Intra-operative diagnostic ultrasound multiple-array transducer probe and optional surgical tool

• US 6,423,002 B1
• Filed: 06/24/1999
• Issued: 07/23/2002
• Est. Priority Date: 06/24/1999
• Status: Expired due to Term

• Current Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Original Assignee: Acuson Corporation (Siemens AG)
• Inventors: Hossack, John A.
• Primary Examiner(s): Jaworski, Francis J.
• Application Number:
  US09/339,923
• Time in Patent Office: 1,125 Days
• Field of Search: 600/437, 600/439, 600/443, 600/447, 600/458-459, 600/463, 600/461, 600/471
• US Class Current: 600/439
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4488 the transducer being a phased array
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: G01S 15/8929 using a three-dimensional transducer configuration
• CPC Class Codes: G01S 15/8993 Three dimensional imaging systems
• CPC Class Codes: Y10S 128/916 Ultrasound 3-D imaging

Abstract

A system, method and probe for diagnostic ultrasound imaging with at least two, and preferably three transducer arrays. The first transducer array provides a primary image. The second transducer array comprises an array of transducer elements positioned near one end of the first transducer array for providing an image in a different plane. An optional third transducer array comprises an array of transducer elements positioned near the other end of the first transducer array for providing an additional image in a different plane. One application of the invention is to collect tissue for medical procedures, wherein at least one surgical tool is attached to the probe near the imaging arrays and moves together with at least one imaging array. As the primary imaging array is drawn across tissue for collection, the operator observes a cross-section of the tissue prior to actually cutting the tissue. Another application of the invention allows an operator to selectively display pseudo 3-D images or 3-D images, using the same probe. Another application of the invention allows an operator to determine the 3-D position of a foreign object in body tissue.

Claims

1. An ultrasound imaging probe, comprising:

a support element;

a first imaging transducer array disposed on the support element;

a second imaging transducer array disposed on the support element, wherein the first and second imaging transducer array image planes are non-parallel as a function of non-parallel positions of the first imaging transducer array relative to the second imaging transducer array; and

a therapeutic tool attached adjacent to an imaging transducer array such that the therapeutic tool is substantially within a plane defined by one of the first and second imaging transducer arrays and respective first and second imaging transducer array image planes, wherein the therapeutic tool moves together with the first and second imaging transducer arrays.

2. The ultrasound imaging probe of claim 1, wherein the second imaging transducer array is spaced from the first imaging transducer array.

3. The ultrasound imaging probe of claim 1, wherein the second imaging transducer array is substantially orthogonal to the first imaging transducer array.

4. The ultrasound imaging probe of claim 1, further comprising a display guide representative of the current position of the therapeutic tool.

5. The ultrasound imaging probe of claim 1, further comprising a third imaging transducer array disposed on the support element, wherein the first and third imaging transducer array image planes are non-parallel.

6. The ultrasound imaging probe of claim 5, wherein the third imaging transducer array is spaced from the first imaging transducer array.

7. The ultrasound imaging probe of claim 5, wherein the third imaging transducer array is substantially orthogonal to the first imaging transducer array.

8. The ultrasound imaging probe of claim 1, wherein the therapeutic tool is a tissue-cutting or tissue-burning tool.

9. The ultrasound imaging probe of claim 1, wherein the therapeutic tool is an electrocautery device.

10. The ultrasound imaging probe of claim 1, further comprising a control wire connected with the therapeutic tool wherein the therapeutic tool is retractable.

11. The ultrasound imaging probe of claim 10, further comprising a finger hoop connected with the control wire wherein the therapeutic tool is retractable under the guidance of a user'"'"'s fingers.

12. The ultrasound imaging probe of claim 1, wherein the therapeutic tool is a surgical blade.

13. The ultrasound imaging probe of claim 1, wherein the support element is semi-rigid and user-reformable.

14. An ultrasound imaging display method comprising generating a format comprising:

display of a first image associated with a first image plane;

display of a second image associated with a second image plane, wherein the first image plane and the second image plane are non-parallel and displayed simultaneously; and

wherein at least one of the first or second images is distorted, producing a pseudo 3-D image.

15. The ultrasound imaging display format of claim 14, further comprising an icon, symbol, alphanumeric character, or graphical display representing a therapeutic tool.

16. The ultrasound imaging display format of claim 15 further comprising a display guide representative of the current position or deployment of the therapeutic tool.

17. The ultrasound imaging display format of claim 14, wherein the second image is distorted by a geometric transformation from an originally rectangular image into a trapezoidal image.

18. The ultrasound imaging display format of claim 14, wherein the first image plane is spaced from the second image plane.

19. The ultrasound imaging display format of claim 14, wherein the first image plane is substantially orthogonal to the second image plane.

20. The ultrasound imaging display format of claim 14 further comprising display of a third image in a third plane, spaced from the first image plane.

21. The ultrasound imaging display format of claim 20, wherein the third image plane and the first image plane are non-parallel.

22. The ultrasound imaging display format of claim 20, wherein the third image plane is substantially orthogonal to the first image plane.

23. The ultrasound imaging display format of claim 22, wherein the second and third image planes are substantially parallel.

24. The ultrasound imaging display format of claim 23, wherein both the second and third images are distorted to produce a pseudo 3-D image.

25. The ultrasound imaging display format of claim 24, further including an icon, symbol, alphanumeric character, or graphical display representing a therapeutic tool.

26. The ultrasound imaging display format of claim 25, wherein the therapeutic tool representation includes an indication of the position and/or state of operation of the tool.

27. The ultrasound imaging display format of claim 23, wherein the second and third images are distorted such that the second and third secondary imaging array data plane image lines are made to appear gradually shorter and hence further away.

28. The ultrasound imaging display format of claim 14, wherein the first and second image planes are angled in a symmetrical chevron and the first image is distorted substantially the same as the second image.

29. The ultrasound imaging display format of claim 14, wherein the second image is distorted such that the secondary imaging array data plane image lines are made to appear gradually shorter and hence further away.

30. A medical ultrasound imaging system comprising:

an imaging probe including a support element;

a first imaging transducer array disposed on the support element;

a second imaging transducer array disposed on the support element, wherein the first imaging transducer array and the second imaging transducer array are non-parallel;

a therapeutic tool attached to the support element, substantially adjacent to at least one of the imaging transducer arrays;

a display for showing a displayed image resulting from imaging with the first and second imaging transducer arrays, wherein the imaging transducer arrays are maintained in a fixed relationship with respect to the moving therapeutic tool; and

a display guide representative of the current position or deployment of the therapeutic tool.

31. The medical ultrasound imaging system of claim 30, wherein part of the displayed image comprises a geometric transformation of a 2-D image data set corresponding to the first imaging transducer array.

32. The medical ultrasound imaging system of claim 30, wherein the part of the displayed image comprises a trapezoidal image.

33. The medical ultrasound imaging system of claim 30, wherein the second imaging transducer array is spaced from the first imaging transducer array.

34. The medical ultrasound imaging system of claim 30, wherein the second imaging transducer array is substantially orthogonal to the first imaging transducer array.

35. The medical ultrasound imaging system of claim 30, further comprising a third imaging transducer array disposed on the support element, wherein the first imaging transducer array and the third imaging transducer array are non-parallel.

36. The medical ultrasound imaging system of claim 35, wherein the third imaging transducer array is spaced from the first imaging transducer array.

37. The medical ultrasound imaging system of claim 35, wherein the third imaging transducer array is substantially orthogonal to the first imaging transducer array.

38. The medical ultrasound imaging system of claim 30, wherein the therapeutic tool is a tissue-cutting or tissue-burning tool.

39. The medical ultrasound imaging system of claim 30, wherein the therapeutic tool is an electrocautery device.

40. The medical ultrasound imaging system of claim 30, wherein the therapeutic tool is retractable.

41. The medical ultrasound imaging system of claim 40, wherein the therapeutic tool is retractable under the guidance of a user'"'"'s fingers.

42. The medical ultrasound imaging system of claim 30, wherein the therapeutic tool is a surgical blade.

43. The medical ultrasound imaging system of claim 30, wherein the support element is semi-rigid and user-reformable.

44. The medical ultrasound imaging system of claim 30, wherein the medical ultrasound imaging system is used in combination with an intra-vascular ultrasound catheter.

45. The medical ultrasound imaging system of claim 30, further comprising an ultrasound imaging probe, with a unique identification number assigned to the ultrasound imaging probe, readable by software to determine the number of times that the ultrasound imaging probe has been used.

46. The medical ultrasound imaging system of claim 30, further comprising an ultrasound imaging probe using a plano-concave type array.

47. The medical ultrasound imaging system of claim 30, further comprising an ultrasound imaging probe using a 1.5-D or 2-D type array.

48. The medical ultrasound imaging system of claim 30, further comprising permanent aperture limits incorporated at the array boundaries to eliminate array cross-talk interference.

49. A method for isolating a tissue structure, comprising the steps of:

observing the tissue structure with a plurality of imaging transducer arrays where at least two of the imaging transducer arrays are spaced apart;

moving a therapeutic tool together with the plurality of imaging transducer arrays; and

activating the therapeutic tool under guidance of the plurality of imaging transducer arrays.

51. The method of claim 49, wherein the step for moving a therapeutic tool further comprises moving a therapeutic tool under the guidance of a plurality of substantially orthogonal imaging transducer arrays.

52. The method of claim 49, wherein the step of activating the therapeutic tool further comprises activating the therapeutic tool under the guidance of a plurality of substantially orthogonal imaging transducer arrays.

53. The method of claim 49, wherein the therapeutic tool is a tissue-cutting or tissue-burning tool.

54. The method of claim 49, wherein the tissue structure is a blood vessel.

55. The method of claim 49, wherein the plurality of imaging transducer arrays is used in combination with an intra-vascular ultrasound catheter.

50. The method of claim 50, wherein the step of observing the tissue structure further comprises observing the tissue structure with a plurality of substantially orthogonal imaging transducer arrays.

56. A method for an intra-operative procedure, comprising the steps of:

surgically forming a cavity;

inserting into the cavity a probe containing a plurality of imaging transducer arrays, and a retracted tissue cutting tool fixedly mounted with the probe adjacent the imaging transducer arrays;

observing tissue with the plurality of imaging transducer arrays;

moving the probe under guidance of the plurality of transducer arrays;

extending the tissue cutting tool from the probe; and

retracting the tissue cutting tool from the extended position.

57. A method for switching between pseudo 3-D imaging of body tissue and 3-D imaging of body tissue with an multiple array imaging probe, comprising the steps of:

positioning a multiple array imaging probe near a body tissue;

selecting pseudo 3-D imaging of body tissue or 3-D imaging of the body tissue based on a voice command, foot pedal, keyboard, graphical user interface or an equivalent interface with an operator; and

displaying pseudo 3-D images or 3-D images of the body tissue based on the selection of the operator.

58. A medical ultrasound imaging system, comprising:

a multiple array imaging probe, including a principal array used for imaging, and a secondary array which can selectively function as an imaging array to provide imaging data for pseudo 3-D imaging, or function as a tracking array to provide motion estimation data regarding the principal array for 3-D imaging;

selection means for an operator to select pseudo 3-D imaging or 3-D imaging; and

a display to display pseudo 3-D images or 3-D images from data obtained from the principal array and the secondary array.

59. The method of claim 58 wherein the multiple array imaging probe includes a third transducer array which can selectively function as an imaging array for pseudo 3-D imaging, or function as a tracking array to provide motion estimation data regarding the principal array.

60. A method for determining the position of a foreign object in body tissue, comprising the steps of:

imaging the body tissue with an ultrasound imaging probe having a first transducer array and a second transducer array;

obtaining motion estimates regarding the first transducer array from the second transducer array of the ultrasound imaging probe to construct 3-D images of the body tissue and the foreign object; and

displaying 3-D images or other information concerning the body tissue and foreign object from data obtained from the first and second transducer arrays.

61. The method of claim 60 wherein the ultrasound imaging probe is positioned in a surgically formed cavity.

62. The method of claim 60 wherein the foreign object is a surgical tool.

63. The method of claim 60 wherein the foreign object is a catheter.

64. The method of claim 60 wherein the foreign object is an IVUS catheter.

65. The method of claim 60 wherein the foreign object is a gallstone.

66. The method of claim 60 wherein the foreign object is a bullet, pellet, piece of shrapnel, or other projectile material.

67. The method of claim 60 wherein the steps of imaging the body tissue and obtaining motion estimates of the first transducer array include a third transducer array.