Apparatus for disintegrating a calculus by an underwater shock wave from outside the human body

• US 4,893,614 A
• Filed: 04/29/1988
• Issued: 01/16/1990
• Est. Priority Date: 06/26/1985
• Status: Expired due to Fees

• Current Assignee: Yachiyoda Sangyo Co., Ltd.
• Original Assignee: Yachiyoda Sangyo Co., Ltd.
• Inventors: Kimura, Shuzo, Kuwahara, Masaaki, Takayama, Kazuyoshi
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/188,671
• Time in Patent Office: 627 Days
• Field of Search: 128/328, 128/24 A
• US Class Current: 601/4
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 2017/2253 using a coupling gel or liquid
• CPC Class Codes: G10K 11/004 Mounting transducers, e.g. provided with mechanical moving or orienting device mountings specially adapted to a particular sound-producing device, see the preceding groups G10K1/00 - G10K9/00, e.g. G10K1/26, G10K1/28, G10K9/22; arrangements of sonic watch equipment on submarines B63G8/39; buoys B63B22/00
• CPC Class Codes: G10K 15/043 producing shock waves G10K15/046, G10K15/06 take precedence; generating seismic energy G01V1/02

Abstract

An apparatus for disintegrating a calculus in the human body by an underwater shock wave produced outside the human body. The apparatus includes a shock wave generation chamber having an inner surface in the shape of a part of a pseudo-ellipsoid of revolution having an opening therein. Also provided is a shock wave generation source positioned at the first focus of the pseudo-ellipsoid of revolution. In addition, a flexible container housing a liquid is attached to the shock wave generation chamber so that the liquid from the flexible container fills up the shock wave generation chamber. The flexible container containing the liquid is brought into contact with the human body, and the shock wave generation chamber is displaced so as to deform the flexible container, until the calculus in the human body is positioned at the second focus of the pseudo-ellipsoid of revolution. As a result of this positioning of the calculus of the human body at the second focus of the pseudo-ellipsoid of revolution, when a shock wave is generated at the first focus, a sufficiently high pressure can be generated at the second focus so as to disintegrate the calculus.

Claims

1. An apparatus for disintegrating a calculus in a human body by generating an under-water shock wave from outside the human body, said apparatus comprising:

(a) a shock wave generation chamber having an interior surface and an opening, said shock wave generation chamber further comprising a substantially solid exterior side surface that surrounds said interior surface and said opening;

(b) a shock wave generation source for generating a shock wave in said shock wave generation chamber; and

(c) an entirely flexible container which is adapted to receive a liquid, said shock wave generation chamber being positioned so that the interior of said shock wave generation chamber is filled through said opening with liquid from said flexible container when said flexible container is filled with said liquid, said flexible container having an open mouth portion which is positioned about the exterior side of said shock wave generation chamber, wherein said shock wave generation chamber has a solely pseudo-elliptical interior surface said flexible container further having an interior which is in fluidic communication with the pseudo-elliptical interior surface, and means for retaining side open mouth portion of said flexible container about the exterior said surface of said shock wave generation chamber, wherein most of the exterior side surface of said shock wave generation chamber is in fluidic communication with the interior of the flexible container.

2. The apparatus defined by claim 1, in combination with said liquid.

3. The apparatus defined by claim 2, wherein said liquid is water.

4. The apparatus defined by claim 1, wherein said interior surface having the shape of a part of said pseudo-ellipsoid of revolution has first and second foci, said shock wave generation source being positioned substantially at said first focus of said pseudo-ellipsoid of revolution, whereby when said calculus is positioned at said second focus of said pseudo-ellipsoid of revolution, said calculus is disintegrated in response to a sufficiently strong shock wave generated by said shock wave generation source at said first focus.

5. The apparatus defined by claim 4, wherein said shock wave generation source comprises means for producing a shock wave of sufficient strength so as to disintegrate a calculus comprising a stone of calcium oxalate as large as 5 millimeters in diameter.

6. The apparatus defined by claim 5, wherein said shock wave generation source comprises a microexplosive comprising 5 milligrams of lead azide.

7. The apparatus defined by claim 4, wherein said shock wave generation source comprises a material selected from the group consisting of:

lead azide, silver azide, tricinate, and diazo dinitro phenol.

8. The apparatus defined by claim 4, wherein said human body is placed on a bed, wherein said apparatus further comprises means for displacing at least one of said bed and said shock wave generation chamber so that said flexible container contacts said human body, and so that said calculus in said human body is positioned substantially at said second focus of said pseudo-ellipsoid of revolution.

9. The apparatus defined by claim 4 wherein said shock wave generation source comprises a microexplosive.

10. The apparatus defined by claim 4, wherein said shock wave generation source comprises a spark gap generating apparatus, wherein said spark gap generating apparatus comprises a source of high voltage electricity, and two spaced apart plates forming a gap therebetween and connected to said source of electricity, wherein said source of electricity produces a spark in said gap at said first focus.

11. The apparatus defined by claim 4, wherein said shock wave generation source comprises a supersonic wave generation element and a source of electricity connected to said element.

12. The apparatus defined by claim 4, wherein said shock wave generation source comprises means for producing a laser beam, an optical fiber means, and a focusing lens, wherein said optical fiber means transmits said laser beam from said laser means to said focusing lens, and wherein said focusing lens is so positioned so as to focus said laser beam outputted from said fiber optical means at said first focus of said pseudo-ellipsoid of revolution in said shock wave generation chamber.

13. The apparatus defined by claim 4, wherein said shock wave generation source comprises a microexplosive, and a trigger means for triggering said microexplosive, wherein said trigger means comprises an initiating explosive, an optical fiber means, and means for generating a laser beam, wherein said initiating explosive is in contact with said microexplosive, wherein one end of said optical fiber means is in contact with said initiating explosive, and wherein the other end of said optical fiber means is connected to said laser generation means.

14. The apparatus defined by claim 4, wherein said shock wave generation source comprises a microexplosive, and means for triggering said microexplosive, wherein said triggering means comprises an initiating explosive, an electrical heater, an electric wire, and a switch box comprising a dry battery electric source, wherein said initiating explosive is in contact with said microexplosive, said electric heater is embedded in said initiating explosive, wherein one end of said wire is connected to said heater, wherein the other end of said electric wire is connected to said dry battery electric source in said switch box.

15. The apparatus defined by claim 4, wherein said shock wave generation source comprises a microexplosive, and means for triggering said microexplosive, wherein said triggering means comprises an initiating explosive, a triggering rod, and a receiving rod, wherein said initiating explosive adheres to said microexplosive, wherein said apparatus further comprises a breakable casing in which said microexplosive is housed, wherein said triggering rod comprises a rear end and a tapered forward end in contact with said initiating explosive on one side of said casing, wherein said receiving rod supports the other side of said casing, wherein said casing is positioned between said receiving rod and said triggering rod, wherein said apparatus further comprises means for striking said rear end of said triggering rod at a sufficiently high speed so as to trigger said initiating explosive.

16. The apparatus defined by claim 4 further comprising a liquid jet for directing a flow of liquid at the inner surface of said chamber to remove bubbles adhering to the inner surface of said chamber.

17. An apparatus in accordance with claim 1, wherein said container open mouth portion is positioned directly about said exterior side surface.

18. An apparatus for disintegrating a calculus in a human body, said apparatus comprising:

(a) an entirely flexible container adapted to receive and hold a liquid, said container having a flexible open mouth portion;

(b) a shock wave generation source positioned at least partially in said container, said shock wave generation source further being positioned within a substantially solid shock wave generation chamber having an interior surface solely in the form of an ellipsoid of revolution and a substantially solid exterior side surface, said flexible container further having an interior which is in fluidic communication with the interior surface of said shock wave generation chamber; and

(c) means for attaching said exterior side surface of said shock wave generation chamber to an interior surface of the mouth of said container wherein most of the exterior side surface of said shock wave generation chamber is in fluidic communication with the interior of the flexible container.

19. The apparatus defined by claim 18, wherein said shock wave generation chamber is in communication with said container so that when said container is filled with liquid said shock wave generation chamber is filled with liquid, wherein said shock wave generation chamber interior surface is in the shape of a pseudo-ellipsoid of revolution having first and second foci, wherein said source is positioned substantially at said first focus, whereby the position of said second focus can be changed sufficiently to substantially coincide with the location of said calculus in response to said relative displacement of said source and said container while said container is in contact with said human body.

20. The apparatus defined by claim 18 wherein said source comprises means for generating a shock wave of sufficient strength at said first focus so as to disintegrate said calculus at said second focus.

21. The apparatus defined by claim 20 wherein said source comprises means for generating a shock wave at said first focus of sufficient strength to disintegrate a calculus at said second focus comprising a stone of calcium oxalate as large as 5 millimeters.

22. The apparatus defined by claim 21 wherein said human body is placed on a bed, wherein said apparatus further comprises means for displacing at least one of said bed and said chamber so as to position said calculus at said second focus.

23. The apparatus defined by claim 20 wherein said source comprises a microexplosive.

24. The apparatus defined by claim 20 wherein said source comprises a spark gap generating apparatus comprising a source of electricity and two spaced apart plates connected to said electricity source, wherein said source of electricity produces a spark in said gap at said first focus.

25. The apparatus defined by claim 20 wherein said source comprises a supersonic wave generation element.

26. The apparatus defined by claim 20 wherein said source comprises means for producing a laser beam, an optical fiber means, and a focusing lens, wherein one end of said optical fiber means is connected to said laser means and the other end of said optical fiber means is directed toward said lens, wherein said lens is so positioned to focus said laser beam outputted from said optical fiber means at substantially said second focus.

27. The apparatus defined by claim 20 further comprising a liquid jet directed toward the inner surface of said chamber for directing a flow of liquid at said inner surface of said chamber to remove bubbles adhering to said inner surface of said chamber.

28. The apparatus defined by claim 20 further comprising a pipe passing through said chamber so that one end of said pipe is positioned in said container, wherein the other end of said pipe is connected to a source of liquid, wherein said pipe comprises means for filling said container with said liquid.

29. The apparatus defined by claim 20 further comprising a pipe, and means for discharging liquid from said container through said pipe, wherein said pipe passes through said chamber so that one end of said pipe is positioned in said container, wherein the other end of said pipe is connected to said discharging means.

30. An apparatus in accordance with claim 18, wherein said exterior side surface is directly attached to the mouth of said container.

31. An apparatus for disintegrating a calculus in a human body, said apparatus comprising:

(a) a shock wave generation chamber having a solely pseudo-elliptical interior surface, an end surface with an opening therethrough, and a substantially solid exterior side surface;

(b) an entirely flexible container adapted to receive and hold a liquid, said container having an open mouth portion which is positioned about the exterior side surface of said shock wave generation chamber, said flexible container further having an interior which is in fluidic communication with the solely pseudo-elliptical interior surface and a portion of the exterior side surface of said shock wave generation chamber; and

(c) means for attaching said exterior side surface of said shock wave generation chamber to an interior surface of the mouth of said container wherein most of the exterior side surface of said shock wave generation chamber is in fluidic communication with the interior of the flexible container.

32. The apparatus of claim 31 wherein said substantially solid exterior side surface of said shock wave generation chamber is substantially cylindrical.

33. An apparatus in accordance with claim 31, wherein said exterior side surface is directly attached to the mouth of said container.