Siemens Medical Solutions Usa, Inc.

Lex J Garbini

Walter T Wilser

Stephen Roy Barnes

Wilko Gerwin Wilkening

Ricardo Espinosa

Jian Hua Mo

William Robert Dreschel

Douglas Bruce Dull

Vasant Salgaonkar

Mathew Rahimi

For intraluminal ultrasound probes, the transducer is divided into multiple segments. The segments are connected in a way that allows them to slide relative to each other. This sliding arrangement allows for the transducer to be used in two different apertures at different times while in the patient. One aperture is shaped for insertion of the probe through a limited space, and the other aperture forms an array with a larger elevation extent, allowing greater quality imaging along the elevation dimension.

Ultrasound probe with adjustable aperture

A memory alloy is used during manufacture of a transducer. The memory of the alloy may correct for deviations or bending during manufacture, such as a superelastic alloy returning an array to a flat state after being twisted during handling. The memory of the alloy may cause a desired change in array geometry during manufacture, such as a shape memory alloy twisting an array into a curved or helix due to applied heat. The array may be fixed in place by the memory alloy or bonding after positioning by the memory alloy, preventing further substantial alteration.

Manufacture of an acoustic array with a shape alloy

Registration is provided for imaging with an intra-patient probe. The intra-patient probe is used for imaging or the imaging is, at least in part, of the intra-patient probe. Either approach for imaging with an intra-patient probe uses active transitions for registration. In one embodiment, one or more markers in the intra-patient probe are moveable relative to the intra-patient probe, allowing avoidance of occlusions and providing more reliable marker detection for registration. In another embodiment, a value of a parameter for imaging with at least one modality is changed so that acceptable or better registration with an image of another modality may be made. The imaging is repeated with differences, such as field-of-view or scale, allowing for registration for different types of modalities.

Active system and method for imaging with an intra-patient probe

Shape-controllable catheters are provided that are versatile in application and that, in human-imaging applications, minimize or reduce patient discomfort. One such catheter is provided with at least one control wire that extends inside the catheter and a control mechanism for tensioning the control wire to produce in the catheter a humped shape or a cantilevered configuration. Hardness of the catheter may be varied along the length thereof to facilitate desired bending. For example, hardness may be reduced in bend areas. Hardness may be maintained or increased in other areas for performance reasons, for example to maintain planarity of an imaging array.

Shape-controllable catheters and catheter system

A medical ultrasound imaging catheter is stiffened for introduction into the patient. An insert is mated with the array. The insert may stiffen the catheter at the array, avoiding damage due to buckling. The insert is keyed to the array in order to fix the orientation of the array, such as using a support for twisting the array as the key.

Volume ultrasound catheter array support

A catheter is provided for medical ultrasound imaging that can be effectively used in combination with other imaging modalities to detect medical structures of interest as well as the catheter. Markers are added to the catheter with precision, which provides a means to merge the images from different modalities. Using a template, apertures for marker placement are formed in the catheter after creating the catheter housing. The ultrasound array may be used for accurate positioning of the template. Alternatively or additionally, a rigid insert with markers connects with the array. The insert holds the markers in place and may reduce artifacts in ultrasound scanning due to flexing of the array.

Markers for a medical ultrasound imaging catheter

Acoustic array with a shape alloy for medical ultrasound

A catheter is provided for medical ultrasound imaging that can be effectively used in combination with other imaging modalities to detect medical structures of interest as well as the catheter. Markers are added to the catheter which allow more precise location identification of the catheter in the merging of the images from different modalities. Using a template, apertures for marker placement are formed in the catheter after creating the catheter housing. The ultrasound array may be used for accurate positioning of the template. Alternatively or additionally, a rigid insert with markers connects with the array. The insert holds the markers in place and may reduce artifacts in ultrasound scanning due to flexing of the array.

An acoustic array is helical or twisted about or around an azimuth axis. For example, one end of the array has an emitting face at 0 degrees, but the other end has an emitting face at 20 degrees. The elements in between gradually transition between the different rotations. Different apertures of the twisted array may be used to scan different generally radial diverging planes for three-dimensional imaging. The different amount of relative rotation associated with each aperture cause angular elevation spacing of the planes. For use in a catheter, a single row of elements may be used to scan electrically a volume.

Helical acoustic array for medical ultrasound

An ultrasonic imaging tube is provided. A tube body has a longitudinal axis and a circumference. A first transducer array is disposed in the body along the longitudinal axis. A second transducer array is disposed in the body along the longitudinal axis. The first transducer array is substantially parallel with the second transducer array. The first transducer array and the second transducer array are at a first non-zero angle to each other about the longitudinal axis.

Biplane ultrasound imaging and corresponding transducer

Multiple twisted or rotated arrays are provided. For example, a memory alloy may allow manufacture of multiple rows of elements on a flat substrate. The memory of the alloy is activated to twist different rows in different ways, such as two adjacent substantially parallel but oppositely rotated arrays. By selecting different apertures along a given twist, different planes are scanned due to the difference in direction of the elements of the aperture. By selecting different apertures on differently rotated arrays, a larger volume may be scanned.

Multi-twisted acoustic array for medical ultrasound

A remotely controlled medical instrument enhances safety and reliability. The medical instrument may be remotely enabled (unlocked) or disabled (locked). The medical instrument may be intended for limited-use. The medical instrument may be enclosed within a medical packaging and subsequently sterilized. After the medical instrument is determined to meet desired specifications, a remote control device may remotely enable the medical instrument. The remote control device may remotely enable the medical instrument through the sterile barrier and without making direct contact with the medical instrument such that the medical instrument remains sterilized. The non-contact interaction between the medical instrument and the remote control device may be via infrared, electromagnetic, magnetic, or other non-contact communication techniques. The remote control device may remotely disable the medical instrument. The remote controller may transmit a key code to prevent the inadvertent and/or unauthorized enabling or disabling of the limited-use medical device.

Remote enabling/disabling of a limited-use medical device

A transducer array is connected with a catheter housing. As the transducer array is rotated, the catheter housing also rotates. As a result, at least a portion of the catheter housing twists about a longitudinal axis. By applying rotation in a controlled way, such as with a motor, a plurality of two-dimensional images for three-dimensional reconstruction may be obtained. The rotation of the catheter housing may limit the total amount of rotation of the array, such as rotating the array through a 90 degree or less amount of rotation about the longitudinal axis. The housing of the catheter is formed with a soft section. The softer material allows for a greater amount or increased ease for twisting the catheter.

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El Granada, CA, United States of America

Lex J Garbini