Apparatus for dispersing fluids for dissolution or concretions in a bodily cavity

• US 5,058,590 A
• Filed: 05/01/1989
• Issued: 10/22/1991
• Est. Priority Date: 04/30/1988
• Status: Expired due to Fees

• Current Assignee: Richard Wolf GmbH Knittlingen FED REP of Germany
• Original Assignee: Richard Wolf GmbH (Richard & Annemarie Wolf- Stiftung)
• Inventors: Wurster, Helmut
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US07/345,439
• Time in Patent Office: 904 Days
• Field of Search: 128/660.03, 128/663.01, 128/24 AA, 128/24 EL, 310/334-336, 606/128, 604/22
• US Class Current: 600/439
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 takes precedence
• CPC Class Codes: A61B 17/225 for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
• CPC Class Codes: A61B 2017/22008 used or promoted
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving

Abstract

Apparatus for dissolving concretions within a bodily cavity, for example in the gall bladder, under the action of a solvent fluid applied within the bodily cavity, comprises an ultrasonic transducer arranged to be coupled to the exterior of the patient'"'"'s body and to be focussed on selected parts of the bodily cavity. The transducer emits ultrasonic waves within a frequency range of between 20 and 40 kHz and with just enough power to generate cavitations in bodily cavity fluid within the body cavity, or in the solvent fluid, or in both of these fluids to cause dispersion therebetween.

Claims

1. Apparatus for dissolving concretions within a bodily cavity of a patient to be treated, under the action of a solvent fluid in contact with bodily cavity fluid within said cavity, the apparatus comprising means for introducing a solvent fluid into said bodily cavity for mixture with said bodily cavity fluid, an ultrasonic transducer adapted for coupling to the exterior of the patient'"'"'s body, and being provided with means for emitting ultrasonic waves focussed on at least one of said fluids in said cavity, within a frequency range of from 20 to 40 kHz and having sufficient power to produce cavitation in at least one of said fluids to cause dispersion therebetween.

2. Apparatus as claimed in claim 1, wherein said transducer is of sandwich construction and has a concave end surface for coupling to said exterior of the patient'"'"'s body.

3. Apparatus as claimed in claim 2, wherein said transducer comprises a steel member, a pair of juxtaposed piezo-electric ceramic plates and an aluminum member in which said concave end surface is formed, said steel and aluminum members being secured together with said ceramic plates therebetween, and said apparatus further comprises a generator for producing electrical oscillations, and means connecting said ceramic plates to said generator.

4. Apparatus as claimed in claim 1, wherein said ultrasonic transducer is a spherical ultrasonic resonator.

5. Apparatus as claimed in claim 4, wherein said transducer comprises a steel member, a layer of piezo-electric ceramic elements, and an aluminum member secured together in juxtaposed relationship with said layer of ceramic elements between said steel member and said aluminum member, and said apparatus further comprises a generator for producing electrical oscillations, and means for connecting said ceramic elements to said generator.

6. Apparatus as claimed in claim 1, wherein said transducer is provided with locating means for establishing the position of said concretions in said bodily cavity, for aligning the focus of said transducer with said concretions, and for establishing the extent of dissolution of said concretions.