US20090216159A1 - Method and system for combined ultrasound treatment - Google Patents

Abstract

A non-invasive method and system for combined ultrasound treatment are provided. An exemplary combined ultrasound treatment system comprises a transducer configured to deliver ultrasound energy to provide two or more energy effects to a region of interest. The energy effects facilitate the initiation of one or more responses in the region of interest. In accordance with an exemplary embodiment of the present invention, a transducer is configured to deliver energy over varying temporal and/or spatial distributions in order to provide energy effects and initiate responses in a region of interest.

Description

CROSS REFERENCE TO RELATED APPLICATIONS
• This application is a continuation of and claims priority to U.S. patent application Ser. No. 10/950,112, filed Sep. 24, 2004, which is incorporated by reference herein.
FIELD OF INVENTION
• This invention generally relates to a therapeutic ultrasound method and system, and more particularly, to a method and system for combined ultrasound treatment.
BACKGROUND
• Many conventional applications of energy to superficial human tissue employ ablative or non-ablative lasers, radio frequency, or ultrasound. Some recent examples of such applications include that disclosed in Knowlton, U.S. Pat. No. 6,381,498 (using radio-frequency (RF), microwave or ultrasound for wrinkle reduction), in Friedman, U.S. Pat. No. 6,626,854 (employing ultrasound for lipolysis), and in Klopotek, U.S. Pat. Nos. 6,113,559 and 6,325,769 (employing ultrasound for collagen reformation). While surface ablative lasers cause severe trauma to the upper layer of the skin, such as dermis and stratum corneum, and realize a long recovery time and eventual rejuvenation of the skin, the medical efficacy and results are significant. Non-ablative lasers and RF energy sources do not cause significant trauma to the upper surface of the skin, but the efficacy of such sources is low, and with the end results being less than satisfactory.
• During the last decade attempts have been made to use ultrasound in lipolysis procedures for volumetric ablation of the deep fat layer. While laboratory results of such investigative attempts may show potential promise of fat destruction in volume, the objective of such ultrasound procedures is solely to reduce the thickness of the fat layer rather than any rejuvenation of the initial superficial layer.
• Currently, some suggested therapy methods aim at collagen reformation as a primary target for reducing wrinkles in the skin, including the use of connective tissue regeneration as a primary target and biological response. However, specific targeting of collagen reformation may not be the only or even a critical factor in tissue rejuvenation. For example diode lasers and intense pulsed light (IPL), which can target collagen with very high specificity, are generally yielding mixed or low efficacy results. Moreover, RF energy deposition is generally volumetric with a high gradient toward the applicator probe and has difficulties with the selectivity and placement of the energy that fundamentally is dependent on the electrical impedance of the treated tissue.
SUMMARY
• In accordance with various aspects of the present invention, a non-invasive method and system for combined ultrasound treatment are provided. An exemplary combined ultrasound treatment method and system comprises a transducer configured to deliver ultrasound energy to provide two or more energy effects to a region of interest. The energy effects facilitate the initiation of one or more responses in the region of interest.
• In accordance with an exemplary embodiment of the present invention, a transducer is configured to deliver energy over varying temporal and/or spatial distributions in order to provide energy effects and initiate responses in a region of interest. For example, an exemplary transducer is operated under one or more frequency ranges to provide two or more energy effects and initiate one or more responses in the region of interest. In addition, the transducer can also be configured to deliver planar, defocused and/or focused energy to a region of interest to provide two or more energy effects and to initiate one or more biological responses.
BRIEF DESCRIPTION OF THE DRAWING FIGURES
• The subject matter of the invention is particularly pointed out and distinctly claimed in the concluding portion of the specification. The invention, however, both as to organization and method of operation, may best be understood by reference to the following description taken in conjunction with the claims and the accompanying drawing figures, in which like parts may be referred to by like numerals:
• FIG. 1 illustrates a block diagram of an exemplary combined ultrasound treatment system in accordance with an exemplary embodiment of the present invention;
• FIG. 2 illustrates a block diagram of an exemplary combined ultrasound treatment system in accordance with an exemplary embodiment of the present invention;
• FIG. 3 illustrates a cross-sectional diagram of an exemplary transducer in accordance with an exemplary embodiment of the present invention;
• FIGS. 4A,4B,4C and4D illustrate cross-sectional diagrams of an exemplary transducer for imaging in accordance with various exemplary embodiments of the present invention;
• FIG. 5 is an exemplary embodiment of a transducer configured as a two-dimensional array for ultrasound treatment; and
• FIGS. 6A,6B and6C are flowcharts of methods for combined ultrasound treatment in accordance with exemplary embodiments of the present invention.
DETAILED DESCRIPTION
• The present invention may be described herein in terms of various components and processing steps. It should be appreciated that such components and steps may be realized by any number of hardware components configured to perform the specified functions. For example, the present invention may be configured with various medical treatment devices, visual imaging and display devices, input terminals and the like, which may carry out a variety of functions under the control of one or more control systems or other control devices. In addition, the present invention may be practiced in any number of medical or treatment contexts and that the exemplary embodiments relating to a method and system for combined ultrasound treatment as described herein are merely a few of the exemplary applications for the invention. For example, the principles, features and methods discussed may be applied to any medical or other tissue or treatment application.
• In accordance with various aspects of the present invention, a non-invasive method and system for combined ultrasound treatment are provided. An exemplary therapeutic method and system comprise a transducer system configured to deliver one or more energy fields to one or more regions of interest within a patient. The energy field or fields may provide two or more effects to initiate one or more responses to the region or regions of interest.
• For example, with reference to an exemplary embodiment illustrated inFIG. 1, anexemplary system100 for combined ultrasound treatment includes atransducer102 that can be configured viacontrol system112 to provide one ormore energy fields104 to achieve two or morebiological effects106 for rejuvenation and/or treatment of a region of interest (ROI)110.Effects104 can initiate and/or stimulate two or morebiological responses108 withinROI110.
• For example, a combined ultrasound treatment system may be achieved by providing ultrasound treatment under various temporal and/or spatial regimes to initiate and combine a plurality of biological effects to provide one or more responses to a region or regions of interest. By providing ultrasound treatment under various temporal and/or spatial regimes,energy fields104 can comprise ultrasound energy of any acoustic frequency level. For example,energy fields104 can comprise a low frequency acoustical energy, an increased intensity homogeneous or uniform ultrasound field of energy, a high-frequency acoustical energy, ultra-high frequency acoustical energy, and/or any other level of acoustical energy. Selecting the frequency for operation can be based on the type of treatment desired for an application.Energy fields104 can also be focused, defocused, and/or made substantially planar by transducer102 to provide a plurality ofeffects106. For example, a substantiallyplanar energy field104 can provide a heating and/or pretreatment effect, a focusedenergy field104 can provide an ablative or hyperthermal effect, and a defocused energy field can provide diffused heating effects.
• Effects106 can comprise any tissue effect configured for initiating and/or stimulating two or morebiological responses108 inROI110, including but not limited to, thermal and non-thermal streaming, cavitational (including stable cavitation by low level ultrasound of 0.1 to 1 W/cm²in the megahertz frequency range), hydrodynamic, ablative, hemostatic, diathermic, and/or resonance-induced tissue effects. A combination of two or more effects to produce one or more responses can produce a higher efficacy and faster rejuvenation of the skin without causing chronic injury to the human tissue. For example, a combination of variable temporal and/or spatial depositions of ultrasound energy can be provided to tissue underneath the stratum corneum without chronic injury to epidermis and stratum corneum.
• Response(s)108 initiated and/or stimulated byeffects106 can include any biological response initiated and/or stimulated by energy effects, such as, for example: 1) hemostasis, including that stimulated from highly concentrated ultrasound beams, 2) subsequent revascularization/angiogenesis, such as that generated from high frequency applications of approximately 2 MHz to 7 MHz or more, 3) growth of interconnective tissue, 4) reformation and/or ablation of existing tissue such as fat, collagen and others, 5) increased cell permeability that may facilitate the possibility of stimulated gene or medication therapy to tissue, and/or increased permeability of certain tissues to a variety of medications initiated by ultrasound frequencies 10 kHz to 10 MHz, 6) enhanced delivery and/or activation of medicants, 7) stimulation of protein synthesis and/or 8) any other possible tissue response such as coagulative necrosis. Exemplary ablative responses of focused ultrasound are demonstrated in U.S. Pat. Nos. 6,050,943 and 6,500,121, having at least one common inventor and a common Assignee as the present application. Thus, for example, a low intensity dispersed ultrasound field can be generated to provide for angiogenesis, an increased intensity homogeneous or uniform ultrasound field can be generated to provide for diathermy that increases the rate of healing and rejuvenation, and/or high intensity focused and/or unfocused beams can be generated to provide for temporary ablative and hemostatic effects in a variety of depth and positions of human tissue, whereby a summation or a combined effect of rejuvenation is created by combining ultrasound energy fields.
• In providing treatment,transducer102 may provide therapy, imaging and/or temperature or other tissue parameter monitoring to a region ofinterest110. Region ofinterest110 can comprise an inner treatment region, a superficial region, a subcutaneous region of interest and/or any other region of interest in between an inner treatment region, a superficial region, and/or a subcutaneous region within a patient. While only one region ofinterest110 is depicted,transducer102 may be configured to treat a plurality of regions of interest.
• For example, an exemplary combined transducer system can comprise a transducer configured to provide highly concentrated ultrasound energy to provide effects that initiate and/or stimulate a hemostasis response. An exemplary combined transducer system can also comprise a transducer configured to provide medium frequency range ultrasound energy, ranging from approximately 2 MHz to 7 MHz, to provide effects that initiate and/or stimulate responses such as additional revascularization/angiogenesis treatment, among others. The exemplary therapeutic transducer system can also comprise a transducer configured to deliver energy that provides a non-thermal streaming effect to initiate and/or stimulate a tissue regeneration response. In addition, a transducer may also be configured to initiate and/or stimulate a stable cavitation response through by effects provided from the delivery of low-level ultrasound energy.
• Transducer102 can comprise one or more transducers configured for facilitating treatment.Transducer102 can also comprise one or more transduction elements. The transduction elements can comprise a piezoelectrically active material, such as lead zirconante titanate (PZT), or any other piezoelectrically active material, such as a piezoelectric ceramic, crystal, plastic, and/or composite materials, as well as lithium niobate, lead titanate, barium titanate, and/or lead metaniobate. In addition to, or instead of, a piezoelectrically active material,transducer102 can comprise any other materials configured for generating radiation and/or acoustical energy such as capacitively coupled transducers or other acoustic sources.Transducer102 can also comprise one or more matching and/or backing layers configured along with the transduction element such as coupled to the piezoelectrically active material.Transducer102 can also be configured with single or multiple damping elements along the transduction element.
• In accordance with an exemplary embodiment, the thickness of the transduction element oftransducer102 can be configured to be uniform. That is, the transduction element can be configured to have a thickness that is substantially the same throughout.
• In accordance with another exemplary embodiment, the transduction element can also be configured with a variable thickness, and/or as a multiple damped device. For example, the transduction element oftransducer102 can be configured to have a first thickness selected to provide a center operating frequency of a lower range, for example from approximately 1 kHz to 3 MHz. The transduction element can also be configured with a second thickness selected to provide a center operating frequency of a higher range, for example from approximately 3 to 100 MHz or more.
• Transducer102 can be configured as a single broadband transducer excited with at least two or more frequencies to provide an adequate output for generating a desiredresponse108.Transducer102 can also be configured as two or more individual transducers, wherein each transducer comprises a transduction element. The thickness of the transduction elements can be configured to provide center-operating frequencies in a desired treatment range. For example,transducer102 can comprise a first transducer configured with a first transduction element having a thickness corresponding to a center frequency range of approximately 1 MHz to 3 MHz, and a second transducer configured with a second transduction element having a thickness corresponding to a center frequency of approximately 3 MHz to 100 MHz or more. Various other ranges of thickness for a first and/or second transduction element can also be realized.
• Anexemplary transducer102 can be suitably controlled and operated in various manners. For example, with reference to an exemplary embodiment depicted inFIG. 2, an exemplary combined ultrasound treatment system200 may comprise acontrol system208 coupled to atransducer202.Control system208 may be configured to facilitate control and operation oftransducer202 for providing combined ultrasound treatment to a region ofinterest210. To facilitate controlled movement, in accordance with an exemplary embodiment,control system208 may also be configured with a motion control andposition encoding system212 configured to facilitate mechanical scanning bytransducer202 for providing more flexible ultrasound treatment of a region ofinterest210. Motion control andposition encoding system212 can comprise any conventional motion control system, with various types of feedback arrangements in addition to or instead of position encoding. For example, motion control andposition encoding system212 can also comprise one or more feedback configurations or sources of information as disclosed in U.S. patent application “System and Method for Variable Depth Ultrasound Treatment”, filed on Sep. 15, 2004, having at least one common inventor and a common Assignee as the present application, and incorporated herein by reference. The position-encoding configuration can comprise any position encoder system now known or hereinafter devised.
• Control system208 may comprise a processor, a display, and/or one or more input devices. The processor may comprise a personal computer, a Unix system, or any other conventional processing unit. An exemplary display may comprise a monitor, LCD screen, or any other device configured to display an image. The exemplary display may be configured to provide imaging in any manner now known or hereinafter devised. For example,transducer202 may use pulse-echo imaging to obtain an image of aROI210. That image may then be transmitted to the display via one or more coupling mechanisms.
• An input/output device may comprise a keyboard, a mouse, a touch-screen, or any other device for the input and/or output of information. The information from the input device and images displayed may be received or transmitted in any format, such as manually, by analog device, by digital device, and/or by any other mechanisms. The various devices ofcontrol system208, including any processor, display, and/or input device, can be coupled together in any manner. By coupling, the various devices may be directly connected to each other or may be connected through one or more other devices or components that allow a signal to travel to/from one component to another. The various coupling components for the devices comprisingcontrol system208 can include but are not limited to the internet, a wireless network, a conventional wire cable, an optical cable or connection through air, water, or any other medium that conducts signals, and any other coupling device or medium.
• Control system208 can also be coupled totransducer202 in various manners. In accordance with an exemplary embodiment, electrical leads may couple together controlsystem208 andtransducer202. The electrical leads may be configured to enable power to be transmitted to and signals received fromtransducer202, and can comprise any wiring type, configuration and/or arrangement for use with ultrasound transducers.Transducer202 may also be coupled to electrical leads in various manners. For example, whileFIG. 2 depicts electrical leads coupled to only one end oftransducer202, electrical leads may also be coupled together on an opposite end, or any other location alongtransducer202.Control system208 may also be configured integral totransducer202, for example connected together as a single structure with suitable electrical and/or transmission connections in between.
• To facilitate coupling oftransducer202 to region ofinterest210,transducer202 can further comprise acoupling system204 configured for acoustic coupling of ultrasound energy and signals.Coupling system204 may facilitate such coupling through use of various coupling mediums, including air and other gases, water and other fluids, gels, solids, and/or any combination thereof, or any other medium that allows for signals to be transmitted betweentransducer202 and region ofinterest210. In addition to providing a coupling function, in accordance with an exemplary embodiment,coupling system204 can also be configured for providing temperature control during the treatment application. For example,coupling system204 can be configured for controlled cooling of an interface surface or region betweentransducer202 and region ofinterest210 by suitably controlling the temperature of the coupling medium. The suitable temperature for such coupling medium can be achieved in various manners, and utilize various feedback systems, such as thermocouples, thermistors or any other device or system configured for temperature measurement of a coupling medium. Such controlled cooling can be configured to further facilitate spatial and/or thermal energy control of combined ultrasound treatment system200.
• As discussed above, anexemplary transducer202 can be configured in various manners for providing combined ultrasound treatment to a region-of-interest210. For example, with reference to an exemplary embodiment depicted inFIG. 3,transducer302 can be configured as an acoustic array to facilitate phase focusing. That is,transducer302 can be configured as an array of electronic apertures that may be operated by a variety of phases via variable electronic time delays. By the term “operated,” the electronic apertures oftransducer302 may be manipulated, driven, used, and/or configured to produce and/or deliver an energy beam corresponding to the phase variation caused by the electronic time delay. For example, these phase variations can be used to deliver defocused beams, planar beams, and/or focused beams, each of which may be used in combination to achieve different physiological effects in region of interest (ROI)310.Transducer302 may additionally be configured with any software and/or other hardware for generating, producing and or driving a phased aperture array with one or more electronic time delays.
• Transducer302 can be configured to produce and/or deliver lower and/or higher frequencies to treatROI310.ROI310 can also comprise one or more additional regions of interest. For example,ROI310 can comprise asuperficial layer312, asubcutaneous layer314, and/or aninner region322 of a patient.ROI310 can also comprise any area betweensuperficial layer312 andinner region322 or betweensubcutaneous layer314 andinner region322.Inner region322 is located at adepth324 within tissue layers of a patient. For example,depth324 can range from approximately 0 mm to 40 mm within a patient, wherein the approximately 0 mm range comprises the outer surface ofsuperficial layer312 of the patient. In other words,superficial layer312 of the patient can comprise any area on or near the surface of the patient. Treatment bytransducer302 may include treatment of any of superficial, subcutaneous and/or inner region of a patient, as well as any combination of those regions of a patient. In accordance with one exemplary embodiment, treatment offirst ROI310 may be facilitated by use oftransducer302 driven at low frequencies, for example, from approximately 1 MHz to 3 MHz.
• With reference again to an exemplary embodiment depicted inFIG. 3,transducer302 may also be configured to treat one or more additional regions of interest (ROI)320. In accordance with an exemplary embodiment,additional ROI320 may be located withinROI310. Treatment ofadditional ROI320 may be facilitated by use oftransducer302 operating from low to ultra-high frequencies, for example, from below approximately 3 MHz up to 100 MHz or more. WhileFIG. 3 depictsadditional ROI320 located withininner region322, in accordance with other exemplary embodiments,additional ROI320 may be located anywhere withinfirst ROI310, including withininner region322,superficial region312 and/orsubcutaneous region314.
• By treatment ofROI310, with momentary reference again toFIG. 1,transducer302 may be configured to deliver one ormore energy fields104 to provide a plurality ofeffects106 to initiate and/or stimulate one or morebiological responses108, such as, for example, diathermy, hemostasis, revascularization, angiogenesis, growth of interconnective tissue, tissue reformation, ablation of existing tissue, protein synthesis and/or enhanced cell permeability. Two or more of these biological responses may be combined to facilitate rejuvenation and/or treatment of superficial tissue.Transducer302 may also be configured for imaging and/or temperature or other tissue parameter monitoring ofROI310 in order to facilitate optimal treatment results.
• Transducer302 can also be configured to provide focused treatment to one or more regions of interest using moderate frequencies, ranging from approximately 750 kHz to 10 MHz. In order to provide focused treatment,transducer302 can be configured with one or more variable depth devices to facilitate treatment. For example,transducer302 may be configured with variable depth devices disclosed in U.S. patent application entitled “System and Method for Variable Depth Ultrasound”, filed on Sep. 15, 2004, having at least one common inventor and a common Assignee as the present application, and incorporated herein by reference. In addition,transducer302 can also be configured to treat one or moreadditional ROI320 through the enabling of sub-harmonics or pulse-echo imaging, as disclosed in U.S. patent application, entitled “Method and System for Ultrasound Treatment with a Multi-directional Transducer”, filed on Sep. 15, 2004, having at least one common inventor and a common Assignee as the present application, and also incorporated herein by reference.
• Moreover, any variety of mechanical lenses or variable focus lenses, e.g. liquid-filled lenses, may also be used to focus and or defocus the sound field. For example, with reference to exemplary embodiments depicted inFIGS. 4A and 4B,transducer402 may also be configured with an electronic focusingarray404 in combination with one ormore transduction elements406 to facilitate increased flexibility in treatingROI410.Array404 may be configured in a manner similar totransducer302. That is,array404 can be configured as an array of electronic apertures that may be operated by a variety of phases via variable electronic time delays, for example, τ₁, τ₂, τ₃. . . τ_j. By the term “operated,” the electronic apertures ofarray404 may be manipulated, driven, used, and/or configured to produce and/or deliver energy in a manner corresponding to the phase variation caused by the electronic time delay. For example, these phase variations can be used to deliver defocused beams, planar beams, and/or focused beams, each of which may be used in combination to achieve different physiological effects inROI410.
• Transduction elements406 may be configured to be concave, convex, and/or planar. For example, in an exemplary embodiment depicted inFIG. 4A,transduction elements406A are configured to be concave in order to provide focused energy for treatment of ROI410A. Additional embodiments are disclosed in U.S. patent application, entitled “Variable Depth Transducer System and Method”, and again incorporated herein by reference.
• In another exemplary embodiment, depicted inFIG. 4B,transduction elements406B can be configured to be substantially flat in order to provide substantially uniform energy to ROI410B. WhileFIGS. 4A and 4B depict exemplary embodiments withtransduction elements404 configured as concave and substantially flat, respectively,transduction elements404 can be configured to be concave, convex, and/or substantially flat. In addition,transduction elements404 can be configured to be any combination of concave, convex, and/or substantially flat structures. For example, a first transduction element can be configured to be concave, while a second transduction element can be configured to be substantially flat.
• With reference toFIGS. 4C and 4D,transducer402 can also be configured as an annular array to provide planar, focused and/or defocused acoustical energy. For example, in accordance with an exemplary embodiment, anannular array400 can comprise a plurality ofrings412,414,416 toN. Rings412,414,416 to N can be mechanically and electrically isolated into a set of individual elements, and can create planar, focused, or defocused waves. For example, such waves can be centered on-axis, such as by methods of adjusting corresponding transmit and/or receive delays, τ₁, τ₂, τ₃. . . τ_N. An electronic focus can be suitably moved along various depth positions, and can enable variable strength or beam tightness, while an electronic defocus can have varying amounts of defocusing. In accordance with an exemplary embodiment, a lens and/or convex or concave shapedannular array400 can also be provided to aid focusing or defocusing such that any time differential delays can be reduced. Movement ofannular array400 in one, two or three-dimensions, or along any path, such as through use of probes and/or any conventional robotic arm mechanisms, may be implemented to scan and/or treat a volume or any corresponding space within a region of interest.
• In accordance with another exemplary embodiment,transducer202 may be suitably diced in two-dimensions to form a two-dimensional array. For example, with reference toFIG. 5, an exemplary two-dimensional array500 can be suitably diced into a plurality of two-dimensional portions502. Two-dimensional portions502 can be suitably configured to focus on the treatment region at a certain depth, and thus providerespective slices504 of the treatment region. As a result, the two-dimensional array500 can provide a two-dimensional slicing of the image place of a treatment region, thus providing two-dimensional treatment.
• In accordance with another exemplary embodiment,transducer202 may be suitably configured to provide three-dimensional treatment. For example, to provide-three dimensional treatment of a region of interest, with reference again toFIG. 2, a three-dimensional system can comprisetransducer202 configured with an adaptive algorithm, such as, for example, one utilizing three-dimensional graphic software, contained in a control system, such ascontrol system208. The adaptive algorithm is suitably configured to receive two-dimensional imaging and temperature information relating to the region of interest, process the received information, and then provide corresponding three-dimensional imaging and temperature information. For example,transducer202 may be configured with a 3D imaging and monitoring system as disclosed in U.S. patent application Ser. No. 10/193,491, entitled “Imaging, Therapy & Temperature Monitoring Ultrasonic System”, filed on Jul. 10, 2002, as well as disclosed in U.S. Pat. No. 6,036,646, entitled “Imaging, Therapy & Temperature Monitoring Ultrasonic System”, also having at least one common inventor and a common Assignee as the present application, and both incorporated herein by reference.
• In accordance with an exemplary embodiment, with reference again toFIG. 5, an exemplary three-dimensional system can comprise a two-dimensional array500 configured with an adaptive algorithm to suitably receive 504 slices from different image planes of the treatment region, process the received information, and then providevolumetric information506, e.g., three-dimensional imaging and temperature information. Moreover, after processing the received information with the adaptive algorithm, the two-dimensional array500 may suitably provide therapeutic heating to thevolumetric region506 as desired.
• Alternatively, rather than utilizing an adaptive algorithm, such as three-dimensional software, to provide three-dimensional imaging and/or temperature information, an exemplary three-dimensional system can comprisetransducer202 configured within a probe arrangement to operate from various rotational and/or translational positions relative to a target region. For example,transducer202 may be configured with a probe configuration, e.g., a manually operated or motorized probe configuration, as disclosed in U.S. Pat. No. 6,036,646, entitled “Imaging, Therapy & Temperature Monitoring Ultrasonic System”, having some common inventors and a common Assignee as the present application, and incorporated herein by reference. In addition to and/or alternatively,transducer202 may be configured with a 3D probe device disclosed in U.S. Provisional Application No. 60/570,145, entitled “3D Data Acquisition Device for Ultrasound,” filed on May 12, 2004, and incorporated herein by reference.
• Irrespective of the type of transducer system utilized, the size of any acoustic single and/or two-dimensional arrays, individual transducer elements, and single or multiple elements may comprise a variety of sizes to achieve the desired acoustic field distributions, such as for example from a fraction of an acoustic wavelength in size, e.g., one that radiates sound and/or ultrasound over a broad angle, up to acoustic sources that are many wavelengths in breadth, e.g., one that projects sound and/or ultrasound in a more forward directional manner.
• Moreover, the physiological effects created in tissue by the exemplary combined ultrasound systems are not only affected by the spatial distribution of energy, but also the temporal, e.g., time-varying, characteristics. Thus, each array, two-dimensional array, or single element or other transducer may also be 1) used at various transmit frequencies, such as from 20 kHz to 100 MHz, or even with single broadband pulses of energy, 2) used with varied transmit pulse lengths from a millisecond to continuous wave, e.g., for seconds, minutes, or longer, 3) used with varied pulse duty cycle from almost zero percent ON time to 100% ON time, and/or 4) used with various transmit power levels from microwatts to kilowatts, depending on the total desired energy and acoustic intensity levels.
• Through operation of ultrasound system200, a method for combined ultrasound treatment can be realized that can facilitate effective and efficient therapy without creating chronic injury to human tissue. For example, with reference toFIGS. 6A,6B and6C, exemplary flowcharts illustrate methods for combined ultrasound treatment in accordance with various exemplary embodiments of the present invention. With particular reference to an exemplary method illustrated inFIG. 6A, a user may use a transducer to deliver energy (step601) to a region of interest. As used herein, the term user may include a person, employee, doctor, nurse, and/or technician, utilizing any hardware and/or software of other control systems. By delivering energy, the transducer may be driven at a selected frequency, a phased array may be driven with certain temporal and/or spatial distributions, a transducer may be configured with one or more transduction elements to provide focused, defocused and/or planar energy, and/or the transducer may be configured and/or driven in any other ways hereinafter devised. Selection of the energy field for operation can be based on the type of effects and/or responses desired for an application.
• The energy delivered instep601 may provide two or more energy effects (step603) to a region of interest. An energy effect may be any effect described herein. The energy effects, in turn, may stimulate and/or initiate one or more responses (step605) to the region of interest. The response(s) may be any response described herein. Accordingly, two or more energy effects may provide a single response, two or more energy effects may provide two or more responses to provide treatment of a region of interest, and/or two or more energy effects may provide two or more responses that may be combined (step650) into a single response to facilitate overall rejuvenation and treatment to the region of interest.
• While an exemplary method for combined ultrasound treatment can be realized in the preceding series ofsteps601,603,605 and650, an exemplary method for combined ultrasound treatment may be achieved through any of the steps being performed in any order. For example, with reference to an exemplary flowchart illustrated inFIG. 6B, a user may use a transducer to deliver energy (step611) to a region of interest. The energy may be delivered through a phase array with certain temporal and/or spatial distributions, through a transducer configured with one or more transduction elements to provide focused, defocused and/or planar energy, and/or through a transducer configured and/or driven any other way described herein and/or hereinafter devised. The energy may be used to provide a first energy effect (step613) to a region of interest. The first effect may be any effect described herein. The first effect, in turn, may initiate and/or stimulate a first response (step615) to a region of interest. The first response may be any response described herein.
• The transducer may also be configured to deliver energy again (step617) to provide a second energy effect (step619) to the same and/or different region of interest, initiating and/or stimulating a second response or combining with the first energy effect to provide the first response (step621) to the same and/or different region of interest. By delivering energy for a second time, the transducer may be driven at the same frequency as instep611 and/or at a different frequency than that ofstep611. The second effect and second response may be any effect and response described herein. The first and second effects and/or responses may occur instantaneously and/or may develop over a longer duration period, such as, for example, one week, with one or more delay periods in between. In the event that the first and second effect produce two or more responses, the two or more of the responses may also be combined (step650) to facilitate overall rejuvenation and treatment to the region of interest.
• Another example of an exemplary method for combined ultrasound treatment is illustrated inFIG. 6C. A user may use a transducer to deliver one or more energy fields (step631) to a region of interest. By delivering energy, the transducer may be driven at a certain frequency, a phase array may be driven with certain temporal and/or spatial distributions, a transducer may be configured with one or more transduction elements to provide focused, defocused and/or planar energy, and/or the transducer may be configured and/or driven any other ways hereinafter devised. The energy fields may be delivered simultaneously, the energy may be delivered at delayed and/or overlapping times, and/or the energy may be delayed at different times altogether.
• Each energy field delivered may provide one or more energy effects (step633) to a region of interest. The energy effects may be any effects described herein. Each energy effect may initiate and/or stimulate and provide and/or combine one or more responses (step635) to the same and/or a different region of interest. The responses may be any response described herein. The energy effects and/or responses may occur instantaneously, simultaneously, and/or may develop over a longer duration period, such as, for example, one week. Two or more of the responses may be combined (step650) to facilitate overall rejuvenation and treatment to the region of interest. While the present invention describes a method for combined ultrasound treatment in the preceding series of steps, the method of the present invention may be achieved through any of the steps being performed in any order.
• The present invention has been described above with reference to various exemplary embodiments. However, those skilled in the art will recognize that changes and modifications may be made to the exemplary embodiments without departing from the scope of the present invention. For example, the various operational steps, as well as the components for carrying out the operational steps, may be implemented in alternate ways depending upon the particular application or in consideration of any number of cost functions associated with the operation of the system, e.g., various of the steps may be deleted, modified, or combined with other steps. Further, it should be noted that while the method and system for combined ultrasound treatment with a transducer is described above is suitable for use by a medical practitioner proximate the patient, the system can also be accessed remotely, i.e., the medical practitioner can view through a remote display having imaging information transmitted in various manners of communication, such as by satellite/wireless or by wired connections such as IP or digital cable networks and the like, and can direct a local practitioner as to the suitably placement for the transducer. These and other changes or modifications are intended to be included within the scope of the present invention, as set forth in the following claims.

Claims (20)

1. A method for treating a patient, the method comprising:

coupling a transducer to a region of interest in the patient, said transducer configured to provide at least two energy effects to said region of interest;

providing said at least two energy effects from said transducer to said region of interest, said at least two energy effects include at least two of a thermal effect, an ablative effect, a hemostatic effect, a cavitational effect, a hydrodynamic effect, a non-thermal effect, and a resonance induced effect; and

facilitating at least one response in said region of interest.

2. The method according toclaim 1, further comprising emitting a first ultrasound energy and a second ultrasound energy from said transducer into said region of interest.

3. The method according toclaim 2, further comprising providing a delay between said emitting said first ultrasound energy and said second ultrasound energy from said transducer into said region of interest.

4. The method according toclaim 1, further comprising imaging said region of interest.

5. The method according toclaim 1, further comprising monitoring said region of interest.

6. The method according toclaim 1 wherein said at least two energy effects are a thermal effect and a non-thermal effect.

7. The method according toclaim 1 wherein said at least one response is at least one of hemostasis, revascularization, angiogenesis, growth of an interconnective tissue, tissue reformation, ablation of existing tissue, collagen reformation, enhanced delivery a medicant, activation of a medicant, stimulation of protein synthesis, and increased cell permeability.

8. A method for treating a patient, said method comprising:

emitting ultrasound energy at a first frequency range to provide a first energy effect comprising a thermal effect in a region of interest of the patient;

providing a delay period;

emitting ultrasound energy at a second frequency to provide a second energy effect distinct from and independent of said first energy effect.

9. The method according toclaim 8, further comprising producing a first response in said region of interest before said providing a delay period.

10. The method according toclaim 9 wherein said first response is at least one of hemostasis, revascularization, angiogenesis, growth of an interconnective tissue, tissue reformation, ablation of existing tissue, collagen reformation, enhanced delivery a medicant, activation of a medicant, stimulation of protein synthesis, and increased cell permeability.

11. The method according toclaim 8, further comprising producing a second response in said region of interest after said providing a delay period.

12. The method according toclaim 11 wherein said second response is at least one of hemostasis, revascularization, angiogenesis, growth of an interconnective tissue, tissue reformation, ablation of existing tissue, collagen reformation, enhanced delivery a medicant, activation of a medicant, stimulation of protein synthesis, and increased cell permeability.

13. The method according toclaim 8, further comprising imaging said region of interest.

14. The method according toclaim 8 wherein said second energy effect is one of a thermal effect, an ablative effect, a hemostatic effect, a cavitational effect, a hydrodynamic effect, a non-thermal effect, and a resonance induced effect.

15. The method according toclaim 8 further comprising producing a first response in said region of interest before said providing a delay period and producing a second response in said region of interest after said providing a delay period, said first response is different from said second response.

16. An ultrasound system configured for providing treatment comprising:

a single ultrasound transducer comprising a first portion providing a first ultrasound energy effect and a second portion providing a second ultrasound energy effect to a region of interest, said first portion and said first ultrasound energy effect are different from said second portion and said second ultrasound energy effect, and said first ultrasound energy effect comprises a thermal effect and said second ultrasound energy effect comprises non-thermal effect; and

a controller coupled to said first portion and to said second portion and configured to operatively control said first portion independently of said second portion, said first energy effect and said second energy effect are configured to effect said region of interest to facilitate at least one response in said region of interest and said controller controller controls said second portion to provide said second energy effect occurs after a delay period after said first energy effect.

17. The system according toclaim 16, further comprising an imaging system coupled to said controller and configured to provide at least one image from data collected by said single ultrasound transducer.

18. The system according toclaim 16, further comprising a coupling system configured for acoustic coupling between said single ultrasound transducer and said region of interest.

19. The system according toclaim 16 wherein said first portion and said second portion simultaneously provide said first energy effect and said second energy effect to achieve a simultaneous response in said region of interest.

20. The system according toclaim 16 wherein said first portion comprises a transduction element configured for low frequency treatment and said second portion comprises a transduction element configured for high-frequency treatment.

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