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    • 1. 发明授权
    • Intravascular radiation delivery system
    • 血管内辐射输送系统
    • US06582353B1
    • 2003-06-24
    • US09618253
    • 2000-07-18
    • Roger N. HastingsThomas R. HektnerStewart M. Kume
    • Roger N. HastingsThomas R. HektnerStewart M. Kume
    • A61N500
    • A61M25/0127A61M25/1002A61M2025/0177A61M2025/1047A61M2025/105A61M2025/1095A61N5/1002A61N2005/1003
    • An intravascular radiation delivery system including a catheter, a radiation source disposed in an open-ended lumen in the catheter and a closed-ended sheath surrounding the radiation source so as to prevent blood and other fluids from coming into contact with the radiation source. Preferably, the open-ended lumen is centered in the balloon for uniform radiation delivery. The catheter may include a blood perfusion lumen under the balloon or around the balloon. The open-ended lumen in the catheter may have a reduced diameter adjacent the distal end of the catheter to prevent the radiation source from exiting the lumen. Methods of using the radiation delivery system are also disclosed. An alternative method of delivering radiation to a treatment site inside the vasculature of a patient using a gas-filled balloon catheter and a radiation source disposed in the balloon catheter. The treatment site is exposed to radiation, preferably beta radiation, through the gas-filled balloon.
    • 一种血管内辐射传播系统,包括导管,设置在导管内的开放式腔内的辐射源和围绕辐射源的封闭护套,以防止血液和其它流体与辐射源接触。 优选地,开口腔在球囊中居中以使辐射均匀。 导管可以包括气囊下方或气球周围的血液灌注腔。 导管中的开口腔可以具有邻近导管远端的减小的直径,以防止辐射源离开内腔。 还公开了使用辐射递送系统的方法。使用设置在球囊导管中的充气球囊导管和辐射源将辐射递送到患者脉管系统内部的治疗部位的替代方法。 通过充气球囊将治疗部位暴露于辐射,优选β辐射。
    • 3. 发明授权
    • System and method of providing a blood-free interface for intravascular
light delivery
    • 为血管内光输送提供无血界面的系统和方法
    • US5876426A
    • 1999-03-02
    • US662585
    • 1996-06-13
    • Stewart M. KumeThomas R. Hektner
    • Stewart M. KumeThomas R. Hektner
    • A61B18/00A61B18/24A61M3/02A61M29/02A61M29/00
    • A61M25/104A61B18/245A61B2018/0097A61M2025/105A61M2025/1072A61M3/0279
    • A system and method of providing a blood-free interface for intravascular light delivery is disclosed. The method includes the steps of inserting a balloon catheter into the vasculature of a patient wherein the balloon catheter includes an infusion layer disposed about the balloon; inserting a light delivery catheter into the working lumen of the balloon catheter; inflating the balloon to displace blood inside the vasculature; infusing a liquid to displace blood between the inflated balloon and the inside wall of the vasculature so as to provide a relatively blood-free interface; and delivering light through the blood-free interface to the vasculature from the light delivery catheter. Fluid may be infused into the working lumen of the balloon catheter and around the light delivery catheter in order to displace any blood in the lumen. The system includes a light delivery catheter and a balloon catheter where the balloon catheter includes a long shaft having an inflation lumen, an infusion lumen and a working lumen. A balloon is connected to the distal end of the shaft and an infusion layer is disposed about the balloon. The catheter may include one or more radial restraints disposed about the balloon to center the working lumen and to limit the expandable diameter of the balloon. The radial restraint imparts flexibility and allows the balloon and the working lumen to be centered in vasculature that is curved (i.e., non-linear).
    • 公开了提供用于血管内光输送的无血界面的系统和方法。 该方法包括以下步骤:将气囊导管插入患者的脉管系统中,其中气囊导管包括围绕气囊设置的输注层; 将光输送导管插入到气囊导管的工作腔中; 充气气球以置换血管内的血液; 输注液体以置换充气气囊和脉管系统内壁之间的血液,以提供相对无血液的界面; 并将光通过无血清界面从光输送导管输送到脉管系统。 可以将流体输入气囊导管的工作腔和光输送导管周围,以便置换内腔中的任何血液。 该系统包括光输送导管和球囊导管,其中气囊导管包括具有充气腔,输液腔和工作腔的长轴。 气球连接到轴的远端,并且输注层围绕气球设置。 导管可以包括围绕气囊设置的一个或多个径向限制器,以使工作腔体居中并限制气囊的可扩张直径。 径向约束提供了灵活性,并允许气球和工作腔在弯曲(即非线性)的脉管系统中居中。