JP5479210B2 - Ultrasonic probe adapter - Google Patents

Description

  The present invention relates to an ultrasonic probe adapter attached to a breast to be subjected to ultrasonic diagnosis.

  In the medical field, breast examination using an ultrasonic diagnostic apparatus is widely performed. In a medical examination using an ultrasonic diagnostic apparatus, pressure is applied to the breast by an ultrasonic probe and the breast is deformed. Therefore, it is difficult to display a diagnostic image on the display screen of the ultrasonic diagnostic apparatus while fixing the shape of the breast.

  Thus, as disclosed in Patent Documents 1 and 2, there is an apparatus that facilitates diagnosis using an ultrasonic diagnostic apparatus by fixing the shape of the breast. In the apparatus described in the cited document 1, the shape of the breast is fixed to the shape of the breast receptacle by sucking the breast into the breast receptacle formed in the shape of the heel. Moreover, in the breast part stabilization apparatus described in the cited reference 2, a breast is inserted | pinched between an arch-shaped shell part and a flat surface. The shell portion is provided with a hole for air sucking the breast, and the breast shape is fixed to the shape of the space between the shell portion and the flat surface by sucking the breast air.

  These patent documents describe a biopsy for examining the presence or absence of a tumor or the like by removing cells from a living body using a puncture needle. In a biopsy, cells to be treated are displayed on the display screen of the ultrasonic diagnostic apparatus, and the practitioner punctures the cells to be treated while referring to the display screen. Therefore, using a device for fixing the shape of the breast facilitates a biopsy procedure.

JP 2002-301074 A JP 2000-157554 A

  In the devices described in the cited documents 1 and 2, the shape of the component mounted on the breast is fixed. Therefore, the shape of the breast is adjusted to the apparatus side, and it is difficult to observe the breast in a state unique to the subject.

  An object of the present invention is to observe a breast by an ultrasonic diagnostic apparatus while maintaining the breast in a state unique to a subject.

The present invention provides an ultrasonic probe adapter that is mounted on a breast to be ultrasonically diagnosed and maintains a breast shape when an ultrasonic probe is brought into contact with the breast, and a dome that covers from the nipple or the vicinity thereof to one side of the breast. And a right-side extension and a left-side extension extending to the other side of the breast opposite to the one side of the breast , the body, the right-side extension and the left The extending portion covers the nipple portion or the vicinity thereof to the one side of the breast and has a curved shape extending to the other side of the breast, and the right side extending portion and the left side extending portion are supported by a practitioner. Is characterized by holding and holding the breast .

The present invention also relates to an ultrasonic probe adapter that is attached to a breast to be subjected to ultrasonic diagnosis and maintains the shape of the breast when the ultrasonic probe is brought into contact with the breast, from the nipple or the vicinity thereof to one side of the breast. A dome-shaped main body part covering the right side extension part and a left side extension part extending to the breast side surface on the other side opposite to the breast side surface on the one side, the main body part, the right side extension part and The left extension part covers the nipple part or its vicinity to the breast side on the one side and has a curved shape extending to the breast side on the other side, and a part of the outer periphery of the curved shape is recessed. It has a cut section, further characterized in that it comprises a retractable fiber member provided in a region surrounded by the slit interval.

The present invention also relates to an ultrasonic probe adapter that is attached to a breast to be subjected to ultrasonic diagnosis and maintains the shape of the breast when the ultrasonic probe is brought into contact with the breast, from the nipple or the vicinity thereof to one side of the breast. A covering dome-shaped main body, a right-side extension and a left-side extension extending to the other breast side opposite to the one breast side, and an ultrasonic probe placement hole provided in the main body characterized in that it comprises a and.

  In the ultrasonic probe adapter according to the present invention, it is preferable that the ultrasonic probe placement hole has a combined shape corresponding to the shapes of the plurality of types of ultrasonic probe biological contact surfaces.

  Further, in the ultrasonic probe adapter according to the present invention, the ultrasonic probe adapter is arranged so as to extend from a portion covering the nipple portion or the vicinity thereof in the main body portion to the breast side on the other side and to face the ultrasonic probe arrangement hole. It is preferable to provide a puncture position indicating member.

  In the ultrasonic probe adapter according to the present invention, it is preferable that the puncture position indicating member has a section shape and includes a puncture needle insertion hole.

The present invention also relates to an ultrasonic probe adapter that is attached to a breast to be subjected to ultrasonic diagnosis and maintains the shape of the breast when the ultrasonic probe is brought into contact with the breast, from the nipple or the vicinity thereof to one side of the breast. A dome-shaped main body part covering the right side extension part and a left side extension part extending to the breast side of the other side opposite to the breast side of the one side, the main body part, the right side extension part, and at least one of said left extension portion, characterized in that it comprises an air bag which is interposed between the breast side.

The present invention also relates to an ultrasonic probe adapter that is attached to a breast to be subjected to ultrasonic diagnosis and maintains the shape of the breast when the ultrasonic probe is brought into contact with the breast, from the nipple or the vicinity thereof to one side of the breast. A dome-shaped main body portion that covers the right side extension portion and a left side extension portion extending to the breast side surface on the other side opposite to the breast side surface on the one side. A puncture needle support arm is provided, which extends from a portion covering the vicinity to the upper side of the other side of the breast and supports the puncture needle in a swingable manner .

  According to the present invention, the breast can be observed by the ultrasonic diagnostic apparatus while the breast is held in a state unique to the subject.

It is a figure which shows the structure of the ultrasonic probe adapter which concerns on 1st Embodiment. It is a figure which shows the state of the ultrasonic probe adapter which concerns on 1st Embodiment in the case of performing a biopsy. It is a top view of the ultrasonic probe adapter concerning a 2nd embodiment. It is a figure which shows the state of the ultrasonic probe adapter which concerns on 2nd Embodiment in the case of performing a biopsy. It is sectional drawing of the airbag vicinity.

  FIG. 1 shows the configuration of the ultrasonic probe adapter according to the first embodiment of the present invention. FIG. 1A shows a top view, and FIG. 1B shows a side view with the breast 18 attached. The ultrasonic probe adapter includes a main body 10, a first extension 12 and a second extension 14 that extend from the main body 10 to the left and right of FIG. 1A, and a puncture position indicating piece that protrudes from the top of the main body 10. 16 is configured. The ultrasonic probe adapter may be formed of natural rubber, synthetic resin or the like having elasticity and flexibility.

  The main body 10 is formed in a dome shape so as to cover a part from the nipple to the side of the breast. Here, although the main-body part 10 is made into the shape which covers a papilla, it is good also as a shape which does not cover a papilla and covers from a milk ring vicinity to a part of breast side.

  The first extension portion 12 and the second extension portion 14 extend from the main body portion 10 along the circumference of the breast, and hold the breast 18 toward the side of the breast opposite to the side covered with the main body portion 10. The first extension part 12 and the second extension part 14 may be formed so as to hold the vicinity of the hem of the breast 18 or may be formed so as to hold the vicinity of the middle of the breast 18.

  As described above, the main body 10, the first extension part 12, and the second extension part 14 cover from the nipple portion or the vicinity thereof to one breast side surface, and from the one breast side surface to the other breast side surface. It has a curved shape that stretches to the back.

  The main body portion 10 is provided with a probe arrangement hole 20 for arranging the ultrasonic probe 26. The living body contact surface of the ultrasonic probe 26 (surface to be brought into contact with the living body to be diagnosed) has a different shape depending on the arrangement of the ultrasonic transducers. For example, there are one-dimensionally arranged ultrasonic probes in which ultrasonic transducers are arranged in a row and two-dimensionally arranged ultrasonic probes in which ultrasonic transducers are arranged in the vertical and horizontal directions, which have a rectangular biological contact surface. In general, the living body contact surface of the one-dimensional array ultrasound probe is longer than the living body contact surface of the two-dimensional array ultrasound probe.

  Therefore, in the ultrasonic probe adapter according to the present embodiment, the probe arrangement hole 20 is formed in the combined shape of these biological contact surfaces so that it can be used for both the one-dimensional array ultrasonic probe and the two-dimensional array ultrasonic probe. Is formed. The protrusion 22 of the probe placement hole 20 corresponds to a portion where the shape of the biological contact surface of the one-dimensional array ultrasonic probe protrudes from the shape of the biological contact surface of the two-dimensional array ultrasonic probe. When a one-dimensional array ultrasonic probe is used, the one-dimensional array ultrasonic probe is arranged so that the living body contact surface matches the protrusion 22. When a two-dimensional array ultrasonic probe is used, the two-dimensional array ultrasonic probe is arranged so that the living body contact surface matches the edge of the probe arrangement hole 20 other than the protrusion 22.

  In addition, although the example which formed the probe arrangement | positioning hole 20 in the unification | combination shape of the biological contact surface of both a 1-dimensional arrangement | sequence ultrasonic probe and a two-dimensional arrangement | sequence ultrasonic probe was shown here, about other biological contact surfaces of multiple shapes The probe placement hole 20 may be formed in the combined shape.

  From the top of the main body 10, a section-like puncture position indicating piece 16 protrudes toward the bottom of the breast 18. The puncture position indicating piece 16 is preferably positioned so as to face the probe placement hole 20. The puncture position indicating piece 16 is provided with a puncture hole 24 extending along the extending direction. The puncture position indicating piece 16 indicates the puncture position to the practitioner. Therefore, it is not always necessary to have a section shape, and may be a linear shape in which the puncture hole 24 is not provided.

  FIG. 2 shows the state of the ultrasonic probe adapter when performing a biopsy. The practitioner supports the ultrasonic probe adapter so that the main body portion 10 covers the nipple and the side of the breast, and the first extension portion 12 and the second extension portion 14 hold the breast 18. The ultrasonic probe 26 is supported so that the living body contact surface of the ultrasonic probe 26 is in contact with the breast 18 while matching the probe placement hole 20. The ultrasonic probe adapter and the ultrasonic probe 26 may be supported with one hand.

  In this state, the practitioner displays the cells to be treated on the display screen of the ultrasonic diagnostic apparatus. Then, while referring to the display screen, the puncture needle 28 is inserted from the puncture hole 24 of the puncture position indicating piece 16 to puncture the cell to be treated. When the practitioner supports the ultrasonic probe adapter and the ultrasonic probe 26 with one hand, the practitioner may perform puncture with the other hand.

  Here, an example in which the ultrasonic probe adapter is used for biopsy has been described. The ultrasonic probe adapter according to the present embodiment may be used for treatment for injecting a drug into a diseased cell of the breast while displaying the diseased cell on a display screen of an ultrasonic diagnostic apparatus. Moreover, you may use for the observation which does not puncture. When puncturing is not performed, the ultrasonic probe adapter may be configured such that the puncture position indicating piece 16 is not provided.

  Thus, the ultrasonic probe adapter according to the present embodiment maintains the shape of the breast while the shape is matched with the shape of the breast to be observed. Accordingly, the breast can be observed by the ultrasonic diagnostic apparatus while the breast is held in a shape unique to the subject.

  3 and 4 show the configuration of the ultrasonic probe adapter according to the second embodiment of the present invention. FIG. 3 shows a top view, and FIG. 4 shows a side view with the breast 18 mounted and a biopsy performed. The ultrasonic probe adapter is provided with a puncture needle support arm 30 that extends from the top of the main body portion 10 to the upper side of the breast, supports the puncture needle 28, and includes components that correspond to various breast shapes. Is. The same components as those of the ultrasonic probe adapter according to the first embodiment shown in FIG.

  The configuration of the puncture needle support arm 30 will be described. The puncture needle support arm 30 is swingably supported by a rotatable support mechanism 32, and puncture is positioned between the two arm main body portions 34 and the distal end portions of the two arm main body portions 34 that are aligned in the extending direction. A needle guide 36 is provided.

  The arm main body 34 includes a root side arm portion 38, an intermediate arm portion 40, and a distal end side arm portion 42. The root side arm portion 38 and the distal end side arm portion 42 are attached to the intermediate arm portion 40 so as to be slidable in the extending direction. Such an arm main body 34 may employ a mechanism in which the intermediate arm portion 40 is formed in a cylindrical shape, and the root side arm portion 38 and the distal end side arm are inserted into the intermediate arm portion 40. According to this structure, the root side arm part 38 and the front end side arm part 42 can be slid in the cylinder formed by the intermediate arm part 40, respectively.

  The rotatable support mechanism 32 includes a support portion 44 and a rotation shaft 46. The rotating shaft 46 is rotatably inserted into the support portion 44. The rotation shaft 46 may be common to the two arm main body portions 34 and may have the support portion 44 penetrated. The support portion 44 is fixed to the top portion of the main body portion 10 so that the direction along the edge near the top portion of the ultrasonic probe adapter coincides with the axial direction of the rotation shaft 46.

  One end of the root side arm portion 38 is attached to the rotation shaft 46 so that the extending direction of the root side arm portion 38 is perpendicular to the rotation shaft 46. The other end of the root side arm portion 38 is attached to one end of the intermediate arm portion 40. The intermediate arm portion 40 may have a curved shape such that the side facing the breast side surface is recessed. One end of the distal arm portion 42 is attached to the other end of the intermediate arm portion 40.

  The puncture needle guide 36 is attached to the puncture needle guide support bar 48 so as to be rotatable about the puncture needle guide support bar 48 that bridges between the two distal arm portions 42. The puncture needle 28 of the puncture device 50 is attached to the puncture needle guide 36 so that the tip thereof is directed toward the breast side surface.

  According to such a configuration, the puncture needle guide 36 is supported via the arm main body 34 so as to be rotatable in a plane whose normal is the extending direction of the rotation shaft 46. Further, it is possible to facilitate the operation of adjusting the distal end direction in a plane with the extending direction of the rotation shaft 46 as a normal line and then puncturing the breast with the puncture needle 28.

  Next, components for making the ultrasonic probe adapter correspond to various breast shapes will be described. FIG. 5 shows a cross-sectional view taken along the line AB of FIG. As shown in this figure, an airbag 52 is provided on each breast 18 side of the first extension part 12 and the second extension part 14. The airbag 52 may be provided in an area where the holding force of the breast 18 is particularly desired to be enhanced, among the areas formed by the main body 10, the first extension portion 12, and the second extension portion 14. Furthermore, the edge of the ultrasonic probe adapter on the hem side of the breast 18 is provided with a cut formed by recessing the edge. A stretchable fiber member 54 is stretched in a region surrounded by the cut. According to such a configuration including the airbag 52 and the elastic fiber member 54 surrounded by the notch, the shape of the ultrasonic probe adapter can be adjusted to various breast shapes. Furthermore, breast retention can be increased while avoiding discomfort to the subject.

  DESCRIPTION OF SYMBOLS 10 Main body part, 12 1st extending | stretching part, 14 2nd extending | stretching part, 16 Puncture position indicating piece, 18 Breast, 20 Probe placement hole, 22 Protrusion part, 24 Puncture hole, 26 Ultrasonic probe, 28 Puncture needle, 30 Puncture needle Support arm, 32 rotatable support mechanism, 34 arm body, 36 puncture needle guide, 38 root side arm, 40 intermediate arm, 42 distal side arm, 44 support, 46 rotating shaft, 48 puncture needle guide support rod , 50 Puncture device, 52 Air bag, 54 Stretchable fiber member.

Claims (8)

In the ultrasonic probe adapter that is attached to the breast of the ultrasonic diagnostic object and holds the breast shape when the ultrasonic probe is brought into contact with the breast,
A dome-shaped body that covers from the nipple or its vicinity to the breast side on one side;
A right extension and a left extension extending to the breast side on the other side opposite the breast side on the one side;
Equipped with a,
The main body, the right extension, and the left extension are:
Covering from the nipple or the vicinity thereof to the breast side on the one side and a curved shape extending to the breast side on the other side,
The ultrasonic probe adapter , wherein the right extension part and the left extension part hold the breast and hold the breast by the support of a practitioner . In the ultrasonic probe adapter that is attached to the breast of the ultrasonic diagnostic object and holds the breast shape when the ultrasonic probe is brought into contact with the breast ,
A dome-shaped body that covers from the nipple or its vicinity to the breast side on one side;
A right extension and a left extension extending to the breast side on the other side opposite the breast side on the one side;
With
The main body, the right extension, and the left extension are:
Covering from the nipple or the vicinity thereof to the breast side on the one side and having a curved shape extending to the breast side on the other side, having a cut section in which a part of the outer periphery of the curved shape is recessed, further,
An ultrasonic probe adapter comprising a stretchable fiber member provided in a region surrounded by the cut section. In the ultrasonic probe adapter that is attached to the breast of the ultrasonic diagnostic object and holds the breast shape when the ultrasonic probe is brought into contact with the breast ,
A dome-shaped body that covers from the nipple or its vicinity to the breast side on one side;
A right extension and a left extension extending to the breast side on the other side opposite the breast side on the one side;
Ultrasonic probe adapter, comprising a ultrasonic probe mounting holes provided in the main body portion. The ultrasonic probe adapter according to claim 3 ,
The ultrasonic probe placement hole is
An ultrasonic probe adapter having a combined shape corresponding to the shape of a plurality of types of ultrasonic probe biological contact surfaces. In the ultrasonic probe adapter according to claim 3 or 4 ,
A puncture position indicating member that extends from a portion of the main body covering the nipple or the vicinity thereof to the other side of the breast and is disposed to face the ultrasonic probe placement hole. Sonic probe adapter. The ultrasonic probe adapter according to claim 5 ,
The puncture position indicating member has a section shape,
An ultrasonic probe adapter comprising a puncture needle insertion hole. In the ultrasonic probe adapter that is attached to the breast of the ultrasonic diagnostic object and holds the breast shape when the ultrasonic probe is brought into contact with the breast ,
A dome-shaped body that covers from the nipple or its vicinity to the breast side on one side;
A right extension and a left extension extending to the breast side on the other side opposite the breast side on the one side;
With
At least one of the main body part, the right side extension part, and the left side extension part includes an airbag interposed between the breast side surface and the ultrasound probe adapter. In the ultrasonic probe adapter that is attached to the breast of the ultrasonic diagnostic object and holds the breast shape when the ultrasonic probe is brought into contact with the breast ,
A dome-shaped body that covers from the nipple or its vicinity to the breast side on one side;
A right extension and a left extension extending to the breast side on the other side opposite the breast side on the one side;
With
A puncture needle support arm that extends from a portion covering the nipple portion or the vicinity thereof in the main body portion to the upper side of the other breast surface and supports the puncture needle so as to be swingable;
An ultrasonic probe adapter comprising:

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