Systems and methods for ultrasound treatment

• US 9,533,174 B2
• Filed: 08/24/2015
• Issued: 01/03/2017
• Est. Priority Date: 08/02/2010
• Status: Active Grant

• Current Assignee: Guided Therapy Systems Llc
• Original Assignee: Guided Therapy Systems Llc
• Inventors: Barthe, Peter G., Slayton, Michael H.
• Primary Examiner(s): REMALY, MARK DONALD
• Application Number:
  US14/833,865
• Publication Number:
  US 20150360059A1
• Time in Patent Office: 498 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 8/13 Tomography A61B8/10, A61B8/12 take precedence; tomography for radiation diagnosis A61B6/02
• CPC Class Codes: A61B 8/14 Echo-tomography
• CPC Class Codes: A61B 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/4272 involving the acoustic interface between the transducer and the tissue
• CPC Class Codes: A61B 8/485 involving measuring strain or elastic properties
• CPC Class Codes: A61B 8/5246 combining images from the same or different imaging techniques, e.g. color Doppler and B-mode
• CPC Class Codes: A61N 2007/0013 Fracture healing
• CPC Class Codes: A61N 2007/0034 Skin treatment
• CPC Class Codes: A61N 2007/0052 using the same transducer for therapy and imaging
• CPC Class Codes: A61N 2007/006 Lenses
• CPC Class Codes: A61N 2007/0065 Concave transducers
• CPC Class Codes: A61N 2007/0091 with moving parts, e.g. transducers, lenses, reflectors
• CPC Class Codes: A61N 2007/0095 by modifying an excitation signal
• CPC Class Codes: A61N 2007/027 with multiple foci created simultaneously
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

Various embodiments provide a method for an extended field of view treatment. The method can include the steps of imaging a region; targeting a region with directed ultrasound energy; monitoring the region; moving the imaging, treatment, and monitoring region while spatially correlating to one or more prior regions via imaging and/or position sensing; continuing the extended field of view treatment; and, achieving an ultrasound induced biological effect in the extended field of view treatment region.

Claims

1. A method of ultrasound treatment, the method comprising:

a) coupling a hand-held probe comprising a housing to a treatment region, the housing containing or coupled to a therapy ultrasound transducer, an imaging ultrasound transducer, and a position sensor;

b) acquiring, using the imaging ultrasound transducer, a first image of the treatment region;

c) monitoring, using the position sensor, a position of the housing versus time;

d) subsequent to the acquiring of step b), moving the housing, thereby coupling the housing to an extended treatment region;

e) subsequent to the moving of step e), acquiring, using the imaging ultrasound transducer, a second image of the extended treatment region;

f) forming and correlating the first image and the second image to create an extended field of view image of the treatment region and the extended treatment region; and

g) delivering, using the therapy ultrasound transducer, directed therapeutic ultrasound energy into the treatment region or the extended treatment region, wherein the delivering directed therapeutic ultrasound energy is controlled using the position of the housing versus time.

2. The method according to claim 1, wherein the delivering of step g) initiates at least one ultrasound induced biological effect in the treatment region or the extended treatment region.

3. The method according to claim 1, wherein the directed therapeutic ultrasound energy is spherically focused, cylindrically focused, multi-focused, unfocused, or defocused.

4. The method according to claim 1, wherein the position sensor is an optical position sensor.

5. The method according to claim 1, further comprising displaying the first image, the second image, or the extended field of view image.

6. The method according to claim 1, further comprising dynamically targeting an additional treatment region with directed ultrasound energy based on the monitoring of step c).

7. The method according to claim 1, further comprising creating thermally or mechanically induced ultrasound bioeffects with directed ultrasound energy at or adjacent to the treatment region or the extended treatment region, the thermally or mechanically induced ultrasound bioeffects selected from the group consisting of effects of heating, coagulation, ablation, cavitation, streaming, radiation force, increased perfusion, inflammation, generation of heat shock proteins, and initiation of healing cascade.

8. The method according to claim 1, the treatment region comprising a nonflat surface.

9. The method according to claim 1, the hand-held probe further comprising a tissue contact sensor, the method further comprising:

h) monitoring, using the tissue contact sensor, to determine if the therapy ultrasound transducer or the imaging ultrasound transducer are coupled to the treatment region or the extended treatment region.

10. The method according to claim 9, wherein the tissue contact sensor is a capacitive contact sensor and the monitoring of step h) includes measuring a capacitance of a skin surface above the treatment region or the extended treatment region.

11. The method according to claim 9, wherein the monitoring of step h) is initiated by pressing the hand-held probe against a skin surface above the treatment region or the extended treatment region.

12. The method according to claim 1, wherein the delivering of step g) includes delivering pulses of therapeutic ultrasound energy into the treatment region or the extended treatment region, wherein the pulses of therapeutic ultrasound energy are separated by a pre-determined distance.

13. The method according to claim 1, wherein the monitoring of step c) including determining a speed of motion of the hand-held probe and the delivering of step g) is further controlled using the speed of motion of the hand-held probe.

14. The method according to claim 1, wherein delivery of additional directed ultrasound energy into the treatment region or the extended treatment region is prevented when the housing crosses over a position of the housing during a previous delivery of directed therapeutic ultrasound energy.