courbes ou des articulations à rotule
A61B 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
The invention relates to a brachytherapy applicator device for insertion in a body cavity. The applicator device comprises an applicator shaped for insertion in the body cavity; the applicator comprising connectable segments; at least one connectablepart having a form following wall surface shaped to follow the body cavity, the wall surface having a multichannel groove structure, so as to guide a plurality of catheters along the grooves in the groove structure along the wall surface.
The invention relates to a brachytherapy applicator device for insertion in a body cavity. The applicator device comprises an applicator shaped for insertion in the body cavity; the applicator comprising connectable segments; at least one connectable part having a form following wall surface shaped to follow the body cavity, the wall surface having a multichannel groove structure, so as to guide a plurality of catheters along the grooves in the groove structure along the wall surface.
A device, system and method for administering radiation therapy to a tissue surface of a patient utilizes an applicator capable of controlled movement and repositioning over a selected area of tissue, under the control of a computer or controller. A servo-controlled manipulator can effect a raster scan of the desired area, such as an area of the skin, and this can be in any desired pattern such as serpentine, spiral, parallel but unidirectional, or irregular patterns. Preferably a third direction of control is included, i.e. a depth direction, with an appropriate form of depth sensor, a signal from which can be used to adjust the radiation source so that radiation of the tissue surface is consistent over varied contoured.
This invention relates to an assembly for performing brachytherapy treatment of tumour tissue in an animal body comprising at least a longitudinally extending intracavitary component and at least a guiding unit which extends at least partly parallel to said intracavitary component. Said guiding unit comprises at least one interstitial needle for guiding a radiation source into the tumour tissue. Said guiding unit is tubular over at least a longitudinal distance sufficient that in use a proximal end of said guiding unit is situated outside said body to be treated, while a distal end of said guiding unit is situated in situ close to or adjacent the tumour tissue.
RADIATION THERAPY APPARATUS, namely, A MINIATURE ELECTRONIC X-RAY TUBE, A BALLOON APPLICATOR AND CATHETER FOR RECEIVING THE MINIATURE X-RAY TUBE TO ADMINISTER RADIATION TO A PATIENT, AN ELECTRONIC CONTROLLER FOR THE X-RAY TUBE AND FOR THE BALLOON APPLICATOR, AND A FLEXIBLE X-RAY SHIELD FOR USE ON A PATIENT TO CONTAIN RADIATION, ALL SOLD AS A UNIT
84.
Applicators and methods for intraoperative treatment of proliferative diseases of the breast
A device for administering brachytherapy to a patient includes a vessel that may be in the form of a hollow cylindrical cup, for fleshing into and substantially filling the open-ended cavity. The vessel has a closed outer end, which may be a removable cover, and a source guide penetrates the closed outer end so as to extend deep into the vessel, to receive a radiation source in the source guide. A manipulator can be connected to the radiation source, and also to the source guide, for allowing several different types of manipulation of the source orientation and position within the vessel during the brachytherapy procedure.
Attenuating masks for selective attenuation of radiation, particularly from an x-ray source in brachytherapy, employ materials having atomic number in a specific range, so as to attenuate radiation dose intensity generally proportionally through a range of distance from the source. Some preferred attenuation materials are silver and molybdenum. A set of small masks can be provided for a particular design of catheter that holds a radiation source, each mask having a size and shape to define a different solid angle of masking, so that in a brachytherapy procedure, sensitive tissue such as bone or skin can be protected by proper selection of and positioning of the attenuating mask, to reduce the dose intensity to that tissue.
Methods and applicator apparatus are disclosed for brachytherapy treatment of tissue surrounding a cavity in a patient, particularly a resection cavity. In treatment regimes requiring recovery time between successive radiation treatments, applicators of the invention are retained under the skin, with the skin allowed to at least partially heal, and are re-accessed later for one or more subsequent treatments. To reduce patient discomfort an anesthetic agent can be infused through the applicator to patient tissue, for insertion, balloon inflation or removal of the applicator.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Scientific apparatus and instruments for use in the field of
cancer diagnostics and treatment and brachytherapy,
including image guided brachytherapy and adaptive
brachytherapy; apparatus and instruments in the form of
computer hardware and computer software for use in radio
oncology; brachytherapy treatment systems comprised of
medical software and hardware for use in performing
intraluminal, interstitial and intraoperative procedures and
outpatient treatment and medical computer software and
apparatus for imaging and real time imaging; brachytherapy
apparatus using ionising radiation for scientific purposes
and not for medical use. Medical apparatus and instruments for use in the field of
cancer diagnostics and treatment and brachytherapy,
including image guided brachytherapy and adaptive
brachytherapy, afterloaders, applicators, needles, catheters
and templates, all for use in radio oncology, cancer and
brachytherapy treatment; medical apparatus for surgical
interventions and applications; brachytherapy apparatus
using ionising radiation for medical use; bio-absorbable
materials for medical and surgical use, including
implantable radiation therapy devices consisting of
radioactive seeds and a bio-absorbable carrier assembly;
permanent implants of artificial materials; medical
disposables, including disposable syringes and applicators;
nanomaterials and nano sources for medical use, namely a
delivery system comprising a device that produces
nanomaterials and nano sources to diagnose or treat cancer. Design, development, programming and updating of computer
hardware and computer software in the medical field;
installation, maintenance and repair of computer software in
the medical field; scientific and technological services,
namely research and design services.
88.
Brachytherapy apparatus and method for use with minimally invasive surgeries of the lung
Brachytherapy treatment of a patient's lung tissue following resection is effected using a balloon applicator which is inserted, normally through the same opening used for the surgery, through the chest wall and into the cavity. The lung and chest openings are closed around the applicator and generally sealed around the applicator. A suction port is provided, in a suction circuit of the applicator, to withdraw fluid from the pleural cavity, at intervals as needed, to assure that the lung can be inflated. Different embodiments of suction circuits are disclosed. A bronchial applicator and method are also disclosed.
A customized gynecological brachytherapy applicator is formed by placing a molded balloon, which is secured to a handle, into a vaginal cavity and then filling the mold balloon with a settable liquid material. The material may be an expanding foam or any other form of curable material that becomes solid, rigid or pliable, when set by chemical action, temperature change, oxidation, a curing means such as a light, or other curing regime. The mold balloon can be elastic or inelastic, depending on the degree to which the applicator is to conform its external surfaces to the vaginal contours. One or more lumina are provided in the set filler material to receive a radiation source, with additional lumina optionally provided for purposes such as drainage or administration of therapeutic agents. The applicator may be withdrawn and reinserted into the vagina during treatment, and selected tissues adjacent to the applicator are irradiated in accordance with a radiation prescription.
A customized gynecological brachytherapy applicator is formed by placing a molded balloon, which is secured to a handle, into a vaginal cavity and then filling the mold balloon with a settable liquid material. The material may be an expanding foam or any other form of curable material that becomes solid, rigid or pliable, when set by chemical action, temperature change, oxidation, a curing means such as a light, or other curing regime. The mold balloon can be elastic or inelastic, depending on the degree to which the applicator is to conform its external surfaces to the vaginal contours. One or more lumina are provided in the set filler material to receive a radiation source, with additional lumina optionally provided for purposes such as drainage or administration of therapeutic agents. The applicator may be withdrawn and reinserted into the vagina during treatment, and selected tissues adjacent to the applicator are irradiated in accordance with a radiation prescription.
A template, to be provided at some distance from the skin, provided with multiple guide holes for needles or catheters of which one or more can anchor in the prostate. The template is provided with a locking mechanism so that, after placement, the anchored needles keep all needles in their original places. The above-described method of fixedly positioning a treatment template prevents the needles from moving due to swelling of the tissue in the prostate, which causes the irradiation source, which is later provided in the needles, to improperly irradiate the area.
A61M 5/00 - Dispositifs pour faire pénétrer des agents dans le corps par introduction sous-cutanée, intravasculaire ou intramusculaireAccessoires à cet effet, p. ex. dispositifs de remplissage ou de nettoyage, appuis-bras
A61M 5/32 - AiguillesParties constitutives des aiguilles relatives au raccordement de celles-ci à la seringue ou au manchonAccessoires pour introduire l'aiguille dans le corps ou l'y maintenirDispositifs pour la protection des aiguilles
92.
Method for adaptive radiation treatment of breast tissue surrounding a cancer resection cavity of arbitrary shape
Radiation treatment methods for breast cancer following resection, both intraoperative and post operative, involve mapping preferably using an electronic x-ray source, and can include rotation of a direction source. By using a very rapid, near-instantaneous method of pathology of tissue margins following resection, the invention carries out intraoperative radiation treatment, preferably with the patient remaining anesthetized. Whether or not radiation is intraoperative, the invention preferably includes a mapping procedure using an electronic source that is progressed through the resection cavity while radiation dose is sensed at one or more points, to determine the shape of the resection cavity.
A source guide apparatus for brachytherapy application, wherein the source guide apparatus is provided with a source capsule, a guidewire for moving the source capsule through a catheter, a mechanical connection between the guidewire and the source capsule, wherein the source guide apparatus is provided with a sleeve which is attached on the capsule, wherein the sleeve envelops at least a part of the mechanical connection.
Brachytherapy applicators incorporate various forms of selective shielding devices for controlling the direction and intensity of radiation directed at a patient's tissue. In some forms the applicators include a retractable sheath, in some a series of retractable fingers. In other forms the applicator, having an inflatable balloon, has a shield which is retractable from a position adjacent to the balloon or retracted from the balloon, or a shield can itself be inflatable, separately or together with the balloon.
Treatment of lesions in any luminal or organ system of mammalian anatomy is performed using an electronic source of ionizing radiation and aided by an endoscopic or percutaneous approach.
An apparatus is described for irradiating cervical cancer, comprising multiple source guide tubes with a coupling piece situated outside the patient that connects the tubes outside the patient. The source guide tubes are formed such that the portions of the tubes situated in the patient upon insertion hook to each other so that the tubes are locked relative to each other. In an embodiment, the apparatus further comprises a central catheter tube to be guided into the uterus, which is provided with a flange-shaped stop for stabilizing the central tube relative to the uterus, the stop being formed for securing a position of the central tube relative to the further source guide tubes.
The invention relates to a source guide apparatus for guiding and locating a radiation source in a human body, wherein a catheter is provided in a body and connected to the apparatus, and wherein the proximal end is kept in a predetermined position with respect to the body. According to the invention, a treatment window is set, which is situated within the body, within which the source can be kept in respective positions, wherein the treatment window has a fixed window width and a reference position situated at a predetermined distance with respect to the proximal end of the catheter. The source guide apparatus guides the source through the catheter to a predetermined position in the body, measured relative to the treatment window.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
37 - Services de construction; extraction minière; installation et réparation
41 - Éducation, divertissements, activités sportives et culturelles
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Scientific apparatus and instruments, including scientific
apparatus and instruments in the field of cancer and
brachytherapy, including image guided brachytherapy and
adaptive brachytherapy; computer hardware and computer
software in the medical field, including computer hardware
and computer software for use in radio-oncology;
brachytherapy treatment systems (being medical software or
hardware) as well as medical computer software and apparatus
for imaging and real time imaging; non medical electronic
apparatus (as far as not included in other classes) for use
in cancer therapy; x-ray brachytherapy apparatus (not for
medical use) for scientific purposes. Medical apparatus and instruments, including medical
apparatus and instruments in the field of cancer and
brachytherapy, including image guided brachytherapy and
adaptive brachytherapy, afterloaders, applicators, needles
and templates, all for use in radio-oncology, cancer and
brachytherapy treatment; medical apparatus for microsurgery
interventions and applications; x-ray brachytherapy
apparatus (for medical use); bioabsorbable materials for
medical and surgical use, permanent implants (of artificial
materials), medical disposables, nanomaterials and
nanosources for medical use. Installation, maintenance and repair of computer hardware in
the medical field. Education, training and organizing of congresses, workshops,
courses, seminars and user meetings (also in-house) in the
field of radiation therapy. Design, development, programming and updating of computer
hardware and computer software in the medical field;
installation, maintenance and repair of computer software in
the medical field; scientific and technological services as
well as accompanying research and design services.
100.
Method for identifying the location of at least one treatment channel that is one of a plurality of treatment channels, as well as a system for effecting radiation treatment on a pre-selected anatomical portion of an animal body
The invention relates to a method for identifying the location at least one treatment channel from a group of a plurality of treatment channels as wells as a system for effecting radiation treatment on a pre-selected anatomical portion of an animal body.
C comparing said reconstructed location said pre-planned plurality of locations.
Furthermore the system according to the invention is characterized in that identifying means are present for identifying the location of at least one treatment channel from said group of said plurality of inserted treatment channels and comparing said identified location with one or more of said pre-planned locations present in said treatment plan.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
