Ultrasound type treatment apparatus

• US 5,076,276 A
• Filed: 08/24/1990
• Issued: 12/31/1991
• Est. Priority Date: 11/01/1989
• Status: Expired due to Term

• Current Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Sakurai, Tomohisa, Kudo, Masahiro, Ikeda, Yuichi, Hijii, Kazuya, Okada, Mitsumasa, Karasawa, Hitoshi, Yoshino, Kenji, Kubota, Tatsuya, Kagawa, Hiroaki, Kubota, Tetsumaru, Suzuta, Toshihiko, Nagazumi, Hideo, Hagino, Tadao
• Primary Examiner(s): Jaworski, Francis
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US07/573,673
• Time in Patent Office: 494 Days
• Field of Search: 128/660.01, 128/24 AA, 604/22, 604/27, 73/861.18, 606/128
• US Class Current: 601/2
• 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 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 2017/320073 probe
• CPC Class Codes: A61B 2017/32008 preventing clogging of suction channel
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: G01N 29/28 providing acoustic coupling , e.g. water impedance matching G10K11/02

Abstract

An ultrasound type treatment apparatus includes an ultrasonic oscillation device for outputting an ultrasonic oscillation wave, a drive circuit for driving the ultrasonic oscillation device, a probe connected to the ultrasonic oscillation device to transmit that ultrasonic oscillation wave to an affected region of interest of a human being, a sheath formed around the probe, through which cooling medium is passed and a supply tank for supplying cooling medium to the sheath. In this treatment apparatus, an arithmetic operation circuit monitors a drive state of the ultrasonic oscillation device, a comparator is provided for receiving monitor information from the arithmetic operation circuit and for determining whether or not the supply of cooling medium to the sheath is normal and a controller is provided for stopping a drive of the ultrasonic oscillation device when the supply of the cooling medium is determined by the comparator as being not normal.

Claims

1. An ultrasound type treatment apparatus comprising:

ultrasonic oscillation means for outputting an ultrasonic oscillation wave, said ultrasonic oscillation means having an input terminal;

drive means for driving said ultrasonic oscillation means;

ultrasonic wave transmitting means, connected to said ultrasonic oscillation means, for transmitting the ultrasonic oscillation wave from the oscillation wave means to an affected region of interest of a human being;

communicating means formed around the ultrasonic wave transmitting means, through which cooling medium is passed;

supply means for supplying the cooling medium to said communicating means,

monitor means for monitoring a drive state of said ultrasonic oscillation means and outputting monitor information;

determining means for receiving the monitor information from the monitor means and for determining whether or not the supply of the cooling medium to said communicating means is normal; and

control means for stopping a drive of the ultrasonic oscillation means when said determining means determines that the supply of the cooling medium is not normal.

2. An apparatus according to claim 1, wherein said drive means comprises:

a drive circuit having an output terminal and generating a drive signal; and

an output transformer having a primary winding connected to the output terminal of said drive circuit and a secondary winding connected to the input terminal of said ultrasonic oscillation means,

said monitor means comprises;

a resistor connected in parallel with the primary winding of said output transformer;

a first rectifying circuit for rectifying a voltage generated across said resistor and producing an output voltage, the output voltage of said first rectifying circuit corresponding to a voltage (V) applied to said ultrasonic oscillation means;

a current detector interposed between the primary winding of said output transformer and said drive circuit and generating a voltage;

a second rectifying circuit for rectifying the voltage generated in said current detector and generating an output voltage, the output voltage of said second rectifying circuit corresponding to a current (I) flowing in said ultrasonic oscillation means, and

an arithmetic operation circuit, connected between said first and second rectifying circuits and, for computing an impedance (Z) by dividing the output voltage of said first rectifying circuit by the output voltage of said second rectifying circuit and for outputting a voltage corresponding to the impedance, and

said determining means comprises (Z);

reference value setting means for generating a reference value (Z_o) of the impedance (Z) of said ultrasonic oscillation means, the reference value (Z_o) providing a reference base for determining a state of supply of the cooling medium; and

a comparator having an inverting input terminal (-) connected to said arithmetic operation circuit and a non-inverting input terminal (+) connected to said reference value setting means and adapted to compare a detection value, corresponding to the impedance (Z) of said ultrasonic oscillation means, received from said arithmetic operation circuit with the reference value (Z_o) received from said reference value setting means.

3. An apparatus according to claim 1, wherein said driving means comprises:

a drive circuit having an output terminal and generating a drive signal; and

an output transformer having a primary winding connected to the output terminal of said drive circuit and a secondary winding connected to the input terminal of said ultrasonic oscillation means,

said monitor means comprises;

a resistor connected in parallel with the primary winding of said output transformer;

a rectifying circuit for rectifying a voltage generated across the resistor and producing an output voltage, the output voltage of said rectifying circuit corresponding to a voltage (V) applied to said ultrasonic oscillation means;

detective means for detecting an oscillation amplitude (A) of said ultrasonic oscillation means;

an oscillation detector for outputting a voltage corresponding to the oscillation amplitude (A) of said ultrasonic oscillation means which is detected by said detective means; and

an arithmetic operation circuit for outputting a signal corresponding to a calculation value (S) obtained by dividing the output voltage of said oscillation detector by the output voltage of said rectifying circuit, and

said determining means comprises;

reference value setting means for generating a reference value (S_o) corresponding to the calculation value (S) supplied from said arithmetic operation circuit, the reference value (S_o) providing a reference base for determining a state of supply of the cooling medium; and

a comparator having an inverting input terminal (-) connected to said arithmetic operation circuit and a non-inverting input terminal (+) connected to said reference value (S_o) setting means and adapted to compare an output signal corresponding to the calculation value (S) supplied from said arithmetic operation circuit with the reference value (S_o) supplied from said arithmetic operation means.

4. An apparatus according to claim 1, wherein said drive means comprises:

a drive circuit having an output terminal and generating a drive signal; and

an output transformer having a primary winding connected to the output terminal of said drive circuit and a secondary winding connected to the input terminal of said ultrasonic oscillation means;

said monitor means comprises;

a wattmeter for detecting a dissipation power (P) of said ultrasonic oscillation means and for outputting a voltage corresponding to a result of detection;

detective means for detecting an oscillation amplitude (A) of said ultrasonic oscillation means;

an oscillation detector for outputting a voltage corresponding to the oscillation amplitude (A) of said ultrasonic oscillation means detected by said detective means; and

an arithmetic operation circuit for outputting a signal corresponding to a calculation value (T) obtained by dividing the output voltage of said oscillation detector by the output voltage of said wattmeter,

said determining means comprises;

reference value setting means for generating a reference value (T_o) corresponding to the calculation value (T) supplied from said arithmetic operation circuit, the reference value (T_o) providing a reference base for determining a state of supply of the cooling medium; and

a comparator having an inverting input terminal (-) connected to said arithmetic operation circuit and a non-inverting input terminal (+) connected to said reference value setting means and adapted to compare an output signal corresponding to the calculation value (T) of said arithmetic operation circuit with the reference value (T_o) supplied from said reference value setting means.

5. An apparatus according to claim 1, wherein said drive means comprises:

a constant current power source circuit connected to a commercial power source to supply a constant current;

a drive circuit having an input terminal connected to said constant current power source circuit and having an output terminal to generate a drive signal; and

an output transformer having a primary winding connected to the output terminal of said drive circuit and a secondary winding connected to the input terminal of said ultrasonic oscillation means,

said monitor means comprises;

a current detector provided on a connection line between said constant current power source circuit and said drive circuit, an output of said current detector corresponding to a constant current (I'"'"');

a resistor connected in parallel with the primary winding of said output transformer;

a rectifying circuit for rectifying a voltage generated across said resistor and producing an output voltage, the output voltage of said rectifying circuit corresponding to a voltage (V) applied to said ultrasonic oscillation means; and

an arithmetic operation circuit for outputting an output signal corresponding to a calculation value (U) obtained by dividing the output voltage of said current detector by the output voltage of said rectifying circuit, and

said determining means comprises;

reference value setting means for generating a reference value (U_o) corresponding to the calculation value (U) supplied from said arithmetic operation circuit, the reference value (U_o) providing a reference base for determining a state of supply of the cooling medium; and

a comparator having an inverting input terminal (-) connected to said arithmetic operation circuit and a non-inverting input terminal (+) connected to said reference value setting means and adapted to compare an output signal corresponding to the calculation value (U) supplied from the arithmetic operation circuit with the reference value (U_o) supplied from said reference value setting means.

6. An apparatus according to claim 1, wherein said communicating means includes a tubular sheath covering said ultrasonic wave transmitting means to define a spacing relative to said ultrasonic wave transmitting means and said tubular sheath having a proximal end extending toward said ultrasonic oscillation means and a distal end extending toward a distal end of said ultrasonic wave transmitting means, cooling medium supply means being provided between said sheath and said ultrasonic wave transmitting means to allow cooling medium to flow through the spacing.

7. An apparatus according to claim 6, wherein said ultrasonic wave transmitting means defines a hole therein and has a probe serving as a first suction passage provided by the hole and said sheath includes an inner tubular sheath section covering said probe to define a spacing relative to said probe and an outer sheath section providing a spacing relative to said inner sheath section, a cooling medium supply passage and a second suction passage being such that one of them is provided between said probe and said inner sheath section, and the other between said inner sheath section and said outer sheath section.

8. An apparatus according to claim 7, wherein communication means is provided at a distal end of said inner section at a location short of a distal end of said outer sheath section to allow a fluid communication to be achieved between said cooling medium supply passage and said second suction passage.

9. An apparatus according to claim 8, wherein said sheath defines said second suction passage as a spacing between said inner sheath section and said probe, and said cooling medium supply passage as a spacing between said outer sheath section and said inner sheath section.

10. An apparatus according to claim 9, wherein said sheath has an end wall for closing a gap provided between a distal end of said inner sheath section and that of said outer sheath section, and cooling medium supply means is provided between said cooling medium supply passage and said second suction passage to achieve communication between the two.

11. An apparatus according to claim 8, wherein said sheath provides said cooling medium supply passage as a spacing between said inner sheath section and said probe and said suction path as a spacing between said outer sheath section and said inner sheath section

12. An apparatus according to claim 11, wherein a cover flange is provided integral with a distal end of said outer sheath section and extends toward said probe to provide a constriction open gap at the distal end of said outer sheath section to allow a suction function to be enhanced toward said second suction passage, said constriction open gap allowing a supply of cooling medium between said cover flange and an outer periphery of said probe.

13. An apparatus according to claim 8, wherein said sheath is so formed that an inner cooling medium supply passage is provided between said probe and said inner sheath section, and an outer cooling medium supply passage between said inner sheath section and said outer sheath section, a cover flange is provided integral with a distal end of said inner sheath section and extends toward said probe to provide an open gap for substantially closing said cooling medium supply passage, and communication means is provided at the distal end portion of said probe to allow a communication to be achieved between said suction passage and said cooling medium supply passage.

14. An apparatus according to claim 11, wherein said probe has suction means provided at a proximal end portion to allow a communication to be achieved between said second suction path and said first suction passage.

15. An apparatus according to claim 14, further comprising a handpiece covering an outer periphery of said ultrasonic oscillation means to define a cooling medium passage communicating with said cooling medium supply passage.

16. An apparatus according to claim 7, wherein a projection is provided integral with a distal end of said probe with its base end set greater in thickness than its distal end and communication means is provided near the base end of said projection to allow a fluid communication with said first suction passage.

17. An apparatus according to claim 16, wherein said communication means has a pair of openings, one at each side of said base end portion of said projection with their center axes intersected on a center axis of said probe.

18. An ultrasound type treatment apparatus comprising:

ultrasonic oscillation means for outputting an ultrasonic oscillation wave;

ultrasonic wave transmitting means, connected to said ultrasonic wave oscillation means, for transmitting the ultrasonic oscillation wave from said oscillation means to an affected region of interest in a patient;

communicating means, formed around said ultrasonic wave transmitting means; and

supply means for supplying a cooling medium to said communicating means;

wherein said ultrasonic wave transmitting means defines a hole therein and comprises a probe using said hole as a first suction passage;

said communicating means including an inner tubular sheath section covering said probe so as to define a space relative to said probe, and an outer tubular sheath section covering said inner sheath section so as to define a space relative to said inner sheath section, said inner sheath section having both a proximal end portion extending toward said ultrasonic oscillation means and a distal end portion extending toward a distal end of said probe, said outer sheath section having both a proximal end portion extending toward said ultrasonic oscillation means and a distal end portion extending toward the distal end of said probe; and

a cooling medium supply passage and a second suction passage are provided, with one being between said probe and said inner sheath section, and the other being between said inner sheath section and said outer sheath section, said cooling medium supply supply passage and said second suction passage forming a cooling medium transmitting means.

19. An apparatus according to claim 18, wherein communication means is provided at a distal end of said inner sheath section at a location short of a distal end of said outer sheath section to allow a fluid communication to be achieved between said cooling medium supply passage and said second suction passage.

20. An apparatus according to claim 18, wherein a projection is provided integral with a distal end of said probe with its base end set greater in thickness than its distal end, and communication means is provided near the base end of said projection to allow fluid communication with said first suction passage.