Assembly for imaging and/or treating brain tissue

Patent metadata

Field	Value
Publication number	US-12029652-B2
Application number	US-201816623974-A
Country	US
Kind code	B2
Filing date	Jun 19, 2018
Priority date	Jun 19, 2017
Publication date	Jul 9, 2024
Grant date	Jul 9, 2024

Abstract

An assembly for imaging and/or treating brain tissue, having at least one acoustic window which comprises a plate that is transparent to ultrasonic waves, and at least one positioning marker which facilitates positioning of a probe for generating ultrasonic waves so as to be aligned with said acoustic window.

First claim

The invention claimed is:

1. An assembly for imaging and/or treating a brain tissue comprising:
at least one acoustic window configured to be implanted at an opening arranged into the cranium of a patient, and configured to be covered with the skin of the patient's skull once implanted;
an ultrasonic wave generation probe intended to be positioned in line with the acoustic window,
wherein the acoustic window comprises:
a plate transparent to ultrasonic waves, and
a plurality of positioning marks configured to be locatable through the skin of the patient in order to facilitate the positioning of the probe in line with said acoustic window,
each of the plurality of positioning marks being configured to return a reflection time detectable by the ultrasonic wave generation probe; and

a processing unit communicatively connected to the ultrasonic wave generation probe, the processing unit being configured to:
determine which of the plurality of positioning marks has been detected based on the reflection time, and
display an instruction to displace the ultrasonic wave generation probe in a specified direction based on which of the plurality of positioning marks has been detected.

2. The assembly according to claim 1 , wherein the plate is composed of a superposition of layers of different materials, said superposition including at least one rigid material layer and at least one flexible material layer.

3. The assembly according to claim 1 , wherein the acoustic window comprises mechanical reinforcements extending at a periphery of the plate.

4. The assembly according to claim 1 , wherein at least one of the plurality of positioning marks is a marker visible by ultrasonography.

5. The assembly according to claim 4 , wherein the marker comprises a plastic echogenic structure visible by ultrasonography.

6. The assembly of claim 1 , wherein each of the plurality of positioning marks comprises a blind hole having a different depth from any other positioning mark of the plurality of positioning marks.

7. The assembly of claim 1 , wherein at least one of the plurality of positioning marks is located at the center of the plate and integrated on or within the plate.

8. An assembly for imaging or treating a brain tissue, the assembly comprising:
at least one acoustic window configured to be implanted at an opening arranged into the cranium of a patient, and configured to be covered with the skin of the patient's skull once implanted;
an ultrasonic wave generation probe intended to be positioned in line with the acoustic window,
wherein the acoustic window comprises a plate transparent to ultrasonic waves, and wherein the plate comprises:
a first plurality of positioning marks detectable by ultrasonography, and
a second plurality of positioning marks detectable by magnetic resonance imaging (MRI),
each of the first plurality of positioning marks being configured to return a reflection time detectable by the ultrasonic wave generation probe; and

a processing unit communicatively connected to the ultrasonic wave generation probe, the processing unit being configured to:
determine which of the first plurality of positioning marks has been detected based on the reflection time, and
display an instruction to displace the ultrasonic wave generation probe in a specified direction based on which of the first plurality of positioning marks has been detected.

9. The assembly according to claim 8 , wherein each positioning mark of the first plurality of positioning marks comprises:
a substrate having a first acoustic impedance, and
an element having a second acoustic impedance, wherein the element is at a depth within the substrate, wherein the depth of the element is different for each positioning mark of the first plurality of positioning marks.

10. The assembly according to claim 8 , wherein each positioning mark of the first plurality of positioning marks comprises a blind hole having a different depth from any other positioning mark of the first plurality of positioning marks.

11. A method for imaging or treating a brain tissue of a patient, the method comprising:
detecting, by operating an ultrasound device in a first mode of operation, a first positioning mark of a plurality of positioning marks integrated in an acoustic window implanted at an opening in the cranium of the patient, wherein the acoustic window is covered with the skin of the patient's skull, wherein the acoustic window comprises a plate transparent to ultrasonic waves, wherein the plurality of positioning marks are detectable by ultrasonography, and wherein each of the positioning marks comprises a blind hole having a different depth from any other positioning mark of the plurality of positioning marks;
determining, based on a reflection time corresponding to the positioning mark, which positioning mark of the plurality of positioning marks has been detected;
displaying, based on the determining, an instruction to displace the ultrasound device in a specified direction;
after detecting, by the ultrasound device, all positioning marks of the plurality of positioning marks, sending an instruction to maintain the ultrasound device in a stationary position; and
applying, by the ultrasound device operating in a second mode of operation, ultrasonic waves to the patient, wherein the second mode of operation corresponds to an imaging mode or a treating mode.

12. The method of claim 11 , wherein the first mode is a location mode.

13. The method of claim 12 , wherein the location mode is an A-mode ultrasonography.

14. The method of claim 11 , wherein after detecting, by the ultrasound device, all positioning marks of the plurality of positioning marks, the method further comprises:
removing the ultrasound device;
applying a transmission gel onto the patient above the acoustic window based on the detected plurality of positioning marks; and
re-positioning the ultrasound device in line with the acoustic window.

Assignees

• Hopitaux Paris Assist Publique
• Univ Sorbonne
• Carthera

Inventors

• Carpentier Alexandre
• Bouchoux Guillaume
• Canney Michael
• Lacoste Francois

Classifications

• A61B2090/3925

  ultrasonic · CPC title

• A61B8/4281

  characterised by sound-transmitting media or devices for coupling the transducer to the tissue · CPC title

• A61B90/39

  Markers, e.g. radio-opaque or breast lesions markers · CPC title

• A61B2090/3962

  palpable · CPC title

• A61N2007/0052

  using the same transducer for therapy and imaging · CPC title