WO2016153088A1 - Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille - Google Patents

Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille Download PDF

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Publication number
WO2016153088A1
WO2016153088A1 PCT/KR2015/002816 KR2015002816W WO2016153088A1 WO 2016153088 A1 WO2016153088 A1 WO 2016153088A1 KR 2015002816 W KR2015002816 W KR 2015002816W WO 2016153088 A1 WO2016153088 A1 WO 2016153088A1
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WO
WIPO (PCT)
Prior art keywords
needle
guide passage
ultrasonic probe
bracket
guide
Prior art date
Application number
PCT/KR2015/002816
Other languages
English (en)
Korean (ko)
Inventor
이수성
이재원
Original Assignee
알피니언메디칼시스템 주식회사
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 알피니언메디칼시스템 주식회사 filed Critical 알피니언메디칼시스템 주식회사
Priority to PCT/KR2015/002816 priority Critical patent/WO2016153088A1/fr
Publication of WO2016153088A1 publication Critical patent/WO2016153088A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • 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

Definitions

  • the present invention relates to a technique for inserting a needle into a living body using an ultrasonic probe.
  • the ultrasonic diagnostic system transmits ultrasonic waves in the living body by the ultrasonic probe, and then receives ultrasonic waves reflected from the boundary between two tissues having different acoustic impedance by the ultrasonic probe, thereby obtaining image information about the tissue in the living body.
  • the image information acquired by the ultrasound diagnosis system is output to the monitor unit of the ultrasound diagnosis system, and the diagnoser may diagnose the living body through the image information output to the monitor unit.
  • Biopsy is a method of extracting and examining a part of tissue from a living body. According to the biopsy method, the diagnostic person contacts the ultrasonic probe with the surface of the living body and inserts the needle in-vivo while the ultrasonic diagnostic system is in operation. At this time, the diagnostic person may insert the needle into the target site for biopsy while simultaneously checking the image of the tissue in vivo and the needle motion image with the monitor unit of the ultrasound diagnostic system, and then extract the tissue from the target site. On the other hand, the needle used to inject the drug into the target site may also be inserted into the target site in the manner described above.
  • the needle When the needle is inserted into the living body as described above, when a two-dimensional ultrasound probe is used, the movement of the target site and the needle in the living body is displayed on the two-dimensional plane in the two-dimensional image of the in vivo tissue obtained by the two-dimensional ultrasound probe. do.
  • the diagnoser can easily insert the needle into the target site by manipulating the needle along the two-dimensional plane while watching the target site and the needle movement based on the two-dimensional image of the tissue in vivo.
  • the diagnoser sometimes inserts the needle from the side facing the 2D plane as needed.
  • the diagnoser since the needle movement is not displayed in the two-dimensional plane, the diagnoser must manipulate the needle in three-dimensional space and insert it into the target site. This may make it difficult for the diagnostician to insert the needle into the target site.
  • a 3D ultrasound probe may be used to more accurately diagnose tissue in vivo.
  • the 3D ultrasound probe is configured to acquire a 3D image of tissue in vivo.
  • the target site is displayed on the three-dimensional space in the three-dimensional image of the tissue in vivo. Because of this, the diagnostic person has to manipulate the needle in the three-dimensional space based on the three-dimensional image of the tissue in vivo, and thus it may be more difficult than inserting the needle into the target site by manipulating the needle on the two-dimensional plane.
  • An object of the present invention is a needle bracket for an ultrasonic probe, an ultrasonic diagnostic system including the same, and a needle insertion, which enable a diagnostic person to easily insert a needle into a target site by manipulating the needle in a three-dimensional space based on an image of tissue in vivo In providing a method.
  • the bracket body is mounted to the ultrasonic probe in a form surrounding the ultrasonic transmitting and receiving portion of the ultrasonic probe.
  • Guide passages are respectively formed in the bracket body to guide the movement of the needle in the state of inserting the needle (needle) toward the living body, are arranged along the periphery of the bracket body.
  • the ultrasonic diagnostic system includes an ultrasonic probe, a monitor, a needle bracket, and a system controller.
  • the ultrasonic probe contacts the surface of the living body to acquire an image.
  • the monitor unit displays an image acquired by the ultrasonic probe.
  • the needle bracket is formed around the bracket body mounted on the ultrasonic probe in a form surrounding the ultrasonic transmitting and receiving portion of the ultrasonic probe, and formed on the bracket body to guide the movement of the needle while the needle is inserted into the living body and arranged along the periphery of the bracket body. And a plurality of guide passage portions.
  • the system controller controls the ultrasonic probe and the monitor.
  • Needle insertion method is as follows. First, an ultrasonic probe equipped with a needle bracket in which a plurality of guide passage portions are arranged along the periphery is in contact with a living body surface. Then, an image of the tissue in vivo is obtained by the ultrasound probe and displayed on the monitor unit. The target site is then designated in the image of the tissue in vivo displayed by the monitor. Next, an optimal guide passage portion that can be inserted into the designated target site among the guide passage portions is selected. The needle is then inserted into the target site through the selected optimal guide passage.
  • the diagnostic person can easily manipulate the needle even in the three-dimensional space and accurately insert the needle into the target site, and then extract some tissue in vivo or inject the drug into the target site.
  • FIG. 1 is a perspective view illustrating an example in which a needle bracket is applied to an ultrasonic probe according to an embodiment of the present invention.
  • FIG. 2 is an exploded perspective view of FIG. 1.
  • FIG. 2 is an exploded perspective view of FIG. 1.
  • FIG. 3 is a cross-sectional view taken along the line A-A of FIG. 1.
  • FIG. 4 is a cross-sectional view taken along line B-B of FIG. 1.
  • FIG. 5 is a view for explaining a process of inserting the needle into the target site using the needle bracket shown in FIG.
  • FIG. 6 is a block diagram of the ultrasound diagnostic system according to an embodiment of the present invention.
  • FIG. 7 and 8 are diagrams for conceptually explaining a process of marking an optimal guide passage portion and a virtual guide line in the monitor portion in FIG. 6.
  • FIG. 1 is a perspective view illustrating an example in which a needle bracket is applied to an ultrasonic probe according to an embodiment of the present invention.
  • FIG. 2 is an exploded perspective view of FIG. 1.
  • FIG. 3 is a cross-sectional view taken along the line A-A of FIG. 1.
  • 4 is a cross-sectional view taken along line B-B of FIG. 1.
  • 5 is a view for explaining a process of inserting the needle into the target site using the needle bracket shown in FIG.
  • the needle bracket 100 for an ultrasonic probe includes a bracket body 110 and a plurality of guide passages 120.
  • the bracket body 110 is mounted to the ultrasonic probe 10 in a form of surrounding the ultrasonic transceiving portion 11 of the ultrasonic probe 10.
  • the ultrasound probe 10 may be configured as a 2D ultrasound probe capable of acquiring a 2D image or a 3D ultrasound probe capable of acquiring a 3D image.
  • the three-dimensional ultrasound probe may be configured to move a one-dimensional array type ultrasonic transducer in which ultrasonic elements are arranged on a single axis, in a direction perpendicular to the array axis of the ultrasonic elements.
  • the one-dimensional array ultrasonic transducer acquires a two-dimensional cross-sectional image
  • the three-dimensional image may be acquired by moving the one-dimensional array ultrasonic transducer in a direction perpendicular to the array axis of the ultrasonic elements.
  • the three-dimensional ultrasound probe may be configured to acquire a three-dimensional image by a two-dimensional array type ultrasonic transducer in which ultrasonic elements are arranged on a plurality of axes that cross each other.
  • the bracket body 110 may be formed such that the outer portion forms a quadrangular shape.
  • the bracket body 110 may be provided with a mounting hole 111 in the center portion.
  • the mounting hole 111 is formed to sandwich and support the peripheral portion of the ultrasonic probe 10 in a state where the ultrasonic transmission / reception portion 11 of the ultrasonic probe 10 passes.
  • the bracket body 110 may be attached to the peripheral portion of the ultrasonic probe 10 by an adhesive or the like, but may be detachably mounted to the ultrasonic probe 10.
  • a fixing protrusion may be formed in one of the ultrasonic probe 10 and the mounting hole 111, and a fixing groove into which the fixing protrusion may be inserted.
  • the fixing protrusion is fitted into the fixing groove, the ultrasonic probe 10 may be more stably maintained while being fitted into the mounting hole 111.
  • the fixing means including a fixing protrusion and the fixing groove can be used in a variety of fixing means.
  • the bracket body 110 may be formed in a circular or polygonal shape of the outer portion.
  • Guide passages 120 are formed in the bracket body 110 to guide the movement of the needle 20 in the state in which the needle 20 is inserted toward the living body.
  • each of the guide passages 120 may have a uniform diameter and may have a hole formed through the bracket body 110. Accordingly, the needle 20 may be stably inserted into the living body while maintaining the set angle with respect to the bracket body 110 under the guide of the guide passage part 120.
  • the guide passage portions 120 are arranged along the periphery of the bracket body 110.
  • the needle bracket 100 described above may provide a plurality of guide passages 120 along the periphery of the ultrasonic transceiving portion 11 of the ultrasonic probe 10. Accordingly, the diagnoser may insert the needle 20 into the target site in the living body through any one guide passage part 120. Therefore, the diagnostic person can easily manipulate the needle 20 even in a three-dimensional space and accurately insert the needle 20 into the target site, and then extract some tissue in vivo or inject the drug into the target site.
  • the guide passages 120 may be formed at different angles to insert the needle 20, respectively. Therefore, after selecting the guide passage portion 120 that can best guide the target site among the guide passage portions 120 having various needle insertion angles, the diagnostic member selects the needle 20 through the selected guide passage portion 120. ) Can be inserted into the target site.
  • the guide passage portions 120 may be arranged in a quadrangular form along the periphery of the bracket body 110.
  • the guide passage portions 120 may be divided into four groups based on four sides of the bracket body 110.
  • the guide passages 120 of each group may be arranged at a predetermined interval in a line.
  • One of the guide passage portions 120 of the first group I may have a needle insertion angle ⁇ 1.
  • One of the guide passage parts 120 of the second group II may have a needle insertion angle ⁇ 2.
  • One of the guide passage portions 120 of the third group III may have a needle insertion angle ⁇ 3.
  • One of the guide passage portions 120 of the fourth group IV may have a needle insertion angle ⁇ 4.
  • the guide passages 120 may be formed at different angles to insert the needles 120 in each group.
  • the guide passage portions 120 of the first and third groups I and III are arranged in the X-axis direction, and the guide passage portions 120 of the second and fourth groups II and IV are arranged in the Y-axis direction.
  • the position data and the needle insertion angle data of each guide passage part 120 may have X, Y, and Z coordinates of the 3D coordinate system together with image data obtained from the ultrasound probe 10. Therefore, an optimal guide passage 120 suitable for the position of the target site among the guide passage portions 120 may be easily selected.
  • the guide passage part 120 suitable for insertion of the needle 20 based on the X coordinate of the target site among the guide passage parts 120 of the first and third groups I and III arranged in the X-axis direction.
  • Is a guide passage portion suitable for insertion of the needle 20 on the basis of the Y coordinate of the target site among the guide passage portions 120 of the second and fourth groups (II) and (IV) arranged in the Y-axis direction. 120 may be retrieved.
  • the optimal guide passage portion 120 may be selected.
  • the diagnoser may more easily insert the needle 20 into the target site 1 on the three-dimensional space through the finally selected guide passage 120.
  • the diagnostic may then extract some of the tissue in vivo or inject the drug into the target site. Meanwhile, any group of the first and third groups (I) and (III) arranged in the X-axis direction is omitted, and any group of the second and fourth groups (II) and (IV) arranged in the Y-axis direction is omitted. May be
  • FIG. 6 is a block diagram of the ultrasound diagnostic system according to an embodiment of the present invention.
  • the ultrasound diagnosis system 1000 includes a monitor unit 1100 and a system controller 1200 together with the needle bracket 100 and the ultrasound probe 10 described above.
  • the monitor 1100 displays an image of tissue in vivo obtained by the ultrasound probe 10.
  • the system controller 1200 controls the ultrasonic probe 10 and the monitor 1100.
  • the system controller 1200 may acquire an image of tissue in vivo by the ultrasound probe 10 and display the acquired image on the monitor 1100.
  • the ultrasonic probe 10 and the system controller 1200 may communicate wirelessly or by wire.
  • the system control unit 1200 selects an optimal guide passage unit 120 to be inserted into the target site from the guide passage units 120. It may be written on the monitor unit 1100. In addition, the system controller 1200 may display the movement direction of the needle 20 through the selected optimal guide passage 120 as a virtual guide line on the monitor 1100.
  • the position data of each guide passage part 120 and the data of the needle insertion angle together with the image data obtained from the ultrasound probe 10 have the X, Y, Z coordinates of the three-dimensional coordinate system, and the system controller 1200. Can be input in advance.
  • the diagnoser contacts the surface of the living body while driving the ultrasonic probe 10 to insert the needle 20 in the living body, an image of the tissue in the living body is obtained and displayed by the monitor 1100.
  • the diagnostic person may target the 3D image of the tissue in vivo represented by the monitor 1100.
  • the site is designated through the input unit 1300. Then, the position data of the target site is input to the system controller 1200.
  • the system controller 1200 may be an optimal guide passage portion 120 to be inserted into the target portion of the guide passage portions 120 based on the input position data of the target portion and data about the guide passage portions 120 previously input. ) Is selected and displayed on the monitor unit 1100. In addition, the system controller 1200 may display the movement direction of the needle 20 through the selected optimal guide passage 120 as a virtual guide line on the monitor 1100. As another example, the diagnoser may select the optimal guide passage part 120 through the input unit 1300. In this case, the system controller 1200 may indicate the movement direction of the needle 20 by the optimal guide passage part 120 selected by the diagnoser on the monitor unit 1100 as a virtual guide line.
  • the system controller 1200 extracts the 2D cross-sectional image 3 in which the target region 1 is displayed from the 3D image 2 of the tissue in vivo, and then displays the monitor 1100. It can be displayed in a separate screen area.
  • the system controller 1200 marks the optimal guide passage part 120 on the extracted two-dimensional cross-sectional image 3. For example, if the name of the selected guide passage portion 120 is V1, V1 is written on the monitor 1100.
  • the system controller 1200 may mark the virtual guide line GL according to the optimal guide passage 120.
  • the diagnostic member inserts the needle 20 through the guide passage portion 120 marked on the monitor 1100, and then moves the needle 20 along the virtual guide line GL marked on the monitor 1100. It can be moved and inserted into the target site (1). Accordingly, the diagnostic person can easily manipulate the needle 20 even in the three-dimensional space to accurately insert the needle 20 into the target site 1, and then extract some tissue in vivo or inject the drug into the target site 1.
  • the guide passage part 120 and the virtual guide that are optimal for the 3D image 2 displayed by the monitor unit 1100 without displaying the 2D cross-sectional image 3 in a separate screen area of the monitor unit 1100.
  • Line GL may be indicated.
  • the system controller 1200 may display the two-dimensional image.
  • the optimal guide passage portion 120 and the virtual guide line GL may be marked.
  • the ultrasonic probe 10 equipped with the needle bracket 100 in which the plurality of guide passage parts 120 are arranged along the periphery is in contact with the surface of the living body.
  • an image of the tissue in vivo is obtained by the ultrasound probe 10 and displayed on the monitor 1100.
  • the target site 1 is designated in the image of the in vivo tissue displayed by the monitor unit 1100.
  • an optimal guide passage 120 is selected that can be inserted into the designated target site 1 of the guide passages 120.
  • the optimal guide passage part 120 may be selected by the system controller 1200 or a diagnosis person.
  • the selected optimal guide passage portion 120 may be referred to as the monitor 1100.
  • the moving direction of the needle 20 may be represented as a virtual guide line GL by the monitor 1100.
  • the needle 20 is then inserted into the target site 1 through the selected optimal guide passageway 120.

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Abstract

La présente invention concerne un support d'aiguille pour une sonde à ultrasons, un système de diagnostic à ultrasons la contenant, et un procédé d'insertion d'aiguille. Le support d'aiguille pour une sonde à ultrasons comprend un corps de support et une multitude de parties de passage de guidage. Le corps de support est monté sur la sonde à ultrasons de façon à entourer la circonférence des sections de transmission et de réception d'ultrasons de la sonde à ultrasons. Les parties de passage de guidage sont formées individuellement dans le corps de support, de manière à guider le mouvement d'une aiguille dans un état où l'aiguille est insérée en direction du corps vivant, et sont agencées le long de la périphérie du corps de support.
PCT/KR2015/002816 2015-03-23 2015-03-23 Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille WO2016153088A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/KR2015/002816 WO2016153088A1 (fr) 2015-03-23 2015-03-23 Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/KR2015/002816 WO2016153088A1 (fr) 2015-03-23 2015-03-23 Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille

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WO2016153088A1 true WO2016153088A1 (fr) 2016-09-29

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PCT/KR2015/002816 WO2016153088A1 (fr) 2015-03-23 2015-03-23 Support d'aiguille pour sonde à ultrasons, système de diagnostic à ultrasons la contenant, et procédé d'insertion d'aiguille

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109419530A (zh) * 2017-08-24 2019-03-05 通用电气公司 使用具有可交换托架的超声贴片探头的增强超声图像采集方法和系统

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008540017A (ja) * 2005-05-18 2008-11-20 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ カニューレ挿入システム
US20130150714A1 (en) * 2011-12-13 2013-06-13 Michael W. Howlett Vascular acess device ultrasound guidance system
WO2014002066A2 (fr) * 2012-06-28 2014-01-03 Koninklijke Philips N.V. Biopsies guidées par ultrason en trois dimensions
KR20140040827A (ko) * 2011-06-23 2014-04-03 씨. 알. 바드, 인크. 선택가능한 애스펙트를 가지는 바늘 안내부
JP5671008B2 (ja) * 2009-04-28 2015-02-18 コーニンクレッカ フィリップス エヌ ヴェ 超音波振動子を持つ生検ガイドシステム及びその使用方法

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008540017A (ja) * 2005-05-18 2008-11-20 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ カニューレ挿入システム
JP5671008B2 (ja) * 2009-04-28 2015-02-18 コーニンクレッカ フィリップス エヌ ヴェ 超音波振動子を持つ生検ガイドシステム及びその使用方法
KR20140040827A (ko) * 2011-06-23 2014-04-03 씨. 알. 바드, 인크. 선택가능한 애스펙트를 가지는 바늘 안내부
US20130150714A1 (en) * 2011-12-13 2013-06-13 Michael W. Howlett Vascular acess device ultrasound guidance system
WO2014002066A2 (fr) * 2012-06-28 2014-01-03 Koninklijke Philips N.V. Biopsies guidées par ultrason en trois dimensions

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109419530A (zh) * 2017-08-24 2019-03-05 通用电气公司 使用具有可交换托架的超声贴片探头的增强超声图像采集方法和系统

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