System and method for treatment of a prostate with a phase fresnel probe

• US 5,817,036 A
• Filed: 02/20/1997
• Issued: 10/06/1998
• Est. Priority Date: 02/20/1997
• Status: Expired due to Term

• Current Assignee: InSightec Ltd.
• Original Assignee: General Electric Company
• Inventors: Cline, Harvey Ellis, Anthony, Thomas Richard
• Primary Examiner(s): CASLER, BRIAN L
• Application Number:
  US08/803,472
• Time in Patent Office: 593 Days
• Field of Search: 600/439, 600/472, 600/459, 601/2-3
• US Class Current: 601/3
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate

Abstract

A system for treating a prostate includes an acoustic carrier, a phase fresnel zone in a section of the acoustic carrier, and an acoustic transducer. The phase fresnel zone is formed in the acoustic carrier adjacent a first end of the acoustic carrier and extends at least partially around the outer surface of the acoustic carrier. An acoustic transducer is coupled to a second end of the acoustic carrier. In treating the prostate, which surrounds a urethra, the acoustic carrier is inserted into the urethra and positioned so that the phase fresnel zone is situated in a region of the urethra surrounded by the prostate. Acoustic waves are transmitted into the second end of the acoustic carrier and the phase fresnel zone focuses the acoustic waves to constructively interfere at the location in the prostate. By moving the acoustic carrier, the phase fresnel zone may be moved along at least a portion of the region of the urethra surrounded by the prostate while the acoustic waves are being transmitted.

Claims

1. A system for treating a prostate, comprising:

an acoustic transducer for generating acoustic waves;

an acoustic carrier coupled to said transducer and having an outer surface and opposing first and second ends; and

a phase fresnel zone formed in the outer surface of the acoustic carrier adjacent the first end of the acoustic carrier and extending at least partially around the outer surface, said acoustic carrier being adapted to conduct acoustic waves from said acoustic transducer to said phase fresnel zone.

2. The system as set forth in claim 1 wherein the acoustic carrier is of substantially cylindrical shape and the phase fresnel zone extends substantially around the entire outer surface of the acoustic carrier.

3. The system as set forth in claim 2 wherein the phase fresnel zone is shaped to focus acoustic waves in the acoustic carrier to constructively intersect at an annular focal ring around the acoustic carrier.

4. The system as set forth in claim 1 herein the acoustic carrier is of substantially rectangular shape and the phase fresnel zone extends along at least one surface of the rectangularly shaped acoustic carrier.

5. The system as set forth in claim 4 wherein the phase fresnel zone is shaped to focus acoustic waves in the acoustic carrier to constructively intersect at an annular focal region spaced from the acoustic carrier.

6. The system as set forth in claim 1 wherein said acoustic transducer is coupled to the second end of the acoustic carrier.

7. The system as set forth in claim 6 wherein the acoustic transducer comprises an ultrasonic transducer which generates ultrasonic waves.

8. The system as set forth in claim 6 wherein the acoustic transducer generates acoustic waves with an intensity of at least 5 watts.

9. The system as set forth in claim 1 wherein a center region of the acoustic carrier is water filled.

10. A method for treating a prostate surrounding a urethra, comprising the steps of:

inserting an acoustic carrier having an outer surface in the urethra, the acoustic carrier having opposing first and second ends with a phase fresnel zone formed in the acoustic carrier adjacent to the first end and extending at least partially around the outer surface of the acoustic carrier, the carrier being positioned during the insertion such that the fresnel zone is situated in a region of the urethra surrounded by the prostate;

supplying acoustic waves to the first end of the acoustic carrier; and

transmitting acoustic waves from the first end of the acoustic carrier into the second end of the acoustic carrier so that the phase fresnel zone focuses the acoustic waves to constructively interfere at a location in the prostate.

11. The method as set forth in claim 10 and further comprising the step of moving the acoustic carrier so as to move the phase fresnel zone along at least a portion of the region of the urethra surrounded by the prostate during the transmission of the acoustic waves.

12. The method as set forth in claim 10 wherein the location at which the phase fresnel zone focuses the acoustic waves to constructively interfere is shaped as an annular ring concentric to the acoustic carrier in the prostate.

13. The method as set forth in claim 10 wherein the location at which the phase fresnel zone focuses the acoustic waves to constructively interfere is a spot spaced from the acoustic carrier in the prostate.

14. The method as set forth in claim 10 wherein the acoustic waves are ultrasonic waves.

15. The method as set forth in claim 10 wherein the step of transmitting the acoustic waves is performed at least at an intensity sufficient to raise the temperature of the prostate at said location to at least 45°

C.