214 results about "Lithotripsy" patented technology

An ultrasonic calculus treatment apparatus includes a longitudinal-vibration piezoelectric oscillator for vibrating in the axial direction of an ultrasonic transmitting member and a torsional-vibration piezoelectric oscillator for vibrating about the axial direction, and further includes driving circuits for driving the piezoelectric oscillators at respective resonance frequencies and a mode selection switch for permitting the oscillators to vibrate independently or in combination, so that lithotripsy can be performed effectively in accordance with the size of a calculus or a function of an operating tool.

A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can acoustically couple an ultrasound therapy transducer to a patient. In some embodiments, the medical imaging and therapy device is configured to conform to the anatomy of a patient's perineal area to acoustically couple an ultrasound therapy transducer to the patient for treatment of BPH. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

Composition of methods and devices for surface plasmon resonance-enhanced medical and cosmetic procedures are disclosed. The invention relates to the use of a nonlinear surface plasmon resonance generation source and metal nanoparticles embedded to a body to enhance medical and cosmetic procedures in the body. The methods and devices in this invention can be applied for very effective three-dimensionally localized body surgery, tattoo removal, skin pigmentation removal, hair removal, drug delivery, photodynamic therapy, thrombosis, lithotripsy and cosmetic body treatment. The present invention relates also to a method of making temporary, semi-permanent and permanent tattoos with surface plasmon resonance technique.

The device to remove kidney stones is a medical retrieval basket device adapted to provide irrigation and suction to the region of the basket. The device includes a retrieval basket assembly having a sheath, an elongated member extending through the sheath, and a basket assembly coupled to the distal end of the elongated member, in a generally known arrangement. The retrieval basket assembly extends from a handle which provides suction and irrigation to, and through, the retrieval basket assembly. Fittings on the handle connect fluid and suction sources through fluid conduits within the handle to the sheath of the retrieval basket assembly. In one embodiment, the retrieval basket assembly's sheath has an expandable distal end portion that improves the retrieval basket assembly's ability to capture debris from lithotripsy of a stone.

A method for removing a stone from a patient comprising the steps of: providing a suction evacuation assembly which includes a sheath and one or more side arms; inserting and positioning a distal end of the sheath into a lumen or cavity of a patient's body containing a stones; connecting a tube to one of the side arms and to a collection bottle; connecting another tube to the collection bottle and a negative pressure system; visualizing the stone or foreign body using a scope inserted through the assembly; activating the negative pressure system in order to remove the stone from the cavity if the diameter of the stone is narrower than an inside diameter of the sheath and the side arm, or performing a lithotripsy on the stone to create fragments with a decreased diameter which allow the passage through the assembly; and collecting the stone in the collection bottle.

Occluding structures may be created within a body lumen by advancing a length of material distally through the body lumen. By drawing a distal location on the advanced length of material in a proximal direction, the material may be compacted into a structure which at least partially occludes the lumen. The occluding structure may be used to remove kidney stones from the ureter in conjunction with lithotripsy and irrigation.

One aspect of the present invention provides a method for the treatment of lithiasis, which mitigates the risk of damage to surrounding body tissue when removing a calculi (e.g., biological concretions, such as urinary, biliary, and pancreatic stones) that obstructs or may otherwise be present within a body's anatomical lumen. In one embodiment, the instant invention provides a method of using a polymer plug to occlude a lumen distal to a calculi, whereby calculi fragments resulting from lithotripsy are prevented from traveling up the lumen. In certain embodiments, a dual lumen catheter is utilized to inject two solutions proximal to the calculi, the mixing of said solutions causing a polymer plug to form.

A lithotriptor system and method configured to provide both direct compressive force and a compressive force with mechanical advantage by providing at least one lever mechanism.

A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can image a target tissue volume and apply ultrasound energy to the target tissue volume. In some embodiments, the medical imaging and therapy device is configured controllably apply ultrasound energy into the prostate by maintaining a cavitational bubble cloud generated by an ultrasound therapy system within an image of the prostate generated by an imaging system. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

A lithotripsy probe is used to break up cataracts, sinus blockages and other body masses, where the broken materials may be removed by suction. The lithotripsy probe may have a spark generator, a fluid motion generator, or other component for breaking up the body mass.

A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can deliver Lithotripsy therapy to a patient, so as to fractionate urinary stones. Another feature of the device is that it can deliver Histotripsy therapy to a patient, so as to erode urinary stones. In some embodiments, the medical imaging and therapy device is configured to target and track urinary stones in the patient during therapy. Methods associated with use of the medical imaging and therapy device are also covered.

Occluding structures may be created within a body lumen by advancing a length of material distally through the body lumen. By drawing a distal location on the advanced length of material in a proximal direction, the material may be compacted into a structure which at least partially occludes the lumen. The occluding structure may be used to remove kidney stones from the ureter in conjunction with lithotripsy and irrigation.

One aspect of the present invention relates to a method of using peristalsis to force a polymer plug through a mammalian lumen, thereby removing any calculi and / or calculi fragments present in the lumen. In one embodiment, the method is used as an alternative to conventional lithotripsy. In another embodiment, the method is used in conjunction with lithotripsy, thereby removing the small calculi fragments that result from such procedures.

A sieving device and related methods including an expandable sieve mounted on a surgical guide wire. The expandable sieve may be a self-expandable braided filter which is mounted on the guide wire in an axially fixed position, or moveable in one or more directions. The sieving device is deployable in an obstructed ureter, or other body lumen, such as at the beginning of a stone removal procedure, prior to actual stone defragmentation (lithotripsy) phase. The expandable sieve may be set distal to the obstructive stone and expanded to span the entire local ureter cross section in order to retain stone fragments larger than a predetermined size from migrating distally towards the kidney under high irrigation rates / pressures during lithotripsy.

A medical device and method for breaking a concretion in a body into smaller pieces and removing the pieces from the body are described. The device comprises a dilator sheath, a lithotripsy probe, a tubular member, and a retrieval basket. The dilator sheath adapted to penetrate into a passage of the body to reach the location where the concretion is located. The lithotripsy probe is configured for shattering the concretion into smaller pieces. The tubular member is mounted within the dilator sheath adapted to permit the lithotripsy probe to be inserted into the tubular member. The retrieval basket is coupled to the tubular member, and configured for entrapping the concretion and the smaller pieces for their extraction from the body. The retrieval basket comprises a structure constituted by a plurality of filaments extending from a basket proximal end towards a basket distal end, and then returning to the proximal end after forming a plurality of filament loops in the basket distal portion, and a plurality of filament strands at the basket proximal portion.

A lithotriptor device embodiment is provided including a lithotriptor that has a proximal handle, an elongate shaft extending distally from the handle with a lumen extending through a major length of the elongate shaft, and a wire basket distally attached to a drive wire. The drive wire extends through the lumen of the elongate shaft and is operatively connected to the handle. The device includes a drill mechanism assembly with a drill bit disposed near the distal end of the elongate shaft.

Medical devices with novel spark gap electrode designs, able to control manually or automatically the electrodes gap are provided. These devices are used to generate a shock wave created by the rapid expansion and collapse of a plasma bubble that is formed between two spark gap electrodes placed in a special liquid medium, when a high differential voltage (kV) is applied to the electrodes. The resulting shock wave impacts a reflector to direct the energy into the body of an animal or a human toward the desired treatment location. This electro-hydraulic principle to create acoustic shock waves as a method of treatment is in use in the medical (lithotripsy, orthopedic use, wound treatment, burns, post-operative treatment, pain treatment, diagnosis, skin and organ transplantation supporting devices, arteriosclerosis treatment), cosmetic (treatment of scars and cellulite) and veterinary (treatment of musculoskeletal disorders) fields.

A universal spark gap electrode with inner conductor formed as an elongate rod, an insulative sheath fit over the inner conductor, and an inner electrode tip soldered or brazed into the inner conductor. The inner conductor passes through an adapter and into an annular base with a spark gap cage and second electrode tip mounted thereon. The adapter is equipped with a molded annular jacket-type adapter mounted exteriorly thereon for engagement with the connecting receptacle of a lithotripsy machine. The annular base has a double-threaded collar that couples over the insulative sheath, and the adapter body screw-couples over the threaded collar of the annular base. This, the annular base, adapter body and insulative sheath are screw-coupled together in a coaxial configuration. Once the electrode is connected, the electrode tips generate a spark at the spark gap that vaporizes a small quantity of water, which creates an acoustic shock wave, which can be focused into the tissue of the patient and at a focal point corresponding to the position of a kidney stone or the like. A main advantage of the foregoing design is that the adapter can easily be substituted and replaced by an alternately-configured adapter to mate with other brands of lithotripters.

The invention discloses a 3D kidney model printing method for kidney stone surgical simulation teaching. The printing method comprises the following steps: acquiring a high-density stone three-dimensional rebuilt model by utilizing MIMICS software by virtue of a scanning period of CTU, acquiring a three-dimensional rebuilt model of kidney skin and arteriovenous blood vessels by virtue of an arteriovenous enhanced period, acquiring a three-dimensional rebuilt model of pelvis and ureter by virtue of secretion enhanced period of pelvis, acquiring a kidney three-dimensional rebuilt model comprising kidney skin, kidney medulla, kidney artery and vein, pelvis and calices and ureter, and finally combining the three-dimensional rebuilt model of each part to obtain a complete kidney three-dimensional rebuilt model. By adopting the method, the problems that percutaneous nephrolithotomy is used as an effective and safe minimally-invasive surgery, to select an optimum puncture point is difficulty and a key point in the surgical operation, the formation of a three-dimensional image in the brain by virtue of a two-dimensional image needs long-term training and is prone to missing small dissection structures can be effectively solved.

A miniature ingestible capsule has multiple therapeutic or diagnostic operations that can be performed. These functions are controlled by a combination of an outside control, a pose beacon and through information relayed from an imagining array and transmitter. These functions can be in a separate capsule without an imaging array or within the same capsule with an imaging array. Typically, there is one function performed in addition to imaging. These functions can include suction and spray capabilities, ultrasound sensor, lithotripsy, laser, heat, electrocautery, BICAP, biopsy forceps, a needle knife snare cautery (cold and hot with continuous or pulsed current for cutting and coagulation), with a basket, and fine needle aspiration with various wheels and fins and motors controlled externally and other tools to be used in humans. All of these tools can be attached to a retractable arm. Also, they can be used on an elevator device that lifts them, allowing for an extra 180° of movement.

A lithotripsy system capable of 3D tracking monitors the acoustic reflection from the stone in order to focus the shock wave on the stone regardless of shock wave displacement or stone movement. The tracking and focusing is based on a phased array concept, allowing the lithotripsy head to remain stationary and well coupled to the body. An alternate shock wave steering is based on refraction by a variable liquid wedge.

An apparatus is presented comprising an endoscope including a flexible shaft which has an active deflection section at a distal tip, a handle connected to a proximal end of the flexible shaft, a platform mounted to a top portion of the handle and oriented substantially in line with the longitudinal axis of the proximal end of a straight portion of the flexible shaft to provide a substantially straight entry into a working channel of the flexible shaft for an output accessory, a stone retrieval device insertable into the proximal end of the working channel of the endoscope, a lithotripsy shaft including one or more guide features at a distal end of the lithotripsy shaft to facilitate passage of wires or filaments of the stone retrieval device there through, and a lithotripsy shaft driver attached to the platform for driving the lithotripsy shaft under power.

A lithotripsy system capable of 3D tracking monitors the acoustic reflection from the stone in order to focus the shock wave on the stone regardless of shock wave displacement or stone movement. The tracking and focusing is based on a phased array concept, allowing the lithotripsy head to remain stationary and well coupled to the body.