Hollow needle for medical use
The medical hollow needle with a distributed puncture resistance design and precise cutting edges effectively addresses high resistance issues, ensuring efficient tissue penetration.
Patent Information
- Application Number
- PCT/JP2024/036539
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2024-03-29
- Filing Date
- 2024-10-11
- Publication Date
- 2025-10-02
AI Technical Summary
Existing medical needles face high resistance when puncturing, which affects their efficiency and effectiveness in procedures such as biopsies.
A medical hollow needle with a cylindrical shape featuring multiple sharp points at the tip and recessed cutting blades between them, arranged to distribute puncture resistance and reduce stress concentration, utilizing an ultrashort pulse laser for precise micromachining.
The design reduces puncture resistance by distributing the force evenly, minimizing stress concentration and enhancing the needle's ability to penetrate targets efficiently.
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Figure JP2024036539_02102025_PF_FP_ABST
Abstract
Description
Medical hollow needles
[0001] The present disclosure relates to hollow medical needles.
[0002] JP 2020-518369 A discloses a biopsy needle having, at the distal end of an elongated body extending along a longitudinal axis, at least four tines with post-grinding bevels formed on two grinding surfaces, and a notch with a V-shaped portion present between two adjacent tines.
[0003] The biopsy needle described in JP 2020-518369 A was developed with the primary aim of obtaining tissue samples with a high success rate. However, medical needles today are required to have reduced resistance when puncturing.
[0004] In view of the above-mentioned problems, the present disclosure relates to providing a medical hollow needle that reduces resistance when puncturing.
[0005] The medical hollow needle according to the first aspect of the present disclosure is a medical hollow needle having a cylindrical shape with the needle tip formed at the distal end, and when the axial direction is the direction along the axis of the cylindrical shape extending from the distal end to the base end opposite the distal end, and the circumferential direction is the direction along the circumference of the cylindrical shape, the needle tip has three or more sharp points formed at the distal end at intervals in the circumferential direction, and a cutting blade that is recessed toward the base end is formed between each of the three or more points, and the recessed bottom portion located closest to the base end of each of the three or more cutting blades is formed at a different position in the axial direction.
[0006] Furthermore, as a medical hollow needle according to a second aspect of the present disclosure, in the medical hollow needle according to the first aspect of the present disclosure, the cutting edge may have a U-shaped curved shape.
[0007] Furthermore, as a medical hollow needle according to a third aspect of the present disclosure, in the medical hollow needle according to the first aspect of the present disclosure, the distance between adjacent concave bottom portions in the axial direction may be greater than or equal to the thickness of the object to be punctured.
[0008] Furthermore, as a medical hollow needle according to a fourth aspect of the present disclosure, in the medical hollow needle according to the first aspect of the present disclosure, when the hollow needle is viewed in the axial direction from the tip side, if imaginary lines are drawn extending radially from the center of gravity of the circumference of the cylindrical shape to each of the three or more concave bottoms, the angle Θx formed by adjacent imaginary lines may be in the range Arccos{1-(C×tan θ / (B / 2))}≦Θx, where A is the number of concave bottoms, B is the inner diameter of the cylindrical shape of the hollow needle, C is the axial distance between axially adjacent concave bottoms, and θ is the angle of inclination, relative to the axis, of the face of the cutting edge that cuts from the inner surface to the outer surface of the hollow needle at the concave bottoms.
[0009] Furthermore, as a medical hollow needle according to a fifth aspect of the present disclosure, in the medical hollow needle according to the first aspect of the present disclosure, the three or more concave bottoms include a first concave bottom, a second concave bottom, a third concave bottom, and a fourth concave bottom, which appear in that order when viewed in the axial direction from the tip side to the base end, and when the hollow needle is viewed in the axial direction from the tip side, the first concave bottom and the second concave bottom may be arranged in opposing positions across the center of gravity of the circumference of the cylindrical shape, and the third concave bottom and the fourth concave bottom may be arranged in opposing positions across the center of gravity, or the first concave bottom and the fourth concave bottom may be arranged in opposing positions across the center of gravity, and the second concave bottom and the third concave bottom may be arranged in opposing positions across the center of gravity.
[0010] Furthermore, as a medical hollow needle according to a sixth aspect of the present disclosure, in the medical hollow needle according to the first aspect of the present disclosure, the inclination angle θ of the cutting edge surface cut from the inner surface of the hollow needle toward the outer surface at the concave bottom portion relative to the axis may satisfy the following: θ≦Arctan{((B / (A-1)) / C} where A is the number of concave bottom portions, B is the inner diameter of the tubular shape of the hollow needle, and C is the axial distance between adjacent concave bottom portions in the axial direction.
[0011] According to the medical hollow needle of the present disclosure, the puncture resistance when the needle tip pierces the target is distributed in accordance with the number of concave bottoms, thereby reducing the resistance during puncture.
[0012] 1 is a partial side view of a medical hollow needle according to an embodiment; FIG. 2 is a partial developed view of a medical hollow needle according to an embodiment, cut at a side along the axial direction and unfolded; FIG. 3 is an end view of a medical hollow needle according to an embodiment, viewed from the tip side; FIG. 4 is a schematic configuration diagram of a processing device for producing a medical hollow needle according to an embodiment; FIG. 5 is a view explaining the process of producing a medical hollow needle according to an embodiment; FIG. 6 is a view explaining the process of producing a medical hollow needle according to an embodiment; FIG. 7 is a view explaining the process of producing a medical hollow needle according to an embodiment; FIG. 8 is a side cross-sectional view explaining the angle between the axis and the face of the cutting edge in a medical hollow needle according to an embodiment; FIG. 9 is a conceptual diagram explaining the circumferential spacing between adjacent concave bottom portions in the circumferential direction in a medical hollow needle according to an embodiment; FIG. 10 is a conceptual diagram explaining the circumferential spacing between adjacent concave bottom portions in the circumferential direction in a medical hollow needle according to an embodiment; FIG. 10 is a conceptual diagram illustrating the action of a medical hollow needle according to a comparative example.
[0013] Hereinafter, an embodiment will be described with reference to the drawings. In the drawings, identical or similar reference numerals are used to designate identical or corresponding components, and redundant explanations will be omitted.
[0014] First, a medical hollow needle 1 (hereinafter simply referred to as "hollow needle 1") according to one embodiment will be described with reference to Figure 1. Figure 1 is a partial side view of the hollow needle 1. The hollow needle 1 is typically used as a needle for puncturing tissue or the like, such as an injection needle or a biopsy needle, and Figure 1 partially shows the end side that will be inserted into a puncture target 99 such as tissue. In the following description, the end side of the hollow needle 1 that will be inserted into a puncture target 99 will be referred to as the "tip side TS," and the end side opposite the tip side TS that is connected to a syringe (not shown) or the like will be referred to as the "base side BS."
[0015] The hollow needle 1 has a tubular shape, and in this embodiment is formed in a cylindrical shape. The axis 9 of the tubular shape constituting the hollow needle 1 extends from the distal end side TS to the proximal end side BS (or from the proximal end side BS to the distal end side TS). In the following description, the direction in which the axis 9 of the tubular shape constituting the hollow needle 1 extends will be referred to as the "axial direction SD," and the direction along the circumference in a cross section perpendicular to the axis 9 of the tubular shape will be referred to as the "circumferential direction PD." The inner side surface of the tubular shape constituting the hollow needle 1 will be referred to as the "inner surface 3," and the outer side surface will be referred to as the "outer surface 5." The surface on which the circumference (circumference in this embodiment) of the tubular shape constituting the hollow needle 1 appears will be referred to as the "end surface."
[0016] The hollow needle 1 has a needle tip 10 formed on the distal end side TS. The needle tip 10 corresponds to the end surface of the cylindrical distal end side TS constituting the hollow needle 1, and is the part that comes into contact with the puncture target 99 before the outer surface 5 when the hollow needle 1 punctures the puncture target 99. The needle tip 10 has a sharp tip 11 formed on the distal end side TS. Here, "sharp" means that it is sharp enough to be able to puncture the puncture target 99. The tip 11 formed on the needle tip 10 appears on the periphery of the end surface of the cylindrical distal end side TS. Three or more tips 11 are formed at intervals in the circumferential direction PD; in the present embodiment shown in FIG. 1 , four tips are formed. The number of tips 11 formed on the needle tip 10 can be appropriately determined depending on the diameter of the hollow needle 1; the larger the diameter of the hollow needle 1, the more tips can be formed. However, considering the diameter of the hollow needle 1 used as an injection needle or a biopsy needle, the number of tips 11 is preferably 8 or less, and more preferably 6 or less, from the viewpoints of durability and processing precision of the hollow needle 1. The tips 11 do not need to be aligned in the axial direction SD.
[0017] The needle tip 10 also has cutting edges 12 formed between adjacent cusps 11. The cutting edges 12 are recessed toward the base end BS. When viewed along the axial direction SD, the boundary between the cutting edges 12 and the outer surface 5 is closer to the base end BS than the boundary between the cutting edges 12 and the inner surface 3. This configuration allows the cutting edges 12 to appear not only on the end face of the hollow needle 1 but also on the side faces. The cutting edges 12 have sharp edges at their boundaries with the inner surface 3, allowing them to cut through the puncture target 99. Typically, the same number of cutting edges 12 as the number of cusps 11 are formed; in this embodiment, four cutting edges 12 are formed. In this embodiment, each cutting edge 12 has a U-shaped curved shape recessed toward the base end BS. The portion of each cutting edge 12 located closest to the base end BS of the U-shaped curved shape is referred to as the "concave bottom 13."
[0018] The concave bottom 13 is typically the portion of the U-shaped curved cutting edge 12 where, when the needle tip 10 punctures the puncture surface 99F of the puncture target 99 in the direction normal to the puncture surface 99F, the tangent line TL to the curve is parallel to the puncture surface 99F, assuming that the puncture surface 99F is a plane. The U-shaped curved shape, which is the locus of the boundary between the cutting edge 12 and the inner surface 3, is typically smoothly continuous overall, and the curve recessed toward the base end BS can be viewed as a differentiable curve at any point. This configuration allows the hollow needle 1 to suppress stress concentration at the concave bottom 13 in its structure. In the U-shaped curved cutting edge 12, the puncture resistance is greatest at the portion where the tangent line TL is parallel to the puncture surface 99F of the puncture target 99, i.e., the concave bottom 13.
[0019] The number of recessed bottom portions 13 is the same as the number of cutting edges 12, and in this embodiment, there are four recessed bottom portions 13. Hereinafter, to distinguish between the four recessed bottom portions 13 in this embodiment, they may be referred to as the first recessed bottom portion 13A, the second recessed bottom portion 13B, the third recessed bottom portion 13C, and the fourth recessed bottom portion 13D in order of proximity to the tip side TS. However, when referring to common matters without distinguishing between the four recessed bottom portions 13A, 13B, 13C, and 13D, they will be collectively referred to as the "recessed bottom portion 13." In the axial direction SD, the first recessed bottom portion 13A and the second recessed bottom portion 13B are adjacent to each other, the second recessed bottom portion 13B and the third recessed bottom portion 13C are adjacent to each other, and the third recessed bottom portion 13C and the fourth recessed bottom portion 13D are adjacent to each other. The concave bottoms 13 being adjacent in the axial direction SD means, in other words, that when the hollow needle 1 is projected in a direction perpendicular to the axial direction SD, the concave bottoms 13 appearing on the projection surface are adjacent in the axial direction SD.
[0020] The concave bottom portion 13 will be described in more detail with reference to FIG. 2 . FIG. 2 is a partial development view of the hollow needle 1 cut sideways along the axial direction SD and unfolded. The example shown in FIG. 2 is cut in the axial direction SD from the tip 11 located at the most distal end TS and unfolded. The development view shown in FIG. 2 makes it easy to understand the positional relationship of the concave bottom portion 13 in the axial direction SD when the hollow needle 1 is projected in a direction perpendicular to the axial direction SD. As can be clearly seen from FIG. 2 , the needle tip 10 of the hollow needle 1 has three or more concave bottom portions 13 (four concave bottom portions 13A, 13B, 13C, and 13D in this embodiment) each located at a different position in the axial direction SD. In other words, none of the concave bottom portions 13A, 13B, 13C, and 13D is located at the same distance from the most distal end of the needle tip 10 (the cut tip 11 in the example shown in FIG. 2 ) in the axial direction SD. In this way, by arranging three or more concave bottoms 13 offset in the axial direction SD, the areas where the puncture resistance is greatest are dispersed, thereby suppressing the maximum puncture resistance and reducing the puncture burden.
[0021] With respect to each of the recessed bottoms 13A, 13B, 13C, and 13D, adjacent recessed bottoms 13 are spaced apart in the axial direction SD. Hereinafter, the distance C1 between the first recessed bottom 13A and the second recessed bottom 13B, the distance C2 between the second recessed bottom 13B and the third recessed bottom 13C, and the distance C3 between the third recessed bottom 13C and the fourth recessed bottom 13D in the axial direction SD will be collectively referred to as the axial distance C. The axial distance C can be generalized to represent the distance between the nth (n is a natural number) recessed bottom 13 and the (n+1)th recessed bottom 13 from the distal end TS in the axial direction SD. The axial distance C is preferably equal to or greater than a predetermined distance. The predetermined distance typically corresponds to the thickness of the puncture target 99 (see FIG. 1 ). Examples of the puncture target 99 include the wall of a blood vessel (e.g., a vein) and a layered portion of biological tissue. By making the axial spacing C equal to or greater than the thickness of the puncture target 99, each of the four cutting blades 12 can completely penetrate the thickness of the puncture target 99, thereby appropriately distributing the puncture resistance. Considering that the puncture target 99 is biological tissue, the thickness of the vascular wall and the thickness of each layer of layered tissue are often 500 μm or less, so the above-mentioned predetermined distance defining the axial spacing C may be 500 μm. On the other hand, considering that the thickness of the wall of an organ such as the stomach is less than 3 mm, the axial spacing C may be 3 mm or less. Furthermore, taking into account the thickness of the puncture target 99, the axial spacing C may be 0.8 mm to 2 mm or 1 mm to 1.5 mm. The axial spacings C1, C2, and C3 may all be the same value, or some or all of them may be different values.
[0022] The arrangement of the recessed bottom portions 13A, 13B, 13C, and 13D in the circumferential direction PD will be described with reference to FIG. 3 . FIG. 3 is an end view of the hollow needle 1 as viewed from the distal end side TS. The end view of FIG. 3 can also be said to be a view of the hollow needle 1 as viewed from the distal end side TS, facing a virtual plane perpendicular to the axial direction SD. Because the hollow needle 1 is cylindrical in this embodiment, the end view of FIG. 3 shows a circumference that is the shape of the cylindrical end face, and the center G of the circumference corresponds to the center of gravity of the circumference. When tracing the recessed bottom portions 13 clockwise in the circumferential direction PD in the end view of FIG. 3 , the first recessed bottom portion 13A, the third recessed bottom portion 13C, the fourth recessed bottom portion 13D, and the second recessed bottom portion 13B appear in this order. In this way, when four or more recessed bottom portions 13 are formed, it is preferable that the order in which they appear when traced in the axial direction SD from the tip side TS as shown in FIGS. 1 and 2 is different from the order in which they appear when traced in the circumferential direction PD as viewed from the tip side TS as shown in FIG. 3 .
[0023] 3, when viewed from the tip side TS in the axial direction SD, the first recessed bottom 13A and the fourth recessed bottom 13D are arranged in positions facing each other across the center G, and the second recessed bottom 13B and the third recessed bottom 13C are arranged in positions facing each other across the center G. Here, "two recessed bottoms 13 arranged in positions facing each other across the center G" means that the two recessed bottoms 13 are not adjacent to each other in the circumferential direction PD. Note that, for recessed bottoms 13 arranged in positions facing each other across the center G, such as the first recessed bottom 13A and the fourth recessed bottom 13D in the example shown in FIG. 3, an imaginary line VL1 connecting the center G and the first recessed bottom 13A and an imaginary line VL4 connecting the center G and the fourth recessed bottom 13D may be substantially aligned. Here, "substantially in a straight line" is intended to include not only the case where the two imaginary lines VL1 and VL4 are in a straight line, but also the case where one imaginary line VL1 is extended to the opposite circumference and the angle it forms with the other imaginary line VL4 is within a range of about 10°. In this way, if the order in which the concave bottoms 13 appear when traced in the axial direction SD is different from the order in which they appear when traced in the circumferential direction PD, or if they are arranged in positions opposite each other across the center G in the above-mentioned relationship, it is possible to prevent the hollow needle 1 from losing balance in the circumferential direction PD when puncturing the target 99.
[0024] In the hollow needle 1 configured as described above, a cutting edge 12 having a concave bottom 13 is typically formed by an ultrashort pulse laser. The ultrashort pulse laser generates energy with a short pulse width, and is less likely to cause damage such as melting due to heat to the object to be processed. This allows for high-quality micromachining, such as forming multiple U-shaped cutting edges 12 on the needle tip 10.
[0025] 4 shows a schematic diagram of the construction of processing device 30 that processes pipe 91 into hollow needle 1 (see FIG. 1). Processing device 30 includes laser oscillator 34, stage 35, air blower 38, and dust collector 39. Processing device 30 is an apparatus that holds metal pipe 91, which is the raw material for hollow needle 1, on stage 35 and irradiates pipe 91 with laser 49 from laser oscillator 34, thereby processing pipe 91 into hollow needle 1.
[0026] The laser oscillator 34 includes an oscillator 41, a pulse modulator 42, a power controller 43, a wavelength changer 44, a galvanic scanner 45, and an fθ lens 46. The oscillator 41 generates laser light. The pulse modulator 42 modulates the pulses of the laser light generated by the oscillator 41. The power controller 43 changes the power of the laser light pulse-modulated by the pulse modulator 42. The wavelength changer 44 changes the wavelength of the laser light whose power has been changed by the power controller 43. By shortening the wavelength of the laser light with the wavelength changer 44, the pipe 91 can be processed more neatly. The irradiation direction of the laser light whose wavelength has been changed by the wavelength changer 44 is controlled by the galvanic scanner 45, and it is irradiated as a laser 49 via the fθ lens 46. The laser 49 irradiated from the laser oscillator 34 is an ultrashort pulse laser.
[0027] The stage 35 includes a rotating stage 51, a tilting stage 52, and an XYZ stage 53. The rotating stage 51 holds the pipe 91 rotatably around its axis. In this embodiment, the axis of the pipe 91 held by the rotating stage 51 extends horizontally in the standard position. The standard position refers to a state in which the pipe 91 is not tilted by operating the tilting stage 52. In the standard position, the horizontal direction perpendicular to the axis of the pipe 91 held by the rotating stage 51 is referred to as the "X direction," the direction in which the axis of the pipe 91 held by the rotating stage 51 extends is referred to as the "Y direction," and the vertical direction perpendicular to the X and Y directions is referred to as the "Z direction." The tilting stage 52 tilts the tip of the pipe 91 held by the rotating stage 51 (i.e., the end opposite the end held by the rotating stage 51) typically by moving it up and down (i.e., in the Z direction). The XYZ stage 53 moves the pipe 91 held by the rotary stage 51 in the X, Y, and Z directions. In this embodiment, the stage 35 has a tilt stage 52 provided on the XYZ stage 53, and the rotary stage 51 provided on the tilt stage 52.
[0028] In the processing device 30, a laser 49 emitted from a laser oscillator 34 is directed at a pipe 91 held on a stage 35, while the pipe 91 is moved and / or rotated in an appropriate direction on the stage 35, thereby cutting predetermined portions of the pipe 91 with the laser 49 and processing the pipe 91. When the pipe 91 is cut with the laser 49, air is supplied from an air blower 38 toward the cutting portion, and cutting chips blown away by the air supplied from the air blower 38 are sucked into and collected by a dust collector 39. After a predetermined portion of the pipe 91 held on the stage 35 is cut, the pipe 91 is moved in the X direction, the Y direction, the Z direction, tilted, and / or rotated as appropriate to cut the next predetermined portion. When all predetermined portions are cut in the processing device 30, a hollow needle 1 (see FIG. 1 ) is produced. In addition, the start / stop and operation details of the laser oscillator 34, stage 35, air blower 38, and dust collector 39 in the processing device 30 are typically controlled by a control device (not shown).
[0029] 5A to 5D illustrate examples of processing a pipe 91 to produce a hollow needle 1. In the following description, when referring to the configuration of the hollow needle 1, reference will be made to FIGS. 1 to 3 as appropriate. When producing a hollow needle 1 having four recessed bottom portions 13, as in this embodiment, first, as shown in FIG. 5A , the pipe 91 is cut at the appropriate locations to form two recessed bottom portions 13 (e.g., a first recessed bottom portion 13A and a fourth recessed bottom portion 13D) that face each other across the center G when viewed from the tip side TS. When forming two recessed bottom portions 13, the first recessed bottom portion 13 is first formed, and then the stage 35 is controlled to appropriately change the orientation of the pipe 91 to form the second recessed bottom portion 13. After the two recessed bottom portions 13 have been formed, the stage 35 is controlled to appropriately change the orientation of the pipe 91, and that portion of the pipe 91 is cut so as to form a recessed bottom portion 13 (e.g., third recessed bottom portion 13C) adjacent to the two previously formed recessed bottom portions 13 in the circumferential direction PD, as shown in Fig. 5B. Thereafter, the stage 35 is controlled to appropriately change the orientation of the pipe 91, and that portion of the pipe 91 is cut so as to form the remaining recessed bottom portion 13 (e.g., second recessed bottom portion 13B), as shown in Fig. 5C. In this manner, a hollow needle 1 as shown in Fig. 5D is produced.
[0030] When the hollow needle 1 is produced by cutting the pipe 91 as described above, the angle at which the pipe 91 is cut should be set as follows to ensure that the axial distance C is equal to or greater than a predetermined distance.
[0031] FIG. 6 is a side cross-sectional view of a pipe 91 illustrating the angle (hereinafter referred to as the "inclination angle θ") between the cut surface CF of the pipe 91 and the axis 9 of the pipe 91, which is formed by moving the pipe 91 in the Y direction while applying the laser 49 in the processing device 30 shown in FIG. 4 . More specifically, when the laser 49 is applied in the Z direction, the inclination angle θ is the angle between the cut surface CF of the pipe 91 and an imaginary plane extending above and below the axis 9 of the pipe 91 in the Z direction, and is sometimes referred to as the bevel angle. In a hollow needle 1 produced by processing the pipe 91, when the number of recessed bottoms 13 formed is A, the inner diameter of the pipe 91 (and thus the hollow needle 1) is B, and the axial distance in the axial direction SD between adjacent recessed bottoms 13 is C [μm] (corresponding to the axial distance C), the inclination angle θ may be determined within a range that satisfies the following formula: θ≦Arctan{((B / (A-1)) / C} ... (1)
[0032] The above formula (1) will now be explained. The cut surfaces CF of each cutting edge 12, which actually appear in various directions as shown in Figures 5A to 5D, are aligned in the same direction for ease of explanation (represented as "virtual cut surfaces VCF" in Figure 6). For example, in Figure 6, the cut surface CF1 on the tip side TS that slopes downward to the right is aligned to slope upward to the right to form the virtual cut surface VCF1. When the axial distance C between adjacent cut surfaces CF or virtual cut surfaces VCF is expressed as the distance in the direction of the inner diameter B (hereinafter referred to as "radial distance P"), the radial distance P is given by "P = C × tan θ." 6 , the maximum distance in the direction of inner diameter B between the imaginary cut surface VCF1 on which the recessed bottom portion 13 closest to the distal end TS of the cut surfaces CF or imaginary cut surfaces VCF is formed and the imaginary cut surface VCF on which the recessed bottom portion 13 closest to the proximal end BS is formed (hereinafter referred to as the “imaginary cut surface BVCF”) cannot be greater than the inner diameter B, and is therefore equal to the size of the inner diameter B. The distance between the cut surface CF1 and the imaginary cut surface BVCF in the direction of inner diameter B is a radial distance P, which is the number A of recessed bottom portions 13 minus 1 (A−1). Therefore, it is preferable that one radial distance P be set to a value equal to or less than the value obtained by dividing the inner diameter B by (A−1), i.e., “P≦(B / (A−1)).” Substituting the above-mentioned “P=C×tan θ” into this equation and rearranging, we obtain the above-mentioned equation (1).
[0033] Next, a preferred spacing between adjacent recessed bottom portions 13 in the circumferential direction PD when viewed from the tip side TS in the axial direction SD will be described. As shown in FIG. 3 , the spacing between the recessed bottom portions 13 in the circumferential direction PD can be expressed as the angle (hereinafter referred to as the "spacing angle Θx") formed by adjacent imaginary lines VL when imaginary lines VL are drawn from the center G to each of three or more (four in this embodiment) recessed bottom portions 13. Regarding the imaginary line VL, the line drawn from the center G to the first recessed bottom portion 13A will be referred to as the "imaginary line VL1." Following this, the line drawn to the second recessed bottom portion 13B will be referred to as the "imaginary line VL2," the line drawn to the third recessed bottom portion 13C will be referred to as the "imaginary line VL3," and the line drawn to the fourth recessed bottom portion 13D will be referred to as the "imaginary line VL" when no distinction is made. By ensuring an appropriate spacing angle Θx, the hollow needle 1 can distinguish adjacent recessed bottoms 13 in the circumferential direction PD as separate entities, in other words, it is possible to prevent two adjacent recessed bottoms 13 in the circumferential direction PD from becoming one with each other, and it is possible to appropriately distribute the resistance during puncture. From this perspective, the spacing angle Θx can be determined within a range that satisfies the following formula, where A is the number of recessed bottoms 13 in the hollow needle 1, B is the inner diameter of the pipe 91 (and therefore the hollow needle 1), C [μm] is the spacing in the axial direction SD between adjacent recessed bottoms 13, and θ is the inclination angle: Arccos{1-(C×tan θ / (B / 2))}≦Θx (2)
[0034] The above formula (2) will be explained with reference to Figures 7A to 7C. As shown in Figure 7A, in an XYZ coordinate system, when a pipe 91 is cut with a first cut surface CF1 inclined by an inclination angle θ (see Figure 7B) in the Z-axis direction with respect to the XY plane, with the X axis as the axis of rotation, the position of point E1 (X1, Y1, Z1) where an imaginary plane inclined by an angle θa in the Z-axis direction with respect to the XY plane, with the Y axis as the axis of rotation, intersects with the cut surface CF1 is as follows. Note that referring to Figure 7B will help in understanding Y1. Figure 7B shows the inclination angle θ and point E1 on a plane that passes through X1 and is parallel to the YZ plane. X1 = (B / 2) x cos θa Y1 = ((B / 2) x sin θa) / tan θ Z1 = (B / 2) x sin θa
[0035] 7C , if the position of recessed bottom 13 is shifted by an amount C toward the base end in the axial direction SD from first cut surface CF1 and pipe 91 is cut at second cut surface CF2 with an inclination angle θ, the Y-coordinate position Y2 at point E2 where cut surface CF2 intersects with an imaginary plane inclined by an angle (Θa + Θx) in the Z-axis direction with respect to the XY plane, with the Y-axis as the axis of rotation, is expressed as follows, following point E1: Y2 = ((B / 2) × sin(Θa + Θx)) / (tan θ + C)
[0036] Because the intersection of the first cut surface CF1 and the second cut surface CF2 has the same Y coordinate position, Y1 = Y2 can be set, and the following relationship can be derived: ((B / 2) × sin Θa) / tan θ = ((B / 2) × sin(Θa + Θx)) / (tan θ + C) (3) To derive the boundary conditions, when the adjacent recessed bottoms 13 are closest and the recessed bottom 13 of the first cut surface CF1 intersects with the second cut surface CF2, Θa is 90°. Therefore, by substituting Θa = 90° into the above equation (3), the following value is obtained: Θx = Arccos{1 - (C × tan θ / (B / 2))} (4) Since it is sufficient for the spacing angle Θx to be greater than the value of the above equation (4), the above equation (2) is obtained.
[0037] Next, the operation of the hollow needle 1 will be described with reference to FIG. 8A. The hollow needle 1 itself in FIG. 8A is similar to that shown in FIG. 1, but differs from FIG. 1 in that a graph is also included. The graph included in FIG. 8A has the puncture resistance on the vertical axis and the puncture position on the horizontal axis. The puncture position on the horizontal axis typically represents the position of the hollow needle 1 in the axial direction SD relative to the puncture surface 99F of the puncture target 99. To puncture the hollow needle 1 into the puncture target 99, the needle tip 10 is positioned facing the puncture target 99, and the hollow needle 1 is moved in the axial direction SD toward the puncture target 99, puncturing the needle tip 10 into the puncture target 99. At this time, the tip 11 located at the most distal end TS comes into contact with the puncture target 99 first, and the cutting edges 12 on both sides extending from the tip 11 enter the puncture target 99. When the hollow needle 1 is further moved in the axial direction SD toward the puncture target 99, in this embodiment, the tip 11 second from the tip side TS in the axial direction SD comes into contact with the puncture target 99, and the cutting edges 12 on both sides continuing from that tip 11 enter the puncture target 99. In this embodiment, the first tip 11 and the second tip 11 from the tip side TS in the axial direction SD are positioned opposite each other across the center G (see FIG. 3 ) of the circumference of the cylindrical hollow needle 1 as seen from the tip side TS, so the hollow needle 1 can be stably punctured into the puncture target 99. If the tip 11 were offset to one side on the circumference as seen from the tip side TS, the balance of resistance could be disrupted, causing the hollow needle 1 to bend and puncture the puncture target 99; however, the arrangement of the tips 11 in this embodiment makes it possible to prevent bending of the hollow needle 1.
[0038] Thereafter, when the hollow needle 1 is further moved in the axial direction SD toward the puncture target 99, in this embodiment, the tip 11 that is third from the tip side TS in the axial direction SD comes into contact with the puncture target 99. When the hollow needle 1 is further moved in the axial direction SD toward the puncture target 99 from this point, the first concave bottom 13A between the first tip 11 and the third tip 11 enters the puncture target 99. At this time, as can be seen from the graph also shown in Figure 8A, the puncture resistance increases as the angle of the curve that forms the boundary between the inner surface 3 of the cutting edge 12 from the tip 11 to the first concave bottom 13A with respect to the axial direction SD increases. Then, the puncture resistance is maximized at the first concave bottom 13A where the angle with respect to the axial direction SD is greatest (a right angle in this embodiment). Thereafter, when the puncture position passes the first concave bottom 13A, the puncture resistance temporarily decreases, then increases toward the second concave bottom 13B, and reaches a maximum at the second concave bottom 13B. Thereafter, the puncture resistance repeatedly decreases and increases toward the third concave bottom 13C and the fourth concave bottom 13D. The puncture resistance typically exhibits increasing maximum values in the order of the first concave bottom 13A, the second concave bottom 13B, the third concave bottom 13C, and the fourth concave bottom 13D, reaching a maximum at the fourth concave bottom 13D. In this embodiment, when the puncture position passes the fourth concave bottom 13D, the puncture resistance becomes smaller than the minimum value between the first concave bottom 13A and the second concave bottom 13B, and thereafter shows almost no change. In this way, in the hollow needle 1 according to this embodiment, all of the concave bottom portions 13 are formed at different positions in the axial direction SD, so that the puncture resistance is distributed according to the number of concave bottom portions 13, and the maximum value of the puncture resistance can be suppressed.
[0039] FIG. 8B shows the configuration of a commonly used hollow needle 101 according to a comparative example, along with a graph of the relationship between the puncture position and the puncture resistance. The hollow needle 101 according to the comparative example has two concave bottoms 13 and two points 11. In the hollow needle 101 according to the comparative example, the two concave bottoms 13 are located at both ends of the cylindrical diameter as viewed from the distal end side TS, and are located at the same position in the axial direction SD. When the hollow needle 101 according to the comparative example configured in this manner is punctured into a puncture target 99, the puncture resistance increases as the puncture position moves toward the proximal end side BS, reaching a maximum at the position of the two concave bottoms 13. In the hollow needle 101 according to the comparative example, two concave bottoms 13 appear simultaneously in the axial direction SD, and the puncture resistance of the two concave bottoms 13 is simultaneously applied to the puncture target 99. Therefore, although there is only one peak of puncture resistance, the value is greater than the maximum value of the hollow needle 1 according to the present embodiment shown in FIG. 8A.
[0040] As described above, with the hollow needle 1 according to this embodiment, all of the recessed bottom portions 13 are formed at different positions in the axial direction SD, so that the puncture resistance is distributed in accordance with the number of recessed bottom portions 13, thereby making it possible to suppress the maximum value of the puncture resistance. Furthermore, because the cutting edge 12 has a U-shaped curved shape, it is possible to suppress stress concentration on the recessed bottom portions 13 in the hollow needle 1. Furthermore, when viewed from the tip side TS in the axial direction SD, the first recessed bottom portion 13A and the fourth recessed bottom portion 13D are positioned opposite each other with the center G in between, and the second recessed bottom portion 13B and the third recessed bottom portion 13C are positioned opposite each other with the center G in between, so that it is possible to suppress imbalance in the circumferential direction PD during puncture.
[0041] In the above explanation, the hollow needle 1 is formed in a cylindrical shape (i.e., the shape in the cross section perpendicular to the axis 9 is circular), but it may also be a cylindrical shape other than cylindrical, for example, the shape in the cross section perpendicular to the axis 9 is elliptical.
[0042] In the above description, when viewed from the tip side TS in the axial direction SD, the first recessed bottom 13A and the fourth recessed bottom 13D are arranged in positions facing each other across the center G, and the second recessed bottom 13B and the third recessed bottom 13C are arranged in positions facing each other across the center G. However, instead of this arrangement, when viewed from the tip side TS in the axial direction SD, the first recessed bottom 13A and the second recessed bottom 13B may be arranged in positions facing each other across the center G, and the third recessed bottom 13C and the fourth recessed bottom 13D may be arranged in positions facing each other across the center G.
[0043] The above-described description and illustrations are a detailed explanation of the parts related to the technology of the present disclosure and are merely an example of the technology of the present disclosure. For example, the above description of the configuration, functions, actions, and effects is an explanation of an example of the configuration, functions, actions, and effects of the parts related to the technology of the present disclosure. Therefore, it goes without saying that unnecessary parts may be deleted, new elements may be added, or replacements may be made to the above-described description and illustrations within the scope of the gist of the technology of the present disclosure. Furthermore, to avoid confusion and facilitate understanding of the parts related to the technology of the present disclosure, the above-described description and illustrations omit explanations of common technical knowledge that do not require particular explanation to enable the implementation of the technology of the present disclosure.
[0044] In this specification, "A and / or B" is synonymous with "at least one of A and B." In other words, "A and / or B" means that it may be only A, only B, or a combination of A and B. Furthermore, in this specification, the same concept as "A and / or B" is also applied when three or more things are expressed by connecting them with "and / or."
[0045] The disclosure of Japanese Patent Application No. 2024-057947, filed on March 29, 2024, is incorporated herein by reference in its entirety. Furthermore, all documents, patent applications, and technical standards mentioned herein are incorporated herein by reference to the same extent as if each individual document, patent application, and technical standard was specifically and individually indicated to be incorporated by reference. The use of nouns and similar referents in connection with the description of the present invention (particularly in connection with the claims that follow) shall be construed to cover both the singular and the plural unless otherwise indicated herein or clearly contradicted by context. The terms "comprise," "have," and "include" shall be construed as open-ended terms (i.e., meaning "including, but not limited to") unless otherwise specified.
[0046] The following supplementary notes are further disclosed regarding the above embodiment. (Supplementary Note 1) A medical hollow needle having a cylindrical shape with a needle tip formed at the distal end, wherein, when the axial direction is the direction along the axis of the cylindrical shape extending from the distal end to the base end opposite the distal end, and the circumferential direction is the direction along the circumference of the cylindrical shape, the needle tip has three or more sharp points formed at the distal end at intervals in the circumferential direction, and a cutting blade recessed toward the base end is formed between each of the three or more points, and the concave bottoms located closest to the base end of each of the three or more cutting blades are formed at different positions in the axial direction. According to the configuration of Supplementary Note 1, the puncture resistance when the needle tip pierces a target is distributed according to the number of concave bottoms, thereby suppressing the maximum puncture resistance and reducing the puncture burden. (Supplementary Note 2) The medical hollow needle according to Supplementary Note 1, wherein the cutting blade has a U-shaped curve. According to the configuration of Supplementary Note 2, it is possible to suppress the concentration of stress on the concave bottom portion. (Supplementary Note 3) The medical hollow needle according to Supplementary Note 1 or Supplementary Note 2, wherein the distance between adjacent concave bottom portions in the axial direction is equal to or greater than the thickness of the puncture target. According to the configuration of Supplementary Note 3, it is possible to complete penetration of a portion corresponding to the thickness of the puncture target (for example, a portion such as the wall of a blood vessel) with one cutting edge, and it is possible to appropriately distribute puncture resistance. (Supplementary Note 4) The medical hollow needle according to any one of Supplementary Note 1 to Supplementary Note 3, wherein, when the hollow needle is viewed in the axial direction from the tip side, imaginary lines extending radially from the center of gravity of the circumference of the cylindrical shape to each of three or more of the concave bottom portions are drawn, and the angle Θx formed by adjacent imaginary lines is in the range of Arccos{1-(C×tan θ / (B / 2))}≦Θx, where A is the number of concave bottom portions, B is the inner diameter of the cylindrical shape of the hollow needle, C is the axial distance between adjacent concave bottom portions in the axial direction, and θ is the inclination angle, relative to the axis, of the surface of the cutting edge that cuts at the concave bottom portion from the inner surface toward the outer surface of the hollow needle. The configuration of Supplementary Note 4 makes it possible to ensure appropriate spacing between concave bottom portions in the circumferential direction of the hollow needle, and to prevent the occurrence of portions where puncture resistance increases excessively.and a medical hollow needle according to any one of Supplementary Notes 1 to 4, wherein the three or more concave bottom portions include a first concave bottom portion, a second concave bottom portion, a third concave bottom portion, and a fourth concave bottom portion, which appear in order when viewed in the axial direction from the tip side to the base end side, and wherein, when the hollow needle is viewed in the axial direction from the tip side, the first concave bottom portion and the second concave bottom portion are arranged at positions opposite each other across the center of gravity of the circumference of the cylindrical shape, and the third concave bottom portion and the fourth concave bottom portion are arranged at positions opposite each other across the center of gravity, or the first concave bottom portion and the fourth concave bottom portion are arranged at positions opposite each other across the center of gravity, and the second concave bottom portion and the third concave bottom portion are arranged at positions opposite each other across the center of gravity. The configuration of Supplementary Note 5 makes it possible to prevent the end face of the hollow needle from becoming unbalanced in the circumferential direction when puncturing a target to be punctured. (Supplementary Note 6) The medical hollow needle according to any one of Supplementary Notes 1 to 5, wherein the inclination angle θ of the surface of the cutting edge cut from the inner surface toward the outer surface of the hollow needle at the concave bottom portion with respect to the axis satisfies θ≦Arctan{((B / (A-1)) / C}, where A is the number of concave bottoms, B is the inner diameter of the tubular shape of the hollow needle, and C is the axial distance between adjacent concave bottoms in the axial direction. The configuration of Supplementary Note 6 makes it possible to ensure the axial distance between the concave bottoms.
Claims
1. A medical hollow needle having a cylindrical shape with a needle tip formed at the distal end, wherein, when the direction along the axis of the cylindrical shape extending from the distal end to the base end opposite the distal end is defined as the axial direction and the direction along the circumference of the cylindrical shape is defined as the circumferential direction, the needle tip has three or more sharp points formed at the distal end with gaps in the circumferential direction, and a cutting blade that is recessed towards the base end is formed between each of the three or more points, and the recessed bottoms located closest to the base end of each of the three or more cutting blades are formed at different positions in the axial direction.
2. The medical hollow needle according to claim 1, wherein the cutting edge has a U-shaped curved shape.
3. The medical hollow needle according to claim 1, wherein the distance between adjacent recessed bottom portions in the axial direction is equal to or greater than the thickness of the object to be punctured.
4. The medical hollow needle according to claim 1, wherein, when the hollow needle is viewed in the axial direction from the tip side, imaginary lines extending radially from the center of gravity of the circumference of the cylindrical shape to each of the three or more concave bottom portions are drawn, and the angle Θx formed by adjacent imaginary lines is in the range of Arccos{1-(C×tan θ / (B / 2))}≦Θx, where A is the number of concave bottom portions, B is the inner diameter of the cylindrical shape of the hollow needle, C is the axial distance between adjacent concave bottom portions in the axial direction, and θ is the angle of inclination of the cutting edge surface, with respect to the axis, that cuts from the inner surface to the outer surface of the hollow needle at the concave bottom portion.
5. The medical hollow needle according to claim 1, wherein the three or more concave bottoms include a first concave bottom, a second concave bottom, a third concave bottom, and a fourth concave bottom that appear in that order when viewed in the axial direction from the tip side toward the base end, and when the hollow needle is viewed in the axial direction from the tip side, the first concave bottom and the second concave bottom are arranged in opposing positions across the center of gravity of the circumference of the cylindrical shape, and the third concave bottom and the fourth concave bottom are arranged in opposing positions across the center of gravity, or the first concave bottom and the fourth concave bottom are arranged in opposing positions across the center of gravity, and the second concave bottom and the third concave bottom are arranged in opposing positions across the center of gravity.
6. The medical hollow needle according to claim 1, wherein the inclination angle θ of the cutting edge surface cut from the inner surface to the outer surface of the hollow needle at the concave bottom portion relative to the axis satisfies θ≦Arctan{((B / (A-1)) / C}, where A is the number of concave bottom portions, B is the inner diameter of the tubular shape of the hollow needle, and C is the axial distance between adjacent concave bottom portions in the axial direction.
Citation Information
Patent Citations
Puncture needle
JP2015160093A
Drug delivery device
JP2015535464A
Puncture needle
JP2018143630A
Puncture needle
JP2019141588A
Exchangeable core biopsy needle
US20160199047A1