Medical System Having an Ultrasound Source and an Acoustic Coupling Medium
An ultrasound medical system has an end effector including a medical ultrasound transducer and an acoustic coupling medium. The acoustic coupling medium has a transducer-proximal surface and a transducer-distal surface. The medical ultrasound transducer is positioned to emit medical ultrasound through the acoustic coupling medium from the transducer-proximal surface to the transducer-distal surface. The end effector is adapted to change a property (such as the shape and/or the temperature) of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient. In one example, such changes are used to change the focus and/or beam angle of the emitted ultrasound during the medical procedure.
This application is a continuation of U.S. patent application Ser. No. 12/818,261 entitled “MEDICAL SYSTEM HAVING AN ULTRASOUND SOURCE AND AN ACOUSTIC COUPLING MEDIUM”, filed on Jun. 18, 2010, which is a continuation of claims the benefit of priority from U.S. patent application Ser. No. 10/848,550 entitled “MEDICAL SYSTEM HAVING AN ULTRASOUND SOURCE AND AN ACOUSTIC COUPLING MEDIUM”, filed May 18, 2004, which issued as U.S. Pat. No. 7,883,468 on Feb. 8. 2011, all of which are incorporated in entirety by reference; herein. The present application claims the benefit of and priority from U.S. patent application Ser. Nos. 12/818,261 and 10/848,550.
FIELD OF THE INVENTIONThe present invention relates generally to ultrasound, and more particularly to an ultrasound medical system haying an ultrasound source and an acoustic coupling medium.
BACKGROUND OF THE INVENTIONKnown ultrasound medical methods include using ultrasound imaging (at low power) of patients to identify patient tissue for medical treatment and include using ultrasound at high power), from the same or a different ultrasound transducer, to ablate identified patient tissue by heating the tissue.
Known ultrasound medical systems and methods include deploying an end effector having an ultrasound transducer outside the body to break up kidney stones inside the body, endoscopically inserting an end effector having an ultrasound transducer in the rectum to medically destroy prostate cancer, laparoscopically inserting an end effector haying an ultrasound transducer in the abdominal cavity to medically destroy a cancerous liver tumor, intravenously inserting a catheter end effector having an ultrasound transducer into a vein in the arm and moving the catheter to the heart to medically destroy diseased heart tissue, and interstitially inserting a needle end effector having an ultrasound transducer needle into the tongue to medically destroy tissue to reduce tongue volume to reduce snoring.
Conventional ultrasound medical systems include a system having an end effector including a medical ultrasound transducer, a sheath, and a water acoustic coupling medium. The end effector is inserted into a patient, and a balloon portion (which acts as an acoustic window) of the sheath is expanded by increasing water pressure until the balloon portion contacts patient tissue. Then, the medical ultrasound transducer emits medical ultrasound through the balloon. portion via the water to image and/or treat the patient tissue.
Still, scientists and engineers continue to seek improved ultrasound medical systems.
SUMMARY OF THE INVENTIONA first expression of an embodiment of the invention is an ultrasound medical system having an end effector including a medical ultrasound transducer and an acoustic coupling medium. The acoustic coupling medium has a transducer-proximal surface and a transducer distal surface. The medical ultrasound transducer is positioned to emit medical ultrasound through the acoustic coupling medium from the transducer-proximal surface to the transducer distal surface. The end effector is adapted to change at least one property of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient.
A second expression of an embodiment of the invention is an ultrasound medical system having a controller and an end effector end effector includes a medical ultrasound transducer and an acoustic coupling medium. The acoustic coupling medium has a transducer proximal surface and a transducer-distal surface. The medical ultrasound transducer is positioned to emit medical ultrasound haying a focus and a beam angle through the acoustic coupling medium from the transducer-proximal Surface to the transducer-distal surface. The end effector is adapted to change at least one property of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient. The controller controls the end effector to change the property to change the focus and/or the beam angle.
A third expression of an embodiment of the invention is an ultrasound medical system having a controller and an end effector. The end effector includes a medical ultrasound transducer, an acoustic coupling medium, and a sheath. The sheath includes an expandable acoustic window, wherein the acoustic coupling medium is placed in direct contact with the medical ultrasound transducer and the acoustic window. The medical ultrasound transducer is positioned to emit medical ultrasound through the acoustic window via the acoustic coupling medium. The controller controls the end effector to change the shape of the acoustic window, by changing the pressure exerted by the acoustic coupling medium against the acoustic window, during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient.
Several benefits and advantages are obtained from one or more of the expressions of an embodiment of the ultrasound medical system of the invention. The acoustic coupling medium also acts as an acoustic lens, wherein the end effector is adapted to change at least one property (such as the shape and/or the temperature) of the acoustic coupling medium which will change the focus and/or the beam angle of emitted ultrasound, with such changes occurring during emission, and/or between emissions, of ultrasound while performing a medical procedure on a patient.
The present invention has, without limitation, application in conventional endoscopic, laparoscopic, and open surgical instrumentation as well as application in robotic-assisted surgery.
Before explaining the present invention in detail, it should be noted that the invention is not limited in its application or use to the details of construction and arrangement of parts illustrated in the accompanying drawings and description. The illustrative embodiments of the invention may be implemented or incorporated in other embodiments, variations and modifications, and may be practiced or carried out in various ways. Furthermore, unless otherwise indicated, the terms and expressions employed herein have been chosen for the purpose of describing the illustrative embodiments of the present invention for the convenience of the reader and are not for the purpose of limiting the invention.
It is understood that any one or more of the following-described embodiments, examples, etc. can be combined with any one or more of the other following-described embodiments, examples, etc.
Referring now to the drawings,
In an enablement of the first expression of the embodiment of
In one variation of this enablement as shown in the embodiment of
In a different variation of this enablement, as shown in the embodiment of
It is noted that the interfaces act as acoustic lens surfaces, and that changing the shape of the interfaces during the medical procedure can be used to Change the focus and/or the beam angle of the ultrasound milted from the medical ultrasound transducer 114 during the medical procedure when such ultrasound non-perpendicularly passes through the interfaces. In one application, the acoustic coupling medium 116 is circulating water, wherein changing the flow rate of the circulating water changes the pressure exerted by the acoustic coupling medium 116 against the acoustic window 126. It is also noted that a change in shape (such as a change in curvature) of the acoustic window 126 typically is accompanied by a change in thickness of the acoustic window 12$ and a change in the distance between the medical ultrasound transducer 114 and the acoustic window 126 which can also effect focus and/or beam angle as is understood by those skilled in the art. In one implementation, the acoustic window 126 is provided with a transducer-distal surface 120 which is rippled (not shown) for use in beam angle steering as is within the level of skill of the artisan.
In the same or a different enablement, as shown in the embodiment of
In one example of any one or more or all of the embodiments of
In the same or a different example, the acoustic coupling, medium 116, 216, 316 and/or 416 is chosen from the group consisting of a liquid, a gel, and a colloid. In one variation, the acoustic coupling medium is a circulating acoustic coupling medium and in a different variation it is not circulating. Examples of liquids include, without limitation, water, a saline solution, glycerol, castor oil, and mineral oil. Other examples of liquids and examples of gels and colloids and other acoustic, coupling media are left to the artisan.
In one implementation any one or more or all of the embodiments of
A second expression of the embodiment of
A third expression of the embodiment of
In one example of the third expression of the embodiment of
in one arrangement of the embodiment of
In one construction of the third expression of the embodiment of
Examples of acoustically-transmissive materials for acoustic windows include, without limitation, PET [polyethylene terephthalate] (such as 0.001-inch-thick PET for a fully-circumferential acoustic window). Nylon 6, 11 or 12, TPX [methylpentene copolymer] and flouropolymers such as PTFE [polytetrafluoroethylene], FEP [fluorinated ethylene propylene], PFA [perfluoroalkoxy], PVDA [polyvinylidene acetate], ETFE [ethylene tetrofluoroethylene], polyurethane and polyethylene (high and low density). Shaft and sheath materials, for flexible shafts and sheaths, include, without limitation, Nitinol, polyimide, reinforced polyimide, Nylon, Pebax, silicone, reinforced silicone, polyurethane, polyethylene, flouropolymers and coiled metals (e.g., coiled, stainless steel).
In one deployment of the ultrasound medical system 110 of
In one deployment of the ultrasound medical system 310 of
In a further deployment of the ultrasound medical systems of
Several benefits and advantages are obtained from one or more of the expressions of an embodiment of the ultrasound medical system of the invention. The acoustic coupling medium also acts as an acoustic lens, wherein the end effector is adapted to change at least one property (such as the shape and/or the temperature) of the acoustic coupling, medium which will change the focus and/or the beam angle of emitted ultrasound, with such changes occurring during emission, and/or between emissions, of ultrasound while performing a medical procedure on a. patient.
While the present invention has been illustrated by a description of several embodiments, it is not the intention of the applicants to restrict or limit the spirit and scope of the appended claims to such detail. Numerous other variations, changes, and substitutions will occur to those skilled in the art without departing from the scope of the invention. For instance, the ultrasound medical system of the invention has application in robotic assisted surgery taking into account the obvious modifications of such systems, components and methods to be compatible with such a robotic system. It will be understood that the foregoing description is provided by way of example, and that other modifications may occur to those ski fled in the art without departing from the scope and spirit of the appended Claims.
Claims
1. An ultrasound medical system comprising a controller and an end effector,
- wherein, the end effector comprises a rigid housing comprising a closed, expandable acoustic window, a medical ultrasound transducer and an acoustic coupling medium,
- wherein the medical ultrasound transducer is disposed within and spaced apart from the rigid housing and is proximate to the acoustic window,
- wherein the acoustic coupling medium has a transducer-proximal surface disposed in direct physical contact with the medical ultrasound transducer and has a transducer-distal surface disposed in direct physical contact with the acoustic window,
- wherein the medical ultrasound transducer is disposed to emit medical ultrasound through the acoustic coupling medium from the transducer-proximal Surface to the transducer-distal surface,
- wherein the end effector is adapted to change at least one property of the acoustic coupling medium during emission, author between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient,
- wherein the controller controls the end effector to change the property to change ultrasound focus and/or ultrasound beam angle,
- wherein the at-least-one property includes temperature, and
- wherein the end effector comprises a heater spaced apart from any ultrasound transducer and adapted to directly change the temperature of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during the medical procedure.
2. The ultrasound medical system of claim 1, wherein the at-least-one property includes shape, and wherein the end effector is adapted to change the shape of the transducer-distal surface during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during the medical procedure.
3. The ultrasound medical system of claim 1, wherein the medical ultrasound transducer is chosen from the group consisting of a medical-imaging-only ultrasound transducer, a medical, treatment-only ultrasound transducer, and a medical-imaging-and-treatment ultrasound transducer.
4. The ultrasound medical system of claim 1, wherein the acoustic coupling medium is chosen from the group consisting of a liquid, and a colloid.
5. The ultrasound medical system of claim 1, wherein the end effector is disposable against an outside surface of the patient.
6. The ultrasound medical system of claim 1, wherein the end effector is insertable into the patient.
7. An end effector comprising:
- a rigid housing encompassing: an acoustic medium, an ultrasound transducer in contact with the acoustic medium and configured to emit ultrasound energy through the acoustic medium, and a heater in thermal communication with the acoustic medium and configured to control a temperature of the acoustic medium; and
- an acoustic window positioned in the rigid, housing and configured to seal the acoustic medium in the rigid housing and configured to pass through at feast, a portion of the ultrasound energy, the acoustic window comprising an interior surface configured to contact the acoustic medium and an exterior surface configured to contact tissue of a patient.
8. The end effector according to claim 7, wherein the acoustic window is further configured to acoustically couple the ultrasound transducer to the tissue of the patient.
9. The end effector according to claim 7, wherein the ultrasound transducer is configured to treat at least a portion of the tissue of the patient.
10. The end effector according to claim 7, wherein the ultrasound transducer is con/huffed to image a portion of the tissue of the patient.
11. The end effector according to claim 7, wherein the rigid housing is configured to be insertable in to the patient.
12. The end effector according to claim 7, wherein the rigid housing is configured to be coupled to an outside surface of the patient.
13. The end effector according to claim 7, wherein the acoustic window is expandable.
14. A system comprising:
- the end elector according to claim 7; and
- a controller in communication with the end effector and configured to control the ultrasound transducer and to control the temperature of the acoustic medium.
15. An ultrasound system comprising:
- probe comprising an acoustic coupling medium, an ultrasound transducer configured to emit ultrasound enemy through the
- acoustic coupling medium, and a heater in thermal, communication with the acoustic coupling medium and configured to change a temperature of the coupling acoustic medium;
- an acoustic window positioned in a fixed surface of the probe and in-line with a path of the ultrasound enemy, the acoustic window configured to expand and shape a surface of the acoustic coupling medium above the fixed surface of the probe and to enable a change of a speed of sound of the ultrasound energy; and
- a controller in communication with the probe and configured to control the ultrasound transducer and to control the temperature of the acoustic coupling medium.
16. The ultrasound system according to claim 15, wherein the acoustic coupling medium is chosen from the group consisting of a liquid, a gel, and a colloid.
17. The ultrasound system according to claim 15, wherein the ultrasound transducer is one of a imaging-only ultrasound transducer, a treatment-only ultrasound transducer, and a imaging-and-treatment ultrasound transducer.
18. The ultrasound system according, to claim 15, wherein the controller is configured to control the heater to change the temperature of the acoustic coupling medium during at least one of an emission of the ultrasound energy and a period between at least two emissions of the ultrasound energy.
19. The ultrasound system according to claim 15, wherein the acoustic coupling medium is configured to change a focus of the ultrasound energy having a non-perpendicular path through the acoustic window.
20. The ultrasound system according to claim 19, wherein the focus of the ultrasound enemy is controlled by an expansion of the acoustic window and is shape of the surface of the acoustic coupling medium above the fixed surface of the probe.
Type: Application
Filed: Jul 10, 2014
Publication Date: Oct 30, 2014
Inventors: Peter G. Barthe (Phoenix, AZ), Michael H. Slayton (Tempe, AZ), T Douglas Mast (Cincinnati, OH), Inder Raj S. Makin (Mesa, AZ), Jeffrey D. Messerly (Cincinnati, OH), Waseem Faidi (Clifton Park, NY), Megan M. Runk (Cincinnati, OH)
Application Number: 14/327,881
International Classification: A61B 8/00 (20060101); A61N 7/00 (20060101); A61B 8/12 (20060101);