Multilumen brachytherapy balloon catheter
View Patent ↗The disclosure describes a device for asymmetrical irradiation of a body cavity or site, such as after removal of tissue, e.g. biopsy or lumpectomy. The device includes an elongated tubular shaft having an inner lumen and a tubular wall with a plurality of lumens extending within the wall which are configured for receiving a radiation source. The distal portion of the tubular shaft is cut into a plurality of longitudinally separated wall segments with a lumen extending within at least one of the wall segments. A support member is positioned within the separated wall segments to support and position the wall segments in a desired configuration for brachytherapy. An expandable member such as an inflatable balloon is mounted on the distal shaft portion about the separated wall segments wall which when inflated secures the distal shaft portion within a desired intracorporeal site for brachytherapy treatment.
1. A brachytherapy device for irradiating tissue surrounding a body cavity within a patient, comprising:
an elongated shaft having a inner lumen, a wall at least in part defining the inner lumen, a plurality of lumens within the wall and a central longitudinal axis;
a distal shaft portion having a treatment location and a plurality of longitudinally separated wall segments, with at least one of the longitudinal wall segments having a lumen extending therein configured to receive a radiation source;
a support member configured to support the plurality of longitudinally separated wall segments in off-set positions relative to the central longitudinal axis, wherein the support member has an inner lumen which is in fluid communication with the inner lumen defined by the wall of the elongated shaft; and
a central tubular member received in the inner lumen of the elongated shaft and received in the inner lumen of the support member and configured to direct the radiation source through the support member to the treatment location.
2. The device of claim 1 , wherein the distal shaft portion has a tip configured to engage distal ends of the wall segments.
3. The device of claim 2 wherein the tip is configured to seal the lumen extending within the at least one of the longitudinal wall segments.
4. The device of claim 2 wherein the tip is configured to seal the lumen configured to receive the radiation source.
5. The device of claim 1 , wherein the distal shaft portion has an expandable member surrounding the treatment location configured to engage tissue of the body cavity and which has a contracted configuration and an expanded configuration spaced from at least one of the wall segments in the treatment location.
6. The device of claim 5 wherein the expandable member is a balloon with an interior configured to receive inflation fluid.
7. The device of claim 6 wherein at least one lumen of the plurality of lumens within the wall of the elongated shaft proximal to the distal shaft portion is configured to be in fluid communication with a source of inflation fluid and the interior of the balloon.
8. The device of claim 1 , wherein the elongated shaft has at least one vacuum port which is in fluid communication with one of the plurality of lumens within the wall of the elongated shaft.
9. The device of claim 8 wherein the lumen in fluid communication with the vacuum port is configured to be in fluid communication with a vacuum source.
10. The device of claim 6 wherein the distal shaft portion has at least one vacuum port proximal or distal to the balloon that is in fluid communication with one of the plurality of lumens within the wall of the elongated shaft.
11. The device of claim 2 wherein the tip has at least one proximally extending plug element which is configured to be inserted into the lumen of the at least one of the longitudinal wall segments.
12. The device of claim 1 , further comprising a heating element that is configured for connection to a high frequency electrical source, and configured to provide heat to tissue surrounding the cavity simultaneously with or sequentially to irradiation by the radiation source.
13. The device of claim 12 wherein the heating element heats inflation fluid within a balloon surrounding the treatment location.
14. The device of claim 12 , wherein the heating element is provided with the support member.
15. The device of claim 1 , wherein the support member has a plurality of recesses configured to receive the wall segments.
16. The device of claim 15 , wherein the recesses of the support member are configured to support the wall segments in arcuate shapes.