Projection device for a blood vessel locating tool

Abstract

The invention relates to a device (10) for locating a blood vessel in a limb of a living being, configured to be positioned substantially opposite a skin surface covering the blood vessel in said limb. The device (10) comprises means (1) for determining the location of the blood vessel. According to the invention, the locating device (10) comprises means for projecting at least one image of the blood vessel's location onto the skin surface. Figure for the abstract: Fig. 1

Description

Title of the invention: Projection device for a blood vessel locating tool Technical field of the invention

[0001] The present invention relates generally to techniques for locating blood vessels, and in particular to corresponding devices. Technical background

[0002] Blood gas analysis (or blood gas analysis) is called "blood gas." During such an analysis, the practitioner measures the acidity of the blood and the amounts of oxygen and carbon dioxide in the blood. The blood is preferably taken from an artery.

[0003] The examination makes it possible to evaluate pulmonary exchanges and to detect changes in the concentrations of oxygen and carbon dioxide in arterial blood and in particular in the blood which goes towards the tissues. Indeed, for example, when the blood passes through the lungs, it becomes enriched in oxygen and depleted in carbon dioxide.

[0004] Blood gas analysis also allows the acid-base balance of a patient to be assessed.

[0005] During the examination, a blood sample is taken from an artery. This is usually the radial (wrist), humeral (arm) or femoral (groin) artery. Once the sample has been taken, a gauze or cotton pad must be placed and the puncture site pressed firmly for a few minutes.

[0006] Therefore, it would be advantageous to accurately determine the location of the artery by non-invasive means prior to drawing blood, and to provide the practitioner with a visual indication of the location of the artery to facilitate drawing blood.

[0007] In particular, it would be advantageous to display the location of the artery over a sufficient length to allow the practitioner to determine the orientation of the artery, so that the needle or stylet can be positioned to intersect the artery along its axis. It is generally desirable to intersect the artery at an angle of between about 30 degrees and 45 degrees. When the artery is properly located, the practitioner can then align the needle at a suitable angle for insertion into the blood vessel.

[0008] Prior art systems, for example systems for locating a blood vessel, have been described.

[0009] For example, US patent application NO. US2018325448A1 discloses an artery locator device that includes a sensor array configured to be attached to a skin surface overlying a target artery.

[0010] The sensor array is an array of detectors, for example pressure detectors configured to generate signals responsive to pressure or a change in pressure. A display device is disposed on the sensor array. A controller circuit is configured to receive signals generated by the sensor array, to identify from the received signals periodic pressure pulses that have a frequency in a predetermined frequency range corresponding to a pulsatile frequency and that define an elongated path through at least a portion of the sensor array, and to display on the display device an image that overlays the elongated path through the sensor array, such that the display shows a projection of the two-dimensional position of the artery below the display.

[0011] However, such a location device based on a sensor network is relatively bulky and does not have sufficient precision to detect arteries under all conditions of use of the device. In addition, such a device is not easy and quick to install on a patient. Summary of the invention

[0012] Based on this problem, the present invention therefore has the task of developing a device for locating a blood vessel of the type previously indicated so as to guarantee greater precision. The invention, according to certain of its embodiments, also has the objective of providing such a locating device which is less bulky than certain devices of the prior art. The invention, according to certain of its embodiments, also has the objective of providing such a locating device which indicates to the user who may be a caregiver or a practitioner a point on which he must carry out an operation (such as a blood sample). The invention, according to certain of its embodiments, also has the objective of providing such a device which is easy and quick to install on a patient.The invention, according to some of its embodiments, also aims to provide such a device which is simple to use. The invention, according to some of its embodiments, also aims to provide such a device which simply provides the user with more location information than conventional devices.

[0013] With regard to blood vessel locating devices, the task on which the invention is based is solved by the subject of the present invention, advantageous developments of the locating device according to the invention being specified below.

[0014] Consequently, the invention relates in particular to a device for locating a blood vessel of a limb of a living being configured to be arranged substantially opposite a skin surface covering the blood vessel of said limb, the device comprising means for determining the location of the blood vessel. According to the invention, the location device comprises means for projecting onto the skin surface at least one location image of the blood vessel.

[0015] The localization device according to the invention can be used to locate any type of blood vessel such as for example veins, capillaries or arteries. It can advantageously be used on humans but can also be used on animals (veterinary applications).

[0016] Preferably, the location device according to the invention is used to locate an artery in the context of an arterial blood sample.

[0017] According to one embodiment of the invention, said at least one blood vessel location image comprises at least one of the following images:

[0018] - information representative of the depth of the blood vessel in said member;

[0019] - a representation of a portion of the blood vessel.

[0020] According to one embodiment of the invention, said at least one image is projected onto the skin surface in such a way that it(they) is / are located substantially directly above the blood vessel.

[0021] According to one embodiment of the invention, the projection means comprise at least one projector and a tilting mirror.

[0022] According to one embodiment of the invention, the means for determining the location of the blood vessel comprise at least one acoustic wave transmitter configured to emit acoustic waves - hereinafter emitted acoustic waves - into the limb through the skin surface, at least one acoustic wave receiver configured to receive the acoustic waves reflected by the limb - hereinafter reflected acoustic waves, a module for measuring a parameter of the reflected acoustic waves or a difference in value of a parameter between the reflected acoustic waves and the emitted acoustic waves and a module for obtaining the location of the blood vessel as a function of said parameter or of said difference in value of said parameter.

[0023] According to one embodiment of the invention, the measurement module is a module for measuring the phase shift between the reflected acoustic waves and the emitted acoustic waves and the module for obtaining the location of the blood vessel takes into account said measured phase shift.

[0024] According to one embodiment of the invention, the measurement module is a module for measuring the amplitude of the reflected acoustic waves and the module for obtaining the location of the blood vessel takes said amplitude into account.

[0025] According to one embodiment of the invention, the measurement module is a module for measuring the frequency difference between the reflected acoustic waves and the emitted acoustic waves and the module for obtaining the location of the blood vessel takes into account said frequency difference.

[0026] According to one embodiment of the invention, the means for determining the location of the blood vessel comprise at least a first matrix of acoustic wave transmitters and receivers located in a first zone of the device and a second matrix of acoustic wave transmitters and receivers located in a second zone of the device.

[0027] According to one embodiment of the invention, the module for measuring a parameter or a difference in value of a parameter comprises means for measuring a first parameter value or difference in parameter value at the first zone and means for measuring a second parameter value or difference in parameter value at the second zone. According to one embodiment of the invention, a location image of the blood vessel is constructed from a first location determined from the first parameter value or difference in parameter value and from a second location determined from the second parameter value or difference in parameter value.

[0028] According to one embodiment of the invention, the location device comprises a first branch comprising the means for determining the location of the blood vessel, said first branch being designed to be positioned so as to place the means for determining the location and the skin surface covering the blood vessel of said member opposite each other and a second branch designed to hold the first branch against said member. According to one embodiment of the invention, the first branch comprises a first finger comprising the first matrix and a second finger comprising the second matrix.

[0029] The second branch can be rigid (for example made of plastic or metal) or plastic or even elastic. This can for example be an elastic strap.

[0030] According to one embodiment of the invention, the location device is a clamp adapted to be placed on the limb of a living being.

[0031] According to one embodiment of the invention, the clamp comprises means for setting the first branch into relative movement with respect to the second branch.

[0032] According to one embodiment of the invention, the location device comprises means for detecting a movement of the blood vessel. According to one embodiment of the invention, the means for determining the location of the blood vessel and the means for projecting at least one location image are activated by the means for detecting a movement of the blood vessel.

[0033] The invention according to at least one of its embodiments also relates to a method for locating a blood vessel of a limb of a living being configured to be arranged substantially opposite a skin surface covering the blood vessel of said limb, the method comprising a step of determining the location of the blood vessel and a step of projecting onto the skin surface at least one image of the location of the blood vessel.

[0034] According to one embodiment of the invention, said at least one blood vessel location image comprises at least one of the following images:

[0035] - information representative of the depth of the blood vessel in said member;

[0036] - a representation of a portion of the blood vessel.

[0037] - a representation of a portion of the blood vessel.

[0038] According to one embodiment of the invention, said at least one image is projected onto the skin surface in such a way that it(they) is / are located substantially directly above the blood vessel.

[0039] According to one embodiment of the invention, the projection step uses at least one projector and one tilting mirror.

[0040] According to one embodiment of the invention, the step of determining the location of the blood vessel comprises: - a step of emitting acoustic waves - hereinafter emitted acoustic waves - into the limb through the skin surface by at least one acoustic wave transmitter configured to emit acoustic waves and a step of receiving acoustic waves reflected by the limb - hereinafter reflected acoustic waves, by at least one acoustic wave receiver configured to receive acoustic waves; - a step of measuring a parameter of the reflected acoustic waves or a difference in value of a parameter between the reflected acoustic waves and the emitted acoustic waves and - a step of obtaining the location of the blood vessel as a function of said parameter or said difference in value of said parameter.

[0041] According to one embodiment of the invention, the measuring step is a step of measuring the phase shift between the reflected acoustic waves and the acoustic waves emitted and the step of obtaining the location of the blood vessel takes into account said measured phase shift.

[0042] According to one embodiment of the invention, the measuring step is a step of measuring the amplitude of the reflected acoustic waves and the step of obtaining the location of the blood vessel takes said amplitude into account.

[0043] According to one embodiment of the invention, the measuring step is a step of measuring the frequency difference between the reflected acoustic waves and the emitted acoustic waves and the step of obtaining the location of the blood vessel takes into account said frequency difference.

[0044] According to one embodiment of the invention, the step of determining the location of the blood vessel implements at least a first matrix of acoustic wave transmitters and receivers located in a first zone and a second matrix of acoustic wave transmitters and receivers located in a second zone.

[0045] According to one embodiment of the invention, the step of measuring a parameter or a difference in value of a parameter comprises a step of measuring a first parameter value or difference in parameter value at the first zone and a step of measuring a second parameter value or difference in parameter value at the second zone. According to one embodiment of the invention, a location image of the blood vessel is constructed from a first location determined from the first parameter value or difference in parameter value and from a second location determined from the second parameter value or difference in parameter value.

[0046] According to one embodiment of the invention, the method for locating a blood vessel comprises a step of detecting a movement of the blood vessel. According to one embodiment of the invention, the detection of a movement of the blood vessel activates a step of determining the location of the blood vessel and a step of projecting onto the skin surface at least one image of the location of the blood vessel.

[0047] Preferably, each acoustic wave transmitter and / or receiver can be reconfigured respectively into a receiver and / or an acoustic wave transmitter.

[0048] Preferably, the acoustic wave transmitters and receivers comprise piezoelectric elements.

[0049] Preferably, the module for measuring a parameter or a difference in value of a parameter comprises a filter and an amplifier.

[0050] The invention also relates to a clamp adapted to be placed on a limb of a living being.

[0051] Preferably, the blood vessel is an artery, the living being a human being and the limb a wrist.

[0052] Preferably, the clamp comprises a matrix made of silicone.

[0053] The invention further relates to a method for manufacturing a device for locating a blood vessel according to the invention. Brief description of the figures

[0054] Other characteristics and advantages of the invention will appear during the reading of the detailed description which follows for the understanding of which reference will be made to the appended drawings in which:

[0055] [Fig-1] schematically shows a top view of a clamp according to a method of realization of the invention;

[0056] [Fig.2] schematically shows the means for determining the location of the artery of the clamp of [Fig.l] installed on the wrist and the path of the emitted and reflected acoustic waves;

[0057] [Fig.3] schematically shows a top view of the clamp of [Fig.l];

[0058] [Fig.4] shows a block diagram of the electronic circuit of the locating means of the clamp of [Fig.l]. Detailed description of the invention

[0059] Various aspects of various embodiments of a blood vessel locating device and a blood vessel locating method are described in more detail below, with reference to the accompanying drawings.

[0060] [Fig.l] schematically shows an exemplary embodiment of a blood vessel locating device 10 according to the invention.

[0061] According to this embodiment of the invention, the location device 10 comprises a first branch 41 comprising means for determining the location 1 of the blood vessel, said first branch 41 being designed to be positioned so as to place the means for determining the location 1 and the skin surface covering the blood vessel of the limb opposite each other and a second branch 42 designed to hold the first branch 41 against the limb.

[0062] In a location device according to embodiments of the invention, at least one or each of the first and second branches may comprise at least two strands articulated or secured to each other.

[0063] According to embodiments of the invention, the two branches can be made of a plastic material, PVC, silicone, leather, nylon, or any other synthetic or natural material. The two branches can be attached to each other at their free end (the one opposite the end in contact with the movement means) using any securing mechanism (for example push button, loop with metal pin, ...). Of course, the branches may also not attach to each other at their free end (the one opposite the end in contact with the movement means) as illustrated in [Fig.l].

[0064] The second branch 42 may be rigid (for example made of plastic or metal) or plastic or even elastic. In variants of the present embodiment, the second branch 42 may for example be an elastic strap or a leather strap which is secured to the first branch and which holds the first branch against the limb.

[0065] For example, the locating device 10 is a clamp 10 (as illustrated by [Fig.l]) adapted to be placed on the limb of a living being.

[0066] Of course, according to variants of the present embodiment, a locating device may not be a clamp. It may for example have a first branch 41 as described above and below and a strap (or portion of bracelet) made of leather or elastic material to hold the first branch 41 against the limb.

[0067] In the present embodiment of the invention, the localization device 10 is for example used to detect and locate the radial artery 11 in the wrist 12 of a human patient.

[0068] Of course, according to other embodiments, the clamp or even any other locating device according to the invention can be used to locate any blood vessel such as capillaries or veins or arteries for any living being such as a human being or an animal. Likewise, they can be used for such detection in any limb such as for example the wrist, the arm, the groin, and the leg or the paw.

[0069] In the present embodiment of the invention, the locating device 10 (for example the puncture 10) is used by a caregiver or practitioner in the context of an arterial blood test to perform a blood gas analysis of the patient. Thus, in the present example, the target artery is the radial artery 11 of the patient's wrist 12.

[0070] For example, the location device 10 comprises means 1 for determining the location of the radial artery 11 (hereinafter “determination means 1”).

[0071] Preferably, the location device 10 is arranged on the wrist 12 of the patient so that determination means 1 of the location device 10 are placed opposite the inner face of the wrist 12.

[0072] For example, the locating device 10 comprises a first branch 41 comprising the determining means 1. For example, the first branch 41 is intended to be positioned so as to place the determining means 1 opposite a skin surface covering the blood vessel of the limb. For example, the locating device 10 also comprises a second branch 42 provided to hold the first branch 41 against the limb. For example, the locating device 10 comprises means for setting the first branch 41 into relative movement with respect to the second branch 42.

[0073] For example, the location device 10 comprises means for supplying electricity to the means 1 for determining the location of the artery 11. For example, these power supply means are a rechargeable battery. For example, the battery is positioned in the first branch. Of course, the battery or more generally, any means for supplying electricity to the location device 10 or to the determination means 1 of the location device 10 can be located in any part of the location device 10 (for example in the second branch or even elsewhere) or even outside the location device 10 and in this case the electrical energy can be brought to the location device 10 by any means such as an electric cable or wire or by induction or by any other means.

[0074] For example, at least one of the first and second branches has a substantially arcuate shape so as to fit the morphology of the limb. For example, each of the first and second branches has a substantially arcuate shape and therefore fits the patient's wrist.

[0075] For example, in the location device 10, the movement means comprise translation means 1000 of the first branch 41 relative to the second branch 42.

[0076] According to another example not illustrated, in the location device 10, the movement means comprise means for articulating the first branch 41 relative to the second branch 42.

[0077] For example, the locating device 10 comprises means for motorizing the movement means. For example, the means for motorizing the movement means comprise a system based on pneumatic pressure. Of course, any other pressure system (for example hydraulic pressure) or any other motorization system can be implemented.

[0078] According to an embodiment of the present invention, the first branch 41 comprises a first finger 411 facing a first portion of skin of the wrist and a second finger 412 facing a second portion of skin of the wrist.

[0079] According to one embodiment of the invention, the means 1 for determining the location of the artery 11 comprise at least one acoustic wave transmitter configured to emit acoustic waves - hereinafter emitted acoustic waves - into the limb through the skin surface, at least one acoustic wave receiver configured to receive the acoustic waves reflected by the limb - hereinafter reflected acoustic waves, a module for measuring a parameter of the reflected acoustic waves or a difference in value of a parameter between the waves reflected acoustic waves and emitted acoustic waves and a module for obtaining the location of the blood vessel as a function of said parameter or said difference in value of said parameter.

[0080] Of course, the determination means 1 may implement any other blood vessel location technology. For example, they may implement optical waves emitted and received (for example, in emission by diodes, lasers or any other light sources and, in reception, by photodiodes or any other light detection devices). For example again, they may implement detection by pressure measurement, by emission of radio frequency waves or any other technology. For example again, they may only implement means for detecting optical, acoustic, radio frequency or pressure waves without means for emitting such waves or pressure.

[0081] The determination means 1 are configured to be arranged substantially opposite a skin surface covering the wrist artery. According to one embodiment of the invention, the determination means 1 are configured to be arranged substantially in contact with a skin surface covering the wrist artery. However, according to variants of this embodiment of the invention, the determination means 1 may be provided to be arranged at a distance (for example a few millimeters or a few centimeters) from the skin surface.

[0082] For example, the first finger 411 comprises at least one first acoustic wave transmitter and at least one first acoustic wave receiver and the second finger 412 comprises at least one second acoustic wave transmitter and at least one second acoustic wave receiver.

[0083] For example, the determining means 1 comprise at least one acoustic wave transmitter 2, 21, 22 configured to transmit acoustic waves (hereinafter transmitted acoustic waves) into the limb through the skin surface, at least one acoustic wave receiver 3, 31, 32 configured to receive the acoustic waves reflected by the wrist 12 (hereinafter reflected acoustic waves).

[0084] For example and as illustrated by [Fig.2], the determination means 1 comprise a first matrix 7 of transmitters 21 and receivers 31 of acoustic waves located in the first finger 411 and a second matrix 8 of transmitters 22 and receivers 32 of acoustic waves located in the second finger 412.

[0085] Of course, according to variants of the invention, the determination means 1 can comprise in the first finger 411, any number of acoustic wave transmitters and receivers organized in a matrix or not and they can also comprise in the second finger 412, any number of acoustic wave transmitters and receivers organized in a matrix or not.

[0086] For example, the determination means 1 have a substantially square or rectangular shape in top view. Preferably, the distance between the first matrix 7 in the first finger and the second matrix 8 in the second finger is less than 2 cm and even more preferably less than 1.5 cm so that the artery can be considered as substantially rectilinear between the first matrix 7 and the second matrix 8.

[0087] According to one embodiment, each transmitter 2, 21, 22 and receiver 3, 31, 32 of acoustic waves can be reconfigured respectively into a receiver and / or a transmitter of acoustic waves. Of course, according to variants of this embodiment, only a portion of the transmitters and / or receivers (for example at least one of them) can be reconfigured. According to yet another variant, none of the receivers or transmitters is reconfigurable.

[0088] For example, each of the acoustic wave transmitters and receivers comprises a piezoelectric element, for example a piezoelectric disc whose diameter is for example between 0.5 mm and 1 cm and more preferably still between 1 mm and 3 mm. For example, each of the piezoelectric discs has a diameter of 1 mm. Of course, the invention can be implemented with any other diameter value of the piezoelectric discs. Furthermore, any other form of piezoelectric element can be implemented within the scope of the invention. Furthermore, other types of transmitters and receivers than the piezoelectric solutions can be implemented within the scope of the invention.

[0089] For example, the determination means 1 of the location device 10 also comprise means for controlling the transmitters and receivers. These control means are for example produced in the form of an electronic circuit. Thus, according to a preferred implementation of the invention, the electronic circuit can supply power to some of the transmitters and receivers of the first 7 and second 8 matrices according to a determined sequence. For example, referring to [Fig. 2] which schematically shows the location device 10 installed on the wrist 12 and the path of the emitted 13 and reflected 14 acoustic waves, such a sequence can comprise the simultaneous implementation of the following four steps: - configuring the first piezoelectric disc of the first matrix as an emitter, starting from the left on the outer line of the first matrix (the line of piezoelectric discs furthest from the center of the determination means 1); - configure as a receiver the first piezoelectric disc of the first matrix starting from the left on the inner line of the first matrix (the line of piezoelectric discs closest to the center of the determination means 1); - configuring the first piezoelectric disc of the second matrix as an emitter, starting from the left on the inner line of the second matrix (the line of piezoelectric discs closest to the center of the determination means 1); - configure the first piezoelectric disc of the second matrix as a receiver, starting from the left on the inner line of the second matrix (the line of piezoelectric discs furthest from the center of the determination means 1).

[0090] Then, the simultaneous implementation of the same four steps with the second piezoelectric disc of each row of each matrix and so on so as to horizontally scan all the piezoelectric discs of the first matrix and second matrix.

[0091] Such scanning makes it possible to measure the acoustic waves reflected 14 by the wrist 12 over the entire length of the piezoelectric disc matrices.

[0092] For example, the length of the first and second arrays is identical and the spacing between the discs in each row is also identical. Thus, for example, each row of each array comprises the same number of piezoelectric discs. For example, the length of the first array 7 and the second array 8 is provided in the determining means 1 so that each array in the device overhangs the artery 11 in the wrist 12.

[0093] The electronic circuit comprises a module for measuring a parameter of the reflected acoustic waves 14 or a difference in value of a parameter between the reflected acoustic waves 14 and the emitted acoustic waves 13.

[0094] The electronic circuit also comprises a module for obtaining the location of the blood vessel as a function of the parameter or the difference in value of the parameter.

[0095] Preferably, the module for measuring the parameter of the reflected acoustic waves 14 or a difference in value of a parameter between the reflected acoustic waves 14 and the emitted acoustic waves 13 comprises a filter and an amplifier.

[0096] According to a first embodiment of the invention, the measurement module is a module for measuring the phase shift between the reflected acoustic waves and the emitted acoustic waves.

[0097] According to a second embodiment of the invention, the measurement module is a module for measuring the amplitude of the reflected acoustic waves.

[0098] According to a third embodiment of the invention, the measurement module is a module for measuring the frequency difference between the reflected acoustic waves and the emitted acoustic waves.

[0099] For example, the phase shift between the emitted acoustic waves and the reflected acoustic waves will be measured as a function of time t over the duration of a scan of a matrix of piezoelectric discs of the clamp 10 in the context of the first embodiment mentioned above. The phase shift Af is equal to the phase difference Phi 1 - Phi between the reflected waves 14 and the emitted waves 13.

[0100] Thus, for example, during the scanning of the matrices of piezoelectric discs implemented by the electronic circuit previously described, the phase shift measuring means will measure the phase shift between the emitted waves 13 and the reflected waves 14 at the level of each pair of piezoelectric discs on the two lines of each matrix.

[0101] Thus, for each of the first matrix 7 and second matrix 8, a scan is for example implemented.

[0102] In a given matrix 7, 8, when the emitted acoustic waves reach or approach the artery 11, the phase shift between the emitted waves and the reflected waves will have one or more maximum values ​​which is / are characteristic of the presence of the artery (in general, a pair of maximum values ​​will be obtained which indicates that the artery is located between the pairs of discs concerned). Thus, the electronic circuit of the determination means 1 can identify, from the measured phase shift, maximum values ​​which are characteristic of the presence of the artery under the pairs of piezoelectric discs concerned in the wrist.

[0103] In the second embodiment, the amplitude of the reflected waves is measured instead of the phase shift and, in the same way, the maximum value of the amplitude is characteristic of the presence of the artery.

[0104] In the third embodiment, the frequency difference between the reflected waves and the emitted waves is measured instead of the phase shift and, in the same way, the maximum value of the frequency difference is characteristic of the presence of the artery.

[0105] The electronic circuit also comprises a module for obtaining the location of the artery as a function of the phase shift measured in the first embodiment mentioned above (or as a function of the amplitude of the reflected acoustic waves in the second embodiment mentioned above or even as a function of the frequency difference between the reflected waves and the emitted waves in the third embodiment mentioned above).

[0106] This module will therefore identify the maximum phase shift measured by the phase shift measurement module in the first embodiment (or the maximum amplitude of the reflected acoustic waves in the second embodiment or the maximum frequency difference in the third embodiment) during the scanning on each of the first and second matrices, which allows it to determine which pairs of piezoelectric discs are concerned by the maximum at the level of each of the first 7 and second 8 matrices.

[0107] This therefore allows it to locate the artery 11 at two points: one at the level of the first matrix and the other at the level of the second matrix. Then, for example, the module for obtaining the location of the artery 11 performs a linear interpolation between the two points and determines a location of a portion of the artery 11 between these two points.

[0108] Thus, as described previously, the location device 10 and in particular its determination means 1 implement: - a scan by the transmitters and receiver of the first matrix 7 in order to identify the two pairs of transmitters / receivers of the latter which present the response (for example the phase shift) the most important (artery 11 is therefore located between these two pairs). Once these two pairs have been identified, for example according to the delay and the reception strength between these two pairs, the device can calculate the distance between artery 11 and each pair. Thanks to this information it is possible to know the position of the artery in the reference frame of the first matrix 7 (location of a first point of the artery). - the same scan is carried out with the second matrix 8 which makes it possible to obtain the location of a second point of the artery.

[0109] According to the present embodiment, the location device 10 also comprises means 100 for projecting onto the skin surface at least one image 50 for locating the artery 11.

[0110] For example, an image 50 of location of the artery 11 comprises at least one of the following images:

[0111] - information representative of the depth of the artery in the wrist 12;

[0112] - a representation of a portion of the artery.

[0113] For example, the location line(s) 50 is / are projected onto the skin surface in such a way that it / they are located substantially directly above the artery 11.

[0114] For example, the projection means 100 comprise at least one projector and a tilting mirror.

[0115] According to one embodiment of the invention, an image 50 of location of the artery 11 is a portion of the artery 11 which is constructed from a first location determined from the location of the artery 11 at two points by means of the first and second matrices 7 and 8 as indicated above.

[0116] For example, a location image 50 according to the invention also comprises a number (or even any other information representative of the depth) arranged at proximity (in location image 50) to the portion of artery 11 (mentioned above) which is the depth of the artery in the wrist.

[0117] Of course, according to variants of this embodiment, the image 50 may only include the depth or only a portion of the artery.

[0118] Thus, the location information (for example the locations of the first and second points mentioned above) is transmitted to the image projection means.

[0119] At the level of the image projection means, a program will transpose the location information of the artery 11 obtained into a virtual matrix representing a display area (in which the image is displayed) by assigning coordinates to it. Indeed, because the first matrix 7 and the second matrix 8 are fixed relative to the display area, the location information is transposed there.

[0120] Once this location information (for example the first and second points mentioned above) has been transposed into the display area, the location device draws a straight line between these two points. This straight line represents the path of the radial artery in the working area. Once this has been done, the image formed is projected onto the wrist.

[0121] For this, a projector is placed in the upper part of the device and an angle return by mirror is carried out to redirect the image into the final projection zone.

[0122] According to one embodiment of the invention, the location device 10 comprises means for detecting a movement of the artery 11. For example, the means 1 for determining the location of the artery 11 and the projection means 100 are activated by the means for detecting a movement of the artery 11.

[0123] Thus, according to one embodiment of the invention, a loop can be implemented which has the objective of correcting any displacement of the artery not in relation to the image projected on the wrist, for example during the intervention by the practitioner on the artery (during the procedure). For example, according to such a loop, if the artery does not move, then no correction of the image is made. On the other hand, if the device detects a displacement of the artery in relation to the image, then the location of the artery is again sought (as described above) using the first and second matrices (for example based on the three pairs of transmitters / receivers generating the strongest response). In this way, a new image representative of the new location of the artery is projected. This makes it possible to continuously monitor the radial artery and to update the information provided to the operator.

[0124] [Fig.4] shows a block diagram of the electronic circuit of the clamp 10 of [Fig.l].

[0125] An acoustic signal 700 (reflected on the wrist) is received by a disk piezoelectric configured as receiver 701. The electrical signal generated accordingly by the piezoelectric disc (receiver) is then transmitted to a parasitic filter 702 which then transmits the filtered signal to an amplifier 703.

[0126] The parasitic filter 702 is for example an active third-order high-pass filter which has for example a gain of 24 dB (obtained by the following formula: Gain = 33000 / 1500+22000 / 9100 ~= 24dB).

[0127] For example, the amplifier 703 is an AD847 amplifier which has a gain-by-bandwidth product of the order of 50 MHz. The amplifier 703 then transmits the amplified signal to a data processing module 705 (which includes the parameter or parameter difference measurement module and the location determination module previously mentioned). The data processing module 705 transmits a signal to a control module 706 which controls a power supply module 707 which itself supplies a motor control of the actuator of the first laser 91, a motor control of the actuator of the second laser 92 as well as the first 91 and second 92 lasers. A power supply 704 supplies the transmitting and receiving piezoelectric disks, the parasitic filter 702 and the amplifier 703.

[0128] For example, power supply 704 powers the piezoelectric discs when configured as transmitters with a 3 MHz signal.

[0129] The invention relates in particular also to a method for manufacturing / assembling a device for locating a blood vessel. List of reference signs

[0130] 1 means of localization

[0131] 2 acoustic wave transmitter

[0132] 21 acoustic wave transmitter

[0133] 22 acoustic wave transmitter

[0134] 3 acoustic wave receiver

[0135] 31 acoustic wave receiver

[0136] 32 acoustic wave receiver

[0137] 41 first branch

[0138] 411 first finger

[0139] 412 second finger

[0140] 42 second branch

[0141] 50 image

[0142] 7 first matrix

[0143] 8 second matrix

[0144] 10 location device

[0145] 100 projection means

[0146] 11 Artery

[0147] 12 wrist

[0148]

[0149]

[0150] 13 emitted acoustic waves 14 reflected acoustic waves 1000 translation means

Claims

Claims

1. Device (10) for locating a blood vessel of a limb of a living being configured to be arranged substantially opposite a skin surface covering the blood vessel (11) of said limb, the device (10) comprising means (1) for determining the location of the blood vessel, the locating device comprising means (100) for projecting onto the skin surface at least one image (50) of the location of the blood vessel (11), characterized in that said at least one image (50) of the location of the blood vessel (11) comprises: - information representative of the depth of the blood vessel in said limb and - a representation of a portion of the blood vessel, and in that said locating device (10) comprises means for detecting a movement of the blood vessel,and in that said means (1) for determining the location of the blood vessel and the means (100) for projecting at least one location image are activated by the means (11) for detecting a movement of the blood vessel.

2. Device (10) for locating a blood vessel according to the preceding claim, characterized in that said at least one image (50) is projected onto the skin surface so that it(they) is / are located substantially directly above the blood vessel (H).

3. Device (10) for locating a blood vessel according to any one of the preceding claims, characterized in that the projection means (100) comprise at least one projector and a tilting mirror.

4. Device (10) for locating a blood vessel according to any one of the preceding claims, characterized in that the means (1) for determining the location of the blood vessel (11) comprise at least one acoustic wave transmitter (2, 21, 22) configured to emit acoustic waves - hereinafter emitted acoustic waves - into the limb through the skin surface, at least one acoustic wave receiver (3, 31, 32) configured to receive the acoustic waves reflected by the limb - hereinafter reflected acoustic waves, a module for measuring a parameter reflected acoustic waves or a difference in value of a parameter between the reflected acoustic waves and the emitted acoustic waves and a module for obtaining the location of the blood vessel as a function of said parameter or said difference in value of said parameter.

5. Device (10) for locating a blood vessel according to claim 4, characterized in that the means (1) for determining the location of the blood vessel comprise at least a first matrix (7) of acoustic wave transmitters and receivers located in a first zone of the device and a second matrix (8) of acoustic wave transmitters and receivers located in a second zone of the device.

6. Device (10) for locating a blood vessel according to claim 5, characterized in that the module for measuring a parameter or a difference in value of a parameter comprises means for measuring a first parameter value or difference in parameter value at the first zone and means for measuring a second parameter value or difference in parameter value at the second zone, and in that an image (50) of location of the blood vessel (11) is constructed from a first location determined from the first parameter value or difference in parameter value and from a second location determined from the second parameter value or difference in parameter value.

7. Device (10) for locating a blood vessel according to any one of claims 5 and 6, characterized in that it comprises a first branch (41) comprising the means for determining the location (1) of the blood vessel, said first branch being intended to be positioned so as to place the means for determining the location and the skin surface covering the blood vessel of said member opposite each other and a second branch intended to hold the first branch against said member, and in that the first branch comprises a first finger comprising the first matrix (7) and a second finger comprising the second matrix (8).

8. Device (10) for locating a blood vessel according to any one of the preceding claims, characterized in that the locating device is a clamp (10) adapted to be placed on the limb of a living being.

9. Method for locating a blood vessel (11) of a limb of a living being configured to be arranged substantially opposite a skin surface covering the blood vessel (11) of said limb, the method comprising a step of determining the location of the blood vessel, said location method comprising a step of projecting onto the skin surface at least one image (50) of location of the blood vessel (11), characterized in that said at least one image (50) of location of the blood vessel comprises: - information representative of the depth of the blood vessel (11) in said limb and - a representation of a portion of the blood vessel (11), said method being characterized in that it comprises a step of detecting a movement of the blood vessel (11) and in that the detection of a movement of the blood vessel (11) activates a step of determining the location of the blood vessel (11) and a step of projecting onto the skin surface at least one image (50) of the location of the blood vessel (11).

10. Localization method according to claim 9, characterized in that said at least one image (50) is projected onto the skin surface so that it(they) is / are located substantially directly above the blood vessel (11).

Images