Ultrasonic device and method for treating stones within the body

• US 20060184076A1
• Filed: 11/30/2005
• Published: 08/17/2006
• Est. Priority Date: 12/01/2004
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Voegele, James W., Weisenburgh, William Bruce II, Gill, Robert P.
• Application Number:
  US11/290,766
• Publication Number:
  US 20060184076A1
• Time in Patent Office: Days
• US Class Current: 601/3
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/22067 Blocking; Occlusion A61B2017/22054 takes precedence
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2090/3784 both receiver and transmitter being in the instrument or receiver being also transmitter

Abstract

A system and method to be used in ultrasonic lithotripsy of a stone in a ureter, the system including a catheter having a probe tip capable of transmitting and receiving ultrasonic energy. The catheter can include an inflatable balloon adjacent to the probe tip, the balloon capable of pooling some urine in the ureter to be used as an ultrasonic transmission media. The ultrasonic probe is connected to a source of energy capable of driving the probe tip to deliver ultrasonic energy of a high frequency and relatively low energy to image a stone. Then the probe can be connected to a source of energy capable of driving the probe to deliver a low frequency, high energy ultrasonic to disintegrate the stone.

Claims

1. A system to be used in ultrasonic lithotripsy of a stone in a body, said system including;

a catheter including a probe tip capable of transmitting and receiving ultrasonic energy;

an inflatable balloon adjacent to said probe tip;

a source of energy capable of driving said probe tip to deliver ultrasonic energy of a first frequency to said stone and of receiving reflected ultrasonic energy from said stone;

a monitor capable of displaying an image of said stone in response to said reflected ultrasonic energy; and

said source of energy capable of driving said probe to deliver a second ultrasonic energy of higher frequency than said first ultrasonic energy.

2. A method of performing ultrasonic lithitripsy including the steps of:

placing a catheter having an inflatable element and ultrasonic probe in a body adjacent to a stone;

inflating the inflatable element;

using a first source of ultrasonic energy to drive the probe to image the stone; and

using a second source ultrasonic energy to drive the probe to disintegrate the stone.