JP2014500129A - 角度選択式針案内器 - Google Patents
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- 239000000523 sample Substances 0.000 claims abstract description 90
- 238000003780 insertion Methods 0.000 claims abstract description 32
- 230000037431 insertion Effects 0.000 claims abstract description 32
- 238000002604 ultrasonography Methods 0.000 claims abstract description 29
- 238000007920 subcutaneous administration Methods 0.000 claims abstract description 13
- 238000003384 imaging method Methods 0.000 claims description 10
- 238000000034 method Methods 0.000 claims description 8
- 238000012285 ultrasound imaging Methods 0.000 claims description 8
- 238000012966 insertion method Methods 0.000 claims 2
- 230000003044 adaptive effect Effects 0.000 claims 1
- 210000004204 blood vessel Anatomy 0.000 abstract description 5
- 230000000712 assembly Effects 0.000 description 4
- 238000000429 assembly Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 2
- 229920001169 thermoplastic Polymers 0.000 description 2
- 239000004416 thermosoftening plastic Substances 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150015—Source of blood
- A61B5/15003—Source of blood for venous or arterial blood
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150175—Adjustment of penetration depth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150748—Having means for aiding positioning of the piercing device at a location where the body is to be pierced
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/153—Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/12—Arrangements for detecting or locating foreign bodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4411—Device being modular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4422—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to hygiene or sterilisation
-
- 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
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3287—Accessories for bringing the needle into the body; Automatic needle insertion
-
- 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
- A61M5/42—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 having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
- A61M5/427—Locating point where body is to be pierced, e.g. vein location means using ultrasonic waves, injection site templates
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Abstract
【選択図】図6
Description
Claims (23)
- 針案内組立体において、
画像生成装置に、少なくとも間接的かつ取り外し可能に取り付けられるように構成された針案内部本体と、
前記針案内部本体によって画定された少なくとも第1の細長い案内経路および第2の細長い案内経路であって、前記案内経路の各々は、前記画像生成装置の長手方向軸線に対して特有の挿入角度を画定し、異なる規格の針を受け入れるように構成された、少なくとも第1の細長い案内経路および第2の細長い案内経路と
を備えた針案内組立体。 - 前記案内経路の各々は、前記針が挿入される細長い容積を一体的に画定する2つの柔軟な腕部を備え、前記腕部の各々は、針の通過を可能とする必要があるときに前記容積の大きさを増加するように、前記針の挿入の際に移動可能となっている、請求項1に記載の針案内組立体。
- 前記案内経路の各々の前記腕部は、前記案内経路のそれぞれの前記細長い容積の順応した拡張を容易にする切欠きを備えており、長手方向に延びる隙間が、前記針が患者の体内に挿入された後に前記針を前記案内経路から取り除くことができるように、前記案内経路の各々の前記腕部同士の間で画定された、請求項1に記載の針案内組立体。
- 前記画像生成装置は、超音波撮像システムの超音波プローブを備え、前記針案内組立体を、前記プローブ上の固定具に、スライド可能に取り付けることができる、請求項1に記載の針案内組立体。
- 前記画像生成装置は、超音波撮像システムの超音波プローブを備え、前記針案内組立体を、前記プローブの頭部に取り外し可能に取り付けられた蓋に、スライド可能に取り付けることができる、請求項1に記載の針案内組立体。
- 成形された正面が、前記案内経路の各々に隣接して配置され、前記案内経路の各々の近位部は、それぞれの前記正面を越えて近位側へと延びた、請求項1に記載の針案内組立体。
- 前記針案内部本体において直線形パターンと弓形パターンとの一方で配置された、第1の案内経路、第2の案内経路、および第3の案内経路をさらに備えた、請求項1に記載の針案内組立体。
- 針案内組立体において、
超音波プローブに少なくとも間接的かつ取り外し可能に取り付けられるように構成された針案内部本体であって、段状とされた複数のプラットフォームを画定する、針案内部本体と、
各々が前記超音波プローブから特有の距離を離して配置されるように、かつ、各々に配置された針が、患者の皮膚表面から異なる皮下の距離で前記超音波プローブの像平面と交差するように、前記プラットフォームの各々に備えられた案内経路と
を備えた針案内組立体。 - 前記案内経路の各々は互いに対して特有の角度をさらに画定する、請求項8に記載の針案内組立体。
- 前記案内経路は互いに平行に配置された、請求項8に記載の針案内組立体。
- 針案内組立体において、
超音波プローブに少なくとも間接的に取り付けられるように構成された本体部と、
弓形パターンにおいて選択的に移動可能に前記本体部に取り付けられたプラットフォームと、
前記プラットフォームに備えられ、患者の皮膚に対する前記案内経路の挿入角度が、前記プラットフォームの移動によって選択可能である案内経路と
を備えた針案内組立体。 - 前記プラットフォームは、前記本体部の少なくとも1つのレールに沿ってスライド可能に配置された、請求項11に記載の針案内組立体。
- 前記プラットフォームは、前記本体部の第1の弓形レールと第2の弓形レールとの間でスライド可能に配置された切欠いた腕部を備えた、請求項12に記載の針案内組立体。
- 前記プラットフォームは、所望の位置で解除可能に固定可能である、請求項11に記載の針案内組立体。
- 前記案内経路は、患者の皮膚に対して、約1度から約90度の間の挿入角度を画定することができる、請求項11に記載の針案内組立体。
- 針案内組立体を用いた、患者の体内への針の挿入方法において、前記針案内組立体は、超音波プローブに移動可能に、かつ、少なくとも間接的に取り付けられた針案内部本体を備え、前記針案内組立体は、各々が固有の針挿入角度を画定する複数の案内経路を備えた挿入方法において、
前記プローブを用いて前記患者の体内の皮下目標物を超音波撮像するステップと、
必要に応じ、前記案内経路のうちの所望の一つを使用できる位置に配置するために前記針案内組立体をスライドして調整するステップと、
針を、前記所望の案内経路を通じて、前記患者の内部へと、前記皮下目標物に向かって挿入するステップであって、前記案内経路は、複数の規格の大きさの針を受け入れるように柔軟であるステップと
を含む挿入方法。 - 前記針を挿入するステップは、前記針の遠位端を、前記所望の案内経路に隣接する成形された正面との接触によって、前記所望の案内経路の近位端へと導くことができるステップをさらに含む、請求項16に記載の挿入方法。
- 超音波撮像システムにおいて、
超音波プローブと、
前記超音波プローブに取り外し可能に、かつ、少なくとも間接的に取り付け可能な針案内組立体と
を備え、前記針案内組立体は、
前記超音波プローブに対してスライド可能な針案内部本体と、
前記針案内部本体によって画定された少なくとも第1の細長い案内経路および第2の細長い案内経路であって、前記案内経路の各々は特有の針挿入角度を画定し、前記案内経路の各々の近位端に近接する面部が、針の先端を前記案内経路のそれぞれへと向かわせるように成形されている少なくとも第1の細長い案内経路および第2の細長い案内経路と
を備えた超音波撮像システム。 - 前記超音波プローブの頭部に取り外し可能に取り付け可能とされた蓋をさらに備え、前記蓋は、前記針案内組立体が取り外し可能かつスライド可能に取り付けられる固定具を備えた、請求項18に記載の超音波撮像システム。
- 前記固定具は、前記針案内部本体に備えられた対応するトラック内にスライド可能に収められたL字形のレールを備えた、請求項19に記載の超音波撮像システム。
- 前記針案内部本体は、第1の案内経路、第2の案内経路、および第3の案内経路を画定し、前記案内経路の各々は、異なる規格の針を内部に受け入れるように柔軟である、請求項20に記載の超音波撮像システム。
- 前記案内経路の各々の前記面部が、前記案内経路のそれぞれの前記針挿入角度に応じた角度とされ、各面の輪郭が窪んだ形状とされている、請求項21に記載の超音波撮像システム。
- 前記プローブ蓋および前記針案内組立体は、無菌トレイでの使用の前に配置され、***と戻り止めとの機構が、前記レールおよび前記トラックに備えられていることで、前記針案内組立体を、前記超音波プローブに対して選択された位置に固定することができる、請求項22に記載の超音波撮像システム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201061426297P | 2010-12-22 | 2010-12-22 | |
US61/426,297 | 2010-12-22 | ||
US201161500550P | 2011-06-23 | 2011-06-23 | |
US61/500,550 | 2011-06-23 | ||
PCT/US2011/066940 WO2012088458A1 (en) | 2010-12-22 | 2011-12-22 | Selectable angle needle guide |
Publications (2)
Publication Number | Publication Date |
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JP2014500129A true JP2014500129A (ja) | 2014-01-09 |
JP6150730B2 JP6150730B2 (ja) | 2017-06-21 |
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Application Number | Title | Priority Date | Filing Date |
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JP2013546435A Active JP6150730B2 (ja) | 2010-12-22 | 2011-12-22 | 針案内組立体 |
Country Status (5)
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US (2) | US9974516B2 (ja) |
EP (1) | EP2654568A1 (ja) |
JP (1) | JP6150730B2 (ja) |
CN (1) | CN103370009B (ja) |
WO (1) | WO2012088458A1 (ja) |
Cited By (1)
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JP2016067634A (ja) * | 2014-09-30 | 2016-05-09 | 康之 柴田 | 穿刺針ガイド |
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JP6150730B2 (ja) | 2017-06-21 |
CN103370009A (zh) | 2013-10-23 |
WO2012088458A1 (en) | 2012-06-28 |
EP2654568A1 (en) | 2013-10-30 |
US20120165679A1 (en) | 2012-06-28 |
CN103370009B (zh) | 2016-07-13 |
US9974516B2 (en) | 2018-05-22 |
USD727495S1 (en) | 2015-04-21 |
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