The present invention relates to the field of marking skin during an ultrasound examination; for example, a method and pen device for mapping of human tissue on skin as an accessory for diagnostic ultrasound.
Ultrasound is commonly used to help a surgeon in locating the structures of interest before an incision is made to save operation time. For example in vascular reconstruction, a sonographer typically may be used to determine the quality, diameter, and location of suitable veins and then mark the course on the patient's skin with a permanent marking pen.
In a typical vascular mapping procedure, the center of a transducer of a diagnostic ultrasound machine may be marked with a permanent marking pen line on the transducer (also referred to as an “ultrasound transducer”). Subsequently, the patient has ultrasound gel applied; for example, to the patient's leg, and the sonographer scans the leg to locate the vein and mark it. In order to mark the vein on the skin, the sonographer centers the vein in the middle of the ultrasound screen and then either indents the patient's skin in line with the marking on the center of the transducer or removes the ultrasound gel and marks the skin with a pen. Because the ultrasound procedure is usually done with the lights off, there is a potential to make a marking error. Other skin marking procedures using ultrasound have also been used such as straws and fingernails, but they all suffer from the same deficiencies.
Devices and methods that would help the sonographer correlate a sonogram to a transducer location would be valuable. Since the current methods have inherent inaccuracies associated with the procedures, a device and method that does not need to be aligned to the transducer of the ultrasound machine and that provides accurate and efficient delivery of a semi-permanent mark to the skin for localization of vessels of interest would be valuable for the physician to review the anatomical variations prior to any surgical procedure. The present invention increases the specificity and accuracy of the markings, increases the efficiency of the sonographer and decreases the complexity of the procedure leading to an increased acceptance by the patient and the sonographer (also known as a technician).
It is an object of the present invention to provide a transducer accessory for marking skin comprising: a shadow mask adapted to a transducer for producing at least one guide on a sonogram, and a base adapted to the transducer and comprising a pen actuator and a pen aligned with the shadow mask. Preferably, the transducer accessory further comprises a pen holder and the pen is removable. Preferably, the base is removable from the transducer, and the pen actuator is a mechanical actuator, a pneumatic actuator, an electro-mechanical actuator or combinations thereof. Preferably, the pen comprises a pen tip, a pen ampule and an ampule cap and ink; more preferably, the pen comprises a breakable plug or removable plug and most preferably, the pen comprises an ampule spring and non-clogging ink in the presence of ultrasound gel. In a preferred embodiment, the pen may be a ball point pen, a liquid dropper, a spray, a brush, a sponge or a label device. Further, the shadow mask may be preferably a film comprising at least two layers; more preferably, the film may be polyester layer and an adhesive layer with some of the adhesive layer absent to create the shadow on the sonogram. It is also preferable that the base comprises a back and further comprises an adhesive pad coupled to the back and to the ultrasound transducer, and the base comprises a lower end coupled to the shadow mask.
It is another object of the present invention to provide a transducer accessory for producing at least one guide on a sonogram comprising: a shadow mask coupled to a transducer. Preferably, the shadow mask is a film, imprinted material, layered material, transducer cover or combination thereof and may be circular, square, rectangle or any other shape or geometry that may aid in the identification of the target. It is also preferred that the shadow mask is a film comprises at least one layer, and more preferably the film comprises a polyester layer and an adhesive layer with some of the adhesive layer absent to create the shadow on the sonogram. It is also preferable that the transducer accessory further comprise a sterile bag having an inside and an outside wherein the shadow mask is coupled to the outside of the bag.
It is another object of the present invention to provide a transducer accessory for marking skin comprising: a shadow mask adapted to a transducer for producing at least one guide on a sonogram, a pen adapted to the transducer and aligned with the shadow mask, and a pen actuator to actuate the pen. Preferably, the pen is removable from the transducer and the pen actuator is a mechanical actuator, a pneumatic actuator, an electro-mechanical actuator or combinations thereof. Also preferably, the pen comprises a pen tip, a pen ampule and an ampule cap, ink, a breakable plug or removable plug, and an ampule spring and non-clogging ink in the presence of ultrasound gel. It is also preferable that the pen may be a ball point pen, a liquid dropper, a spray, a brush, a sponge or a label device. The shadow mask may preferably be a film having at least two layers such that the ultrasound waves, and more preferably, the film comprises a polyester layer and an adhesive layer with some of the adhesive layer absent to create the shadow on the sonogram.
It is yet an object of the present invention to provide a method of creating of a sonogram image comprising physically correlating a shadow mask with a physical location on a transducer and shadow masking an ultrasound signal to create a contrast on the sonogram image. Preferably, the present invention provides a method of physically correlating a pen with a contrast on a sonogram image; and more preferably actuating the pen to mark a tissue.
The novel features that are considered characteristic of the invention are set forth with particularity in the appended claims. The invention itself, however, both as to its structure and its operation together with the additional object and advantages thereof will best be understood from the following description of the preferred embodiment of the present invention when read in conjunction with the accompanying drawings. Unless specifically noted, it is intended that the words and phrases in the specification and claims be given the ordinary and accustomed meaning to those of ordinary skill in the applicable art or arts. If any other meaning is intended, the specification will specifically state that a special meaning is being applied to a word or phrase. Likewise, the use of the words “function” or “means” in the Description of Preferred Embodiments is not intended to indicate a desire to invoke the special provision of 35 U.S.C. §112, paragraph 6 to define the invention. To the contrary, if the provisions of 35 U.S.C. §112, paragraph 6, are sought to be invoked to define the invention(s), the claims will specifically state the phrases “means for” or “step for” and a function, without also reciting in such phrases any structure, material, or act in support of the function. Even when the claims recite a “means for” or “step for” performing a function, if they also recite any structure, material or acts in support of that means of step, then the intention is not to invoke the provisions of 35 U.S.C. §112, paragraph 6. Moreover, even if the provisions of 35 U.S.C. §112, paragraph 6, are invoked to define the inventions, it is intended that the inventions not be limited only to the specific structure, material or acts that are described in the preferred embodiments, but in addition, include any and all structures, materials or acts that perform the claimed function, along with any and all known or later-developed equivalent structures, materials or acts for performing the claimed function.
The present invention provides a method and device, also called an ultrasound accessory, for marking skin on a patient or animal. In one preferred embodiment of this invention shown in
As shown in the preferred embodiment in
As shown in
Preferably as shown in
In the preferred embodiment of this invention, the pad release paper 45 is removed from the second surface 43 and the second surface 43 is attached to a side of a transducer 100 such that the shadow mask 50 may be pivoted over the working end of the transducer 100. More preferably, the mask release paper is removed from the adhesive second layer and the adhesive second layer is attached to the working surface of the transducer 100 as shown in
In a preferred embodiment of the invention as shown in
The ink may be any non-toxic ink that can be used with humans or animals. In the preferred embodiment of the invention, the ink is Gentian Violet (Surgical Marker Ink); more preferably, the Gentian violet ink is diluted with isopropyl alcohol or other suitable solution to keep the ultrasonic gel from clogging the pen tip 22. Another embodiment of invention includes any type of marking such as sterile label, fluorescent, luminous or reflective or any other kind of identification means that can be used to mark the target area.
The pen actuator 30 may be any mechanical, pneumatic or an electro-mechanical actuator or combinations thereof. In the preferred embodiment of
An additional preferred embodiment of the invention includes a pen actuator that is built in or designed on the transducer where the pen is replaceable and disposable, and more preferably the pen is a one use only such that it is assembled with the unit before use and discarded after the marking procedure. In another preferred embodiment, the actuator and/or the pen could be coupled to the transducer in any manner such as adhesives, snap fit, holders or other fastening means. In an alternatively preferred embodiment, the pen tip would be centered above of the footprint of the sensing area of the transducer, having a shadow mask centered thereon, and the shadow mask would have a hole to allow the ink and/or the pen tip to contact the surface when activated by the pen actuator. This alternative embodiment would allow the sonographer to mark the target area directly rather than marking it in close proximity. This alternative embodiment may be actuated using any mechanical, pneumatic or electromechanical means.
In yet another alternative embodiment of the invention, the shadow mask may be imprinted on the footprint of the footprint of the transducer thereby allowing the sonographer to view use the invention without having the need to attach a film or material. The imprinted shadow mask may be any material such as silicon, vinyl, etc. and creates at least one area of different contrast on the sonogram. More preferably, shadow masks can be of any type of shape or geometry that may aid in the identification of the target such as circular, square, rectangle or any other shape; and most preferably, the shadow mask could made to conform to the particular shape of the transducer such as linear, curved linear, sector curve, etc.
In a yet another preferred embodiment of the invention, the shadow mask may be used as a stand alone transducer accessory. In a preferred embodiment used for a non-sterile application, a shadow mask could be attached directly to or imprinted on the transducer. In another preferred embodiment for sterile application as shown in
In yet another embodiment, the shadow mask can be incorporated into a detachable transducer 100 cover that is adapted to the footprint of the sensing area of the transducer 100. More preferably, the transducer cover may either be disposable or reusable.
The preferred embodiment of the invention is described above in the Drawings and Description of Preferred Embodiments. While these descriptions directly describe the above embodiments, it is understood that those skilled in the art may conceive modifications and/or variations to the specific embodiments shown and described herein. Any such modifications or variations that fall within the purview of this description are intended to be included therein as well. Unless specifically noted, it is the intention of the inventor that the words and phrases in the specification and claims be given the ordinary and accustomed meanings to those of ordinary skill in the applicable art(s). The foregoing description of a preferred embodiment and best mode of the invention known to the applicant at the time of filing the application has been presented and is intended for the purposes of illustration and description. It is not intended to be exhaustive or to limit the invention to the precise form disclosed, and many modifications and variations are possible in the light of the above teachings. The embodiment was chosen and described in order to best explain the principles of the invention and its practical application and to enable others skilled in the art to best utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated.
This application claims the benefit of U.S. Provisional Patent Application: 60/629,048 filed on Nov. 17, 2004.
Number | Date | Country | |
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60629048 | Nov 2004 | US |