U.S. patent application number 14/327881 was filed with the patent office on 2014-10-30 for medical system having an ultrasound source and an acoustic coupling medium.
The applicant listed for this patent is Guided Therapy Systems, LLC. Invention is credited to Peter G. Barthe, Waseem Faidi, Inder Raj S. Makin, T Douglas Mast, Jeffrey D. Messerly, Megan M. Runk, Michael H. Slayton.
Application Number | 20140323864 14/327881 |
Document ID | / |
Family ID | 35376134 |
Filed Date | 2014-10-30 |
United States Patent
Application |
20140323864 |
Kind Code |
A1 |
Barthe; Peter G. ; et
al. |
October 30, 2014 |
Medical System Having an Ultrasound Source and an Acoustic Coupling
Medium
Abstract
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.
Inventors: |
Barthe; Peter G.; (Phoenix,
AZ) ; Slayton; Michael H.; (Tempe, AZ) ; Mast;
T Douglas; (Cincinnati, OH) ; Makin; Inder Raj
S.; (Mesa, AZ) ; Messerly; Jeffrey D.;
(Cincinnati, OH) ; Faidi; Waseem; (Clifton Park,
NY) ; Runk; Megan M.; (Cincinnati, OH) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Guided Therapy Systems, LLC |
Mesa |
AZ |
US |
|
|
Family ID: |
35376134 |
Appl. No.: |
14/327881 |
Filed: |
July 10, 2014 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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12818261 |
Jun 18, 2010 |
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14327881 |
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10848550 |
May 18, 2004 |
7883468 |
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12818261 |
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Current U.S.
Class: |
600/439 ;
600/472; 601/2 |
Current CPC
Class: |
A61B 8/12 20130101; A61B
8/4281 20130101; A61B 8/546 20130101; A61B 8/4272 20130101; A61N
2007/0052 20130101; A61B 2017/2253 20130101; A61B 8/4444 20130101;
A61N 7/00 20130101; A61N 7/022 20130101 |
Class at
Publication: |
600/439 ;
600/472; 601/2 |
International
Class: |
A61B 8/00 20060101
A61B008/00; A61N 7/00 20060101 A61N007/00; A61B 8/12 20060101
A61B008/12 |
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.
Description
REFERENCE TO RELATED APPLICATIONS
[0001] 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.sub.; 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 INVENTION
[0002] The 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 INVENTION
[0003] Known 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.
[0004] 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.
[0005] 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.
[0006] Still, scientists and engineers continue to seek improved
ultrasound medical systems.
SUMMARY OF THE INVENTION
[0007] A 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.
[0008] 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.
[0009] 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.
[0010] 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.
[0011] The present invention has, without limitation, application
in conventional endoscopic, laparoscopic, and open surgical
instrumentation as well as application in robotic-assisted
surgery.
BRIEF DESCRIPTION OF THE FIGURES
[0012] FIG. 1 is a perspective view of a first embodiment of an
ultrasound medical system of the invention including a controller
and an end effector wherein the end effector is seen inserted into
a patient (only a portion of whom is shown) and has an acoustic
window, and wherein the end effector is adapted to change the shape
of be acoustic window during a medical procedure by increasing the
pressure of an acoustic coupling medium located inside the end
effector;
[0013] FIG. 2 is a schematic cross-sectional view of the end
effector of the ultrasound medical system of FIG. 1, Wherein the
adaptation of the end effector is shown and includes a movable
piston which exerts pressure on the acoustic coupling medium;
[0014] FIG. 3 is a schematic cross-sectional view of an end
effector of a second embodiment of an ultrasound medical system of
the invention, wherein the end effector has an acoustic coupling
medium, and wherein the end effector is adapted to change the shape
of the medium-patient interface during a medical procedure, such
adaptation being omitted for clarity;
[0015] FIG. 4 is a schematic cross-sectional view of an end
effector of a third embodiment of an ultrasound medical system of
the invention, wherein the end effector has an acoustic window and
has an acoustic coupling medium located inside the end effector,
wherein the end effector is adapted to change the temperature of
the acoustic coupling medium during a medical procedure, and
wherein the adaptation of the end effector includes a heater;
and
[0016] FIG. 5 is a schematic cross-sectional view of an end
effector of a fourth embodiment of an ultrasound medical system of
the invention, wherein the end effector has an acoustic coupling
medium and is adapted to change the temperature of the acoustic
coupling medium during a medical procedure, such adaptation being
omitted for clarity.
DETAILED DESCRIPTION OF THE INVENTION
[0017] 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.
[0018] 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.
[0019] Referring now to the drawings, FIGS. 1-2 illustrate an
embodiment of the present invention. A first expression of the
embodiment of FIGS. 1-2 is an ultrasound medical system 110
comprising an end effector 112 including a medical ultrasound
transducer 114 and an acoustic coupling medium 116. The acoustic
coupling medium 110 has a transducer-proximal surface 118 and a
transducer-distal surface 120. The medical ultrasound transducer
114 is disposed to emit medical ultrasound through the acoustic
coupling medium 116 from the transducer-proximal surface 118 to the
transducer-distal surface 120. The end effector 112 is adapted to
change at least one property of the acoustic coupling medium 116
during emission and/or between emissions, of medical ultrasound
from the medical ultrasound transducer 114 during a medical
procedure on a patient 122. The terminology "ultrasound medical
system" includes an ultrasound medical imaging system, an
ultrasound medical treatment system, and an ultrasound medical
imaging and ultrasound medical treatment system. The terminology
"medical procedure" includes an imaging procedure, a treatment
procedure, and an imaging and treatment procedure.
[0020] In an enablement of the first expression of the embodiment
of FIGS. 1-2, the at-least-one property includes shape, and the end
effector 112 is adapted to change the shape (such as the curvature)
of the transducer-distal surface 120 during emission, and/or
between emissions, of medical ultrasound from the medical
ultrasound transducer 114 during the medical procedure.
[0021] In one variation of this enablement as shown in the
embodiment of FIG. 3, the transducer-distal surface 220 of the
acoustic coupling medium 216 is disposable in direct contact with
patient tissue. In one modification, the end effector 212 of the
ultrasound medical system 210 changes the pressure exerted by the
acoustic coupling medium 216 against the patient tissue when the
transducer-distal surface 220 of the acoustic coupling medium 216
is disposed in direct contact with patient tissue during the
medical procedure. In one construction, the medical ultrasound
transducer 214 is disposed. In direct contact with the
transducer-proximal surface 218 of the acoustic coupling medium
216. In one application, ultrasound imaging from the medical
ultrasound transducer 214 or another ultrasound transducer is used
to determine the shape of the interface between the
transducer-distal surface 220 of the acoustic coupling medium 216
and the patient tissue. It is noted that the interface acts as an
acoustic lens surface, and that changing the shape of the interface
during the medical procedure can be used to change the focus and/or
the beam angle of the ultrasound emitted from the medical
ultrasound transducer 214 during the medical procedure when such
ultrasound non-perpendicularly passes through the interface. In one
option, ultrasound strain imaging of patient tissue is performed by
the ultrasound medical system 210.
[0022] In a different variation of this enablement, as shown in the
embodiment of FIGS. 1-2, the end effector 112 also includes an
expandable acoustic window 126 having an interior surface 128 in
direct contact with the transducer-distal surface 120 of the
acoustic coupling medium 116 and having an exterior surface 130
disposable in direct contact with patient tissue 124. In one
modification, the end effector 112 changes the pressure exerted by
the acoustic coupling medium 116 against the acoustic window 126
when the exterior surface 130 of the acoustic window 126 is
disposed in direct contact with patient tissue 124 during the
medical procedure. In one construction, the medical ultrasound
transducer 114 is disposed in direct contact with the
transducer-proximal surface 118 of the acoustic coupling medium
116. In one application, ultrasound imaging from the medical
ultrasound transducer 114 or another ultrasound transducer is used
to determine the shape of the interface between the
transducer-distal surface 120 of the acoustic coupling medium 116
and the interior surface 128 of the acoustic window 126 and the
shape of the interface between the exterior surface 130 of the
acoustic window 126 and the patient tissue 124. In one variation,
the acoustic window 126 is a fully-circumferential acoustic window
and in another variation it is not. In one option, ultrasound
strain imaging of patient tissue 124 is performed by the ultrasound
medical system.
[0023] 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.
[0024] In the same or a different enablement, as shown in the
embodiment of FIG. 4, the at-least-one property includes
temperature, and the end effector 312 of the ultrasound medical
system 310 is adapted to change the temperature of the acoustic
coupling medium 316 during emission, and/or between emissions, of
medical ultrasound from the medical ultrasound transducer 314
during the medical procedure. Changing the temperature of the
acoustic coupling medium 316 changes the speed of sound of the
emitted ultrasound in the acoustic coupling medium 316 which can be
used by those skilled in the art to change the focus and/or the
beam angle of the emitted ultrasound when non-perpendicularly
passing through a transmission medium interface. It is noted that
the embodiment of FIG. 4 includes a rigid or expandable acoustic
window 326, and that the embodiment of the ultrasound medical
system 410 of FIG. 5 is identical to that of FIG. 4 except that the
end of 412 of FIG. 5 lacks an acoustic window.
[0025] In one example of any one or more or all of the embodiments
of FIGS. 1-5 the medical ultrasound transducer 114, 24, 314 and/or
414 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. In one variation, the medical ultrasound transducer has
a single transducer element having as planar or a curved
ultrasound-emitting surface. In another variation, the medical
ultrasound transducer has an array of transducer elements whose
planar or curved. ultrasound-emitting surfaces are together
disposed to define a curved array surface or whose planar
ultrasound-emitting surfaces are together disposed to define a
planar array surface. In one modification, the transducer element
array is also electronically focused and/or steered as is within
the routine capabilities of those skilled in the art. In one
extension, the end effector has one or more additional medical
ultrasound transducers.
[0026] 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.
[0027] In one implementation any one or more or all of the
embodiments of FIGS. 1-5, the end effector 112, 212, 312 and/or 412
is disposable against an outside surface of the patient. In another
implementation, the end effector is insertable into the
patient.
[0028] A second expression of the embodiment of FIGS. 1-2 is an
ultrasound medical system 110 comprising a controller 132 and an
end effector 112. The end effector 112 includes a medical
ultrasound transducer 114 and an acoustic coupling medium 116. The
acoustic coupling medium 116 has a transducer-proximal surface 118
and a transducer-distal surface 120. The medical ultrasound
transducer 114 is disposed to emit medical ultrasound through the
acoustic coupling medium 116 from the transducer-proximal surface
118 to the transducer-distal surface 120. The end effector 112 is
adapted to change at least one property of the acoustic coupling
medium 116 doting emission, and/or between omissions, of medical
ultrasound from the medical ultrasound transducer 114 during a
medical procedure on a patient 122. The controller 132 controls the
end effector 112 to change the property change ultrasound focus
and/or ultrasound beam angle. In one extension of the embodiments
of FIGS. 3-5, and in any one or more or all of the enablements,
examples, etc. thereof, the ultrasound medical systems of FIGS. 1-5
also include: the controller of the second expression of the
embodiment of FIGS. 1-2.
[0029] A third expression of the embodiment of FIGS. 1-2 is an
ultrasound medical system 110 comprising a controller 132 and an
end effector 112. The end effector 112 includes a medical
ultrasound transducer 114, an acoustic coupling medium 116, and a
rigid or flexible sheath 134. The sheath 134 includes an expandable
acoustic window 126. The acoustic coupling medium 116 is disposed
in direct contact with the medical ultrasound transducer 114 and
the acoustic window 126. The medical Ultrasound transducer 114 is
disposed to emit medical ultrasound through the acoustic window
12.6 via the acoustic coupling medium 116. The controller 132
controls the end effector 112 to change the shape of the acoustic
window 126, by changing (directly or indirectly) the pressure
exerted by the acoustic, coupling medium 116 against the acoustic
window 126, during emission, and/or between emissions, of medical
ultrasound from the medical ultrasound transducer 114 during a
medical procedure on a patient 122.
[0030] In one example of the third expression of the embodiment of
FIGS. 1-2, a piston is used to directly change the pressure of an
essentially static acoustic coupling medium. In another example, a
valve is used to change the flow rate (and hence is used to
indirectly change the pressure) of a flowing acoustic coupling
medium. In one employment of the third expression of the embodiment
of FIGS. 1-2, the controller 132 controls the end effector 112 to
change the thickness of the acoustic window 126, by changing the
pressure exerted by the acoustic coupling, medium 116 against the
acoustic window 126, during emission, and/or between emissions, of
medical ultrasound from the medical ultrasound transducer 114
during a medical procedure on a patient 122.
[0031] in one arrangement of the embodiment of FIGS. 1-2, the
ultrasound medical system 110 also includes a cable 136, a
handpiece 138, arid a rigid or flexible shaft 140. In this
arrangement, the cable 136 operatively connects the controller 132
to the handpiece 138, the handpiece 138 is operatively connected to
the end effector 112, and the shaft 140 supports the medical
ultrasound transducer 114 and is operatively connected to the
handpiece 138. The shaft 140 can be rotatable or non-rotatable with
respect to the handpiece 138. Other arrangements are left to the
artisan.
[0032] In one construction of the third expression of the
embodiment of FIGS. 1-2, a thinner part of the sheath acts as the
acoustic window. In another construction, the acoustic window is
made from a different material or materials than the material or
materials of the non-acoustic window portion of the sheath. In an
additional construction, the entire sheath acts as the acoustic
window. Other constructions are left to the artisan.
[0033] 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).
[0034] In one deployment of the ultrasound medical system 110 of
FIGS. 1-2 the end effector 112 is adapted to change the shape of
the transducer-distal surface 120 of the acoustic coupling medium
116 by having the end effector 112 include an angular piston 142,
movable by an attached annular piston rod 144. The movable piston
142 is used to change the pressure of a non circulating acoustic
coupling medium 116 to change the curvature of the
transducer-distal surface 120 of the acoustic coupling medium 115
(which changes the curvature of the acoustic window 126). In a
different deployment, not shown, the end effector 112 is adapted by
having the end effector 112 include a channel for the acoustic
coupling medium 116 extending from the area of the acoustic window
126 to an orifice connectable to a variable-pressure-exerting
device.
[0035] In one deployment of the ultrasound medical system 310 of
FIG. 4, the end effector 312 is adapted by having the end effector
312 include a heater 346 which is used to change the temperature of
the acoustic coupling medium 316. In a different deployment, not
shown, the end effector 312 is adapted by haying the end effector
312 include a channel for the acoustic coupling medium 316
extending from the area of the acoustic window 326 to an orifice
connectable to a heating device.
[0036] In a further deployment of the ultrasound medical systems of
FIGS. 1-2 and FIG. 5, a tube (not shown) surrounds the shaft, is
radially spaced apart from the shaft and the sheath, and
longitudinally extends proximate the acoustic window with, for
example, circulating water as the acoustic coupling medium which
enters the ultrasound transducer-acoustic window area from the
channel between the shaft and the tube and which exits the
ultrasound transducer-acoustic window area from the channel between
the tube and the sheath. In one variation, a pump not shown) varies
the flow rate of the water. In such adaptation of the end effector,
an increasing flow rate increases the pressure of the circulating
acoustic coupling medium which changes the shape of the
transducer-distal surface of the acoustic coupling medium (in both
the FIGS. 1-2 and FIG. 5 ultrasound medical systems) and hence the
shape of the acoustic window (in the FIGS. 1-2 ultrasound medical
system). Other deployments are left to the artisan.
[0037] 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.
[0038] 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.
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