Multiple transducer assembly and method for coupling ultrasound energy to a body

• US 6,126,619 A
• Filed: 09/17/1998
• Issued: 10/03/2000
• Est. Priority Date: 09/02/1997
• Status: Expired due to Term

• Current Assignee: Cybersonics, Inc
• Original Assignee: TransOn LLC
• Inventors: Dharmendra, Pal, Peterson, Thomas M.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US09/154,641
• Time in Patent Office: 747 Days
• Field of Search: 601/2-4, 604/22, 600/439
• US Class Current: 601/2
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 2017/22027 Features of transducers
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2017/22088 ultrasound absorbing, drug activated by ultrasound
• CPC Class Codes: A61B 8/546 involving monitoring or regulation of device temperature

Abstract

A multiple transducer assembly and method for coupling ultrasonic energy to a body for thrombolysis of vascular thrombi is provided. The assembly includes a catalytic transducer apparatus including a plurality of transducers for transmitting ultrasound into a medical target transcutaneously. Each transducer includes a front mass having structure which optimizes the transmission of ultrasound into the body. The transducers may share a common front mass. A reservoir for containing a cooling conductive medium between the front mass and the body surface is provided, and is contained within the housing. In addition, the catalytic transducer includes an irrigation manifold, disposed through a center of the front mass, for directing the medium into the reservoir generally along a perimeter thereof. The front mass includes an apex for accumulating expelled gasses. A sloped surface of the front mass functions to direct expelled gasses toward the apex and through an outlet provided by the irrigation manifold. The medium may be circulated from a degassing tank as well as a heat exchange unit in order to maintain a desired reservoir temperature at the body surface. In the multiple transducer arrangement, the transducers may share a common cooling reservoir. A flexible blanket may be provided for collectively housing a desired number and arrangement of transducers.

Claims

1. Ultrasound medical apparatus comprising:

a plurality of ultrasound transducers, each of the transducers including a housing, piezoelectric means continued in the housing for generating ultrasonic waves, and front mass means, disposed in the housing for radiating the ultrasonic waves into a medical target in a patient, each front mass means having an arcuate surface area, each arcuate surface area comprising concavity means, including a concavity apex, for enabling gasses expelled from the fluid conductive medium to accumulate at the concavity apexes;

reservoir means, including a flexible membrane, for containing a fluid conductive medium between the plurality of ultrasound transducers and the flexible membrane to thereby provide an interface between said fluid conductive medium and a body surface of the patient and for coupling the radiated ultrasonic waves into the body surface;

a fluid conductive medium contained in the reservoir means; and

flow management means, defining an outlet through each front mass means, for removing accumulated expelled gasses from the fluid conductive medium in order to enhance transmission of the ultrasonic waves into the medical target;

said flow management means further defining inlet means for directing fluid conductive medium into the reservoir means adjacent a perimeter of each front mass means, and wherein the outlets are disposed generally at the concavity apexes in order to facilitate removal of accumulated expelled gasses in the fluid conductive medium.

2. The ultrasound medical apparatus according to claim 1 wherein the plurality of ultrasound transducers comprises between two and about thirty six ultrasound transducers.

3. The ultrasound medical apparatus according to claim 1 further comprising flexible blanket means for collectively housing the plurality of ultrasound transducers.

4. Ultrasound medical apparatus comprising:

a plurality of ultrasound transducers, each of the transducers including a housing and piezoelectric means contained in the housing, for generating ultrasonic waves;

front mass means, common to each of the plurality of ultrasound transducers, for radiating the ultrasonic waves into a medical target in a patient, said front mass means defining an arcuate surface area having a selected size and shape for accommodating a body surface of the patient, said arcuate surface area comprising concavity means, including concavity apex, for enabling gasses expelled from the fluid conductive medium to accumulate at the concavity apex;

reservoir means, including a flexible membrane, for containing a fluid conductive medium between the front mass means and the flexible membrane to thereby provide an interface between the front mess means and the body surface of the patient in order to couple the radiated ultrasonic waves into the body surface;

a fluid conductive medium contained in the reservoir means; and

flow management means, defining an outlet through the front mass means, for removing accumulated expelled gasses from the fluid conductive medium in order to enhance transmission of ultrasonic waves into the medical target, said flow management means further defining inlet means for directing fluid conductive medium intro the reservoir means adjacent a perimeter of the arcuate surface area of the front mass means, and wherein said outlet is disposed generally at the concavity apex in order to facilitate removal of accumulated expelled gasses in the fluid conductive medium.

5. The ultrasound medical apparatus according to claim 4 wherein the plurality of ultrasound transducers comprises between two and about thirty six ultrasound transducers.

6. A method for coupling ultrasonic energy to a body for dissolution or treatment of a medical target, the method comprising the steps of:

arranging and positioning a plurality of ultrasound transducers, each having a radiator comprising a front mass having an arcuate or sloped surface and an apex, onto a body surface over the medical target;

radiating ultrasonic waves from each of each transducers into the medical target to thereby dissolve or treat the medical target;

containing a fluid conductive medium in each transducer by confining the fluid conductive medium in a reservoir between the arcuate or sloped surface of the radiator of each transducer and the body surface;

circulating the fluid conductive medium between a replenishing source of fluid conductive medium and the transducers;

accumulating, in the reservoir, gasses expelled from the circulating fluid conductive medium; and

removing the accumulating gasses from the reservoir through an outlet disposed generally at the apex of said sloped or arcuate surface of the radiator.

7. The method according to claim 6 further comprising the step of cooling the fluid conductive medium during the step of circulating the fluid conductive medium.

8. The method according to claim 6 wherein the step of circulating comprises the steps of directing fluid conductive medium into the reservoir along a perimeter of the reservoir and passing the directed fluid conductive medium and accumulated gases from the reservoir through the outlet and returning said directed fluid to the replenishing source.

9. The method according to claim 6 wherein the step of arranging comprises inserting the plurality of transducers in a flexible housing.