| 摘要 |
An apparatus and method for performing percutaneous needle biopsies under direct visualization by medical imaging technologies is provided. The apparatus is a biopsy needle comprised of a shaft, a tip which is flared in dimension with respect to the diameter of the shaft, and a longitudinal bevel which imposed on the tip. The shaft and flared tip with bevel are connected as a single unit and the shaft is adaptable for coupling to a needle hub. The flared tip of the needle causes the needle to travel naturally in an arc as the needle is pushed through tissue. This feature is advantageous because obstacles can be avoided and errors in positioning between the needle and the needle's target can be easily corrected by appropriate choice of arcs. The method for advancing the needle into a target or around an obstacle is comprised of combinations of both linear and arcing trajectories. Linear trajactories are obtained either by continuous rotation of the needle about its long axis as the needle is advanced into tissue or by stepwise rotations of the needle about its long axis as the needle is advanced into tissue. An arcing trajectory is obtained by rotating shaft of the needle, and hence the bevel, into an appropriate angular position, holding fixed this particular angular displacement, and then advancing the needle into tissue. An arcing trajectory will result.
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