EP0781447A1 - Procede et dispositif de production d'ondes de choc pour therapie medicale, en particulier pour la lithotriptie electro-hydraulique - Google Patents
Procede et dispositif de production d'ondes de choc pour therapie medicale, en particulier pour la lithotriptie electro-hydrauliqueInfo
- Publication number
- EP0781447A1 EP0781447A1 EP94928388A EP94928388A EP0781447A1 EP 0781447 A1 EP0781447 A1 EP 0781447A1 EP 94928388 A EP94928388 A EP 94928388A EP 94928388 A EP94928388 A EP 94928388A EP 0781447 A1 EP0781447 A1 EP 0781447A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- electrodes
- particles
- shock waves
- spark discharge
- liquid medium
- 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.)
- Granted
Links
Classifications
-
- G—PHYSICS
- G10—MUSICAL INSTRUMENTS; ACOUSTICS
- G10K—SOUND-PRODUCING DEVICES; METHODS OR DEVICES FOR PROTECTING AGAINST, OR FOR DAMPING, NOISE OR OTHER ACOUSTIC WAVES IN GENERAL; ACOUSTICS NOT OTHERWISE PROVIDED FOR
- G10K15/00—Acoustics not otherwise provided for
- G10K15/04—Sound-producing devices
- G10K15/06—Sound-producing devices using electric discharge
Definitions
- the invention relates to a method and a device for generating shock waves by spark discharge between electrodes which are intermittently fed with electrical current in a liquid medium such as water, the shock waves being focused on the object located in a body.
- a method of this type is known from DE-PS 23 51 247. It describes a device for crushing concrements in the body of living beings. With the help of a spark discharge in a liquid medium, shock waves are generated in a focal point of a truncated rotational ellipsoid, reflected on the ellipsoid and focused in the second focal point. The concretions to be broken are brought into this second focal point.
- the spark discharge takes place on an exchangeable device in which at least two electrodes face each other, between which the discharge takes place.
- Such a device is described in DE-OS 26 35 635, consisting essentially of two axially arranged electrode tips, a low-induction power supply and the mechanical mounting or embedding of the electrodes.
- the electrodes When introduced into the associated system, the electrodes, together with a high-voltage switch and a high-voltage-resistant capacitor, form a circuit which is as low-inductive and low-resistance as possible.
- the capacity is charged to a voltage in the order of about 10 kV to 30 kV. This voltage is applied intermittently via the high-voltage switch to the electrodes in an aqueous environment. If the distance between the two electrodes is not too great for a given voltage, an electrical breakdown in the form of a spark discharge occurs between the electrodes.
- the electrical resistance between the electrodes drops sharply and the capacitance is discharged in a damped periodic oscillation.
- a certain time elapses between the closing of the high-voltage switch and the sharp drop in the resistance between the electrodes, the latency time during which a small current flows, which is essentially limited by the ohmic resistance of the liquid medium located between the electrodes.
- DE-PS 36 37 326 describes the use of an auxiliary electrode which leads to a controlled leader geometry and to larger electrode spacings.
- the leader is an initially low-current channel, which precedes the actual spark discharge and determines its local course. Since considerable mechanical loads occur in the vicinity of a spark discharge, a suitable construction is difficult to implement.
- the auxiliary electrode must be supplied with voltage separately from the two main electrodes, so that these devices cannot be used in existing systems.
- the invention has for its object to achieve a voltage breakdown in the form of a spark discharge at a distance between the electrodes between two electrodes in a liquid medium, which goes beyond a critical level in the case of a given liquid medium and a given amount of the applied voltage without further measures no spark discharge would take place.
- the particles have the size of a few micrometers to a few hundred micrometers. Metallic particles, in particular particles of aluminum, are preferably used.
- a device-related solution to the problem is the subject of claim 5.
- the medium with the particles contained therein is accommodated in a shock-wave-permeable sheath surrounding the electrodes.
- the sheath has a closable opening for its filling, and in addition at least one opening is provided for the escape of the gas generated during the spark discharge.
- the diameter of this opening should be so large that the exchange between the interior of the casing and the exterior of the casing of the particles in the liquid medium is restricted.
- the particles are added once, several times or continuously to the liquid medium in the shell.
- an orifice surrounding this ring is arranged at least around one electrode.
- This aperture absorbs and / or reflects parts of the shock wave generated by the spark discharge.
- the size and shape of the focus area in the second focal point are influenced thereby, and the focus extension is kept at a level appropriate for the application for extracorporeal shock wave lithotripsy (ESWL), especially in the case of large electrode distances.
- ESWL extracorporeal shock wave lithotripsy
- the panel is preferably made of polyurethane.
- FIG. 2 shows a sectional illustration of a device containing the electrodes
- Fig. 3 shows a partial section with an aperture for limiting the focus.
- Fig. 1 shows schematically a section through the longitudinal axis of a truncated ellipsoid of revolution.
- the shock waves coming from a focus F1 are reflected on the wall 1 of the truncated ellipsoid of revolution and are focused towards a focal point F2.
- the blunted ellipsoid of revolution is filled with degassed water and closed at the top by an elastic membrane 2 permeable to shock waves.
- the acoustic coupling to a body takes place via this membrane 2, with the focus F2 being brought into focus to be crushed concrements or tissue to be treated.
- two electrodes 3 and 4 face each other, on which the spark discharge and thus the shock wave generation takes place.
- the two electrodes 3 and 4 are part of an interchangeable device.
- the electrical circuit shows a charging resistor 5, a high-voltage capacitor 6 and a high-voltage switch 7.
- the high-voltage capacitor 6 is brought to a voltage of the order of 10,000 V to 30,000 V with the aid of a high-voltage current source.
- the high-voltage capacitor 6 is connected to the two via the high-voltage switch 7, which consists, for example, of a triggerable spark gap Electrodes 3 and 4 connected. If the distance between the two electrodes 3 and 4 is not too great depending on the level of the voltage applied via the high-voltage switch 7, a voltage breakdown in the form of a spark discharge occurs between the two electrodes 3 and 4. A discharge channel in the form of a hot plasma is formed between the two electrodes 3 and 4, which leads to a shock wave due to its rapid expansion.
- conductive, semiconducting or polarizable particles 15 in the order of a few micrometers to a few hundred micrometers are brought and held there. It has been shown that even at distances between the electrodes 3 and 4 which go beyond a critical level at which voltage breakdown would otherwise no longer occur, a spark discharge occurs reliably.
- the particles preferably have a size of 50 ⁇ m to 500 ⁇ m.
- FIG. 2 shows an embodiment of a device containing electrodes 3 and 4.
- the electrode 3 is embedded in a plastic insulation 8 and has an electrical feed in the form of a metallic inner conductor 9.
- the electrode 4 is electrically connected to a tubular outer conductor 10.
- the space around the electrodes 3 and 4 is enclosed by a shock-wave permeable sheath 11, which has two bores 12 and 13 each of a few hundred micrometers.
- the casing 11 is filled with degassed water 14, which has a specific resistance of approximately 2000 ohm ⁇ cm.
- the particles 15 are added to the water.
- This device is fastened in a system according to FIG. 1 so that the center between the two electrodes 3 and 4 is in focus Fl of the blunted ellipsoid of revolution is located.
- a high voltage is applied to the electrodes 3 and 4 via the inner conductor 9 and the outer conductor 10 when the high-voltage switch 7 is switched on.
- a spark discharge then forms between the electrodes 3 and 4, a shock wave being generated.
- material is removed from the tips of the electrodes 3 and 4, so that the distance between the electrodes increases increasingly.
- the conductive, semiconducting or polarizable particles 15 have the effect that a spark discharge takes place reliably even when the distance between the electrodes 3 and 4 exceeds a critical dimension.
- the gas which arises with each spark discharge escapes from the casing 11 via the bores 12 and 13.
- the bores 12 and 13 are arranged in such a way that one of the bores at the highest point of the casing 11 at each possible position of the blunted ellipsoid of revolution enclosed space.
- FIG. 3 shows a sectional illustration of the electrodes 3 and 4, the electrode 3 being surrounded by a rotationally symmetrical diaphragm 16.
- This diaphragm 16 consists of electrically non-conductive, shock wave absorbing and / or reflecting material. With large electrode spacings, the aperture 16 ensures that shock wave components which are generated by the discharge channel 17 relatively far from the focus F1 do not reach the focus F2. As a result, the focus area of F2 remains small and corresponds to the area generated by a spark discharge over a small electrode distance.
Landscapes
- Physics & Mathematics (AREA)
- Engineering & Computer Science (AREA)
- Acoustics & Sound (AREA)
- Multimedia (AREA)
- Surgical Instruments (AREA)
- Disintegrating Or Milling (AREA)
Abstract
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AT94928388T ATE180914T1 (de) | 1994-09-21 | 1994-09-21 | Vorrichtung zur erzeugung von stosswellen für die medizinische therapie, insbesondere für die elektro-hydraulische lithotripsie |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP1994/003155 WO1996009621A1 (fr) | 1994-09-21 | 1994-09-21 | Procede et dispositif de production d'ondes de choc pour therapie medicale, en particulier pour la lithotriptie electro-hydraulique |
Publications (2)
Publication Number | Publication Date |
---|---|
EP0781447A1 true EP0781447A1 (fr) | 1997-07-02 |
EP0781447B1 EP0781447B1 (fr) | 1999-06-02 |
Family
ID=8165893
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP94928388A Expired - Lifetime EP0781447B1 (fr) | 1994-09-21 | 1994-09-21 | Dispositif de production d'ondes de choc pour therapie medicale, en particulier pour la lithotriptie electro-hydraulique |
Country Status (5)
Country | Link |
---|---|
US (1) | US6113560A (fr) |
EP (1) | EP0781447B1 (fr) |
JP (1) | JP3594610B2 (fr) |
DE (1) | DE59408375D1 (fr) |
WO (1) | WO1996009621A1 (fr) |
Cited By (1)
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CN110947109A (zh) * | 2013-03-08 | 2020-04-03 | 索里顿有限责任公司 | 快速脉冲电液冲击波生成器装置与美容方法 |
Families Citing this family (49)
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US7189209B1 (en) | 1996-03-29 | 2007-03-13 | Sanuwave, Inc. | Method for using acoustic shock waves in the treatment of a diabetic foot ulcer or a pressure sore |
DE19702593C2 (de) * | 1997-01-24 | 2000-07-06 | Siemens Ag | Verfahren und Vorrichtung zur Erzeugung von Stoßwellen für technische, vorzugsweise medizintechnische Anwendungen |
US6390995B1 (en) | 1997-02-12 | 2002-05-21 | Healthtronics Surgical Services, Inc. | Method for using acoustic shock waves in the treatment of medical conditions |
US6368292B1 (en) | 1997-02-12 | 2002-04-09 | Healthtronics Inc. | Method for using acoustic shock waves in the treatment of medical conditions |
DE19718512C1 (de) * | 1997-05-02 | 1998-06-25 | Hmt Ag | Verfahren und Vorrichtung zum Erzeugen von Stoßwellen für medizinische Anwendungen |
DE10100974B4 (de) | 2001-01-11 | 2004-07-08 | Hmt High Medical Technologies Ag | Vorrichtung zur Erzeugung von Stoßwellen |
DE10102317A1 (de) * | 2001-01-19 | 2002-08-14 | Hmt Ag | Verfahren und Vorrichtung zur Beaufschlagung des Körpers eines Lebeswesens mit Druckwellen |
DE10125936A1 (de) * | 2001-05-23 | 2003-01-02 | Hmt Ag | Medizinisches Gerät |
US7251195B1 (en) | 2003-10-23 | 2007-07-31 | United States Of America As Represented By The Secretary Of The Army | Apparatus for generating an acoustic signal |
US7544171B2 (en) * | 2004-10-22 | 2009-06-09 | General Patent Llc | Methods for promoting nerve regeneration and neuronal growth and elongation |
US7988648B2 (en) * | 2005-03-04 | 2011-08-02 | General Patent, Llc | Pancreas regeneration treatment for diabetics using extracorporeal acoustic shock waves |
US8162859B2 (en) * | 2005-06-09 | 2012-04-24 | General Patent , LLC | Shock wave treatment device and method of use |
US20070239083A1 (en) * | 2006-01-18 | 2007-10-11 | Axel Voss | Shock wave generators |
DE102006002412A1 (de) * | 2006-01-18 | 2007-07-19 | Switech Medical Ag | Vorrichtung zur Erzeugung von Stoßwellen |
US20070239082A1 (en) * | 2006-01-27 | 2007-10-11 | General Patent, Llc | Shock Wave Treatment Device |
US7594930B2 (en) * | 2006-07-06 | 2009-09-29 | General Patent Llc | Method of attaching soft tissue to bone |
US7707717B2 (en) * | 2006-12-13 | 2010-05-04 | Healthtronics, Inc. | Method for repairing an electrode assembly |
US20080191596A1 (en) * | 2007-02-14 | 2008-08-14 | David Leo King | Device for producing electrical discharges in an aqueous medium |
EP2068304A1 (fr) * | 2007-12-05 | 2009-06-10 | General Electric Company | Système de sonde, système à ultrasons et procédé de génération d'ultrasons |
US20100036294A1 (en) | 2008-05-07 | 2010-02-11 | Robert Mantell | Radially-Firing Electrohydraulic Lithotripsy Probe |
US10702293B2 (en) | 2008-06-13 | 2020-07-07 | Shockwave Medical, Inc. | Two-stage method for treating calcified lesions within the wall of a blood vessel |
EP2300091B1 (fr) | 2008-06-13 | 2018-03-21 | Shockwave Medical, Inc. | Système de cathéter à ballonnet du type à onde de choc |
US9044618B2 (en) * | 2008-11-05 | 2015-06-02 | Shockwave Medical, Inc. | Shockwave valvuloplasty catheter system |
US11794040B2 (en) | 2010-01-19 | 2023-10-24 | The Board Of Regents Of The University Of Texas System | Apparatuses and systems for generating high-frequency shockwaves, and methods of use |
US11865371B2 (en) | 2011-07-15 | 2024-01-09 | The Board of Regents of the University of Texas Syster | Apparatus for generating therapeutic shockwaves and applications of same |
US8574247B2 (en) | 2011-11-08 | 2013-11-05 | Shockwave Medical, Inc. | Shock wave valvuloplasty device with moveable shock wave generator |
JP6164705B2 (ja) | 2012-08-06 | 2017-07-19 | ショックウェーブ メディカル, インコーポレイテッド | 衝撃波カテーテル |
CA2881211A1 (fr) | 2012-08-08 | 2014-02-13 | Shockwave Medical, Inc. | Valvuloplastie a ondes de choc ayant de multiples ballonnets |
EP2967603B1 (fr) | 2013-03-11 | 2018-11-28 | Northgate Technologies Inc. | Lithotriteur électrohydraulique non focalisé |
US9360124B2 (en) | 2013-03-15 | 2016-06-07 | Cook Medical Technologies Llc | Bi-directional valve device for selective control of fluid flow through multiple converging paths |
AU2016261936B2 (en) | 2015-05-12 | 2020-12-17 | Soliton, Inc. | Methods of treating cellulite and subcutaneous adipose tissue |
DE102015008949A1 (de) * | 2015-07-10 | 2017-01-12 | Andreas Möbius | Vorrichtung zur Erzeugung von Stoßwellen |
WO2017087195A1 (fr) | 2015-11-18 | 2017-05-26 | Shockwave Medical, Inc. | Électrodes d'onde de choc |
US11458069B2 (en) | 2016-04-18 | 2022-10-04 | Softwave Tissue Regeneration Technologies, Llc | Acoustic shock wave therapeutic methods to treat medical conditions using reflexology zones |
US11389371B2 (en) | 2018-05-21 | 2022-07-19 | Softwave Tissue Regeneration Technologies, Llc | Acoustic shock wave therapeutic methods |
US11389370B2 (en) | 2016-04-18 | 2022-07-19 | Softwave Tissue Regeneration Technologies, Llc | Treatments for blood sugar levels and muscle tissue optimization using extracorporeal acoustic shock waves |
US11389372B2 (en) | 2016-04-18 | 2022-07-19 | Softwave Tissue Regeneration Technologies, Llc | Acoustic shock wave therapeutic methods |
US11389373B2 (en) | 2016-04-18 | 2022-07-19 | Softwave Tissue Regeneration Technologies, Llc | Acoustic shock wave therapeutic methods to prevent or treat opioid addiction |
TWI742110B (zh) | 2016-07-21 | 2021-10-11 | 美商席利通公司 | 具備改良電極壽命之快速脈波電動液壓脈衝產生裝置及使用該裝置生成壓縮聲波之方法 |
US10646240B2 (en) | 2016-10-06 | 2020-05-12 | Shockwave Medical, Inc. | Aortic leaflet repair using shock wave applicators |
US10357264B2 (en) | 2016-12-06 | 2019-07-23 | Shockwave Medical, Inc. | Shock wave balloon catheter with insertable electrodes |
KR20230144665A (ko) | 2017-02-19 | 2023-10-16 | 솔리톤, 인코포레이티드 | 생물학적 매체 내의 선택적 레이저 유도 광학 파괴 |
US10966737B2 (en) | 2017-06-19 | 2021-04-06 | Shockwave Medical, Inc. | Device and method for generating forward directed shock waves |
ES2948245T3 (es) | 2018-06-21 | 2023-09-06 | Shockwave Medical Inc | Sistema para el tratamiento de oclusiones en luces corporales |
EP4034006A1 (fr) | 2019-09-24 | 2022-08-03 | Shockwave Medical, Inc. | Système de traitement de thrombus dans des lumières corporelles |
US11992232B2 (en) | 2020-10-27 | 2024-05-28 | Shockwave Medical, Inc. | System for treating thrombus in body lumens |
US12023098B2 (en) | 2021-10-05 | 2024-07-02 | Shockwave Medical, Inc. | Lesion crossing shock wave catheter |
CN114903561A (zh) * | 2022-03-24 | 2022-08-16 | 索诺利(厦门)医疗科技有限公司 | 一种阵列式液电冲击波可控聚焦装置 |
US12035932B1 (en) | 2023-04-21 | 2024-07-16 | Shockwave Medical, Inc. | Intravascular lithotripsy catheter with slotted emitter bands |
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1994
- 1994-09-21 EP EP94928388A patent/EP0781447B1/fr not_active Expired - Lifetime
- 1994-09-21 DE DE59408375T patent/DE59408375D1/de not_active Expired - Lifetime
- 1994-09-21 JP JP51054396A patent/JP3594610B2/ja not_active Expired - Lifetime
- 1994-09-21 US US08/809,246 patent/US6113560A/en not_active Expired - Lifetime
- 1994-09-21 WO PCT/EP1994/003155 patent/WO1996009621A1/fr active IP Right Grant
Non-Patent Citations (1)
Title |
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See references of WO9609621A1 * |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110947109A (zh) * | 2013-03-08 | 2020-04-03 | 索里顿有限责任公司 | 快速脉冲电液冲击波生成器装置与美容方法 |
CN110947109B (zh) * | 2013-03-08 | 2022-04-26 | 索里顿有限责任公司 | 用于生成治疗冲击波的装置 |
Also Published As
Publication number | Publication date |
---|---|
JPH10508221A (ja) | 1998-08-18 |
US6113560A (en) | 2000-09-05 |
JP3594610B2 (ja) | 2004-12-02 |
DE59408375D1 (de) | 1999-07-08 |
WO1996009621A1 (fr) | 1996-03-28 |
EP0781447B1 (fr) | 1999-06-02 |
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