Vortex beams and radiation torque for kidney stone management

Abstract

Our team previously developed an instrument to reposition kidney stones with acoustic radiation force. In a clinical trial, the technology was used to transcutaneously facilitate passage of small stones and to relieve pain by dislodging obstructing large stones. Acoustic trapping and manipulation of kidney stones in water has recently been investigated using both single element and sector arrays in the range of 0.3–1.5 MHz. Experimental holographic reconstruction of the transducer surface velocity confirmed the proper operation of each transducer. Human stones approximately 5 mm, as well as glass and aluminum beads, were placed on a flat tissue phantom in a water bath. During exposure, stones were drawn to the beam axis, and then controllably translated along the surface in any direction transverse to the beam. The phase between sector elements could be used to control the vortex size, as well as rate and direction of rotation of the trapped object. The trapping effect was disrupted at increased transducer output, possibly by generation of acoustic streaming. In conclusion, a method was tested for transverse acoustic trapping of kidney stones with vortex beams. [This work was supported by RBBR 14-02-00426, NIH NIDDK DK43881, DK104854, and DK092197, and NSBRI through NASA NCC 9-58.]