Endoscope carrying a source of therapeutic ultrasound

• US 5,697,897 A
• Filed: 01/06/1995
• Issued: 12/16/1997
• Est. Priority Date: 01/14/1994
• Status: Expired due to Term

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Buchholtz, Gerhard, Schaetzle, Ulrich
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): SHAW, SHAWNA JEANNINE
• Application Number:
  US08/369,392
• Time in Patent Office: 1,075 Days
• Field of Search: 600/103, 600/109, 600/113, 600/130, 600/160, 600/170, 601/2-4, 607/97, 604/22, 128/662.06, 128/660.03, 606/128
• US Class Current: 604/22
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2090/3784 both receiver and transmitter being in the instrument or receiver being also transmitter
• CPC Class Codes: A61N 2007/0065 Concave transducers
• CPC Class Codes: A61N 2007/0078 with multiple treatment transducers
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: A61N 7/022 intracavitary
• CPC Class Codes: G02B 23/26 using light guides for illumination G02B23/2469

Abstract

An endoscope includes a carrier which can be inserted into a living examination subject, having a distal end which is advanced into the subject, the carrier carrying an optical examination apparatus by means of which an image from the interior of the subject can be obtained and transmitted to the exterior of the subject, and the carrier also carrying a source of therapeutic ultrasound at the distal end. A body region exhibiting a pathology which is treatable with therapeutic ultrasound can thus be insonified with the therapeutic ultrasound in the same surgical intervention which is used to obtain the endoscopic images.

Claims

1. An endoscope comprising:

a carrier insertable into a living examination subject, said carrier having a leading end which advances into said examination subject;

optical examination means carried on said carrier for obtaining an image of an interior location in said examination subject and for transmitting said image to an exterior of said examination subject; and

a source of therapeutic ultrasound including an ultrasound transducer and means for operating said ultrasound transducer to emit therapeutic ultrasound, said ultrasound transducer being disposed at and emitting said therapeutic ultrasound at, said leading end of said carrier.

2. An endoscope as claimed in claim 1 wherein said ultrasound transducer comprises an ultrasound transducer which emits focused therapeutic ultrasound onto a focus zone.

3. An endoscope as claimed in claim 2 further comprising means for displacing said focus zone of said therapeutic ultrasound relative to said carrier.

4. An endoscope as claimed in claim 3 wherein said ultrasound transducer comprises a phased array.

5. An endoscope as claimed in claim 1 further comprising means for emitting and for receiving diagnostic ultrasound.

6. An endoscope as claimed in claim 5 wherein said means for emitting and for receiving diagnostic ultrasound comprises a diagnostic ultrasound transducer separate from said ultrasound transducer of said source of therapeutic ultrasound.

7. An endoscope as claimed in claim 5 wherein said means for emitting and for receiving diagnostic ultrasound comprises said ultrasound transducer of said source of therapeutic ultrasound, and further comprising means for selectively operating said ultrasound transducer to emit said therapeutic ultrasound or to emit and receive said diagnostic ultrasound.

8. An endoscope as claimed in claim 7 wherein said ultrasound transducer comprises a linear array for emitting and receiving said diagnostic ultrasound and wherein said endoscope further comprises means for operating said linear array to conduct a linear scan of said interior location.

9. An endoscope comprising:

a carrier insertable into a living examination subject, said carrier having a leading end which advances into said examination subject;

optical examination means carrier on said carrier for obtaining an image of an interior location in said examination subject and for transmitting said image to an exterior of said examination subject;

a source of therapeutic ultrasound including an ultrasound transducer, said ultrasound transducer, being disposed at said leading end of said carrier, means for operating said ultrasound transducer for emitting said therapeutic ultrasound at said leading end focused to a focus zone; and

means for emitting and for receiving diagnostic ultrasound comprising means for generating an ultrasound image of a region in said examination subject containing said focus zone.

10. An endoscope as claimed in claim 9 further comprising means for mixing a mark identifying a current position of said focus zone into said ultrasound image generated using said diagnostic ultrasound.