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1. WO2011059865 - SYSTÈMES ET PROCÉDÉS POUR DÉSAGRÉGER UNE GRAISSE VISCÉRALE

Note: Texte fondé sur des processus automatiques de reconnaissance optique de caractères. Seule la version PDF a une valeur juridique

[ EN ]

A method of debulking visceral fat within a subject, the method comprising the steps of:

providing a focused ultrasound transducer configured to focus ultrasonic power at a focal spot;

positioning the focused ultrasound transducer with respect to the subject so that the focused ultrasound transducer is enabled to transfer ultrasonic power into the subject;

locating the focal spot of the focused ultrasound transducer with respect to at least one target region containing visceral fat within the subject; and

debulking visceral fat within the target region by applying ultrasonic energy from the focused ultrasound transducer with sufficient power to cause the death of visceral fat tissue within the target region.

The method of claim 1 , wherein the focused ultrasound transducer is a

piezoelectric device.

The method of claim 2, wherein the positioning step includes placing a selected material between the focused ultrasound transducer and the subject; the material having an acoustic impedance substantially similar to that of the subject.

The method of claim 1 , wherein the focused ultrasound transducer is a

Capacitive Micromachined Ultrasound Transducer (CMUT).

The method of claim 4, wherein the positioning step includes a step of aiming the CMUT focused ultrasound transducer at the subject through an air gap.

The method of claims 1 , 2, 3, 4 or 5, wherein the locating step includes use of an internal body tissue imaging system.

The method of claim 6, wherein the locating step includes using the internal body tissue imaging system to locate a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot.

8. The method of claims 6 or 7, wherein the imaging system includes an MR scanner.

9. The method of claim 8, wherein the imaging system employs a step of

measuring proton-resonance frequency shift during the step of locating a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot.

10. The method of claim 8, wherein the imaging system employs a step of

measuring change of longitudinal relaxation time, T1 , during the step of locating a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot.

1 1 . The method of claim 8, wherein the imaging system employs a step of

measuring change in net polarization during the step of locating a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot.

12. The method of claim 7, 8, 9, 10 or 1 1 wherein the locating step includes applying energy from the focused ultrasound transducer at a lower power than during the step of debulking visceral fat.

13. The method of claim 6, 7, 8, 9, 10, 1 1 or 12 further comprising a step of moving the focal spot of the focused ultrasound transducer with respect to the at least one target region containing visceral fat within the subject after or during the locating step.

14. The method of claim 13, wherein the moving step includes physically moving the focused ultrasound transducer with respect to the subject.

15. The method of claim 13, wherein the moving step includes at least one of the steps of changing a relative amplitude of a drive signal of the focused ultrasound transducer and changing a relative phase of the drive signal of focused ultrasound transducer.

16. The method of claim 6, wherein the imaging system includes an ultrasound scanner.

17. The method of claim 6, wherein the imaging system is includes x-ray scanner.

18. The method of claim 1 , 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1 , 12, 13, 14, 15, 16 or 17,

further comprising a step of monitoring application of ultrasonic power during or after the step of debulking visceral fat using an internal body tissue imaging system.

19. The method of claim 18, wherein the monitoring step includes using the internal body tissue imaging system to measure a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot during or after the step of debulking visceral fat.

20. The method of claim 19, wherein the imaging system is an MR scanner.

21 . The method of claim 20, wherein the imaging system employs a step of

measuring proton-resonance frequency shift during the step of measuring a heating effect of the subject's internal body tissue associated with the step of debulking visceral fat.

22. The method of claim 20, wherein the imaging system employs a step of

measuring change of longitudinal relaxation time, T1 , during the step of measuring a heating effect of the subject's internal body tissue associated with the step of debulking visceral fat.

23. The method of claim 20, wherein the imaging system employs a step of

measuring change in net polarization during the step of measuring a heating effect of the subject's internal body tissue associated with the step of debulking visceral fat.

24. The method of claim 1 , 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1 , 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22 or 23 wherein the positioning step includes a step of acoustically coupling the focused ultrasound transducer with respect to the subject.

25. The method of claim 1 , 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1 , 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23 or 24 wherein the step of debulking visceral fat within the target region includes a step of slewing the focal spot within the target region.

26. The method of claim 25, wherein the slewing step includes at least one of

changing the shape of the transducer, employing an acoustic lens and applying selected amplitudes and phases to the elements of the multi-element transducer.

27. The method of claim 1 , 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1 , 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23 or 24 wherein the step of debulking visceral fat within the target region includes applying an ultrasound energy level and at a time duration suitable for debulking visceral fat by thermal necrosis.

28. The method of claim 1 , 2, 3, 4, 5, 6, 7, 8, 9, 10, 1 1 , 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23 or 24 wherein the step of debulking visceral fat within the target region includes applying an ultrasound energy level and at a time duration suitable for cavitation.

29. The method of claim 6, wherein the locating step includes using Acoustic

Radiation Force Imaging to locate the focal spot.

30. A system for debulking visceral fat in a subject, the system comprising:

a focused ultrasound transducer configured to deliver sufficient ultrasonic energy to kill tissue within a focal spot;

an internal body imaging system configured to locate a heating effect of the subject's internal body tissue associated with the application of ultrasonic energy at the focal spot;

an internal body imaging system controller containing appropriate controls and components to operate the internal body imaging system and configured to process the images and other data obtained by the internal imaging system; a device controller in communication with the focused ultrasound transducer and the internal body imaging system controller; configured to locate the focal spot to a region of visceral fat within the subject.

31 . The system of claim 30, wherein the focused ultrasound transducer is a piezoelectric device.

32. The system of claim 30, wherein the focused ultrasound transducer is a

Capacitive Micromachined Ultrasound Transducer (CMUT).

33. The system of claims 30, 31 , or 32, further comprising an acoustic coupling

between the ultrasound transducer and the subject.

34. The system of claim 33 wherein the acoustic coupling is comprised of a selected material having an acoustic impedance substantially similar to that of the subject.

35. The system of claim 30, 31 , 32, 33 or 34 wherein the imaging system is an MR scanner.

36. The system of claim 35, wherein the imaging system employs a Proton

Resonance Frequency pulse sequence to measure temperature changes.

37. The system of claim 35, wherein the imaging system employs a pulse sequence sensitive to changes in T1 arising from temperature changes.

38. The system of claim 35, wherein the imaging system employs a pulse sequence sensitive to changes in polarization arising from temperature changes.

39. The system of claim 30, 31 , 32, 33 or 34 wherein the imaging system is an

ultrasound scanner.

40. The system of claim 30, 31 , 32, 33 or 34 wherein the imaging system is an x-ray scanner.

41 . The system of claim 30, 31 , 32, 33 or 34 wherein the device controller is

configured to control an ultrasound energy level of the ultrasound transducer and time duration suitable for debulking visceral fat by thermal necrosis.

42. The system of claim 30, 31 , 32, 33 or 34 wherein the device controller is configured to control an ultrasound energy level of the ultrasound transducer and time duration suitable for debulking visceral fat by cavitation.

43. The system of claim 31 , wherein the system employs a focused ultrasound

transducer comprised of a single piezoelectric crystal.

44. The system of claim 32, wherein the system employs a focused ultrasound

transducer comprised of plurality of elements, each driven with a selected amplitude and phase.

45. The system of claim 44, wherein the device controller is configured to vary the amplitude and phase of the drive signals used to drive the plurality of elements to move the focal spot without moving the focused ultrasound transducer with respect to the subject.

46. The system of claim 30, further comprising an actuator configured to move the focal spot during the application of ultrasound power under control of the device controller.

47. The system of claim 30, wherein the device controller is configured to control the focused ultrasound transducer.

48. The system of claim 30 or 47, wherein the device controller is configured to

monitor the efficacy of the focused ultrasound transducer.

49. The system of claim 46, wherein the device controller is configured to cause the internal body imaging system controller to acquire temperature-sensitive images of the region of interest in the subject, before, during, and after the use of the focused ultrasound transducer.

50. The system of claim 30, wherein the internal imaging system is configured to measure proton-resonance frequency shift during the step of locating a heating effect of the subject's internal body tissue associated with the application of the ultrasonic energy at the focal spot.

51 . The system of claim 30, wherein the internal imaging system is configured to measure change of longitudinal relaxation time, T1 , during the step of locating a heating effect of the subject's internal body tissue associated with the application of the ultrasonic energy at the focal spot.

52. The system of claim 30, wherein the internal imaging system is configured to measure change in net polarization during the step of locating a heating effect of the subject's internal body tissue associated with the application of the ultrasonic energy at the focal spot