LV14151B - Ultrasound probe holder - Google Patents
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- LV14151B LV14151B LVP-09-202A LV090202A LV14151B LV 14151 B LV14151 B LV 14151B LV 090202 A LV090202 A LV 090202A LV 14151 B LV14151 B LV 14151B
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- A—HUMAN NECESSITIES
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
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Abstract
Description
ULTRASONOGRĀFA ZONDES FIKSATORSULTRASONOGRAPH SENSOR LOCKER
Ultrasonogrāfa ( US ) zondes fiksators attiecas uz medicīnisku tehniku, kuru paredzēts izmantot veicot ultrasonogrāfiju, lai veiktu manipulācijas ar US zondi, fiksētu to ārstam nepieciešamajā pozīcijā un atbrīvotu ārsta rokas veicamajām manipulācijām.Ultrasonography (US) probe retainer refers to a medical technique that is intended to be used in ultrasound imaging to manipulate the US probe, hold it in the position required by the physician, and release the physician's hand for manipulation.
Ultrasonogrāfija ir nekaitīga un nesāpīga orgānu un audu diagnostikas procedūra, kurā attēlu iegūšanai lieto augstas frekvences skaņas - ultraskaņas - viļņus. Tā tiek pielietota jau vismaz 50 gadus, bet tikai tagad, pateicoties jaunākajām mūsdienu tehnoloģijām, tā ļoti plaši tiek ieviesta ārstu praksē visā pasaulē.Ultrasound imaging is a harmless and painless procedure for the diagnosis of organs and tissues, which uses high-frequency sound - ultrasound - to obtain images. It has been in use for at least 50 years, but only now, thanks to the latest modern technology, is it being widely adopted in medical practice around the world.
Ir izstrādāti dažādu modifikāciju US ( atkarībā no ražotāja ), bet visiem tiem kopīgais ir tas, ka diagnostika tiek veikta ar US zondi ( dažādu izmēru un formas atkarībā no ražotāja ), kura ar savienotājvada palīdzību ir saistīta ar US.Various versions of the US (depending on the manufacturer) have been developed, but what they all have in common is that the diagnostic is done with a US probe (varying in size and shape depending on the manufacturer) that is connected to the US via a connecting cable.
Ārsts veic manipulācijas ar US zondi, piemēram, precīzai nervu lokalizācijai ar redzes kontroli US monitora ekrānā, un kad vajadzīgais nervs vai nervu pinums ir lokalizēts, nepieciešams precīzi fiksēt US zondi vajadzīgajā pozīcijā, lai atbrīvotu ārsta rokas, piemēram, nerva blokādei, jo vienlaicīgi ir jāfiksē US zonde, jātur adata un jāievada medikaments, pie tam ir svarīgi, lai šīs manipulācijas ārsts varētu veikt bez papildus personāla palīdzības. [ 1; 2; 3; ]The physician performs manipulation of the US probe, such as precise nerve localization with visual control on the US monitor screen, and once the desired nerve or nerve plexus is localized, the US probe must be precisely locked to release the physician's hands, e.g. the US probe must be fixed, the needle must be held, and the medication inserted, and it is important that these manipulations can be performed by a physician without the need for additional staff. [1; 2; 3; ]
Šādas zondi fiksējošas ierīces US komplektācijā nav paredzētas, bet no praktizējošo ārstu puses tiek pieprasītas, jo šajā gadījumā nepieciešamās manipulācijas ārsts var veikt viens pats bez papildus personāla palīdzības.Such probe fixation devices are not provided in the US, but are required by the practitioner, as in this case the required manipulation may be performed by the physician alone without the assistance of additional personnel.
Ir pazīstama ierīce - prototips [ 4 ], kura risina šo problēmu, bet zondes turētājs šajā gadījumā ir veidots tā, ka apņem US zondi gandrīz visā tās garumā no abām pusēm un US zonde turētājā tiek nostiprināta ar divām skrūvēm (no augšas un apakšas ), kas kopumā palielina US zondes gabarītus vismaz par 1/3, kas apgrūtina ārsta manipulācijas ar zondi un tās ievietošana zondes turētājā prasa zināmu laiku, kamēr tiek pievilktas US zondes turētāja skrūves, pie tam vienreizējais sterilais pārvalks, kurš tiek uzvilkts uz US zondes, var aizķerties aiz skrūvēm un pārplīst.There is a known device, a prototype [4], which solves this problem, but in this case the probe holder is designed to encircle the US probe almost all along its two sides and the US probe is secured in the holder with two screws (top and bottom), which generally increases the size of the US probe by at least 1/3, which makes it difficult for a physician to manipulate the probe and insertion into the probe holder requires some time to tighten the US probe holder screws, which may cause the disposable sterile cover to be attached behind the screws and burst.
Bāzes stiprinājums veidots kā lodveida šamīrs, kurš ir sarežģīts izgatavošanā, jo tam nepieciešama ļoti augsta precizitāte un veicot manipulācijas ar to, katru reizi jāatbrīvo un jāpiegriež lodi fiksējošā skrūve.The base mount is designed as a spherical hammer, which is difficult to manufacture because it requires very high precision and must be loosened and rotated every time the ball is secured.
Lokanā armatūra veidota no viena posma, kurš notur US zondes, US zondes turētāja un savu svaru un vienlaicīgi paredzēts manipulācijām ar US zondi, kas ierobežo lokanās armatūras garumu, jo pie lielāka lokanās armatūras garuma, tai jānotur arī lielāks savs svars, kas savukārt prasa lokanās daļas stingrāku fiksāciju, bet tas, savukārt ierobežo smalkākas manipulācijas ar to, kuras nepieciešamas precīzai nervu lokalizācijai ar US zondi.The flexible armature is made up of a single section that holds the US probe, the US probe holder and its own weight, and is simultaneously designed to manipulate the US probe, which limits the length of the flexible armature. but this, in turn, limits the finer manipulation of what is needed for accurate nerve localization with the US probe.
Lokanā armatūra veidota no atsevišķiem, savstarpēji saistītiem, kustīgiem un pēc konstrukcijas sarežģītiem segmentiem, kas ļoti apgrūtina to izgatavošanu un līdz ar to, ekonomisku apsvērumu dēļ plašu ieviešanu ārstu praksē.Flexible fittings are made up of separate, interconnected, movable and complex construction segments, which make it very difficult to manufacture them and, consequently, for economic reasons to be widely used in medical practice.
Izgudrojuma mērķis ir radīt universālu mobilu fiksatoru manipulācijām ar US zondi un tās fiksācijai nepieciešamajā pozīcijā, pie tam, lai tā konstrukcija būtu pietiekoši vienkārša, kas ļautu to plaši pielietot un ieviest ārstu praksē; vienkāršot bāzes stiprinājuma konstrukciju, lai atvieglotu tā izgatavošanu un lai vienreiz to nostiprinot pie atbalsta, tas nebūtu atkārtoti jāfiksē un, lai atvieglotu lokanās armatūras izgatavošanu, mainīt tās konstrukciju.The object of the invention is to provide a universal mobile latch for manipulating the US probe and positioning it in a position necessary for its fixation, while being simple enough to be widely used and practiced by physicians; to simplify the construction of the base fastener to facilitate its manufacture and that once fixed to the support it should not be reattached and to change its design to facilitate the manufacture of the flexible reinforcement.
Uzstādītais mērķis tiek sasniegts pateicoties tam, ka bāzes stiprinājums ( 1 ) veidots skrūvspīļveida formā, lokanā armatūra sastāv no divām daļām : pamatdaļas ( 2 ) un papildus daļas ( 3 ); US zondes turētājs ( 4 ) sastāv no US zondes atbalsta virsmas plāksnes formā ( 6 ) no kuras atlocītas četras lokveida skavas ( 7 ) un zem US zondes ( 8 ) atbalsta virsmas plāksnes formā ( 6 ) piemetināta US zondes turētāja ( 4 ) stiprināšanas skrūve ( 5 ).The set purpose is achieved by the fact that the base mounting (1) is in the form of a screw-type, the flexible reinforcement consists of two parts: the main part (2) and the additional part (3); The US probe holder (4) consists of a US probe support plate (6) with four circular clamps (7) unfolded and a US probe holder (4) welding screw (6) welded under the US probe (8) support plate (6) 5).
Lokanās armatūras pamatdaļas ( 2 ) garuma attiecība pret lokanās armatūras papildus daļu ( 3 ) ir robežās ( 8 - 10 ) : ( 1 - 2 ), bet ārējā diametra attiecība ir robežās (0,15 - 0,2 ):( 0,1 - 0,15 ), kur 1 ir 10 cm.The length ratio of the base part (2) of the flexible armature to the additional part (3) of the flexible armature is in the range (8-10): (1-2), but the ratio of the outer diameter is in the range (0.15-0.2) :( 0,1 - 0.15) where 1 and 10 cm.
US zondes turētāja ( 4 ) atbalsta virsmas plāksnes ( 6 ) un lokveida skavu ( 7 ) forma un izmēri ir atkarīgi no US zondes formas.The shape and dimensions of the support surface plate (6) and the circular clamps (7) of the US probe holder (4) depend on the shape of the US probe.
Lokanās armatūras pamatdaļa (2 ) notur US zondes turētāja (4 ), US zondes ( 8 ) un savu pamatsvaru, bet lokanās armatūras papildus daļa ( 3 ) nodrošina smalkas manipulācijas ar US zondi ( 8 ).The base of the flexible armature (2) holds the weight of the US probe holder (4), the US probe (8) and its base weight, while the additional part (3) of the flexible armature provides fine manipulation of the US probe (8).
Lokanās armatūras pamatdaļa ( 2 ) un papildus daļa ( 3 ) veidota no viendabīga, spriegota materiāla, kurš ir vienkāršs izgatavošanā.The base part (2) and the additional part (3) of the flexible reinforcement are made of a homogeneous, tensioned material, which is easy to manufacture.
Izgudrojums ir ilustrēts ar zīmējumiem, kur :The invention is illustrated by drawings wherein:
Fig. 1 parādīts US zondes fiksatora kopskats ;FIG. 1 shows an overview of the US probe latch;
Fig. 2 parādīts US zondes fiksatora zondes turētājs ;FIG. 2 shows the probe holder for the US probe latch;
Fig. 3 parādīts US zondes fiksatora zondes turētājs ar tajā ievietotu US zondi.FIG. Figure 3 shows a probe holder for a US probe retainer with a US probe inserted therein.
US zondes fiksators satur skrūvspīļveida bāzes stiprinājumu ( 1 ), kurā ieskrūvēta lokanās armatūras pamatdaļa ( 2 ), kurā savukārt ieskrūvēta lokanās armatūras papildus daļa ( 3 ), kurā ieskrūvēts US zondes turētājs ( 4 ). Skrūvējuma vietas ir nostiprinātas ar fiksējošu līmi. US zondes turētājs ( 4 ) veidots no US zondes atbalsta virsmas plāksnes formā ( 6 ) no kuras atlocītas četras lokveida skavas ( 7 ) pēc izmēriem atbilstošas US zondes ( 8 ) formai un izmēriem; zem US zondes ( 8 ) atbalsta virsmas plāksnes formā ( 6 ) piemetināta US zondes turētāja ( 4 ) stiprināšanas skrūve ( 5 ). US zondes turētājs ( 4 ) ir pārklāts ar matētu materiālu lai uzlabotu US zondes ( 8 ) fiksāciju turētājā un novērstu tās saskrāpēšanu ievietojot un izņemot no turētāja. Lokanā armatūra sastāv no divām daļām : pamatdaļas ( 2 ) un papildus daļas ( 3 ), pie tam lokanās armatūras pamatdaļas ( 2 ) garuma attiecība pret lokanās armatūras papildus daļu ( 3 ) ir robežās ( 8 - 10 ): (1 - 2 ), bet ārējā diametra attiecība ir robežās ( 0,15 - 0,2 ) : ( 0,1 - 0,15 ), kur 1 ir 10 cm. Lokanā armatūra ( 2, 3 ) veidota no viendabīgi spriegota materiāla. Pie lokanās armatūras ( 2, 3 ) pievienotas lokanās skavas ( 9 ) US savienātājvada ar US zondi ( 8 ) piestiprināšanai.The US probe latch comprises a screw-type base mount (1) which screws in the flexible armature body (2), which in turn screws in an additional flexible arm part (3) into which the US probe holder (4) is screwed. The screw points are secured with fixing glue. The US probe holder (4) is formed from a support surface of the US probe in the form of a plate (6), from which four circular clamps (7) are folded according to the shape and dimensions of the US probe (8); underneath the US probe (8), the mounting screw (5) of the US probe holder (4) is welded in the form of a plate (6). The US probe holder (4) is covered with a matte material to improve the locking of the US probe (8) in the holder and prevent scratching during insertion and removal. The flexible reinforcement consists of two parts: the base part (2) and the auxiliary part (3), the ratio of the length of the flexible part of the reinforcing body (2) to the additional part (3) of the flexible reinforcement is in the range (8-10): but the ratio of outer diameter is in the range (0.15 - 0.2): (0.1 - 0.15), where 1 is 10 cm. The flexible reinforcement (2, 3) is made of uniformly tensioned material. A flexible clamp (9) is attached to the flexible armature (2, 3) for attaching the US connecting cable to the US probe (8).
US zondes fiksatoru izmanto sekojoši:The US probe latch is used as follows:
Ar universālā bāzes skrūvspīļveida stiprinājuma ( 1 ) palīdzību US zondes fiksatoru nostiprina pie atbalsta virsmas pacienta tiešā tuvumā.The universal probe clamp (1) secures the US probe latch to the support surface in the immediate vicinity of the patient.
US zondes turētājā (4 ) ievieto US zondi ( 8 ) un savienotāj vadu nostiprina ar lokanajām skavām ( 9 ).Insert the US probe (8) into the US probe holder (4) and secure the connecting cable with the flexible clamps (9).
Uz US zondes ( 8 ) uzvelk vienreizējo sterilo pārvalku.Apply a disposable sterile cover to the US probe (8).
Izmeklēšanai paredzēto pacienta ādas rajonu apstrādā ar sterilu gēlu.The area of the patient's skin to be examined is treated with a sterile gel.
Izmantojot US zondes fiksatora lokanās armatūras pamatdaļu ( 2 ) US zondi ( 8 ) virza pacienta tiešā tuvumā un izmantojot lokanās armatūras papildu daļu ( 3 ), pa izmeklējamo ādas virsmu, veicot redzes kontroli US monitorā, līdz, piemēram, vajadzīgais nervs vai nervu pinums tiek lokalizēts.Using the US Probe Latch Flex Fitting Body (2), the US Probe (8) guides the patient in the immediate vicinity and using the Flex Flex Attachment (3) over the skin to be examined by visual control on the US monitor until, for example, the nerve or nerve localized.
Pateicoties lokano armatūru ( 2, 3 ) fiksējošām īpašībām ( saskaņā ar iepriekš minētajām proporcijām ), zondes turētājs ( 4 ) kopā ar US zondi ( 8 ) saglabā atrasto nepieciešamo pozīciju un ārsts var atbrīvot roku, ar kuru tika veikta, piemēram, nerva lokalizācija un veikt nepieciešamās manipulācijas - turēt adatu un ievadīt medikamentu, veicot, piemēram, nerva blokādi.Due to the locking properties of the flexible armature (2, 3) (according to the proportions above), the probe holder (4), together with the US probe (8), maintains the desired position found and the physician can release the hand with which Perform the necessary manipulations - hold the needle and administer medication, for example, by blocking a nerve.
US zondes fiksators ir universāls, mobils un ērti izmantojams, kā arī viegli izgatavojams un līdz ar to pieejams plašai izmantošanai ārstu praksē.The US probe latch is versatile, mobile and easy to use, as well as easy to manufacture and hence widely available for use in medical practice.
Informācijas avoti:Sources of information:
1. Leon Corbeille ( BWIG ) Neal, Haas ( Communicator), Peter Kleinschmidt ( Team Leader ), Lein Ma ( BSAC ). Ultrasound Probe Holder. Mild - semester Design Report. 3/8/2009.1. Leon Corbeille (BWIG) Neal, Haas (Communicator), Peter Kleinschmidt (Team Leader), Lein Ma (BSAC). Ultrasound Probe Holder. Mild - Semester Design Report. 3/8/2009.
Occupational Safety and Health Administration (OSHA). Sonography: Use and Orientation of Ultrasound Equipment.Occupational Safety and Health Administration (OSHA). Sonography: Use and Orientation of Ultrasound Equipment.
http://www.osha.gov/dcsp/products/etools/hospitaPsonography/using_transducer.html.http://www.osha.gov/dcsp/products/etools/hospitaPsonography/using_transducer.html.
Datē accessed: 3/8/09. Last updated: 9/30/2008.Dated accessed: 3/8/09. Last updated: 9/30/2008.
2. Brian D Sites, John G Antonakakis. Departments of Anesthesiology and Orthopedic Surgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA; 2Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. Ultrasound guidance in regional anesthesia: State of the art review through challenging clinical scenarios. www.dovepress.com/ultrasound-guidance-in-regional-anesthesia-state-.2. Brian D Sites, John G Antonakakis. Departments of Anesthesiology and Orthopedic Surgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA; 2Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. Ultrasound guidance in regional anesthesia: State of the art review through challenging clinical scenarios. www.dovepress.com/ultrasound-guidance-in-regional-anesthesia-state-.
3. P. Marhofer, M. Greher and S. Kapral. Ultrasound guidance in regional anaesthesia. British Journal of Anaesthesia 94 (1): 7-17 (2005); doi:10.1093/bja/aei002 Advance Access publication July 26,2004.3. P. Marhofer, M. Greher, and S. Kapral. Ultrasound guidance in regional anesthesia. British Journal of Anesthesia 94 (1): 7-17 (2005); doi: 10.1093 / bja / aei002 Advance Access publication July 26,2004.
www.bja.oxfordioumals.org/cgi/reprint/94/l/7.pdf.www.bja.oxfordioumals.org/cgi/reprint/94/l/7.pdf.
4. Biomedical positioning and stabilization svstem.4. Biomedical positioning and stabilization svstem.
US Pat. 11338270 - Filed Jan 23,2006US Pat. 11338270 - Filed Jan 23, 2006 Inventors: Katherine M. Hickey, Enfield, NH ( US ); Amish Parashar, Rossmoor, CA (US ); Brian D.Sites, Plaintield, NH (US ); Brian Conley Spence, Orford, NH (US). www.googlepatents US Pat. 11338270 - Filed Jan 23, 2006.U.S. Pat. 11338270 - Filed Jan 23,2006US Pat. 11338270 - Filed Jan 23, 2006 Inventors: Katherine M. Hickey, Enfield, NH (US); Amish Parashar, Rossmoor, CA (US); Brian D. Sites, Plaintield, NH (US); Brian Conley Spence, Orford, NH (US). www.googlepatents US Pat. 11338270 - Filed Jan 23, 2006.
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LVP-09-202A LV14151B (en) | 2009-11-19 | 2009-11-19 | Ultrasound probe holder |
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