Tumor treatment

• US 6,083,148 A
• Filed: 09/22/1998
• Issued: 07/04/2000
• Est. Priority Date: 06/14/1991
• Status: Expired due to Term

• Current Assignee: Cytyc Corporation (Hologic Incorporated)
• Original Assignee: Proxima Therapeutics, Inc.
• Inventors: Williams, Jeffery A.
• Primary Examiner(s): Lacyk, John P.
• Application Number:
  US09/158,682
• Time in Patent Office: 651 Days
• Field of Search: 600/1-4, 604/19, 604/20, 607/1-3, 607/88, 607/96, 607/99, 607/100, 607/101, 607/103, 607/105, 607/106, 607/107, 607/113, 607/114
• US Class Current: 600/2
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2039/0211 with multiple chambers in a single site
• CPC Class Codes: A61M 2205/32 with radio-opaque indicia
• CPC Class Codes: A61M 2210/0687 Skull, cranium
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 5/427 Locating point where body is to be pierced, e.g. vein location means using ultrasonic waves, injection site templates
• CPC Class Codes: A61N 1/40 Applying electric fields by inductive or capacitive coupling microwave apparatus A61N5/00; Applying radio-frequency signals
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia
• CPC Class Codes: A61N 2005/1021 Radioactive fluid
• CPC Class Codes: A61N 5/1014 Intracavitary radiation therapy
• CPC Class Codes: A61N 5/1015 Treatment of resected cavities created by surgery, e.g. lumpectomy
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A completely implantable apparatus is provided for treatment of tissue surrounding a cavity left by surgical removal of a brain tumor. The apparatus includes an inflatable balloon constructed for placement in the cavity. A subcutaneously implantable treatment fluid receptacle is provided for receiving a transdermal injection of a treatment fluid. A catheter connects the receptacle to the inflatable balloon. Various embodiments provide for simultaneous application of heat therapy and/or radiation therapy and/or chemotherapy to the remaining tissue surrounding the cavity from which the tumor was removed.

Claims

1. An apparatus for placement in a body cavity in a patient, said apparatus comprising:

a balloon having an inflated state in which a treatment fluid fills said balloon and a deflated state in which said treatment fluid is evacuated from said balloon, said balloon being adapted, in its inflated state, to fit into said cavity;

a catheter for delivery of said treatment fluid into said balloon; and

an external energy transmitter for transmitting energy into said balloon.

2. The apparatus of claim 1, further comprising a temperature monitor in thermal communication with said treatment fluid, said temperature monitor generating a signal responsive to the temperature of said treatment fluid.

3. The apparatus of claim 2, wherein said temperature monitor comprises an oscillator having an oscillation frequency responsive to the temperature of said treatment fluid, said oscillation frequency thereby generating a temperature signal.

4. The apparatus of claim 3, further comprising an antenna tuned to receive said temperature signal generated by said oscillator.

5. The apparatus of claim 2, wherein said temperature monitor is disposed inside said balloon.

6. The apparatus of claim 2, wherein said temperature monitor is disposed adjacent to said catheter.

7. The apparatus of claim 2, wherein said balloon has an inner wall and an outer wall and said temperature monitor is disposed between said inner wall and said outer wall.

8. The apparatus of claim 2, wherein said balloon has an inner wall and an outer wall and said temperature monitor is disposed inside said inner wall.

9. The apparatus of claim 1, wherein said external energy transmitter comprises an ultrasonic transmitter.

10. The apparatus of claim 1, wherein said external energy transmitter comprises a microwave transmitter.

11. The apparatus of claim 10, wherein said microwave transmitter operates at a frequency between 200 Mhz and 400 Mhz.

12. The apparatus of claim 10, further comprising suture tabs for attaching a microwave receiver to the patient.

13. The apparatus of claim 10, wherein said microwave receiver is subcutaneously implanted.

14. The apparatus of claim 13, wherein said microwave receiver comprises a metallic element for transforming incident microwave energy into thermal energy for heating said treatment fluid.

15. The apparatus of claim 14, further comprising thermal insulation adjacent to said metallic element thereby reducing heating of adjacent tissue.

16. The apparatus of claim 1, further comprising a heat-conducting element implanted in said balloon.

17. The apparatus of claim 1, wherein said catheter extends outside of said patient.

18. The apparatus of claim 1, further comprising a hollow bolt extending from the inside of said patient to the outside of said patient, said bolt having said catheter passing therethrough.

19. A method for treating tissue lining a body cavity in a patient, said method comprising the steps of:

inserting an inflatable balloon into said body cavity;

inflating said balloon with a treatment fluid, thereby placing said treatment fluid in proximity with said tissue;

transmitting energy into said balloon for heating said treatment fluid.

20. The method of claim 19, further comprising the step of removing said treatment fluid from said balloon.

21. The method of claim 19, wherein said step of transmitting energy into said balloon comprises the step of illuminating said balloon with microwave energy.

22. The method of claim 19, wherein said step of transmitting energy into said balloon comprises the step of illuminating said balloon to ultrasonic energy.

23. The method of claim 19, wherein said step of transmitting energy into said balloon further comprises the step of heating a heat conducting element implanted within said balloon.

24. The method of claim 19, further comprising the step of detecting the amount of energy transmitted into said balloon.

25. The method of claim 24, wherein said step of detecting the amount of energy transmitted into said balloon comprises the step of generating a temperature signal with an oscillator having an oscillation frequency responsive to the temperature of said treatment fluid.

26. The method of claim 25, wherein said step of detecting the amount of energy transmitted into said balloon further comprises the step of detecting said temperature signal with an antenna tuned to receive said temperature signal.

27. The method of claim 24, wherein said step of detecting the amount of energy transmitted into said balloon comprises the step of placing a temperature monitor inside said balloon.

28. The method of claim 24, wherein said step of detecting the amount of energy transmitted into said balloon comprises the step of placing a temperature monitor adjacent to a catheter in fluid communication with said balloon.

29. The method of claim 21, wherein said step of illuminating said balloon with microwave energy comprises the step of selecting the frequency of said microwave energy to be between 200 Mhz and 400 Mhz.

30. The method of claim 21, further comprising the step of attaching a microwave receiver to said patient.

31. The method of claim 21, further comprising the step of subcutaneously implanting a microwave receiver within said patient.

32. The method of claim 23, further comprising the step of providing thermal insulation between said heat conducting element and said tissue.

33. The method of claim 19, wherein said inflating step further comprises the step of providing a catheter for connecting said balloon to the outside of said patient.

34. The method of claim 33, wherein said step of inflating said balloon further comprises the steps of providing a hollow bolt extending from the inside of said patient to the outside of said patient, and passing said catheter through said hollow bolt.