WO1998001179A1 - Needle assembly for brachytherapy - Google Patents

Needle assembly for brachytherapy Download PDF

Info

Publication number
WO1998001179A1
WO1998001179A1 PCT/NL1997/000390 NL9700390W WO9801179A1 WO 1998001179 A1 WO1998001179 A1 WO 1998001179A1 NL 9700390 W NL9700390 W NL 9700390W WO 9801179 A1 WO9801179 A1 WO 9801179A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
sleeve
sharp point
sharp
point
Prior art date
Application number
PCT/NL1997/000390
Other languages
French (fr)
Inventor
Edgar German LÖFFLER
Burton Lyle Speiser
Original Assignee
Delft Instruments Intellectual Property B.V.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Delft Instruments Intellectual Property B.V. filed Critical Delft Instruments Intellectual Property B.V.
Priority to EP97929587A priority Critical patent/EP0959932A1/en
Priority to JP10505089A priority patent/JP2000517204A/en
Publication of WO1998001179A1 publication Critical patent/WO1998001179A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1027Interstitial radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • A61N2005/1011Apparatus for permanent insertion of sources

Definitions

  • the invention relates to a needle assembly for brachytherapy .
  • a needle assembly of this kind usually comprises a needle with a hollow shank, which is open at a proximal end and is provided with a sharp point at the distal end.
  • Needles of this kind are used to treat internal tumours and the like (brachytherapy) .
  • brachytherapy brachytherapy
  • one or more needles are inserted in a predetermined pattern into the tissue of a patient in the vicinity of the tumour to be treated.
  • the tumour is then irradiated with the aid of miniature radioactive sources which have been pushed into the hollow needles .
  • a drawback of this known method is that the needles frequently have to remain in the body of the patient for some time (up to several days) . In this event, movements of the patient may lead to the sharp points of the needles, which are necessary in order to apply the needles accurately and with as little discomfort as possible for the patient, damaging the tissue of the patient unnecessarily.
  • the object of the invention is to obviate the abovementioned drawback.
  • Figure 1 diagrammatically shows in longitudinal section an example of a conventional needle for brachytherapy
  • Figure 2 diagrammatically shows an exemplary embodiment of a needle assembly according to the invention in the insertion position
  • FIG. 3 diagrammatically shows the needle assembly of Figure 2 in the therapeutic position.
  • Figure 1 shows in longitudinal section an example of a known needle 1 for brachytherapy.
  • the needle has a hollow shank 2, which at the distal end is closed off by a point 3 of the trocar type. At the proximal end, the needle is provided with a handle 4 for manipulating the needle.
  • the needle is intended to be inserted into the body of a patient, generally together with a number of similar needles, until it is close to a tumour. After a needle has been introduced, a radiation source is pushed into the hollow shank of the needle, in order to irradiate the adjacent tumour.
  • the needles sometimes have to remain in the therapeutic position, that is to say the position in which the irradiation takes place, for a relatively long period of time. Since the points of the needles are very sharp, there is the danger here of the internal tissue of the patient being damaged unnecessarily, which obviously is undesirable. Another risk is that the points project past the organ to be irradiated and are situated (very) close to other organs, resulting in a considerable risk of damaging these other organs. However, sometimes it is necessary to insert the points past the organ to be irradiated, since the radioactive source cannot move to the front of the point.
  • FIG. 2 diagrammatically shows an example of part of a needle assembly 10 for brachytherapy according to the invention, in the position in which it is ready to be introduced into the body of a patient.
  • the needle assembly shown comprises a sleeve 11, which is open at the distal end and at the proximal end is provided with a handle 12 for manipulating the needle.
  • the actual needle 13 is situated inside the sleeve and is provided with a point 14, which extends past the distal end of the sleeve 1 * 1 and may be closed, as shown, or open.
  • FIG. 3 shows an example of a hollow needle 16 of this kind, which is provided with a rounded end 17.
  • a wire 18 or the like, which at the distal end bears a capsule 19 containing radioactive material 20, can then be pushed in the conventional manner into the hollow needle arranged in this way in the sleeve in the body of a patient.
  • the radioactive material can move closer to the end of the blunt, hollow needle.
  • the blunt, hollow needle may be made of thinner or weaker material, since the sleeve contributes to the strength of the overall assembly. Since the sharp needle 13 is not used during the therapeutic phase, the needle 13 does not have to be hollow.
  • the needles 13 and 16 and the sleeve 11 may be made from a suitable metal, such as for example stainless steel, but also from a suitable plastic. Combinations are also possible, in which for example the sharp needle is a metal needle and the sleeve and/or the blunt needle are made of plastic.
  • the needles and the sleeve may have a straight or curved form.
  • the sharp needle and the blunt, hollow needle may be provided with coupling means at the proximal end, in order to fix the needles and the sleeve with respect to one another during the introduction of the sharp needle and the sleeve, respectively, during the therapeutic treatment.
  • the handles 12 and 15 and/or a similar handle of the blunt needle and the handle 15 may be connectable by means of a suitable, known coupling mechanism, such as for example a coupling of the bayonet coupling type, a knurled screw coupling, or the like.
  • the sleeve 11 could be provided at the distal end with a collar 30 which extends inwards and is able to interact with a shoulder which is situated just behind the point 32 of the sharp needle or of the blunt needle. The needles are then unable to slide through past the distal end of the sleeve.
  • this effect can also be achieved by means of the abovementioned coupling mechanism at the proximal end.

Abstract

Needle assembly for brachytherapy, comprising a needle with a sharp point, and a sleeve, in which the needle with the sharp point just fits, with the sharp point extending past the distal end of the sleeve, it being possible, in operation, to retract the needle with the sharp point at least sufficiently far into the sleeve for the sharp point to disappear into the sleeve.

Description

Needle assembly for brachytherapy
The invention relates to a needle assembly for brachytherapy .
A needle assembly of this kind usually comprises a needle with a hollow shank, which is open at a proximal end and is provided with a sharp point at the distal end.
Needles of this kind are used to treat internal tumours and the like (brachytherapy) . To do this, one or more needles are inserted in a predetermined pattern into the tissue of a patient in the vicinity of the tumour to be treated. The tumour is then irradiated with the aid of miniature radioactive sources which have been pushed into the hollow needles .
A drawback of this known method is that the needles frequently have to remain in the body of the patient for some time (up to several days) . In this event, movements of the patient may lead to the sharp points of the needles, which are necessary in order to apply the needles accurately and with as little discomfort as possible for the patient, damaging the tissue of the patient unnecessarily.
The object of the invention is to obviate the abovementioned drawback.
The invention will be described in more detail below with reference to the accompanying drawing of an exemplary embodiment.
Figure 1 diagrammatically shows in longitudinal section an example of a conventional needle for brachytherapy; Figure 2 diagrammatically shows an exemplary embodiment of a needle assembly according to the invention in the insertion position;
Figure 3 diagrammatically shows the needle assembly of Figure 2 in the therapeutic position.
Figure 1 shows in longitudinal section an example of a known needle 1 for brachytherapy. The needle has a hollow shank 2, which at the distal end is closed off by a point 3 of the trocar type. At the proximal end, the needle is provided with a handle 4 for manipulating the needle. The needle is intended to be inserted into the body of a patient, generally together with a number of similar needles, until it is close to a tumour. After a needle has been introduced, a radiation source is pushed into the hollow shank of the needle, in order to irradiate the adjacent tumour.
The needles sometimes have to remain in the therapeutic position, that is to say the position in which the irradiation takes place, for a relatively long period of time. Since the points of the needles are very sharp, there is the danger here of the internal tissue of the patient being damaged unnecessarily, which obviously is undesirable. Another risk is that the points project past the organ to be irradiated and are situated (very) close to other organs, resulting in a considerable risk of damaging these other organs. However, sometimes it is necessary to insert the points past the organ to be irradiated, since the radioactive source cannot move to the front of the point. Figure 2 diagrammatically shows an example of part of a needle assembly 10 for brachytherapy according to the invention, in the position in which it is ready to be introduced into the body of a patient. The needle assembly shown comprises a sleeve 11, which is open at the distal end and at the proximal end is provided with a handle 12 for manipulating the needle. The actual needle 13 is situated inside the sleeve and is provided with a point 14, which extends past the distal end of the sleeve 1*1 and may be closed, as shown, or open. After the needle 13 provided with the sleeve 11 has been introduced into the body of a patient at the desired location, the needle, which is provided with a separate handle 15, is pulled out of the sleeve 11, the sleeve remaining in the original location in the body of a patient. A hollow needle with a blunt point is then pushed into the sleeve 11. Figure 3 shows an example of a hollow needle 16 of this kind, which is provided with a rounded end 17. A wire 18 or the like, which at the distal end bears a capsule 19 containing radioactive material 20, can then be pushed in the conventional manner into the hollow needle arranged in this way in the sleeve in the body of a patient.
Using a needle with a blunt point, which has replaced the needle with a sharp point, during the therapy prevents unnecessary damage to the tissue of the patient. Also, the radioactive material can move closer to the end of the blunt, hollow needle. In addition, the blunt, hollow needle may be made of thinner or weaker material, since the sleeve contributes to the strength of the overall assembly. Since the sharp needle 13 is not used during the therapeutic phase, the needle 13 does not have to be hollow. The needles 13 and 16 and the sleeve 11 may be made from a suitable metal, such as for example stainless steel, but also from a suitable plastic. Combinations are also possible, in which for example the sharp needle is a metal needle and the sleeve and/or the blunt needle are made of plastic. Furthermore, the needles and the sleeve may have a straight or curved form. The sharp needle and the blunt, hollow needle may be provided with coupling means at the proximal end, in order to fix the needles and the sleeve with respect to one another during the introduction of the sharp needle and the sleeve, respectively, during the therapeutic treatment. For this purpose, for example the handles 12 and 15 and/or a similar handle of the blunt needle and the handle 15 may be connectable by means of a suitable, known coupling mechanism, such as for example a coupling of the bayonet coupling type, a knurled screw coupling, or the like. As an alternative, it is possible to retract the sharp needle only partially, so that the sharp point comes to rest inside the sleeve and can no longer cause any damage. Then, the radioactive source required for the irradiation therapy is introduced into the sharp needle, which for this purpose then needs to be hollow. It should be noted that, in view of the above, various modifications will be obvious to the person skilled in the art. For example, as shown in Figure 4, the sleeve 11 could be provided at the distal end with a collar 30 which extends inwards and is able to interact with a shoulder which is situated just behind the point 32 of the sharp needle or of the blunt needle. The needles are then unable to slide through past the distal end of the sleeve. However, this effect can also be achieved by means of the abovementioned coupling mechanism at the proximal end.

Claims

CLAIMS 1. Needle assembly for brachytherapy, comprising a needle with a sharp point, and a sleeve, in which the needle with the sharp point just fits, with the sharp point extending past the distal end of the sleeve, it being possible, in operation, to retract the needle with the sharp point at least sufficiently far into the sleeve for the sharp point to disappear into the sleeve.
2. eedle assembly according to Claim 1, characterized in that the needle with a sharp point is a hollow needle, in which a radioactive source can be arranged.
3.Needle assembly according to Claim 1, characterized in that the needle with a sharp point can be retracted completely out of the sleeve, and in that a hollow needle with a blunt point is provided, which can be pushed into the sleeve and in which a radioactive source can be arranged.
4.Needle assembly according to one of the preceding claims, characterized in that the sleeve has, at the distal end, an internal collar which is able to interact with a shoulder situated behind the point of a needle to be accommodated in the sleeve.
5. eedle assembly according to one of the preceding claims, characterized in that the sleeve is provided at the proximal end with a coupling mechanism which is able to interact with coupling means at the proximal end of the needles which can be accommodated in the sleeve.
6. eedle assembly according to Claim 5, characterized in that the coupling means are provided on a handle of a needle which can be accommodated in the sleeve.
7.Method of positioning a radioactive source with the aid of a hollow needle, characterized in that a needle with a sharp point is provided with a closely fitting sleeve, the sharp point extending past the distal end of the needle; in that the needle provided with the sleeve is inserted into a desired position in the body; in that the needle with a sharp point is pulled out of the sleeve while retaining the positioning of the sleeve; in that a closely fitting hollow needle with a blunt distal end is then pushed into the sleeve; and in that at least one radioactive source is arranged in the blunt, hollow needle.
8.Method according to Claim 7, characterized in that the hollow needle is pushed into the sleeve over a length which is based on the distance between the proximal end of the sleeve and the point of the sharp needle before the sharp needle is pulled out of the sleeve.
PCT/NL1997/000390 1996-07-08 1997-07-07 Needle assembly for brachytherapy WO1998001179A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP97929587A EP0959932A1 (en) 1996-07-08 1997-07-07 Needle assembly for brachytherapy
JP10505089A JP2000517204A (en) 1996-07-08 1997-07-07 Needle assembly for brachytherapy

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL1003542A NL1003542C2 (en) 1996-07-08 1996-07-08 Needle kit for brachytherapy.
NL1003542 1996-07-08

Publications (1)

Publication Number Publication Date
WO1998001179A1 true WO1998001179A1 (en) 1998-01-15

Family

ID=19763172

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/NL1997/000390 WO1998001179A1 (en) 1996-07-08 1997-07-07 Needle assembly for brachytherapy

Country Status (4)

Country Link
EP (1) EP0959932A1 (en)
JP (1) JP2000517204A (en)
NL (1) NL1003542C2 (en)
WO (1) WO1998001179A1 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6402677B1 (en) 1999-12-17 2002-06-11 C.R. Bard, Inc. Brachytherapy seed needle with window
US6450937B1 (en) 1999-12-17 2002-09-17 C. R. Bard, Inc. Needle for implanting brachytherapy seeds
WO2004033038A2 (en) * 2002-10-04 2004-04-22 Scimed Life Systems, Inc. Method and apparatus for the delivery of brachytherapy
US7276019B2 (en) * 2001-02-22 2007-10-02 Retinalabs, Inc. Ophthalmic treatment apparatus
US7282020B2 (en) 2001-04-24 2007-10-16 Microspherix Llc Deflectable implantation device and method of use
US9636402B2 (en) 2000-11-16 2017-05-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4402308A (en) * 1980-11-03 1983-09-06 Scott Walter P Medical implantation device
GB2120947A (en) * 1982-06-02 1983-12-14 Nat Res Dev Catheter assembly
US4610242A (en) * 1984-04-18 1986-09-09 Codman & Shurtleff, Inc. Endoscope insertion cannula assembly
EP0255123A2 (en) * 1986-07-30 1988-02-03 Sumitomo Pharmaceuticals Company, Limited Solid preparation administering instrument

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4402308A (en) * 1980-11-03 1983-09-06 Scott Walter P Medical implantation device
GB2120947A (en) * 1982-06-02 1983-12-14 Nat Res Dev Catheter assembly
US4610242A (en) * 1984-04-18 1986-09-09 Codman & Shurtleff, Inc. Endoscope insertion cannula assembly
EP0255123A2 (en) * 1986-07-30 1988-02-03 Sumitomo Pharmaceuticals Company, Limited Solid preparation administering instrument

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6402677B1 (en) 1999-12-17 2002-06-11 C.R. Bard, Inc. Brachytherapy seed needle with window
US6450937B1 (en) 1999-12-17 2002-09-17 C. R. Bard, Inc. Needle for implanting brachytherapy seeds
US9636402B2 (en) 2000-11-16 2017-05-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US9636401B2 (en) 2000-11-16 2017-05-02 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US10493181B2 (en) 2000-11-16 2019-12-03 Microspherix Llc Flexible and/or elastic brachytherapy seed or strand
US10994058B2 (en) 2000-11-16 2021-05-04 Microspherix Llc Method for administering a flexible hormone rod
US7276019B2 (en) * 2001-02-22 2007-10-02 Retinalabs, Inc. Ophthalmic treatment apparatus
US7282020B2 (en) 2001-04-24 2007-10-16 Microspherix Llc Deflectable implantation device and method of use
US7922645B2 (en) 2001-04-24 2011-04-12 Microspherix Llc Deflectable implantation device and method for use
WO2004033038A2 (en) * 2002-10-04 2004-04-22 Scimed Life Systems, Inc. Method and apparatus for the delivery of brachytherapy
WO2004033038A3 (en) * 2002-10-04 2004-09-02 Scimed Life Systems Inc Method and apparatus for the delivery of brachytherapy
US7041047B2 (en) 2002-10-04 2006-05-09 Boston Scientific Scimed, Inc. Method and apparatus for the delivery of brachytherapy

Also Published As

Publication number Publication date
NL1003542C2 (en) 1998-01-12
EP0959932A1 (en) 1999-12-01
JP2000517204A (en) 2000-12-26

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