The present invention generally relates to needle depth stop devices, and more specifically relates to a side loading needle depth stop.
Some current commercially available needle depth stops include threaded collet chuck type devices that employ either rigid grasping collet members or elastomeric grasping elements that displace inward when the body and cap members are screwed together. An example of such a needle depth stop is shown in U.S. Pat. No. 4,710,171.
Other depth stop mechanisms, such as the depth stop disclosed in U.S. Pat. No. 1,436,707 and shown in
Still other types of needle depth stop devices, such as is disclosed in U.S. Pat. No. 3,477,437 and shown in
Tightly wound springs, such as is shown in U.S. Pat. No. 5,217,438 and shown in
The simplest depth stop consists of a disk of molded plastic having a slightly undersized hole through which the needle is passed. A stop such as this is available from Cook Inc. in Bloomington, Ind., and is presently marketed as their “Centimeasure™ Biopsy Depth Marker”. Due to the function and design of the device, retention force and reliability depends upon the plastic resin's compression set characteristic.
The above depth stops are listed in approximate order of their ability to be used on a range of needle gauges. Devices near the top tend to have more tolerance for use with a range of needle diameters. Devices near the bottom tend to be more single needle diameter specific.
An ideal needle depth stop would be a) a single device that can be used on a broad range of needle diameters, b) one that sits squarely to the needle, c) one that can be easily loaded from the needle's side instead of passing over the sharp tip, d) one that does not require great manufacturing precision or depend heavily upon a plastic resin's compression set character, e) one that retains itself passively instead of requiring tightening into place, f) one that only requires a single hand to apply or move, g) one that is inexpensive to manufacture, h) one that is no larger in diameter than a penny, i) one that delivers reduced compression force upon small diameter needles, and j) one that has an actuating force that increases at a decreasing rate.
Compared against the ideal product, all concepts discussed above fall short. Each depth stop type must be loaded by passing the sharp needle through an aperture, series of apertures or along a bore. This subjects the sharp needle tip and cutting edges to potential damage from inadvertent contact with the stop during the loading procedure. Nicked or dulled needles are undesirable because they do not perform properly, as they tend to tear tissue and be painful to the patient. A more serious risk is that a health care worker may become impaled or nicked by a sharp needle while installing a depth stop. With needle handling safety being a major problem and concern in today's healthcare environment, in order to prevent needle sticks, workers are instructed to never place themselves in front of sharp, potentially contaminated needles. Side loading onto a needle is therefore essential for any user-installed needle depth stop to succeed in today's health care environment. Additionally, needle depth stops such as are shown in U.S. Pat. Nos. 4,710,171 and 3,477,437 require users to utilize two hands to apply and secure them, while needle depth stops such as is shown in U.S. Pat. No. 1,436,707 and such as Cook Inc.'s “Centimeasure™ Biopsy Depth Marker” are effectively too small to handle and provide unacceptable retention forces when employed on fine needles.
An object of an embodiment of the present invention is to provide a needle depth stop that can be used on a broad range of needle diameters.
Another object of an embodiment of the present invention is to provide a needle depth stop that is configured to sit squarely to the needle.
Still another object of an embodiment of the present invention is to provide a needle depth stop that can be easily loaded from the needle's side instead of passing over the sharp tip.
Yet another object of an embodiment of the present invention is to provide a needle depth stop that does not require great manufacturing precision or depend heavily upon a plastic resin's compression set character.
Still yet another object of an embodiment of the present invention is to provide a needle depth stop that retains itself passively instead of requiring tightening into place.
Still yet another object of an embodiment of the present invention is to provide a needle depth stop that only requires a single hand to apply or move.
Still yet another object of an embodiment of the present invention is to provide a needle depth stop that is inexpensive to manufacture.
Still yet another object of an embodiment of the present invention is to provide a needle depth stop that is no larger in diameter than a penny.
Still yet another object of an embodiment of the present invention is to provide a needle depth stop that delivers reduced compression force upon small diameter needles.
Still yet another object of an embodiment of the present invention is to provide a spring-loaded needle depth stop having an actuating force that increases at a decreasing rate.
Briefly, and in accordance with at least one of the foregoing objects, an embodiment of the present invention provides a needle depth stop which is side loading, having jaws which can be opened by pinching together two finger grip portions. The jaws of the needle depth stop are generally biased closed by a spring member, but are openable by pinching together the two finger grip portions. Preferably, the jaws include a plurality of groove pairs, wherein each pair of grooves is configured to accommodate a different range of needles. Alternatively, the jaws may consists or a plurality of mating serrations or teeth. Preferably, the device is configured to work well on a wide range of needle sizes, such as needles ranging from 16 gauge (0.065″) through 25 gauge (0.019″), a common range of sizes used for biopsy and depth/location marking With regard to the means for biasing the jaws closed, preferably a “C” ring is engaged with the jaws, and biases the jaws toward each other. The needle depth stop preferably provides approximately one pound of resistance to longitudinal displacement along the needle, and only one hand is required to position and lock the needle depth stop into place. The needle depth stop is also simple and inexpensive to manufacture, being composed of two “two plate” (simplest mold type) molded parts, indexed by and retained together with an inexpensive, commercially available stainless steel spring form derived from a commercially available stainless steel “C” ring. The “C” ring provides the essential compressive force for depth stop retention on a needle. Preferably, the pivot location of the depth stop is about 38% of the circle radius away from center, as this location strikes a reasonable balance between opening force and pivot stability.
Accommodation for a broad range of needles is achieved through a combination of the spring loaded jaw travel and a series of three decreasingly sized, opposed pairs of semicircular grooves in the needle stop's jaw halves or intermeshed jaw serrations. Preferably, the resulting diameter the grooves describe when the jaws are aligned parallel to one another is slightly larger than the smallest needle intended to be clamped within that groove. Preferably, the largest groove is situated closest to the jaw opening to reduce the degrees of jaw opening necessary for loading. The intermeshed jaw serrations are aligned parallel to one another and are preferably sized to cradle a retained needle within their “V”-shaped groove form, the needle being retained in place by the opposed intermeshing tooth form which provides a third point of contact. Preferably the largest “V”-shaped grooves and intermeshing teeth are situated closest to the jaw opening to reduce the degrees of jaw opening.
The organization and manner of the structure and operation of the invention, together with further objects and advantages thereof, may best be understood by reference to the following description, taken in connection with the accompanying drawings, wherein:
While the invention may be susceptible to embodiment in different forms, there are shown in the drawings, and herein will be described in detail, specific embodiments of the invention. The present disclosure is to be considered an example of the principles of the invention, and is not intended to limit the invention to that which is illustrated and described herein.
The needle depth stop 20 preferably consists of two body portions 22, 24 which are pivotably indexed together against longitudinal movement relative to each other and are indexed against axial motion by a spring member 26, such as a “C” ring, which engages the two body portions 22, 24 and biases them together. Preferably, each body portion 22, 24 is formed of plastic and includes a jaw portion 28, 30 and a finger grip portion 32, 34 which extends from the jaw portion 28, 30. The jaw portions 28, 30 work to come together to provide a set of jaws 36, 38 which are configured to grip a needle 40. The outer surface 42, 44 of each body portion 22, 24 also includes a recess 46, 48 which includes a groove 47, 49, a step 55, 57 and a pocket 59, 61. Each of the grooves 47, 49 receives a portion of the “C” ring 26, proximate the ends 50, 51 of the “C” ring 26, and each of the pockets 59, 61 receives a corresponding projection 70 at the end 50, 51 of the “C” ring 26. The needle depth stop 20 can be opened using one hand, specifically a thumb and index finger, on the finger grip portions 32, 34. Specifically, pressing the finger grip portions 32, 34 together (the pressing is represented by arrows 33 in
Preferably, the device 20 is configured to work well on ten needle sizes ranging from 16 gauge (0.065″) through 25 gauge (0.019″), a common range of sizes used for biopsy and depth/location marking. Preferably, the needle depth stop 20 provides approximately one pound of resistance to longitudinal displacement along the needle 40, and only one hand is required to operate the finger grip portions 32, 34 and position and lock the needle depth stop 20 into place. As such, the needle depth stop 20 provides that there is never need for a user to reach in front of a sharp needle tip in order to install the depth stop 20. While the needle depth stop 20 can be configured to accommodate a range of needles from 16 gauge to 25 gauge, as discussed above, the same basic design can be scaled up or down for use in higher or lower size groupings of needles. Regardless, the needle depth stop 20 provides a user friendly device that holds well and does not dull, scratch, nick or deform fine needles.
The needle depth stop 20 not only is preferably usable over a large range of needle sizes, but is also simple and inexpensive to manufacture. These goals are accomplished by providing that each of the body portions 22, 24 is a “two plate” (simplest mold type) molded part, and that they are indexed by and retained together with an inexpensive, commercially available stainless steel spring form derived from a commercially available stainless steel “C” ring 26. The “C” ring 26 provides the essential compressive force for depth stop retention on a needle. Such a “C’ ring is presently commercially available from Rotor Clip Co. or Truarc Co. Specifically, a “C” ring designed for a 9/16 inch (0.562 inches) shaft can be used.
As shown in
While integral bending “hinge” members or integral spring members can be provided as being molded into the device shape, as shown in
For size and mechanical advantage, the best location for this pivot is between the center of the device and an imaginary concentric circle tangent to the inside of the installed spring clip 26. Moving the pivot toward the device center creates a compound action that reduces load on the pivot while yielding a mechanical advantage to the user, resulting from a dynamic shift of the pivot center toward the center of spring force, when pinching the levers (i.e., finger grip portions 32, 34) toward each other to open for needle insertion.
Accommodation for a broad range of needles is achieved through a combination of the spring loaded jaw travel and a series of three decreasingly sized, opposed pairs of semicircular grooves 56, 58, 60, 62, 64, 66 separated by flats 71, 72, 73, 74 in the needle stop's jaw halves 36, 38. The resulting diameter these grooves describe when the jaws 36, 38 are aligned parallel to one another is slightly larger than the smallest needle intended to be clamped within that groove. Groove sizing done in this manner assures that the clamping jaws 36, 38 open ever wider to accommodate larger needles within that groove. This results in increased clamping force within a groove with each step up in needle diameter. The smallest grooves 56, 58 of the depth stop 20 may be set at 0.012″ radius, sized to accommodate 25 gauge (0.01125″ radius) to 22 gauge (0.013″ radius) needles. The middle grooves 60, 62 may be set at 0.019″ radius, sized to accommodate 21 gauge (0.032″) to 19 gauge (0.042″) needles. The largest grooves 64, 66 may be set at 0.030″ radius, sized to accommodate 18 gauge (0.057″) to 16 gauge (0.065″) needles. Preferably, the largest grooves 64, 66 are situated closest to the jaw opening 68 to reduce the degrees of jaw opening necessary for loading.
Assembly of the device 20 requires that the mating pivot features of both jaws 36, 38 be engaged. The spring “C” clip 26 is then slid into place from the rear (finger grip area) of the device 20 just as a “C” clip 26 is installed on a grooved shaft. While the pivot features (i.e., the pin 52 and groove 54 configuration) hold the two body portions 22, 24 in fore/aft alignment, the “C” clip 26 serves to maintain registration of the two device halves and keep them aligned axially somewhat like a Chinese puzzle. Preferably, no other engagement details are required make the assembly stable.
It has been found through user experiments with the needle depth stop 20 shown in
The needle depth stop 120 shown in
The needle depth stop 120 shown in
Each of
As shown in
Other refinements with regard to the needle depth stop 120 shown in
It should be noted that, with either needle depth stop 20 or 120, the location at which the spring 26, 126 delivers its force provides some distinct advantages. Because the device 20, 120 utilizes a pivot that is not locked together such as a traditional pinned hinge, the forces delivered by the spring 26, 126 at the spring tips bear most strongly upon the larger needles placed closest to the open end of the jaw and in a more direct line with where the spring delivers its force. Deeper towards the pivot where small needles would be placed, there is actually less load because the hinge members are not locked together. Larger needles require more holding force than do smaller needles so the action of the device delivers its load in accordance with what is required. If the pivot were locked together, the opposite would be true and a crushing load could be delivered to small needles.
While embodiments of the present invention are shown and described, it is envisioned that those skilled in the art may devise various modifications of the present invention without departing from the spirit and scope of the present disclosure.
This application claims the benefit of U.S. provisional application Ser. No. 60/700,239, filed Jul. 18, 2005, which is hereby incorporated herein by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| 60700239 | Jul 2005 | US |