2119 results about "Ultrasound imaging" patented technology

A method for using high intensity focused ultrasound (HIFU) to treat neurological structures to achieve a desired therapeutic affect. Depending on the dosage of HIFU applied, it can have a reversible or irreversible effect on neural structures. For example, a relatively high dose of HIFU can be used to permanently block nerve function, to provide a non-invasive alternative to severing a nerve to treat severe spasticity. Relatively lower doses of HIFU can be used to reversible a block nerve function, to alleviate pain, to achieve an anesthetic effect, or to achieve a cosmetic effect. Where sensory nerves are not necessary for voluntary function, but are involved in pain associated with tumors or bone cancer, HIFU can be used to non-invasively destroy such sensory nerves to alleviate pain without drugs. Preferably, ultrasound imaging synchronized to the HIFU therapy is used to provide real-time ultrasound image guided HIFU therapy of neural structures.

A method and apparatus for controlling the safe delivery of thermosensitive liposomes containing medicant to a targeted tissue region using ultrasound. Thermosensitive liposomes containing medicants are delivered to a region of interest, the region of interest is located using ultrasound imaging, ultrasound therapy is applied to heat the region of interest, and the temperature of the region is monitored to determine whether a designated threshold temperature has been reached which allows for the release of medicants from the liposomes. If the threshold temperature is reached, and the liposomes are melted, the treatment stops. If the threshold temperature has not been reached, the application of ultrasound therapy and ultrasound imaging are alternated until the threshold temperature is reached. The ultrasound imaging, temperature monitoring and ultrasound therapy are preferably performed with a single transducer.

A method for using high intensity focused ultrasound (HIFU) to treat neurological structures to achieve a desired therapeutic affect. Depending on the dosage of HIFU applied, it can have a reversible or irreversible effect on neural structures. For example, a relatively high dose of HIFU can be used to permanently block nerve function, to provide a non-invasive alternative to severing a nerve to treat severe spasticity. Relatively lower doses of HIFU can be used to reversible a block nerve function, to alleviate pain, to achieve an anesthetic effect, or to achieve a cosmetic effect. Where sensory nerves are not necessary for voluntary function, but are involved in pain associated with tumors or bone cancer, HIFU can be used to non-invasively destroy such sensory nerves to alleviate pain without drugs. Preferably, ultrasound imaging synchronized to the HIFU therapy is used to provide real-time ultrasound image guided HIFU therapy of neural structures.

The invention relates to the guidance, positioning and placement confirmation of intravascular devices, such as catheters, stylets, guidewires and other flexible elongate bodies that are typically inserted percutaneously into the venous or arterial vasculature. Currently these goals are achieved using x-ray imaging and in some cases ultrasound imaging. This invention provides a method to substantially reduce the need for imaging related to placing an intravascular catheter or other device. Reduced imaging needs also reduce the amount of radiation that patients are subjected to, reduce the time required for the procedure, and decrease the cost of the procedure by reducing the time needed in the radiology department. An aspect of the invention includes, for example, an endovenous access and guidance system. The system comprises: an elongate flexible member adapted and configured to access the venous vasculature of a patient; a sensor disposed at a distal end of the elongate flexible member and configured to provide in vivo non-image based ultrasound information of the venous vasculature of the patient; a processor configured to receive and process in vivo non-image based ultrasound information of the venous vasculature of the patient provided by the sensor and to provide position information regarding the position of the distal end of the elongate flexible member within the venous vasculature of the patient; and an output device adapted to output the position information from the processor.

A system and method of capturing and managing the medical information obtained during an imaging procedure is provided. The system includes a sonogram imaging device operated by a technician, and a technician computer system in communication with the imaging device via a communications network. A computer server communicates with the technician computer system, and includes a medical diagnostic imaging software program. A healthcare provider computer system is operatively in communication with the computer server via the communications network. The method includes the steps of conducting the imaging procedure and building a study from the generated image and captured impression of the real-time observations of the generated image and measurement data by the technician. The study is stored in the database associated with a computer server and is accessible by a healthcare professional using a healthcare provider computer system for preparing a medical diagnosis.

Methods for determine the position and rotational orientation of the transducer array of an ultrasound imaging catheter within a patient include imaging the distal end of the catheter using fluoroscopy and determining the angular orientation based upon the shape and dimensions of the image of the transducer array and wire connecting harness. Additional rotational and translational information may be obtained from sensors located at the proximal end of the catheter. By combining position information obtained using fluoroscopy with information from relative rotation / translation sensors, the imaging transducer position and orientation can be determined more accurately. The resulting accurate imaging transducer position information enables combining multiple images from different positions or orientations to generate multi-dimensional images. Catheters including rotation and translation motion sensors at the proximal end, and radio-opaque materials near the distal end can be provided to enhance the methods.

This invention discloses a method and apparatus to deliver medical devices to targeted locations within human tissues using imaging data. The method enables the target location to be obtained from one imaging system, followed by the use of a second imaging system to verify the final position of the device. In particular, the invention discloses a method based on the initial identification of tissue targets using MR imaging, followed by the use of ultrasound imaging to verify and monitor accurate needle positioning. The invention can be used for acquiring biopsy samples to determine the grade and stage of cancer in various tissues including the brain, breast, abdomen, spine, liver, and kidney. The method is also useful for delivery of markers to a specific site to facilitate surgical removal of diseased tissue, or for the targeted delivery of applicators that destroy diseased tissues in-situ.

A peritoneal ultrasound imager includes an elongated body less than about 20 inches in length that is adapted to be inserted through a cannula into or near the pericardium space, and an ultrasound transducer array at one end of the body that is suitable for ultrasound echocardiography. The cannula and ultrasound imager may be of a single piece construction. A method for imaging the heart includes introducing a cannula into the wall of a patient's chest, inserting the elongated body into the cannula, moving the inserted elongated body to a position near the heart, and imaging the heart with ultrasound echo.

An image of an electro-anatomical map of a body structure having cyclical motion is overlaid on a 3D ultrasonic image of the structure. The electro-anatomical data and anatomic image data are synchronized by gating both electro-anatomical data acquisition and an anatomic image at a specific point in the motion cycle. Transfer of image data includes identification of a point in the motion cycle at which the 3-dimensional image was captured or is to be displayed.

Methods and apparatuses for providing simultaneous viewing of an instrument in two ultrasound imaging planes. An ultrasound imaging probe is provided which can generate at least two ultrasound imaging planes. In one embodiment, the two imaging planes are not parallel (i.e., the planes intersect). An instrument path is positioned with respect to the planes such that an instrument may be simultaneously viewed in both imaging planes. In one embodiment, the instrument path is provided at an intersection that, at least partially, defines the intersection of the two imaging planes.

The invention relates to the guidance, positioning and placement confirmation of intravascular devices, such as catheters, stylets, guidewires and other flexible elongate bodies that are typically inserted percutaneously into the venous or arterial vasculature. Currently these goals are achieved using x-ray imaging and in some cases ultrasound imaging. This invention provides a method to substantially reduce the need for imaging related to placing an intravascular catheter or other device. Reduced imaging needs also reduce the amount of radiation that patients are subjected to, reduce the time required for the procedure, and decrease the cost of the procedure by reducing the time needed in the radiology department. An aspect of the invention includes, for example, an endovenous access and guidance system. The system comprises: an elongate flexible member adapted and configured to access the venous vasculature of a patient; a sensor disposed at a distal end of the elongate flexible member and configured to provide in vivo non-image based ultrasound information of the venous vasculature of the patient; a processor configured to receive and process in vivo non-image based ultrasound information of the venous vasculature of the patient provided by the sensor and to provide position information regarding the position of the distal end of the elongate flexible member within the venous vasculature of the patient; and an output device adapted to output the position information from the processor.

Imaging, object tracking, integration apparatus 100 has tracking system 1, imaging system 3, communication system 5 and integration system 7. Tracking system 1 locates objects in 3-dimensions and determines respective poses. Imaging system 3 acquires object images. Integration system 7 correlates 3-dimensional poses. User communication system 5 provides information, such as images, sounds, or control signals to the user or other automated systems. Image acquisition techniques include X-ray imaging and ultrasound imaging. Images can be acquired from digital files. Imaging system 3 creates a calibrated, geometrically corrected two-dimensional image 110, 210. Correlation system 7 can receive instructions from a practitioner to create, destroy, and edit the properties of a guard. Communications system 5 displays images and calculations to a practitioner, such as a surgeon. Methods can determine geometrical relations between guards and / or present to a practitioner projections of forms of guards.

An ultrasound probe for diagnostic medical ultrasound imaging, including an ultrasound transducer and a circuit having a plurality of states to limit the use of the ultrasound probe. Ultrasound probe use can be limited based on a unique identification number (e.g., selected by means of electrically programmable fuses) assigned to each ultrasound probe. Alternatively, the ultrasound system software monitors and updates the number of times that the ultrasound probe has been used. Another aspect of the invention is directed to an ultrasound system, including an ultrasound probe with multiple states, a circuit to program and to receive state data from the ultrasound probe and interpret the state data, and a cable to communicate state data between the ultrasound probe and the processor. Another aspect of the invention is directed to a method for using a limited use ultrasound probe, including the steps of determining the state of a circuit in the limited use ultrasound probe and determining if the ultrasound probe can be used.

Interference in ultrasound imaging when used in connection with high intensity focused ultrasound (HIFU) is avoided by employing a synchronization signal to control the HIFU signal. Unless the timing of the HIFU transducer is controlled, its output will substantially overwhelm the signal produced by ultrasound imaging system and obscure the image it produces. The synchronization signal employed to control the HIFU transducer is obtained without requiring modification of the ultrasound imaging system. Signals corresponding to scattered ultrasound imaging waves are collected using either the HIFU transducer or a dedicated receiver. A synchronization processor manipulates the scattered ultrasound imaging signals to achieve the synchronization signal, which is then used to control the HIFU bursts so as to substantially reduce or eliminate HIFU interference in the ultrasound image. The synchronization processor can alternatively be implemented using a computing device or an application-specific circuit.

Methods and systems for noninvasive mastopexy through deep tissue tightening with ultrasound are provided. An exemplary method and system comprise a therapeutic ultrasound system configured for providing ultrasound treatment to a deep tissue region, such as a region comprising muscular fascia and ligaments. In accordance with various exemplary embodiments, a therapeutic ultrasound system can be configured to achieve depth from 1 mm to 4 cm with a conformal selective deposition of ultrasound energy without damaging an intervening tissue in the range of frequencies from 1 to 15 MHz. In addition, a therapeutic ultrasound can also be configured in combination with ultrasound imaging or imaging / monitoring capabilities, either separately configured with imaging, therapy and monitoring systems or any level of integration thereof.

A system for imaging and providing therapy to one or more regions of interest is presented. The system includes an imaging and therapy catheter configured to image an anatomical region to facilitate assessing need for therapy in one or more regions within the anatomical region and delivering therapy to the one or more regions of interest within the anatomical region. In addition, the system includes a medical imaging system operationally coupled to the catheter and having a display area and a user interface area, wherein the medical imaging system is configured to facilitate defining a therapy pathway to facilitate delivering therapy to the one or more regions of interest.

An ultrasound imaging catheter system includes a pivot head assembly coupled between a ultrasound transducer array and the distal end of the catheter. The pivot head assembly includes a pivot joint enabling the transducer array to pivot through a large angle about the catheter centerline in response pivot cables controlled by a wheel within a handle assembly. Pivoting the ultrasound transducer array approximately 90° once the catheter is positioned by rotating the catheter shaft and bending the distal section of the catheter, clinicians may obtain orthogonal 2-D ultrasound images of anatomical structures of interest in 3-D space. Combining bending of the catheter by steering controls with pivoting of the transducer head enables a greater range of viewing perspectives. The pivot head assembly enables the transducer array to pan through a large angle to image of a larger volume than possible with conventional ultrasound imaging catheter systems.

Methods and systems for treating stretch marks through deep tissue tightening with ultrasound are provided. An exemplary method and system comprise a therapeutic ultrasound system configured for providing ultrasound treatment to a shallow tissue region, such as a region comprising an epidermis, a dermis and a deep dermis. In accordance with various exemplary embodiments, a therapeutic ultrasound system can be configured to achieve depth from 0 mm to 1 cm with a conformal selective deposition of ultrasound energy without damaging an intervening tissue in the range of frequencies from 2 to 50 MHz. In addition, a therapeutic ultrasound can also be configured in combination with ultrasound imaging or imaging / monitoring capabilities, either separately configured with imaging, therapy and monitoring systems or any level of integration thereof.

This invention relates to high-frequency ablation of tissue in the body using a cooled high-frequency electrode connected to a high frequency generator including a computer graphic control system and an automatic controller for control the signal output from the generator, and adapted to display on a real time graphic display a measured parameter related to the ablation process and visually monitor the variation of the parameter of the signal output that is controlled by the controller during the ablation process. In one example, one or more measured parameters are displayed simultaneously to visually interpret the relation of their variation and values. In one example, the displayed one or more parameters can be taken from the list of measured voltage, current, power, impedance, electrode temperature, and tissue temperature related to the ablation process. The graphic display gives the clinician an instantaneous and intuitive feeling for the dynamics and stability of the ablation process for safety and control. This invention relates to monitoring and controlling multiple ground pads to optimally carry return currents during high-frequency tissue ablation, and to prevent of ground-pad skin burns. This invention relates to the use of ultrasound imaging intraoperatively during a tissue ablation procedure. This invention relates to the use of nerve stimulation and blocking during a tissue ablation procedure.

A physiology workstation is provided that comprises an physiology input configured to receive physiology signals from at least one of an intracardiac (IC) catheter inserted in a subject and surface ECG leads provided on the subject. The physiology signals are obtained during a procedure. A video input is configured to receive image frames, in real-time during the procedure. The image frames contain diagnostic information representative of data samples obtained from the subject during the procedure. A control module controls physiology operations based on user inputs. A display module is controlled by the physiology control module. The display module displays the physiology signals and the image frames simultaneously, in real-time, during the procedure. Optionally, the workstation may include a video processor module that formats the physiology signals into a display format. The video processor module may include an video processor and an external video processor that receive and control display of the physiology signals and image frames, respectively. The image frames may include at least one of ultrasound images obtained from a surface ultrasound probe, intravenous ultrasound images obtained from an ultrasound catheter and fluoroscopy images obtained from a fluoroscopy system.

Methods and systems for treating stretch marks through deep tissue tightening with ultrasound are provided. An exemplary method and system comprise a therapeutic ultrasound system configured for providing ultrasound treatment to a shallow tissue region, such as a region comprising an epidermis, a dermis and a deep dermis. In accordance with various exemplary embodiments, a therapeutic ultrasound system can be configured to achieve depth from 0 mm to 1 cm with a conformal selective deposition of ultrasound energy without damaging an intervening tissue in the range of frequencies from 2 to 50 MHz. In addition, a therapeutic ultrasound can also be configured in combination with ultrasound imaging or imaging / monitoring capabilities, either separately configured with imaging, therapy and monitoring systems or any level of integration thereof.

Methods and systems for noninvasive mastopexy through deep tissue tightening with ultrasound are provided. An exemplary method and system comprise a therapeutic ultrasound system configured for providing ultrasound treatment to a deep tissue region, such as a region comprising muscular fascia and ligaments. In accordance with various exemplary embodiments, a therapeutic ultrasound system can be configured to achieve depth from 1 mm to 4 cm with a conformal selective deposition of ultrasound energy without damaging an intervening tissue in the range of frequencies from 1 to 15 MHz. In addition, a therapeutic ultrasound can also be configured in combination with ultrasound imaging or imaging / monitoring capabilities, either separately configured with imaging, therapy and monitoring systems or any level of integration thereof.

An ultrasound imaging system includes one or more accelerometers positioned near the imaging transducer. Acceleration data from the accelerometers are used to estimate the position of the imaging transducer. By combining position information calculated based on acceleration data with position information obtained by other methods, the imaging transducer position can be determined more accurately and closer in time to when images are obtained. The resulting accurate imaging transducer position information enables combining multiple images from different positions or orientations to generate multi-dimensional images.

This invention incorporates the techniques of geophysical technology into medical imaging. Ultrasound waves are generated from multiple, simultaneous sources tuned for maximum penetration, resolution, and image quality. Digitally recorded reflections from throughout the body are combined into a file available for automated interpretation and wavelet attribute analyses. Unique points within the object are imaged from multiple positions for signal-to-noise enhancement and wavelet velocity determinations. This system describes gaining critical efficiencies by reducing equation variables to known quantities. Sources and receivers are locked in invariant, known positions. Statistically valid measurements of densities and wavelet velocities are combined with object models and initial parameter assumptions. This makes possible three-dimensional images for viewing manipulation, mathematical analyses, and detailed interpretation, even of the body in motion. The invention imposes a Cartesian coordinate system on the image of the object. This makes reference to any structure within the object repeatable and precise. Finally, the invention teaches how the recording and storing of the received signals from a whole body analysis makes a subsequent search for structures and details within the object possible without reexamining the object.

The present invention is a guide wire imaging device for vascular or non-vascular imaging utilizing optic acoustical methods, which device has a profile of less than 1 mm in diameter. The ultrasound imaging device of the invention comprises a single mode optical fiber with at least one Bragg grating, and a piezoelectric or piezo-ceramic jacket, which device may achieve omnidirectional (360°) imaging. The imaging guide wire of the invention can function as a guide wire for vascular interventions, can enable real time imaging during balloon inflation, and stent deployment, thus will provide clinical information that is not available when catheter-based imaging systems are used. The device of the invention may enable shortened total procedure times, including the fluoroscopy time, will also reduce radiation exposure to the patient and to the operator.

A method and system for enhancing computer peripheral safety is provided. In accordance with various aspects of the present invention, the exemplary method and system are configured to monitor and / or isolate alternating current (A.C.) supplies with and / or from any peripheral subsystems or devices. An exemplary method and system comprises an A.C. supply, a host computer system, and a peripheral subsystem or device connected to the host computer system, such as an ultrasound imaging and / or therapy peripheral, and an isolation subsystem configured for monitoring and / or isolating the A.C. supply from the peripheral subsystem or device. In accordance with an exemplary embodiment, an isolation subsystem comprises application software and associated modules and functions that when executed continuously monitors and / or polls the host computer's hardware and / or operating system for the presence of an isolated source, such as a battery, or an unisolated power source, such as through a battery charger and / or other connection path to the A.C. main supply. In accordance with other exemplary embodiments, an isolation subsystem can comprises a wireless or other safe / isolated electrical link for connecting a patient contact device, and / or a verification link or other verification mechanisms configured between an isolation transformer and host computer to monitor or observe usage to power the host computer and peripheral subsystem.

The invention relates to the guidance, positioning and placement confirmation of intravascular devices, such as catheters, stylets, guidewires and other flexible elongate bodies that are typically inserted percutaneously into the venous or arterial vasculature. Currently these goals are achieved using x-ray imaging and in some cases ultrasound imaging. This invention provides a method to substantially reduce the need for imaging related to placing an intravascular catheter or other device. Reduced imaging needs also reduce the amount of radiation that patients are subjected to, reduce the time required for the procedure, and decrease the cost of the procedure by reducing the time needed in the radiology department. An aspect of the invention includes, for example, an endovenous access and guidance system. The system comprises: an elongate flexible member adapted and configured to access the venous vasculature of a patient; a sensor disposed at a distal end of the elongate flexible member and configured to provide in vivo non-image based ultrasound information of the venous vasculature of the patient; a processor configured to receive and process in vivo non-image based ultrasound information of the venous vasculature of the patient provided by the sensor and to provide position information regarding the position of the distal end of the elongate flexible member within the venous vasculature of the patient; and an output device adapted to output the position information from the processor.