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A fiber optic enhanced bone biopsy needle

机译:光纤增强骨活检针

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摘要

Bone marrow biopsy is a commonly practiced procedure in hospitals used for a number of purposes, such as diagnosing blood diseases and gauging a patient's response to chemotherapy, etc. The procedure is relatively simple, but crude. The physician uses a specially designed needle to penetrate the tissue and the bone. Currently, the method by which a physician determines whether or not the needle is in the marrow is by his or her judgment/feeling from a slight reduction in pressure while the needle advances from bone to the bone marrow region. We present a re-design of a bone marrow biopsy needle that will increase the efficiency and success rate of the procedure. The design incorporates a dual-fiber optic cable system into a needle in order to achieve the purpose. Low power laser light (5 mW) is transmitted down one fiber optic cable through the needle and the reflected light is caught by the second fiber optic cable and is analyzed as the needle tip moves through the tissue. A distinct difference in reflectivity exists between the bone and marrow that can be detected and used to send a signal alerting the user of the exact needle tip location. This in turn will increase the probability of obtaining an adequate marrow sample, as well as simplifying the procedure, reducing patient discomfort, and preventing the need to use more than one needle biopsy due to procedural errors.
机译:骨髓活检是医院中广泛用于多种目的的程序,例如诊断血液疾病和评估患者对化学疗法的反应等。该程序相对简单,但很粗糙。医师使用特殊设计的针头刺入组织和骨骼。当前,医师通过他/她的判断/感觉来判断针头是否在骨髓中的方法是由于针头从骨头前进到骨髓区域时压力的轻微降低。我们提出了骨髓活检针的重新设计,它将提高手术的效率和成功率。该设计将双光纤电缆系统集成到针中,以达到目的。低功率激光(5 mW)通过一根针沿着一根光缆向下传输,反射的光被第二根光缆捕获,并在针尖穿过组织时进行分析。骨骼和骨髓之间存在反射率的明显差异,可以检测到该差异并将其用于发送信号,提醒用户确切的针尖位置。反过来,这将增加获得足够的骨髓样本的可能性,并简化程序,减少患者的不适感,并避免由于程序错误而需要使用多个针头活检。

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