WO2012144860A2 - Aiguille chirurgicale pour interventions guidées par ultrasons - Google Patents

Aiguille chirurgicale pour interventions guidées par ultrasons Download PDF

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Publication number
WO2012144860A2
WO2012144860A2 PCT/KR2012/003080 KR2012003080W WO2012144860A2 WO 2012144860 A2 WO2012144860 A2 WO 2012144860A2 KR 2012003080 W KR2012003080 W KR 2012003080W WO 2012144860 A2 WO2012144860 A2 WO 2012144860A2
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WO
WIPO (PCT)
Prior art keywords
needle
grooves
ultrasound
groove
surgical needle
Prior art date
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Ceased
Application number
PCT/KR2012/003080
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English (en)
Korean (ko)
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WO2012144860A3 (fr
Inventor
박정욱
천민우
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Individual
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Individual
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First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=45506501&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO2012144860(A2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of WO2012144860A2 publication Critical patent/WO2012144860A2/fr
Publication of WO2012144860A3 publication Critical patent/WO2012144860A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments

Definitions

  • the present invention relates to a needle for an ultrasound-guided image, and more particularly, pain relief by injecting an injection solution into a lesion site or collecting a tissue with a needle while checking the lesion site using ultrasound and radiation on various lesion sites.
  • the present invention relates to a needle for an ultrasound-guided image that can continuously identify important structures in the body in real time by using ultrasound instead of radiation in a procedure used for diagnosis, treatment, and treatment, and at the same time, accurately locate the needle inserted into the body. .
  • ultrasonic waves are attenuated according to density and hardness in biological tissues, and are confirmed by imaging the internal shape of the human body.
  • the ultrasound-induced treatment that reduces inflammation and swelling and reduces the pain is used in many cases.
  • Ultrasound-guided treatments include intraarticular injection, pain injection, spinal nerve root injection, vertebral joint injection, vertebral joint interdigital nerve block, sciatic nerve injection, superior plexus nerve block, plexus injection therapy, decompression plastic surgery , Nerve block surgery, high frequency infusion surgery and the like are known.
  • the general syringe needle is mainly used for the above procedure, which may misinterpret the middle part of the needle as the end of the needle in the procedure image, and furthermore, there is a possibility of missing the entire procedure image during the procedure. This has problems such as unnecessary damage to the patient and reoperation due to an incorrect procedure.
  • the procedure where the main nerves such as the cervical spine and the spinal column are concentrated is injected while a needle is injected into the affected part of the patient, and the procedure is performed in real time using a radiographic imaging apparatus.
  • polymer coated needles have a high purchase cost problem and a chemical persistence limit that begins to decrease in about 10 minutes upon contact with moisture. Therefore, the conventional surgical needles have not been widely used for clinical ultrasound because of their high cost despite the superiority of the field of view.
  • the present invention has been made to solve the above problems, it is possible to confirm the position of the needle in the tissue in real time during all the injection procedures performed under ultrasound guidance procedure for ultrasound guided image to enable accurate procedures
  • the purpose is to provide a dragon needle.
  • the purpose is to distinguish the front and back of the surgical needle to be administered to the correct target of the drug administered through the surgical needle.
  • the surgical needle for the ultrasound-guided image includes a fuselage 1 having a hollow 11 formed therein, an insertion part 2 formed to be inclined at the tip of the fuselage 1, and a fuselage 1.
  • the groove 3 is an insertion portion ( 2) and a plurality of grooves 23 are formed at a predetermined interval selected within 1.5 to 3.0mm, and a plurality of grooves 23 are formed again at a predetermined interval selected within 4.0 to 6.0mm starting from the grooves formed at the ends of the plurality of grooves 3. It is a surgical needle for ultrasound-guided image, characterized in that.
  • the grooves 3 and 23 are preferably formed on the fuselage surface of the opposite side of the inclined insert 2, and the grooves 33 and 23 are additionally formed on the opposite side of the grooves 3 and 23 at regular intervals. Do.
  • the additional groove 33 is preferably made of a 3mm interval.
  • a plurality of grooves 3 starting from the inserting part 2 are formed at 2 mm intervals, and a plurality of grooves 23 are formed at 5 mm intervals again from grooves formed at ends of the plurality of grooves 3.
  • the present invention invades the hollow 11 on the body 1, the hollow body 11 is formed inside, the insertion portion 2 is formed to be inclined at the tip of the body 1, the surface of the body 1 In the surgical needle used for the injection procedure performed under the guidance of ultrasound, including a groove that is engraved to a depth that is not deeply diffused, the groove (3) is formed with a plurality of predetermined intervals A from the insertion portion (2) And, starting from the grooves formed at the ends of the plurality of grooves (3) to form a plurality of grooves 23 again with a predetermined interval B, wherein the intervals A and B to distinguish the interval by ultrasonic guided image B Is greater than A, and the grooves 3 and 23 are formed on the fuselage surface on the opposite side of the inclined insert 2, and are additionally selected at intervals C selected from A to B on the opposite sides of the grooves 3 and 23.
  • Forming the groove 33 As a treatment for ultrasound-guided needle image to.
  • interval A is 1.5-3.0 mm
  • interval B is 4.0-6.0 mm
  • interval C is 3 mm.
  • the surgical needle for the ultrasound guided image according to the present invention can be used for all procedures performed under ultrasound guidance, and is easy to manufacture and cheaper than a conventionally used needle, thereby enabling mass production.
  • FIG. 1 is a perspective view showing a surgical needle for ultrasound guided image according to the present invention.
  • FIG. 2 is a cross-sectional view showing a surgical needle for ultrasound guided image according to the present invention.
  • FIG. 3 is an ultrasound image photograph when a surgical needle for ultrasound guided image according to the present invention is used.
  • 5 to 7 are ultrasound image photographs when using a surgical needle for ultrasound guided image in the present invention can determine the position of the groove of the surgical needle according to the positional relationship between the ultrasonic beam and the surgical needle generated in the tracer It is a video photograph.
  • Figure 8 is a cross-sectional view showing a needle for another embodiment of another embodiment in the form that can distinguish the front and rear of the needle as another embodiment according to the present invention.
  • FIG. 1 is a perspective view showing a surgical needle for an ultrasound guided image according to the present invention
  • Figure 2 is a cross-sectional view showing a surgical needle for an ultrasound guided image according to the present invention
  • Figure 3 is an ultrasonic wave according to the present invention 4 is an ultrasound image photograph when a surgical needle for an induction image is used
  • FIG. 4 is an ultrasound image photograph when a general needle is used.
  • the surgical needle for the ultrasound guided image is a surgical needle used for the injection procedure performed under ultrasound guidance, the hollow body 11 is formed therein (1), an insertion portion (2) which is formed to be inclined at the tip of the body (1), and a recess formed in the surface of the body (1) to a depth that does not invade the hollow 11 to diffuse the ultrasonic reflection It is configured to include.
  • the body 1 and the inserting portion 2 is the same as the configuration of the medical needle of a metal material that is used in various ways for medical use, so a detailed description thereof will be omitted.
  • the groove may be formed in any one shape selected from triangular, square, elliptical, semi-circular, and circular, or a plurality of grooves may be formed in different shapes.
  • the groove is not limited to the shape, it is possible to form any number of grooves of various shapes having a surface for reflecting again by entering the ultrasonic wave.
  • the present invention uses the principle that the diffuse reflection due to the increase of the ultrasonic echo is returned through the simple deformation of the groove.
  • the triangular shape among the various shapes of the groove is preferably formed in the shape of a right triangle having a wider ultrasonic reflection area than the regular triangle.
  • the groove may be made of any one of a straight line, a curve, a point form as well as the various shapes as described above.
  • the grooves 3 are formed in plural at a predetermined interval selected within the 1.5 to 3.0mm from the insertion portion 2, starting from the grooves formed at the ends of the plurality of grooves 3, the predetermined interval selected within 4.0 to 6.0mm As a result, a plurality of recesses 23 may be formed.
  • the reason for distinguishing the grooves (3, 23) of the surgical needle as described above is that the middle portion of the surgical needle and the distal end portion of the insertion part (2) side can be distinguished without mistake in the needle tracking image during the procedure In order to prevent the illusion between the middle part and the distal end of the needle caused by the ultrasound tracking that is not parallel to the needle during the procedure. This role becomes clearer with reference to FIGS. 5 to 7.
  • FIG. 5 is a case where the needle for the procedure is properly inserted in the area of the ultrasonic beam, it is possible to clarify the distinction between the tip and the middle part.
  • FIG. 6 the front end portion of the image as shown in FIG. 7 appears as a tracking image, through which the insertion of a surgical needle can be corrected.
  • Conventional needles have formed a plurality of grooves around the insertion portion or formed without distinction of groove spacing.
  • a plurality of grooves are formed around the insert portion, it is difficult to find the direction of the needle and forms the groove space without distinction.
  • the tip (insertion side) of the surgical needle has a stronger ultrasonic echo than the middle part of the needle due to the inclination angle and the empty internal space. It is also possible to misinterpret signals such as components at the tip of the needle.
  • the grooves 3 are formed in a plurality of predetermined intervals selected from 1.5 to 3.0mm from the insertion portion 2, starting from the grooves formed at the ends of the plurality of grooves 3 at a predetermined interval selected within 4.0 to 6.0mm Again, a plurality of grooves 23 are formed, which are based on the effect on the field of view of the tracking image and the experimental results for the most stable procedure.
  • the groove 3 formed at the tip of the surgical needle may be mistaken for two grooves in a tracking image when the surgical needle enters the subcutaneous tissue at a predetermined angle if the interval is too small. And, if the distance is too large to grasp the tip, the concentration is low, the above range is appropriate. Preferably about 2 mm is well distinguished.
  • the interval between the grooves 23 is preferably about 4.0 to 6.0 mm, and more preferably, a plurality of 5 mm intervals are formed. Since the groove 23 is for distinguishing from the tip of the needle, if too small, the division becomes ambiguous, and if too large, the identification of the intermediate part becomes difficult according to the insertion direction or the like.
  • the grooves are preferably formed by micro-machining such as etching, precision processing, laser processing, water marking, and the like. Impurities generated based on the needle surface in the process of forming the grooves may damage tissue when the needle is inserted into the body. It may be desirable to remove it by ultrasonic cleaning and polishing.
  • the grooves are formed by artificial etching, so that economical and mass production is possible.
  • the spacing of the grooves 3 and 23 is preferably 2 mm, 5 mm, and the number is 2 and 3, respectively.
  • the grooves 3, 23 are preferably formed on the body surface on the opposite side of the inclined insert portion (2). This is because the insertion direction of the needle for the procedure is considered and it is easy to identify in the tracking image to identify the groove formed in the needle. And vice versa.
  • the grooves 3 and 23 are preferably formed on the fuselage surface opposite to the inclined insert 2, and in the case of inhalation through a needle for a procedure, the grooves on the insert 2 side. It is preferable to form (3,23).
  • the groove 33 is preferably formed at a predetermined interval on the opposite side of the groove (3, 23), the predetermined interval should be different enough to distinguish the gap from the groove (3, 23). .
  • the additional groove 33 is preferably made of a 3mm interval, which is not limited to the optimum interval for the image confirmation.
  • the present invention does not invade the hollow 11 on the body 1, the hollow body 11 is formed therein, the insertion part 2 formed to be inclined at the tip of the body 1, and the surface of the body 1.
  • the groove (3) is formed with a plurality of intervals A from the insertion portion (2)
  • the intervals A and B are so that B can be distinguished by the ultrasound guided image
  • the grooves 3 and 23 are formed on the fuselage surface on the opposite side of the inclined insert 2, and additional grooves selected at intervals C selected from A to B on the opposite sides of the grooves 3 and 23 Characterized by forming 33 It is a procedure for ultrasound-guided needle image. It is preferable that the said space
  • a groove having a depth of 100-500 ⁇ m in a triangular shape was formed by laser processing on a needle surface made of 25Gauge stainless material having a length of 35 mm.
  • the grooves form two grooves 3 at intervals of 2 mm apart from the insertion part 2, which is the distal end of the needle, in the direction of the opposite proximal end, and again 5 mm from the grooves 3 formed at the distal end of the two grooves 3.
  • Three grooves 23 at intervals were formed. Impurities generated during laser processing were removed by ultrasonic cleaning and polishing.
  • a surgical needle (hereinafter referred to as a 'needle for the sake of convenience') for the ultrasound-guided image was inserted into the slaughtered domestic pig's lumbar muscle.
  • the thickness of the selected porcine back muscle tissue was about 3.5 cm, and the insertion position of the ultrasound projection and surgical needle was about 1.5-3.0 cm deep in the actual experiment.
  • the insertion angle was constantly inserted at an angle of 30 degrees on the screen with the ultrasound beam generated from the ultrasound tracer. (See Figure 3)
  • the surgical needle for the ultrasound guided image according to the present invention was able to confirm the field of view of the needle echo superior to the general needle in the animal muscle tissue on the ultrasound image.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

La présente invention concerne une aiguille chirurgicale pour interventions guidées par ultrasons, et plus particulièrement, une aiguille chirurgicale pour interventions guidées par ultrasons consistant à injecter des solutions en utilisant l'aiguille dans une variété de lésions ou à prélever du tissu cellulaire de lésions tout en permettant de vérifier les lésions à l'aide d'un rayonnement et d'ondes ultrasonores. Ainsi, selon l'invention, des ondes ultrasonores peuvent être utilisées au lieu d'un rayonnement dans les démarches de soulagement de la douleur, la réalisation d'un diagnostic ou d'un traitement, et d'autres démarches analogues, de façon à vérifier continuellement les organes vitaux in vivo et en temps réel, et à vérifier simultanément et avec précision l'emplacement de l'aiguille introduite dans le corps d'un patient, à obtenir une vue claire d'une image localisant l'aiguille chirurgicale, et à permettre de distinguer l'avant de l'aiguille de l'arrière de l'aiguille.
PCT/KR2012/003080 2011-04-20 2012-04-20 Aiguille chirurgicale pour interventions guidées par ultrasons Ceased WO2012144860A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2011-0036920 2011-04-20
KR1020110036920A KR101095466B1 (ko) 2011-04-20 2011-04-20 초음파 유도 영상을 위한 시술용 바늘

Publications (2)

Publication Number Publication Date
WO2012144860A2 true WO2012144860A2 (fr) 2012-10-26
WO2012144860A3 WO2012144860A3 (fr) 2013-03-07

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ID=45506501

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PCT/KR2012/003080 Ceased WO2012144860A2 (fr) 2011-04-20 2012-04-20 Aiguille chirurgicale pour interventions guidées par ultrasons

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WO (1) WO2012144860A2 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101861234B1 (ko) * 2016-08-31 2018-05-25 성원메디칼 주식회사 초음파 조직검사 유도 영상의 시인성을 위한 시술용 강화 세침
US10966750B2 (en) 2018-08-29 2021-04-06 Andrew J. Butki Needle assembly with reverberation feature to facilitate ultrasound guidance of the needle assembly
US11278312B2 (en) 2018-08-29 2022-03-22 Andrew J. Butki Introducer assembly with reverberation feature to facilitate ultrasound guidance

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6053870A (en) * 1997-11-08 2000-04-25 Angiodynamics, Inc. Ultrasonic visible surgical needle
JP3847606B2 (ja) * 2001-11-09 2006-11-22 オリンパス株式会社 穿刺針
JP3890013B2 (ja) * 2002-12-05 2007-03-07 オリンパス株式会社 超音波用穿刺針
WO2007013130A1 (fr) * 2005-07-25 2007-02-01 Hakko Co., Ltd. Aiguille de perçage à ultrasons
JP5190502B2 (ja) * 2010-11-08 2013-04-24 株式会社八光 超音波用穿刺針

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Publication number Publication date
KR101095466B1 (ko) 2011-12-16
WO2012144860A3 (fr) 2013-03-07

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