WO1997007746A1 - Magnetic resonance-compatible needle - Google Patents

Magnetic resonance-compatible needle Download PDF

Info

Publication number
WO1997007746A1
WO1997007746A1 PCT/GB1996/002086 GB9602086W WO9707746A1 WO 1997007746 A1 WO1997007746 A1 WO 1997007746A1 GB 9602086 W GB9602086 W GB 9602086W WO 9707746 A1 WO9707746 A1 WO 9707746A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
magnetic resonance
compatible
carbon fibre
fibre
Prior art date
Application number
PCT/GB1996/002086
Other languages
French (fr)
Inventor
Jocelyn Asher Simon Brookes
Original Assignee
University College London
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by University College London filed Critical University College London
Priority to JP9509989A priority Critical patent/JPH11514893A/en
Priority to EP96928574A priority patent/EP0858294B1/en
Priority to US09/031,631 priority patent/US6258071B1/en
Priority to DK96928574T priority patent/DK0858294T3/en
Priority to AU68299/96A priority patent/AU725146B2/en
Priority to AT96928574T priority patent/ATE208163T1/en
Priority to DE69616815T priority patent/DE69616815T2/en
Publication of WO1997007746A1 publication Critical patent/WO1997007746A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00911—Material properties transparent or translucent for fields applied by a magnetic resonance imaging system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like

Definitions

  • Magnetic Resonance Imaging (MRI) scanning is a method of imagmglfTe "" human body or other fleshy objects e.g. animals, either alive or dead. It depends on the object being placed in a large and uniform magnetic field (commonly ranging from 0.2-7.0 Tesla field strength according to the particular machine used).
  • the image is created by disturbance of molecules of the body by radiofrequency (RF) pulses causing resonance of these molecules. After the RF pulse, the molecules realign with the magnetic field and in so doing, emit a weak RF signal of their own. This signal is detected and analysed by a computer and a signal map created of the interrogated body part such that a grayscale image is displayed.
  • RF radiofrequency
  • the appearance is usuaUy that of 'sHces' throught he body revealing the inner organs. It is useful in medical practise, to place needles in these inner organs in the presence of disease, both to extract tissue and fluid samples for analysis (biopsy) or to pass fluids or instruments down the needles to alter the tissue of interest in a variety of pre ⁇ specified ways.
  • the precise position of the needle tip is clearly vital for accurate diagnosis and/or therapy in this context.
  • the needle To use a needle in an MRI scanner, the needle must fulfil all the requirements for a medicinal needle in terms of strength and body compatibility as well as being compatible with the MRI imaging apparatus in that it must be both clearly visible when scanned as well as causing no distortion artefact to the final image. Any magnetic object will distort the magnetic field and thus the image, making accurate placement difficult.
  • Such needles as are used currently, are made of metal alloys with high non-ferrous metal content and a low relative proportion of Iron but these still cause significant artefact especially at the needle tip-the most important part.
  • the needle is manufactured out of non-metallic materials such as carbon fibre, glass fibre, plastics or ceramics so as to cause no artefact on MRI scanning and allow non-distorted tip visualisation.
  • the needle is made of fibre composite materials such as carbon or glass fibre wherein the fibres are arranged either axially, spirally, in circular fashion or in a combination of these orientations
  • the needle is sterilizable by heat, chemicals and/or irradiation techniques allowing re-use of the needle.
  • Figure 1 shows the side view of the needle and a selection of accompanying components.
  • FIG. 1 shows the needle end-on
  • the needle comprises an outer cylindrical tube 1 of carbon fibre, glass fibre, plastic or ceramic material with length and wall dimensions 5 and 6 variable according to the task required i.e.large or small needles.
  • the needle has a connector 2 attached to its proximal end to allow the connection of omer apparatus.
  • the needle bore 5 allows passage of fluids in ei ⁇ ier direction, the insertion of an obturator, mandril or trocar 3 , as well as the passage of implements such as optical light fibres 4 , catheters and more complex instruments such as ultrasound probes
  • the needle and trocar assembly can be adapted to perform core biopsies of tissues as is currendy undertaken with metallic needles.
  • the carbon fibre tubing is manufactured either by 'pultrusion' of the fibres over a mandril with the fibres arranged both axially and spirally, or wrapping preformed carbon fibre sheeting around a mandril with subsequent polishing of the surfaces.

Abstract

A medical needle is made of non-metallic, non-magnetic materials such that medical interventional procedures requiring needle access to people, animals or isolated tissues can be performed in a Magnetic Resonance Imaging (MRI) scanner without significant artefact or image distortion. The dimensions of the needle are adaptable to the task required.

Description

Magnetic resonance-compatible needle
Magnetic Resonance Imaging (MRI) scanning is a method of imagmglfTe"" human body or other fleshy objects e.g. animals, either alive or dead. It depends on the object being placed in a large and uniform magnetic field (commonly ranging from 0.2-7.0 Tesla field strength according to the particular machine used).
The image is created by disturbance of molecules of the body by radiofrequency (RF) pulses causing resonance of these molecules. After the RF pulse, the molecules realign with the magnetic field and in so doing, emit a weak RF signal of their own. This signal is detected and analysed by a computer and a signal map created of the interrogated body part such that a grayscale image is displayed.
The appearance is usuaUy that of 'sHces' throught he body revealing the inner organs. It is useful in medical practise, to place needles in these inner organs in the presence of disease, both to extract tissue and fluid samples for analysis (biopsy) or to pass fluids or instruments down the needles to alter the tissue of interest in a variety of pre¬ specified ways.
The precise position of the needle tip is clearly vital for accurate diagnosis and/or therapy in this context.
To use a needle in an MRI scanner, the needle must fulfil all the requirements for a medicinal needle in terms of strength and body compatibility as well as being compatible with the MRI imaging apparatus in that it must be both clearly visible when scanned as well as causing no distortion artefact to the final image. Any magnetic object will distort the magnetic field and thus the image, making accurate placement difficult. Such needles as are used currently, are made of metal alloys with high non-ferrous metal content and a low relative proportion of Iron but these still cause significant artefact especially at the needle tip-the most important part.
According to the present invention, the needle is manufactured out of non-metallic materials such as carbon fibre, glass fibre, plastics or ceramics so as to cause no artefact on MRI scanning and allow non-distorted tip visualisation.
In one embodiment of the invention the needle is made of fibre composite materials such as carbon or glass fibre wherein the fibres are arranged either axially, spirally, in circular fashion or in a combination of these orientations
In another embodiment of the invention the needle is sterilizable by heat, chemicals and/or irradiation techniques allowing re-use of the needle.
A specific embodiment of the invention is now described by way of example with reference to the accompanying drawings, in which:-
' Figure 1 shows the side view of the needle and a selection of accompanying components.
Figure 2 shows the needle end-on
Referring to the drawings Figures 1 and 2, the needle comprises an outer cylindrical tube 1 of carbon fibre, glass fibre, plastic or ceramic material with length and wall dimensions 5 and 6 variable according to the task required i.e.large or small needles.
The needle has a connector 2 attached to its proximal end to allow the connection of omer apparatus.
The needle bore 5 allows passage of fluids in eiϋier direction, the insertion of an obturator, mandril or trocar 3 , as well as the passage of implements such as optical light fibres 4 , catheters and more complex instruments such as ultrasound probes
The needle and trocar assembly can be adapted to perform core biopsies of tissues as is currendy undertaken with metallic needles.
The carbon fibre tubing is manufactured either by 'pultrusion' of the fibres over a mandril with the fibres arranged both axially and spirally, or wrapping preformed carbon fibre sheeting around a mandril with subsequent polishing of the surfaces.
t It will of course ba understood that the present invention has been described above purely by way of example, and that modifications of detail can be made within the scope of the invention.

Claims

1. A needle made of materials which are compatible for use in an MRI scanner wherein the material is non-metallic and causes no significant artefact or image distortion when visualized with an MRI scanner.
2. A needle as claimed in claim 1 wherein the material used is a fibre-composite material
3. A needle as claimed in claim 1 wherein the material used is carbon fibre
4. A needle as claimed in claim 3 wherein the carbon fibre is either of wrapped, or of axially and/or spirally pultruded manufacturing configuration.
5 .A needle as claimed in claim 1 wherein the material used is plastic or ceramic
6. A needle as claimed in any preceding claim that is a multipurpose, including aspiration biopsy, needle
7. A needle as claimed in any preceding claim that is sterilizable by heat or chemical or irradiation means such that it may be re-used.
8. A needle substantially as described herein with reference to the text and Figures 1 and 2 of the accompanying drawing
PCT/GB1996/002086 1995-08-31 1996-08-30 Magnetic resonance-compatible needle WO1997007746A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
JP9509989A JPH11514893A (en) 1995-08-31 1996-08-30 Magnetic resonance compatible needle
EP96928574A EP0858294B1 (en) 1995-08-31 1996-08-30 Magnetic resonance-compatible needle
US09/031,631 US6258071B1 (en) 1995-08-31 1996-08-30 Magnetic resonance-compatible needle
DK96928574T DK0858294T3 (en) 1995-08-31 1996-08-30 Needle compatible with magnetic resonance
AU68299/96A AU725146B2 (en) 1995-08-31 1996-08-30 Magnetic resonance-compatible needle
AT96928574T ATE208163T1 (en) 1995-08-31 1996-08-30 A NEEDLE COMPATIBLE WITH MAGNETIC RESONANCE
DE69616815T DE69616815T2 (en) 1995-08-31 1996-08-30 A NEEDLE COMPATIBLE WITH MAGNETIC RESONANCE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB9517781A GB2304580A (en) 1995-08-31 1995-08-31 Magnetic resonance-compatible needle
GB9517781.2 1995-08-31

Publications (1)

Publication Number Publication Date
WO1997007746A1 true WO1997007746A1 (en) 1997-03-06

Family

ID=10779999

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1996/002086 WO1997007746A1 (en) 1995-08-31 1996-08-30 Magnetic resonance-compatible needle

Country Status (11)

Country Link
US (1) US6258071B1 (en)
EP (1) EP0858294B1 (en)
JP (1) JPH11514893A (en)
AT (1) ATE208163T1 (en)
AU (1) AU725146B2 (en)
CA (1) CA2230685A1 (en)
DE (1) DE69616815T2 (en)
DK (1) DK0858294T3 (en)
ES (1) ES2165518T3 (en)
GB (1) GB2304580A (en)
WO (1) WO1997007746A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5782764A (en) * 1995-11-07 1998-07-21 Iti Medical Technologies, Inc. Fiber composite invasive medical instruments and methods for use in interventional imaging procedures
WO2002030304A1 (en) 2000-10-12 2002-04-18 Institut Für Mikro Therapie Bochum Surgical instrument
EP2873372A1 (en) * 2013-11-13 2015-05-20 Agron Lumiani Biopsy needle system for MR-guided biopsy

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US7282020B2 (en) * 2001-04-24 2007-10-16 Microspherix Llc Deflectable implantation device and method of use
US6626849B2 (en) * 2001-11-01 2003-09-30 Ethicon Endo-Surgery, Inc. MRI compatible surgical biopsy device
US7192404B2 (en) * 2001-12-12 2007-03-20 Ethicon Endo-Surgery, Inc. MRI compatible surgical biopsy device having a tip which leaves an artifact
NL1021608C2 (en) * 2002-10-09 2004-04-13 Robbert Mathias Maes Article for use in MRI scanner or magnetic field, made from non metallic material, e.g. diamond, bone or dental composite material
US7172624B2 (en) * 2003-02-06 2007-02-06 Boston Scientific Scimed, Inc. Medical device with magnetic resonance visibility enhancing structure
US20050070972A1 (en) * 2003-09-26 2005-03-31 Wahlstrand Carl D. Energy shunt for producing an MRI-safe implantable medical device
US7445739B2 (en) * 2004-03-24 2008-11-04 Ethicon Endo-Surgery, Inc. Method of forming a biopsy device
US9345456B2 (en) * 2004-03-24 2016-05-24 Devicor Medical Products, Inc. Biopsy device
US7174219B2 (en) * 2004-03-30 2007-02-06 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US7877150B2 (en) 2004-03-30 2011-01-25 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US7844344B2 (en) 2004-03-30 2010-11-30 Medtronic, Inc. MRI-safe implantable lead
US7844343B2 (en) 2004-03-30 2010-11-30 Medtronic, Inc. MRI-safe implantable medical device
US8989840B2 (en) * 2004-03-30 2015-03-24 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US9155877B2 (en) * 2004-03-30 2015-10-13 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US8280526B2 (en) * 2005-02-01 2012-10-02 Medtronic, Inc. Extensible implantable medical lead
US8027736B2 (en) * 2005-04-29 2011-09-27 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US7853332B2 (en) * 2005-04-29 2010-12-14 Medtronic, Inc. Lead electrode for use in an MRI-safe implantable medical device
US9364293B2 (en) 2006-04-28 2016-06-14 Biosense Webster, Inc. Reduced field distortion in medical tools
US10537730B2 (en) * 2007-02-14 2020-01-21 Medtronic, Inc. Continuous conductive materials for electromagnetic shielding
US9044593B2 (en) * 2007-02-14 2015-06-02 Medtronic, Inc. Discontinuous conductive filler polymer-matrix composites for electromagnetic shielding
US8483842B2 (en) 2007-04-25 2013-07-09 Medtronic, Inc. Lead or lead extension having a conductive body and conductive body contact
US9037263B2 (en) 2008-03-12 2015-05-19 Medtronic, Inc. System and method for implantable medical device lead shielding
EP2429631B1 (en) 2009-04-30 2014-09-10 Medtronic, Inc. Termination of a shield within an implantable medical lead
US20120116233A1 (en) * 2010-11-04 2012-05-10 Robert Weber Mah Sensor system
EP2838609B1 (en) 2012-04-19 2019-03-06 Medtronic, Inc. Paired medical lead bodies with braided conductive shields having different physical parameter values
JP5861000B2 (en) * 2012-06-26 2016-02-16 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． Biopsy needle with large fiber spacing at the tip
US9993638B2 (en) 2013-12-14 2018-06-12 Medtronic, Inc. Devices, systems and methods to reduce coupling of a shield and a conductor within an implantable medical lead
US20150250459A1 (en) * 2014-03-04 2015-09-10 BP II Technologeis Carbon Fiber Medical Instrument
US10279171B2 (en) 2014-07-23 2019-05-07 Medtronic, Inc. Methods of shielding implantable medical leads and implantable medical lead extensions
WO2016014816A1 (en) 2014-07-24 2016-01-28 Medtronic, Inc. Methods of shielding implantable medical leads and implantable medical lead extensions
US10299669B2 (en) * 2015-05-28 2019-05-28 Pivot Medical, Inc. Light-guided joint access
CN106420016A (en) * 2016-11-10 2017-02-22 矫文捷 Puncture needle for CT-guided positioning before lung nodule operation
CN110368185A (en) * 2019-08-08 2019-10-25 哈尔滨工业大学 A kind of retinal vessel medicine injecting device for ophthalmologic operation robot
CN110368184B (en) * 2019-08-08 2021-05-04 哈尔滨工业大学 Retinal vessel medicine injector for ophthalmic surgery robot and injection method thereof
USD959650S1 (en) * 2020-03-31 2022-08-02 Naslund Medical AB Injection instrument

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EP0566359A2 (en) * 1992-04-14 1993-10-20 Ethicon, Inc. Illuminated surgical cannula
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5782764A (en) * 1995-11-07 1998-07-21 Iti Medical Technologies, Inc. Fiber composite invasive medical instruments and methods for use in interventional imaging procedures
WO2002030304A1 (en) 2000-10-12 2002-04-18 Institut Für Mikro Therapie Bochum Surgical instrument
DE10050648C2 (en) * 2000-10-12 2003-11-06 Fraunhofer Ges Forschung Surgical instrument
EP2873372A1 (en) * 2013-11-13 2015-05-20 Agron Lumiani Biopsy needle system for MR-guided biopsy

Also Published As

Publication number Publication date
ES2165518T3 (en) 2002-03-16
AU725146B2 (en) 2000-10-05
CA2230685A1 (en) 1997-03-06
AU6829996A (en) 1997-03-19
DK0858294T3 (en) 2001-12-27
GB9517781D0 (en) 1995-11-01
EP0858294A1 (en) 1998-08-19
DE69616815D1 (en) 2001-12-13
ATE208163T1 (en) 2001-11-15
JPH11514893A (en) 1999-12-21
EP0858294B1 (en) 2001-11-07
US6258071B1 (en) 2001-07-10
DE69616815T2 (en) 2002-05-29
GB2304580A (en) 1997-03-26

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