A shock wave and/or ultrasound therapy system includes an ultra-sound and/or shockwave source suspended on a hexapod drive and an X-ray system. A system controller configured to generate control signals for the hexapod drive to align the ultrasound and/or shockwave source with the X-ray system based on the displacement of a known object between two images taken at different tilt angles of the X-ray system.

A patient support device includes a patient support surface having a size to accommodate at least a part of the patient body, the device including at least one receptacle for housing a coil, which at least one receptacle is arranged in an area of the patient supporting surface corresponding to the position of the anatomic region to be imaged, the patient support surface being covered at least partially by one or more cushions covering in combination the entire patient supporting surface or at least a part of it. At least one of the receptacles for coupling to a receiving coil being provided on at least each of one or more than one of the said cushions, the coil once coupled to a corresponding receptacle is connected to a control and processing unit of the MRI apparatus by means of a cable which is external to the said patient support device.

A handheld acoustic shock wave or pressure pulse applicator device has a body structure and an applicator head. The body structure has a proximal end and a distal end with a longitudinal axis extending between the ends. The applicator head is at the distal end. the head emits pressure pulses or shock waves at an inclined angle relative to the longitudinal axis of the body structure. The applicator head has a balloon or lens or membrane through which the emitted pressure pulses or shock waves pass. The lens or membrane is configured to be coupled directly or indirectly to an exposed soft tissue surface of a palate inside a patient's mouth to direct emitted pressure pulses or shock waves to the brain. The applicator device can be configured with the inclined obtuse angle fixed between 150 degrees and 90 degrees or can be adjustable between 180 degrees and 90 degrees.

A handheld acoustic shock wave or pressure pulse applicator device has a body structure and an applicator head. The body structure has a proximal end and a distal end with a longitudinal axis extending between the ends. The applicator head is at the distal end. the head emits pressure pulses or shock waves at an inclined angle relative to the longitudinal axis of the body structure. The applicator head has a balloon or lens or membrane through which the emitted pressure pulses or shock waves pass. The lens or membrane is configured to be coupled directly or indirectly to an exposed soft tissue surface of a palate inside a patient's mouth to direct emitted pressure pulses or shock waves to the brain. The applicator device can be configured with the inclined obtuse angle fixed between 150 degrees and 90 degrees or can be adjustable between 180 degrees and 90 degrees.

The movement of an object, in particular of an organ during histotripsy treatment is determined specifically for repositioning purposes. This is done by producing bubbles in or at the object. The bubbles are detected, and their movement is recorded. The movement of the object is estimated from their movement. If applicable, a focal point of a therapy apparatus may be repositioned in accordance with the movement of the object.

Embodiments of the present disclosure are directed to methods of inducing therapeutic adipose tissue inflammation using high frequency pressure waves (e.g. high frequency shockwaves) wherein the inflammation results in a reduction in the volume of subcutaneous adipose tissue. Embodiments include applying electrohydraulic generated shockwaves at a rate of between 10 Hz and 100 Hz to reduce the appearance of cellulite or the volume of subcutaneous fat in a treatment area.

The present invention concerns a device for pulsed electric discharge in a liquid comprising a control module configured to control a voltage generator such that the voltage generator applies a predetermined heating voltage setpoint between electrodes during a heating period until a pulsed electric discharge is obtained between the electrodes, in order to measure the breakdown voltage during the pulsed electric discharge, in order to estimate the quantity of energy supplied to the liquid during the heating period, referred to as the “quantity of heating energy”, from the predetermined heating voltage setpoint and the measured breakdown voltage, and in order to determine a new heating voltage setpoint to apply between the electrodes of the at least one pair of electrodes at the next pulsed electric discharge based on the estimated quantity of heating energy and a predefined breakdown voltage setpoint.

A method includes attaching one or more heat exchangers to one or more of a distal handle end and a proximal handle end of a lithotripter, the lithotripter including a handle, the handle having a handle distal end and a handle proximal end; a probe housed within the handle, the probe having a probe distal end and a probe proximal end; a passageway extending through the handle at least partially containing the probe; and a shielding insert contained within the passageway; wherein the probe, the passageway, and the shielding insert are contained within a central lumen of a driver resource; and performing a sterilization procedure on the surgical device; wherein the one or more heat exchangers collect and transfer heat at least through a full length of the handle, particularly to the lumen contained within the handle.

A method includes attaching one or more heat exchangers to one or more of a distal handle end and a proximal handle end of a lithotripter, the lithotripter including a handle, the handle having a handle distal end and a handle proximal end; a probe housed within the handle, the probe having a probe distal end and a probe proximal end; a passageway extending through the handle at least partially containing the probe; and a shielding insert contained within the passageway; wherein the probe, the passageway, and the shielding insert are contained within a central lumen of a driver resource; and performing a sterilization procedure on the surgical device; wherein the one or more heat exchangers collect and transfer heat at least through a full length of the handle, particularly to the lumen contained within the handle.

The present invention relates to a reflector for an acoustic shock or pressure wave head, wherein the reflector comprises an acoustically reflective surface formed by a body of rotation, said body of rotation being formed by rotation of an elliptical segment about a rotation axis which extends through a focal point of the ellipse and encloses an angle α between 0.1° and 30° with the main axis of the ellipse.