Therapy apparatus for the treatment of pathological tissue with a catheter

• US 5,472,405 A
• Filed: 02/03/1994
• Issued: 12/05/1995
• Est. Priority Date: 04/02/1993
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Schaetzle, Ulrich, Buchholtz, Gerhard
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Casler, Brian L.
• Application Number:
  US08/190,905
• Time in Patent Office: 670 Days
• Field of Search: 601/2, 601/4, 128/660.03, 128/662.03, 128/662.06
• US Class Current: 601/2
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/22069 Immobilising; Stabilising
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61M 2025/0233 specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00
• CPC Class Codes: A61N 7/022 intracavitary

Abstract

A therapy apparatus for the treatment of pathological tissue with focused ultrasound waves, has a catheter introducible into the body of a living subject to be treated and having at least one pressure sensor disposed at the region of its distal end. A control unit to which the output signal of the pressure sensor is supplied generates an alarm signal if the level of the output signal of the pressure sensor exceeds a limit value, thereby minimizing the risk of damaging healthy tissue.

Claims

1. A therapy apparatus for treating pathological tissue with therapeutic ultrasound, comprising:

a therapeutic ultrasound source which emits therapeutic ultrasound and including means for focusing said therapeutic ultrasound at pathological tissue to be treated in the body of a subject;

a catheter introducible into the body of said subject, said catheter having a distal end locatable in a region of said pathological tissue, said catheter carrying a pressure sensor at said distal end, said pressure sensor generating an output signal indicative of pressure present at said distal end of said catheter arising due to said therapeutic ultrasound emitted by said therapeutic ultrasound source; and

control means, connected to said pressure sensor and supplied with said output signal of said pressure sensor, for instituting remedial action if a level of said output signal arising due to said therapeutic ultrasound emitted by said therapeutic ultrasound source exceeds a predetermined value.

2. A therapy apparatus as claimed in claim 1 wherein said control means comprises means for generating an alarm signal when said level of said output signal exceeds said predetermined value.

3. A therapy apparatus as claimed in claim 1 wherein said control means comprises means for suppressing delivery of said therapeutic ultrasound from said source of therapeutic ultrasound when said level of said output signal exceeds said predetermined value.

4. A therapy apparatus as claimed in claim 1 wherein said therapeutic ultrasound has an intensity, and wherein said control means comprises means for lowering said intensity of said therapeutic ultrasound if said level of said output signal exceeds said predetermined value.

5. A therapy apparatus as claimed in claim 1 for use in treating prostate conditions, and wherein said catheter is adapted for introduction into the urethra of said subject, said catheter carrying a further pressure sensor, spaced from said pressure sensor along said catheter, at a distance corresponding to a spacing between the sphincter externus and sphincter internus of said subject.

6. A therapy apparatus as claimed in claim 1 further comprising:

an expandable balloon carried on said catheter at said distal end, said expandable balloon being spaced along said catheter from said pressure sensor by a distance equal to an average distance of a patient population between the inside of the urinary bladder and the sphincter internus of said subject.

7. A therapy apparatus as claimed in claim 1 further comprising:

means connected to said control means for generating an ultrasound image of said region of said subject; and

an acoustic marking member carried on said catheter at a location substantially coinciding with said pressure sensor, said acoustic marking member having an acoustic impedance deviating from the acoustic impedance of tissue in said region so that said marking member is visible in the ultrasound image generated by said means for generating an ultrasound image.

8. A therapy apparatus as claimed in claim 1 further comprising means for circulating a coolant through said catheter.

9. A therapy apparatus as claimed in claim 1 further comprising:

a temperature sensor carried by said catheter at said distal end.

10. A therapy apparatus as claimed in claim 9, further comprising a further pressure sensor carried on said catheter spaced a distance along said catheter from said pressure sensor, and wherein said temperature sensor is disposed on said catheter between said pressure sensor and said further pressure sensor.

11. A therapy apparatus for treating pathological tissue with focused therapeutic ultrasound, comprising:

a therapeutic ultrasound source for generating and emitting therapeutic ultrasound;

a catheter introducible into the body of said subject, said catheter having a distal end locatable in a region of said pathological tissue, said catheter carrying a pressure sensor at said distal end, said pressure sensor generating an output signal indicative of pressure present at said distal end of said catheter arising due to said therapeutic ultrasound emitted by said therapeutic ultrasound source; and

control means, connected to said pressure sensor and supplied with said output signal of said pressure sensor, for instituting remedial action if a level of said output signal arising due to said therapeutic ultrasound emitted by said therapeutic ultrasound source exceeds a predetermined level.