Medical device
View Patent ↗A medical device is provided. The medical device includes a puncture needle that is inserted into body tissue from outside a body and pierces membranous tissue near pulsating tissue inside the body tissue; a tubular protection member that is disposed on the outer side of the puncture needle; a pulse-information acquisition portion that acquires pulse information of the pulsating tissue; and a driving unit that moves the puncture needle and the protection member relative to each other in synchronization with the pulse information of the pulsating tissue acquired by the pulse-information acquisition portion, in such a manner that a tip of the puncture needle is retracted toward a proximal end from a distal end of the protection member when the pulsating tissue expands and that the tip of the puncture needle is projected farther forward from the distal end of the protection member when the pulsating tissue contracts.
1. A medical device comprising:
a puncture needle that is configured to be inserted into body tissue from outside a body and pierces membranous tissue near pulsating tissue inside the body tissue;
a tubular protection member disposed on an outer side of the puncture needle;
a pulse-information acquisition portion configured to acquire pulse information of the pulsating tissue; and
an air pressure supply configured to move the puncture needle and the protection member relative to each other in synchronization with the pulse information of the pulsating tissue acquired by the pulse-information acquisition portion, in such a manner that a tip of the puncture needle is retracted toward a proximal end from a distal end of the protection member when the pulsating tissue expands and that the tip of the puncture needle is projected farther forward from the distal end of the protection member when the pulsating tissue contracts, further comprising a mode switching portion that switches among a relative movement mode in which the air pressure supply moves the puncture needle and the protection member relative to each other, a puncture mode in which the tip of the puncture needle is kept projected farther forward from the distal end of the protection member, and a protection mode in which the tip of the puncture needle is kept retracted to the proximal end side of the distal end of the protection member, wherein the pulse-information acquisition portion detects a cardiac potential, serving as the pulse information, in the vicinity of the tip of the puncture needle, and the mode switching portion switches an operating mode from the puncture mode to the relative movement mode when the cardiac potential detected by the pulse-information acquisition portion exceeds a predetermined threshold.
2. The medical device according to claim 1 , wherein
the pulse-information acquisition portion is configured to acquire an electrocardiographic waveform, serving as pulse information, and
the air pressure supply causes the puncture needle to project out of a distal end opening in the protection member in a period between an S wave and a T wave in the electrocardiographic waveform acquired by the pulse-information acquisition portion.
3. The medical device according to claim 1 , wherein the air pressure supply receives a detected biological information in the vicinity of the tip of the puncture needle, wherein the mode switching portion switches an operating mode from the relative movement mode to the protection mode when the detected biological information shows that the puncture needle has penetrated through the membranous tissue.
4. The medical device according to claim 3 , wherein the detected biological information is one of pressure, bioelectrical impedance, intensity of reflected light, and puncture resistance.