Human interface and device for ultrasound guided treatment

• US 9,675,819 B2
• Filed: 07/16/2013
• Issued: 06/13/2017
• Est. Priority Date: 07/16/2012
• Status: Active Grant

• Current Assignee: Mirabilis Medica, Inc.
• Original Assignee: Mirabilis Medica, Inc.
• Inventors: Darlington, Gregory Paul, Dunbar, Lee David, Parsons, Jessica E., Pedersen, Robert H., Etchells, Tim, Quistgaard, Jens Ulrich, Lau, Michael P. H.
• Primary Examiner(s): Le, Long V
• Assistant Examiner(s): MCDONALD, KATHERINE M
• Application Number:
  US13/943,747
• Publication Number:
  US 20140018708A1
• Time in Patent Office: 1,428 Days
• Field of Search: 601 2
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• 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

A system and method for providing real-time, image-guided high intensity focused ultrasound (HIFU) targeting and treatment of tissue. In one embodiment, the system includes an HIFU applicator and a user interface with a touchscreen display for three-dimensional visualization of the tissue. Image frames displayed on the user interface depict real-time images of the tissue, including an image parallel to a feature of the applicator and an image orthogonal to the parallel image. Reference lines may be sketched using the touchscreen and displayed on the image frames. In one embodiment, tissue boundaries are detected and marked on the image frames, either by the user or automatically by the system. In another embodiment, the user interface includes a footswitch for the user to interact with the system. In another embodiment, the system includes an ultrasound imaging component configured to undock from the system for use as a stand-alone ultrasound imaging device.

Claims

1. A high intensity focused ultrasound (HIFU) system for real-time, image-guided HIFU treatment of tissue of a patient, the system comprising:

a HIFU applicator configured to deliver HIFU energy to the tissue;

a HIFU generator configured to control and transmit the HIFU energy through the HIFU applicator;

an ultrasound imaging device that includes an imaging transducer, wherein during operation of the HIFU system, the imaging transducer is programmed to acquire imaging data providing (1) a real-time view of a first image plane that is parallel to a line passing through a feature of the HIFU applicator, wherein the feature of the HIFU applicator is moveable by an operator of the HIFU system to guide delivery of the HIFU energy to the tissue, and (2) a real-time view of a second image plane that is orthogonal to the first image plane, wherein the feature of the HIFU applicator visually provides to a user of the HIFU system a corresponding indication that correlates an orientation of a displayed image plane to the patient; and

a user interface including a display, wherein the user interface displays images of the tissue on the display which provide three-dimensional visualization of the tissue, wherein the display simultaneously includes an active parallel frame depicting the real-time view of the first image plane parallel to the feature of the HIFU applicator and an active orthogonal frame depicting the real-time view of the second image plane orthogonal to the first image plane depicted in the active parallel frame.

2. The system of claim 1, wherein the user interface is further configured to display reference frames simultaneous with the display of the active parallel frame and the active orthogonal frame, wherein the reference frames include a reference parallel frame and a reference orthogonal frame, and wherein the reference parallel frame corresponds to the active parallel frame and provides a static view of the first image plane depicted in the active parallel frame, and the reference orthogonal frame corresponds to the active orthogonal frame and provides a static view of the second image plane depicted in the active orthogonal frame.

3. The system of claim 2, wherein the user interface is further configured to display one or more reference lines added to the image in the reference parallel frame or the reference orthogonal frame, and duplicate the one or more reference lines on the image in the corresponding active parallel frame or the corresponding active orthogonal frame, respectively.

4. The system of claim 1, wherein the user interface includes device controls for controlling the ultrasound imaging device, and wherein at least one of the device controls is a control icon accessible via the display.

5. The system of claim 4, wherein the system is configured to automatically set or adjust one or more of the device controls.

6. The system of claim 1, wherein the system is further configured to:

detect and mark tissue boundaries;

calculate and adjust treatment parameters based on the detected tissue boundaries; and

display the marked tissue boundaries in one or more of the images on the display.

7. The system of claim 6, wherein the system is configured to automatically detect and mark the tissue boundaries, and automatically calculate and adjust the treatment parameters based on the detected tissue boundaries.

8. The system of claim 1, wherein the user interface is configured to display a 360-degree sweep view of the tissue.

9. The system of claim 1, wherein the ultrasound imaging device is connected to the system via a docking interface.

10. The system of claim 1, wherein the feature of the HIFU applicator includes handles that are operable by the user of the HIFU system to move the HIFU applicator, and wherein during motion of the HIFU applicator the first image plane remains parallel to the handles of the HIFU applicator.

11. A method of operation of a high intensity focused ultrasound (HIFU) system that includes a HIFU applicator, an ultrasound imaging device, and a user interface including a display, the method comprising:

operating the ultrasound imaging device so as to acquire, during operation of the HIFU system, ultrasound images that include (1) a real-time view of a image plane that is parallel a line passing through a feature of the HIFU applicator, wherein the feature of the HIFU applicator is moveable by an operator of the HIFU system to guide delivery of HIFU energy, and (2) a real-time view of a second image plane that is orthogonal to the first image plane, wherein the feature of the HIFU applicator visually provides to a user of the HIFU system a corresponding indication that correlates an orientation of a displayed image plane to a patient being imaged; and

displaying the ultrasound images the display of the user interface, wherein the display simultaneously includes an active parallel frame depicting the real-time view of the first image plane parallel to the feature of the HIFU applicator and an active orthogonal frame depicting the real-time view of the second image plane orthogonal to the first image plane depicted in the active parallel frame.

12. The method of claim 11, the method further comprising displaying reference frames simultaneous with display of the active parallel frame and the active orthogonal frame, wherein the reference frames include a reference parallel frame and a reference orthogonal frame, and wherein the reference parallel frame corresponds to the active parallel frame and provides a static view of the first image plane depicted in the active parallel frame, and the reference orthogonal frame corresponds with the active orthogonal frame and provides a static view of the second image plane depicted in the active orthogonal frame.

13. The method of claim 12, the method further comprising adding one or more reference lines to the image in the reference parallel frame or the reference orthogonal frame, and duplicating the one or more reference lines on the image in the corresponding active parallel frame or the corresponding active orthogonal frame.

14. The method of claim 11, the method further comprising controlling an ultrasound imaging device through device controls, wherein the ultrasound imaging device is used to display ultrasound images of the tissue on the user interface, and wherein at least one of the device controls is a control icon accessible on a display of the user interface.

15. The method of claim 14, the method further comprising automatically setting and adjusting one or more of the device controls.

16. The method of claim 11, the method further comprising detecting, marking, and displaying tissue boundaries, and calculating and adjusting treatment parameters based on the detected tissue boundaries.

17. The method of claim 16, the method further comprising automatically detecting, marking, and displaying tissue boundaries, and automatically calculating and adjusting treatment parameters based on the detected tissue boundaries.

18. The method of claim 11, the method further comprising displaying a 360-degree sweep view of the tissue.

19. The method of claim 11, the method further comprising selecting an icon on the user interface to cause reference images stored in a memory to be displayed, wherein the active parallel frame becomes a reference parallel frame that depicts a static image of the first image plane parallel to the feature of the HIFU applicator and the active orthogonal frame becomes a reference orthogonal frame that depicts a static image of the second image plane orthogonal to the image plane depicted in the reference parallel frame.

20. The method of claim 11, wherein the feature of the HIFU applicator includes handles that are operable by the user of the HIFU system to move the HIFU applicator, the method further comprising causing the first image plane to remain parallel to the handles of the HIFU applicator during motion of the HIFU applicator.