WO2003059437A3 - System and method providing directional ultrasound therapy to skeletal joints - Google Patents

System and method providing directional ultrasound therapy to skeletal joints Download PDF

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Publication number
WO2003059437A3
WO2003059437A3 PCT/US2003/001568 US0301568W WO03059437A3 WO 2003059437 A3 WO2003059437 A3 WO 2003059437A3 US 0301568 W US0301568 W US 0301568W WO 03059437 A3 WO03059437 A3 WO 03059437A3
Authority
WO
WIPO (PCT)
Prior art keywords
ultrasound
joints
tissue
degrees
joint
Prior art date
Application number
PCT/US2003/001568
Other languages
French (fr)
Other versions
WO2003059437A2 (en
Inventor
Chris J Diederich
Jeffrey C Lotz
Will Nau
David S Bradford
Elizabeth Wistrom
Elisa Bass
Original Assignee
Univ California
Chris J Diederich
Jeffrey C Lotz
Will Nau
David S Bradford
Elizabeth Wistrom
Elisa Bass
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Univ California, Chris J Diederich, Jeffrey C Lotz, Will Nau, David S Bradford, Elizabeth Wistrom, Elisa Bass filed Critical Univ California
Priority to EP03707439A priority Critical patent/EP1465701A4/en
Priority to AU2003209287A priority patent/AU2003209287A1/en
Publication of WO2003059437A2 publication Critical patent/WO2003059437A2/en
Publication of WO2003059437A3 publication Critical patent/WO2003059437A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N7/022—Localised ultrasound hyperthermia intracavitary
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00101—Temperature using an array of thermosensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0004—Applications of ultrasound therapy
    • A61N2007/0021—Neural system treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0004—Applications of ultrasound therapy
    • A61N2007/0021—Neural system treatment
    • A61N2007/003—Destruction of nerve tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0056—Beam shaping elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0078—Ultrasound therapy with multiple treatment transducers

Abstract

An ultrasound therapy system (120) and method is provided that provides directional, focused ultrasound ( R ) to localized regions of tissue within body joints (104), such as spinal joints. An ultrasound emitter or transducer (130) is delivered to a location within the body associated with the joint and heats the target region (108) of tissue associated with the joint from the location. Such locations for ultrasound transducer placement may include for example in or around the intervertebral discs (101), or the bony structures such as vertebral bodies or posterior vertebral elements such as facet joints. Various modes of operation provide for selective, controlled heating at different temperature ranges to provide different intended results in the target tissue (108), which ranges are significantly effected by pre-stressed tissues such as in-vivo intervertebral discs. In particular, treatments above 70 degrees C, and in particular 75 degrees C, are used for structural remodeling, whereas lower temperatures achieves other responses without appreciable remodeling.
PCT/US2003/001568 2002-01-15 2003-01-15 System and method providing directional ultrasound therapy to skeletal joints WO2003059437A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP03707439A EP1465701A4 (en) 2002-01-15 2003-01-15 System and method providing directional ultrasound therapy to skeletal joints
AU2003209287A AU2003209287A1 (en) 2002-01-15 2003-01-15 System and method providing directional ultrasound therapy to skeletal joints

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US34920702P 2002-01-15 2002-01-15
US60/349,207 2002-01-15
US35182702P 2002-01-23 2002-01-23
US60/351,827 2002-01-23
US41060302P 2002-09-12 2002-09-12
US60/410,603 2002-09-12
US41140102P 2002-09-16 2002-09-16
US60/411,401 2002-09-16

Publications (2)

Publication Number Publication Date
WO2003059437A2 WO2003059437A2 (en) 2003-07-24
WO2003059437A3 true WO2003059437A3 (en) 2004-07-22

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/001568 WO2003059437A2 (en) 2002-01-15 2003-01-15 System and method providing directional ultrasound therapy to skeletal joints

Country Status (4)

Country Link
US (8) US7211055B2 (en)
EP (1) EP1465701A4 (en)
AU (1) AU2003209287A1 (en)
WO (1) WO2003059437A2 (en)

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US20190118005A1 (en) 2019-04-25
US10272271B2 (en) 2019-04-30
US20110022133A1 (en) 2011-01-27
EP1465701A4 (en) 2008-08-13
US20030216721A1 (en) 2003-11-20
US20060241576A1 (en) 2006-10-26
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AU2003209287A8 (en) 2003-07-30
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US20150141876A1 (en) 2015-05-21
US7211055B2 (en) 2007-05-01

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