KR101744238B1 - Niddle Guide Device for Biopsy - Google Patents

Niddle Guide Device for Biopsy Download PDF

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Publication number
KR101744238B1
KR101744238B1 KR1020150151782A KR20150151782A KR101744238B1 KR 101744238 B1 KR101744238 B1 KR 101744238B1 KR 1020150151782 A KR1020150151782 A KR 1020150151782A KR 20150151782 A KR20150151782 A KR 20150151782A KR 101744238 B1 KR101744238 B1 KR 101744238B1
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South Korea
Prior art keywords
needle
guide member
friction surface
angle
guide
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KR1020150151782A
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Korean (ko)
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KR20170050346A (en
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전민철
임현수
한만석
서선열
박동일
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전민철
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Priority to KR1020150151782A priority Critical patent/KR101744238B1/en
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    • 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
    • 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
    • A61B10/0233Pointed or sharp biopsy instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

A body having a hole formed at its center so as to be capable of guiding the needle to an accurate position and capable of lowering the manufacturing cost, a leveling system provided on one side of the body, A guiding member having a guiding needle guide groove formed to cross the front surface and a central shaft projecting to the rear of the soccer yoke to protrude therefrom and an angle setting unit installed to set the rotation angle of the guiding member at a predetermined angle The present invention provides a needle guide device for a tissue inspection.

Description

Needle guide device for tissue inspection {Niddle Guide Device for Biopsy}

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a needle guide device for tissue inspection, and more particularly, to a needle guide device for tissue inspection that is configured to easily and accurately set and guide an insertion angle of a needle during a tissue inspection.

Generally, biopsy is a method of taking a part of a tissue from a living body and diagnosing it by histopathologically examining it, and it is also called a biopsy.

A biopsy is usually performed when a nodule or a mass in the body is suspected of cancer. In this case, a minimally invasive imaging technique such as ultrasound imaging or CT imaging, rather than a surgical biopsy, Biopsy has been performed recently.

Image - guided biopsy can be divided into aspiration biopsy to obtain only cells and core biopsy to obtain more tissue. Biopsy needle for biopsy has core biopsy needle and aspiration biopsy needle according to biopsy method.

In the course of conventional CT image-guided biopsy, first, an image of a region of interest is obtained through a photographing process for performing a CT scan on a subject to be biopsied, and then a biopsy needle And a needle is inserted into the needle insertion position indicated in accordance with the treatment plan, and then a CT scan is performed. When it is confirmed that the needle has reached the target, a suction gun or a syringe Thereby obtaining a tissue.

In the needle insertion process, the procedure assistant informs the operator of the direction angle of the needle using a goniometer, and inserts the needle in the most accurate position and direction. In such a needle insertion process, since the angle of the needle changes, There is one case, and there is also a disadvantage that an assistant must be present and the biopsy is not possible with the practitioner alone.

Therefore, a technique for solving the problems caused by the conventional needle insertion process is disclosed in Japanese Patent Publication No. 1511299.

The above-described patent document No. 1511299 discloses a biopsy needle guide device that guides a line guide beam to a biopsy object placed on a table so that a biopsy needle aligns with an object to be biopsy Wherein the guide module is configured to guide a linear guide beam to a surface located on a side opposite to the guide module with respect to the table so as to form a linear guide beam on a side of the biopsy needle when the biopsy needle is aligned at an entry angle A guide module positioned relative to the table; And a transfer module for adjusting the position of the guide module.

The conventional biopsy needle guide device as described above is intended to visually guide the approach angle of the needle through the beam. In the course of the needle entry by the practitioner, there is still room for error due to the position, skill, .

The conventional biopsy needle guide device configured as described above has a difficulty in handling and complicated structure due to the provision of a feed module and a power supply for positioning the guide module, leading to an increase in manufacturing cost and an increase in the cost of medical treatment due to an increase in the number of parts And the position of the beam is set differently each time depending on the body shape of the patient, so that the setting time is long.

Therefore, there is a need for research and development of a device that can solve the problem of generating an error in the needle entry process and that can be handled at a lower cost and more easily.

It is an object of the present invention to provide a needle guide apparatus for inspection of a tissue which is simple in structure and easy to handle and which can minimize flow when a needle is inserted.

The present invention provides a needle guide device for tissue inspection comprising a body having a hole formed at its center through which a needle hole is passed, a leveling instrument provided on one side of the body, a needle guide groove for guiding movement of the needle for tissue inspection, A guide member formed to extend across the guide shaft and protruding from a center shaft which is assembled to the yoke at the rear side, and an angle setting unit installed to set the rotation angle of the guide member at a predetermined angle.

At least one of the body and the guide member is formed with an angle display unit for displaying a rotation angle of the guide member.

The leveling system consists of a water leveling system.

The angle setting portion includes a male screw formed on an outer peripheral surface of a central axis of the guide member, and a nut coupled to the male screw and closely contacting or disengaging the body from the guide member.

Wherein the angle setting portion includes a first friction surface formed by alternately arranging grooves and projections along the periphery of the shaft of the body and a second friction surface formed symmetrically with the first friction surface on the guide member It is also possible to include it.

The grooves and the protrusions formed on the first friction surface and the second friction surface are formed in a triangular shape.

Further, the present invention may further comprise a needle support for holding the needle for tissue inspection inserted into the needle guide groove.

According to the needle inspection apparatus for tissue inspection according to the embodiment of the present invention, it is possible to insert the needle at an accurate angle and to minimize the flow of the needle, thereby minimizing the need for repeated insertion of the needle, It is possible to shorten the inspection time and improve the satisfaction of the subject to be examined.

In addition, according to the needle guide apparatus for tissue inspection according to the embodiment of the present invention, since the manipulation such as angle adjustment is simple, easy and compact, it is possible to shorten inspection time, improve portability, and reduce the purchase cost.

1 is a perspective view showing a needle guide apparatus for tissue inspection according to a first embodiment of the present invention.
2 is a sectional view showing a needle guide apparatus for tissue inspection according to a first embodiment of the present invention.
3 is a front view showing a needle guide apparatus for tissue inspection according to a first embodiment of the present invention.
4 is a sectional view taken along the line AA in Fig.
5 is a partially enlarged front view showing a needle guide apparatus for tissue inspection according to a first embodiment of the present invention.
6 is a cross-sectional view showing the uneven surface of the angle setting portion in the needle guide apparatus for tissue inspection according to the first embodiment of the present invention.
7 is a front view showing a state in which a needle insertion angle is set in an operation process of a needle inspection apparatus for tissue inspection according to a first embodiment of the present invention.
8 is a front view showing a state in which a needle is aimed at an insertion position in an operation process of a needle guide apparatus for tissue inspection according to a first embodiment of the present invention.
9 is a front view showing a state in which needle insertion is completed in the operation process of the needle inspection apparatus for tissue examination according to the first embodiment of the present invention.
10 is a front view showing a state in which a needle guide groove and a tissue inspection needle are separated from each other in an operation process of the tissue guide inspection apparatus according to the first embodiment of the present invention.
11 is a front view showing a needle guide apparatus for tissue inspection according to a second embodiment of the present invention.
12 is a sectional view taken along line BB of Fig.
13 is a cross-sectional view taken along line CC of Fig.
Fig. 14 is a front view of the operating state of the needle supporting unit in the needle inspection apparatus for tissue inspection according to the second embodiment of the present invention. Fig.
FIG. 15 is an operational state plan sectional view showing a needle support in a needle guide apparatus for tissue inspection according to a second embodiment of the present invention. FIG.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Next, a preferred embodiment of a needle guide apparatus for tissue inspection according to the present invention will be described in detail with reference to the drawings.

In the following description, the same reference numerals are used for the same technical elements, and detailed descriptions for avoiding redundant description are omitted.

The embodiments described below are intended to illustrate the preferred embodiments of the present invention in an effective manner and should not be construed to limit the scope of the present invention.

1 to 4, the needle guide apparatus for tissue inspection according to the first embodiment of the present invention includes a body 10, a leveling instrument 20, a guide member 30, and an angle setting unit 40 do.

A shaft hole (12) for coupling with the guide member (30) is formed at the center of the body (10).

The body 10 has a short cylindrical shape.

For example, the body 10 is shaped like a wheel.

The body 10 is formed to have a circumferential surface with the shaft hole 12 as a center.

An angle display unit 14 may be formed on the front surface or the side surface of the body 10 to display the rotation angle of the guide member 30. [

The angle display unit 14 can be displayed with a scale, a number, a symbol, and the like.

The leveling unit 20 is composed of a water leveling system 20 and is installed on the side surface (circumferential surface) of the body 10 of the body 10.

The leveling unit 20 is installed at a zero point (0 degree position) of the angle display unit 14.

It is possible to precisely and easily grasp whether the horizontal position of the body 10 is horizontal or not (horizontal state with respect to the table top surface of the CT apparatus), so that the insertion position of the needle 2 for tissue inspection can be more accurately set It is possible to do.

The leveling device 20 may be an electronic leveling device.

The guide member (30) is installed in front of the body (10).

The guide member 30 is formed with a needle guide groove 31 for guiding the movement of the needle 2 for tissue inspection across its front side and is rotatably and linearly slidable to the shaft hole 12 A center shaft 32 is formed to protrude.

The needle guide groove 31 is formed in an open channel shape.

The needle guide groove 31 is formed to have a substantially "c (cross)" cross section and is formed in a cross section such as a "U" shape, a "V (Viza)" shape, a semicircular shape, It is also possible.

The central axis 32 has a hollow structure.

The angle setting unit 40 is installed so as to set the rotation angle of the guide member 30 at a predetermined angle.

The angle setting unit 40 includes a first friction surface 41 formed by alternately arranging the grooves 42 and the projections 43 along the periphery of the shaft hole 12 of the body 10, A second friction surface 46 formed symmetrically with respect to the first friction surface 42 on the shaft 30 and a male screw 50 formed on the outer circumferential surface of the center shaft 32 of the guide member 30, And a nut 52 coupled to the male screw 50 to closely contact or disengage the body 10 and the guide member 30.

The angle setting unit 40 includes an elastic member 60 for urging the body 10 forward by a pressing force from the rear of the body 10 to closely contact the first friction surface 41 and the second friction surface 46, May be further included.

The elastic member 60 is installed on the outer circumferential surface of the central axis 12 of the body 10 and is made of a compression coil spring. When the nut 52 is tightened, the elastic member 60 is compressed.

The first friction surface (41) is formed on the front surface of the body (10).

The second friction surface 46 is provided on a surface facing the first friction surface 41 and has a plurality of grooves 42 arranged at regular intervals along the center axis 32 of the guide member 30. [ And the projections 43 are alternately arranged in succession.

5, the gap between the groove 41 and the groove 41 (or between the projection 43 and the projection 43) is set to be approximately 1 °, and is not limited to 0.5 ° or It is also possible to install it at about 2 ~ 5 degrees.

As shown in Fig. 6, the grooves 42 and the projections 43 formed on the first friction surface 41 and the second friction surface 46 are formed in a triangular cross-section.

Although the grooves 42 and the projections 43 are not shown in the figure, they may be formed in a semicircular cross section.

In the needle guide device for tissue inspection according to the first embodiment of the present invention configured as described above, the shaft hole 12 is formed in the guide member 30 and the center shaft 32 is formed in the body 10 It is also possible to do.

11 to 15, in the state in which the tissue inspection needle 2 is inserted into the needle guide groove 31, the needle guide apparatus for tissue inspection according to the second embodiment of the present invention, It is possible to further include a needle holder 70 for preventing the needle 2 for tissue inspection from being detached from the guide groove 31.

The needle support unit 70 is installed to be linearly reciprocally movable to both sides of the guide member 30 and blocks the retraction of the tissue inspection needle 2 when moving in one direction, And an elastic member (75) that always exerts a force on the latch (71) in a direction in which the latch (71) blocks the retraction of the biopsy needle (2) And an opening lever 76 for moving the latch 71 in the direction in which the latch 71 releases the interruption interruption of the biopsy needle 2 through cam driving.

The bolt 71 is supported on the guide member 30 so as to be reciprocally movable in a direction perpendicular to the length of the needle guide groove 31.

The bolt 71 has a pair of horizontal portions 72 each having one end to cross the needle guide groove 31 and a connecting portion 73 connecting the other end of the horizontal portion 72 .

The elastic member 75 is made of a compression coil spring or the like and presses the horizontal portion 72 or the vertical portion 73 in a direction blocking the exit of the needle 2 for tissue inspection of the bolt 71 .

The opening lever 76 is installed on the guide member 30 so as to reciprocate back and forth.

A cam surface (74) for converting the forward and backward movement of the opening lever (76) into the left and right movement of the bolt (71) is formed in the bolt (71).

The cam surface (74) is inclined to the left and right of the guide member (30).

Next, the operation of the needle inspection apparatus for tissue inspection according to the first embodiment of the present invention will be described with reference to the drawings.

First, the insertion position, the insertion depth, and the insertion direction of the needle 2 for tissue inspection are planned using the image obtained through the CT photographing or the like, and the insertion angle is set by rotating the guide member 30 at a predetermined angle. 7)

After setting the insertion angle as described above and bringing the lower end of the needle guide groove 31 close to the insertion point P and inserting the tissue inspection needle 2 into the needle guide groove 31, 20). (See Fig. 8)

When the needle supporting part 70 is installed, the operator pushes the opening lever 76 to move one side of the latch 71, then inserts the needle 2 into the needle guide groove 31 and then pushes the opening lever 76 So that the latch 71 is returned to its original position.

After the aiming is performed as described above, the needle 2 for tissue inspection is pushed into the inspection body 3 along the needle guide groove 31. At this time, the operator places the needle 2 for tissue inspection in the back The needle 2 for tissue inspection does not flow back and forth but can be accurately inserted into the inspecting body 3 along the needle guide groove 31 (see Fig. 9).

When insertion of the biopsy needle 2 into the inspection body 3 is completed as described above, the body 10 is moved backward to separate the needle 2 from the needle guide groove 31 Reference)

After confirming that the tip of the needle 2 has reached the end of the test target 1 accurately by CT photographing or the like, if the correct insertion is confirmed, the tissue is sucked by the injector 4 and the needle 2 is pulled out.

1: Inspection target 2: Needle for tissue inspection
3: Upper body 4: Syringe
10: Body 12: Football yoke
14: angle display section 20:
30: guide member 31: needle guide groove
32: central axis 40: angle setting part
41: first friction surface 42: projection
43: groove 46: second friction surface
50: male thread 52: nut
60: elastic member 70: needle support
71: bolt 74: cam face
76: Open lever

Claims (5)

A body 10 through which a shaft hole 12 is formed at the center,
A horizontal system 20 installed on one side of the body 10,
A needle guide groove 31 for guiding the longitudinal direction linear movement of the needle 2 for tissue inspection is formed across the front surface and a central axis 32 assembled to the shaft hole 12 is formed to protrude rearward A guide member 30,
An angle setting unit 40 installed to be capable of setting a rotation angle of the guide member 30 at a predetermined angle,
And a needle supporting part (70) for maintaining the state in which the needle for tissue inspection (2) is inserted into the needle guide groove (31)
At least one of the body 10 and the guide member 30 is further provided with an angle display unit 14 for displaying the rotation angle of the guide member 30,
The angle setting unit 40 includes a first friction surface 41 formed by alternately arranging the grooves 42 and the projections 43 along the periphery of the shaft hole 12 of the body 10, A second friction surface 46 formed symmetrically with respect to the first friction surface 41 on the shaft 30 and a male thread 50 formed on the outer circumferential surface of the center shaft 32 of the guide member 30, A nut 52 coupled to the male screw 50 and making the body 10 and the guide member 30 closely contact with each other or releasing contact with the body 10 and a force pushing forward the body 10 from the rear of the body 10 And an elastic member (60) for bringing the first friction surface (41) and the second friction surface (46) into close contact with each other,
The second friction surface 46 is provided on a surface facing the first friction surface 41 and has a plurality of grooves 42 arranged at regular intervals along the center axis 32 of the guide member 30. [ And the projections 43 are alternately arranged one after another,
The grooves 42 and the projections 43 formed on the first friction surface 41 and the second friction surface 46 are formed in a triangular section,
The needle support unit 70 is installed to be linearly reciprocally movable to both sides of the guide member 30 and blocks the retraction of the tissue inspection needle 2 when moving in one direction, And an elastic member (75) that always exerts a force on the latch (71) in a direction in which the latch (71) blocks the retraction of the biopsy needle (2) And an opening lever 76 for moving the latch 71 in the direction in which the latch 71 releases the interruption interruption of the biopsy needle 2 through the cam 71,
The bolt 71 has a pair of horizontal portions 72 each having one end which crosses the needle guide groove 31 and a connecting portion 73 connecting the other end of the pair of horizontal portions 72 ),
The opening lever 76 is installed on the guide member 30 so as to be reciprocally movable back and forth,
A cam surface 74 inclined to the left and right of the guide member 30 is formed in the bolt 71 so as to convert the forward and backward movement of the opening lever 76 into left and right movement of the bolt 71. [ .
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KR1020150151782A 2015-10-30 2015-10-30 Niddle Guide Device for Biopsy KR101744238B1 (en)

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KR1020150151782A KR101744238B1 (en) 2015-10-30 2015-10-30 Niddle Guide Device for Biopsy

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KR101744238B1 true KR101744238B1 (en) 2017-06-20

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117137596B (en) * 2023-10-30 2024-01-12 湖南明舟医疗科技有限公司 Puncture needle assembly and disposable puncture needle

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850550Y (en) * 2005-09-29 2006-12-27 张惠玲 Hand held puncture guide
JP2009523508A (en) * 2006-01-23 2009-06-25 張恵玲 Puncture guiding needle and puncture guiding method

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850550Y (en) * 2005-09-29 2006-12-27 张惠玲 Hand held puncture guide
JP2009523508A (en) * 2006-01-23 2009-06-25 張恵玲 Puncture guiding needle and puncture guiding method

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