The present invention relates in general to ultrasound imaging systems, and more particularly to a medical ultrasound probe with an integrated needle advancer, particularly useful for nerve block applications.
In conventional two-dimensional (2D) ultrasound imaging, a focused beam of ultrasound energy is transmitted into body tissues to be examined and the returned echoes are detected and plotted to form an image. Some modern ultrasound systems have three-dimensional (3D) capabilities that scan a pulsed ultrasound beam in two side-wards directions relative to a beam axis. Time of flight conversion gives the image resolution along the beam direction (range), while image resolution transverse to the beam direction is obtained by the side-wards scanning of the focused beam. With such 3D imaging, a user can collect volume ultrasound data from an object and visualize any cross-section of the object through computer processing. This enables selection of the best two-dimensional (2D) image planes for a diagnosis.
Thus, 2D or 3D ultrasound imaging is useful for numerous medical applications where visual aid is advantageous, e.g. nerve block applications. However, during some peripheral nerve block applications, it can be very difficult to keep both the nerve bundle and the needle in the plane with the ultrasound field. Thus, it can be very easy for the needle to be out of the ultrasound plane such that the ultrasound imaging cannot capture an image of the needle. When this happens, the needle cannot be seen, thereby creating a potentially dangerous situation for the patient if the needle is misplaced. In addition, the procedure can become very difficult for the anesthesiologist due to the requirement of having to hold, maintain, and operate multiple devices during the procedure.
Thus, the art is continuously seeking new and improved 2D or 3D ultrasound probes. More specifically, an ultrasound probe with 2D or 3D capabilities that has an integrated needle advancer that enhances the effectiveness of nerve block procedures would be advantageous.
Aspects 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 disclosure is directed to an ultrasound imaging system. The ultrasound imaging system includes an ultrasound probe having 2D and/or 3D capabilities. More specifically, the ultrasound probe has a transducer housing, a transducer transmitter, a needle assembly, and a controller. The transducer housing has a body that defines an internal cavity. The internal cavity includes a passageway extending from a proximal end to a distal end of the body. Thus, the needle assembly is configured within the passageway of the internal cavity. In addition, the transducer transmitter is configured within the distal end of the body so as to emit and receive ultrasound beams. As such, the controller is configured to generate an image from the ultrasound beams.
In one embodiment, the image may be a two-dimensional (2D) image generated by a 2D probe. Alternatively, the image may be a three-dimensional (3D) image generated by a 3D probe.
In another embodiment, the needle assembly includes a needle extending from a proximal end to a distal end with a hub configured at the proximal end of the needle. Thus, in particular embodiments, the needle fits within the passageway of the internal cavity via an interference fit.
In another embodiment, the needle may be centrally located within the transducer housing. Thus, in such embodiments, the needle is configured to align with the ultrasound plane of the ultrasound probe during operation such that the insertion depth of the needle can be automatically and/or manually controlled by a user. For example, in certain embodiments, the controller of the imaging system may be configured to automatically control movement of the needle within the passageway. More specifically, the transducer housing may include one or more sensors configured therein so as to determine an insertion depth of the needle within a patient. Thus, the sensor(s) are configured to send signals to the controller, the signals being indicative of the insertion depth of the needle. Accordingly, the controller is configured to automatically control the insertion depth of the needle based on the sensor signals.
In an alternative embodiment, the ultrasound probe may include manual control features. For example, in one embodiment, the manual control features may include one or more control buttons configured on the transducer housing. Further, the control buttons are communicatively coupled with the controller. As such, engagement of the control buttons (e.g. by pressing or lifting the buttons) is configured to control an insertion depth of the needle.
In another embodiment, the ultrasound imaging system may include a user interface configured to display the image, e.g. either a 2D or 3D image. More specifically, the user interface is configured to allow a user to manipulate the image according to one or more user preferences.
In further embodiments, the distal end of the body of the transducer housing may have a lens having a linear configuration. In such an embodiment, the transducer transmitter is configured adjacent to the lens. In additional embodiments, the distal end of the body of the transducer housing is wider than the proximal end.
In another aspect, the present disclosure is directed to an ultrasound probe for imaging. The ultrasound probe includes a transducer housing, a needle assembly, and a transducer transmitter. The transducer housing has a body that defines an internal cavity. The internal cavity has a passageway extending from a proximal end to a distal end of the body. Thus, the needle assembly is configured within the passageway of the internal cavity. Further, the transducer transmitter is configured within the distal end of the body and is configured to emit and receive ultrasound beams so to generate an image. It should be understood that the ultrasound probe may be further configured with any of the additional features as described herein.
In yet another aspect, the present disclosure is directed to a method of generating an ultrasound image during a nerve block procedure. The method includes aligning an ultrasound probe at a target site of a patient. As mentioned, the ultrasound probe may include a transducer housing having a passageway extending from a proximal end to a distal end thereof and a transducer transmitter configured within the housing. As such, the method also includes inserting a needle assembly through the passageway of the transducer housing and into the patient towards the target site. In addition, the method includes emitting and receiving, via the transducer transmitter, ultrasound beams from the target site while the needle assembly is inserted in the patient. Thus, the method also includes generating an image based on the ultrasound beams.
In one embodiment, as mentioned, the needle assembly may include a needle extending from a proximal end to a distal end with a hub configured at the proximal end of the needle. As such, the step of inserting the needle assembly through the passageway of the transducer housing and into the patient towards the target site may include inserting the needle of the needle assembly through a central location of the transducer housing, e.g. such that the needle aligns with an ultrasound plane during operation.
In another embodiment, the method may include automatically controlling, via the controller, movement of the needle within the passageway. For example, in such an embodiment, the method may include determining, via one or more sensors configured with the transducer housing, an insertion depth of the needle within the patient. More specifically, in certain embodiments, the method may include sending, via the one or more sensors, signals to the controller that are indicative of the insertion depth of the needle and automatically controlling the insertion depth of the needle based on the signals.
Alternatively, the method may include manually controlling the needle within the passageway. More specifically, in certain embodiments, the step of manually controlling the needle within the passageway may include engaging (e.g. by pressing or lifting) one or more control buttons configured on the transducer housing. As mentioned, the control buttons are communicatively coupled with the controller such that engagement of the control button(s) controls an insertion depth of the needle.
In another embodiment, the method may include displaying, via a user interface, the image to a user, e.g. either a 2D or 3D image. More specifically, in certain embodiments, the method may include allowing, via the user interface, a user to manipulate the image according to one or more user preferences.
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 now will be made in detail to embodiments of the invention, one or more examples of which are illustrated in the drawings. Each example is provided by way of explanation of the invention, not limitation of the invention. In fact, it will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the scope or spirit of the invention. For instance, features illustrated or described as part of one embodiment can be used with another embodiment to yield a still further embodiment. Thus, it is intended that the present invention covers such modifications and variations as come within the scope of the appended claims and their equivalents.
Generally, the present disclosure is directed to an improved ultrasound probe with an integrated needle advancer. More specifically, the ultrasound probe has a transducer housing with a transducer transmitter configured therein, a needle assembly integrated within the transducer housing, and a controller. The transducer housing has a body that defines an internal cavity with a passageway extending from a proximal end to a distal end thereof. Thus, the needle assembly is configured within the passageway of the internal cavity. Further, the transducer transmitter is configured within the distal end of the body so as to emit and receive ultrasound beams. As such, the controller is configured to generate an image from the ultrasound beams. In addition, the controller is configured to control an insertion depth of the needle assembly.
Such a system can be particularly advantageous for various medical procedures, including for example, nerve block applications. More specifically, the ultrasound probe of the present disclosure can be placed at a target site of a patient (e.g. on an outer surface of the patient's skin where a nerve block procedure is to be performed at a nerve or nerve bundle therebeneath) and can remain in the same location as the needle assembly is advanced towards the nerve bundle and the transducer transmitter generates the ultrasound beams. As such, if desired, a user can manipulate the ultrasound probe and the needle with one hand. Further, the integrated needle remains in the ultrasound plane for easy viewing of a 2D or 3D image.
Referring now to the drawings,
In addition, as shown, the body 15 defines an internal cavity 20 having a passageway 24 extending from the proximal end 17 to the distal end 19 of the body 15. In addition, as shown generally in the figures, the needle assembly 25 is configured within the passageway 24 of the internal cavity 20. More specifically, as shown, the needle assembly 25 includes a needle 26 extending from a proximal end to a distal end with a hub 28 configured at the proximal end of the needle 26. Further, in certain embodiments, the needle 26 is configured to fit within the passageway 24 of the internal cavity 20, e.g. via an interference fit. Alternatively, as shown in
In further embodiments, as shown in
As is generally understood, the transducer transmitter 16 is configured to emit and/or receive ultrasound beams. Thus, the transducer transmitter 16 may have any suitable configuration now known or later developed in the art. More specifically, during operation, the probe 12 can be placed at a target site 22 of the patient and while maintaining the probe 12 in its initial position, the transducer transmitter 16 is configured to continuously emit and receive ultrasound beams 42 in an ultrasound plane 40.
In further embodiments, as shown generally in the figures, the needle 26 may be centrally located within the transducer housing 14. Thus, as shown in
Referring specifically to
In an alternative embodiment, the ultrasound probe 12 may include manual control features. For example, in one embodiment, the manual control features may include one or more control buttons 27 configured on the transducer housing 14. Further, the control buttons 27 may be communicatively coupled with the controller 30. As such, engagement of the control buttons 27 is configured to control an insertion depth of the needle 26, e.g. by moving the needle 26 up and down within the passageway 24. In still additional embodiments, the ultrasound probe 12 may be controlled using a combination of manual and/or automatic features.
Referring now to
As mentioned, in one embodiment, the needle assembly 25 may include a needle 26 extending from a proximal end to a distal end with a hub 28 configured at the proximal end of the needle 26. As such, the step of inserting the needle assembly 25 through the passageway 24 of the transducer housing 14 and into the patient towards the target site 22 may include inserting the needle 26 of the needle assembly 25 through a central location of the transducer housing 14.
In another embodiment, the method 100 may include automatically controlling, via the controller 30, movement of the needle 26 within the passageway 24. For example, in such an embodiment, the method 100 may include determining, via one or more sensors 37, 38, 39 configured with the transducer housing 14, an insertion depth of the needle 26 within the patient. More specifically, in certain embodiments, the method 100 may include sending, via the one or more sensors 37, 38, 39, signals to the controller 30 that are indicative of the insertion depth of the needle 26 and automatically controlling the insertion depth of the needle 26 based on the signals, e.g. by moving the needle 26 up or down.
Alternatively, the method 100 may include manually controlling the needle 26 within the passageway 24. More specifically, in certain embodiments, the step of manually controlling the needle 26 within the passageway 24 may include engaging (e.g. by pressing or lifting) one or more control buttons 27 configured on the transducer housing 14. As mentioned, the control buttons 27 are communicatively coupled with the controller 30 such that engagement of the control button(s) 27 controls an insertion depth of the needle 26.
In another embodiment, the method 100 may include displaying, via a user interface 36, the image to a user, e.g. either a 2D or 3D image. More specifically, in certain embodiments, the method 100 may include allowing, via the user interface 36, a user to manipulate the image according to one or more user preferences.
While various patents have been incorporated herein by reference, to the extent there is any inconsistency between incorporated material and that of the written specification, the written specification shall control. In addition, while the disclosure has been described in detail with respect to specific embodiments thereof, it will be apparent to those skilled in the art that various alterations, modifications and other changes may be made to the disclosure without departing from the spirit and scope of the present disclosure. It is therefore intended that the claims cover all such modifications, alterations and other changes encompassed by the appended claims.
This application claims the benefit of U.S. Provisional Applications No. 62/247,891, filed Oct. 29, 2015, which is incorporated by reference herein in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2016/051873 | 9/15/2016 | WO | 00 |
Number | Date | Country | |
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62247891 | Oct 2015 | US |