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CN211962289U - A biliary metal stent for thermal ablation of tumors under magnetic field - Google Patents

A biliary metal stent for thermal ablation of tumors under magnetic field Download PDF

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CN211962289U
CN211962289U CN202020268844.5U CN202020268844U CN211962289U CN 211962289 U CN211962289 U CN 211962289U CN 202020268844 U CN202020268844 U CN 202020268844U CN 211962289 U CN211962289 U CN 211962289U
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magnetic field
tumors
thermal ablation
stent
bile duct
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尚东
张桂信
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First Affiliated Hospital of Dalian Medical University
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Abstract

本实用新型公开了一种磁场下肿瘤热消融胆道金属支架,包括支架主体,所述支架主体由具有弹性且能够被磁性吸附的金属丝缠绕加工形成,所述主体支架的外壁上设有多个凹槽,且所述凹槽内设有氧化铁固体颗粒,且所述主体支架表面包裹有绝缘导热硅胶层。本实用新型提供的装置具有两个功能:一是扩张狭窄胆管,缓解患者黄疸症状;二是具有热消融功能,杀伤局部肿瘤组织。为无手术机会的肝外胆管晚期肿瘤和不能耐受手术治疗的肝外胆管肿瘤患者提供了治疗机会,无需开刀手术,消除局部肿瘤,提高患者的生存质量,延长生存期。人体组织不会产生过敏刺激等不良反应。根据患者病情变化和肿瘤复发的监测,可多次治疗,大大延长了患者生存期。

Figure 202020268844

The utility model discloses a biliary metal stent for thermal ablation of tumors under a magnetic field. The groove is provided with iron oxide solid particles, and the surface of the main body bracket is wrapped with an insulating and thermally conductive silica gel layer. The device provided by the utility model has two functions: one is to expand the narrow bile duct to relieve the symptoms of jaundice; the other is to have the function of thermal ablation to kill local tumor tissue. It provides treatment opportunities for patients with advanced extrahepatic bile duct tumors who have no chance of surgery and extrahepatic bile duct tumors who cannot tolerate surgical treatment, eliminating the need for surgery, eliminating local tumors, improving the quality of life of patients, and prolonging the survival period. Human tissue will not produce adverse reactions such as allergic irritation. According to the monitoring of the patient's condition changes and tumor recurrence, multiple treatments can be performed, which greatly prolongs the patient's survival period.

Figure 202020268844

Description

一种磁场下肿瘤热消融胆道金属支架A biliary metal stent for thermal ablation of tumors under magnetic field

技术领域technical field

本实用新型属于胆管支架领域,具体涉及一种磁场下肿瘤热消融胆道金属支架。The utility model belongs to the field of bile duct stents, in particular to a bile duct metal stent for thermal ablation of tumors under a magnetic field.

背景技术Background technique

科学研究发现,不论何种癌细胞均不耐高热,在人体正常组织细胞尚能耐受的高温,肿瘤组织就可发生损伤凋亡。人体受热后肿瘤组织内温度往往高于临近正常组织5℃-10℃,当瘤体温度达41℃以上并维持一定时间,就能杀灭癌细胞。正常组织因具有良好的体温调节系统及耐受性,故可耐受46℃而不产生不可逆损害。但人体自身不可能长时间持续在41摄氏度以上的温度。人体正常组织在体温,升高的情况下,血管扩张,血流加速,由于机体的这种调节作用,保证了在体温升高时,甚至在达到41.5~43℃时,正常细胞组织无损伤,然而肿瘤组织则不然,肿瘤内血管形态异常,杂乱扭曲、易受压变形,形成血栓或栓塞。加之肿瘤内的血管多由单层细胞组成,脆弱易破。由于这些新生血管是发育不全的畸形血管,在受热后失去自我调节作用,静脉也不能加快回流,肿瘤局部血沉淤滞,血流量仅为正常组织的1%~15%,致使肿瘤组织散热困难,温度升高。恶性肿瘤组织的温度往往高于正常邻近组织温度8~10℃。同样进行局部加热,若正常组织温度升高到40℃,那么瘤体内的温度则可升高到48℃左右,这一温度足可使肿瘤细胞受热致死,而正常组织却不受任何损害。Scientific research has found that no matter what kind of cancer cells are intolerable to high temperature, the tumor tissue can be damaged and apoptotic in the high temperature that the normal tissue cells of the human body can tolerate. After the human body is heated, the temperature in the tumor tissue is often 5°C-10°C higher than that of the adjacent normal tissue. When the tumor temperature reaches above 41°C and maintains it for a certain period of time, the cancer cells can be killed. Normal tissue can tolerate 46°C without irreversible damage due to its good thermoregulatory system and tolerance. But the human body itself cannot sustain a temperature above 41 degrees Celsius for a long time. When the body temperature rises, the blood vessels expand and the blood flow accelerates in the normal tissues of the human body. Due to this regulating effect of the body, it is ensured that when the body temperature rises, even when it reaches 41.5 to 43 ℃, the normal cells and tissues are not damaged. However, the tumor tissue is not the case. The blood vessels in the tumor are abnormal in shape, distorted, and easily deformed by compression, and form thrombus or embolism. In addition, the blood vessels in the tumor are mostly composed of a single layer of cells, which are fragile and easily broken. Because these new blood vessels are underdeveloped abnormal blood vessels, they lose their self-regulating effect after being heated, and the veins cannot speed up the reflux. raised. The temperature of malignant tumor tissue is often 8 to 10°C higher than that of normal adjacent tissue. Local heating is also performed. If the temperature of normal tissue rises to 40°C, the temperature in the tumor can be raised to about 48°C, which is enough to heat the tumor cells to death, while the normal tissue is not damaged in any way.

感应加热是利用导体在高频磁场作用下产生的感应电流(涡流损耗)以及导体内磁场的作用(磁滞损耗)引起导体自身发热而进行加热的。Induction heating is to use the induced current (eddy current loss) generated by the conductor under the action of the high frequency magnetic field and the action of the magnetic field in the conductor (hysteresis loss) to cause the conductor to heat up by itself.

当金属导体处在一个高频交变电场中,根据法拉第电磁感应定律,将在金属导体内产生感应电动势,由于导体的电阻很小,从而产生强大的感应电流。由焦耳—楞次定律可知,交变磁场将使导体中电流趋向导体表面流通,引起集肤效应,舜间电流的密度与频率成正比,频率越高,感应电流密度集中于导体的表面,即集肤效应就越严重,有效的导电面积减少,电阻增大,从而使导体迅速升温。When the metal conductor is in a high-frequency alternating electric field, according to Faraday's law of electromagnetic induction, an induced electromotive force will be generated in the metal conductor, and a strong induced current will be generated due to the small resistance of the conductor. According to the Joule-Lenz law, the alternating magnetic field will cause the current in the conductor to flow toward the surface of the conductor, causing the skin effect. The density of the current is proportional to the frequency. The more serious the skin effect is, the effective conductive area is reduced and the resistance is increased, so that the conductor heats up rapidly.

导体有电流通过时,在其周围就同时产生磁场,高频电流流向被绕制成环状或其它形状的电感线圈。由此在线圈内产生极性瞬间变化的强磁束,将被加热的金属物质放置在感应线圈内,磁束就会贯通整个被加热物质,在被加热物质内部与加热电流相反的方向产生很大的涡流,由于被加热金属物质的电阻产生焦耳热,使金属物质自身的温度迅速升高。When the conductor has a current passing through it, a magnetic field is generated around it at the same time, and the high-frequency current flows to the inductance coil that is wound into a ring or other shapes. As a result, a strong magnetic beam with an instantaneous change in polarity is generated in the coil, and the heated metal material is placed in the induction coil, and the magnetic beam will penetrate the entire heated material, and a large amount of magnetic flux will be generated inside the heated material in the opposite direction to the heating current. Eddy currents, due to the electrical resistance of the heated metal substance, generate Joule heat, which rapidly increases the temperature of the metal substance itself.

2004年6月美国《全国科学院学报》报道了美国赖斯大学一科研小组获得的重大进展:他们设计和制造出了可寻找和杀死恶性肿瘤细胞的镀金纳米壳,并已在实验鼠身上获得成功。纳米壳用一种直径为110纳米的不导电硅石微粒做芯,外面镀上10纳米厚的金属外壳。研究人员先将纳米壳“运送”到癌组织中,然后用近红外线从身体外部照射癌变组织。近红外线穿过人体正常组织来到癌变组织时,能被埋藏在癌变组织中的纳米子弹吸收。随着吸收量加大,纳米子弹的温度开始上升,结果导致其周围的癌变组织升温并死亡。In June 2004, the American "Proceedings of the National Academy of Sciences" reported a major progress made by a research team at Rice University: they designed and fabricated gold-plated nanoshells that can seek and kill malignant tumor cells, and have been obtained in experimental mice. success. The nanoshell uses a non-conductive silica particle with a diameter of 110 nanometers as a core and is coated with a metal shell 10 nanometers thick. The researchers "delivered" the nanoshells into the cancerous tissue, and then irradiated the cancerous tissue with near-infrared light from outside the body. When near-infrared rays pass through normal tissues of the human body to cancerous tissues, they can be absorbed by nano-bullets buried in cancerous tissues. As the amount of absorption increased, the temperature of the nanobullet began to rise, causing the cancerous tissue around it to heat up and die.

德国柏林“沙里特”临床医院尝试借助磁性纳米微粒治疗癌症,并在动物试验中取得了较好的疗效。这家医院的研究人员利用磁性纳米微粒治疗癌症的做法是:将一些极其细小的氧化铁纳米微粒注入患者的肿瘤里,然后将患者置于可变的磁场中。受磁场的影响,患者肿瘤里的氧化铁纳米微粒升温到45至47摄氏度,这一温度足以烧毁癌细胞。由于肿瘤附近的机体组织中不存在磁性微粒,因此这些健康组织的温度不会升高,也不会受到伤害。The "Charit" clinical hospital in Berlin, Germany, tried to use magnetic nanoparticles to treat cancer, and achieved good results in animal experiments. Researchers at the hospital are using magnetic nanoparticles to treat cancer by injecting some extremely tiny iron oxide nanoparticles into a patient's tumor, then subjecting the patient to a variable magnetic field. Under the influence of the magnetic field, the iron oxide nanoparticles in the patient's tumor warmed to 45 to 47 degrees Celsius, a temperature high enough to burn cancer cells. Since the magnetic particles are not present in the body tissue near the tumor, the temperature of these healthy tissues will not increase and will not be harmed.

因肿瘤导致的阻塞性黄疸病例逐年增多,对于不能手术的患者,目前最常用的治疗方法是放置胆道金属支架,缓解梗阻症状,改善患者生存质量。但术后黄疸复发的病例仍时有发生。究其原因,主要是因为使用的金属裸支架植入后在短期内可扩张胆管,形成通畅的通路,但随着肿瘤的发展,肿瘤组织顺着支架向边缘攀爬和网眼内生长,使胆管出现再狭窄,胆汁引流受阻,致使黄疸再次出现。为了解决胆管支架再狭窄的问题,业内有以下解决方式:一种是金属支架外应用聚氨基甲酸酯进行覆膜,可阻止肿瘤通过网眼向内部生长,但解决不了肿瘤组织通过攀爬蔓延生长阻塞支架端口及肿瘤生长挤压支架再狭窄。一种是载药的覆膜支架,对于没有癌细胞转移的正常细胞有药理上副作用。一种是可载放射性微粒的覆膜支架,会对人体正常细胞产生负作用。同时,胆管支架留置导致,水电酸碱紊乱、消化不良、引流口感染。The number of cases of obstructive jaundice caused by tumors is increasing year by year. For inoperable patients, the most commonly used treatment method is the placement of biliary metal stents to relieve obstructive symptoms and improve the quality of life of patients. However, cases of postoperative jaundice recurrence still occur from time to time. The reason is mainly because the used bare metal stent can expand the bile duct in a short time after implantation, forming a smooth passage, but with the development of the tumor, the tumor tissue climbs along the stent to the edge and grows in the mesh, making the bile duct. Restenosis occurs and bile drainage is blocked, causing jaundice to reappear. In order to solve the problem of restenosis of bile duct stents, there are the following solutions in the industry: one is to coat the metal stent with polyurethane, which can prevent the tumor from growing inward through the mesh, but can not solve the problem of tumor tissue spreading and growing through climbing Obstruction of stent ports and tumor growth squeeze stent restenosis. One is a drug-loaded stent-graft, which has pharmacological side effects on normal cells without cancer cell metastasis. One is a covered stent that can be loaded with radioactive particles, which can negatively affect normal cells in the human body. At the same time, the indwelling of the bile duct stent leads to water, electricity and acid-base disorders, indigestion, and drainage port infection.

实用新型内容Utility model content

根据上述提出的技术问题,而提供一种磁场下肿瘤热消融胆道金属支架。本实用新型采用的技术手段如下:According to the technical problem proposed above, a metal stent for thermal ablation of tumors under magnetic field is provided. The technical means adopted by the utility model are as follows:

一种磁场下肿瘤热消融胆道金属支架,包括支架主体,所述支架主体由具有弹性且能够被磁性吸附的金属丝缠绕加工形成,所述主体支架的外壁上设有多个凹槽,且所述凹槽内设有氧化铁固体颗粒,且所述主体支架表面包裹有绝缘导热硅胶层。A biliary metal stent for thermal ablation of tumors under a magnetic field includes a stent body, the stent body is formed by winding a metal wire that is elastic and can be magnetically adsorbed, and the outer wall of the body stent is provided with a plurality of grooves, and the The grooves are provided with iron oxide solid particles, and the surface of the main body support is wrapped with an insulating and thermally conductive silica gel layer.

所述金属丝是由包括高弹钢、不锈钢或钛合金的合金材料制成。The wire is made of alloy material including high elastic steel, stainless steel or titanium alloy.

使用状态下:通过ERCP(十二指肠镜技术),通过支架推送装置将热消融胆道金属支架放置在胆管肿瘤部位,支架恢复原形,利用金属的强度及弹性支撑胆管。将人体置于高频感应发生器磁场中,将热消融胆道金属支架位置对准磁场中央,通过控制器控制高频感应发生器,使之产生高频磁场,通过高频磁场的变化,所述支架主体和氧化铁固体颗粒产生涡流,从而产生焦耳热,使金属支架的温度迅速升高且对支架支撑位附近癌细胞进行加热从而破坏癌细胞。In the state of use: The thermal ablation biliary metal stent is placed on the tumor site of the bile duct through ERCP (duodenoscopy) and the stent pusher, and the stent returns to its original shape, using the strength and elasticity of the metal to support the bile duct. The human body is placed in the magnetic field of the high-frequency induction generator, the position of the thermal ablation bile duct metal stent is aligned with the center of the magnetic field, and the high-frequency induction generator is controlled by the controller to generate a high-frequency magnetic field. The stent body and the iron oxide solid particles generate eddy currents, thereby generating Joule heat, which rapidly increases the temperature of the metal stent and heats cancer cells near the stent support site, thereby destroying the cancer cells.

由于支架主体及氧化铁固体颗粒在高频磁场中在磁场的作用下产生涡流,而此硅胶材料起到绝缘作用。并且,人体体质的不同产生因金属支架的刺激而导致的过敏及其他不良反应,而本实施例利用硅胶与人体组织极佳的生物相容性特性,与细胞不产生任何刺激过敏反应。同时,利用硅胶材质的柔软特性,可以使得绝缘层随着钛合金支架的形变而形变不会造成绝缘层的损坏。Because the main body of the stent and the iron oxide solid particles generate eddy currents under the action of the magnetic field in the high-frequency magnetic field, the silica gel material plays an insulating role. In addition, different human body constitutions may cause allergies and other adverse reactions caused by the stimulation of the metal stent, and this embodiment utilizes the excellent biocompatibility of silica gel with human tissues, and does not produce any allergic reactions with cells. At the same time, using the soft properties of the silicone material, the insulating layer can be deformed with the deformation of the titanium alloy bracket without causing damage to the insulating layer.

本实用新型解决了发现癌细胞生长需要开刀手术的行业问题,无需开刀手术,避免了对病人的二次伤害,提高患者的生存质量。同时具备极佳的生物相容性,人体组织不会产生过敏刺激等不良反应。通过增加造影探查的次数,监测胆管细胞成分,可二次治疗,大大延长了患者生存期。The utility model solves the industrial problem that the growth of cancer cells needs to be operated by surgery, does not need to be operated by surgery, avoids the secondary injury to the patient, and improves the quality of life of the patient. At the same time, it has excellent biocompatibility, and human tissues will not produce adverse reactions such as allergic irritation. By increasing the frequency of angiographic exploration and monitoring the composition of bile duct cells, secondary treatment can be achieved, which greatly prolongs the survival period of patients.

基于上述理由本实用新型可在胆道支架等领域广泛推广。Based on the above reasons, the utility model can be widely promoted in the fields of biliary stent and the like.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图做以简单地介绍,显而易见地,下面描述中的附图是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description The drawings are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative work.

图1是本实用新型具体实施方式中一种磁场下肿瘤热消融胆道金属支架结构示意图。FIG. 1 is a schematic structural diagram of a biliary metal stent for thermal ablation of tumors under a magnetic field in a specific embodiment of the present invention.

图2是本实用新型具体实施方式中支架主体结构示意图。FIG. 2 is a schematic diagram of the structure of the main body of the stent in the specific embodiment of the present invention.

图3是图2中B部放大图。FIG. 3 is an enlarged view of part B in FIG. 2 .

图4是图1中A-A向剖视图。FIG. 4 is a cross-sectional view taken along the line A-A in FIG. 1 .

具体实施方式Detailed ways

为使本实用新型实施例的目的、技术方案和优点更加清楚,下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。In order to make the purposes, technical solutions and advantages of the embodiments of the present utility model clearer, the technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. The embodiments described above are a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

如图1~图4所示,一种磁场下肿瘤热消融胆道金属支架,包括支架主体1,所述支架主体1由具有弹性且能够被磁性吸附的金属丝缠绕加工形成,所述主体支架1的外壁上设有多个凹槽2,且所述凹槽2内设有氧化铁固体颗粒3,且所述主体支架1表面包裹有绝缘导热硅胶层4。As shown in FIGS. 1 to 4 , a metal stent for thermal ablation of biliary tract under a magnetic field includes a stent body 1 . The stent body 1 is formed by winding an elastic metal wire that can be magnetically adsorbed. The body stent 1 There are a plurality of grooves 2 on the outer wall of the frame, and iron oxide solid particles 3 are arranged in the grooves 2, and the surface of the main support 1 is wrapped with an insulating and thermally conductive silica gel layer 4.

所述金属丝是由包括高弹钢、不锈钢或钛合金的合金材料制成。The wire is made of alloy material including high elastic steel, stainless steel or titanium alloy.

最后应说明的是:以上各实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述各实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present utility model, but not to limit them; although the present utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that : it can still modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements to some or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the various embodiments of the present utility model Scope of technical solutions.

Claims (2)

1. The utility model provides a tumour heat ablation biliary tract metal support under magnetic field, includes the support main part, its characterized in that: the support body is formed by winding and processing metal wires which have elasticity and can be magnetically adsorbed, a plurality of grooves are formed in the outer wall of the support body, iron oxide solid particles are arranged in the grooves, and the surface of the main body support is wrapped with an insulating heat-conducting silica gel layer.
2. The metal stent for tumor thermal ablation of biliary tract under magnetic field according to claim 1, wherein: the metal wire is made of alloy material including high elastic steel, stainless steel or titanium alloy.
CN202020268844.5U 2020-03-06 2020-03-06 A biliary metal stent for thermal ablation of tumors under magnetic field Active CN211962289U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111281624A (en) * 2020-03-06 2020-06-16 大连医科大学附属第一医院 Tumor heat ablation biliary tract metal stent under magnetic field and manufacturing method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111281624A (en) * 2020-03-06 2020-06-16 大连医科大学附属第一医院 Tumor heat ablation biliary tract metal stent under magnetic field and manufacturing method thereof

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