Minimally invasive medical device for providing a radiation treatment

• US 5,484,384 A
• Filed: 10/11/1994
• Issued: 01/16/1996
• Est. Priority Date: 01/29/1991
• Status: Expired due to Fees

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: MED Institute, Inc. (Cook Group Incorporated)
• Inventors: Fearnot, Neal E.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/321,106
• Time in Patent Office: 462 Days
• Field of Search: 600/3, 600/7, 128/657, 128/658, 128/653.4-654, 128/656
• US Class Current: 600/3
• CPC Class Codes: A61B 2017/22068 Centering
• CPC Class Codes: A61M 2025/1047 having centering means, e.g. balloons having an appropriate shape
• CPC Class Codes: A61N 2005/1003 having means for centering a radioactive source within the lumen, e.g. balloons
• CPC Class Codes: A61N 2005/1004 having expandable radiation sources
• CPC Class Codes: A61N 2005/1018 with multiple channels for guiding radioactive sources
• CPC Class Codes: A61N 2005/1021 Radioactive fluid
• CPC Class Codes: A61N 2005/1025 Wires
• CPC Class Codes: A61N 5/1002 Intraluminal radiation therapy

Abstract

A minimally invasive medical device (10, 23, 31, 40, 41, 46, 49) for providing a selected and controlled radiation dosage to the vascular system of a patient. The device includes an outer sheath (15) with an inner elongated member (55) slidably disposed in the passage (59) of the outer sheath. The inner elongated member has an expandable distal portion (11) of spring wires (12, 13) looped about a distal end 14 of the inner elongated member. The inner elongated member also includes a proximal portion (17) extending from the proximal end (58) of the outer sheath for extending and withdrawing the expandable distal portion from the distal end (56) of the outer sheath. The spring wires of the expandable distal portion include a radiation source (18) alloyed with or disposed around the spring wires. The inner elongated member also alternatively includes a catheter (60) with an inflatable balloon (38) forming the expandable distal portion thereof.

Claims

1. A minimally invasive medical device for providing a radiation treatment, comprising:

an outer sheath having a distal end, a proximal end, and a passage extending longitudinally therein; and

an inner elongated member having an expandable distal portion and a proximal portion that is slidably disposed in said passage of said outer sheath, said proximal portion having a proximal end extending from said proximal end of said outer sheath and movable with respect to said proximal end of said outer sheath for extending said expandable distal portion from said distal end of said outer sheath, said expandable distal portion biased to an expanded condition when extended from said distal end of said outer sheath, said expandable distal portion also including a radiation source.

2. The medical device of claim 1 wherein said expandable distal portion includes an expandable wire basket.

3. The medical device of claim 2 further including a wire guide extendable through said expandable distal portion.

4. The medical device of claim 1 wherein said expandable distal portion includes a first spring wire and a second spring wire looped about a distal end of said inner elongated member.

5. The medical device of claim 4 wherein said radiation source comprises a radioactive material and wherein said radioactive material and said spring wires are combined to form radioactive metal alloy spring wires.

6. The medical device of claim 4 wherein said radiation source comprises a radioactive surface coating.

7. The medical device of claim 4 wherein said radiation source comprises a radioactive material sleeve disposed around said spring wires.

8. The medical device of claim 4 wherein said spring wires are helically shaped.

9. The medical device of claim 8 further comprising a coil extending distally from and rotatably connected to said spring wires.

10. The medical device of claim 9 wherein said coil has a proximal end and a distal end with greater flexibility than that of said proximal end of said coil.

11. The medical device of claim 10 wherein said coil includes a tapered mandril positioned in said coil.

12. A minimally invasive medical device for providing a radiation treatment, comprising:

an outer sheath having a distal end, a proximal end, and a passage extending longitudinally therein;

a basket having a first spring wire and a second spring wire, said basket being positionable in said passage of said outer sheath, being in a collapsed condition when positioned in said passage of said outer sheath, and being in an expanded condition when extended from said distal end of said outer sheath; and

a radiation source disposed about said spring wires.

13. The medical device of claim 12 wherein said radiation source and said first and second wires are combined to form first and second radioactive metal alloy wires.

14. The medical device of claim 12 wherein said radiation source comprises a radioactive material surface coating on said spring wires.

15. The medical device of claim 12 wherein said radiation source comprises a layer of radioactive material on said spring wires.

16. The medical device of claim 12 wherein said radiation source comprises tubular sleeves disposed on said spring wires.

17. A minimally invasive medical device for providing a radiation treatment, comprising:

an outer polytetrafluoroethylene sheath having a distal end, a proximal end, and a passage extending longitudinally therein;

a basket having a first stainless steel spring wire and a second stainless steel spring wire, said basket being positionable in said passage of said outer sheath, being in a collapsed condition when positioned in said outer sheath, and being in an expanded condition when extended from said distal end of said outer sheath, said first and said second stainless steel spring wires extending through and having a proximal end extending from said proximal end of said outer sheath, said proximal end of said first and said second stainless steel spring wires being movable for slidably positioning said basket in and out of said passage of said outer sheath; and

an iridium material combined with said first and said second stainless steel spring wires to form a first and a second radioactive metal alloy spring wire.