Device for examining a subject capable of marking a boundary range for insertion/retraction of an insertion/retraction member that is inserted in and retracted from the subject

• US 20030078502A1
• Filed: 10/21/2002
• Published: 04/24/2003
• Est. Priority Date: 10/23/2001
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Inventors: Hattori, Hiroshi, Kaimai, Tatsuo, Urakawa, Tsutomu, Miyaki, Hironaka
• Granted Patent: US 6,786,870 B2
• Time in Patent Office: Days
• US Class Current: 600/461
• CPC Class Codes: A61B 10/04 Endoscopic instruments
• CPC Class Codes: A61B 2010/045 Needles pointed biopsy devices with vacuum aspiration A61B10/0283
• CPC Class Codes: A61B 2017/3413 guided by ultrasound
• CPC Class Codes: A61B 2090/3784 both receiver and transmitter being in the instrument or receiver being also transmitter
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

An ultrasound diagnostic device comprises an ultrasound endoscope, an ultrasound diagnostic signal processing device and a monitor and is arranged to obtain an ultrasound diagnostic image by performing transmission/reception of ultrasound signals with respect to a detection subject within a body cavity. The ultrasound endoscope comprises an insertion section inserted into a body cavity, an operating section and a connecting cord. A biopsy needle insertion/retraction section is employed for forward or backward insertion/retraction of a biopsy needle. The subject may be pierced by the needle tip of a biopsy needle that protrudes from a biopsy needle protrusion port at the tip of an insertion section of the ultrasound endoscope which has been inserted. The monitor displays the biopsy needle in the ultrasound diagnostic image. The ultrasound diagnostic signal processing device is constituted as superimposition means that superimposes a boundary of the advance of the piercing direction of the biopsy needle on the display of the ultrasound diagnostic image by the monitor.

Claims

1. A device for examining a subject, comprising:

an image capture section capable of acquiring an image of a subject;

an insertion/retraction member having a desired positional relationship with the image capture section and capable of being freely inserted/retracted with respect to the subject;

an image generating section that generates an image comprising an image of the subject acquired by the image capture section and an image of the insertion/retraction member; and

a boundary position superimposition section that superimposes an insertion/retraction boundary marker indicating the position of an insertion/retraction boundary of the insertion/retraction member in the image generated by the image generating section.

2. The device for examining a subject according to claim 1, wherein the image capture section acquires an image of the subject by sending ultrasound to the subject and receiving ultrasound therefrom.

3. The device for examining a subject according to claim 1, further comprising an insertion/retraction direction alteration section that alters the direction of insertion/retraction of the insertion/retraction member,

wherein the insertion/retraction boundary marker comprises at least an insertion/retraction direction boundary marker indicating the boundary of the direction of insertion/retraction of the insertion/retraction member.

4. The device for examining a subject according to claim 3, wherein the insertion/retraction boundary marker comprises an insertion/retraction amount marker that indicates the amount of insertion/retraction of the insertion/retraction member.

5. The device for examining a subject according to claim 1, wherein the boundary position superimposition section detects the insertion/retraction member by performing image processing and calculates a position of the insertion/retraction boundary marker.

6. A device for examining a subject, comprising:

an image capture section capable of acquiring an image of a subject;

a medical instrument whose relative position with respect to the image capture section is specified and that is capable of insertion/retraction action for performing a medical action on the subject;

an image generating section that generates an image comprising an image of the subject and an image of the medical instrument to be displayed on a display; and

a marking section that marks an insertion/retraction boundary marker of the medical instrument on the display.

7. The device for examining a subject according to claim 6, wherein the image capture section acquires an image of the subject by sending ultrasound to the subject and receiving ultrasound therefrom.

8. The device for examining a subject according to claim 6, further comprising an insertion/retraction direction alteration section that alters the direction of insertion/retraction of the medical instrument,

wherein the insertion/retraction boundary marker comprises an insertion/retraction direction boundary marker indicating the boundary of the direction of insertion/retraction of at least the medical instrument.

9. The device for examining a subject according to claim 8, wherein the insertion/retraction boundary marker comprises at least an insertion/retraction amount marker that indicates the amount of insertion/retraction of the medical instrument.

10. The device for examining a subject according to claim 6, wherein the boundary position superimposition section detects the medical instrument by performing image processing and calculates a position of the insertion/retraction boundary marker.

11. A device for examining a subject, comprising:

an image capture section capable of acquiring an image of a subject;

a medical instrument that is capable of performing a medical action on the subject;

a holder that holds the medical instrument so as to enable insertion/retraction operation thereof and that defines the relative position of the medical instrument and the image capture section;

an image generating section that generates an image comprising an image of the subject and an image of the medical instrument to be displayed on a display; and

a marking section that marks an insertion/retraction boundary marker of the medical instrument on the display.

12. The device for examining a subject according to claim 11, wherein the image capture section acquires an image of the subject by sending ultrasound to the subject and receiving ultrasound therefrom.

13. The device for examining a subject according to claim 11, further comprising an insertion/retraction direction alteration section that alters the direction of insertion/retraction of the medical instrument,

wherein the insertion/retraction boundary marker comprises at least an insertion/retraction direction boundary marker indicating the boundary of the direction of insertion/retraction of the medical instrument.

14. The device for examining a subject according to claim 13, wherein the insertion/retraction boundary marker comprises an insertion/retraction amount marker that indicates the amount of insertion/retraction of the medical instrument.

15. The device for examining a subject according to claim 11, wherein the boundary position superimposition section detects the medical instrument by performing image processing and calculates a position of the insertion/retraction boundary marker.

16. A device for examining a subject, comprising:

an image capture section capable of acquiring an image of a subject;

a medical instrument that is capable of insertion/retraction operation and that is capable of performing a medical action on the subject;

an image generating section that generates an image comprising an image of the subject and an image of the medical instrument to be displayed on a display;

a marking section that marks a region, which prohibits the medical instrument from being inserted into/retracted from, on the image;

a calculating section that calculates the relative distance of the medical instrument and the region marked on the image; and

a stop provided on the medical instrument that prohibits the insertion/retraction action of the medical instrument in accordance with the results of the calculation by the calculating section.

17. The device for examining a subject according to claim 16, wherein the image capture section acquires an image of the subject by sending ultrasound to the subject and receiving ultrasound therefrom.

18. The device for examining a subject according to claim 16, wherein the region that is marked on the image is a blood vessel region of the subject.

19. A method of examining a subject, comprising:

displaying on a monitor an image obtained by the medical instrument;

displaying on the monitor an image of an insertion/retraction member corresponding to an insertion/retraction member which has a desired positional relationship with the medical instrument and who can be freely inserted/retracted;

calculating an insertion/retraction boundary position in accordance with the positional relationship of the medical instrument and the insertion/retraction member; and

displaying on the monitor an insertion/retraction marker indicating the insertion/retraction boundary position of the insertion/retraction member.

20. An ultrasound diagnostic device, comprising:

an ultrasound diagnostic image capture section that obtains an ultrasound diagnostic image by performing transmission/reception of ultrasound signals with respect to a subject within a body cavity;

an insertion section that is inserted into the body cavity;

a biopsy needle that pierces the subject by insertion of the insertion section; and

superimposition means that superimposes a boundary of advancement of the piercing direction of the biopsy needle on the ultrasound diagnostic image.

21. An ultrasound diagnostic device, comprising:

an ultrasound diagnostic image capture section that obtains an ultrasound diagnostic image by performing transmission/reception of ultrasound signals with respect to a subject within a body cavity;

blood flow position detection means that detects the position of blood flow on the ultrasound diagnostic image;

needle position detection means that detects the needle tip position of a biopsy needle on the ultrasound diagnostic image; and

comparison means that compares the position of the needle tip from the needle position detection means with the blood flow position from the blood flow position detection means;

wherein, when the comparison means determines that the blood flow position and the needle tip position are within a prescribed distance, a stop signal is output to a biopsy needle insertion/retraction section having means for preventing further advance of the biopsy needle upon receipt of the stop signal.