The effect of reflector geometry on the acoustic field and bubble dynamics produced by an electrohydraulic shock wave lithotripter.

A theoretical model for the propagation of shock wave from an axisymmetric reflector was developed by modifying the initial conditions for the conventional solution of a nonlinear parabolic wave equation (i.e., the Khokhlov-Zabolotskaya-Kuznestsov equation). The ellipsoidal reflector of an HM-3 lithotripter is modeled equivalently as a self-focusing spherically distributed pressure source. The pressure wave form generated by the spark discharge of the HM-3 electrode was measured by a fiber optic probe hydrophone and used as source conditions in the numerical calculation. The simulated pressure wave forms, accounting for the effects of diffraction, nonlinearity, and thermoviscous absorption in wave propagation and focusing, were compared with the measured results and a reasonably good agreement was found. Furthermore, the primary characteristics in the pressure wave forms produced by different reflector geometries, such as that produced by a reflector insert, can also be predicted by this model. It is interesting to note that when the interpulse delay time calculated by linear geometric model is less than about 1.5 micros, two pulses from the reflector insert and the uncovered bottom of the original HM-3 reflector will merge together. Coupling the simulated pressure wave form with the Gilmore model was carried out to evaluate the effect of reflector geometry on resultant bubble dynamics in a lithotripter field. Altogether, the equivalent reflector model was found to provide a useful tool for the prediction of pressure wave form generated in a lithotripter field. This model may be used to guide the design optimization of reflector geometries for improving the performance and safety of clinical lithotripters.