Medical radiation treatment delivery apparatus

• US 6,251,059 B1
• Filed: 03/04/1999
• Issued: 06/26/2001
• Est. Priority Date: 09/11/1997
• Status: Expired due to Term

• Current Assignee: Marc G. Apple
• Original Assignee: Cook Incorporated (Cook Group Incorporated), MED Institute, Inc. (Cook Group Incorporated)
• Inventors: Apple, Marc G., Bates, Brian L., Fearnot, Neal E., DeFord, John A.
• Primary Examiner(s): Lacyk, John P.
• Application Number:
  US09/262,620
• Time in Patent Office: 845 Days
• Field of Search: 600/1-8
• US Class Current: 600/3
• CPC Class Codes: A61M 2025/1047 having centering means, e.g. balloons having an appropriate shape
• CPC Class Codes: A61M 2025/1072 having balloons with two or more compartments
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61N 5/1002 Intraluminal radiation therapy
• CPC Class Codes: A61N 5/1048 Monitoring, verifying, controlling systems and methods

Abstract

A catheter apparatus (20) and radiation dosimetry unit indicator (21) for delivery of a prescribed radiation dose to a patient. The catheter is filled with a radiation carrier material such as an inert radioactive gas (12) for the treatment of, for example, restenosis after angioplasty, and malignancies. The inflated catheter includes a plurality of discrete chambers such as balloon sections (22, 24, 26) for transporting the radioactive carrier material, and a plurality of discrete chambers (32, 34, 36) enabling substantial blood flow through the artery during treatment with the prescribed radiation. The inflated catheter can also comprise a one-unit balloon. A specific metal coating enhances the radiation dose delivered to the target. The wall (25) of the inflation lumen attenuates transmission dose to the blood circulating through the hollow inner lumen of the catheter device. The system also creates increased by-product radiation, from the impact of beta particles and gamma protons traveling toward the lumen wall. A radiation dosimetry unit indicator (21) is positioned, disposed, or affixed to a calibrated catheter to assist the physician in prescribing radiation activity and exposure times.

Claims

1. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion; and

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

said indicator including information that designates the expected dose in mCi of xenon-133 that the average patient would receive from the device.

2. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion,

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

said indicator including information that designates the average total body exposure for a patient per treatment for a given dose and/or treatment time.

3. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion;

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

said indicator including information that designates the expected average exposure to bedside personnel.

4. The device of claim 3, wherein said information includes the expected dose at a given distance from the injected balloon source.

5. The device of claim 3, wherein said information includes the total superficial dose per treatment for a given dose and/or treatment time.

6. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion;

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

said indicator including information expresses a standard of reference regarding exposure.

7. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion;

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

total routine radiation exposure to the patient from the delivery device is between 50 mrem and 50 rem.

8. The device of claim 7, wherein the total routine radiation exposure to the patient is between 50 mrem and 100 mrem.

9. A medical radiation treatment delivery device comprising:

a radioactive fluid delivery device (20) having at least a portion through which radiation from a radioactive fluid (12) is to be radiated to provide medical treatment, said at least portion of said radioactive fluid device having a radiation dosimetry unit of measurement indicative of the radiation that is to be radiated through said at least portion;

an indicator (21) affixed to said radioactive fluid delivery device and indicative of said radiation dosimetry unit of measurement, and

a total body dose limit and/or whole organ dose limit is between 1 mrem and 5 rem.

10. The device of claim 9, wherein the total body dose limit and/or whole organ dose limit is between 1 mrem and 5 mrem.