This invention relates to needle assemblies of the kind including a hollow needle shaft.
Ultrasound scanners are used increasingly to help direct or check placement of catheters and other devices inserted in the body. Some of these devices are not normally very visible under ultrasound because of their shape, size or the fact that the material from which they are made has similar reflectance acoustic impedance to the tissue or body fluid within which they are inserted. Attempts have been made to increase the visibility of medico-surgical devices under ultrasound observation in various ways. Where the device is of a metal within the body it may reflect ultrasound but the reflected energy tends to be highly directional so it does not necessarily produce a very visible image on the scanner.
The usual way of increasing the visibility of a metal needle is by modifying its surface, such as by forming grooves or indentations in its surface. A reflective liquid coating may be applied to the device, such as incorporating bubbles, as described in WO98/19713. Discrete echogenic markings may be deposited on a device, as described in EP0624342. U.S. Pat. No. 8,398,596 describes a metal needle with a bubble-filled stylet or a removable outer sleeve of a bubble-filled material. Where the device is of a plastics material, such as a catheter of the kind described in GB2379610 the wall may include gas bubbles or a bubble-containing material may be incorporated in a stripe occupying only a part of the circumference. GB2400804 describes a similar catheter with several layers. U.S. Pat. No. 7,258,669 describes a catheter with a helical, gas-filled lumen extending along its length. WO9822022 describes an instrument with an inner stylet that may have an air void or a solution containing microbubbles. DE 102006051978 describes a bubble-filled rod inserted along the bore of a flexible plastics catheter to enhance visibility under ultrasound observation.
The ultrasound visibility of a catheter in a body can also be enhanced by supplying a fluid containing bubbles along the bore of the catheter. These arrangements, however, are not suitable in all cases. It may, for example, be undesirable to paint a substance onto a device because of the risk of detachment. Also, some arrangements do not provide visibility along the length of the device. Altering the surface of a metal device by forming grooves or the like may reduce the smoothness of the device. A sleeve of a bubble-filled material on a needle may be effective but such sleeves can be difficult to manufacture, handle and assemble on a needle where the sleeve has a relatively thin wall.
It is an object of the present invention to provide an alternative needle assembly and method of manufacture.
According to one aspect of the present invention there is provided a needle assembly of the above-specified kind, characterised in that the assembly includes a plastics sleeve extruded onto and extending along the outside of the needle shaft, and that the extruded sleeve contains a plurality of gas bubbles within the thickness of the sleeve such that the sleeve is visible under ultrasound observation and such that the ultrasound visibility of the assembly with the sleeve is greater than that of the needle alone.
The assembly preferably includes a hub joined at one end with the needle shaft and a sharp, penetrating tip at the opposite end. The gas bubbles may have a size range of 0.1 μ to 300 μ and preferably in the range 1 μ to 50 μ, more preferably in the range 5 μ to 10 μ. The sleeve may have a thickness between 0.01 mm and 2 mm and preferably a thickness between 0.01 mm to 0.1 mm.
According to another aspect of the present invention there is provided a method of manufacture of a needle assembly including the steps of providing a metal shaft and extruding on the outside of the shaft a sleeve of a plastics material containing gas bubbles within its thickness, wherein the metal shaft is formed with a sharp, penetrating tip and the gas bubbles are effective to increase ultrasound visibility of the assembly.
The sharp, penetrating tip may be formed before or after the plastics sleeve is extruded on the shaft.
According to a second aspect of the present invention there is provided a method of manufacture of a needle assembly including the steps of providing a metal shaft and extruding on the outside of the shaft a sleeve of a plastics material containing gas bubbles within its thickness, the metal shaft being formed with a sharp, penetrating tip.
The sharp, penetrating tip may be formed before or after the plastics sleeve is extruded on the shaft.
According to a third aspect of the present invention there is provided a method of manufacture of needle assemblies including the steps of supplying a hollow metal shaft to extruder apparatus, extruding around the outside of the shaft in the extruder apparatus a sleeve of a plastics material containing gas bubbles, subsequently cutting the shaft into discrete lengths, and forming a sharp, penetrating tip (18) at one end to form needle assemblies.
According to a fourth aspect of the present invention there is provided a method of manufacture of needle assemblies including the steps of supplying to extruder apparatus a plurality of pre-cut lengths of metal shafts, extruding around the outside of the shafts in the extruder apparatus a sleeve of a plastics material containing gas bubbles, subsequently cutting through the extruded sleeve to form separate shafts, each shaft being formed with a sharp, penetrating tip at one end either before or after supply to the extruder machine.
The method according to the above second, third or fourth aspect of the present invention may include the step of attaching a hub to each shaft at the end opposite the sharp, penetrating tip.
According to a fifth aspect of the present invention there is provided a needle assembly made by a method according to the above other second, third or fourth aspect of the present invention.
A needle assembly and its method of manufacture, according to the present invention, will now be described, by way of example, with reference to the accompanying drawings, in which:
With reference first to
The extruder 1 heats and pumps the plastics material 3 with its foaming agent to an outer die of the cross-head extrusion head 5 so that the foamed plastics material is flowed about and deposited on the outer surface of the shaft 10. The shaft 10 emerging from the head 5 is, therefore, coated with the plastics material 3, which cools and solidifies as it passes through a cooling tank 6 to form a smooth outer layer or sleeve 12 of a plastics material containing gas bubbles 13 (
A haul-off and cutter unit 15 pulls the coated shaft 10 through the extrusion head 5 and severs it into lengths equal to that of the desired needle assemblies, typically being 50-150 mm long, as shown in
The plastics extrusion could include two or more layers as a co-extrusion. These could include an inner layer against the metal shaft acting as a bonding layer for the bubble-filled layer. The extrusion could include an outer layer without bubbles to provide a smooth layer on top of the bubble layer and, hence, a smooth outer surface to the needle assembly. Sections of the bubble layer could be removed to give distance/depth markings.
With reference now to
Number | Date | Country | Kind |
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1312600.8 | Jul 2013 | GB | national |
Filing Document | Filing Date | Country | Kind |
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PCT/GB2014/000237 | 6/17/2014 | WO | 00 |