A system for delivering ultrasound energy to an internal anatomical target includes an ultrasound transducer having multiple transducer elements collectively operable as a phased array; multiple driver circuits, each being connected to at least one of the transducer elements; multiple phase circuits; a switch matrix selectably coupling the driver circuits to the phase circuits; and a controller configured for (i) receiving as input a target average intensity level and/or an energy level energy to be applied to the target and/or a temperature level in target, (ii) identifying multiple sets of the transducer elements, each of the sets corresponding to multiple transducer elements for shaping and/or focusing, as a phased array, ultrasound energy at the target across tissue intervening between the target and the ultrasound transducer, and (iii) sequentially operating the transducer-element sets to apply and maintain the target average energy level at the target. In various embodiments, the controller operates each of the transducer element sets in accordance with a pulse-width modulation pattern having a duty cycle selected to achieve the target average intensity level, energy level, and/or temperature level at the target in accordance with a time constant of the target tissue.

Various approaches to generating and maintaining an ultrasound focus at a target region include configuring a controller to cause transmission of treatment ultrasound pulses from a transducer having multiple transducer elements; cause the transducer to transmit focusing ultrasound pulses to the target region and generate an acoustic reflector therein; measure reflections of the focusing ultrasound pulses from the acoustic reflector; based at least in part on the measured reflections, adjust a parameter value associated with one or more transducer elements so as to maintain and/or improve the ultrasound focus at the target region.

A method for displaying a passive cavitation image that shows characteristic information of a passive cavitation includes: receiving an ultrasound signal caused by the passive cavitation; generating a plurality of first passive cavitation images for the passive cavitation at predetermined respective time frame using the received ultrasound signal by a DAS beam forming; generating a plurality of second passive cavitation images in which a maximum magnitude signal region is displayed by selecting a main lobe region having a magnitude greater than or equal to a predetermined value in the respective first passive cavitation image; generating a main lobe passive cavitation image in which a main region is displayed in the respective time frame by superimposing the plurality of the second passive cavitation images obtained for the respective time frame; and generating a passive cavitation image by displaying the main lobe passive cavitation image on a background image.

A surgical system includes a surgical instrument having a shaft and an end effector extending distally from the shaft. The end effector includes a plurality of ultrasound sensors supported about a support ring. The ultrasonic sensors are rotatable between an imaging orientation, wherein, the ultrasound sensors are directed in generally parallel orientations relative to one another for imaging tissue in an imaging mode, and at least one treatment orientation, wherein the ultrasound sensors are directed towards a common focus point for treating tissue in a treatment mode.

Features for high intensity focused ultrasound (HIFU) are described. The application of HIFU for ablating tissue may be monitored in real time by imaging bubbles generated during HIFU. A single transducer array may be used by fast switching between imaging and HIFU. For imaging, the array or portions thereof may be used in receive only mode to locate bubbles generated by the HIFU. The application of HIFU, such as location and/or intensity, may be adjusted based on information from the imaging of the bubbles. Physicians and/or others may use these systems and methods to monitor HIFU procedures in real-time for optimal ablation of target tissue with minimal damage to healthy tissue.

Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue.

An ultrasound system is disclosed that utilizes an arbitrary waveform generator, memory, and an ultrasound transducer. A plurality of excitation waveforms are stored in the memory and may be output from the arbitrary waveform generator to an ultrasound transducer. At least one first excitation waveform is stored in the memory and includes an excitation portion with no damping portion (e.g., for one ultrasound procedure; such that an output from the ultrasound transducer is of a first bandwidth). At least one second excitation waveform is stored in the memory and includes an excitation portion and a damping portion (e.g., for another ultrasound procedure; such that an output from the ultrasound transducer is of a second bandwidth that is larger than the first bandwidth).

Techniques are provided for detection and treatment of tumors using ultrasound. An early detection test may be performed on a patient. A location of a tumor may be determined based on the early detection test. Properties of the tumor may be determined based on the early detection test. Moieties may be functionalized based on the properties of the tumor. The moieties maybe introduced into the patient. The location of the tumor may be imaged using ultrasound, magnetic resonance elastography, or computed tomography to generate images of the location of the tumor. A treatment plan based on the images of the location of the tumor may be implemented using ultrasound.

Embodiments of the present disclosure relate to techniques for facilitating personalized neuromodulation treatment protocols. In one embodiment, a predetermined treatment position of an energy application device is used to guide future treatments for the patient. In one embodiment, a position of the energy application device relative to the predetermined treatment position is determined. In one embodiment, a total dose of ultrasound energy applied to the region of interest is determined.

A method and system for energy-based (e.g., ultrasound treatment and/or other modalities) of skin glands are provided. An exemplary method and system for targeted treatment of skin glands, such as sweat and/or sebaceous glands, can be configured in various manners, such as through use of therapy only, therapy and monitoring, imaging and therapy, or therapy, imaging, and monitoring, and/or through use of focused, unfocused, or defocused ultrasound (or other energy) through control of various spatial and temporal parameters. As a result, ablative energy can be deposited at the particular depth at which the skin gland population is located below the skin surface.