Advanced applicator systems and methods
Systems, methods, and apparatuses are provided for an advanced gynecological applicator. In accordance with some embodiments, a brachytherapy applicator head and assembly is provided. The assembly may include two ovoid tubes configured to receive radiation sources, the two ovoid tubes combining to form a rounded applicator having a middle opening and comprising a plurality of needle holes to guide interstitial needles. The assembly may also include a central applicator tube configured to receive a radiation source that is located within the middle opening. Additionally, the assembly may include a vaginal cap that includes a tool-free connection to the two ovoid tubes and includes needle guides that align with the needle holes of the two ovoid tubes. The assembly may include a one-piece template for securing interstitial needles. The assembly may further include a tool-free connector to secure the two ovoid tubes to the central applicator tube.
1. A brachytherapy applicator comprising:
two applicator tubes configured to receive radiation sources, each applicator tube having a matching curved end section, the curved end sections of the applicator tubes combining to form a ring-shaped applicator having a middle opening;
a central applicator tube configured to receive a radiation source that is located within the middle opening;
a securing mechanism configured to receive and secure the applicator tubes to the central applicator tube;
a locking mechanism configured to receive and secure the central applicator tube to the curved end sections; and
a vaginal cap configured to connect to the applicator tubes, the vaginal cap including needle guides that align with needle openings of the applicator tubes.
2. The brachytherapy applicator of claim 1 , the ring-shaped applicator further including a plurality of needle openings to guide interstitial needles, wherein a first subset of the plurality of needle openings is configured to direct interstitial needles at an angle offset from a direction of the central applicator tube.
3. The brachytherapy applicator of claim 2 , further including a second subset of the plurality of needle openings to guide interstitial needles that is parallel to the direction of the central applicator tube.
4. The brachytherapy applicator of claim 3 , wherein the plurality of needle openings alternate between being parallel to the direction of the central applicator tube and being at the angle offset from the direction of the central applicator tube.
5. The brachytherapy applicator of claim 1 , wherein the vaginal cap is configured to connect to the applicator tubes using
a tool-free connection.
6. The brachytherapy applicator of claim 1 , further comprising a template for securing interstitial needles.
7. The brachytherapy applicator of claim 1 , wherein the ring-shaped applicator has an outer diameter of 20 to 55 millimeters.
8. The brachytherapy applicator of claim 1 , wherein the securing mechanism comprises a tool-free connector.
9. A brachytherapy applicator assembly comprising:
two applicator tubes configured to receive radiation sources, each tube having a matching curved end section, the curved end sections of the applicator tubes combining to form a ring-shaped applicator having a middle opening and comprising a plurality of needle openings to guide interstitial needles;
a central applicator tube configured to receive a radiation source that is located within the middle opening;
a vaginal cap configured to connect to the applicator tubes, the vaginal cap including needle guides that align with the needle openings of the applicator tubes;
a one-piece template for securing interstitial needles; and
a tool-free connector to secure the applicator tubes to the central applicator tube.
10. The brachytherapy applicator assembly of claim 9 , further comprising:
a plurality of guiding tubes each connected to a different one of the needle guides of the vaginal cap.
11. The brachytherapy applicator assembly of claim 10 , further comprising:
an identification tag attached to each of the plurality of guiding tubes or needles including an indication of where the guiding tube leads or identifying the needle itself, respectively.
12. The brachytherapy applicator assembly of claim 10 , further comprising:
a bracelet comprising a plurality of tool-free brackets configured to secure the plurality of guiding tubes or needles.
13. The brachytherapy applicator assembly of claim 9 , further comprising:
a perineal template comprising a grid of perineal needle securing openings secured to the tool-free connector using a tool-free locking screw.
14. The brachytherapy applicator assembly of claim 9 , wherein the vaginal cap comprises shielding configured to reduce radiation directed to a patient's rectum.
15. The brachytherapy applicator of claim 9 , further including a first subset of the plurality of needle openings to guide interstitial needles at an angle offset from a direction of the central applicator tube.
16. The brachytherapy applicator of claim 15 , wherein the angle offset from the direction of the central applicator tube is a 5 to 45 degree angle.
17. The brachytherapy applicator of claim 15 , further including a second subset of the plurality of needle openings to guide interstitial needles parallel to the direction of the central applicator tube.
18. The brachytherapy applicator of claim 17 , wherein the plurality of needle openings alternate between being parallel to the direction of the central applicator tube and being at the angle offset from the direction of the central applicator tube.
19. The brachytherapy applicator assembly of claim 18 , wherein the plurality of needle openings are angularly spaced 5 to 45 degrees apart.
20. The brachytherapy applicator of claim 9 , wherein the ring-shaped applicator has an outer diameter of 20 to 55 millimeters.
21. The brachytherapy applicator of claim 9 , wherein at least one of the central applicator tube and the applicator tubes has a cross-section that is noncircular with a flattened segment.