Surgical instrument with ultrasound pulse generator

• US 6,106,517 A
• Filed: 09/24/1997
• Issued: 08/22/2000
• Est. Priority Date: 06/23/1994
• Status: Expired due to Fees

• Current Assignee: Parsons C. Lowell, Paul F. Zupkas
• Original Assignee: Situs, Inc.
• Inventors: Zupkas, Paul F.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): CARTER, RYAN CHRISTOPHER
• Application Number:
  US08/939,036
• Time in Patent Office: 1,063 Days
• Field of Search: 606/20-31, 600/437, 600/439, 600/441-448, 600/459, 600/462-464
• US Class Current: 606/20
• 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 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2090/3929 Active markers
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/0858 involving measuring tissue layers, e.g. skin, interfaces
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

A surgical instrument comprising a probe for insertion into the body of a host and for manipulating the tissues of the host, the probe including an ultrasound transducer element for locating and positioning the probe within the body of the host; and a method for manipulating the tissues of a host using the surgical instrument.

Claims

1. A medical device for use with an ultrasound scanner which generates an incident ultrasound pulse and generates a timing signal, said medical device comprising:

a probe adapted for insertion into a patient, said probe comprising a manipulator for manipulating tissue within a zone of manipulation; and

an ultrasound transducer disposed within said zone of manipulation; and

electronics coupled to said transducer, said electronics configured to receive the timing signal from the ultrasound scanner and configured to control said transducer such that when a signal level of said incident ultrasound pulse falls below a level at which said transducer may detect said incident ultrasound pulse, said electronics drives said transducer to generate a timed ultrasound pulse based on the timing signal.

2. The medical device of claim 1, wherein said transducer is located in a vicinity of a tip of said probe.

3. The medical device of claim 1, wherein said transducer is in a distal portion of said probe.

4. The medical device of claim 3, wherein said manipulator removes energy from the tissue.

5. The medical device of claim 3, wherein said manipulator adds energy to the tissue.

6. The medical device of claim 3, wherein said manipulator destroys the tissue.

7. The medical device of claim 3, further comprising an imaging system for displaying an image derived from said responsive radiated signal.

8. A method of determining a measure of freezing of tissue comprising the steps of:

disposing a transducer within an area of tissue;

freezing the tissue around said transducer within said area of tissue;

receiving an incident ultrasound pulse at a transducer disposed within said area of tissue during said step of freezing; and

responding to said incident radiated signal by transmission of a responsive ultrasound pulse.

9. The method of claim 8, further comprising the step of continuing to transmit an ultrasound pulse from said transducer when said incident radiated signal is no longer detectable by said transducer.

10. The method of claim 8, further comprising the steps of:

receiving said responsive ultrasound pulse at an imaging device; and

displaying a real-time image of said area of tissue during said step of freezing.

11. A medical device comprising:

a probe adapted for insertion into a patient, said probe comprising a cryogenic tip for freezing tissue in a predetermined area; and

a transducer on said probe and disposed within said predetermined area, wherein said transducer responds to receipt of an incident radiated signal by generation of a responsive radiated signal so that an extent of tissue freezing may be monitored and responds to receipt of an external timing signal by generation of said responsive radiated signal so that said extent of tissue manipulation may be monitored if a signal strength of said incident radiated signal falls below a detectable level.

12. A medical device comprising:

a cryoprobe configured to freeze an area of tissue;

a transducer attached to said cryoprobe such that said transducer is inserted into and removed from said area of the tissue with said probe; and

electronics coupled to said transducer and configured to control said transducer such that said transducer responds to receipt of an incident radiated signal by generation of a responsive radiated signal and responds to receipt of an external timing signal by generation of said responsive radiated signal if a signal strength of said incident radiated signal falls below a predetermined level.

13. A medical device comprising:

a probe adapted for insertion into a patient, said probe comprising a cryogenic manipulator for freezing tissue within a zone of manipulation; and

a transducer on said probe and disposed within said zone of manipulation, and including electronics to drive said transducer to respond to receipt of an incident radiated signal by generation of a responsive radiated signal to aid in visualization of tissue freezing and to respond to receipt of an external timing signal by generation of said responsive radiated signal so that said visualization of tissue freezing may be monitored if a signal strength of said incident radiated signal falls below a threshold level.

14. The medical device of claim 13, wherein said transducer is located at a tip of said probe.

15. The medical device of claim 14, further comprising an ultrasound scanner configured to transmit said incident radiated signal and receive said responsive radiated signal.

16. The medical device of claim 15, wherein said scanner comprises an imaging system for displaying an image derived from said responsive radiated signal.

17. The medical device of claim 15, further comprising electronics coupled to said transducer configured to receive a timing input from said scanner so that when a signal level of said incident radiated signal falls below a level at which said transducer may detect said incident radiated signal, said electronics drives said transducer to generate a timed radiated signal based on said timing input.