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US4610249A Expired / Lapsed US ⏱️ 0.0 years remaining

Means and method for the noninvasive fragmentation of body concretions

Assignee: Johns Hopkins University
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Filing: 1984-05-08
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Granted: 1986-09-09
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Expires: 2004-05-08
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Abstract

Abstract Apparatus and method for noninvasive fragmentation of body concretions. The apparatus has an integral unit including an ultrasonic locating transducer and positioning structure. The concretion is localized with ultrasonics and then shattered upon generation of a shockwave, using a relfector with first and second foci. A spark gap at the first focus generates the shockwave which propagates to the second focus coincident with the concretion. The ultrasonic tranducer is positioned so that an axis of the transducer is coincident with a straight line passing through the first and second foci.

Inventors

  • 👤 Robert A. Makofski
  • 👤 Joe T. Massey
  • 👤 F. Fausten Mark
  • 👤 Francis B. Weiskopf, Jr.
  • 👤 William H. Guier
  • 👤 Patrick C. Walsh
  • 👤 Fray F. Marshall

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 06:56
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/22; A61B17/225; A61B17/2256; A61B17/2258; A61B8/00; A61B8/08; A61B8/0833; G; G10; G10K; G10K15/00; G10K15/04; G10K15/06

Claims Analysis

Total Claims: 16
Claim 1
Independent Claim 138 words
A device for the noninvasive fragmentation of a concretion within a body of a patient, comprising: an ultrasonic transducer for locating said concretion; a reflector comprising a portion of an ellipsoid of revolution with an open end and a closed end, said transducer being attached to said closed end, said reflector having a first focus and a second focus, said transducer being positioned so that an axis of the transducer is coincident with a straight line extending through said first and second foci; means for positioning said reflector whereby said concretion is located at said second focus; means for generating a shock wave at said first focus; and means for acoustically coupling said shock wave from said first focus through a portion of said body to said second focus whereby said shock wave is concentrated at said concretion.
Claim 2
Independent Claim 138 words
A device for the noninvasive fragmentation of a concretion within a body of a patient, comprising: an ultrasonic transducer for locating said concretion; a reflector comprising a portion of an ellipsoid of revolution with an open end and a closed end, said transducer being attached to said closed end, said reflector having a first focus and a second focus, said transducer being positioned so that an axis of the transducer is coincident with a straight line extending through said first and second foci; means for positioning said reflector whereby said concretion is located at said second focus; means for generating a shock wave at said first focus; and means for acoustically coupling said shock wave from said first focus through a portion of said body to said second focus whereby said shock wave is concentrated at said concretion.
Claim 3
Dependent Claim 16 words
A device, as recited in claim 1, wherein said ultrasonic transducer is integral with said reflector.
Claim 4
Dependent Claim 50 words
A device, as recited in claim 2, wherein said ultrasonic transducer further comprises: means for radiating an acoustical signal from said transducer; and means for rotating said transducer around said axis from a first position to a second position wherein said second position is 90 degrees from said first position.
Claim 5
Dependent Claim 54 words
A device, as recited in claim 3, wherein said ultrasonic transducer further comprises means for traversing said acoustical signal within a predetermined angle whereby said acoustical signal traverses in a first plane when said transducer is in said first position and traverses in a second plane when said transducer is in said second position.
Claim 6
Dependent Claim 44 words
A device, as recited in claim 4, wherein said ultrasonic transducer further comprises: means for detecting reflected portions of said acoustical signal; and display means for displaying said reflected portions of said acoustical signal whereby said display means indicate location information of said concretion.
Claim 7
Dependent Claim 100 words
A device, as recited in claim 5, wherein said means for positioning comprise: means for moving said reflector in a first direction in response to said location information of said concretion; means for moving said reflector in a second direction in response to said location information of said concretion; and means for moving said reflector in a third direction in response to said location information of said concretion wherein said third direction is perpendicular to both said first direction and said second direction and movement in said third direction moves said reflector in a direction essentially perpendicular to said body.
Claim 8
Dependent Claim 38 words
A device, as recited in claim 6, wherein said means for generating a shock wave at said first focus comprise high voltage electrodes wherein a spark gap of said high voltage electrodes is centered at said first focus.
Claim 9
Dependent Claim 79 words
A device, as recited in claim 7, wherein said means for acoustically coupling said shock wave from said first focus through a portion of said body to said second focus comprises: a flexible membrane sealing said open end of said ellipsoid of revolution wherein said flexible membrane and said portion of an ellipsoid of revolution define a closed space; and a fluid medium filling said closed space wherein said fluid medium has essentially similar acoustic properties as said body.
Claim 10
Dependent Claim 13 words
A device, as recited in claim 8, wherein said fluid medium comprises water.
Claim 11
Dependent Claim 14 words
A device, as recited in claim 9, further comprising means for supporting said body.
Claim 12
Independent Claim 130 words
A method for the noninvasive fragmentation of a concretion within a body of a patient, comprising the steps of: providing a reflector comprising a portion of an ellipsoid of revolution with an open end and a closed end and having first and second foci and an ultrasonic transducer having an axis coincident with a straight line passing through said first and second foci, said transducer attached to the closed end of said reflector; ultrasonically locating the concretion with said transducer; positioning said reflector so as to locate the concretion at the second focus; generating a shock wave at the first focus; and acoustically coupling the shock wave from the first focus through a portion of the body to the second focus whereby the shock wave is concentrated at the concretion.
Claim 13
Independent Claim 130 words
A method for the noninvasive fragmentation of a concretion within a body of a patient, comprising the steps of: providing a reflector comprising a portion of an ellipsoid of revolution with an open end and a closed end and having first and second foci and an ultrasonic transducer having an axis coincident with a straight line passing through said first and second foci, said transducer attached to the closed end of said reflector; ultrasonically locating the concretion with said transducer; positioning said reflector so as to locate the concretion at the second focus; generating a shock wave at the first focus; and acoustically coupling the shock wave from the first focus through a portion of the body to the second focus whereby the shock wave is concentrated at the concretion.
Claim 14
Dependent Claim 103 words
A method, as recited in claim 11, wherein said step of ultrasonicly locating the concretion further comprises the steps of: radiating an acoustical signal; rotating the acoustical signal around an axis defined by a line extending through the first and second focus from a first position to a second position wherein the second position is 90 degrees from the first position; and traversing the acoustical signal within a predetermined angle whereby the acoustical signal traverses in a first plane when the acoustical signal is in the first position and traverses in a second plane when the acoustical signal is in the second position.
Claim 15
Dependent Claim 48 words
A method, as recited in claim 12, wherein said step of ultrasonicly locating the concretion further comprises the steps of: detecting reflected portions of the acoustical signal; and displaying the reflected portions of the acoustical signal on a visual display whereby location information of the concretion is indicated.
Claim 16
Dependent Claim 101 words
A method, as recited in claim 13, wherein the step of positioning a reflector further comprises the steps of: moving the reflector in a first direction in response to the location information of the concretion; moving the reflector in a second direction in response to the location information of the concretion; and moving the reflector in a third direction in response to the location information of the concretion wherein movement in the third direction moves the reflector in a direction essentially perpendicular to the body and wherein the third direction is perpendicular to both the first direction and the second direction.

References Cited (Backward Citations)

US3942531A Cited
US4311147A Cited
DE3146626A1 Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1989-09-08 1990-03-10 1990-09-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1993-09-08 1994-03-10 1994-09-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1997-09-08 1998-03-10 1998-09-09 $7700.00 Window Closed / Lapsed

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