WO2019212137A1 - Dispositif et procédé de thérapie extracorporelle par ondes de choc - Google Patents

Dispositif et procédé de thérapie extracorporelle par ondes de choc Download PDF

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Publication number
WO2019212137A1
WO2019212137A1 PCT/KR2019/002573 KR2019002573W WO2019212137A1 WO 2019212137 A1 WO2019212137 A1 WO 2019212137A1 KR 2019002573 W KR2019002573 W KR 2019002573W WO 2019212137 A1 WO2019212137 A1 WO 2019212137A1
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probe
ultrasound
transmitter
therapeutic ultrasound
image
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PCT/KR2019/002573
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English (en)
Korean (ko)
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오진식
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(주)오스테오시스
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Publication of WO2019212137A1 publication Critical patent/WO2019212137A1/fr

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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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4477—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device using several separate ultrasound transducers or probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/008—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms using shock waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • 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
    • A61B2017/22005—Effects, e.g. on tissue
    • 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
    • A61B2017/22025—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 applying a shock wave
    • 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

Definitions

  • 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.
  • ESWT extracorporeal shock wave therapy
  • 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.
  • 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 devices include ultrasonic transducers, and the ultrasonic transducers irradiate the affected area with ultrasonic waves.
  • the shape of the ultrasonic wave irradiated from the ultrasonic transducer may be determined by the structure of the ultrasonic transducer.
  • the effect of treatment may be halved. .
  • 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.
  • 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.
  • 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;
  • an electrical image signal receiving unit electrically connected to the second probe and receiving an echo signal based on the imaging ultrasound.
  • 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.
  • FIG. 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.
  • FIG. 3 is a view showing a first therapeutic ultrasound and a second therapeutic ultrasound 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 and second therapeutic ultrasound is alternated Figure showing the state that is irradiated with or at the same time.
  • FIG. 4 is a diagram illustrating a system configuration of an ESWT device according to an embodiment of the present invention.
  • FIG. 5 is a diagram illustrating a system configuration in which an ESWT device can transmit and receive an image ultrasound.
  • FIG. 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.
  • FIG. 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.
  • 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. .
  • FIG. 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 extracorporeal shock wave treatment apparatus 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.
  • 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.
  • FIG. 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.
  • 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 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.
  • 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.
  • the second therapeutic ultrasound w2 irradiated from the second transducer element 21 may have a weaker intensity than the first therapeutic ultrasound w1.
  • the second therapeutic ultrasound w2 may be irradiated in a radial manner to complement the first therapeutic ultrasound w1.
  • 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.
  • FIG. 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.
  • the plurality of first transducer elements 11 of the first probe 10 may irradiate the focused therapeutic first ultrasound w1.
  • the second transducer elements 21 of the second probe 20 may radiate a second therapeutic ultrasound w2 in the form of a radial.
  • 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.
  • 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.
  • 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.
  • the second cycle may proceed for a relatively longer time than the first cycle so as to sufficiently relax the muscle.
  • 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.
  • an environment in which the first treatment can be effectively provided can be provided.
  • 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.
  • the treatment by the first therapeutic ultrasound w1 and the treatment by the second ultrasound may be simultaneously performed.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • FIG. 4 is a diagram illustrating a system configuration of an ESWT device according to an embodiment of the present invention.
  • the ESWT apparatus 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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. .
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the second transducer element 21 can be irradiated with the therapeutic ultrasound at the same time.
  • 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.
  • 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.
  • the pain of the patient can be reduced, and the overall treatment time can be expected to be effective.
  • FIG. 5 is a diagram illustrating a system configuration in which an ESWT device can transmit and receive an image ultrasound. Referring to FIG. 5
  • 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.
  • 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).
  • 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.
  • 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.
  • the connection state of the switching switch 25 it is possible to control whether to transmit or receive the video electrical signal.
  • 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.
  • FIG. 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 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.
  • 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.
  • 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.
  • 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
  • a third probe (not shown) for transmitting / receiving an image ultrasound including a plurality of third transducer elements.
  • 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. .
  • first transmitting unit w1 first therapeutic ultrasound

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Abstract

La présente invention concerne un dispositif et un procédé de thérapie extracorporelle par ondes de choc. Selon un aspect, la présente invention concerne un dispositif de thérapie extracorporelle par ondes de choc comprenant : une première sonde comprenant une surface de rayonnement parabolique et une pluralité de premiers éléments de transducteur disposés sur la surface de rayonnement parabolique ; une deuxième sonde comprenant une pluralité de deuxièmes éléments transducteurs agencés à côté de la partie centrale de la surface de rayonnement de la première sonde ; une première unité de transmission connectée électriquement à la première sonde de façon à effectuer une commande telle que la première sonde transmet des premières ondes ultrasonores focalisées thérapeutiques ; et une deuxième unité de transmission connectée électriquement à la deuxième sonde de façon à effectuer une commande telle que la deuxième sonde transmet des deuxièmes ondes ultrasonores radiales thérapeutiques.
PCT/KR2019/002573 2018-05-04 2019-03-06 Dispositif et procédé de thérapie extracorporelle par ondes de choc WO2019212137A1 (fr)

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KR1020180051866A KR102111447B1 (ko) 2018-05-04 2018-05-04 체외 충격파 치료 장치 및 방법
KR10-2018-0051866 2018-05-04

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KR102410514B1 (ko) * 2021-12-15 2022-06-22 한국솔타(주) 다초점 체외 충격파 치료기

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20140107852A (ko) * 2013-02-28 2014-09-05 알피니언메디칼시스템 주식회사 캐비테이션 검출 방법과 그를 위한 초음파 의료 장치
KR101480337B1 (ko) * 2013-08-22 2015-01-08 서강대학교산학협력단 트랜스듀서, 융합 치료 장치 및 레이저 광의 침투 깊이를 높이는 방법
KR20160023080A (ko) * 2014-08-21 2016-03-03 주식회사 메타바이오메드 혈관내 초음파 장치
KR20160064574A (ko) * 2014-11-28 2016-06-08 한국과학기술연구원 하이푸 치료 시스템 및 그 방법
KR20170046445A (ko) * 2015-10-21 2017-05-02 문창수 지방 복합분해 시스템용 복합 초음파 트랜스듀서 및 그를 이용한 초음파 영상분석형 실시간 지방 복합분해 시스템

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20140107852A (ko) * 2013-02-28 2014-09-05 알피니언메디칼시스템 주식회사 캐비테이션 검출 방법과 그를 위한 초음파 의료 장치
KR101480337B1 (ko) * 2013-08-22 2015-01-08 서강대학교산학협력단 트랜스듀서, 융합 치료 장치 및 레이저 광의 침투 깊이를 높이는 방법
KR20160023080A (ko) * 2014-08-21 2016-03-03 주식회사 메타바이오메드 혈관내 초음파 장치
KR20160064574A (ko) * 2014-11-28 2016-06-08 한국과학기술연구원 하이푸 치료 시스템 및 그 방법
KR20170046445A (ko) * 2015-10-21 2017-05-02 문창수 지방 복합분해 시스템용 복합 초음파 트랜스듀서 및 그를 이용한 초음파 영상분석형 실시간 지방 복합분해 시스템

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KR20190127348A (ko) 2019-11-13

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