731 results about "Needle guide" patented technology

An apparatus is provided. The apparatus comprises a vibrator configured to vibrate a needle, an ultrasonic scanhead configured to transmit ultrasonic pulses and to receive return signals, and an ultrasonic system coupled to the ultrasonic scanhead. The ultrasonic system comprises a transmitter and receiver module coupled to the ultrasonic scanhead, a displacement estimation module coupled to the transmitter and receiver module, and a display coupled to the displacement estimation module. The transmitter and receiver module is configured to supply energizing pulses to the ultrasonic scanhead to transmit the ultrasonic pulses and to receive electrical signals produced by the ultrasonic scanhead according to the return signals. The displacement estimation module is configured to calculate motion displacements based on phase differences of the electrical signals. The display is configured to display an image according to the motion displacements.

A method and device for the placement of sutures and for the purpose of approximating tissue. The invention relates to devices for approximation, ligation and fixation of tissue using a suture, to various constituent parts comprising said devices, and particularly to the placement of sutures into certain difficult to access ligamental structures, to the approximation of tissue separated by means of an endosurgical trocar being inserted into a body cavity, and to approximation, ligation, and fixation of body tissue using both traditional open surgical and endosurgical techniques and instruments. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off. The invention also provides for the placement of sutures for the endoscopic approximation, fixation, and ligation of tissues within a body cavity including the driving and retrieval of needle and suture combinations, and facilitating the tying of knots.

An apparatus and method for performing needle guided interventions and especially needle guided dilations of tissue to create a therapeutic conduit between two luminal organs or structures. The device is particularly useful for creation of an artificial lumen between two hollow body organs using the working lumen of an endoscope.

A needle guide system comprises a base adapted for non-pivotal connection to an imaging device, an arm pivotally connected to the base, and a needle guide pivotally connected to the arm at a point distal from the arm-base connection. The needle guide is adapted to receive at least one needle. The length of the arm extending between the base and the needle guide is adjustable. Methods for positioning a needle relative to an imaging device employ the needle guide system.

Systems and methods are shown which provide feedback with respect to the desired or proper placement of a medical device guide without introducing protuberances or other perturbations to the surface of devices used in medical procedures. Embodiments provide a biopsy needle guide bracket for use with an ultrasound transducer assembly, wherein the biopsy needle guide bracket and ultrasound transducer assembly are adapted to detect when the biopsy needle guide bracket is properly located on the ultrasound transducer assembly using one or more sensors. Embodiments may implement various sensor technology, such as Hall effect sensors, optical sensors, capacitive coupled sensors, inductive coupled sensors, and / or the like to provide feedback with respect to placement of a medical device guide.

A needle guidance device for use with an ultrasound transducer is made up of a frame for housing the transducer, a needle guide unit which has a sleeve in line with an ultrasound beam and two arms which affix the frame to the needle guide unit.

An IV catheter introducer having an elastomeric grommet disposed between the housing and the IV catheter assembly that helps avoid unintentional separation of IV catheter assembly from the housing during shipping and handling prior to use, that acts as a needle guide, that helps align the housing and IV catheter assembly coaxially, that indicates that top side of the catheter introducer, that provides proper rotational alignment between the grommet and housing, that wipes blood off the needle during withdrawal of the needle from the catheter assembly and grommet, that impedes blood flow out of the catheter hub after needle withdrawal, and that assists the user in separating the housing from the IV catheter assembly following insertion of the catheter and withdrawal of the needle.

An apparatus and method for guiding a needle in conjunction with a biopsy using a medical imaging device, where an open-ended needle guide with an adjustable pivoting multi-gauge needle stop is used to guide a needle during insertion and during a tilting of the needle with respect to the medical imaging device.

In an aspect, a medication delivering injector which includes a housing having opposing proximal and distal ends and an accessible internal cavity for inserting and removing a medicament container such as a syringe. The injector is designed to hold and manipulate a medication delivery device such as a large variety of standard and non-standard medical syringes with fixed or attached needles, assembled such that centrally located is a cylinder containing a liquid medicament and attached either permanently or removably to the distal end of the cylinder, is a hypodermic needle or cannula in fluidic communication with the cylinder. The needle can be from one-half inches to one-and-one-half inches in length in the illustrated embodiment and other sizes are possible by changes in scale of the injector. At the proximal end of the cylinder is an opening with an inserted seal or bung with an attached rod thus constituting a plunger. The central medicament containing cylinder could also be a standard medicament cartridge. Hereinafter, both are referred to as a “syringe”. A lid or access cover which, in an open position permits insertion and removal of the syringe into / from the housing in a horizontal fashion thus providing ease of loading. The syringe is inserted with the needle end toward the distal end of the housing and the plunger toward the proximal end of the housing. A movable carriage is disposed in the proximal end of the housing and slides in the axial direction forwards and rearwards such that a syringe, whose proximal end is gripped by the carriage, so moves with the carriage such that the needle exits the housing at the distal end of the housing and pierces the tissue of the patient prior to dispensing of the medicament, and then is retracted after the medicament has been dispensed by retraction of the carriage. Attached to the carriage is an actuator which pushes on the syringe plunger causing the medicament contained within the syringe cylinder to be dispensed through the needle into the patient's tissue. In one embodiment suitable for both removable needle and fixed needle syringes, the proximal end of the syringe including the syringe finger flange is gripped by an elastomeric flange grip which resides within the carriage, while the syringe distal end resides in and is supported by a “syringe guide” which is attached to the carriage and thus moved with it. In another embodiment which is so made to accommodate syringes with removable needles and their safe disposal, the syringe flange at the proximal end of the cylinder is gripped by an elastomeric flange grip which resides in the carriage as described above, while the syringe distal end is supported by a needle which resides in a removable disposable needle shield. The needle guide is biased toward the carriage and thus, the syringe body is compressed and guided as the carriage moves forward and rearward.Both the movement of the carriage and the actuator are controlled by servo motors which are controlled by electronics and a microcontroller so operating such that speeds and accelerations are controlled smoothly and gently so as to avoid the stop / start motion of motors controlled by limit switches and simple electronics or the vibration and abruptness such as result from injectors powered by compressed springs or gas. Furthermore, the forces are adaptive to the loads imposed and the requirements necessary for the proper dispensation of medicaments with high viscosity or sensitivity to shear forces.The housing, approximately midway between proximal and distal ends, is affixed by a hinge such that the device can be folded in half to provide for a more compact device to be stored and transported.On the distal end of the housing are electrical sensor pads in communication with the microcontroller such that contact with the patient's skin and the angle at which the injector is held against the skin and the steadiness with which the injector is being held can be ascertained. Within the housing are a haptic vibrator and an audio speaker, both producing a vibration which is variable in pitch in such a manner that biofeedback is provided to the injector user as to the pressure, angle and steadiness with which they are holding the injector against the skin. This facilitates the action of injection oneself in the gluteus muscle where visual feedback isn't available to the patient.Multiplexed onto the electrical sensor pads, is a TENS (Transcutaneous Electrical Nerve Stimulation) generator which is operational (at the user's choice) just before and during the injection to interrupt or quench the pain of tissue perforation often accompanied with needle injections.Contained on the surface of the housing such as on the access cover, is a display such that user menus, device state, directions, and battery charge status, etc. are displayed. Also contained on the surface of the housing, on the proximal half, are buttons which control the menus and selections that are shown on the display. These selections provide for the user to set such parameters as hypodermic insertion speed and medicament dispensing speeds, the preferred mode of user biofeedback which can include: speech mode (which can be accompanied by musical themes and ringtones, plus variable pitch tone and haptic vibration), MP3 mode (which has speech muted but includes musical ringtones and variable pitch tone and haptic vibration), and haptic mode (which is haptic vibration and audio tone queues needed for injector position biofeedback and readiness), plus mute mode (which provides no audio but the haptic vibration remains), and none, which provides no vibrational biofeedback, yet the display information always remains available.Also contained on the surface of the housing on the distal half, is an “injection initiate” button which causes the sequences required for performance of an injection to occur if said button is “enabled”.Contained within the electronics and its operating program is the ability to audibly play pre-recorded human speech in any language such that: directions in the form of consecutive steps which are required to load the medicament container (syringe) into the device, consecutive steps to perform an injection, steps to remove and properly dispose of parts, to alert of device status and menu choices, etc. can be played through the audio speaker. Also contained within the electronics and program is the ability to play musical ringtones as a distraction during the needle insertion and injection or when a scheduled injection alarm is reached, or calming human voice exhibiting bedside manner during the needle insertion and injection.Also contained within the electronics and software is a real-time clock-calendar which can store a patient's injection schedule and play a musical ringtone as an alarm as each scheduled injection becomes due. Also contained within the electronics and software are the ability to communicate with a personal computer through a USB port, which can also charge the injector's rechargeable battery. The battery in one embodiment, consists of three AAA batteries which can be rechargeable or non-rechargeable. The USB port in combination with an application running on the personal computer, is used to download the injection schedule into the real-time clock-calendar and to download ringtones and musical themes of the user's choice and to download foreign language sets for the pre-recorded human language feature.The injector can be further equipped with the capability to aspirate the tissue by drawing back on the plunger thus creating a vacuum into which fluids will flow. These fluids enter the syringe cylinder where they can be checked for the presence of blood by optical absorption in the red spectrum. This information is useful in the instances where intramuscular injections are to be given with drugs whose ‘Full Prescribing Information’ instructs the patient to aspirate and check for blood in the syringe which indicates that the puncture of a vein has occurred, and if so detected, to abort the injection and then re-inject into a different location.

A needle-guide device, particularly for ultrasound probes, or the like, comprising a base body having means for connection to the probe and at least one elongated guide hole for receiving a needle-like surgical tool, characterized in that said needle-guide device, is made of at least two removably connectable parts, which are shaped in such a manner that each of them forms complementary parts of the peripheral delimiting wall of the elongated guide hole for the surgical tool which peripheral wall parts complete each other when said two parts, of the needle-guide device are connected, thereby forming an elongated guide hole for guiding the needle with a 360° covering delimiting wall.

An apparatus and method for guiding a needle where a structure is attached to the sterile sheath to aid in coupling the needle guide to the transceiver. In one case, the needle guide is attached to the exterior of the sheath; in another, a needle guide adapter is attached to the exterior of the sheath; in still another, an adhesive is attached on the inside of the sheath to assist in attachment with the transceiver. In still another, a temporary adhesive cover is attached to the internal adhesive and is removable upon full insertion of the transceiver into the sheath.

A device that facilitates the placement of one or more needles and their attached sutures in the body of a surgical patient is disclosed. The device contains one or more needle guide channels in which one or more needles may be backloaded. The device also contains one or more lumens extending though the body of the device. One or more sutures may be coupled to the one or more needles, and threaded through the lumen. The one or more needles may then be advanced out of their respective needle guide channels by pulling on one end of one or more sutures. When one end of a suture is pulled, the attached needle is advanced out of the device and will pierce and be positioned in the tissue that is located adjacent to the device.

An embodiment of a flexible needle guide comprises a support member and a body portion. The body portion is defined by a distal end and a proximal end, wherein the proximal end is connected to the support member. The body portion further includes at least one receiving channel extending therethrough, wherein the receiving channel includes an axis extending therethrough. The body portion is at least partially constructed from a flexible material such that instruments inserted through the receiving channel may be selectively oriented at an angle with respect to the axis extending through the receiving channel.

A safety shield apparatus is disclosed which includes a needle having a distal portion defining a longitudinal axis which is angularly displaced relative to a longitudinal axis defined by a proximal portion of the needle. A shield is mounted with the needle and extensible, via a tubular needle guide movable along the needle, between a retracted position and an extended position. The apparatus may include a needle hub configured to support the proximal portion of the needle. The needle hub can include an appendage which may have at least one opening to facilitate manipulation thereof. A distal end of the shield can be attached to a planar contact surface. The shield may also include a latch engageable with the needle.

A device in the form of an elongated articulating arm having a base for mounting it on or at the MRI apparatus. The free end of the arm is arranged to releasably mount any type of device, e.g., a clamp, a bracket, a biopsy needle guide, etc. The arm includes a plurality of interconnected segments each of which is arranged to pivot with respect to adjacent segments. A flexible elongated adjustable tensioning member extends through the arm between the base and the distal end portion to enable the arm to be moved or bent into a desired shape when tension is released and then held in that shape when tension is applied.

A needle guidance device for use with an ultrasound transducer is made up of a frame for housing the transducer, a needle guide unit which has a sleeve in line with an ultrasound beam and two arms which affix the frame to the needle guide unit.

A suture insertion device (120) includes a shaft (124), which is adapted to be inserted into a body cavity (154). First and second needles (160) hold respective first and second ends of a suture thread (122). First and second needle guides (130) are attached to the shaft and respectively hold the first and second needles. The needle guides have a first operative configuration in which the needle guides are held parallel to the axis of the shaft for insertion of the shaft into the body cavity and a second operative configuration in which the needle guides are deployed outward from the shaft within the body cavity so as to point the needles in a proximal direction. An ejector (164) is operative to eject the needles from the needle guides in the second operative configuration so as to cause the needles to penetrate tissue (156) adjoining the body cavity.

Provided are needle locks and methods of using the same for ultrasound guided catheter insertion. The needle locks hereof substantially immobilizes a needle relative to an ultrasound probe to permit manipulation of a catheter or other device through the needle. The needle locks of the present invention may be used in nerve block, venous catheter insertion procedures or other invasive procedures.

Disclosed is a transcavital needle insertion device that incorporates a transrectal ultrasound (TRUS) probe; a support sheath incorporated with, but mechanically decoupled from the TRUS probe to substantially stabilize the target tissue being imaged; and a needle guide sheath that moves relative to the TRUS probe. The device substantially enables a practitioner to more accurately and precisely insert a therapeutic needle into a target tissue, such as a prostate, in a decoupled three degree of freedom coordinate space that is registered to the imagery generated from the TRUS probe. The support sheath may enable the practitioner to move the TRUS probe, and independently position and insert the needle, without problems brought about by variable deformation of the target tissue, which would otherwise result from motion of the TRUS probe and the needle.

An intravascular catheter for nerve activity ablation and / or sensing includes one or more needles advanced through supported guide tubes (needle guiding elements) which expand to contact the interior surface of the wall of the renal artery or other vessel of a human body allowing the needles to be advanced though the vessel wall into the extra-luminal tissue including the media, adventitia and periadvential space. The catheter also includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened needles are advanced to penetrate into the vessel wall. Electrodes near the distal ends of the needles allow sensing of nerve activity before and after attempted renal denervation. In a combination embodiment ablative energy or fluid is delivered from the needles in or near the adventitia to ablate nerves outside of the media while sparing nerves within the media.

A needle guide for use with an imaging instrument is disclosed. The needle guide is suitable for delivery of a needle at a shallow angle into a patient during imaging analysis. Thus, the needle guide is well suited to the controlled collection of biopsy tissue or other sample material near the surface of a patient.

An ultrasound needle guide system for use with an ultrasound transducer and method of use of the guide system to provide predictable trajectories for puncture devices at various depths. The needle guide system basically consists of a bracket and a needle guide. The bracket is arranged to be releasably secured to the ultrasound transducer. The transducer / bracket assembly is then placed into an isolating sterile cover. The needle guide is arranged to be readily attached, e.g., snap-fit, to the transducer / bracket with the cover interposed therebetween. The needle guide can be provided in various versions for differing puncture device sizes and various entry angles in relation to the transducer. In one embodiment the needle guide is arranged to establish plural predetermined entry angles.

A closure device for closing an opening in tissue is provided. The closure device includes an elongate member through which needles may be deployed. The closure device also includes a closure element having a foot portion and a needle guide portion. The foot portion and the needle guide portion are each movable between a delivery configuration and a deployed configuration. The foot portion includes cuffs removably mounted thereon and having sutures connected therebetween. The needle guide portion includes needle guide apertures that guide the needles to the cuffs. The needles securely engage the cuffs and draw the cuffs and suture through the lumen wall so that the opening in the lumen wall can be closed with the sutures.

An IV catheter introducer having an elastomeric grommet disposed between the housing and the IV catheter assembly that helps avoid unintentional separation of IV catheter assembly from the housing during shipping and handling prior to use, that acts as a needle guide, that helps align the housing and IV catheter assembly coaxially, that indicates that top side of the catheter introducer, that provides proper rotational alignment between the grommet and housing, that wipes blood off the needle during withdrawal of the needle from the catheter assembly and grommet, that impedes blood flow out of the catheter hub after needle withdrawal, and that assists the user in separating the housing from the IV catheter assembly following insertion of the catheter and withdrawal of the needle.

The invention provides a puncturing guide (1, 16) for guiding a puncturing needle into a target site within the body of a patient. The puncturing guide (1, 16) comprises a base plate (2, 17), a needle guide (3, 18), a retainer (4, 19) for securing the needle guide (3, 18) to the base plate (2, 17), a first segment (7, 20) of a first semi-sphere, a second segment (8, 21) of a second semi-sphere, and a needle guide (3, 18) attached to the second segment (8, 21). During a positioning operation, the second segment (8, 21) slides on the first segment (7, 20), so that the needle guide (3, 18) is movable around the center of the first semi-sphere, which is in level with the underside of the base plate (2, 17), thereby providing the possibility to position the tip of a puncturing needle at a puncturing point on the patient's skin and then, in a separate operation, set the entrance angle of the puncturing needle without changing its entrance point.