Pulsed mode lysis method

• US 6,113,558 A
• Filed: 09/29/1997
• Issued: 09/05/2000
• Est. Priority Date: 09/29/1997
• Status: Expired due to Fees

• Current Assignee: Angiosonics, Inc. (Acolysis Intravascular Ultrasound Business) (Teleflex Incorporated)
• Original Assignee: Angiosonics, Inc. (Acolysis Intravascular Ultrasound Business) (Teleflex Incorporated)
• Inventors: Eshel, Yoram, Furman, Vladimir, Rosenschein, Uri, Kerner, Efim
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/939,289
• Time in Patent Office: 1,072 Days
• Field of Search: 601/2-4, 606/1, 606/128, 606/169, 604/22, 600/439
• US Class Current: 601/2
• 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 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/22007 Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing
• CPC Class Codes: A61B 2018/00011 with fluids

Abstract

An apparatus and method for the application of ultrasound to a location within the body is provided. The apparatus can advantageously operate at a pulse duration below about 100 milliseconds and in the range 0.1 milliseconds to 100 milliseconds and a pulse repetition period below about 1 second and in the range of 1 millisecond to 1 second. Duty ratios over 5 and preferably over 8 are also advantageous. Therapeutic applications of ultrasound such as for assisting in the treatment of medical conditions such as cancer and/or other ailments are also provided.

Claims

1. A method of applying therapeutic ultrasound to a location within a body, comprising:

activating a transducer to produce ultrasound at a pulse repetition period of T≦

1000 milliseconds and directing this ultrasound to a location within a body and at appropriate power, frequency and pulse duration, to generate cavitation at the location.

2. The method of claim 1, wherein the ultrasound is directed to a location within the body in an invasive manner, with an ultrasound device which is inserted into the body.

3. The method of claim 2, wherein T=about 1 millisecond to 1000 milliseconds.

4. The method of claim 1, including the steps of initiating cavitation within the body by applying a first amount of power to the transducer, initiating cavitation at the location within the body, then reducing the power supplied, while maintaining cavitation.

5. A method of applying therapeutic ultrasound to a location within a body, comprising:

producing ultrasound with a pulse duration of τ

≦

100 milliseconds and transmitting the ultrasound to a location within a body via a transmission member which is at least partially inserted into the body and applying said ultrasound under conditions of appropriate power, frequency pulse duration τ and

pulse repetition period T, so as to generate cavitation at the location.

6. The method of claim 5, wherein the frequency of the ultrasound produced in about 20 to 100 KHz.

7. The method of claim 6, wherein τ

is about 10-100 milliseconds.

8. The method of claim 5, wherein the pulse repetition period T≦

about 1000 milliseconds.

9. The method of claim 8, wherein T is about 100 to 500 milliseconds.

10. The method of claim 9, wherein τ

is about 10-100 milliseconds.

11. The method of claim 10, wherein the frequency of the ultrasound produced is about 20-100 KHz.

12. The method of claim 10, wherein the ultrasound is produced with a transducer operated at a peak power output of 10 to 40 watts.

13. The method of claim 9, wherein the ultrasound is produced with a transducer operated at a peak power output of 10 to 40 watts.

14. The method of claim 5, wherein τ

is about 20-60 milliseconds.

15. The method of claim 14, wherein the ultrasound is produced with a transducer operated at a peak power output of about 15 to 30 watts.

16. The method of claim 14, wherein substantially no cooling fluid is pumped around the transmission member.

17. The method of claim 5, wherein the ultrasound is produced with a transducer operated at a peak power output of 10 to 40 watts.

18. The method of claim 17, wherein the peak power output is about 15 to 30 watts.

19. The method of claim 5, wherein the device is operated at a pulse repetition period T≦

about 1000 milliseconds and at a duty ratio T/τ

about ≧

5.

20. The method of claim 5, wherein the device is operated at a pulse repetition period T≦

about 1000 milliseconds and at a duty ratio T/τ

about ≧

8.

21. The method of claim 5, including the steps of inserting a guide catheter within the body and positioning the transmission member within the guide catheter, wherein the transmission member is substantially unsheathed within the guide catheter and transmitting the ultrasound to the location within the body via the unsheathed transmission member.

22. A method of applying therapeutic ultrasound to a location within a body, comprising:

activating a transducer to produce ultrasound at a pulse repetition period of T≦

1000 milliseconds and directing this ultrasound to a location within a body;

initiating cavitation at the location within the body by applying a first amount of power to the transducer, then reducing the power supplied, while maintaining cavitation.

23. The method of claim 22, wherein the ultrasound is directed to a location within the body in an invasive manner, with an ultrasound device which is inserted into the body.

24. The method of claim 23, wherein T=about 1 millisecond to 1000 milliseconds.

25. The method of claim 22, wherein the frequency of the ultrasound produced in about 20 to 100 KHz.

26. The method of claim 22, including the step of producing ultrasound with a pulse duration of τ

≦

100 milliseconds and transmitting the ultrasound to a location within a body via a transmission member which is at least partially inserted into the body.

27. The method of claim 26, wherein T is about 100 to 500 milliseconds.

28. The method of claim 26, wherein τ

is about 20-60 milliseconds.

29. The method of claim 26, wherein τ

is about 10-100 milliseconds.

30. The method of claim 27, wherein τ

is about 10-100 milliseconds.

31. The method of claim 30, wherein the frequency of the ultrasound produced is about 20-100 KHz.

32. The method of claim 31, wherein the ultrasound is produced with a transducer operated at a peak power output of 10 to 40 watts.