Transesophageal echocardiography device

• US 5,295,486 A
• Filed: 10/18/1991
• Issued: 03/22/1994
• Est. Priority Date: 05/03/1989
• Status: Expired due to Term

• Current Assignee: Andreas Zeiher, Hans-Peter Klein, Helmut Wollschlager, Susanna Wollschlager
• Original Assignee: Silicon Valley Bank (SVB Financial Group)
• Inventors: Klein, Hans-Peter, Zeiher, Andreas, Wollschlager, Helmut, Wollschlager, Susanna
• Primary Examiner(s): Jaworski, Francis
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US07/768,897
• Time in Patent Office: 886 Days
• Field of Search: 128/660.09, 128/661.01, 128/661.08, 128/660.07, 128/661.04, 128/916
• US Class Current: 600/447
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/14 Echo-tomography
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal
• CPC Class Codes: Y10S 128/916 Ultrasound 3-D imaging

Abstract

In a device for transoesophagal echocardiography, an ultrasound transformer (1) is used to make a sequence of layer images for a plurality of parallel sectional planes with the aid of an ultrasonic diagnostic device (8). The layer images made during one cardiac cycle with the image repetition rate of the ultrasonic diagnostic device (8) are stored in a buffer store (34) and transferred to a main store (48) with the aid of a selection stage (49) to generate three-dimensional sets of images only when a locating device (13), and ECG device (24) and a respiration detector (54) generate release signals which are allocated to a constant spatial probe position, a constant R--R interval distance and a constant respiratory state. The content of the main store (48) is evaluated with the aid of an image processing system (56), whereby sectional images may be calculated, especially for any sectional plane, and displayed on a monitor (31).

Claims

1. An ultrasound endoscopy device for transesophageal echocardiography, comprising;

an ultrasound transducer, for scanning a series of parallel section planes of the heart with ultrasonic energy, converting ultrasound scans into electrical signals, the electrical signals being analogs of the scanned series of parallel section planes, and transmitting the electrical signals, the ultrasound transducer being slidably mounted upon a sliding rail situated in the interior of the device, such that the transducer may be linearly moved along the sliding rail of the device;

ultrasound diagnostic means for receiving analog signals of said series of parallel section planes, converting the analog signals into signals in the form of tomograms and transmitting the signals; and

an image processing system for receiving the signals in the form of tomograms from the diagnostic means, the image processing system comprising,

a memory storage buffer capable of storing at least one said tomogram in synchronization with the cardiac phases when scanning each said section plane;

a main memory for storiong at least one three-dimensional image composed of a series of parallel ones of said tomograms;

data selection and transmission means interconnecting a data output port of said memory storage buffer to a data entry port of said main memory, said data selection and transmission means selecting individual ones of said tomograms assigned to consecutive cardiac cycles and transmitting such to said main memory only in those instances where said individual tomograms correspond to cardiac cycles having the same duration; and

means for preventing the movement of the ultrasound transducer to the next one of said section planes until a successful transfer of data from said memory storage buffer to said main memory.

2. The ultrasound endoscopy device of claim 1, and further including:

an ECG recording device for controlling the progressive movement of the ultrasound probe along the sliding rail.

3. The ultrasound endoscopy device of claim 2, wherein:

said ECG recording device includes a dial gauge for determining the R--R intervals of consecutive cycles as well as the frequency distribution of the duration of the R--R intervals;

said data selection and transmission means transmits an individual tomogram upon receiving a release signal from said ECG recording device;

said ECG recording device sends a release signal to said data selection and transmission means when the contents of said memory storage buffer conform to a preselected constant R--R interval.

4. The ultrasound endoscopy device of claim 3, wherein:

said memory storage buffer has the capacity to store a plurality of said tomograms assigned to different cardiac phases of a cardiac cycle; and

said data selection and transmission means outputs said multiple tomograms from said memory storage buffer in synchronization with the cardiac phases at each section plane positioning of the ultrasound transducer in a chronological series of said three-dimensional images selected for said main memory, said three-dimensional images corresponding to consecutive phases of a cardiac cycle.

5. The ultrasound endoscopy device of claim 1, and further including:

a spatial coordinate detector for determining the position of a distal end of the ultrasound endoscope, said distal end being the portion of the ultrasound endoscope in which said sliding rails are contained.

6. The ultrasound endoscopy device of claim 5, wherein:

said coordinate detector permits recording of a frequency distribution of said positions, and

said means for preventing the movement provide a release signal only in response to a preselected constant set position of said distal end.

7. The ultrasound endoscopy device of claim 5, wherein the device is carried on a gurney, and:

said spatial coordinate detector includes two coils positioned at right angles to each other in said distal end, and two alternately aligned induction coils, one of which is embedded in the cover of the gurney and the other in a side wall arrayed at right angles to the surface of the gurney, the combined generated magnetic fields operating to establish a fixed system of coordinates.

8. The ultrasound endoscopy device of claim 1, and further including:

monitor means for monitoring the respiration pattern of the patient, being connected to said means for preventing movement, said monitor means blocking said movement under conditions where said respiration pattern is unstable.

9. The ultrasound endoscopy device of claim 1, wherein:

said main memory is controlled by a computer, said computer including display means and being adapted to display said tomograms juxtaposed with said three dimensional images upon said display means.

10. The ultrasound endoscopy device of claim 9, wherein:

said computer includes programming means for determining and displaying the measurements of the heart, and, in particular, for determining the volumes of the different ventricles of the heart, the thickness of the cardiac wall, the mass of the cardiac muscles, changes in cardiac walls in comparative studies and movements of the cardiac walls during a cardiac cycle.