Method and apparatus to establish target coordinates for lithotripsy

• US 5,658,239 A
• Filed: 05/31/1996
• Issued: 08/19/1997
• Est. Priority Date: 05/12/1992
• Status: Expired due to Fees

• Current Assignee: Peter R. Delmenico
• Original Assignee: Peter R. Delmenico
• Inventors: Delmenico, Peter R.
• Primary Examiner(s): Casler, Brian L.
• Application Number:
  US08/658,893
• Time in Patent Office: 445 Days
• Field of Search: 601/2, 601/4, 128/660.03, 73/620, 73/625, 73/627, 73/628, 73/634, 73/DIG. 1
• US Class Current: 601/4
• CPC Class Codes: A61B 17/2256 with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means A61B17/2255 takes precedence

Abstract

The invention discloses a method and apparatus for effectively localizing a stone and targeting a shock wave in connection with extracorporeal shock wave lithotripsy ("ESWL"). The technique disclosed by this invention can be adapted for use in connection with any conventional lithotripter. In this invention, an array of at least 3 and preferably 4 or more pressure transducers are used to sense the reflection from the target in response to an initial shock wave or ultrasonic wave. The sensor readings are then temporally shifted relative to one another in such a way as to maximize correlation between the signals from each sensor. The required time shifts for maximum correlation are used to calculate the differences in arrival times of reflected waves at the sensors. By knowing the original location of the sensors and establishing the time differences at which the reflected wave reaches the different sensors, a technique is disclosed to determine the vector coordinates extending between the target location and the focal point of the lithotripter.

Claims

1. An apparatus for targeting a shock wave in connection with extracorporeal shock wave lithotripsy, comprising in combination:

a. sensing means for detecting a reflection of the shock wave from a specific target and producing signals corresponding to the reflection at a plurality of predetermined locations wherein the sensing means comprises a plurality of sensors; and

b. computing means connected to said sensing means for processing said signals so as to identify a three dimensional coordinate location for said target, said computing means comprising correlation means for maximizing a correlation between signals for combinations of the sensors.

2. The apparatus of claim 1 wherein the sensing means comprises a predetermined number of sensors and number of predetermined locations equals the number of sensors.

3. The apparatus of claim 1 wherein the sensing means comprises an array of at least three sensors.

4. The apparatus of claim 1 wherein the sensing means comprise an array of at least four sensors.

5. The apparatus of claim 1 wherein the sensing means comprises piezoelectric elements.

6. The apparatus of claim 1 wherein the sensing means comprises means for converting the signals into a computer readable format and transmitting said signals to said computing means.

7. The apparatus of claim 1 wherein the computing means comprises means for determining the prominent features of the reflection.

8. The apparatus of claim 1 wherein the computing means comprises means for determining the difference in time of the arrival of the reflection at difference sensors.

9. The apparatus of claim 8 wherein the computing means further comprises means for using the time differences to determine the components of a vector extending between the focal point of the shock wave and the target.

10. The apparatus of claim 1 wherein the correlation means further comprises

(1) means for determining a prominent feature of the reflection, the prominent feature being defined by the arrival of the reflection of the shock wave at the sensing means from the target;

(2) means for determining the difference in time of the arrival of the reflection at different sensors; and

(3) means for using the time differences to determine the components of a vector extending between the focal point of the shock wave and the target.

11. The apparatus of claim 1 further comprising targeting means for adjusting the focal point of the shock wave so as to be coincident with the location of the target.

12. The apparatus of claim 1 further comprising means for adjusting the location of the target so as to be coincident with the location of the focal point of the shock wave.

13. An apparatus for targeting a shock wave in connection with extracorporeal shock wave lithotripsy, comprising in combination:

a. sensing means for detecting a reflection of a shock wave from a specific target and producing signals corresponding to the reflection at a plurality of predetermined locations wherein the sensing means comprises a plurality of sensors; and

b. computing means connected to said sensing means for processing said signals so as to identify a three dimensional coordinate location for said target,

said computing means comprising correlation means for maximizing a correlation between signals for combinations of the senors,

said computing means further comprising

means for windowing the signals to obtain windowed signals, each windowed signal comprising a prominent feature of the reflection, and

means for time-shifting the windowed signals.

14. An improved lithotripter for destroying target stones by extracorporeal shock wave lithotripsy, said lithotripter including a shock wave generator for transmitting one or more shock waves to a predetermined focal point, said improvement comprising in combination:

a. sensing means for detecting a reflection of the shock wave from a specific target and producing signals corresponding to the reflection at a plurality of predetermined locations wherein the sensing means comprises a plurality of sensors; and

b. computing means connected to said sensing means for processing said signals so as to identify a three dimensional coordinate location for said target, said computing means comprising correlation means for maximizing a correlation between signals for combinations of the sensors.

15. The apparatus of claim 14 wherein the sensing means comprises a predetermined number of sensors and the number of predetermined locations equals the number of sensors.

16. The apparatus of claim 14 wherein the computing means comprises means for determining the prominent features of the reflection.

17. The apparatus of claim 14 wherein the computing means comprises means for determining the difference in time of the arrival of the reflection at difference sensors.

18. The apparatus of claim 17 wherein the computing means further comprises means for using the time differences to determine the components of a vector extending between the focal point of the shock wave and the target.

19. A method for targeting a shock wave in extracorporeal shock wave lithotripsy, comprising in combination:

a. generating a first shock wave and detecting a reflection of the first shock wave from a specific target with a plurality of sensors;

b. producing a plurality of signals which correspond to the reflection of the shock wave at a plurality of predetermined locations; and

c. processing said signals so as to identify a three dimensional coordinate location for the target, said processing comprising windowing the signal from each sensor to produce a windowed signal, correlating the signals to obtain correlated signals, and time-shifting the correlated signals to maximize a correlation between combinations of the sensors.