Briefly summarized, embodiments of the present invention are directed to an ultrasound imaging device that includes the ability to determine when a component, such as a removable probe cap, is attached to a portion of an ultrasound probe thereof. Such a cap can include a spacer component to provide a standoff for the probe head, which enables relatively shallow subcutaneous structures of the patient's body to be suitably imaged. The spacer component of the probe cap is implemented in one embodiment as an acoustically transparent hydrogel insert that enables the cap to slide easily over the skin of a patient during ultrasound imaging procedures. The probe cap is configured to be removably attachable to the head portion of the probe so as to be disposed of after use, in one embodiment.
Detection of probe cap attachment to the ultrasound probe enables the resultant ultrasound image to be adjusted automatically by the ultrasound imaging system. In one embodiment, adjustment of the image includes removing from the image the portion thereof corresponding to the hydrogel probe cap. By so doing, the top of the ultrasound image displayed by the imaging device will correspond with the surface of the patient's skin, thus facilitating relatively easy interpretation of the image by the clinician performing the imaging procedure.
In one embodiment, an ultrasound imaging system comprises an ultrasound probe, a cap or other component attachable to the probe, and a component attachment detection system for detecting attachment of the component to the probe. Once the cap is detected, an aspect of an ultrasound image produced by the imaging system is modified, including cropping of the image to remove undesired portions of the cap, such as the spacer component.
These and other features of embodiments of the present invention will become more fully apparent from the following description and appended claims, or may be learned by the practice of embodiments of the invention as set forth hereinafter.
A more particular description of the present disclosure will be rendered by reference to specific embodiments thereof that are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. Example embodiments of the invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
Reference will now be made to figures wherein like structures will be provided with like reference designations. It is understood that the drawings are diagrammatic and schematic representations of exemplary embodiments of the present invention, and are neither limiting nor necessarily drawn to scale.
For clarity it is to be understood that the word “proximal” refers to a direction relatively closer to a clinician using the device to be described herein, while the word “distal” refers to a direction relatively further from the clinician. For example, the end of a catheter placed within the body of a patient is considered a distal end of the catheter, while the catheter end remaining outside the body is a proximal end of the catheter. Also, the words “including,” “has,” and “having,” as used herein, including the claims, shall have the same meaning as the word “comprising.”
Embodiments of the present invention are generally directed to an ultrasound imaging device including an ultrasound probe for ultrasonically imaging subcutaneous tissues of a body of a patient. More particularly, apparatus and methods are disclosed for determining when a component, such as a removable probe cap, is attached to a portion of an ultrasound probe. Such a cap is employed in one embodiment to act as a spacer component to provide a standoff for the probe head, which enables relatively shallow subcutaneous structures of the patient's body to be suitably imaged. The spacer component of the probe cap is implemented in one embodiment as an acoustically transparent hydrogel insert that enables the cap to slide easily over the skin of a patient during ultrasound imaging procedures. The probe cap is configured to be removably attachable to the head portion of the probe so as to be disposed of after use, in one embodiment.
Detection of probe cap attachment to the ultrasound probe enables the resultant ultrasound image to be adjusted automatically by the ultrasound imaging system. In one embodiment, adjustment of the image includes removing from the image the portion thereof corresponding to the hydrogel probe cap. By so doing, the top of the ultrasound image displayed by the imaging device will correspond with the surface of the patient's skin, thus facilitating relatively easy interpretation of the image by the clinician performing the imaging procedure.
An optional probe cap (“cap”) 50 is shown for removable attachment to the head 44 of the probe 40 so as to cover the transducer elements disposed therein. The cap 50 in one embodiment includes a hydrogel insert 54 or other suitable ultrasonically transparent material, such as silicone, for providing an ultrasonically transparent interface between the probe head 44 and the skin surface. The hydrogel insert 54 also acts as a spacer component to provide a standoff distance between the surface of the probe head 44 and the surface of the patient's skin. Optionally, a needle guide 60 is slidably attached to the cap 50 to assist with guiding needles through the patient's skin and into the vessel being imaged by the system 10. Further details regarding the probe cap, hydrogel insert, and needle guide can be found in: U.S. Pat. Nos. 10,639,008, filed Aug. 9, 2011, and entitled “Support and Cover Structures for an Ultrasound Probe Head;” 9,788,812, filed Jun. 22, 2012, and entitled “Needle Guide with Selectable Aspects;” and 9,211,107, filed Nov. 7, 2012, and entitled “Ruggedized Ultrasound Hydrogel Insert.” Each of the foregoing applications is incorporated herein by reference in its entirety. Note that other ultrasound imaging devices and systems that differ from that shown here can also benefit from the embodiments described herein.
The needle 84, disposed in the needle guide 60, follows an angled catheter insertion path a distance “y” to intercept the target location 88. This catheter insertion path, initially defined by the needle 84, is the same path to be subsequently followed by the catheter in order to gain access to and enter into the vessel 86. The vertical depth x from probe head 44 to the target location 88 can be calculated by a processor or other suitable component of the motherboard 64 of the system 10. Further, the system 10 can be loaded with appropriate data to know the distance y of the catheter insertion path to reach a given target location 88 at a depth x. In the present embodiment, these data are known by virtue of the position of the needle guide with respect to the probe head 44 and the angles in which the needle 84 can be oriented in the needle guide 60 in order to enable the needle to intercept the target location 88. As mentioned, such data can be loaded into the system memory for use by the processor during ultrasonic imaging, as will be described. In another embodiment, the system computes the distance y in real time based on the vertical depth x and other relevant factors.
In accordance with one embodiment, a cap detection system (“detection system”) is disclosed to enable the imaging system 10 (
In particular, in one embodiment the imaging system 10 can be configured such that full functionality of the imaging system is dependent on the cap 50 being attached to the probe 40. For instance, in the present embodiment and as depicted in
In other embodiments, functionality of the imaging system to image and display ultrasonic images is not dependent upon whether the cap or other component to be detected is attached to the probe. In yet other embodiments, imaging system functionality is affected in other ways according to whether the cap is attached, such as changing the orientation of the ultrasound image when the cap is detected as being attached. These and other variations are therefore contemplated.
Inspection of the screenshot depiction 100 of
In the present embodiment, and with continuing reference to
Another sampling zone configuration that can be employed is depicted in
In stage 404, a threshold for image intensity is determined. The image intensity threshold determines the level at which the algorithm considers an ultrasonic signal to represent detected matter. Thus, for each sampling zone 114 an ultrasound signal detected by the probe 40 that includes an image intensity level exceeding the threshold indicates the presence ultrasonically detectable matter for that sampling zone, while those zones having image intensities below the threshold are considered to have no ultrasonically detectable material in them. As the hydrogel insert 54 that forms the standoff region 98 is ultrasonically transparent, sampling zones that include a sufficient portion of the insert will have image intensities below the determined threshold. Note that the image intensity threshold can be pre-programmed into the imaging system 10, user-adjustable, or dynamically determined by the imaging system. In one embodiment, the image intensity can numerically vary between about 0 (low image intensity) and about 255 (high image intensity), and the image intensity threshold is about 5. In another embodiment, the image intensity threshold is about 20. These values, of course, can vary in other embodiments.
In stage 406, an average image intensity for each sampling zone 114 is then measured by the system 10 on the same intensity scale given above. In stage 408, the average image intensities for the sampling zones 114 are then evaluated to determine whether a sufficient number of sampling zones have image intensities equal to or below the threshold image intensity discussed above. Table 120 in
The number of sampling zones 114 that must have image intensities equal to or below the threshold image intensity can be pre-programmed into the imaging system 10, user-adjustable, or dynamically determined by the imaging system. In one embodiment, if at least 19 sampling zones 114 are found to have image intensities equal to or below the threshold image intensity, the system 10 can determine that the cap 50 is attached to the probe 40. Correspondingly, if less than two sampling zones 114 are found to have to have image intensities equal to or below the threshold image intensity, the system 10 can determine that the cap 50 is not attached to the probe 40. These numbers can vary in other embodiments.
The above process is iterated by the system 10 for each imaging cycle during ultrasound imaging such that evaluations for the presence of the probe cap are repeatedly performed during system operation. Each imaging cycle produces a corresponding ultrasound image, or frame, and multiple frames per second can be produced by the system 10, in one embodiment. In another embodiment, the above process can be iterated at a regular or user-defined interval, if desired.
In one embodiment, a certain number of consecutive ultrasound images frames having a suitable number of sampling zones 114 that are equal to or below the threshold image intensity must be encountered for the system 10 to determine that the cap 50 is attached to the probe 40. For instance, in the present embodiment, at least five ultrasound image frames in a row that are sequentially produced by the system 10 must each have a suitable number of sampling zones 114 that are equal to or below the threshold image intensity for the system 10 to determine that the cap 50 is attached to the probe 40, though this number can vary.
For example, and in light of the above, the system 10 in one embodiment will determine that the cap 50 is suitably attached to the probe 40 if, for five consecutive ultrasound image frames, more than 18 sampling zones 114 are found to have image intensities equal to or below the threshold image intensity. Correspondingly, the system 10 will determine that the cap 50 is not suitably attached to the probe 40 if, for five consecutive ultrasound image frames, less than two sampling zones 114 are found to have to have image intensities equal to or below the threshold image intensity. Once the cap attachment status is set by the system 10 as just described, it will not change unless the above more-than-18 or less-than-two sampling zone conditions are met for five consecutive ultrasound image frames. Should the number of qualifying sampling zones fall within 2-18 for a given ultrasound image frame, the cap attachment status is not changed from its previous setting and the counter for determining five consecutive image frames is reset.
Once it determines that the cap 50 is suitably attached to the probe 40 as described above, the system 10 adjusts the image 112 to crop or remove the region determined to correspond to the standoff region 98 representing the hydrogel insert 54. This results in a view similar to the depiction 100 shown in
As mentioned above, during iterative execution of the above process the system 10 can determine that the cap 50 has been removed from or is not currently attached to the probe 40. Once the system 10 determines that the cap 50 is not suitably attached to the probe 40, the cropping of the image described above is not performed, and the full ultrasound image is depicted.
In addition to ultrasound image cropping, it is appreciated that other/additional actions can be taken by the system 10 once the cap 50 is determined either to be attached or detached from the probe 40. For instance, in one embodiment, the orientation of the ultrasound image can be flipped and image characteristics such as grayscale can be modified when the cap is detected as suitably attached.
Note that in addition to the above-described, other algorithms can be executed by the system 10 to determine attachment of the cap to the probe. One possible algorithm employs a Hough transform to identify and locate the interface between the skin surface and the hydrogel insert in the ultrasound image in a predetermined or programmed area of the image. If the interface is detected with sufficient certainty, the system 10 can determine that the cap is suitably attached to the probe.
As shown in
As shown, one or more transducer elements—in this embodiment, the end transducer elements 260A—can be designated by the imaging system 10 to continuously emit ultrasound signals and monitor the reflected signals. Instead of being used for ultrasonic imaging of tissue, the end transducer elements 260A are used to monitor for the presence of the hydrogel insert, and thus cap attachment. Should no reflection be detected in the standoff region corresponding to the hydrogel insert 254, the system 10 determines that the cap including the hydrogel insert is suitably attached. Correspondingly, a relatively strong ultrasonic reflection within the expected standoff region indicates that no cap and hydrogel insert is present. The region to be monitored for the presence of ultrasonic reflections can be user-defined, dynamically defined, or pre-programmed into the imaging system 10.
In one embodiment, multiple transducer elements along the length of the transducer can be utilized to monitor for the hydrogel insert and associated cap, as just described, in contrast to using only the end transducers. For instance, a transducer element at or near the middle of the transducer can be employed, in addition to the end transducer elements. In another embodiment, the end transducer elements 260A are utilized to identify and locate the hydrogel-skin surface interface, i.e., a depth where a substantially acoustically transparent region transitions abruptly to an acoustically non-transparent region in a region of interest that is pre-programmed, dynamically determined by the system, input by a user, etc. If such an interface is encountered at a depth in accordance with expected values, the imaging system 10 can determine that the cap is suitably attached to the probe.
Note further that, in at least the present embodiment, the imaging system can dynamically determine the height of the hydrogel insert acting as a spacer component. In such cases, the imaging system can alter the ultrasound image once the cap has been detected as being attached to the probe so as to crop only that portion of the image corresponding to the determined height of the hydrogel insert. In other embodiments, a look-up table including the measure of image cropping distances can be stored and accessed by the system once the size of the hydrogel insert or other suitable spacer component has been determined so as to crop a desired portion of the ultrasound image.
In addition to the foregoing, other cap detection systems can be employed, including manual input to the imaging system 10 by a user after visually determining that the cap or other component is suitably attached to the probe, in one embodiment.
Embodiments described herein may comprise a special purpose or general-purpose computer including computer hardware, as discussed in greater detail below. Embodiments within the scope of the present disclosure also include computer-readable media for carrying or having computer-executable instructions or data structures stored thereon. Such computer-readable media can be any available media that can be accessed by a general purpose or special purpose computer. By way of example, and not limitation, computer-readable media can comprise physical (or recordable-type) computer-readable storage media, such as, RAM, ROM, EEPROM, CD-ROM or other optical disk storage, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to store desired program code means in the form of computer-executable instructions or data structures and which can be accessed by a general purpose or special purpose computer.
A “network” is defined herein as one or more data links that enable the transport of electronic data between computer systems and/or modules. When information is transferred or provided over a network or another communications connection (either hardwired, wireless, or a combination of hardwired or wireless) to a computer, the computer properly views the connection as a computer-readable medium. Thus, by way of example, and not limitation, computer-readable media can also comprise a network or data links which can be used to carry or store desired program code means in the form of computer-executable instructions or data structures and which can be accessed by a general purpose or special purpose computer.
Computer-executable instructions comprise, for example, instructions and data which cause a general purpose computer, special purpose computer, or special purpose processing device to perform a certain function or group of functions. The computer executable instructions may be, for example, binaries, intermediate format instructions such as assembly language, or even source code. Although the subject matter has been described in language specific to structural features and/or methodological acts, it is to be understood that the subject matter defined in the appended claims is not necessarily limited to the described features or acts described above. Rather, the described features and acts are disclosed as example forms of implementing the claims.
Those skilled in the art will appreciate that the embodiments herein may be practiced in network computing environments with many types of computer system configurations, including, personal computers, desktop computers, laptop computers, message processors, hand-held or portable devices, multi-processor systems, microprocessor-based or programmable consumer electronics, network PCs, minicomputers, mainframe computers, mobile telephones and devices, PDAs, pagers, and the like. The embodiments may also be practiced in distributed system environments where local and remote computer systems, which are linked (either by hardwired data links, wireless data links, or by a combination of hardwired and wireless data links) through a network, both perform tasks. In a distributed system environment, program modules may be located in both local and remote memory storage devices.
Embodiments of the invention may be embodied in other specific forms without departing from the spirit of the present disclosure. The described embodiments are to be considered in all respects only as illustrative, not restrictive. The scope of the embodiments is, therefore, indicated by the appended claims rather than by the foregoing description. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.
This application claims the benefit of U.S. Provisional Patent Application No. 61/660,201, filed Jun. 15, 2012, and titled “Apparatus and Methods for Detection of a Removable Cap on an Ultrasound Probe,” which is incorporated herein by reference in its entirety.
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61660201 | Jun 2012 | US |