Needle for physically separating and penetrating the pericardium
View Patent ↗A pericardial needle that punctures a pericardial membrane to attain access into a pericardial space of a heart by advancing a sharp tip until the sharp tip is adjacent to or in contact with a parietal pericardium of the heart such that the puncturing does not damage the heart muscle. The pericardial needle punctures the parietal pericardium when the heart muscle moves towards the pericardial needle, away from the pericardial needle, is at rest and/or is in synchronization with the systolic contraction period of the cardiac cycle of the heart. The synchronization may be provided based on a surface electrocardiogram, an arterial pressure, or a sensing pressure at the tip of the pericardial needle when the pericardial needle is adjacent into the parietal pericardium of the heart.
1. A pericardial needle that produces a puncture at a heart of a human patient, the pericardial needle comprising:
a proximal end and a distal end;
an outer needle having a blunt tip disposed at the distal end;
an inner needle having a sharp tip disposed at the distal end, the inner needle being disposed inside the outer needle;
a lumen having a wire passing through the lumen and disposed on an inner surface of the outer needle;
a handle disposed between the proximal end and the distal end, the handle being connected to the inner needle;
a piezoelectric actuator connected to the inner needle, the piezoelectric actuator being configured to extend and retract the inner needle beyond the outer needle; and
a controller configured to control the piezoelectric actuator;
wherein:
the controller is configured to synchronize the piezoelectric actuator to extend and retract the inner needle by detecting a systole phase and a diastole phase of the heart, respectively; and
the extension of the inner needle, via the systole phase, causes the puncture of the heart.
2. The pericardial needle according to claim 1 , wherein the controller receives electrocardiogram signals from an electrocardiogram of the human patient and detects the systole phase, the diastole phase, mechanical activity of the heart, and motion of the heart based on the electrocardiogram signals.
3. The pericardial needle according to claim 2 , wherein the controller further monitors the electrocardiogram.
4. The pericardial needle according to claim 3 , wherein the controller detects a QRS complex within the electrocardiogram, waits for a predetermined time after the controller detects QRS complex, and indicates the systole phase when the predetermined time has elapsed.
5. The pericardial needle according to claim 4 , wherein the controller adjusts the predetermined time based on at least one selected from the group consisting of an age, a gender, a heart rate, a presence of an underlying heart disease, or a body mass index of the human patient.
6. The pericardial needle according to claim 5 , wherein the controller detects the QRS complex within the electrocardiogram based on a slope of the electrocardiogram, and detects if the determined slope has exceeded a predetermined slope threshold.
7. The pericardial needle according to claim 6 , wherein the controller adjusts the predetermined slope threshold based on at least one selected from the group consisting of an age, a gender, a heart rate, a presence of an underlying heart disease, or a body mass index of the human patient.
8. The pericardial needle according to claim 7 , wherein the controller detects the QRS complex within the electrocardiogram by determining a correlation between a time window of the electrocardiogram and a predetermined QRS template, and determining if the determined correlation has exceeded a predetermined correlation threshold.
9. The pericardial needle according to claim 1 , wherein the extension of the inner needle, via only the systole phase, causes the puncture of the heart.