The present invention relates generally to needle assemblies for use in nerve block procedures, and more particularly, to a needle assembly with improved electrical connection to a power source.
Detection of anatomical objects using medical imaging is an essential step for many medical procedures, such as regional anesthesia nerve blocks, and is becoming the standard in clinical practice to support diagnosis, patient stratification, therapy planning, intervention, and/or follow-up. Various systems based on traditional approaches exist for anatomical detection and tracking in medical images, such as computed tomography (CT), magnetic resonance (MR), ultrasound, and fluoroscopic images.
For example, ultrasound imaging systems utilize sound waves with frequencies higher than the upper audible limit of human hearing. Further, ultrasound imaging systems are widely used in medicine to perform both diagnosis and therapeutic procedures. In such procedures, sonographers perform scans of a patient using a hand-held probe or transducer that is placed directly on and moved over the patient.
Certain ultrasound systems may be used in combination with needles having active (i.e. electrically-powered) transducers, which require an electrical connection to a power source. Such needle assemblies typically route cabling from the power source through a lumen of the needle and to the transducer. However, when the cabling is routed through the needle lumen, a portion of the internal diameter of the needle is obstructed, thereby preventing fluid/medicine from flowing freely therethrough.
Accordingly, the present disclosure is directed to a needle assembly with improved electrical connection to a power source that addresses the aforementioned issues.
Objects and advantages of the invention will be set forth in part in the following description, or may be obvious from the description, or may be learned through practice of the invention.
In one aspect, the present invention is directed to a needle assembly for an ultrasound imaging system. The needle assembly includes a needle having a proximal end and a distal end. The distal end is adapted to be inserted into a patient. The needle assembly also includes a transducer mounted to an exterior surface of the needle at the distal end. Further, the needle assembly includes a flexible printed circuit board mounted on the exterior surface of the needle from the proximal end to the distal end. As such, the flexible printed circuit board electrically connects the transducer to a power source.
In one embodiment, the flexible printed circuit board may include, for example, a plurality of electronic components and conductive tracks printed on the exterior surface of needle. For example, in certain embodiments, the electronic components and conductive tracks may be printed on the exterior surface of needle via screen printing, flexography, gravure printing, offset lithography, inkjet printing, or any other suitable printing process.
In another embodiment, the needle assembly may also include at least one insulation layer positioned atop the flexible printed circuit board opposite the exterior surface of the needle so as to shield the flexible printed circuit board from the patient. In addition, the needle assembly may include at least one insulation layer positioned between the flexible printed circuit board and the exterior surface of the needle.
In further embodiments, the electronic components and the conductive tracks of the flexible printed circuit board may be arranged linearly from the proximal end to the distal end of the needle. In alternative embodiments, the electronic components and the conductive tracks of the flexible printed circuit board may be arranged in a helical pattern from the proximal end to the distal end of the needle.
In another aspect, the present disclosure is directed to a needle assembly for use with an ultrasound imaging system. The needle assembly includes a needle having a proximal end and a distal end. The distal end is adapted to be inserted into a patient. The needle assembly also includes a needle transducer mounted to an exterior surface of the needle at the distal end. Further, the needle assembly includes a conduit assembly secured to an exterior surface of the needle from the proximal end to the distal end. Further, the conduit assembly defines at least one lumen therethrough. As such, the needle assembly also includes at least one electrically-conductive cable extending through the conduit assembly and electrically connecting the needle transducer to a power source.
In one embodiment, the conduit assembly may be constructed of metal tubing, polymer shrink tubing, or any other suitable tubing material. In another embodiment, the conduit assembly may define at least two lumens.
In further embodiments, the conduit assembly may be arranged linearly from the proximal end to the distal end of the needle. In alternative embodiments, the conduit assembly may be arranged in a helical pattern from the proximal end to the distal end of the needle.
In additional embodiments, the electrically-conductive cable(s) may include a single core wire, a coaxial cable, or any other suitable cable or wire.
In yet another aspect, the present disclosure is directed to a needle assembly for use with an ultrasound imaging system. The needle assembly includes a needle having a proximal end and a distal end. The distal end is adapted to be inserted into a patient. The needle assembly also includes a needle transducer mounted to an exterior surface of the needle at the distal end. Further, the needle assembly includes at least one electrical trace printed on the exterior surface of the needle from the proximal end to the distal end via an additive manufacturing process. As such, the electrical trace(s) electrically connects the needle transducer to a power source.
In one embodiment, the needle assembly may include a plurality of electrical traces printed on the exterior surface of needle via the additive manufacturing process. Further, in certain embodiments, the additive manufacturing process may include, for example, of directed energy deposition, direct laser deposition, or any other suitable additive manufacturing technique.
In another embodiment, the needle assembly may include at least one insulation layer positioned atop the electrical trace(s) opposite the exterior surface of the needle so as to shield the at least one electrical trace from the patient. In addition, the needle assembly may include at least one insulation layer positioned between the electrical trace(s) and the exterior surface of the needle.
In further embodiments, the electrical trace(s) may be arranged linearly from the proximal end to the distal end of the needle. In alternative embodiments, the electrical trace(s) may be arranged in a helical pattern from the proximal end to the distal end of the needle.
These and other features, aspects and advantages of the present invention will become better understood with reference to the following description and appended claims. The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and, together with the description, serve to explain the principles of the invention.
A full and enabling disclosure of the present invention, including the best mode thereof, directed to one of ordinary skill in the art, is set forth in the specification, which makes reference to the appended figures, in which:
Reference will now be made in detail to one or more embodiments of the invention, examples of the invention, examples of which are illustrated in the drawings. Each example and embodiment is provided by way of explanation of the invention, and is not meant as a limitation of the invention. For example, features illustrated or described as part of one embodiment may be used with another embodiment to yield still a further embodiment. It is intended that the invention include these and other modifications and variations as coming within the scope and spirit of the invention.
Referring now to the drawings,
It should be understood, however, that the system of the present disclosure may be further used for any variety of medical procedures involving any anatomical structure in addition to those relating to the brachial plexus. For example, the anatomical object(s) 22 may include upper and lower extremities, as well as compartment blocks. More specifically, in such embodiments, the anatomical object(s) 22 of the upper extremities may include interscalene muscle, supraclavicular muscle, infraclavicular muscle, and/or axillary muscle nerve blocks, which all block the brachial plexus (a bundle of nerves to the upper extremity), but at different locations. Further, the anatomical object(s) 22 of the lower extremities may include the lumbar plexus, the fascia Iliac, the femoral nerve, the sciatic nerve, the abductor canal, the popliteal, the saphenous (ankle), and/or similar. In addition, the anatomical object(s) 22 of the compartment blocks may include the intercostal space, transversus abdominis plane, and thoracic paravertebral space, and/or similar.
In addition, as shown, the imaging system 10 may correspond to an ultrasound imaging system or any other suitable imaging system that can benefit from the present technology. Thus, as shown, the imaging system 10 may generally include a controller 12 having one or more processor(s) 14 and associated memory device(s) 16 configured to perform a variety of computer-implemented functions (e.g., performing the methods and the like and storing relevant data as disclosed herein), as well as a user display 18 configured to display an image 20 of an anatomical object 22 or the surrounding tissue to an operator. In addition, the imaging system 10 may include a user interface 24, such as a computer and/or keyboard, configured to assist a user in generating and/or manipulating the user display 18.
Additionally, as shown in
It should be appreciated that the various probes and/or transducers described herein may be communicatively coupled to the communications module 26 of the controller 12 using any suitable means. For example, as shown in
As used herein, the term “processor” refers not only to integrated circuits referred to in the art as being included in a computer, but also refers to a controller, a microcontroller, a microcomputer, a programmable logic controller (PLC), an application specific integrated circuit, a field-programmable gate array (FPGA), an Application-Specific Integrated Circuit (ASIC), and other programmable circuits. The processor(s) 14 is also configured to compute advanced control algorithms and communicate to a variety of Ethernet or serial-based protocols (Modbus, OPC, CAN, etc.). Furthermore, in certain embodiments, the processor(s) 14 may communicate with a server through the Internet for cloud computing in order to reduce the computation time and burden on the local device. Additionally, the memory device(s) 16 may generally comprise memory element(s) including, but not limited to, computer readable medium (e.g., random access memory (RAM)), computer readable non-volatile medium (e.g., a flash memory), a floppy disk, a compact disc-read only memory (CD-ROM), a magneto-optical disk (MOD), a digital versatile disc (DVD) and/or other suitable memory elements. Such memory device(s) 16 may generally be configured to store suitable computer-readable instructions that, when implemented by the processor(s) 14, configure the processor(s) 14 to perform the various functions as described herein.
Referring now to
It should be understood, however, that the needle transducer 30 may be mounted at any suitable location on the needle 34. In addition, as shown in
Further, as shown, the needle 34 may also include a needle hub 42 at its proximal end 36. In such embodiments, the needle transducer(s) 30 may be communicatively coupled to the controller 12 via the needle hub 42. Moreover, the needle transducer(s) 30 may also be coupled to a power source 44 that provides electrical power to the transducer(s) 30. In certain embodiments, the power source 44 may be part of the ultrasound imaging system 10 or may be separate component such that the needle assembly 32 is completely autonomous from the ultrasound imaging system 10.
In addition, the needle transducer(s) 30 may be any suitable transducer now known or later developed in the art. For example, in one embodiment, the transducer(s) 30 may be a piezoelectric (PZT) transducer. Alternatively, the transducer(s) 30 may be a capacitive micromachined ultrasonic (CMUT) transducer. In yet another embodiment, the transducer(s) 30 may also include Polydimethylsiloxane (PDMS) transducers and/or photoacoustic transducers.
Referring particularly to
Referring now to
In one embodiment, as shown in each of
In addition, as shown in
Referring particularly to
As shown in
In such embodiments, the conduit assembly 58 may be constructed of metal tubing, polymer shrink tubing, or any other suitable tubing material. In addition, in certain embodiments, as shown in
In additional embodiments, the electrically-conductive cable(s) 62, 64 may include a single core wire, a coaxial cable, or any other suitable cable or wire. For example, in one embodiment, the electrically-conductive cable(s) 62, 64 may include a solid- or multi-strand wire, such as an insulated wire of a small gauge (e.g. in the order of 40 AWG or smaller). In another embodiment, the electrically-conductive cable(s) 62, 64 may include a coaxial cable of a small gauge (e.g. in the order of 40 AWG or smaller) so as to provide a better noise immunity environment. In such embodiments, the lumen 60 of the conduit assembly 58 may be up to about 0.5 mm, such as about 0.25 mm.
Referring now to
Referring now to
In certain embodiments, the additive manufacturing process may include, for example, of directed energy deposition, direct laser deposition, or any other suitable additive manufacturing technique. By using additive manufacturing, the electrical trace(s) 68 can be printed at the distal end 38 of the needle 34 in thin layers so as not to disturb the overall efficacy of the needle 34 in puncturing the necessary tissue of the patient. For example, in one embodiment, each of the electrical trace(s) 68 may have a predetermined thickness ranging from about 0.01 millimeters (mm) to about 0.05 mm. As used herein, terms of degree, such as “about,” are meant to encompass a range of +/−10% from the value set forth.
It should also be understood that interconnection of the various electrical connections described herein (e.g. the flexible printed circuit board 46, the conduit assembly 58/cables 62, 64, and/or the electrical traces 68) and the needle transducer 30 can be achieved via a variety of methods. For example, in certain embodiments, the various electrical connections may be made via soldering and/or by using a conductive or non-conductive epoxy joint, i.e. with or without a polychlorinated biphenyl (PCB) interface, which can be used to wire bond to the device rather than connecting directly to the wire/cable.
This written description uses examples to disclose the invention, including the best mode, and also to enable any person skilled in the art to practice the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if they include structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims.
Number | Name | Date | Kind |
---|---|---|---|
4249539 | Vilkomerson et al. | Feb 1981 | A |
4576181 | Wallace et al. | Mar 1986 | A |
5174295 | Christian et al. | Dec 1992 | A |
5299571 | Mastrototaro | Apr 1994 | A |
5344435 | Turner et al. | Sep 1994 | A |
5354220 | Ganguly et al. | Oct 1994 | A |
5357955 | Wolf et al. | Oct 1994 | A |
5485845 | Verdonk et al. | Jan 1996 | A |
5542915 | Edwards et al. | Aug 1996 | A |
5954649 | Chia et al. | Sep 1999 | A |
5989276 | Houser et al. | Nov 1999 | A |
6165164 | Hill et al. | Dec 2000 | A |
6217518 | Holdaway | Apr 2001 | B1 |
6554801 | Steward et al. | Apr 2003 | B1 |
6582368 | Holdaway et al. | Jun 2003 | B2 |
6862468 | Smith | Mar 2005 | B2 |
6911027 | Edwards et al. | Jun 2005 | B1 |
7699829 | Harris et al. | Apr 2010 | B2 |
7713200 | Sarvazyan et al. | May 2010 | B1 |
8147414 | Abraham | Apr 2012 | B2 |
8167805 | Emery et al. | May 2012 | B2 |
8282565 | Mahapatra et al. | Oct 2012 | B2 |
8556883 | Saleh | Oct 2013 | B2 |
8632468 | Glossop et al. | Jan 2014 | B2 |
9179971 | Kirschenman | Nov 2015 | B2 |
9301690 | Razavi et al. | Apr 2016 | B2 |
9326813 | Pike, Jr. et al. | May 2016 | B2 |
9445746 | Elberse et al. | Sep 2016 | B1 |
9474506 | Magnin et al. | Oct 2016 | B2 |
9855021 | Abraham | Jan 2018 | B2 |
9972082 | Holsing et al. | May 2018 | B2 |
20010047134 | Holdaway et al. | Nov 2001 | A1 |
20020022833 | Maguire | Feb 2002 | A1 |
20040106869 | Tepper | Jun 2004 | A1 |
20040162507 | Govari | Aug 2004 | A1 |
20060079764 | Wright | Apr 2006 | A1 |
20060135884 | Hack et al. | Jun 2006 | A1 |
20080114309 | Zuckerman | May 2008 | A1 |
20080172119 | Yamasaki et al. | Jul 2008 | A1 |
20090069808 | Pike, Jr. et al. | Mar 2009 | A1 |
20090105597 | Abraham | Apr 2009 | A1 |
20100010323 | Jobst | Jan 2010 | A1 |
20100204643 | Sarvazyan | Aug 2010 | A1 |
20110166455 | Cully | Jul 2011 | A1 |
20110184313 | Gianchandani | Jul 2011 | A1 |
20120287750 | Deladi et al. | Nov 2012 | A1 |
20130109974 | Nishina et al. | May 2013 | A1 |
20130158459 | Goedje et al. | Jun 2013 | A1 |
20130261467 | Dausch et al. | Oct 2013 | A1 |
20140024911 | Harley et al. | Jan 2014 | A1 |
20140121502 | Vignon et al. | May 2014 | A1 |
20140171788 | Stigall | Jun 2014 | A1 |
20140275810 | Keller et al. | Sep 2014 | A1 |
20140316269 | Zhang et al. | Oct 2014 | A1 |
20150201994 | Vetter | Jul 2015 | A1 |
20150351645 | Hiltner | Dec 2015 | A1 |
20160045184 | Courtney et al. | Feb 2016 | A1 |
20160066987 | Budzelaar et al. | Mar 2016 | A1 |
20160158509 | Wedan et al. | Jun 2016 | A1 |
20170000980 | Potosky | Jan 2017 | A1 |
20170020422 | Bigelow et al. | Jan 2017 | A1 |
20170020562 | Erkamp et al. | Jan 2017 | A1 |
20170027605 | Erkamp et al. | Feb 2017 | A1 |
20170033474 | Erkamp et al. | Feb 2017 | A1 |
20170172544 | Erkamp et al. | Jun 2017 | A1 |
20170196591 | Long, Jr. et al. | Jul 2017 | A1 |
20180036513 | Cruz, Jr. et al. | Feb 2018 | A1 |
20180064415 | Zhai et al. | Mar 2018 | A1 |
20180078170 | Panescu et al. | Mar 2018 | A1 |
20180085519 | McCaffrey et al. | Mar 2018 | A1 |
20180116629 | Boctor et al. | May 2018 | A1 |
20180132754 | Kusumoto | May 2018 | A1 |
20180132945 | Fazzi | May 2018 | A1 |
20180146981 | De Wijs et al. | May 2018 | A1 |
Number | Date | Country |
---|---|---|
1 568 324 | Aug 2005 | EP |
1 652 471 | May 2006 | EP |
2 423 255 | Aug 2006 | GB |
3461584 | Oct 2003 | JP |
20120061340 | Jun 2012 | KR |
WO 8909633 | Oct 1989 | WO |
WO-2014062512 | Apr 2014 | WO |
WO 2014139005 | Sep 2014 | WO |
WO-2015155630 | Oct 2015 | WO |
WO-2015155644 | Oct 2015 | WO |
WO-2015155645 | Oct 2015 | WO |
WO 2016160712 | Oct 2016 | WO |
WO 2018116114 | Jun 2018 | WO |
Entry |
---|
International Search Report and Written Opinion for PCT/US2019/067042, dated Jun. 25, 2020, 17 pages. |
Number | Date | Country | |
---|---|---|---|
20200205779 A1 | Jul 2020 | US |