EP0263349A1 - Shock wave generator - Google Patents

Shock wave generator Download PDF

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Publication number
EP0263349A1
EP0263349A1 EP87113850A EP87113850A EP0263349A1 EP 0263349 A1 EP0263349 A1 EP 0263349A1 EP 87113850 A EP87113850 A EP 87113850A EP 87113850 A EP87113850 A EP 87113850A EP 0263349 A1 EP0263349 A1 EP 0263349A1
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EP
European Patent Office
Prior art keywords
membrane
shock wave
coil
patient
surface coil
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
EP87113850A
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German (de)
French (fr)
Inventor
Mathias Dipl.-Ing. Mahler
Manfred Rattner
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Siemens AG
Original Assignee
Siemens AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Siemens AG filed Critical Siemens AG
Publication of EP0263349A1 publication Critical patent/EP0263349A1/en
Ceased legal-status Critical Current

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    • GPHYSICS
    • G10MUSICAL INSTRUMENTS; ACOUSTICS
    • G10KSOUND-PRODUCING DEVICES; METHODS OR DEVICES FOR PROTECTING AGAINST, OR FOR DAMPING, NOISE OR OTHER ACOUSTIC WAVES IN GENERAL; ACOUSTICS NOT OTHERWISE PROVIDED FOR
    • G10K9/00Devices in which sound is produced by vibrating a diaphragm or analogous element, e.g. fog horns, vehicle hooters or buzzers
    • G10K9/12Devices in which sound is produced by vibrating a diaphragm or analogous element, e.g. fog horns, vehicle hooters or buzzers electrically operated

Definitions

  • the invention relates to a shock wave source for the treatment of concretions in the body of a patient with a liquid-filled shock wave tube, one end of which is closed by a flexible sack that can be pressed against the patient by means of the liquid pressure and the other end of which is a membrane made of electrically conductive material which, separated by an insulating material layer, opposite a surface coil which is connected to a supply unit for generating high-voltage pulses.
  • a shock wave source of this type can be used to generate focused shock waves which are directed to the concrement to be broken, e.g. a kidney stone, can be straightened and smashed it so far that it comes off naturally.
  • the shock wave is generated by the fact that a high-voltage capacitor is connected across the surface coil, e.g. may have a spiral winding, is discharged, thereby repelling the membrane and directing a shock wave over the liquid and an acoustic lens in the shock wave tube at the stone to be broken.
  • a shock wave source of this type is known in which both a coil end and the membrane are at ground potential. This means that when a high voltage of, for example, 20 kV is applied to the surface coil to generate a shock wave, the entire high voltage is also between a point of the surface coil and the membrane. The layer of insulating material between the surface coil and the membrane must therefore be dimensioned for the entire high voltage be. Nevertheless, it is not always possible to avoid rollovers. In the event of a rollover, the membrane is destroyed.
  • the invention has for its object to design a shock wave source of the type mentioned so that the risk of voltage flashovers between the surface coil and the membrane is reduced compared to the prior art.
  • the membrane is electrically isolated from both ends of the surface coil.
  • the membrane and one coil end are not earthed, so that the entire high voltage lies between the membrane and the coil. Because of the electrical insulation of the membrane from both coil ends, the insulating distance for the entire high voltage is twice the distance between the coil and the membrane, so that the risk of breakdown is extremely low.
  • a shock wave tube 1 is shown, which is closed on its application side by an elastic bag 2 that can be placed on a patient and on its opposite side by a membrane 3.
  • the space between components 1, 2, 3 is filled with water as the coupling medium.
  • An acoustic lens 4 for focusing the generated shock waves is arranged in it.
  • the shock wave is generated with the aid of a surface coil 6 opposite the membrane, which is spirally wound and separated from the membrane 3 by an insulating layer 7.
  • One connection of the surface coil 6 is grounded and the second connection can be connected to a high-voltage generator 8 for generating shock waves.
  • the high-voltage pulse generated in this way due to the eddy currents generated in the membrane 3 from metallic material, causes the membrane 3 to be repelled, as a result of which a shock wave is caused by the water in the shock-wave tube 1 up to the stone in the patient reproduces.
  • the membrane 3 is electrically insulated from both ends 6a, 6b of the surface coil 6.
  • the entire insulating distance which must withstand the maximum high voltage, is therefore equal to the double thickness of the insulating layer 7.
  • the risk of flashovers between a point of the surface coil 6 and the membrane 3 is accordingly extremely low. If a rollover took place, it would generally run between the coil end 6a, the membrane 3 and the coil end 6b. It follows from this that the entire insulating distance is equal to twice the distance between the surface coil 6 and the membrane 3, so that sufficient insulation is ensured even with a thin layer of insulating material 7.

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  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Acoustics & Sound (AREA)
  • Multimedia (AREA)
  • Apparatuses For Generation Of Mechanical Vibrations (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a shock-wave generator for the treatment of concretions in the body of a patient; it has a liquid-filled shock-wave tube (1), one end of which is closed by a flexible bag (2) which can be pressed against the patient by the liquid pressure; at the other end of the tube is a membrane (3) made of electrically conducting material, which lies opposite a flat coil (6) (but separated from it by a layer (7) of insulating material), which coil is connected to a supply unit (8) for generating high voltage pulses. The membrane (7) is electrically insulated from both ends (6a, 6b) of the flat coil (6). <IMAGE>

Description

Die Erfindung betrifft eine Stoßwellenquelle zur Behandlung von Konkrementen im Körper eines Patienten mit einem flüssigkeitsgefüllten Stoßwellenrohr, dessen eines Ende von einem über den Flüssigkeitsdruck an den Patienten andrückbaren, flexiblen Sack verschlossen ist und an dessen anderem Ende eine Membran aus elektrisch leitfähigem Material liegt, der, durch eine Isolierstoffschicht getrennt, eine Flächenspule gegenüberliegt, welche an einer Versorgungseinheit zur Erzeugung von Hochspannungsimpulsen angeschlossen ist.The invention relates to a shock wave source for the treatment of concretions in the body of a patient with a liquid-filled shock wave tube, one end of which is closed by a flexible sack that can be pressed against the patient by means of the liquid pressure and the other end of which is a membrane made of electrically conductive material which, separated by an insulating material layer, opposite a surface coil which is connected to a supply unit for generating high-voltage pulses.

Durch eine Stoßwellenquelle dieser Art können fokussierte Stoßwellen erzeugt werden, die auf das zu zertrümmernde Konkrement, z.B. einen Nierenstein, gerichtet werden können und diesen so weit zertrümmern, daß er auf natürlichem Weg abgeht. Die Stoßwellenerzeugung erfolgt dadurch, daß ein Hochspannungskondensator über die Flächenspule, die z.B. eine spiralige Wicklung aufweisen kann, entladen wird, wodurch die Membran abgestoßen wird und eine Stoßwelle über die Flüssigkeit und eine akustische Linse im Stoßwellenrohr auf den zu zertrümmernden Stein richtet.A shock wave source of this type can be used to generate focused shock waves which are directed to the concrement to be broken, e.g. a kidney stone, can be straightened and smashed it so far that it comes off naturally. The shock wave is generated by the fact that a high-voltage capacitor is connected across the surface coil, e.g. may have a spiral winding, is discharged, thereby repelling the membrane and directing a shock wave over the liquid and an acoustic lens in the shock wave tube at the stone to be broken.

Es ist eine Stoßwellenquelle dieser Art bekannt, bei der sowohl ein Spulenende als auch die Membran auf Erdpotential liegen. Dies bedeutet, daß beim Anlegen einer Hochspannung von z.B. 20 kV an die Flächenspule zur Erzeugung einer Stoßwelle die gesamte Hochspannung auch zwischen einem Punkt der Flächenspule und der Membran liegt. Die Isolierstoffschicht zwischen der Flächenspule und der Membran muß also für die gesamte Hochspannung bemessen sein. Trotzdem gelingt es nicht immer, Überschläge zu vermeiden. Bei einem Überschlag erfolgt eine Zerstörung der Membran.A shock wave source of this type is known in which both a coil end and the membrane are at ground potential. This means that when a high voltage of, for example, 20 kV is applied to the surface coil to generate a shock wave, the entire high voltage is also between a point of the surface coil and the membrane. The layer of insulating material between the surface coil and the membrane must therefore be dimensioned for the entire high voltage be. Nevertheless, it is not always possible to avoid rollovers. In the event of a rollover, the membrane is destroyed.

Der Erfindung liegt die Aufgabe zugrunde, eine Stoßwellenquelle der eingangs genannten Art so auszubilden, daß die Gefahr von Spannungsüberschlägen zwischen der Flächenspule und der Membran gegenüber dem Stand der Technik reduziert ist.The invention has for its object to design a shock wave source of the type mentioned so that the risk of voltage flashovers between the surface coil and the membrane is reduced compared to the prior art.

Diese Aufgabe ist erfindungsgemäß dadurch gelöst, daß die Membran von beiden Enden der Flächenspule elektrisch isoliert ist. Im Gegensatz zum Stand der Technik ist also nicht die Membran und ein Spulenende geerdet, so daß die gesamte Hochspannung zwischen Membran und Spule liegt. Wegen der elektrischen Isolierung der Membran von beiden Spulenenden ist die Isolierstrecke für die gesamte Hochspannung gleich dem doppelten Abstand zwischen der Spule und der Membran, so daß die Gefahr von Durchschlägen äußerst gering ist.This object is achieved in that the membrane is electrically isolated from both ends of the surface coil. In contrast to the prior art, the membrane and one coil end are not earthed, so that the entire high voltage lies between the membrane and the coil. Because of the electrical insulation of the membrane from both coil ends, the insulating distance for the entire high voltage is twice the distance between the coil and the membrane, so that the risk of breakdown is extremely low.

Die Erfindung ist nachfolgend anhand eines in der Zeichnung dargestellten Ausführungsbeispieles näher erläutert.The invention is explained below with reference to an embodiment shown in the drawing.

In der Zeichnung ist ein Stoßwellenrohr 1 dargestellt, das auf seiner Applikationsseite von einem an einem Patienten anlegbaren elastischen Sack 2 und auf seiner gegenüberliegenden Seite von einer Membran 3 verschlossen ist. Der Raum zwischen den Komponenten 1, 2, 3 ist mit Wasser als Koppelmedium gefüllt. In ihm ist eine akustische Linse 4 zur Fokussierung der erzeugten Stoßwellen angeordnet. Die Stoßwellenerzeugung erfolgt mit Hilfe einer der Membran gegenüberliegenden Flächenspule 6, die spiralig gewickelt und von der Membran 3 durch eine Isolierstoffschicht 7 getrennt ist. Der eine Anschluß der Flächenspule 6 ist geerdet und der zweite Anschluß ist an einen Hochspannungsgenerator 8 zur Stoßwellenerzeugung anschaltbar.In the drawing, a shock wave tube 1 is shown, which is closed on its application side by an elastic bag 2 that can be placed on a patient and on its opposite side by a membrane 3. The space between components 1, 2, 3 is filled with water as the coupling medium. An acoustic lens 4 for focusing the generated shock waves is arranged in it. The shock wave is generated with the aid of a surface coil 6 opposite the membrane, which is spirally wound and separated from the membrane 3 by an insulating layer 7. One connection of the surface coil 6 is grounded and the second connection can be connected to a high-voltage generator 8 for generating shock waves.

Wird die Flächenspule 6 an den Hochspannungsgenerator 8 angeschaltet, so wird durch den so erzeugten Hochspannungsimpuls aufgrund der in der Membran 3 aus metallischem Material erzeugten Wirbelströme eine Abstoßung der Membran 3 bewirkt, wodurch sich eine Stoßwelle durch das Wasser im Stoßwellenrohr 1 bis zum Stein im Patienten fortpflanzt.If the surface coil 6 is switched on to the high-voltage generator 8, the high-voltage pulse generated in this way, due to the eddy currents generated in the membrane 3 from metallic material, causes the membrane 3 to be repelled, as a result of which a shock wave is caused by the water in the shock-wave tube 1 up to the stone in the patient reproduces.

Aus der Zeichnung geht hervor, daß die Membran 3 von beiden Enden 6a, 6b der Flächenspule 6 elektrisch isoliert ist. Die gesamte Isolierstrecke, die die maximale Hochspannung aushalten muß, ist daher gleich der doppe lten Dicke der Isolierstoffschicht 7. Die Gefahr von Überschlägen zwischen einer Stelle der Flächenspule 6 und der Membran 3 ist demgemäß äußerst gering. Würde ein Überschlag erfolgen, so würde er in der Regel zwischen dem Spulenende 6a, der Membran 3 und dem Spulenende 6b verlaufen. Daraus ergibt sich, daß die gesamte Isolierstrecke gleich dem doppelten Abstand zwischen der Flächenspule 6 und der Membran 3 ist, so daß auch bei dünner Isolierstoffschicht 7 eine ausreichende Isolation gewährleistet ist. It can be seen from the drawing that the membrane 3 is electrically insulated from both ends 6a, 6b of the surface coil 6. The entire insulating distance, which must withstand the maximum high voltage, is therefore equal to the double thickness of the insulating layer 7. The risk of flashovers between a point of the surface coil 6 and the membrane 3 is accordingly extremely low. If a rollover took place, it would generally run between the coil end 6a, the membrane 3 and the coil end 6b. It follows from this that the entire insulating distance is equal to twice the distance between the surface coil 6 and the membrane 3, so that sufficient insulation is ensured even with a thin layer of insulating material 7.

Claims (1)

Stoßwellenquelle zur Behandlung von Konkrementen im Körper eines Patienten mit einem flüssigkeitsgefüllten Stoßwellenrohr (1), dessen eines Ende von einem über den Flüssigkeitsdruck am Patienten andrückbaren flexiblen Sack (2) verschlossen ist und an dessen anderem Ende eine Membran (3) aus elektrisch leitfähigem Material liegt, der, durch eine Isolierstoffschicht (7) getrennt, eine Flächenspule (6) gegenüberliegt, welche an einer Versorgungseinheit (8) zur Erzeugung von Hochspannungsimpulsen angeschlossen ist, dadurch gekennzeichnet, daß die Membran (3) von beiden Enden (6a, 6b) der Flächenspule (6) elektrisch isoliert ist.Shock wave source for the treatment of concretions in the body of a patient with a liquid-filled shock wave tube (1), one end of which is closed by a flexible bag (2) that can be pressed onto the patient via the liquid pressure, and at the other end a membrane (3) made of electrically conductive material , which, separated by an insulating material layer (7), is opposite a surface coil (6) which is connected to a supply unit (8) for generating high-voltage pulses, characterized in that the membrane (3) from both ends (6a, 6b) of the Surface coil (6) is electrically insulated.
EP87113850A 1986-10-06 1987-09-22 Shock wave generator Ceased EP0263349A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3634007 1986-10-06
DE3634007 1986-10-06

Publications (1)

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EP0263349A1 true EP0263349A1 (en) 1988-04-13

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Application Number Title Priority Date Filing Date
EP87113850A Ceased EP0263349A1 (en) 1986-10-06 1987-09-22 Shock wave generator

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US (1) US4920955A (en)
EP (1) EP0263349A1 (en)
JP (1) JPH0636808Y2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0361934A2 (en) * 1988-09-30 1990-04-04 Canon Kabushiki Kaisha Exposure method
WO2020148433A1 (en) * 2019-01-18 2020-07-23 Storz Medical Ag Combined shockwave and ultrasound source

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3917858A1 (en) * 1989-06-01 1990-12-06 Dornier Medizintechnik COUPLING AREA FOR A LITHOTRIPTER
US5107404A (en) * 1989-09-14 1992-04-21 Astec International Ltd. Circuit board assembly for a cellular telephone system or the like
DE3932745A1 (en) * 1989-09-30 1991-04-18 Dornier Medizintechnik FLAT REEL
US5233972A (en) * 1990-09-27 1993-08-10 Siemens Aktiengesellschaft Shockwave source for acoustic shockwaves
US6415180B1 (en) * 1997-04-04 2002-07-02 Cardiac Pacemakers, Inc. Device and method for ventricular tracking and pacing
US6771565B2 (en) * 2002-03-01 2004-08-03 Lvb Systems Ltd. Low voltage seismic sound source
TW201709948A (en) * 2015-09-04 2017-03-16 寶健科技股份有限公司 Invasive shockwave probe transducer structure
TWI548402B (en) * 2015-09-04 2016-09-11 寶健科技股份有限公司 Shockwave probe transducer structure
CN113925761A (en) * 2021-11-16 2022-01-14 深圳市慧康精密仪器有限公司 Shock wave therapeutic instrument for women

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1532008A (en) * 1974-12-20 1978-11-15 Huntex Ltd Underwater transient sound generator having pressure compensation
DE3312014A1 (en) * 1983-04-02 1984-10-11 Wolfgang Prof. Dr. 7140 Ludwigsburg Eisenmenger Device for the contactless crushing of concrements in the body of living beings
EP0133665A2 (en) * 1983-08-03 1985-03-06 Siemens Aktiengesellschaft Apparatus for the smashing at a distance of calculus

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3443295A1 (en) * 1984-11-28 1986-06-05 Wolfgang Prof. Dr. 7140 Ludwigsburg Eisenmenger DEVICE FOR THE CONTACT-FREE CRUSHING OF CONCRETE IN THE BODY OF LIVING BEINGS
DE3447440A1 (en) * 1984-12-27 1986-07-03 Siemens AG, 1000 Berlin und 8000 München SHOCK SHAFT PIPE FOR THE CRUSHING OF CONCRETE
DE3502751A1 (en) * 1985-01-28 1986-07-31 Siemens AG, 1000 Berlin und 8000 München SHOCK SHAFT PIPE WITH A LONG LIFETIME
DE3505894A1 (en) * 1985-02-20 1986-08-21 Siemens AG, 1000 Berlin und 8000 München Shock wave tube with coil and diaphragm
DE3506583A1 (en) * 1985-02-25 1986-08-28 Siemens AG, 1000 Berlin und 8000 München Shock wave generator having a freely movable plate

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1532008A (en) * 1974-12-20 1978-11-15 Huntex Ltd Underwater transient sound generator having pressure compensation
DE3312014A1 (en) * 1983-04-02 1984-10-11 Wolfgang Prof. Dr. 7140 Ludwigsburg Eisenmenger Device for the contactless crushing of concrements in the body of living beings
EP0133665A2 (en) * 1983-08-03 1985-03-06 Siemens Aktiengesellschaft Apparatus for the smashing at a distance of calculus

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0361934A2 (en) * 1988-09-30 1990-04-04 Canon Kabushiki Kaisha Exposure method
EP0361934A3 (en) * 1988-09-30 1991-07-03 Canon Kabushiki Kaisha Exposure method
WO2020148433A1 (en) * 2019-01-18 2020-07-23 Storz Medical Ag Combined shockwave and ultrasound source
US12082831B2 (en) 2019-01-18 2024-09-10 Storz Medical Ag Combined shockwave and ultrasound source

Also Published As

Publication number Publication date
JPH0636808Y2 (en) 1994-09-28
US4920955A (en) 1990-05-01
JPS6362108U (en) 1988-04-25

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