ES1195261U - Guiding device for puncture (Machine-translation by Google Translate, not legally binding) - Google Patents

Guiding device for puncture (Machine-translation by Google Translate, not legally binding) Download PDF

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Publication number
ES1195261U
ES1195261U ES201731188U ES201731188U ES1195261U ES 1195261 U ES1195261 U ES 1195261U ES 201731188 U ES201731188 U ES 201731188U ES 201731188 U ES201731188 U ES 201731188U ES 1195261 U ES1195261 U ES 1195261U
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Spain
Prior art keywords
ultrasound
needle
clamp
puncture
gluttony
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Granted
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ES201731188U
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Spanish (es)
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ES1195261Y (en
Inventor
Vicente PADILLA MORALES
Gorka GOMEZ CIRIZA
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Servicio Andaluz de Salud
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Servicio Andaluz de Salud
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Priority to ES201731188U priority Critical patent/ES1195261Y/en
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Publication of ES1195261Y publication Critical patent/ES1195261Y/en
Priority to PCT/ES2018/070647 priority patent/WO2019068955A1/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other 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
    • A61B10/02Instruments for taking cell samples or for biopsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves

Abstract

Guiding device (1) for echoguided puncture, comprising: - a clamp (2) configured for coupling to the probe (100) of an ultrasound machine; and - a guide element (3) for a needle (200) attached to the clamp (2) through a connecting arm (4) that ensures a separation distance between a side surface of the ultrasound (100) and the element (3), wherein the guide element (3) comprises two flat edges (31) delimiting a channel inside which there is a support surface (32) for the needle (200), characterized in that the bearing surface (32) has a curved shape. (Machine-translation by Google Translate, not legally binding)

Description

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Dispositivo de guiado para puncion ecoguiada OBJETO DE LA INVENCIONGuidance device for ultrasound guided puncture OBJECT OF THE INVENTION

La presente invention pertenece de manera general al campo de la medicina, y mas particularmente al control del angulo de insertion de una aguja en un procedimiento de puncion ecoguiada.The present invention belongs generally to the field of medicine, and more particularly to the control of the angle of insertion of a needle in an ultrasound-guided puncture procedure.

El objeto de la presente invencion es un nuevo dispositivo desechable acoplable al transductor de un ecografo para controlar el angulo de insercion de la aguja en un procedimiento de puncion ecoguiada.The object of the present invention is a new disposable device coupled to the ultrasound transducer to control the angle of insertion of the needle in an ultrasound-guided puncture procedure.

ANTECEDENTES DE LA INVENCIONBACKGROUND OF THE INVENTION

La ecografla utiliza ultrasonidos para crear imagenes bidimensionales del interior del cuerpo, a partir de la onda sonora retornada por la zona del cuerpo analizada. A pesar de que actualmente ya existe la ecografla en 3D, en su version mas simple, que es la que esta disponible mas comunmente en hospitales y en la mayorla de centros de asistencia primaria, la imagen del interior del cuerpo proporcionada por el ecografo es bidimensional, es decir, representa una section transversal plana de la zona explorada.The ultrasound uses ultrasound to create two-dimensional images of the inside of the body, from the sound wave returned by the area of the body analyzed. Although the 3D ultrasound already exists, in its simplest version, which is most commonly available in hospitals and in most primary care centers, the image of the inside of the body provided by the ultrasound is two-dimensional , that is, it represents a flat cross section of the explored area.

En sus orlgenes, la ecografla era un procedimiento diagnostico no invasivo. No obstante, en los ultimos anos, debido a la relativa simplicidad de uso y la razonable disponibilidad de ecografos en hospitales y centros de asistencia primaria, se ha ido ampliando el campo de aplicacion de esta tecnica. Asl, cada vez mas la ecografla se utiliza para llevar a cabo actuaciones que van mas alla del simple diagnostico, como por ejemplo punciones con distintas finalidades medico-quirurgicas. Estas punciones tienen por objeto intervenciones tales como biopsias, administration de farmacos directamente en zonas determinadas o sobre masas tumorales, aplicacion de anestesias u otras tales como actuaciones de puncion-aspiracion de quistes. Genericamente, este procedimiento es conocido en la tecnica como puncion ecoguiada.In its origins, ultrasound was a non-invasive diagnostic procedure. However, in recent years, due to the relative simplicity of use and the reasonable availability of ultrasound in hospitals and primary care centers, the field of application of this technique has been expanded. Thus, the ultrasound is increasingly used to carry out actions that go beyond simple diagnosis, such as punctures with different medical-surgical purposes. These punctures are aimed at interventions such as biopsies, administration of drugs directly in certain areas or on tumor masses, anesthesia application or others such as puncture-aspiration actions of cysts. Generically, this procedure is known in the art as ultrasound guided puncture.

Historicamente, la puncion ecoguiada se ha venido realizando por parte de personal medicoHistorically, the ultrasound guided puncture has been performed by medical personnel

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especialista tal como, por ejemplo, radiologos. Los radiologos con una dilatada experiencia son capaces de abordar las punciones ecoguiadas sin necesidad de ningun soporte adicional. La tecnica de puncion ecoguiada encuentra aplicacion en otras disciplinas medicas, en las que los medicos especialistas ya no son tan experimentados como los radiologos y por consiguiente tienen dificultades para llevarla a cabo. En cualquier caso, el aprendizaje de la tecnica requiere mucha practica.specialist such as, for example, radiologists. Radiologists with extensive experience are able to address ultrasound guided punctures without the need for any additional support. The ultrasound-guided puncture technique finds application in other medical disciplines, in which specialist doctors are no longer as experienced as radiologists and therefore have difficulty carrying it out. In any case, learning the technique requires a lot of practice.

Para intentar mitigar este problema se han desarrollado dispositivos de guiado de aguja que se acoplan al transductor o dispositivo de exploracion del ecografo. Estos dispositivos normalmente gulan la aguja en una posicion angular constante respecto al transductor durante la insertion en el cuerpo del paciente y por consiguiente facilitan la realization de la puncion. Normalmente la posicion angular es regulable, pero solo antes de empezar la puncion.To try to mitigate this problem, needle guiding devices have been developed that attach to the transducer or ultrasound scanning device. These devices normally glide the needle in a constant angular position with respect to the transducer during insertion into the patient's body and therefore facilitate the realization of the puncture. Normally the angular position is adjustable, but only before starting the puncture.

Un primer tipo de dispositivos de guiado conocidos estan previstos para guiar la aguja en el plano de exploracion del ecografo, que es el plano representado en la pantalla del ecografo. Este abordaje es conocido como acceso "en el piano”. Esta tecnica es relativamente sencilla, ya que durante la insercion en el cuerpo del paciente, la aguja se puede visualizar en todo momento en la pantalla del ecografo y por consiguiente, el medico sabe en que momento ha alcanzado la masa que se desea pinchar.A first type of known guiding devices are provided to guide the needle in the ultrasound scan plane, which is the plane represented on the ultrasound screen. This approach is known as access "on the piano." This technique is relatively simple, since during insertion in the patient's body, the needle can be displayed at all times on the ultrasound screen and therefore, the doctor knows in what moment has reached the mass that you want to puncture.

El documento WO0019906, que se muestra en las Figs. 1a y 1b, describe un dispositivo de guiado para punciones en el plano de exploracion del ecografo que comprende una abrazadera para el acoplamiento al transductor del ecografo y un elemento de guiado fijado a la abrazadera. Como se puede apreciar, el elemento de guiado comprende una ranura alineada con el plano de exploracion del ecografo en cuyo interior se dispone un plano inclinado para el apoyo de la aguja de puncion. El usuario puede introducir la aguja segun cualquier angulo apoyandolo en uno de los puntos extremos del plano inclinado. Sin embargo, esta configuration presenta el inconveniente de que no siempre permite que el profesional medico modifique el angulo de introduction de la aguja mientras esta esta dentro de la piel del paciente. Como se puede apreciar en la Fig. 1b, el uso de un plano para el apoyo de la aguja implica cambios en el punto de insercion en la piel del paciente cuando se modifica el angulo de insercion. Ello implica extraer la aguja y volver a insertarla, lo que conlleva molestias para el paciente.WO0019906, shown in Figs. 1a and 1b, describes a guiding device for punctures in the ultrasound scan plane comprising a clamp for coupling to the ultrasound transducer and a guiding element fixed to the clamp. As can be seen, the guiding element comprises a groove aligned with the scan plane of the ultrasound, inside which an inclined plane is provided for the support of the puncture needle. The user can insert the needle according to any angle by supporting it at one of the extreme points of the inclined plane. However, this configuration has the disadvantage that it does not always allow the medical professional to modify the angle of introduction of the needle while it is inside the patient's skin. As can be seen in Fig. 1b, the use of a plane for the support of the needle implies changes in the insertion point in the patient's skin when the insertion angle is modified. This involves removing the needle and reinserting it, which causes discomfort for the patient.

Un segundo tipo de dispositivos de guiado conocidos estan previstos para guiar la agujaA second type of known guiding devices are provided to guide the needle.

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fuera del plano de exploracion del ecografo, normalmente dentro de un plano perpendicular al mismo. Este abordaje es conocido como "fuera de plano”. En esta tecnica, la aguja se introduce en el cuerpo del paciente en una direction inclinada un determinado angulo respecto al plano de exploracion del transductor. En este caso la aguja se desplaza longitudinalmente a lo largo de esta direccion e interseca el plano de exploracion del transductor aguas abajo de este ultimo. La dificultad reside en que la aguja aparece representada en la pantalla del ecografo, solo en el momento en que cruza el plano de exploracion, y solo se aprecia como un punto.outside the ultrasound scan plane, usually within a plane perpendicular to it. This approach is known as “out of plane.” In this technique, the needle is inserted into the patient's body in an inclined direction a certain angle to the scan plane of the transducer. In this case the needle travels lengthwise along from this direction and intersects the scan plane of the transducer downstream of the latter.The difficulty lies in the fact that the needle is represented on the ultrasound screen, only at the moment it crosses the scan plane, and is only seen as a point.

Para facilitar el abordaje fuera de plano a los usuarios menos experimentados, se han desarrollado algunos dispositivos de guiado de aguja para procedimientos “fuera de plano”. El documento US2011313293, que se muestra en las Figs. 2a y 2b, describe un adaptador de gula para la insertion de agujas acoplado al transductor de un ecografo que comprende una pieza dotada de un canal de centrado. Sin embargo, esta configuracion presenta el inconveniente de que la pieza en la que se encuentra el canal queda adosada al transductor, de modo que el canal de centrado es practicamente tangente al borde del propio ecografo. Esto dificulta la movilidad de la aguja, as! como su visibilidad.To facilitate the out-of-plane approach to less experienced users, some needle guiding devices have been developed for "out-of-plane" procedures. US2011313293, shown in Figs. 2a and 2b, describes a glutton adapter for needle insertion coupled to the ultrasound transducer comprising a part provided with a centering channel. However, this configuration has the disadvantage that the part in which the channel is located is attached to the transducer, so that the centering channel is practically tangent to the edge of the ultrasound itself. This hinders the mobility of the needle, as! As your visibility.

DESCRIPCION DE LA INVENCIONDESCRIPTION OF THE INVENTION

La presente invention describe un dispositivo que resuelve los problemas anteriores gracias a que dispone de un elemento de gula separado de una abrazadera de acoplamiento a la sonda del ecografo y dotado de una superficie de apoyo curva. Al tener la superficie de apoyo una forma curva, se facilita la movilidad de la aguja de una manera suave y continua. Ademas, al estar separada la abrazadera de la superficie de apoyo, se asegura una mejor movilidad y visibilidad de la aguja.The present invention describes a device that solves the above problems thanks to the fact that it has a glutton element separated from a coupling clamp to the ultrasound probe and provided with a curved support surface. By having the support surface a curved shape, the needle mobility is facilitated in a smooth and continuous manner. In addition, the clamp being separated from the support surface ensures better mobility and visibility of the needle.

La invencion describe un dispositivo de guiado multiangulo para puncion ecoguiada que comprende fundamentalmente una abrazadera y un elemento de gula. A continuation, se describe cada uno de estos elementos con mayor detalle:The invention describes a multi-angle guiding device for ultrasound-guided puncture that essentially comprises a clamp and a gluttony element. Next, each of these elements is described in more detail:

a) Abrazaderaa) Clamp

La abrazadera esta configurada para su acoplamiento a la sonda de un ecografo. En principio, la abrazadera podrla tener cualquier configuration siempre que permita llevar a cabo la funcion descrita, aunque preferentemente tiene una formaThe clamp is configured for coupling to an ultrasound probe. In principle, the clamp could have any configuration provided that it allows to carry out the described function, although preferably it has a shape

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esencialmente rectangular. En este caso, la abrazadera rectangular se acoplarla al extremo distal de la sonda del ecografo fundamentalmente a presion.essentially rectangular. In this case, the rectangular clamp will be attached to the distal end of the sonograph probe primarily under pressure.

b) Elemento de gulab) Gluttony element

Se trata de un elemento de gula para una aguja que esta unido a la abrazadera a traves de un brazo de conexion. Este brazo de conexion asegura una distancia de separation entre una superficie lateral del ecografo y el elemento de gula, lo que permite mejorar la movilidad y visibilidad de la aguja en comparacion con dispositivos de la tecnica anterior en los que la aguja se introduce practicamente tangente a la superficie lateral del ecografo.It is a gluttony element for a needle that is attached to the clamp through a connecting arm. This connecting arm ensures a separation distance between a lateral surface of the ultrasound and the gluttony element, which allows to improve the mobility and visibility of the needle compared to prior art devices in which the needle is practically introduced tangent to the lateral surface of the ultrasound.

En lo que respecta a su configuration, el elemento de gula comprende dos rebordes planos que delimitan un canal en cuyo interior hay una superficie de apoyo para la aguja, donde la superficie de apoyo tiene forma curva, por ejemplo forma semicircular. El uso de una forma curva permite modificar el angulo de introduction de la aguja durante la puncion de una manera mucho mas suave y controlada en comparacion con las superficies de apoyo planas conocidas de la tecnica anterior.With regard to its configuration, the glutton element comprises two flat flanges that delimit a channel in which there is a support surface for the needle, where the support surface is curved, for example semicircular. The use of a curved shape makes it possible to modify the angle of introduction of the needle during puncture in a much smoother and controlled way compared to the flat support surfaces known from the prior art.

El elemento de gula puede estar fijado a la abrazadera fundamentalmente en dos posiciones respectivamente correspondientes a la realization de procedimientos en el plano o fuera del plano. Mas concretamente, el elemento de gula puede estar fijado a un lado corto de la abrazadera esencialmente rectangular de modo que los rebordes planos son perpendiculares a dicho lado corto. Esta primera configuracion esta particularmente disenada para la realizacion de una puncion ecoguiada en el plano. Alternativamente, el elemento de gula puede estar fijado a un lado largo de la abrazadera esencialmente rectangular de modo que los rebordes planos son perpendiculares a dicho lado largo. Esta segunda configuracion esta particularmente disenada para la realizacion de una puncion ecoguiada fuera de plano.The glutton element can be fixed to the clamp essentially in two positions respectively corresponding to the realization of procedures in the plane or out of the plane. More specifically, the glut element may be fixed to a short side of the essentially rectangular clamp so that the flat flanges are perpendicular to said short side. This first configuration is particularly designed for the realization of an ultrasound puncture in the plane. Alternatively, the glut element may be fixed to a long side of the essentially rectangular clamp so that the flat flanges are perpendicular to said long side. This second configuration is particularly designed for the realization of an out-of-plane ultrasound puncture.

En lo que respecta a materiales, este nuevo dispositivo puede estar hecho de un material no desechable, aunque preferentemente se utiliza un material desechable. Por ejemplo, serla posible utilizar materiales plasticos hipoalergenicos comunmente utilizados en el campo medico.With regard to materials, this new device may be made of a non-disposable material, although preferably a disposable material is used. For example, it would be possible to use hypoallergenic plastic materials commonly used in the medical field.

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Las Figs. 1a y 1b muestran dos imagenes de un primer dispositivo perteneciente a la tecnica anterior.Figs. 1a and 1b show two images of a first device belonging to the prior art.

Las Figs. 2a y 2b muestran dos imagenes de un segundo dispositivo perteneciente a la tecnica anterior.Figs. 2a and 2b show two images of a second device belonging to the prior art.

La Fig. 3 muestra una vista en perspectiva de un primer ejemplo de dispositivo segun la presente invencion.Fig. 3 shows a perspective view of a first example of a device according to the present invention.

La Fig. 4 muestra otra vista en perspectiva del primer ejemplo de dispositivo segun la presente invencion.Fig. 4 shows another perspective view of the first example of a device according to the present invention.

La Fig. 5 muestra una vista lateral de un segundo ejemplo de dispositivo de acuerdo con la presente invencion.Fig. 5 shows a side view of a second example of a device according to the present invention.

La Fig. 6 muestra una vista superior del segundo ejemplo de dispositivo segun la presente invencion.Fig. 6 shows a top view of the second device example according to the present invention.

La Fig. 7 muestra una vista lateral parcial de un elemento de gula de acuerdo con la presente invencion.Fig. 7 shows a partial side view of a gluttony element according to the present invention.

REALIZACION PREFERENTE DE LA INVENCIONPREFERRED EMBODIMENT OF THE INVENTION

Se describen a continuation algunos ejemplos concretos del dispositivo (1) de la presente invencion donde se aprecian las diferentes partes que lo componen.Some concrete examples of the device (1) of the present invention are described below where the different parts that compose it are appreciated.

Las Figs. 3 y 4 muestran sendas vistas en perspectiva de un primer ejemplo de dispositivo (1) que esta configurado para la realization de una puncion ecoguidada fuera de plano. El dispositivo (1) esta formado por una abrazadera (2) unida a traves de un brazo (4) a un elemento (3) de gula. La abrazadera (2) tiene una forma esencialmente rectangular con los bordes redondeados y una cierta curvatura para facilitar su acoplamiento al extremo distal de la sonda (100) de un ecografo. De la portion media de uno de los lados largos de la abrazadera (2) sobresale perpendicularmente el brazo (4) en cuyo extremo esta el elementoFigs. 3 and 4 show perspective views of a first example of a device (1) that is configured for the realization of an out-of-plane echo-guided puncture. The device (1) is formed by a clamp (2) connected through an arm (4) to a gluttony element (3). The clamp (2) has an essentially rectangular shape with rounded edges and a certain curvature to facilitate its coupling to the distal end of the probe (100) of an ultrasound. From the middle portion of one of the long sides of the clamp (2) the arm (4) protrudes perpendicularly at the end of which is the element

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(3) de guiado. El elemento (3) de guiado esta formado principalmente por un par de rebordes (31) paralelos separados de modo que forman un canal de una anchura suficiente para la introduction de una aguja. En el interior del canal hay una superficie (32) de apoyo semicircular. La superficie (32) de apoyo semicircular se aprecia con mayor detalle en las Figs. 5-7.(3) of guidance. The guiding element (3) is mainly formed by a pair of parallel flanges (31) separated so that they form a channel of sufficient width for the introduction of a needle. Inside the channel there is a semicircular support surface (32). The semicircular support surface (32) can be seen in greater detail in Figs. 5-7.

Las Figs. 5-7 muestran diferentes vistas de un segundo ejemplo de dispositivo (1) segun la invention configurado para la realization de una puncion ecoguiada en el plano. Para ello, en este caso el elemento (3) de gula esta unido a traves del brazo (4) a un lado corto de la abrazadera (2). Como es conocido, el plano de visualization que proporciona un ecografo esta normalmente orientado a lo largo del lado largo la sonda (100) del ecografo. Esta position del elemento (3) de gula, donde los rebordes (31) son paralelos al lado largo de la abrazadera (2), y por tanto al lado largo de la sonda (100) del ecografo a la que se fije la abrazadera (2), permitira la colocation de la aguja (200) dentro del plano de visualizacion del ecografo. Adicionalmente, como se puede apreciar en la Fig. 5 y la Fig. 7, la superficie (32) de apoyo permitira el apoyo de la aguja (200) durante la puncion ecoguiada. Al ser la superficie (32) semicircular, o de manera general de forma curva, es posible modificar la inclination de la aguja (32) dentro del plano de visualizacion haciendola “rodar” sobre esta superficie (32). Se consiguen unos movimientos mas suaves y controlados que cuando el apoyo es sobre una superficie plana (o, mas exactamente, sobre una arista de una superficie plana, como se representa en la Fig. 1a).Figs. 5-7 show different views of a second device example (1) according to the invention configured for the realization of an ultrasound-guided puncture in the plane. For this, in this case the gluttony element (3) is connected through the arm (4) to a short side of the clamp (2). As is known, the visualization plane provided by an ultrasound is normally oriented along the long side of the probe (100) of the ultrasound. This position of the gluttony element (3), where the flanges (31) are parallel to the long side of the clamp (2), and therefore to the long side of the probe (100) of the ultrasound to which the clamp is fixed ( 2), will allow the placement of the needle (200) within the ultrasound display plane. Additionally, as can be seen in Fig. 5 and Fig. 7, the support surface (32) will allow the support of the needle (200) during the ultrasound guided puncture. As the surface (32) is semicircular, or generally curved, it is possible to modify the inclination of the needle (32) within the visualization plane by rolling it on this surface (32). Smoother and more controlled movements are achieved than when the support is on a flat surface (or, more exactly, on an edge of a flat surface, as shown in Fig. 1a).

Este nuevo dispositivo esta fabricado en un material desechable, como por ejemplo un material plastico compatible para su uso en medicina, y podrla fabricarse de una manera sencilla mediante moldeo por inyeccion.This new device is made of a disposable material, such as a compatible plastic material for use in medicine, and could be manufactured in a simple way by injection molding.

Claims (6)

55 1010 15fifteen 20twenty 2525 REIVINDICACIONES 1. Dispositivo (1) de guiado para puncion ecoguiada, que comprende:1. Guidance device (1) for ultrasound guided puncture, comprising: - una abrazadera (2) configurada para su acoplamiento a la sonda (100) de un ecografo; y- a clamp (2) configured for coupling to the probe (100) of an ultrasound; Y - un elemento (3) de gula para una aguja (200) unido a la abrazadera (2) a traves de un brazo (4) de conexion que asegura una distancia de separacion entre una superficie lateral del ecografo (100) y el elemento (3) de gula, donde el elemento (3) de gula comprende dos rebordes (31) planos que delimitan un canal en cuyo interior hay una superficie (32) de apoyo para la aguja (200),- a gluttony element (3) for a needle (200) attached to the clamp (2) through a connecting arm (4) that ensures a separation distance between a lateral surface of the ultrasound (100) and the element ( 3) of gluttony, where the gluttony element (3) comprises two flat flanges (31) that delimit a channel in which there is a bearing surface (32) for the needle (200), caracterizado por que la superficie (32) de apoyo tiene forma curva.characterized in that the support surface (32) has a curved shape. 2. Dispositivo (1) de acuerdo con la reivindicacion 1, donde la superficie (32) de apoyo tiene forma semicircular.2. Device (1) according to claim 1, wherein the support surface (32) has a semicircular shape. 3. Dispositivo (1) de acuerdo con cualquiera de las reivindicaciones anteriores, donde la abrazadera (2) tiene una forma esencialmente rectangular.3. Device (1) according to any of the preceding claims, wherein the clamp (2) has an essentially rectangular shape. 4. Dispositivo (1) de acuerdo con la reivindicacion 3, donde el elemento (3) de gula esta fijado a un lado corto de la abrazadera (2) esencialmente rectangular de modo que los rebordes (31) planos son perpendiculares a dicho lado corto.Device (1) according to claim 3, wherein the gluttony element (3) is fixed to a short side of the essentially rectangular clamp (2) so that the flat flanges (31) are perpendicular to said short side . 5. Dispositivo (1) de acuerdo con la reivindicacion 3, donde el elemento (3) de gula esta fijado a un lado largo de la abrazadera (2) esencialmente rectangular de modo que los rebordes (31) planos son perpendiculares a dicho lado largo.5. Device (1) according to claim 3, wherein the gluttony element (3) is fixed to a long side of the essentially rectangular clamp (2) so that the flat flanges (31) are perpendicular to said long side . 6. Dispositivo (1) de acuerdo con cualquiera de las reivindicaciones anteriores, que esta hecho de un material desechable.6. Device (1) according to any of the preceding claims, which is made of a disposable material.
ES201731188U 2017-10-06 2017-10-06 Guided device for ultrasound guided puncture Expired - Fee Related ES1195261Y (en)

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CA3082629A1 (en) 2019-07-04 2021-01-04 Aaron Fenster Biopsy apparatus

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RU2629237C2 (en) * 2012-06-28 2017-08-28 Конинклейке Филипс Н.В. Ultrasound guided biopsies in three dimensions
US11324477B2 (en) * 2014-04-16 2022-05-10 Bk Medical Aps Multi-purpose instrument guide
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CN206424093U (en) * 2016-07-13 2017-08-22 深圳开立生物医疗科技股份有限公司 A kind of ultrasonic probe and ultrasonic device

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