Interrogation device and method

• US 5,779,642 A
• Filed: 02/18/1997
• Issued: 07/14/1998
• Est. Priority Date: 01/16/1996
• Status: Expired due to Fees

• Current Assignee: Christopher Nightengale
• Original Assignee: Christopher Nightengale
• Inventors: Nightengale, Christopher
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US08/801,562
• Time in Patent Office: 511 Days
• Field of Search: 600/461, 600/546, 600/554
• US Class Current: 600/461
• CPC Class Codes: A61B 17/3401 Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia local anaesthesia A61M19/00
• CPC Class Codes: A61B 5/1106 to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36021 for treatment of pain

Abstract

An interrogation device is used to locate a nerve within the body. The device uses a piezoelectric crystal to locate a pulsing vessel proximate with the nerve. As the device is guided toward the nerve, it can emit an electric signal to stimulate the nerve. The operator can then watch for any physical reaction from the patient in response to nerve stimulation. As the device closes upon the nerve, pressure is applied with the needle to the vessel, thus compressing the vessel, diminishing the doppler response. Once the surface of the nerve is located, it can be accurately anesthetized.

Claims

1. A method of locating a nerve in a body, said nerve associated with a vessel having flowing blood cells, said method comprising the steps of:

(a) penetrating the body with a guide needle having an electrode contained therein,

(b) guiding said needle into the body in response to a detector signal triggered by an ultrasound means within said electrode; and

(c) guiding said needle to a position proximate the nerve in response to a predetermined muscle response from a stimulating signal emitted by said electrode.

2. The method of claim 1 further comprises:

(d) halting the movement of the guide needle when said detector signal diminishes.

3. The method of claim 1 further comprises:

(d) injecting a substance through said needle into contact with the nerve.

4. The method of claim 3 wherein step of injecting further comprises injecting an anesthetic into contact with said nerve.

5. The method of claim 1 further comprises removing said electrode from said guide needle.

6. The method of claim 5 further comprises inserting a medical instrument in said guide needle.

7. The method of claim 6 where said medical instrument is a guide wire.

8. The method of claim 1 wherein the nerve and vessel are contained within a neurovascular bundle, further comprising the step of:

(d) puncturing the bundle with said needle.

9. The method of claim 8 further comprising:

(e) injecting a substance into the bundle through said needle.