DK1855759T3 - System til ultralydsbehandling af væv - Google Patents

System til ultralydsbehandling af væv Download PDF

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Publication number
DK1855759T3
DK1855759T3 DK05810308.6T DK05810308T DK1855759T3 DK 1855759 T3 DK1855759 T3 DK 1855759T3 DK 05810308 T DK05810308 T DK 05810308T DK 1855759 T3 DK1855759 T3 DK 1855759T3
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Denmark
Prior art keywords
treatment
imaging
ultrasound
transducer
processing
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DK05810308.6T
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English (en)
Inventor
Peter G Barthe
Michael H Slayton
Brian D O'connor
Inder Raj S Makin
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Guided Therapy Systems Llc
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Publication of DK1855759T3 publication Critical patent/DK1855759T3/da

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6814Head
    • A61B5/682Mouth, e.g., oral cavity; tongue; Lips; Teeth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/684Indicating the position of the sensor on the body
    • A61B5/6842Indicating the position of the sensor on the body by marking the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0858Detecting organic movements or changes, e.g. tumours, cysts, swellings involving measuring tissue layers, e.g. skin, interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/13Tomography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4483Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461Displaying means of special interest
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/483Diagnostic techniques involving the acquisition of a 3D volume of data
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/54Control of the diagnostic device
    • A61B8/546Control of the diagnostic device involving monitoring or regulation of device temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0245Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with ultrasonic transducers, e.g. piezoelectric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01SRADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
    • G01S15/00Systems using the reflection or reradiation of acoustic waves, e.g. sonar systems
    • G01S15/88Sonar systems specially adapted for specific applications
    • G01S15/89Sonar systems specially adapted for specific applications for mapping or imaging
    • G01S15/8906Short-range imaging systems; Acoustic microscope systems using pulse-echo techniques
    • G01S15/8909Short-range imaging systems; Acoustic microscope systems using pulse-echo techniques using a static transducer configuration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4209Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4272Details of probe positioning or probe attachment to the patient involving the acoustic interface between the transducer and the tissue
    • A61B8/4281Details of probe positioning or probe attachment to the patient involving the acoustic interface between the transducer and the tissue characterised by sound-transmitting media or devices for coupling the transducer to the tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4455Features of the external shape of the probe, e.g. ergonomic aspects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0004Applications of ultrasound therapy
    • A61N2007/0008Destruction of fat cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0004Applications of ultrasound therapy
    • A61N2007/0034Skin treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0052Ultrasound therapy using the same transducer for therapy and imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • A61N2007/027Localised ultrasound hyperthermia with multiple foci created simultaneously

Claims (10)

1. Ultralydsbehandlingssystenn, som er indrettet til ikke-invasive ansigtsløftninger og opstramning af dybtliggende væv, hvilket ultralydsbehandlingssystem omfatter: et sondesystem (204), som er indrettet til både billeddannelse og behandling, hvor sondesystemet omfatter en billeddannelses- og behandlingstransducer, som er indrettet til målrettet afgivelse af ablativ ultralyd inde i det overfladiske SMAS (muskel-aponeurose-system)-lag, og hvor billeddannelses- og behandlingstransduceren omfatter et billeddannelses-element og et enkelt behandlingselement, hvor billeddannelses-elementet er indrettet til at afbilde en region af interesse (206), som omfatter SMAS-laget (216), hvor enkeltelementet til behandling er sammensat af én individuel enkeltelement-transducer, som er indrettet til enkeltfokus og til målrettet afgivelse af ablativ ultralydsenergi (220) ind i SMAS-laget (216) i en dybde på op til 15 mm under hudoverfladen for at forårsage varmeskade på vævet og krympning af SMAS-laget (216); et styresystem (202), som er koblet til sondesystemet (204), hvilket styresystem (202) styrer mekanisk scanning af billeddannelses- og behandlingstransduceren og omfatter en rumlig styring og en tidsmæssig styring, hvor den rumlige styring og den tidsmæssige styring styrer den målrettede afgivelse af ablativ ultralydsenergi (220) for at forårsage krympningen af mindst en del af SMAS-laget (216); en bevægelsesmekanisme til at frembringe en flerhed af læsioner på en styrbar måde, hvor billeddannelses- og behandlingstransduceren i sondesystemet (204) scannes mekanisk i en retning (226), således at behandlingszoner (260) placeres over et aflangt område formet som en linje; og et visningssystem (208), som er koblet til styresystemet (202) og til sondesystemets (204) billeddannelses-element, hvilket visningssystem (208) er indrettet til at vise billeder (224) af regionen af interesse (206).
2. Ultralydsbehandlingssystem ifølge krav 1, hvor billeddannelses-elementet har en første tykkelse, hvor enkeltelementet til behandling har en anden tykkelse, og hvor billeddannelses-elementet er indrettet til at afbilde med en billeddannelsesfrekvens på mellem 2 MHz og 75 MHz, og enkeltelementet til behandling er indrettet til at behandle med en behandlingsfrekvens på mellem 4 MHz og 15 MHz.
3. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, hvor styresystemet omfatter en processor, som er indrettet til at udføre en algoritme, der kan konvertere data fra sondesystemet, og til at vise et tredimensionalt billede af regionen af interesse på visningssystemet (208).
4. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, hvor bevægelsesmekanismen omfatter mindst én anordning fra gruppen bestående af et accelerometer, en koder og en positions-/orienteringsenhed.
5. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, hvor billeddannelses-elementet og behandlings-elementet er integreret i et enkelt billeddannelses- og behandlingstransducer-element med dobbeltfunktion.
6. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, som yderligere omfatter et hjælpe-billeddannelses-apparat (1272), et behandlingsmonitorerings-apparat (1274) og et sekundært behandlingssystem (1276).
7. Ultralydsbehandlingssystem ifølge krav 6, hvor hjælpe-billeddannelses-apparatet (1272) omfatter mindst én af en fotografisk enhed og en optisk modalitet.
8. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, hvor sondesystemet (204) er indrettet til målrettet afgivelse af den ablative ultralydsenergi (220) for at forårsage varmeskade på en del af mindst én af hud (210), dermis (212), muskelfascie (216) og fedtvæv (214) foruden SMAS-laget (216) for at ødelægge væv og forårsage krympning af SMAS-laget (216) i forbindelse med en hvilken som helst af en ansigtsløftning, behandling af fotoældet væv, behandling af kraftig sveddannelse, behandling af hyperhidrose, behandling af svedkirtler, behandling af acneog behandling af talgkirtler.
9. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, som yderligere omfatter et vævsparameter-monitorerende system, der er koblet til styresystemet (202).
10. Ultralydsbehandlingssystem ifølge et hvilket som helst af de foregående krav, hvor den målrettede afgivelse af ablativ energi (220) sker til en fast dybde på op til 5 mm underen hudoverflade (210).
DK05810308.6T 2004-10-06 2005-10-06 System til ultralydsbehandling af væv DK1855759T3 (da)

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US61675504P 2004-10-06 2004-10-06
US61675204P 2004-10-06 2004-10-06
US61720304P 2004-10-07 2004-10-07
US61729504P 2004-10-07 2004-10-07
PCT/US2005/036377 WO2006042201A1 (en) 2004-10-06 2005-10-06 Method and system for ultrasound tissue treatment

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US (11) US8066641B2 (da)
EP (6) EP3682946A1 (da)
JP (9) JP5094402B2 (da)
KR (13) KR20210068607A (da)
CA (1) CA2583522C (da)
DE (2) DE202005022028U1 (da)
DK (2) DK2409728T3 (da)
ES (3) ES2797784T3 (da)
HK (1) HK1249741A1 (da)
IL (2) IL182187A (da)
PL (1) PL2409728T3 (da)
PT (1) PT2409728T (da)
WO (1) WO2006042201A1 (da)

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