Passive ultrasound needle probe locator

• US 4,431,006 A
• Filed: 01/07/1982
• Issued: 02/14/1984
• Est. Priority Date: 01/07/1982
• Status: Expired due to Term

• Current Assignee: Technicare Corporation (General Electric Company)
• Original Assignee: Technicare Corporation (General Electric Company)
• Inventors: Trimmer, William S., Hadjicostis, Andreas, Gardineer, Bayard Jr.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/337,899
• Time in Patent Office: 768 Days
• Field of Search: 128/660-663, 128/24 A
• US Class Current: 600/461
• CPC Class Codes: A61B 1/00142 with means for preventing contamination, e.g. by using a sanitary sheath
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2017/3413 guided by ultrasound
• CPC Class Codes: A61B 8/0841 for locating instruments

Abstract

A solid steel stylet is carried coaxially within a hollow biopsy needle. The stylet carries a matching layer at its tip, such that when the needle and stylet are inserted into the body, ultrasound energy impinging on the needle tip is converted to pressure waves which are conveyed back up the stylet. An ultrasound transducer located outside the body is coupled to receive sonic energy from the stylet, and to convert it to electrical energy for coordination with, and superposition upon the image of the system.

Claims

1. In a system for deriving an image of a region of a body by applying ultrasound energy to the region by means of an external transducer a probe and probe locator apparatus comprising:

(a) hollow needle means thereby defining a probe for insertion into the body; and

(b) ultrasonic energy transmission means, a portion of which is removably located within said hollow needle means, including

(i) passive solid conduit means, removably carried within said needle means, for detecting ultrasound energy near the tip region of said needle means and for conveying said energy through said needle means and outside the body; and

(ii) electrically active ultrasound transducer means coupled to receive ultrasonic energy from said conduit means outside the body and adapted to produce an output signal to said system indicative thereof, whereby the location of the probe within the image area may be determined.

2. Apparatus as described in claim 1 wherein said conduit means comprises a solid, sonically conductive rod extending inside said needle means and terminating in an oblique surface cross-section.

3. Apparatus as described in claim 2 wherein said conduit means includes a matching layer, attached to said cross-section, for coupling incident sonic energy to said rod.

4. Apparatus as described in claim 2 wherein said rod is sized in cross-section to form a high sonic impedance gap to the inner surface of said needle means.

5. Apparatus as described in claim 4 wherein said gap is formed of air, and wherein said conduit means forms an annular liquid tight seal near the inserted extremity of said needle means.

6. Apparatus as described in claim 2 wherein said rod consists essentially of stainless steel.

7. Apparatus as described in claim 2 wherein said rod makes periodic, relatively short contacts with the inner surface of said needle means.

8. Apparatus as described in claim 7 wherein said rod defines periodic annular ridges spanning a gap between said rod and said needle means.

9. Apparatus as described in claim 7 wherein said rod defines a helical ridge spanning a gap between said rod and said needle means.

10. Apparatus as described in claim 1 wherein said conduit means and said transducer means are coupled to one another by simple mechanical contact.

11. Apparatus as described in claim 1 wherein said conduit means are coupled to one another through a fluid sonic coupling medium.

12. In a system for deriving an image of a region of a body by applying ultrasound energy to the region by means of an external transducer probe locator apparatus comprising:

(a) hollow needle means for insertion into the body;

(b) conduit means, carried within said needle means, for detecting ultrasound energy near the tip region of said needle means and for conveying said energy through said needle means and outside the body; and

(c) ultrasound transducer means coupled to receive energy from said conduit means outside the body,

wherein said conduit means comprises a solid, sonically conductive rod extending inside said needle means and terminating in an oblique surface cross-section, and

wherein said conduit means comprises plural solid rods carried within said needle means and extending respective plural different distances into the body, thereby providing means for sensing the timed receipt of sonic pulses at said distances, and hence the direction and propagation speed of sonic energy in the body.

13. In a system for deriving any image of a region of a body by applying ultrasound energy to the region by means of an external transducer probe locator apparatus comprising:

(a) hollow needle means for insertion into the body;

(b) conduit means, carried within said needle means, for detecting ultrasound energy near the tip region of said needle means and for conveying said energy through said needle means and outside the body; and

(c) ultrasound transducer means coupled to receive energy from said conduit means outside the body,

wherein said conduit means comprises a solid, sonically conductive rod extending inside said needle means and terminating in an oblique surface cross-section,

wherein said rod makes periodic, relatively short contacts with the inner surface of said needle means, and

wherein said rod is helical in configuration, thereby making periodic contact with the inner surface of said needle means.

14. A method of monitoring and controlling insertion of a needle probe into the body of a subject comprising the steps of:

(a) irradiating a body area utilizing pulse echo ultrasound techniques employing a first external transducer means;

(b) providing a passive conduit means within a needle probe, said conduit means terminating in the distal tip region of the needle probe;

(c) inserting the distal tip of said needle into said body area at an angle and in a direction which are independent of the position and orientation of said transducer means;

(d) coupling sonic energy from said conduit means to a transducer means which may but need not be distinct from said first transducer means; and

(e) producing a composite image of said body area, based on pulse signals incident to the distal tip of said conduit means, and upon ultrasound echo signals received by said external transducer means.

15. A method as described in claim 14 and further comprising the steps of generating a sonic pulse outside said body, sending said generated pulse down said conduit means through said needle probe, and conditioning said external transducer means to detect dispersed sonic energy from said conduit means distal tip into the body of the subject.

16. A method as described in claim 15 wherein said sonic pulse is coupled to said conduit means outside said body at approximately the same time an imaging pulse is generated at said external transducer means.