Needle Deflection during Insertion into Soft Tissue Based on Virtual Spring Model

Haiyan Du,Yongde Zhang,Jingang Jiang,Yanjiang Zhao 보안공학연구지원센터 2015 International Journal of Multimedia and Ubiquitous Vol.10 No.1

Needle insertion is the most common procedure of minimally invasive interventions. During insertion into a soft tissue, the needle with bevel tip can deflect due to the asymmetric forces acting on the tip of the needle. In this paper, a mechanics-based model is developed to predict the needle deflection. In the model, the needle is considered as a cantilever beam supported by a series of nonlinear springs each of which has stiffness different from each other. The value of stiffness can be calculated by cutting force acting on the needle tip. Based on the model and the analysis of cutting force and friction force, Rayleigh-Ritz method is used to estimate the amount of needle deflection. Experiment shows that the simulation model can accurately predict the deflection of the bevel-tipped needle.

우리나라 가문비나무의 침엽 수명, 광색소 및 질소 배분 특성

한심희 ( Sim Hee Han ),김두현 ( Du Hyun Kim ),김길남 ( Gil Nam Kim ),윤충원 ( Chung Weon Yun ) 한국산림과학회 2012 한국산림과학회지 Vol.101 No.1

We have investigated needle life span, photosynthetic pigment and nitrogen allocation pattern in the needle of Picea jezoensis in the three populations (Gyebangsan, Deogyusan and Jirisan) to find out growth environmental condition which needs the strategy development of conservation and restoration against population decline. Needle survival rate was the highest in Gyebangsan (87.0%) and the lowest in Jirisan (71.6%), and it decreased with the increase of needle age. Needle chlorophyll a and b in Deogyusan and Jirisan showed higher content in older needle, but chlorophyll content in Gyebangsan was the highest in 2-year-old needle. Carotenoid content was the highest in the needle in Gyebangsan, and it increased along with needle age. Chlorophyll a/b ratio showed the highest value in Jirisan and the lowest value in Gyebangsan. Chlorophyll/carotenoid ratio decreased with needle age, Needle nitrogen content was the highest in Deogyusan (1.51%) and the lowest in Gyebangsan (1.40%), and the older needle had the lower content. In contrast, the highest chlorophyll/nitrogen ratio represented the oldest needle.

국내 특허 분석을 통한 롤러침 및 도장침의 현대적 활용

정승연,박지연,김연섭,김송이 경락경혈학회 2019 Korean Journal of Acupuncture Vol.36 No.3

Objectives : A dermal needle is one of the therapeutic method by stimulating or tapping on the certain points of skin. Recently, roller or stamp-needle have been applied to various diseases in combination with microneedle technology. In this study, we analyzed the trend of roller and stamp-needle in Korean patent. Methods : Electronic search for Korean patent of roller or stamp needle was performed in Korea Intellectual Property Right Information Service database to April, 2019. Results : Sixty seven patents (51, roller-needle; 15, stamp-needle; 1, both types of needle) met the inclusion criteria. According to patent details, 34 of 67 patents were skin stimulation, 14 patents were intended to increase the efficiency of drug delivery through skin stimulation, 16 patents combined skin stimulation with technologies such as electrode or high frequency, and three patents applied both electrode or high frequency stimulation, and drug application as well as physical skin stimulation. Each of these patents aims to increase the efficiency of the needle manufacturing process (n=24), to facilitate the use of tools or to increase the efficiency of the technology (n=61), or to increase the technical skill of the needle itself (n=23). Conclusions : This study confirms that technological advances were being made by combining various types of stimuli to dermal needle and there have been attempts to expand the scope of drug delivery in terms of application of dermal needle. In the future, more research and development is needed in order to apply the dermal needle to modern technology.

경피적 세흡인침과 절단침을 이용한 흉곽내 병변의 진단적 가치에 대한 연구

이양근,곽재용,송정선,김재헌,유관희,이용철,박성광,백홍선,강성귀 의과학연구소 1996 全北醫大論文集 Vol.20 No.1

Percutaneous needle biopsy is most reliabel noninbasive method of obtaining the confirm diagnosis of peripheral pulmonary nodule. Needle aspiration combined with cytologic examination is being used with increasing frequency in the diagnosis of pulmonary nodules and masses. Percutaneous needle lung biopsy way done in pulmonary or mediastinal lesions using 19 Gauge fine aspiration needle or 14 Gauge cutting needle, and the results were compared with respect to diagnostic accuracy and complications. Over a periods of recent ten years,476 patients who had localized pulmonary lesions and underwent percutaneous needle lung aspiration and biopsy using 19 Gauge fine aspiration needle or 14 Gauge cutting needle. The age distribution of the patients was from sixteen to eighty-one years old. Among 467 patients, 337 patients were male and 130 patients were female. In 244 patients, the lesion were less than 4cm in largest diameter, and in 223 patients, the lesion were larger than 4cm, but the size of the lesion was not correlated with malignancy. Diagnosic yields of the 14 Gauge cutting needle and the 19 Gauge fine needle were 88.3% and 76.8% respectively. Success rate of benign and malignant lesion were more higher in 14 Gauge cutting needle than 19 Gauge fine aspiration needle. Common diseases were primary lung cancer, tuberculoma, abscess in order of frequency. The complications of procedure were mild pneumothorax in ten patients, mild hemoptysis in six patients and subcutaneous emphysema in one patients. With Cutting needle and aspiration needle, complication rate were 2.73% and 2.36%, respecitvely. Percutaneous needle lung biopsy with cutting needle under the chest computed tomogram and biplane fluroscopy had lower complication rate and high diagnostic success rate for the intrathoracic lesions.

砭石의 한반도 기원과 형성에 관한 연구

임용수(Yongsoo Yim),손인철(Inchul Sohn),강연석(Yeonseok Kang),김성철(Seongchul Kim),김재효(Jaehyo Kim) 한국한의학연구원 2009 한국한의학연구원논문집 Vol.15 No.2

Objective: Much has been known that the systematical theory of acupuncture was developed from stone needle as therapeutic tools for orthopedic diseases in ancient times. Stone needle is very old therapeutic method like moxibustion and has been recognized that it was developed since the Stone Age in China so far. In the present study, it was examined for the origination and formation of stone needle based on stone relics of the Stone Age in Korean Peninsular, the medical and geographical literatures. Materials and methods: The facts of stone needle was examined and arranged on the ancient medical or geographical literatures such as The Yellow Emperor's Canon Internal Medicine, Shanhaijing as an ancient geographical book, etc. The clan societies and family related to an origination of stone needle was chased together with their cultural characteristics and origination. The stone relics which have been digged out of historic sites in the North-East Asia were examined for a relevance to stone needle. Results: In The Yellow Emperor's Canon Internal Medicine, it was referred to the stone needle that originated from a fishery zone related to the east coast district in North-East Asia. Through the examination of Shan Hai Jing as an ancient geographical book and its historical reviews, a Go-yi clan society who keep Go's family tree dealt well with the stone needle and jewels including jade in the North-East Asia before the publication periods of The Yellow Emperor's Canon Internal Medicine, and is comprised in the culture of Dong-yi clan society but not the Chinese culture. The obsidian stones, which have been digged out of historical sites in the North-East Asia since the Stone Age, are originated from volcanic areas combined with seashore that seems to be Baekdu mountain district in Korea and Kyushu district in Japan. Furthermore, obsidian stone tools which were found out at Laodung peninsula and the Korean peninsula are archeologically similar to the stone needle with regards to the shape, size and dual-use. In addition, specific obsidian stone tools have been used in orthopedic surgery as well-crafted obsidian blades have a cutting edge up to five times sharper than high-quality steel surgical scalpels. Conclusion: The origin of obsidian stone needle is well corresponded to the explanation about that of the stone needle. It is suggested that the stone needle which influenced in completion of acupuncture and Meridian theory in China seems to be an obsidian stone, and distribution of obsidian stone needle has been closely connected to Dong-yi clan society which are lived in the North-East Asia including Baekdu-mountain district.

유침(留針)에 관한 문헌적(文獻的) 고찰(考察)

박춘하,김재홍,위통순,박은주,신정철,한상균,윤여충,조명래,Park, Chun-ha,Kim, Jae-hong,Wu, Tung-sun,Park, Eun-ju,Shin, Jung-chul,Han, Sang-gyun,Yun, Yeu-chung,Cho, Myung-rae 대한침구의학회 2003 대한침구의학회지 Vol.20 No.1

Objectives : We were studied the retaining needle to offer basic materials for the study of it. methods: To study the retaining needle, we were reviewed the ancient, the present text and the thesis. Results: 1. There are many ways form general acupuncture technique to needle-embedding therapy by the spending time of the retaining needle. 2. The method retaining needle is divided into Active method of the retaining needle(動留針法) and Passive methoid of the retaining needle(靜留針法) by the existence of Qi-promoting. 3. In case of Deficiency Syndrome, protracted discase, dolorific disorder, convulsive disorder, and Cold Syndrome, the spending time of the retaining needle takes longer, in case of Heat Syndrome and exterior Syndrome, the spending time of the retaining needle takes shorter. 4. In case of acute disease and attack of chronic disease, we can use Active methoid of the retaining needle(動留鍼法) with retaining needle for a long time, in case of chronic disease, we can use Passive methoid of the retaining needle(靜留針法). 5. In case of Young people, a man in the prime of life, and a people who can stand the stimulation of needle, we can make the spending time of the retaining needle be longer and use Active methoid of the retaining needle(動留針法), but in case of a baby and a weak people, we had better shorten the spending time of the retaining needle or not do it. 6. The spending time of the retaining needle must be shorter in spring and summer, must be longer in fall and winter. 7. The spending time of the retaining needle is various by acupuncture point. 8. When the spending time of the retaining needle is too longer, we can injure Vital-qi of a patient, otherwise in opposite situation, Pathogenic is stagnated so pathogenic stage is repeated.

Effect of needle type on intravascular injection in transforaminal epidural injection: a meta-analysis

Jae Yun Kim,Soo Nyoung Kim,Chulmin Park,Ho Young Lim,Jae Hun Kim 대한통증학회 2019 The Korean Journal of Pain Vol.32 No.1

Background: Lumbosacral transforaminal epidural injection (TFEI) is an effective treatment for spinal disease. However, TFEI may have several types of complications, some of which can be attributed to intravascular injection. We reviewed studies to compare the intravascular injection rate among different needle types. Methods: We searched the literature for articles on the intravascular injection rate among different needle types used in TFEI. The search was performed using PubMed, MEDLINE, the Cochrane Library, EMBASE, and Web of Science. Results: A total of six studies comprising 2359 patients were identified. Compared with the Quincke needle, the Whitacre needle reduced the intravascular injection rate (OR = 0.57, 95% CI = [0.44–0.73], P < 0.001). However, compared with the Quincke needle, the Chiba needle did not reduce the intravascular injection rate (OR = 0.80, 95% CI = [0.44–1.45], P = 0.46). In one study, the intravascular injection rate using a blunt-tip needle was lower than that using a sharp needle. In another study, the Whitacre and the blunt-tip needle have similar intravascular injection rates, while, the catheter-extension needle showed a reduced intravascular injection rate. Conclusions: This meta-analysis showed that the Whitacre needle reduced the intravascular injection rate as compared with the Quincke needle, but failed to establish that the Chiba needle can decrease the intravascular injection rate in TFEI. Moreover, the blunt-tip needle can reduce the intravascular injection rate compared with the Quincke needle, and the catheter-extension needle can reduce the intravascular injection rate compared with the Whitacre and the blunt-tip needle.

Bending 30-gauge needles using a needle guide: fatigue life evaluation

Jared Joseph Tuttle,Andrew Doran Davidson,Gregory Kent Tuttle 대한치과마취과학회 2023 Journal of Dental Anesthesia and Pain Medicine Vol.23 No.5

Background: Dentists bend needles prior to certain injections; however, there are concerns regarding needle fracture, lumen occlusion, and sharps handling. A previous study found that a 30-gauge needle fractures after four to nine 90° bends. This fatigue life study evaluated how many 90° bends a 30-gauge dental needle will sustain before fracture when bent using a needle guide. Methods: Two operators at Element Materials Technology, an independent testing, inspection, and certification company tested 48 30-gauge needles. After applying the needle guide, the operators bent the needle to a 90° angle and expressed the anesthetic from the tip. The needle was then bent back to a 0° angle, and the functionality was tested again. This process was repeated until the anesthetic failed to pass through the end of the needle due to fracture or obstruction. Each operator tested 24 needles (12 needles from each lot), and the number of sustained bends before the needle fracture was recorded. Results: The average number of sustained bends before needle failure was 40.33 (95% confidence interval = 37.41–43.26), with a minimum of 20, median of 40, and a maximum of 54. In each trial, the lumen remained patent until the needle fractured. The difference between the operators was statistically significant (P < 0.001). No significant differences in performance between needle lots were observed (P = 0.504). Conclusion: Our results suggest that using a needle guide increases the number of sustained bends before needle fracture (P < 0.000001) than those reported in previous studies. Future studies should further evaluate the use of needle guides with other needle types across a variety of operators. Furthermore, additional opportunities lie in exploring workplace safety considerations and clinical applications of anesthetic delivery using a bent needle.

Effect of needle type on intravascular injection in transforaminal epidural injection: a meta-analysis

Kim, Jae Yun,Kim, Soo Nyoung,Park, Chulmin,Lim, Ho Young,Kim, Jae Hun The Korean Pain Society 2019 The Korean Journal of Pain Vol.32 No.1

Background: Lumbosacral transforaminal epidural injection (TFEI) is an effective treatment for spinal disease. However, TFEI may have several types of complications, some of which can be attributed to intravascular injection. We reviewed studies to compare the intravascular injection rate among different needle types. Methods: We searched the literature for articles on the intravascular injection rate among different needle types used in TFEI. The search was performed using PubMed, MEDLINE, the Cochrane Library, EMBASE, and Web of Science. Results: A total of six studies comprising 2359 patients were identified. Compared with the Quincke needle, the Whitacre needle reduced the intravascular injection rate (OR = 0.57, 95% CI = [0.44-0.73], P < 0.001). However, compared with the Quincke needle, the Chiba needle did not reduce the intravascular injection rate (OR = 0.80, 95% CI = [0.44-1.45], P = 0.46). In one study, the intravascular injection rate using a blunt-tip needle was lower than that using a sharp needle. In another study, the Whitacre and the blunt-tip needle have similar intravascular injection rates, while, the catheter-extension needle showed a reduced intravascular injection rate. Conclusions: This meta-analysis showed that the Whitacre needle reduced the intravascular injection rate as compared with the Quincke needle, but failed to establish that the Chiba needle can decrease the intravascular injection rate in TFEI. Moreover, the blunt-tip needle can reduce the intravascular injection rate compared with the Quincke needle, and the catheter-extension needle can reduce the intravascular injection rate compared with the Whitacre and the blunt-tip needle.

Comparison of the Diagnostic Yield of the Standard 22-Gauge Needle and the New 20-Gauge Forward-Bevel Core Biopsy Needle for Endoscopic Ultrasound-Guided Tissue Acquisition from Pancreatic Lesions

( Shinya Fujie ),( Hirotoshi Ishiwatari ),( Keiko Sasaki Junya Sato ),( Hiroyuki Matsubayashi ),( Masao Yoshida ),( Sayo Ito ),( Noboru Kawata ),( Kenichiro Imai ),( Naomi Kakushima ),( Kohei Takizawa 대한간학회 2019 Gut and Liver Vol.13 No.3

Background/Aims: To compare the diagnostic yield of 20-gauge forward-bevel core biopsy needle (CBN) and 22-gauge needle for endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) of solid pancreatic masses. Methods: The use of 20-gauge CBN was prospectively evaluated for 50 patients who underwent EUS-FNA from June 2016 to December 2016. Data were compared with those obtained by a retrospective study of 50 consecutive patients who underwent EUS-FNA using standard 22-gauge needles between December 2016 and April 2017. At least two punctures were performed for each patient; the sample from the first pass was used for cytology with or without histology and that from the second pass was used for histology. Sample quantity was evaluated using the sample obtained from the second pass. Results: There was no significant difference in the diagnostic accuracy rate between the first and second passes (20-gauge CBN: 96% [48/50]; standard 22-gauge needle: 88% [44/50]). Samples >10× power fields in length were obtained from 90% (43/48) and 60% (30/50) of patients using the 20-gauge CBN and standard 22-gauge needle, respectively (p=0.01). Technical failure occurred for two patients with the 20-gauge CBN. Conclusions: Diagnostic accuracy of the 20-gauge CBN was comparable to that of the 22-gauge needle. However, two passes with the 20-gauge CBN yielded a correct diagnosis for 100% of patients when technically feasible. Moreover, the 20-gauge CBN yielded core tissue for 90% patients, which was a performance superior to that of the 22-gauge needle. (Gut Liver 2019;13:349-355)