Shock wave imaging system

• US 7,610,079 B2
• Filed: 07/25/2006
• Issued: 10/27/2009
• Est. Priority Date: 07/25/2006
• Status: Expired due to Fees

• Current Assignee: AST GmbH (Jena Med Tech GmbH)
• Original Assignee: AST GmbH (Jena Med Tech GmbH)
• Inventors: Schwarze, Werner, Stephan, Hugo
• Primary Examiner(s): Winakur; Eric F
• Assistant Examiner(s): Rozanski; Michael T
• Application Number:
  US11/459,664
• Publication Number:
  US 20080033287A1
• Time in Patent Office: 1,190 Days
• Field of Search: 600/427, 600/439, 601 2- 4, 378/62
• US Class Current: 600/427
• CPC Class Codes: A61B 17/2256 with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means A61B17/2255 takes precedence
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

A system or apparatus 2 for visually displaying and treating a treatment volume 100 located in a human or animal body 1 is disclosed wherein the treatment volume 100 is detected by a location finding imaging instrument 10 and displayed on a monitor 12 and a treatment instrument 20 is preferably oriented in response to the visual display to direct a treatment path 25 which is visually displayed superimposed onto the treatment volume 100.

Claims

1. A system for visually displaying and treating a location in a treatment volume in a human or animal body, the system comprising:

a location finding imaging instrument that detects the treatment volume and the location to be treated within the treatment volume;

a treatment instrument, the treatment instrument being oriented to direct energy along a treatment path in response to the display of the treatment volume and the location to be treated within the treatment volume;

an image display monitor; and

at least one control unit configured to control the image display monitor to display the detected treatment volume, the detected location to be treated within the treatment volume, and an energy level region of the treatment path, wherein the image display monitor displays the region of the treatment path as a graphical representation in at least two dimensions superimposed on the displayed treatment volume and the location to be treated within the treatment volume.

2. The system of claim 1, wherein the graphical representation of the region of the treatment path is visually displayed as an outline of a three dimensional shape.

3. The system of claim 1, wherein the graphical representation of the region of the treatment path is visually displayed as an outline of an area defined in a single plane.

4. The system of claim 1, wherein the treatment instrument is a shock wave instrument, and wherein region of the treatment path is a projected shock wave energy profile set at a predetermined energy.

5. The system of claim 4, wherein the at least one control unit processes data or signals received from the location finding instrument and the shock wave instrument and communicates the data or signals to the image display monitor, and

wherein the image display monitor receives the data or signals from the at least one control unit to display the treatment volume, the location to be treated within the treatment volume, and the region of the treatment path.

6. The system of claim 5, further comprising:

means for orienting the location finding imaging instrument; and

means for orienting the shock wave instrument,

wherein changes in the treatment instrument orientation change the direction of the region of the treatment path that is displayed on the image display monitor.

7. The system of claim 6, wherein the means for orienting the shock wave instrument comprises a shock wave generator connected to the at least one control unit.

8. The system of claim 6, wherein the means for orienting the shock wave instrument comprises at least one servomotor movably controlled by the at least one control unit.

9. The system of claim 6, wherein the means for orienting the treatment instrument is configured to:

identify a position of the treatment location within the treatment volume image displayed on the image display monitor; and

receive coordinates to direct movement of the treatment instrument to align at least one of an axis of the treatment path and a centroid of the region of the treatment path onto the received coordinates.

10. The system of claims 5, further comprising:

means to adjust at least one parameter of power, pulse frequency, pulse amplitude, and duration, thereby adjusting the energy profile of the shock wave instrument,

wherein the adjustments are reflected on the image display monitor as changes in a size or shape of the region of the treatment path based on the adjusted parameters.

11. The system of claim 1, wherein the at least one control unit comprises a computer.

12. The system of claim 11, wherein the location finding imaging instrument comprises one of an ultrasound device, an x-ray device, and a radio wave image device.

13. The system of claim 1, further comprising a processor that simulates an activation of the treatment instrument, wherein the processor displays the simulation on the image display monitor as the region of the treatment path.

14. The system of claim 1, wherein a location of the region of the treatment path is adjusted on the image display monitor with respect to the displayed treatment volume and the displayed location to be treated within the treatment volume based on an adjustment to an orientation of the treatment instrument.

15. The system of claim 1, further comprising a storage component for storing attributes of a treatment of the treatment location, wherein the attributes comprise at least one of a volume of the region of the treatment path, an area of the region of the treatment path, an orientation of the region of the treatment path, a power of the region of the treatment path, a pulse frequency of the region of the treatment path, a pulse amplitude of the region of the treatment path, a duration of the treatment, the treatment volume, and an identity of the human or animal body.

16. The method of claim 1, wherein the location finding imaging instrument and the treatment instrument are movable independently from one another in three dimensions.

17. The system of claim 1, wherein the region of the treatment path visually displayed on the image display monitor comprises a threshold minimum energy level, the threshold minimum energy level being based on one or more parameters.

18. A system for visually displaying and treating a location in a treatment volume in a human or animal body, the system comprising:

a location finding imaging instrument configured to detect the treatment volume and the location to be treated within the treatment volume;

a treatment instrument configured to direct enemy along a treatment path on the location to be treated in the treatment volume;

an image display device; and

at least one control unit configured to control the image display device to display the detected treatment volume, the detected location to be treated within the treatment volume, and an enemy level region of the treatment path, wherein the image display device displays the region of the treatment path as a three-dimensional volumetric shape superimposed on the displayed treatment volume and location to be treated within the treatment volume.

19. The system of claim 18, wherein the treatment instrument is a shock wave instrument, and wherein the region of the treatment path is a projected shock wave energy profile set at a predetermined energy.

20. The system of claim 18, further comprising a processor configured to simulate activation of the treatment instrument to determine a simulated treatment path prior to activation of the treatment instrument,

wherein the image display device displays a simulated region of the treatment path as the three-dimensional volumetric shape superimposed on the treatment volume and the location to be treated within the treatment volume.

21. The system of claim 18, wherein the at least one control unit is configured to process information received from the location finding instrument and the treatment instrument and to communicate signals based on the received information to the image display device, and

wherein the image display device displays the treatment volume, the location to be treated within the treatment volume, and the region of the treatment path based on the signals received from the at least one control unit.

22. The system of claim 21, further comprising:

means for orienting the location finding imaging instrument; and

means for orienting the treatment instrument in response to location to be treated within the treatment volume displayed on the image display device,

wherein changes in the treatment instrument orientation change the corresponding region of the treatment path displayed on the image display device.

23. The system of claim 21, further comprising:

means to adjust at least one parameter of power, pulse frequency, pulse amplitude, and duration, thereby adjusting the energy profile of the treatment instrument,

wherein the adjustments are reflected on the image display device as changes in a size or shape of the region of the treatment path based on the adjusted parameters.

24. The method of claim 18, wherein the location finding imaging instrument and the treatment instrument are movable independently from one another in three dimensions.

25. A system for visually displaying and treating a location to be treated within a treatment volume in a human or animal body, the system comprising:

a location finding imaging instrument configured to detect the treatment volume and the location to be treated within the treatment volume;

a treatment instrument configured to direct enemy along a treatment path at the location to be treated within the treatment volume,

an image display device; and

at least one control unit configured to control the image display device to display the detected treatment volume, the detected location to be treated within the treatment volume, and an enemy level region of the treatment path, wherein the image display device displays the region of the treatment path as an area in a single plane superimposed on the treatment volume and the location to be treated within the treatment volume,

wherein the location finding imaging instrument and the treatment instrument are movable independently from one another in three dimensions.

26. The system of claim 25, wherein the treatment instrument is a shock wave instrument, and wherein the region of the treatment path is a projected shock wave energy profile set at a predetermined energy.

27. The system of claim 25, wherein the at least one control unit is configured to process information received from the location finding instrument and the treatment instrument and to communicate signals based on the received information to the image display device,

wherein the image display device displays the treatment volume, the location to be treated within the treatment volume, and the region of the treatment path based on the signals from the at least one control unit.

28. The system of claim 27, further comprising:

means for orienting the location finding imaging instrument; and

means for orienting the treatment instrument in response to the location to be treated within the treatment volume displayed on the image display device,

wherein changes in the treatment instrument orientation change the corresponding region of the treatment path displayed on the image display device.

29. The system of claim 27, further comprising:

means to adjust at least one parameter of power, pulse frequency, pulse amplitude, and duration, thereby adjusting the energy profile of the treatment instrument,

wherein the adjustments are reflected on the image display device as changes in a size or shape of the region of the treatment path based on the adjusted parameters.

30. The system of claim 25, further comprising a processor configured to simulate activation of the treatment instrument to determine a simulated region of the treatment path prior to activation of the treatment instrument,

wherein the image display device displays the simulated region of the treatment path as the area in a single plane superimposed on the displayed treatment volume and location to be treated within the treatment volume.

31. The system of claim 25, wherein the image display device displays the region of the treatment path as a three dimensional shape superimposed on the displayed treatment volume and location to be treated within the treatment volume.