JPH08126649A - Ultrasonic therapeutic apparatus - Google Patents

Abstract

PURPOSE: To provide an ultrasonic therapeutic apparatus which executes preparation for therapy and post-treatment after the therapy is finished regardless of the up and down direction of an applicator for therapy. CONSTITUTION: This ultrasonic therapeutic apparatus consists of a small hole 15 for air feeding-exhausting or water discharging provided on the upper side of the water bag 107 of an applicator 100 for therapy provided with an oscillator 101 and a water bag 107 covering the ultrasonic wave irradiation side of the oscillator 101, a small hole 21 for air feeding-exhausting or water discharging provided on the lower side of the water bag 107 and a feeding pipe switching apparatus which makes one of the small holes 15 and 21 for air feeding- exhausting and another one for water discharging in accordance with the direction of the applicator 100 for therapy.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an ultrasonic treatment apparatus, for example, a shock wave treatment apparatus and a hyperthermia treatment apparatus, and more particularly, to prepare and post-treat a treatment regardless of the vertical orientation of a therapeutic applicator. The present invention relates to a shock wave treatment device and a thermotherapy device.

[0002]

2. Description of the Related Art Conventionally, a shock wave treatment device (calculus crushing device) for transmitting ultrasonic waves into a patient's body to crush stones and a thermotherapy device for necrosis of a tumor have been used for treatment.
As the shock wave treatment device and the hyperthermia treatment device, there is known a device in which a water bag is provided on a therapeutic applicator and the focus position of ultrasonic waves irradiated in the living body is controlled by taking water in and out of the water bag. There is. Hereinafter, such a device will be described with reference to FIGS.

In the therapeutic applicator 100, as shown in FIG. 18, an ultrasonic probe 103 for observation is installed at the center of an oscillator 101 for generating ultrasonic waves, and further, on the side that comes into contact with a living body, a peripheral part is provided. Thin film 1 with bellows 105a
05 is stretched to form a water bag 107. Also, salary
The exhaust port 109 is provided at the base portion of the ultrasonic probe 103 (the end portion on the oscillator 101 side), and the drain port 111 and the water supply port 1 are provided.
13 are provided at the tip of the ultrasonic probe, and these are connected to the water circuit system 115 via a thin tube. Further, the oscillator 101 is electrically connected to the drive circuit 117, receives an electric signal output from the drive circuit 117, and converts it into an ultrasonic wave. Ultrasonic probe 1
Reference numeral 03 is electrically connected to the shock wave treatment apparatus main body 119 to observe the treatment site.

FIG. 19 is an explanatory diagram showing the structure of the water circuit system 115. As shown in FIG. 19, the intake / exhaust port 109 is
It is connected to a thin tube 121 which is divided into two, and one thin tube 121a is a compressor 123 through a solenoid valve S1.
And the other thin tube 121b is connected to the vacuum pump 125 through the solenoid valve S2. Drainage port 111
Is connected to the thin tube 127 that is divided into two through the electromagnetic valve S3, one thin tube 127a is connected to the water storage tank 129 through the electromagnetic valve S5, and the other thin tube 127b is connected to the inlet of the water feed pump 131. Water pump 1
The outlet of 31 is connected to a thin tube 133 that is divided into two, one thin tube 133a is connected to the water supply port 113 of the therapeutic applicator 100 through the solenoid valve S4, and the other thin tube 1
33b is connected to a water storage tank 129 through a solenoid valve S6. The solenoid valves S1 to S6 and the compressor 1
23, the vacuum pump 125, and the water pump 131 are connected to a control unit 135 including a CPU, a memory, and the like,
It is controlled by the control unit 135.

These solenoid valves S1 to S6 and the compressor 1
The following processing can be performed by operating the 23, the vacuum pump 125, and the water supply pump 131.

Air is sent into the water bag 107 of the therapeutic applicator 100 by operating the compressor 123 with the solenoid valve S1 opened and the solenoid valve S2 closed.

By operating the vacuum pump 125 with the electromagnetic valve S1 closed and the electromagnetic valve S2 open, the air in the water bag 107 of the therapeutic applicator 100 is evacuated.

The solenoid valve S3 and the solenoid valve S6 are closed, and the solenoid valve S
4 is operated and the water supply pump 131 is operated with the solenoid valve S5 open, so that water is sent from the water storage tank 129 into the water bag 107 of the therapeutic applicator 100.

Open the solenoid valves S3 and S6 to open the solenoid valve S
4 of the medical applicator 100 by operating the water pump 131 with the electromagnetic valve 4 and the electromagnetic valve S5 closed.
Water is fed from 07 into the water storage tank 129.

Here, when the treatment is not performed, all the water in the water bag 107 of the treatment applicator 100 is stored in the water storage tank 129.

The procedure from the preparation of treatment to the post-treatment after the end of treatment is as follows.

As a treatment preparation, a treatment applicator 10 is used.
Water is supplied and exhausted with 0 facing downward, and water bag 107
Fill the inside with water.

During treatment, the treatment applicator 100
The position of the treatment site in the sound field is moved to the desired position by changing the direction of the water and performing water supply and drainage at appropriate times.

As a post-treatment after the end of the treatment, the treatment applicator 100 is turned downward to drain and inhale the water bag 1
Drain the water in 07.

By operating as described above, treatment preparation, treatment, and post-treatment after completion of treatment are performed.

[0016]

However, it is necessary to change the irradiation direction of ultrasonic waves to the living body depending on the site where the calculus or tumor is generated, and it may be possible to perform the treatment more efficiently if the therapeutic applicator 100 is directed upward. . Also,
When the treatment with the therapeutic applicator 100 facing upward continues, it is ideal that the preparation for the treatment and post-treatment after the treatment can be performed with the therapeutic applicator 100 facing upward. -Exhaust port 109, drain port 11
When the positional relationship between 1 and the water supply port 113 is as described above, when the therapeutic applicator 100 is directed upward, the intake / exhaust port 109 is located below the water bag 107,
Since the drainage port 111 is located above the water bag 107, there arises a problem that water supply and exhaust at the start of treatment and drainage and air supply at the end of treatment cannot be performed.

The present invention has been made in view of the above circumstances, and an object thereof is to provide a shock wave capable of performing preparation for treatment and post-treatment after completion of treatment regardless of the vertical orientation of the therapeutic applicator. To provide a therapeutic device and a thermotherapy device.

[0018]

In order to achieve the above-mentioned object, the present invention provides an ultrasonic therapeutic apparatus having a therapeutic applicator including a vibrator and a water bag covering the ultrasonic wave irradiation side of the vibrator. In, a small hole for air supply / exhaust or drain provided in the upper side of the water bag, and a small hole for air supply / exhaust or drain provided in the lower side of the water bag, According to the orientation of the therapeutic applicator, one of the small holes is used for air supply / exhaust, and the other is switched for drainage.

Further, in an ultrasonic treatment apparatus having a therapeutic applicator including a vibrator and a water bag covering the ultrasonic wave irradiation side of the vibrator, air supply / exhaust provided on the upper side in the water bag. Small hole for drainage, a small hole for drainage provided on the upper side in the water bag, and an air supply provided on the lower side in the water bag.
A small hole for exhaust, a small hole for drainage provided in the lower side of the water bag, and a switching means for switching what is used in the small hole according to the direction of the therapeutic applicator. It is characterized by having.

Further, the therapeutic applicator has an ultrasonic probe for observation on the ultrasonic wave irradiation side of the vibrator, and a water supply port provided in the water bag is located in the middle of the ultrasonic probe. Let Further, a water supply port provided in the water bag is located at a guide that holds the ultrasonic probe. Further, a water supply port provided in the water bag is positioned on the vibrator.

Further, air supply of a thin film forming the water bag
A means for contracting the side corresponding to the small hole for exhaust is provided.

Further, in the ultrasonic treatment apparatus having a therapeutic applicator including a vibrator and a water bag which covers the ultrasonic wave irradiation side of the vibrator and is divided into upper and lower tiers, Small holes for air supply / exhaust or drainage provided on the upper side of the bag, small holes for air supply / exhaust or drainage provided on the lower side of the upper water bag, and the therapeutic applicator And a switching means for switching between one of the small holes for air supply / exhaust and the other for drainage in accordance with the direction.

[0023]

According to the above construction, the switching means is provided on the upper side of the water bag of the medical treatment applicator for supplying / exhausting or draining, and on the lower side of the water bag. One of the small holes for air supply / exhaust or drainage
Use for exhaust and the other for drainage. This makes it possible to perform preparations and post-treatments for treatment regardless of the vertical orientation of the treatment applicator.

The switching means includes a small hole for air supply / exhaust provided on the upper side in the water bag of the medical treatment applicator,
Small holes for drainage provided in the upper side of the water bag, small holes for air supply / exhaust provided in the lower side of the water bag, and drainage provided in the lower side of the water bag One of the four small holes for use is switched according to the orientation of the therapeutic applicator. This makes it possible to perform preparations and post-treatments for treatment regardless of the vertical orientation of the treatment applicator.

Further, by arranging a water supply port provided in the water bag in the middle of the ultrasonic probe, or in a guide holding the ultrasonic probe, or in the vibrator, Prevents the diffusion of air bubbles when supplying water to the water bag.

Further, air supply of a thin film forming the water bag
By the means for contracting the side corresponding to the small hole for exhaust, it is easy to discharge the bubbles generated in the water bag from the small hole for air supply / exhaust.

Further, the switching means switches between air supply / exhaust and drainage by means of small holes provided in the upper water bag which is divided into upper and lower stages. Thus, if the lower water bag is always filled with water, the tip portion of the ultrasonic probe is always filled with water, and no bubbles remain.

[0028]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment of a shock wave treatment device according to the present invention will be described with reference to FIGS. Since the configuration of the medical treatment applicator, the drive circuit, and the operation of the shock wave treatment device body are the same as those of the conventional medical treatment applicator 100 shown in FIG. 18, the same reference numerals are given and description thereof will be omitted.

The shock wave treatment device 10 according to the present invention is shown in FIG.
The water circuit system 11 shown in FIG. 2 is provided, and the positional relationship between the supply / exhaust port and the drain port can be switched by the pipe switching device 13 provided in the water circuit system 11.

As shown in FIG. 1, the shock wave treatment device 10 of the first embodiment is provided at the base of the ultrasonic probe 103 (the end portion on the side of the transducer 101) and opened toward the inside of the water bag 107. The small hole 15 is connected to the treatment applicator-side nozzle 19A of the feeding tube switching device 13 through a thin tube 17. It is provided at the tip of the ultrasonic probe 103,
The small hole 21 opened toward the inside of the water bag 107 is connected to the therapeutic applicator-side nozzle 19B of the feeding tube switching device 13 through a thin tube 23.

The supply / exhaust nozzle 25a of the pipe switching device 13 is connected to a thin pipe 27 which is divided into two parts.
One thin tube 27a is connected to the compressor 123 through the electromagnetic valve S1, and the other thin tube 27b is connected to the vacuum pump 125 through the electromagnetic valve S2. The drainage nozzle 25b of the pipe switching device 13 is connected to a thin tube 29 that is divided into two through an electromagnetic valve S3, and one thin tube 29 is connected.
The a is connected to the water storage tank 129 through the solenoid valve S5, and the other thin tube 29b is connected to the inlet of the water pump 131. The outlet of the water supply pump 131 is connected to a thin tube 31 that is divided into two, and one thin tube 31a is a solenoid valve S
4 is connected to the water supply port 113 of the therapeutic applicator 100, and the other thin tube 31b is connected to the water storage tank 129 through the solenoid valve S6.

Further, as shown in FIG. 3, the tube switching device 13 includes a thin tube 33a connecting the treatment applicator side nozzle 19A and the supply / exhaust nozzle 25a, the treatment applicator side nozzle 19B and the supply / exhaust gas. Tube 33b for connecting the nozzle for use 25b, and an electromagnetic valve S7 provided in the tube 33a
And a solenoid valve S8 provided on the thin tube 33b and a solenoid valve S7.
Of the supply / exhaust nozzle 25a of the electromagnetic valve S8 and the therapeutic applicator-side nozzle 19B of the electromagnetic valve S8, a solenoid valve S9 provided in the thin tube 35, and a therapeutic applicator-side nozzle 19A of the electromagnetic valve S7. And a solenoid valve S10 provided on the thin tube 37. The thin tube 37 connects the side of the solenoid valve S8 to the supply / exhaust nozzle 25b side of the electromagnetic valve S8.

The solenoid valves S1 to S10, the compressor 123, the vacuum pump 125, and the water feed pump 131 are connected to and controlled by a control unit 135 including a CPU and a memory, respectively.

In the pipe feeding switching device 13, the pipe feeding can be switched as follows by operating the four solenoid valves S7 to S10.

Open the solenoid valves S7 and S8 to open the solenoid valve S
9 and solenoid valve S10 are closed to feed the small hole 15.
The exhaust port and the small hole 21 are used as the drain port (pipe setting 1).

The solenoid valves S7 and S8 are closed, and the solenoid valve S
By opening 9 and the solenoid valve S10, the small hole 15 serves as a drain port and the small hole 21 serves as a supply / exhaust port (pipe setting 2).

When the supply / exhaust port and drain port are properly set by the above operation, the following processing can be performed by operating the solenoid valves S1 to S6, the compressor 123, the vacuum pump 125, and the water pump 131.

Air is sent into the water bag 107 of the therapeutic applicator 100 by operating the compressor 123 with the solenoid valve S1 opened and the solenoid valve S2 closed.

By operating the vacuum pump 125 with the electromagnetic valve S1 closed and the electromagnetic valve S2 open, air is drawn into the water bag 107 of the therapeutic applicator 100.

The solenoid valves S3 and S6 are closed, and the solenoid valve S
4 is operated and the water supply pump 131 is operated with the solenoid valve S5 open, so that water is sent from the water storage tank 129 into the water bag 107 of the therapeutic applicator 100.

Open the solenoid valves S3 and S6 to open the solenoid valve S
4 of the medical applicator 100 by operating the water pump 131 with the electromagnetic valve 4 and the electromagnetic valve S5 closed.
Water is fed from 07 into the water storage tank 129.

Here, when the treatment is not performed, all the water in the water bag 107 of the treatment applicator 100 is stored in the water storage tank 129. Further, when the therapeutic applicator 100 is used downward depending on the site where a stone or a tumor is generated, the setting of the tube switching device 13 is set to the above-mentioned tube setting 1, and the therapeutic applicator 100 is directed upward. In this case, the setting of the tube switching device 13 is set as in the tube setting 2 described above, and the procedure from the preparation of the treatment to the post-treatment after the end of the treatment is performed by the following procedure.

As a treatment preparation, a treatment applicator 10 is used.
Water is supplied and exhausted with the orientation set to 0, and the water bag 1
Fill 07 with water.

During treatment, the treatment applicator 100
The position of the treatment site in the sound field is moved to the desired position by changing the direction of the water and performing water supply and drainage at appropriate times.

As a post-treatment after the treatment, the treatment applicator 100 is drained and inhaled while keeping the set orientation, and the water in the water bag 107 is drained.

As described above, the shock wave treatment device 1 of the first embodiment
In 0, in the water bag 107 of the therapeutic applicator 100, the supply / exhaust port is always located at the upper part and the drain port is always located at the lower part. From preparation of treatment to post-treatment after the end of treatment can be performed without changing the control procedure.

Here, the shock wave treatment device 10 of the first embodiment.
Then, when the treatment applicator 100 is directed upward, the water supply / exhaust port and the water supply port are located at the tip of the ultrasonic probe 103, so that they are left in the water bag 107 at the final stage of the treatment preparation. In order to remove air bubbles, it is necessary to stop the water supply to temporarily prevent the air bubbles from diffusing and exhaust the air. Therefore, as shown in FIG. 4, the position of the water supply port 113 may be located in the middle of the ultrasonic probe 103. Further, instead of positioning the water supply port 113 on the ultrasonic probe 103, the water supply port 113 is positioned at the tip portion of the guide 103a holding the ultrasonic probe 103 as shown in FIG. 5, or as shown in FIG. As described above, the water supply port 113 may be positioned on the vibrator 101. In any of the cases shown in FIGS. 4 to 6, when the therapeutic applicator 100 is directed upward, the water supply port 113 is not located at the upper end portion, and the bubbles remaining in the water bag 107 are diffused by the water supply. No, it can be easily removed.

Further, as shown in FIG. 7, the inside of the water bag 107 which has been one chamber until now, as shown in FIG.
It is divided into upper and lower chambers by the thin film 41 stretched between a and
The exhaust port, the drain port, and the small hole 21 are provided at the lower end of the bellows 105a, and the water supply port 113 is provided in the guide 103a.
Water may be taken in and out only in the room on the one side. Here, the lower hem is always filled with water. Also in this case, similarly to the shock wave treatment apparatus 10 of the first embodiment, the procedure from the preparation of the treatment to the post-treatment after the end of the treatment is performed without changing the control procedure of the control unit 135 that controls the supply / exhaust and supply / drain. be able to. Further, in this case, since the lower chamber is always filled with water, bubbles do not occur in the lower chamber.

The shock wave treatment device 10 of the first embodiment,
Further, including the cases shown in FIGS. 4 to 7, the water supply port 113
It is also possible to incorporate a water supply system pipe in the switching between the supply / exhaust system and the drainage system pipe by passing the thin pipe connecting the solenoid valve S4 and the solenoid valve S4 as well.

Further, since the tip shape of the ultrasonic probe 103 is a trapezoidal shape as shown in FIG. 8 so as not to interfere with the passage of ultrasonic waves from the transducer 101, the supply / exhaust ports are provided at the tip of the ultrasonic probe 103. When the treatment applicator 100 is faced up, the air supply / exhaust port cannot be brought into close contact with the air bubbles accumulated in the upper part of the water bag 107.
If the amount of air bubbles becomes small, it becomes difficult to remove them. For this reason,
As shown in FIGS. 9 and 10, a small hole 2 that can serve as a supply / exhaust port.
A thin tube 43 that reaches the same plane as the transducer surface of the ultrasonic probe 103 is provided in part of 1, and bubbles are removed by adhering the thin tube 43 to the thin film 105 of the water bag 107 when the amount of bubbles becomes small. You may do it. Furthermore, FIG.
The rope 45 is connected to the lower end of the bellows 105a on the same side as the small hole 21, and the electric motor 47 for winding the rope 45 is connected to the small hole 2 of the therapeutic applicator 100 as shown in FIG.
The water bag 107 is provided on the first side, and the rope 45 is wound up by the electric motor 47 when the amount of air bubbles becomes small.
The thin film 105 may be brought into close contact with the small hole 21 which is a supply / exhaust port to remove bubbles.

Next, the second shock wave treatment apparatus according to the present invention
An example will be described with reference to FIGS. Since the configuration of the medical treatment applicator, the drive circuit, and the operation of the shock wave treatment device body are the same as those of the conventional medical treatment applicator 100 shown in FIG. 18, the same reference numerals are given and description thereof will be omitted. Further, the same members as those of the shock wave treatment device 10 of the first embodiment are designated by the same reference numerals and the description thereof will be omitted.

The shock wave treatment device 50 of the second embodiment is shown in FIG.
As shown in Fig. 2, the upper and lower systems are provided with two pipes that can serve as a supply / exhaust port and a drain port.

In this case, three pipes pass through the inside of the ultrasonic probe 103, and the tip of the pipe has a water supply port 113 on one side and a water supply / exhaust port 51B and a drainage port 53A on the other side as shown in FIG. To position.

As shown in FIG. 14, there are four treatment applicator side nozzles in the water circuit system 55, and the supply / exhaust ports 51A are provided through a thin tube to the treatment applicator side nozzle 57.
A, the supply / exhaust port 51B through the thin tube to the therapeutic applicator side nozzle 57B, the drain port 53A through the thin tube to the therapeutic applicator side nozzle 57C, and the drain port 53B through the thin tube to the therapeutic applicator side nozzle 57D, respectively. It is connected.

Further, as shown in FIG. 15, the feeding tube switching device 13 includes a thin tube 59a connecting the treatment applicator side nozzle 57A and the exhaust nozzle 25a, a treatment applicator side nozzle 57B and an exhaust nozzle 25a. The thin tube 59b for connecting, the thin tube 59c for connecting the treatment applicator side nozzle 57C and the exhaust nozzle 25b, the thin tube 59d for connecting the treatment applicator side nozzle 57D and the exhaust nozzle 25b, and the thin tube 59a are provided. Solenoid valve S11
And the solenoid valve S12 provided in the thin tube 59b and the thin tube 59b.
The solenoid valve S13 provided in c and the solenoid valve S14 provided in the thin tube 59d are provided.

The solenoid valves S1 to S14, the compressor 123, the vacuum pump 125, and the water pump 131 are connected to and controlled by a control unit 135 including a CPU, a memory, and the like.

In the pipe switching device 13, the pipes can be switched as described below by operating the four solenoid valves S11 to S14.

By opening the solenoid valves S11 and S13 and closing the solenoid valves S12 and S14, the supply / exhaust port 51A serves as the supply / exhaust port and the drain port 53A serves as the drain port (pipe setting 3 ).

By closing the solenoid valves S11 and S13 and opening the solenoid valves S12 and S14, the supply / exhaust port 51B is used as the supply / exhaust port and the drain port 53B is used as the drain port (pipe setting 4 ).

When the therapeutic applicator 100 is used facing downward according to the site where a stone or tumor occurs, the setting of the tube switching device 13 is set as in the tube setting 3 described above, and the therapeutic applicator 100 is set. When used in the upward direction, by setting the setting of the tube switching device 13 as the tube setting 4 described above, the water supply / exhaust port is always on the upper side and the drain port is in the water bag 107 of the therapeutic applicator 100. Is always located in the lower part, and like the shock wave treatment apparatus 10 of the first embodiment, without changing the control procedure of the control unit 135 that controls the supply / exhaust and the supply / drain, the treatment preparation to the treatment end. The subsequent post-treatment can be performed.

As shown in FIG. 16, the supply / exhaust port 51
The position B may be brought to the lower end of the bellows 105a. In this case, when the therapeutic applicator 100 is used in the upward direction as shown in FIG.
As shown in (b; when removing air bubbles), air bubbles remaining in the water bag 107 are collected near the air supply / exhaust port 51B by tilting the therapeutic applicator 100, so that the air bubbles can be prevented from diffusing. .

Further, the shock wave treatment device 50 of the second embodiment.
Like the shock wave treatment device 10 of the first embodiment, the water supply port 113 is also provided.
The position may be located in the middle of the ultrasonic probe 103. Further, as in the first embodiment, as shown in FIG. 5, the water inlet 113 is positioned at the tip of the guide 103a for holding the ultrasonic probe 103, or as shown in FIG. May be located. Further, as in the first embodiment, the water supply port 1
The thin pipe connecting the solenoid valve 13 and the solenoid valve S4 is also a pipe switching device 1
It is also possible to incorporate a water supply pipe to the switching between the water supply / exhaust system and the drainage pipe via 3 Further, as in the first embodiment, a thin tube 43 reaching the same plane as the transducer surface of the ultrasonic probe 103 as shown in FIGS. 9 and 10 may be provided in the supply / exhaust port 51B. Furthermore, a rope 45 as shown in FIG. 11 may be connected to the lower end of the bellows 105a, and an electric motor 47 for winding the rope 45 may be provided on the supply / exhaust port 51B side of the therapeutic applicator 100.

Although the first and second embodiments have been described by taking the case of application to the shock wave treatment device as an example, the present invention is not limited to this and can be similarly applied to a thermotherapy device.

[0064]

As described above, according to the present invention, a small hole for air supply / exhaust or drainage is provided on the upper side of the water bag of the therapeutic applicator, and an air supply is provided on the lower side of the water bag.・ A small hole for exhaust or drainage is provided, and one of the small holes is switched for air supply / exhaust according to the direction of the therapeutic applicator, so the vertical direction of the therapeutic applicator. Regardless of this, preparation for treatment and post-treatment after the treatment can be performed.

A small hole for air supply / exhaust and a small hole for drainage are provided on the upper side of the water bag of the therapeutic applicator, and a small hole for air supply / exhaust is provided on the lower side of the water bag. Since a hole and a small hole for drainage are provided so that the one to be used can be switched among the above four small holes, regardless of the vertical orientation of the applicator for treatment, preparation for treatment and after completion of treatment can be performed. Post-processing can be performed.

Furthermore, by arranging the water supply port provided in the water bag in the middle of the ultrasonic probe, or in the guide holding the ultrasonic probe, or by arranging it in the vibrator, It is possible to prevent the diffusion of bubbles when supplying water to the water bag.

Further, air supply of the thin film forming the water bag
By contracting the side corresponding to the small hole for exhaust, bubbles generated in the water bag can be easily discharged from the small hole for air supply / exhaust.

Further, if the water bag is arranged in upper and lower two stages and the lower water bag is always filled with water by switching between air supply / exhaust and drainage through the small holes provided in the upper water bag. Since the tip portion of the ultrasonic probe is constantly filled with water, bubbles can be eliminated.

[Brief description of drawings]

FIG. 1 is an explanatory diagram showing a configuration of a first embodiment of a shock wave treatment device according to the present invention.

FIG. 2 is an explanatory diagram showing a configuration of a water circuit system of the embodiment shown in FIG.

FIG. 3 is an explanatory diagram showing the configuration of a water pipe switching device of the water circuit system shown in FIG.

FIG. 4 is a plan view of the therapeutic applicator when the water supply port is located in the middle of the ultrasonic probe.

FIG. 5 is a plan view of the medical treatment applicator when the water supply port is located at the guide holding the ultrasonic probe.

FIG. 6 is a plan view of the therapeutic applicator when the water supply port is located on the vibrator.

FIG. 7 is a plan view of the therapeutic applicator when the water bag is divided into upper and lower chambers.

FIG. 8 is a plan view showing a tip portion of the ultrasonic probe.

FIG. 9 is a plan view showing a tip portion of an ultrasonic probe in the case where a thin tube is provided in a part of a small hole that can serve as a supply / exhaust port.

10 is a cross-sectional view showing a tip portion of the ultrasonic probe shown in FIG.

FIG. 11 is a plan view showing a therapeutic applicator which has a rope connected to the lower end of the bellows of the water bag and which has an electric motor for winding the rope.

FIG. 12 is an explanatory diagram showing the configuration of a second embodiment of the shock wave therapy device according to the present invention.

13 is a cross-sectional view showing a tip portion of the ultrasonic probe of the embodiment shown in FIG.

FIG. 14 is an explanatory diagram showing the configuration of the water circuit system of the embodiment shown in FIG.

FIG. 15 is an explanatory diagram showing a configuration of a water pipe switching device of the water circuit system shown in FIG. 14.

FIG. 16 is a plan view showing the medical treatment applicator when the positions of the air supply / exhaust ports are brought to the lower end of the bellows.

FIG. 17 is an explanatory diagram showing a downward irradiation (a) and a bubble removal (B) by the therapeutic applicator shown in FIG. 16.

FIG. 18 is an explanatory diagram showing a configuration of a conventional shock wave therapy device.

FIG. 19 is an explanatory diagram showing a configuration of a water circuit system of the conventional shock wave therapy apparatus shown in FIG.

[Explanation of symbols]

10,50 Shock wave treatment device 11,55 Water circuit system 13 Pipe switching device 15,21 Small hole 17,23,27,29,31,33,35,37,4
3,59 Capillary tube 19,57 Treatment applicator-side nozzle 25 Supply / exhaust nozzle 41 Thin film 45 Rope 47 Electric motor 51 Supply / exhaust port 53 Drain port 100 Treatment applicator 101 Transducer 103 Ultrasonic probe 105 Thin film 107 Water Bag 109 Supply / exhaust port 111 Drain port 113 Water supply port 115 Water circuit system 117 Drive circuit 119 Shock wave treatment device main body 121, 127, 133 Capillary tube 123 Compressor 125 Vacuum pump 129 Water storage tank 131 Water pump 135 Control section

Claims (7)

[Claims] 1. An ultrasonic therapy apparatus having a therapeutic applicator including a vibrator and a water bag covering the ultrasonic wave irradiation side of the vibrator, wherein air supply / exhaust provided on the upper side of the water bag. Or small holes for drainage, small holes for air supply / exhaust or drain provided in the lower side of the water bag, and among the small holes depending on the orientation of the therapeutic applicator,
An ultrasonic therapy apparatus comprising: a switching unit for supplying / exhausting air to one side and discharging water to the other side. 2. An ultrasonic therapeutic apparatus having a therapeutic applicator including a vibrator and a water bag covering the ultrasonic wave irradiation side of the vibrator, wherein air supply / exhaust provided on the upper side of the water bag. Small hole for drainage, a small hole for drainage provided in the upper side of the water bag, a small hole for air supply / exhaust provided in the lower side of the water bag, and a lower hole in the water bag An ultrasonic treatment device, comprising: a small hole for drainage provided on the side, and a switching means for switching one of the small holes to be used according to the orientation of the therapeutic applicator. 3. The therapeutic applicator has an ultrasonic probe for observation on the ultrasonic wave irradiation side of the vibrator, and a water supply port provided in the water bag is located in the middle of the ultrasonic probe. The ultrasonic therapy device according to claim 1, wherein the ultrasonic therapy device is provided. 4. The therapeutic applicator has an ultrasonic probe for observation on the ultrasonic wave irradiation side of the vibrator, and a guide for holding a water supply port provided in the water bag for the ultrasonic probe. The ultrasonic treatment device according to claim 1, wherein the ultrasonic treatment device is located in 5. The ultrasonic therapeutic apparatus according to claim 1, wherein a water supply port provided in the water bag is located on the vibrator. 6. The ultrasonic therapeutic apparatus according to claim 1, further comprising means for contracting a side of the thin film forming the water bag corresponding to a small hole for air supply / exhaust. 7. An ultrasonic therapeutic apparatus having a therapeutic applicator including a vibrator and a water bag which covers the ultrasonic wave irradiation side of the vibrator and is divided into upper and lower stages. Small holes for air supply / exhaust or drainage provided on the upper side of the bag, small holes for air supply / exhaust or drainage provided on the lower side of the upper water bag, and the therapeutic applicator And a switching means for switching one of the small holes for air supply / exhaust and the other for drainage according to the orientation of the ultrasonic treatment device.