# US 12,179,042 B2 · Transcranial ultrasound focusing

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- Number: US 12,179,042 B2
- Document ID: US12179042B2
- Status: Granted
- Kind: B2
- Application number: 17/425,347
- Filed: 2019-01-31
- Published: 2022-04-28
- Granted: 2024-12-31
- Earliest claimed: 2017-02-23
- Assignees: Oron Zachar
- Applicants: Oron Zachar
- Inventors: Oron Zachar
- Web page: https://patentgrep.com/patent/US12179042B2

## CPC

- A61N 7/00: Ultrasound therapy (lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 {; using ultrasound for introducing media into the body A61M37/0092})
- A61B 8/0858: {involving measuring tissue layers, e.g. skin, interfaces}
- A61B 8/5207: {involving processing of raw data to produce diagnostic data, e.g. for generating an image}
- A61B 2017/00725: {Calibration or performance testing}
- A61M 37/0092: {using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis}
- A61N 2007/0026: {Stimulation of nerve tissue}
- A61N 2007/003: {Destruction of nerve tissue}
- A61N 2007/0078: {with multiple treatment transducers}
- A61N 2007/0095: {by modifying an excitation signal}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

Embodiments of the invention introduces a method and system for focusing ultrasonic energy through intervening skull tissue into a target site within a target brain tissue region under the skull, includes a transducer emitter array, a transducer receiver array, a processor receiving echo signals from the receiver to determine correction factors for the transducer elements to compensate for refraction occurring due to intervening tissue. The correction factors may include phase correction factors, and the phases of excitation signals provided to the transducer elements may be calibrated focusing based upon the phase correction factors to focus the ultrasonic energy to the tissue at the target site.

## Claims

### Claim 1

A method for generating an ultrasound intensity-peak within a human subject brain around a target-peak-location, by delivering ultrasound through a skull of the human subject, the skull having an outer-facing surface, the method comprising:
a. providing an array of ultrasound transducers (AUT);
b. operating at least some transducers of the AUT to subject the skull to at least L ultrasound skull-probe (USP) events {USP-eventi, USP-event2 . . . USP-eventL} (L is a positive integer; L≥5) such that:
(i) during each USP-eventi, a respective ultrasound test signal UTSi emitted by one or more transducer(s) of the AUT probes the skull to produce a maximum intensity at a different respective event-specific skull-surface location max_intensity_SOS_LOC(USP-eventi) that is on the outer-facing surface of the skull, said respective event-being specific for each USP-eventi;
(ii) each USP-eventi is defined by a different respective dominant emission-locale DEL(USP-eventi) such that during each USP-eventi at least 50% of power of the respective ultrasound test signal UTSi received at the respective skull-surface location max_intensity_SOS_LOC (USP-eventi) on the skull is supplied by transmitter(s) of the AUT whose center(s) is(are) disposed within the dominant emission-locale DEL(USP-eventi), the dominant emission-locale DEL(USP-eventi) being spherical in shape with a radius of at most 0.5 cm;
(iii) the dominant emission locales are distributed in space so that no two dominant emission locales [(DEL(USP-eventj), DEL(USP-eventk)](j≠k) (both j and k are positive integers equal to at most L) are displaced from each other to have a center-center distance of less than 2 cm;
c. for each USP-eventi having its respective ultrasound test signal UTSi and its respective dominant emission-locale DEL(USP-eventi), respectively receiving ultrasound reflected from the skull during the USP-eventi into a respective one or more of the transducer(s) of the AUT;
d. electronically processing output of the transducer(s) which receive the reflected ultrasound from each USP-eventi; and
e. operating at least some transducers of the AUT in relative phases determined from results of the electronic processing of step (d) so as to generate the ultrasound intensity-peak within the human subject brain around the target-peak-location.

### Claim 2

A method for generating an ultrasound intensity-peak within a human subject brain around a target-peak-location, by delivering ultrasound through a skull of the human subject, the skull having an outer-facing surface, the method comprising:
a. providing an array of ultrasound transducers (AUT);
b. operating at least some transducers of the AUT to subject the skull to at least L ultrasound skull-probe (USP) events {USP-event1, USP-event2 . . . USP-eventL} (L is a positive integer; L≥5) such that:
(i) during each USP-eventi, a respective ultrasound test signal UTSi emitted by one or more transducer(s) of the AUT probes the skull to produce a maximum intensity at a different respective event-specific skull-surface location max_intensity_SOS_LOC(USP-eventi) that is on the outer-facing surface of the skull, said respective event-specific skull-surface location max_intensity_SOS_LOC(USP-even) being specific for USP-eventi;
(ii) each USP-eventi is defined by a different respective dominant emission-locale DEL(USP-eventi) such that during each USP-eventi at least 50% of power of the respective ultrasound test signal UTSi received at the respective skull-surface location max_intensity_SOS_LOC(USP-eventi) on the skull is supplied by transmitter(s) of the AUT whose center(s) is(are) disposed within the dominant emission-locale DEL(USP-eventi), the dominant emission-locale DEL(USP-eventi) being spherical in shape with a radius of at most 0.5 cm;
(iii) the dominant emission locales are distributed in space so that no two dominant emission locales [(DEL(USP-eventj), DEL(USP-eventk)](j≠k) (both j and k are positive integers equal to at most L) are displaced from each other to have a center-center distance of less than 2 cm;
c. for each USP-eventi having its respective ultrasound test signal UTSi and its respective dominant emission-locale DEL(USP-eventi), measuring a respective echo time-difference ETD(USP-eventi) between:
(i) a first measured time T1(USP-eventi) at which the respective ultrasound test signal UTSi received into one of the transducers of the array;
(ii) a second measured time T2(USP-eventi) at which the respective ultrasound test signal UTSi received into the same one or a different one of the transducers of the array; and
d. operating at least some transducers of the AUT in focus-around-target-peak-location (FATPL) mode to simultaneously irradiate the skull, wherein step (d) is performed such that:
A. the at least some transducers deliver ultrasound at relative phases computed from the echo time-differences measured in step (c); and
B. the delivering of ultrasound from the at least some transducers generates the ultrasound intensity-peak within the human subject brain around the target-peak-location-9%.

### Claim 3 (depends on 2)

The method of claim 2 wherein the respective skull-surface locations max_intensity_SOS_LOC(USP-eventi) on the skull outer-facing surface form a location set SOS_LOC_SET {max_intensity_SOS_LOC((USP-event1), max_intensity_SOS_LOC((USP-event2) . . . max_intensity_SOS_LOC((USP-eventL)}, and wherein the skull-surface locations of the location set SOS_LOC_SET are distributed in space so that no two skull-surface locations (max_intensity_SOS_LOC(USP-eventj), max_intensity_SOS_LOC(USP-eventj)) on the skull outer-facing surface are displaced from each other by less than disp_numb cm, wherein disp_numb is a positive number whose value is at least 1.

### Claim 4 (depends on 2)

The method of claim 2 wherein for each event USP-eventi of the L events of {USP-event1, USP-event2 . . . USP-eventL}, a center of the respective dominant emission-locale DEL(USP-eventi) thereof is displaced from the skull by at most 2.5 cm.

### Claim 5 (depends on 2)

The method of claim 2 wherein for each event USP-eventi of the L events of {USP-event1, USP-event2 . . . USP-eventL}, a center of the respective dominant emission-locale DEL(USP-eventi) thereof is displaced from the skull by at most 2 cm or at most 1.5 cm.

### Claim 6 (depends on 2)

The method of claim 2 wherein brain tissue of the subject is disposed within the skull of the subject, and wherein a nearest distance between (i) the target-peak-location in the brain tissue and (ii) the skull of the subject is at least 2 cm.

### Claim 7 (depends on 2)

The method of claim 2, wherein each USP-eventi is defined by a different respective dominant emission-locale DEL(USP-eventi) such that during each USP-eventi the at least 50% of power of the respective ultrasound test signal UTSi received at the respective skull-surface location max_intensity_SOS_LOC (USP-eventi) on the skull is supplied by the transmitter(s) of the AUT (i) whose center(s) is(are) each disposed within a dominant emission-locale DEL(USP-eventi) that is spherical in shape with a radius of at most 0.5 cm; and (ii) which each have a width of at most ww cm, wherein 0≤ww≤1.

### Claim 8 (depends on 2)

The method of claim 2 wherein for each event USP-eventi of the L events of {USP-event1, USP-event2 . . . USP-eventL}, the respective one of more transducer(s) which:
(i) receive ultrasound reflect by the skull and
(ii) whose output is electronically processed to determine the relative phase used to generate the ultrasound intensity peak,
are each disposed in the respective dominant emission-locale DEL(USP-eventi) for the event USP-eventi.

### Claim 9 (depends on 2)

The method of claim 2 wherein the dominant emission locales are distributed in space so that a center-center distance between a first DEL(USP-eventj) and a second DEL(USP-eventk) of the dominant emission locales (j≠k) is at least 5 cm.

### Claim 10 (depends on 2)

The method of claim 2 wherein at least 30% of ultrasound power of the intensity peak are supplied by transducer(s) disposed with any of the dominant emission-locales {DEL(USP-event1), DEL(USP-event2) . . . DEL(USP-eventL)} defined by the at least L ultrasound skull-probe (USP) events {USP-event1, USP-event2 . . . USP-eventL}.

### Claim 11 (depends on 2)

The method of claim 2 wherein at least 50% (or at least 75%) of ultrasound power of the intensity peak are supplied by transducer(s) disposed with any of the dominant emission-locales {DEL(USP-event1), DEL(USP-event2) . . . DEL(USP-eventL)} defined by the at least L ultrasound skull-probe (USP) events {USP-event1, USP-event2 . . . USP-eventL}.

### Claim 12 (depends on 2)

The method of claim 2 wherein the ultrasound intensity-peak produced by operating the at least some transducers in the relative phases produces the intensity-peak so that a FWHM full width half maximum thereof in a widest dimension is at most 5 cm.