Source of therapeutic acoustic waves introducible into the body of a patient

• US 5,687,729 A
• Filed: 06/20/1995
• Issued: 11/18/1997
• Est. Priority Date: 06/22/1994
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Schaetzle, Ulrich
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/493,218
• Time in Patent Office: 882 Days
• Field of Search: 607/97, 128/660.3, 128/662.05, 601/1-4, 606/41, 600/2-4, 604/22
• US Class Current: 600/439
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/3421 Cannulas
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61F 7/12 Devices for heating or cooling internal body cavities
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
• CPC Class Codes: A61N 2007/0078 with multiple treatment transducers
• CPC Class Codes: A61N 2007/0095 by modifying an excitation signal
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A source of therapeutic acoustic waves for minimally invasive treatment of internal body regions with the therapeutic acoustic waves has a number of source parts which emit the acoustic waves. In order to be able to apply the source easily in the inside of the body in a simple way, source parts are arranged so as to be foldable in an introduction position giving the source a relatively small cross section as viewed in the introduction direction. After introduction into a patient the source parts are unfolded into a working position.

Claims

1. A source of therapeutic acoustic waves comprising:

at least two source elements each emitting therapeutic acoustic waves;

an instrument on which said at least two source elements are mounted adapted for introducing said at least two source elements into a body of a patient; and

means for mounting said at least two source elements on said instrument for permitting movement of said at least two source elements between an introduction position wherein said at least two source elements are relatively rotatably folded together in a first configuration and a working position wherein said at least two source elements are relatively rotatably unfolded in a second configuration, and vice versa, said first configuration having cross-sectional dimensions which are smaller than cross-sectional dimensions of said second configuration.

2. A source as claimed in claim 1 wherein said instrument has an introduction direction along which said instrument is adapted for introduction into said patient, and wherein said means for mounting said at least two source elements comprises means for pivotably connecting said at least two source elements for folding said at least two source elements around an axis proceeding substantially parallel to said introduction direction.

3. A source as claimed in claim 1 wherein said at least two source elements in said introduction position have a first cross section and wherein said at least two source elements in said working position have a second cross section, and wherein a smallest circle circumscribable around said first cross section has a smaller diameter than a smallest circle circumscribable around said second cross section.

4. A source as claimed in claim 1 comprising three of said source elements.

5. A source as claimed in claim 4 wherein said instrument has an introduction direction along which said instrument is adapted for introduction into said patient, and wherein said three source elements, as seen in said introduction direction, are disposed to form an isosceles triangle.

6. A source as claimed in claim 5 wherein said three source elements are disposed to form an equilateral triangle as seen in said introduction direction.

7. A source as claimed in claim 1 wherein said instrument has an introduction direction along which said instrument is adapted for introduction into said patient, and wherein said instrument with said at least two source elements mounted thereon in said introduction position has a rounded exterior cross-sectional contour as seen in said introduction direction.

8. A source as claimed in claim 1 wherein each of said at least two source elements emits focussed therapeutic acoustic waves.

9. A source as claimed in claim 8 wherein said at least two source elements respectively emit therapeutic acoustic waves which converge in a common focus zone.

10. A source as claimed in claim 9, wherein said at least two source elements are mounted on said instrument for allowing said therapeutic acoustic waves to converge in said common focus zone.

11. A source as claimed in claim 1 wherein each of said at least two source elements comprises an array of a plurality of piezoelectric ultrasound transducer elements.

12. A source as claimed in claim 11 wherein said array comprises a linear array.

13. A source as claimed in claim 11 further comprising means for driving each array as a phased array.

14. A source as claimed in claim 1 wherein each of said at least two source elements comprises a source element emitting focussed therapeutic acoustic waves converging in a common focus zone, and means for displacing said focus zone relative to said instrument.

15. A source as claimed in claim 1 further comprising means for selectively operating at least one of said source elements for emitting diagnostic ultrasound waves or said therapeutic acoustic waves.

16. A source as claimed in claim 15 wherein said means for selectively operating said source elements comprises means for operating only one of said source elements for selectively emitting diagnostic ultrasound waves or said therapeutic acoustic waves.

17. A source as claimed in claim 15 further comprising means for generating an ultrasound image from diagnostic ultrasound waves emitted by said at least one source element which are reflected by said patient, and wherein said source elements, in combination, comprise means for emitting said therapeutic acoustic waves converging in a common focus zone, and further comprising means for mixing a mark into said ultrasound image identifying a current position of said focus zone.

18. A source as claimed in claim 17 further comprising a needle guide attached to said source for inserting a needle into an organ of said patient.

19. A source as claimed in claim 18 comprising means for mixing a further mark into said ultrasound image identifying a path of said needle in said organ.

20. A source as claimed in claim 1 further comprising a needle guide attached to said source for inserting a needle into an organ in said patient.

21. A source as claimed in claim 20 wherein said instrument comprises a handle and wherein said needle guide is attached to said handle.

22. A source as claimed in claim 1 wherein said instrument comprises a body portion on which said at least two source elements are mounted, and a handle attached to said body portion by an articulated connection.

23. A source as claimed in claim 22 further comprising a needle and a needle guide attached to said handle for inserting a needle into an organ in said patient.

24. A source as claimed in claim 1, wherein said instrument comprises a handle.

25. A source as claimed in claim 24, wherein said handle is connected to said instrument by an articulated connection.

26. An apparatus for treating internal body regions with focused therapeutic acoustic waves, comprising:

a source of therapeutic acoustic waves adapted for introduction into a body of a patient having a plurality of source elements movable between an introduction position wherein said source elements are relatively rotatably folded together in a first configuration and a working position wherein said source elements are relatively rotatably unfolded in a second configuration, said first configuration having cross-sectional dimensions which are smaller than cross-sectional dimensions of said second configuration;

means for driving said source for emitting therapeutic acoustic waves converging at a focus zone;

means for driving said source for generating diagnostic ultrasound waves and for receiving corresponding ultrasound echoes from said patient for producing ultrasound images of said patient, and including means for mixing a mark into said ultrasound images identifying a current position of said focus zone; and

means for adjusting a position of said focus zone for causing said focus zone to coincide with a region of said patient to be treated.

27. An apparatus as claimed in claim 26 further comprising an endoscope adapted for insertion into the body of said patient for monitoring application of said source in the interior of the body of the patient.

28. An apparatus as claimed in claim 26 further comprising a needle and a needle guide attached to said source.

29. An apparatus as claimed in claim 28 further comprising means for mixing a further mark into said ultrasound images identifying a path of said needle in said patient.

30. An apparatus as claimed in claim 26 further comprising a pressure sensor and a needle adapted for introducing said pressure sensor into the body of said patient in a region to be treated by said therapeutic acoustic waves, and means for controlling said means for driving said source to generate said therapeutic acoustic waves dependent on pressure sensed by said pressure sensor.

31. An apparatus as claimed in claim 26 further comprising a temperature sensor and a needle adapted for introducing said temperature sensor into the body of said patient in a region to be treated by said therapeutic acoustic waves, and means for controlling said means for driving said source to generate said therapeutic acoustic waves dependent on temperature sensed by said temperature sensor.

32. An apparatus as claimed in claim 26 further comprising a pressure sensor, a temperature sensor, and a needle adapted for introducing said pressure sensor and said temperature sensor into the body of said patient in a region to be treated by said therapeutic acoustic waves, and means for controlling said means for driving said source for generating said therapeutic acoustic waves dependent on pressure and temperature respectively sensed by said pressure sensor and said temperature sensor.

33. An apparatus as claimed in claim 26 wherein said source is adapted for insertion into a body cavity in said patient, and said apparatus further comprising means for filling said body cavity with an acoustic propagation medium.

34. An apparatus as claimed in claim 26 further comprising means for filling a body accepting the source with an acoustic propagation medium.