Therapy apparatus for locating and treating a zone in the body of a life form with acoustic waves

• US 5,391,140 A
• Filed: 12/27/1993
• Issued: 02/21/1995
• Est. Priority Date: 01/29/1993
• Status: Expired due to Term

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Granz, Bernd, Schaetzle, Ulrich
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Casler, Brian L.
• Application Number:
  US08/172,732
• Time in Patent Office: 421 Days
• Field of Search: 601/2.4, 128/660.03
• US Class Current: 601/4
• 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 17/2258 integrated in a central portion of the shock wave apparatus
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• 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 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/4461 Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
• CPC Class Codes: A61B 8/4483 characterised by features of the ultrasound transducer
• CPC Class Codes: A61B 8/4488 the transducer being a phased array
• CPC Class Codes: A61B 8/4494 characterised by the arrangement of the transducer elements devices for short-range imaging using particular transducer elements arrangements under G01S15/8909; arrangements of transducers in generation of mechanical vibrations of infrasonic, sonic or ultrasonic frequency B06B1/0607
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: G01S 15/8918 the array being linear
• CPC Class Codes: G01S 15/8925 the array being a two-dimensional transducer configuration, i.e. matrix or orthogonal linear arrays
• CPC Class Codes: G01S 15/894 by rotation about a single axis

Abstract

A therapy apparatus for locating and treating a zone in the body of a living subject with focused, therapeutic ultrasound waves having a first frequency includes an ultrasound locating system which emits diagnostic ultrasound having a second frequency, and which receives parts of the diagnostic ultrasound reflected in the body of the subject and converts them into electrical signals which are used to form an image of the zone to be treated with the subject. In order to permit the locating system to be operated simultaneously with the generation of therapeutic waves, and thus to be able to generate a continuous image without disturbances caused by therapeutic waves, the electrical signals are supplied, before forming the image, to a filter having a transfer function with a rejection band wherein the first frequency lies and a passband wherein the second frequency lies. The output signals from the filter are then used to generate the image.

Claims

1. A therapy apparatus for locating and treating a zone in the body of a living subject with acoustic waves comprising:

means for generating therapeutic acoustic waves at a first frequency and for focusing said therapeutic acoustic waves onto a zone of action; and

acoustic locating means for generating an image of a zone to be treated in said subject simultaneously with the generation of therapeutic acoustic waves, for assisting in bringing said zone of action into coincidence with said zone to be treated, said acoustic locating means including means for emitting diagnostic acoustic waves at a second frequency and for receiving parts of said diagnostic acoustic waves reflected in the body of said subject and for converting said parts into electrical signals, means for generating said image from said electrical signals, and filter means for suppressing a fundamental of the focused therapeutic acoustic waves having a transfer function with a rejection band wherein said first frequency lies and a passband wherein said second frequency lies.

2. A therapy apparatus as claimed in claim 1 wherein said filter means comprises an electronic filter circuit to which said electrical signals are supplied and which acts on said electrical signals.

3. A therapy apparatus as claimed in claim 1 wherein said means for generating therapeutic acoustic waves comprises means for generating therapeutic ultrasound and wherein said means for emitting said diagnostic acoustic waves comprises means for emitting diagnostic ultrasound.

4. A therapy apparatus as claimed in claim 1 wherein said means for generating therapeutic acoustic waves comprises means for generating therapeutic ultrasound.

6. A therapy apparatus as claimed in claim 1 wherein said means for emitting diagnostic acoustic waves comprises at least one ultrasound transducer which emits diagnostic ultrasound and which converts parts of said diagnostic ultrasound reflected by the body of said subject into said electrical signals.

7. A therapy apparatus as claimed in claim 6 wherein said means for generating an image from said electrical signals comprises image-generating electronics for generating ultrasound images, said image-generating electronics containing said filter means.

8. A therapy apparatus as claimed in claim 7 wherein said image-generating electronics comprises means for generating a real-time ultrasound image.

9. A therapy apparatus as claimed in claim 7 wherein said image-generating electronics comprises means for generating an ultrasound B-image.

10. A therapy apparatus as claimed in claim 1 wherein said first frequency is lower than said second frequency.

11. A therapy apparatus as claimed in claim 1 wherein said filter means comprises a high-pass filter.

13. A therapy apparatus as claimed in claim 1 wherein said filter means comprises a band rejection filter.

14. A therapy apparatus as claimed in claim 1 wherein said filter means comprises a bandpass filter.

15. A therapy apparatus as claimed in claim 1 further comprising means, connected to said means for emitting diagnostic acoustic waves at a second frequency, for adjusting said second frequency.

16. A therapy apparatus as claimed in claim 1 wherein said means for generating therapeutic acoustic waves comprises a plurality of ultrasound transducers and means for operating said ultrasound transducers as a phased array.

17. A therapy apparatus as claimed in claim 16 wherein said plurality of ultrasound transducers are arranged in a linear array.

18. A therapy apparatus as claimed in claim 17 wherein said linear array has a longitudinal axis, and wherein said linear array is curved around an axis proceeding parallel to said longitudinal axis.

19. A therapy apparatus as claimed in claim 1 wherein said means for emitting diagnostic acoustic waves comprises a plurality of ultrasound transducers and means for operating said ultrasound transducers as a phased array.

20. A therapy apparatus as claimed in claim 19 wherein said plurality of ultrasound transducers are arranged in a linear array.

21. A therapy apparatus as claimed in claim 20 wherein said linear array has a longitudinal axis, and wherein said linear array is curved around an axis proceeding parallel to said longitudinal axis.

22. A therapy apparatus as claimed in claim 1 wherein said means for emitting diagnostic acoustic waves comprises a diagnostic ultrasound transducer, and further comprising means for rotating said diagnostic ultrasound transducer around an axis relative to said means for generating therapeutic acoustic waves.

5. A therapy apparatus as claimed in claim I wherein said means for emitting diagnostic acoustic waves comprises means for emitting diagnostic ultrasound.

12. A therapy apparatus as claimed in claim I wherein said filter means comprises a low-pass filter.

23. A method for locating and treating a zone in the body of a living subject with acoustic waves comprising the steps of:

generating therapeutic acoustic waves at a first frequency and focusing said therapeutic acoustic waves onto a zone of action; and

generating an image of a zone to be treated in said subject simultaneously with the generation of therapeutic acoustic waves, for assisting in bringing said zone of action into coincidence with said zone to be treated, by emitting diagnostic acoustic waves at a second frequency and receiving parts of said diagnostic acoustic waves reflected in the body of said subject and converting said parts into electrical signals, and generating said image from said electrical signals, and filter, and suppressing a fundamental of the focused therapeutic acoustic waves during the generation of said image.

24. A method as claimed in claim 23 wherein the step of suppressing said fundamental is further defined by filtering said electrical signals using a transfer function with a rejection band wherein said first frequency lies and a passband wherein said second frequency lies.

25. A method as claimed in claim 24 wherein the step of generating said image is further defined by generating a real-time ultrasound image.

26. A method as claimed in claim 24 wherein the step of generating said image is further defined by generating an ultrasound B-image.

27. A method as claimed in claim 24 wherein said first frequency is lower than said second frequency.

28. A method as claimed in claim 24 wherein the step of generating therapeutic acoustic waves is further defined by the steps of generating therapeutic acoustic waves using a plurality of ultrasound transducers and operating said ultrasound transducers as a phased array.

29. A method as claimed in claim 24 wherein the step of emitting diagnostic acoustic waves is further defined by the steps of emitting diagnostic acoustic waves using a plurality of ultrasound transducers and means for operating said ultrasound transducers as a phased array.