JP5473220B2 - 可変深度超音波処置のためのシステムおよび方法 - Google Patents
可変深度超音波処置のためのシステムおよび方法 Download PDFInfo
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- JP5473220B2 JP5473220B2 JP2007532508A JP2007532508A JP5473220B2 JP 5473220 B2 JP5473220 B2 JP 5473220B2 JP 2007532508 A JP2007532508 A JP 2007532508A JP 2007532508 A JP2007532508 A JP 2007532508A JP 5473220 B2 JP5473220 B2 JP 5473220B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B2017/22024—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement with a part reflecting mechanical vibrations, e.g. for focusing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B2017/22027—Features of transducers
- A61B2017/22028—Features of transducers arrays, e.g. phased arrays
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0056—Beam shaping elements
- A61N2007/0065—Concave transducers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0056—Beam shaping elements
- A61N2007/0069—Reflectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0073—Ultrasound therapy using multiple frequencies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0086—Beam steering
- A61N2007/0095—Beam steering by modifying an excitation signal
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
Description
本発明の様々な実施形態に従って、可変深度超音波処置の方法およびシステムが提供される。例示的な方法およびシステムは、深い目的の処置領域、表面の目的の領域、および/または皮下の目的の領域の少なくとも二つの間のような、一つより多い目的の領域へ超音波処置を提供するように構成される可変深度トランスデューサシステムを備える。
本発明は、様々なコンポーネントおよび処理ステップに関して本明細書において記述され得る。そのようなコンポーネントおよびステップは、特定の機能を実行するために構成される任意の数のハードウエアコンポーネントによって実現され得ることが理解されるべきである。例えば、本発明は、一つ以上の制御システムまたは他の制御デバイスの制御の下で様々な機能を行い得る、様々な医学的処置デバイス、視覚イメージングおよびディスプレイデバイス、入力端末、および同種のものを使用し得る。さらに、本発明は任意の数の医学的なまたは処置的な状況の中で行われ得、本明細書において記述される可変深度超音波処置に関連する例示的な実施形態は、本発明の単に2、3の例示的なアプリケーションに過ぎない。例えば、論じられている原理、特徴および方法は、任意の医学的なアプリケーションまたは他の組織のアプリケーションまたは処置のアプリケーションに適用され得る。
Claims (24)
- 患者の中の可変の深度の目的の領域の処置のために構成される超音波処置システムであって、該超音波処置システムは、
該超音波処置システムの制御のために構成される制御システムと、
患者の深い処置領域と浅い処置領域との間の目的の領域へ処置を提供するための可変深度デバイスおよび音響エネルギーを生成するように構成されたトランスデューサを備える可変深度トランスデューサシステムであって、該可変深度デバイスが、該トランスデューサに対して任意の角度で傾斜するように設定され得る傾斜した反射面を備え、該傾斜した反射面は、該トランスデューサを囲み、該傾斜した反射面は、該トランスデューサの生成部の上方かつ該トランスデューサの付近に位置する近位エッジを有し、該トランスデューサの生成部の下方かつ該近位エッジよりも遠位に位置する外側エッジを有し、該傾斜した反射面は、該トランスデューサにより生成される該音響エネルギーを直接該目的の領域へと反射するように構成される、可変深度トランスデューサシステムと、
該可変深度トランスデューサシステムと該患者との間の音響的なカップリングのために構成されるカップリングシステムと、
を備える、超音波処置システム。 - 前記可変深度トランスデューサシステムは、患者の表面の領域および皮下の領域を備える前記浅い処置領域を処置するように構成される、請求項1に記載の超音波処置システム。
- 前記トランスデューサは、約750kHzから20MHzの範囲にある中程度の周波数で時間的な制御を伴って動作するように構成される、請求項1に記載の超音波処置システム。
- 前記可変深度トランスデューサシステムは、患者の表面の領域および皮下の領域のうちの少なくとも一つを処置するように構成される、請求項3に記載の超音波処置システム。
- 前記トランスデューサは、前記目的の領域のイメージング、該目的の領域の温度モニタリングおよび該目的の領域に対する処置のうちの少なくとも二つを提供するように構成される、請求項1に記載の超音波処置システム。
- 処置が表面の処置層と皮下の層との間で行われ、前記トランスデューサは、約750kHzから20MHzの範囲にある中程度の周波数で時間的な制御を伴って動作するように構成される、請求項5に記載の超音波処置システム。
- 前記トランスデューサは、前記可変深度デバイスに結合され、一つより多い目的の領域へ前記音響エネルギーのフォーカシングを提供するように構成される、請求項1に記載の超音波処置システム。
- 前記反射面は少なくとも一つのミラーを備える、請求項1に記載の超音波処置システム。
- 前記ミラーは形が実質的に平坦である、請求項8に記載の超音波処置システム。
- 前記ミラーは形が湾曲している、請求項8に記載の超音波処置システム。
- 前記トランスデューサは、空間的制御を伴って、該トランスデューサから前記傾斜した反射面までの距離、および前記目的の領域へ搬送される前記音響エネルギーの角度のうちの少なくとも一つを変化させるように構成される、請求項1に記載の超音波処置システム。
- 前記可変深度デバイスは、前記トランスデューサ内で、一つより多い目的の領域へ前記音響エネルギーのフォーカシングを提供するように構成される、請求項1に記載の超音波処置システム。
- 前記トランスデューサは湾曲した形で構成される、請求項12に記載の超音波処置システム。
- 前記トランスデューサは複数の副変換要素を備える、請求項13に記載の超音波処置システム。
- 前記トランスデューサは、前記目的の領域への前記音響エネルギーの電子的フォーカシングのために構成される、請求項12に記載の超音波処置システム。
- 前記電子的フォーカシングは、約0ミリ秒と全波長周期との間で位相が遅れるように構成される、請求項15に記載の超音波処置システム。
- 前記可変深度デバイスは、前記トランスデューサにより提供される前記音響エネルギーの励起の周波数を変化させることによる焦点深度の制御のために構成される周波数に依存するレンズとして構成される、請求項1に記載の超音波処置システム。
- 前記可変深度トランスデューサシステムは、3次元の動作のために構成される2次元のアレイを備える、請求項1に記載の超音波処置システム。
- 前記可変深度トランスデューサシステムは、平面状、フォーカスされた、およびデフォーカスされた波のうちの少なくとも一つを形成するように、機械的および電気的に個々の要素の組に分離される複数のリングを備える環状のアレイを備える、請求項1に記載の超音波処置システム。
- 前記トランスデューサは、少なくとも一つの圧電性の活性物質を備え、該圧電性の活性物質は、該圧電性の活性物質の基本周波数、ならびに対応する基本より下の周波数および/または共振の両方で、音響エネルギーのデポシションを可能にするように構成される、請求項1に記載の超音波処置システム。
- 前記制御システムはさらに、目的の領域の温度情報、イメージング情報および位置情報のうちの少なくとも一つを表示するためのディスプレイユニットを備える、請求項5に記載の超音波処置システム。
- 前記制御システムはさらに、前記可変深度トランスデューサシステムの運動を制御するためのロボットアーム装置を備える、請求項1に記載の超音波処置システム。
- 前記カップリングシステムは、前記トランスデューサからの音響エネルギーの焦点深度の調整を容易にするように該トランスデューサの温度を制御するために構成される、請求項1に記載の超音波処置システム。
- 前記トランスデューサは、20MHzよりも大きい周波数で動作する、請求項1に記載の超音波処置システム。
Applications Claiming Priority (3)
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US10/944,500 | 2004-09-16 | ||
US10/944,500 US7824348B2 (en) | 2004-09-16 | 2004-09-16 | System and method for variable depth ultrasound treatment |
PCT/US2005/033195 WO2006034049A1 (en) | 2004-09-16 | 2005-09-16 | System and method for variable depth ultrasound treatment |
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JP2013005005A Division JP5969402B2 (ja) | 2004-09-16 | 2013-01-15 | 可変深度超音波処置のためのシステムおよび方法 |
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JP2008513128A JP2008513128A (ja) | 2008-05-01 |
JP2008513128A5 JP2008513128A5 (ja) | 2008-11-13 |
JP5473220B2 true JP5473220B2 (ja) | 2014-04-16 |
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JP2007532508A Expired - Fee Related JP5473220B2 (ja) | 2004-09-16 | 2005-09-16 | 可変深度超音波処置のためのシステムおよび方法 |
JP2013005005A Expired - Fee Related JP5969402B2 (ja) | 2004-09-16 | 2013-01-15 | 可変深度超音波処置のためのシステムおよび方法 |
JP2015010921A Pending JP2015077469A (ja) | 2004-09-16 | 2015-01-23 | 可変深度超音波処置のためのシステムおよび方法 |
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JP2015010921A Pending JP2015077469A (ja) | 2004-09-16 | 2015-01-23 | 可変深度超音波処置のためのシステムおよび方法 |
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US (4) | US7824348B2 (ja) |
EP (2) | EP2286874B1 (ja) |
JP (3) | JP5473220B2 (ja) |
KR (2) | KR20070070161A (ja) |
CA (2) | CA2580720C (ja) |
IL (1) | IL181895A (ja) |
WO (1) | WO2006034049A1 (ja) |
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US9566454B2 (en) | 2006-09-18 | 2017-02-14 | Guided Therapy Systems, Llc | Method and sysem for non-ablative acne treatment and prevention |
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EP1799305B1 (en) | 2013-12-18 |
US20100280420A1 (en) | 2010-11-04 |
IL181895A (en) | 2012-03-29 |
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EP2286874A3 (en) | 2012-08-01 |
JP5969402B2 (ja) | 2016-08-17 |
EP2286874A2 (en) | 2011-02-23 |
IL181895A0 (en) | 2007-07-04 |
KR20070070161A (ko) | 2007-07-03 |
US20140236049A1 (en) | 2014-08-21 |
US7824348B2 (en) | 2010-11-02 |
US20180345045A1 (en) | 2018-12-06 |
CA2580720C (en) | 2014-11-18 |
JP2013063344A (ja) | 2013-04-11 |
KR101117660B1 (ko) | 2012-03-05 |
KR20110091829A (ko) | 2011-08-12 |
CA2860523C (en) | 2017-08-08 |
EP2286874B1 (en) | 2015-11-04 |
US20060058664A1 (en) | 2006-03-16 |
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