KR20190127348A - Apparatus and method for extracorporeal shock wave treatment - Google Patents

Abstract

An extracorporeal shock wave treatment apparatus and a method are disclosed. According to an aspect of the present invention, the extracorporeal shock wave treatment apparatus includes a first probe having a plurality of first transducer elements disposed on a parabolic radial surface, a second probe having a plurality of second transducer elements disposed adjacent to a central portion of the radial surface of the first probe, a first transmitter electrically connected to the first probe and controlling the first probe to transmit first therapeutic ultrasonic wave which is in a focused form, and a second transmitter electrically connected to the second probe and controlling the second probe to transmit second therapeutic ultrasonic wave which is in a radial form.

Description

Apparatus and method for extracorporeal shock wave treatment

The present invention relates to a therapeutic apparatus using ultrasound. More specifically, the present invention relates to an extracorporeal shock wave therapy (ESWT) device capable of simultaneously or selectively irradiating two therapeutic ultrasounds having different irradiation forms and a treatment method using the same.

One of the treatment methods using an ultrasound system, the ESWT method is an alternative to conservative therapies for precisely delivering ultrasound to a subject. ESWT can be treated without disease, especially in the joint or tendon area without surgery, and proceeds with the principle of stimulating the regeneration of damaged tissue using the biological effect of ultrasound. In particular, extracorporeal ultrasound therapy may be applied to the lesion by applying ultrasound waves from outside the body to help remodel blood vessels, and to stimulate or reactivate the healing process of tendons and surrounding tissues and bones, thereby reducing pain and improving function.

ESWT methods are becoming increasingly popular due to their non-invasive, quick and easy healing and non-infectious nature.

Generally used ESWT devices include ultrasonic transducers, and the ultrasonic transducers irradiate the affected area with ultrasonic waves. In this case, the shape of the ultrasonic wave irradiated from the ultrasonic transducer may be determined by the structure of the ultrasonic transducer. In the related art, since the shape of the ultrasonic wave irradiated from the ultrasonic transducer is limited, the effect of treatment may be halved. .

Accordingly, the problem to be solved by the present invention is to propose a configuration that can irradiate different types of therapeutic ultrasound in one ESWT device, suggesting an ESWT device and a ESWT method using the above device having a higher therapeutic effect. will be.

In addition, when it is necessary to change the ultrasound irradiation method during treatment, it is to provide an ESWT device that can change the ultrasound irradiation method without replacing the equipment.

According to an aspect of the invention, the first probe having a plurality of first transducer elements disposed on the parabolic radial surface; A second probe having a second transducer element disposed adjacent a central portion of the radial surface of the first probe; A first transmitter electrically connected to the first probe and controlling the first probe to transmit the first therapeutic ultrasound focused; And a second transmitter electrically connected to the second probe and controlling the second probe to transmit the second therapeutic ultrasound in a radial form.

 According to another aspect of the invention, the first probe having a plurality of first transducer elements arranged on the parabolic radial surface; A second probe having a plurality of second transducer elements disposed adjacent a central portion of the radiation surface of the first probe; A first transmitter electrically connected to the first probe and controlling the first probe to transmit a first therapeutic ultrasound in a focused form; A second transmitter electrically connected to the second probe and controlling the second probe to transmit a second therapeutic ultrasound in a radial form; An electrical image signal transmitter electrically connected to the second probe and controlling the second probe to transmit ultrasound for imaging, wherein the second transmitter and the electrical image signal transmitter are alternatively connected to the second probe; And an electrical image signal receiving unit electrically connected to the second probe and receiving an echo signal based on the imaging ultrasound.

According to another aspect of the invention, the first probe is formed with a plurality of first transducer elements on the parabolic radial surface; A second probe having a plurality of second transducer elements; A third probe having a plurality of third transducer elements, wherein the second probe and the third probe are alternatively inserted into a hole formed in a central portion of the radial surface of the first probe; A first transmitter electrically connected to the first probe and controlling the first probe to transmit the first therapeutic ultrasound focused; A second transmitter electrically connected to the second probe and controlling the second probe to transmit a second therapeutic ultrasound in a radial form; An ultrasound image transmitter / receiver, electrically connected to the third probe, for transmitting an ultrasound image toward an object and receiving an echo signal based on the ultrasound image; And a controller for automatically activating one of the second transmitter and the ultrasound transmitter / receiver for the image when one of the second probe and the third probe is inserted into a hole formed at the center of the radiation surface of the first probe. An extracorporeal shock wave treatment device is provided.

FIG. 1 is a diagram illustrating a state in which a first therapeutic ultrasound and a second therapeutic ultrasound are irradiated to a subject in a first transducer and a second transducer of an ESWT device according to an embodiment of the present invention.
2 is a view showing a method of irradiating the therapeutic ultrasound from the transducer, (a) is a radial, (b) is a planar, (c) shows a focused ultrasound irradiation form.
3 is a view showing the first therapeutic ultrasound and the second therapeutic ultrasound is irradiated from the first transducer or the second transducer of the ESWT device according to an embodiment of the present invention, (a) is 1 the first therapeutic ultrasound is irradiated from the transducer, (b) the second therapeutic ultrasound is irradiated from the second transducer, (c) the first therapeutic ultrasound and the second therapeutic ultrasound is alternated Figure showing the state that is irradiated with or at the same time.
4 is a diagram illustrating a system configuration of an ESWT device according to an embodiment of the present invention.
5 is a diagram illustrating a system configuration in which an ESWT device can transmit and receive an image ultrasound.
6 (a) is a conceptual diagram illustrating a process of alternately irradiating a first therapeutic ultrasound and a second therapeutic ultrasound using an ESWT device according to an embodiment of the present invention.
6 (b) is a conceptual diagram illustrating a process of performing a first treatment ultrasound irradiation step, a second treatment ultrasound irradiation step, and an image ultrasound transmission / reception step using an ESWT device according to an embodiment of the present invention.

 Hereinafter, some embodiments of the present invention will be described in detail through exemplary drawings. In adding reference numerals to the components of each drawing, it should be noted that the same reference numerals are used as much as possible even though they are shown in different drawings. In addition, in describing the present invention, when it is determined that the detailed description of the related well-known configuration or function may obscure the gist of the present invention, the detailed description thereof will be omitted.

In describing the components of the embodiment according to the present invention, symbols such as first, second, i), ii), a), and b) may be used. These codes are only for distinguishing the components from other components, and the nature, order, order, etc. of the components are not limited by the symbols. When a part of the specification is said to include or include a component, this means that it may further include other components, except to exclude other components unless expressly stated to the contrary. .

1 illustrates a configuration of an ESWT device and a first therapeutic ultrasound w1 and a second therapeutic ultrasound w2 in the first probe 10 and the second probe 20, respectively, according to an embodiment of the present invention. The figure which showed the state to irradiate to.

As shown in FIG. 1, the extracorporeal shock wave treatment apparatus according to the present embodiment includes a first probe 10 and a second probe 20. The first probe 10 and the second probe 20 may include a plurality of piezoelectric elements having a function of converting an electrical signal into mechanical energy or converting mechanical energy into an electrical signal. In detail, the first probe 10 may include the first transducer element 11 and the second probe 20 may include the second transducer element 21.

The first probe 10 has a radial surface in the form of a parabola. A plurality of first transducer elements 11 may be arranged on the radial surface. The plurality of first transducer elements 11 may irradiate the object with the focused first ultrasound ultrasound w1. The first probe 10 may have a central hole formed at a central portion thereof, and the second probe 20 may be disposed adjacent to the central hole.

The second probe 20 can have a second transducer element 21. The second transducer element 21 may be plural or consist of a single element. The second transducer element 21 may irradiate the subject with a second therapeutic ultrasound w2 in the form of radiation.

2 is a view showing a method of irradiating the therapeutic ultrasound from the transducer, (a) is a radial, (b) is a planar, (c) shows a focused ultrasound irradiation form. In general, the shape of the ultrasonic wave irradiated from the transducer is in the form of radial (Fig. 2 (a)), planar (Fig. 2 (b)), Focused (Fig. 2 (c)) form as shown in FIG. Can be considered.

Radial method is a method in which the ultrasonic wave is extended in the form of radiation. As shown in FIG. 2 (a), the radial method is a treatment that may affect muscle tissue over a large area of the surface of the object, and may be helpful for muscle relaxation and blood circulation improvement. Radial method is effective in treating a large area of muscle, etc., but it is difficult to apply to diseased tissue deep in the subject.

Focused method is a method that can be applied to the diseased tissue deep in the subject, it is possible to precise treatment for a specific narrow area, it is a treatment that can affect the cell unit. Focused method focuses the ultrasonic wave emitted from the transducer to an area within a certain range, which is advantageous in that the intensity is strong and the intensive treatment is possible. However, when using the Focused method, pain may occur, and there is a disadvantage that the surrounding muscles may be rigid. Planar method is an intermediate form between Radial and Focused methods.

The first therapeutic ultrasound w1 irradiated from the first probe 10 according to the exemplary embodiment of the present invention promotes intensive treatment of the affected part by using a focused method, and reaches the ultrasound to a lesion located deep in the subject. Can be. The focusing position of the first therapeutic ultrasound w1 may be adjusted by controlling the delay time or phase of the electrical signal applied to each of the first transducer elements 11. In addition, the second therapeutic ultrasound w2 irradiated by the second probe 20 may enable a treatment having a different effect from the first therapeutic ultrasound w1 by using a radial method. The second therapeutic ultrasound w2 may have a different intensity from the first therapeutic ultrasound w1. For example, the second therapeutic ultrasound w2 irradiated from the second transducer element 21 may have a weaker intensity than the first therapeutic ultrasound w1.

Since the Focused method and the Radial method have different effects as described above, the second therapeutic ultrasound w2 may be irradiated in a radial manner to complement the first therapeutic ultrasound w1. For example, before irradiating the first therapeutic ultrasound w1 in a focused manner, the second therapeutic ultrasound w2 is irradiated to the subject in a radial manner to relax the muscles of the subject to the first therapeutic ultrasound w1. Can increase the therapeutic effect.

Hereinafter, a process of irradiating the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 by the ESWT device according to an embodiment of the present invention will be described with reference to FIG. 4.

3 is a view showing that the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 are respectively radiated from the first probe 10 or the second probe 20 of the ESWT device according to an embodiment of the present invention. It is a diagram showing. Specifically, FIG. 3 (a) shows the first therapeutic ultrasound w1 irradiated from the first probe 10, and FIG. 3 (b) shows the second therapeutic ultrasound w2 from the second probe 20. 3 (c) is a view showing that the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 are alternately or simultaneously irradiated.

As described above, as an example, the plurality of first transducer elements 11 of the first probe 10 may irradiate the focused therapeutic first ultrasound w1. In addition, the second transducer elements 21 of the second probe 20 may radiate a second therapeutic ultrasound w2 in the form of a radial.

ESWT apparatus according to an embodiment of the present invention, the treatment by the first therapeutic ultrasound (w1) and the treatment by the second therapeutic ultrasound (w2) by changing the desired cycle, time, order, etc. according to the situation You can proceed.

For example, the treatment by the first therapeutic ultrasound w1 and the treatment by the second therapeutic ultrasound w2 may alternate. FIG. 6 (a) is a conceptual diagram illustrating a state in which the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 are alternately irradiated using an ESWT device according to an embodiment of the present invention, wherein FIG. With reference to 6 (a), a description will be given of the treatment process in which the first treatment and the second treatment are alternated.

When the treatment by the first therapeutic ultrasound w1 and the treatment by the second therapeutic ultrasound w2 are called the first treatment and the second treatment, respectively, for example, the treatment by the first therapeutic ultrasound w1 The first cycle T1 and the second therapeutic ultrasound w2 may be performed during the second cycle T2. The first period and the second period may each vary their time. For example, the second cycle may proceed for a relatively longer time than the first cycle so as to sufficiently relax the muscle. In contrast, the first cycle may be performed for a relatively shorter time than the second cycle in consideration of the fear of the pain caused by the treatment. In this case, by allowing the muscle of the subject to be relaxed for a sufficient time by the second treatment, an environment in which the first treatment can be effectively provided can be provided. On the other hand, as shown in Figure 6 (a) it is possible to allow the first period and the second period to proceed for a similar time, it is possible to allow the first period to proceed longer than the second period.

Referring to FIG. 4 again, the process of the treatment by the first therapeutic ultrasound w1 and the treatment by the second ultrasound will be described.

For example, the treatment by the first therapeutic ultrasound w1 and the treatment by the second ultrasound may be simultaneously performed. In this case, the treatment by the first therapeutic ultrasound (w1) and the treatment by the second ultrasound may change the ultrasound irradiation area of the object and the intensity of ultrasound concentration is also different, and at the same time, complementary treatment is possible while the treatment is in progress. There is an advantage.

Meanwhile, the treatment by the first treatment ultrasound w1 and the treatment by the second ultrasound may be adjusted by adjusting the period, time, and order according to the user's selection. In addition, the treatment by the first therapeutic ultrasound w1 and the treatment by the second ultrasound may be performed by adjusting the intensity, irradiation range, vibration period, etc. of the ultrasound according to a user's selection. For example, when adjusting the irradiation range of the first therapeutic ultrasound (w1) relatively wide, the pain of the patient can be reduced, and when the narrower adjustment is relatively narrow, the concentration of treatment can be increased. In addition, by adjusting the irradiation range of the second therapeutic ultrasound (w2) as appropriate, it is also possible to selectively determine the range in which muscle relaxation is necessary.

4 is a diagram illustrating a system configuration of an ESWT device according to an embodiment of the present invention.

Referring to FIG. 4, the ESWT apparatus according to an embodiment of the present invention may further include a first transmitter 12, a second transmitter 22, and a controller 40 in addition to the above-described configuration.

The first transmitter 12 may be electrically connected to the first probe 10 to control the first probe 10 to irradiate the first therapeutic ultrasound w1. Specifically, the first therapeutic ultrasound w1 may be obtained by converting an electrical signal input from the first transmitter 12 into the ultrasound by a plurality of first transducer elements 11 included in the first probe 10. have.

The second transmitter 22 may be electrically connected to the second probe 20 to control the second probe 20 to transmit the second therapeutic ultrasound w2. Specifically, the second therapeutic ultrasound w2 may be obtained by converting an electrical signal input from the second transmitter 22 into the ultrasound by a plurality of second transducer elements 21 included in the second probe 20. have.

The controller 40 controls the overall functions of the ESWT device and may provide a user interface through which the user can interact with the ESWT.

The controller 40 controls the first transmitter 12 and the second transmitter 22 so that the first transducer element 11 irradiates the first therapeutic ultrasound w1 or the second transducer element 21. The operating state of irradiating the second therapeutic ultrasound w2 may be controlled. Specifically, the controller 40 controls the first transmitter element 11 to irradiate the first therapeutic ultrasound w1 by transmitting the electrical signal to the first transducer element 11 by the first transmitter 12. can do. In addition, the controller 40 may control the second transmitter element 21 to irradiate the second therapeutic ultrasound w2 by transmitting the electrical signal to the second transducer element 21 by the second transmitter 22. Can be. In detail, the controller 40 may control the irradiation time, the intensity of the ultrasonic wave, the irradiation period, the irradiation sequence, the focusing position, and the like of the first treatment ultrasound w1 and the second treatment ultrasound w2.

For example, the controller 40 may control the first transmitter 12 and the second transmitter 22 such that the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 are alternately irradiated. . In this case, for example, the controller 40 may control the first transmitter 12 and the second transmitter 22 by alternately transmitting control signals to the first transmitter 12 and the second transmitter 22. . That is, the controller 40 may include a first control signal for causing the first transmitter 12 to transmit an electrical signal to the first transducer element 11, and the second transmitter 22 may include the second transducer element 21. ) May alternately transmit the second control signal for transmitting the electrical signal to the first transmitter 12 and the second transmitter 22, respectively. According to the command from the control unit 40, the first transducer element 11 and the second transducer element 21 alternately irradiate the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2. Can be.

In addition, the controller 40 may control the first transmitter 12 and the second transmitter 22 to simultaneously irradiate the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2. At this time, for example, the controller 40 simultaneously transmits the first control signal transmitted to the first transmitter 12 and the second control signal transmitted to the second transmitter 22, respectively, so that the first transducer element 11 may be used. ) And the second transducer element 21 can be irradiated with the therapeutic ultrasound at the same time.

Meanwhile, the controller 40 may control the first transmitter 12 and the second transmitter 22 according to an instruction input from the user. That is, the user may intend to irradiate the first therapeutic ultrasound w1 or the second therapeutic ultrasound w2 arbitrarily and according to an operation according to the intention of the user (eg, a toggle mounted on the body of the probe). By pressing a switch), the controller 40 controls the first transmitter 12 to transmit the first therapeutic ultrasound w1 or the second transmitter 22 to transmit the second therapeutic ultrasound w2. ) Can be controlled. In addition, it is a matter of course that the first transmitter 12 and the second transmitter 22 are automatically controlled by the control unit 40 according to any other type of process other than the user's operation. For example, the controller may control the irradiation time, the intensity of the ultrasound, and the irradiation period of the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 according to a treatment plan selected by the user, from among a plurality of predefined treatment plans. Control the survey order, focusing position, and more. The treatment plan may be data defining the irradiation time, irradiation intensity, irradiation period, irradiation order, focusing position, and the like of a therapeutic ultrasound suitable for each treatment site.

By appropriately selecting the Radial method and the Focused method according to the situation through the control unit 40 to proceed with the treatment, the pain of the patient can be reduced, and the overall treatment time can be expected to be effective. In addition, it is possible to reduce the inconvenience of having to replace the instrument to change the ultrasonic irradiation method.

FIG. 5 is a diagram illustrating a system configuration in which an ESWT device can transmit and receive an image ultrasound. Referring to FIG.

In addition to the above-described configuration, the ESWT device illustrated in FIG. 5 may further include a video electrical signal transmitter 23, a video electrical signal receiver 24, and at least one changeover switch 25.

The second probe 20 may be electrically connected to the image electrical signal transmitter 23 to transmit the ultrasound image for the image as well as the second therapeutic ultrasound w2. In addition, the second probe 20 may be electrically connected to the image electrical signal receiver 24 so that the image electrical signal receiver 24 may acquire an echo signal based on the ultrasound image. That is, in the present embodiment, the ESWT device may irradiate the second therapeutic ultrasound w2 by varying the intensity, property, irradiation type, and the like of the ultrasound emitted from the second transducer element 21, and the ultrasound image. Ultrasound for imaging to generate a can also be irradiated.

The video electrical signal transmitter 23 and the video electrical signal receiver 24 may be selectively connected to the second probe 20 by the changeover switch 25 controlled by the controller. The second transmitter may be fixedly connected to the second probe 20, and unlike FIG. 5, the second transmitter may be selectively connected to the second probe 20 by a separate changeover switch (not shown). Alternatively, the changeover switch 25 may alternatively connect the second transmitter 22, the video electrical signal transmitter 23, and the video electrical signal receiver 24 to the second probe 20.

The imaging ultrasound may be in the form of a focused beam that is sequentially irradiated for each of a plurality of scan lines (for example, 128 scan lines). Alternatively, the imaging ultrasound may be planar piles. The image electrical signal receiver 24 receives an echo signal reflected by the image ultrasound wave received by the second probe 20 from the object, and based on the echo signals, the controller 40 may generate an ultrasound image of the object. Can be generated.

The controller 40 may control the operation states of the image electric signal transmitter 23 and the image electric signal receiver 24. In detail, the image electrical signal transmitter 23 may control the image ultrasound signal to be irradiated or not to be irradiated with the ultrasound image through the second transducer element 21. In addition, by controlling the connection state of the switching switch 25, it is possible to control whether to transmit or receive the video electrical signal. In addition, the controller 40 may visually express the ultrasound image generated based on the transmission and reception of the ultrasound for the image on a separate display device such as a display, and may store the image on a storage medium.

FIG. 6 (a) is a conceptual diagram illustrating a state in which the first therapeutic ultrasound w1 and the second therapeutic ultrasound w2 are alternately irradiated using an ESWT device according to an embodiment of the present invention.

6 (b) is a conceptual diagram illustrating a first treatment ultrasound irradiation step, a second therapy ultrasound irradiation step, and an image ultrasound transmission / reception step using an ESWT device according to an embodiment of the present invention.

The extracorporeal shock wave treatment method according to an embodiment of the present invention uses an ESWT device according to an embodiment of the present invention, and includes a first therapeutic ultrasound irradiation step and a second therapeutic ultrasound irradiation step. Also, the method may include an image transmitting / receiving step.

The extracorporeal shock wave treatment method according to an embodiment of the present invention may include the foregoing description in a line not disposed. In addition, the order and the cycle of each step of the extracorporeal shock wave treatment method according to the present embodiment are not limited to the process illustrated in FIG. 6, and may be changed. In addition, each step can be done without replacing the equipment. Specifically, by allowing each step to proceed without having to replace the second probe with a dedicated probe for transmitting / receiving ultrasound for imaging, there is an advantage of saving time and facilitating operation of the device.

Up to now, the structure which can transmit the 2nd therapeutic ultrasound w2 and the imaging ultrasound from the 2nd probe 20 was demonstrated. Hereinafter, a configuration in which the second probe 20 may be replaced with a dedicated probe (not shown) for transmitting and receiving an ultrasound image in an extracorporeal shock wave treatment apparatus according to another embodiment of the present invention will be described.

In the present embodiment, the extracorporeal shock wave treatment apparatus includes a first probe (eg, '10' in FIG. 5) having a plurality of first transducer elements formed on a parabola-shaped radial surface, and a plurality of second transducer elements. A second probe (eg, '20' of FIG. 5) and a third probe (not shown) for transmitting / receiving an image ultrasound including a plurality of third transducer elements. Here, the second probe and the third probe may alternatively be inserted into a hole formed at the center portion of the radial surface of the first probe.

The extracorporeal shock wave treatment device may be electrically connected to the first probe, and may be configured to transmit a first therapeutic ultrasound focused on the first probe (eg, '12' in FIG. 5), and A second transmitter (eg, '22' in FIG. 5) that controls the second probe to transmit a second therapeutic ultrasound in a radial form when electrically connected to a second probe, and electrically connected to the third probe The apparatus further includes an image ultrasound transceiver (eg, '23' and '24' of FIG. 5) for transmitting an image ultrasound toward an object and receiving an echo signal based on the image ultrasound.

The extracorporeal shock wave treatment apparatus may be configured to correspond to a type (one of the second probe and the third probe) of the probe inserted into the hole formed at the center portion of the radiation surface of the first probe, and among the second transmitter and the image ultrasound transceiver. It further includes a controller (eg, '40' of FIG. 5) for electrically connecting one to the inserted probe. The control unit may automatically activate one of the second transmitter and the image ultrasound transceiver, when one of the second probe and the third probe is inserted into the hole formed at the center of the radiation surface of the first probe. .

The above description is merely illustrative of the technical idea of the present embodiment, and those skilled in the art to which the present embodiment belongs may make various modifications and changes without departing from the essential characteristics of the present embodiment. Therefore, the present embodiments are not intended to limit the technical idea of the present embodiment but to describe the present invention, and the scope of the technical idea of the present embodiment is not limited by these embodiments. The scope of protection of the present embodiment should be interpreted by the following claims, and all technical ideas within the scope equivalent thereto should be construed as being included in the scope of the present embodiment.

10: first probe 30: refracting portion
11: first transducer element 40: control unit
12: first transmission unit w1: first ultrasound for treatment
20: second probe w2: second therapeutic ultrasound
21: second transducer element 22: second transmitter
23: video electrical signal receiver 24: video electrical signal receiver
25: toggle switch

Claims (9)

A first probe having a plurality of first transducer elements disposed on a parabolic radial surface;
A second probe having a second transducer element disposed adjacent a central portion of the radial surface of the first probe;
A first transmitter electrically connected to the first probe and controlling the first probe to transmit the first therapeutic ultrasound focused; And
A second transmitter electrically connected to the second probe and controlling the second probe to transmit a second therapeutic ultrasound in a radial form
Extracorporeal shock wave treatment device comprising a. According to claim 1,
Further comprising a control unit connected to the first transmitter and the second transmitter,
The control unit, the external shock wave treatment apparatus, characterized in that for controlling the first transmitting unit and the second transmitting unit so that the first therapeutic ultrasound and the second therapeutic ultrasound alternately irradiated. According to claim 1,
Further comprising a control unit connected to the first transmitter and the second transmitter,
The control unit, the extracorporeal shock wave treatment apparatus, characterized in that for controlling the first transmitter and the second transmitter so that the first therapeutic ultrasound and the second therapeutic ultrasound is irradiated at the same time. According to claim 1,
Further comprising a control unit connected to the first transmitter and the second transmitter,
The controller controls the first transmitter and the second transmitter to selectively irradiate the first treatment ultrasound and the second treatment ultrasound in response to an instruction according to a user's selection. Device. According to claim 1,
And a video electrical signal transmitter and a video electrical signal receiver selectively connected to the second probe.
The control unit,
The second probe is controlled to transmit the ultrasound for the image through the image electrical signal transmitter,
The image electrical signal receiver controls the echo signal reflected by the imaging ultrasound from an object to be received through the second probe,
And the controller generates an ultrasound image based on the echo signal. An extracorporeal shock wave comprising a first probe having a plurality of first transducer elements disposed on a parabolic radial surface and a second probe having a second transducer element disposed adjacent to a central portion of the radial surface of the first probe. In the method of operation of the treatment device,
A first therapeutic ultrasound irradiation step of irradiating the first therapeutic ultrasound in a focused form through the first probe;
A second therapeutic ultrasound irradiation step of irradiating a second therapeutic ultrasound having a weaker intensity than the first therapeutic ultrasound through the second probe
And, wherein the first therapeutic ultrasound irradiation step and the second therapeutic ultrasound irradiation step are alternately or simultaneously performed. The method of claim 6,
And transmitting and receiving an image signal through the second probe to receive an image ultrasound and receive an echo signal reflected from an object.
The transmitting and receiving of the image signal is an extracorporeal shock wave treatment method, characterized in that between the second therapeutic ultrasound irradiation step and the first therapeutic ultrasound irradiation step. A first probe having a plurality of first transducer elements arranged on a parabolic radial surface;
A second probe having a plurality of second transducer elements disposed adjacent a central portion of the radiation surface of the first probe;
A first transmitter electrically connected to the first probe and controlling the first probe to transmit a first therapeutic ultrasound in a focused form;
A second transmitter electrically connected to the second probe and controlling the second probe to transmit a second therapeutic ultrasound in a radial form;
An electrical image signal transmitter electrically connected to the second probe and controlling the second probe to transmit image ultrasound, wherein the second transmitter and the electrical image signal transmitter are alternatively connected to the second probe; And
An electrical image signal receiver electrically connected to the second probe to receive an echo signal based on the ultrasound image
Including, extracorporeal shock wave treatment device. As an extracorporeal shock wave treatment device,
A first probe having a plurality of first transducer elements formed on a parabolic radial surface;
A second probe having a plurality of second transducer elements;
A third probe having a plurality of third transducer elements, wherein the second probe and the third probe are alternatively inserted into holes formed in the central portion of the radial surface of the first probe;
A first transmitter electrically connected to the first probe and controlling the first probe to transmit the first therapeutic ultrasound focused;
A second transmitter configured to control the second probe to transmit the second therapeutic ultrasound in a radial form when the second probe is electrically connected to the second probe;
An ultrasound image transmitting / receiving unit for transmitting an image ultrasound toward an object and receiving an echo signal based on the image ultrasound when the third probe is electrically connected to the third probe; And
A control unit for automatically activating one of the second transmitter and the image ultrasound transmitter / receiver when one of the second probe and the third probe is inserted into a hole formed at the center of the radiation surface of the first probe
Extracorporeal shock wave treatment device comprising a.

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