Lithotriptor

• US 4,741,008 A
• Filed: 03/13/1987
• Issued: 04/26/1988
• Est. Priority Date: 04/21/1986
• Status: Expired due to Fees

• Current Assignee: Siemens AG, Valio Meijerien Keskusosuusliike
• Original Assignee: Siemens AG
• Inventors: Franke, Kurt
• Primary Examiner(s): Fields, Carolyn E.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US07/025,660
• Time in Patent Office: 410 Days
• Field of Search: 378/51, 378/53, 378/99, 128/328
• US Class Current: 378/53
• 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 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: G01S 15/899 Combination of imaging systems with ancillary equipment

Abstract

A lithotriptor station has a shockwave generator connected to a drive circuit and an x-ray system for generating an image of the calculi to be disintegrated. An output of the x-ray system is applied to a detection circuit which forms an electrical signal corresponding to the degree of calculus disintegration in the x-ray image. The electrical signal is supplied through a computer to the drive circuit for the shockwave generator for controlling the number of shockwaves administered.

Claims

1. A lithotriptor for disintegrating a calculus in a patient comprising:

a shockwave generator for generating shockwaves for disintegrating said calculus;

an x-ray system for generating an image of said calculus during disintegraton;

a detection circuit connected to said x-ray system for generating a signal corresponding to the degree of disintegration of said calculus; and

means for preventing said shockwave generator from supplying further shockwaves to said patient when said signal from said detection circuit reaches a predetermined value.

2. A lithotriptor as claimed in claim 1 wherein said x-ray system comprises two x-ray sources and two x-ray detectors respectively associated therewith, the central rays of said x-ray sources intersecting in a common plane.

3. A lithotriptor as claimed in claim 2 wherein said central rays intersect in said common plane at an angle of approximately 90°

.

4. A lithotriptor for disintegrating calculi in a patient comprising:

a shockwave generator for generating shockwaves for disintegrating said calculi;

a drive means for driving said shockwave generator;

an x-ray system for generating an x-ray image of said calculus during disintegration thereof;

a detection circuit connected to an output of said x-ray system for generating a signal corresponding to the degree of disintegration of said calculus; and

means connected to an output of said detection circuit and connected for controlling operation of said drive means for stopping said drive means and preventing further shockwaves from being generated when said signal from said detection circuit reaches a predetermined value.

5. A lithotriptor as claimed in claim 4 wherein said means connected to the output of said detection circuit includes a comparator.

6. A lithotriptor as claimed in claim 4 wherein said x-ray system comprises:

a first x-ray source having a first x-ray image intensifier associated therewith;

a second x-ray source having a second x-ray image intensifier associated therewith, said first and second x-ray sources having respective central rays intersecting in a common plane at said calculus;

and wherein said detection circuit comprises first and second detection circuit stages, said first detection circuit stage being connected to an output of said first x-ray image intensifier and said second detection circuit stage being connected to an output of said second x-ray image intensifier, each of said first and second detection circuit stages having an output connected to said means for controlling said drive means.

7. A method for operating a lithotriptor for disintegrating calculi in a patient by administering shockwaves to said calculi comprising the steps of:

applying shockwaves to said patient for disintegrating said calculi;

generating an x-ray image of said calculi during disintegration;

generating a signal from said x-ray image during disintegration corresponding to the degree of disintegration of said calculi; and

using said signal corresponding to the degree of disintegration to automatically stop application of said shockwaves to said calculi when said signal reaches a predetermined value.