U.S. patent number 3,788,320 [Application Number 05/229,300] was granted by the patent office on 1974-01-29 for spinal needle.
This patent grant is currently assigned to The Kendall Company. Invention is credited to John F. Dye.
United States Patent |
3,788,320 |
Dye |
January 29, 1974 |
SPINAL NEEDLE
Abstract
A spinal needle comprising a hollow outer needle having a stylet
removably insertable within it. The stylet forward end and the
outer needle forward end cooperate to provide a generally closed
piercing end having two side bevel faces and a heel face. The side
bevel faces each form an acute angle with the longitudinal axis of
said spinal needle and intersect at an acute angle to form a
straight cutting edge lying in a plane including the longitudinal
axis of said spinal needle and inclined thereto. The side bevel
faces also intersect the outer needle surfaces to form curved
cutting edges which intersect to form a point. The heel face is
inclined at an angle to the longitudinal axis of the spinal needle
and joins the side bevel faces remote from the point.
Inventors: |
Dye; John F. (Barrington,
IL) |
Assignee: |
The Kendall Company (Boston,
MA)
|
Family
ID: |
22860625 |
Appl.
No.: |
05/229,300 |
Filed: |
February 25, 1972 |
Current U.S.
Class: |
604/165.04;
604/272 |
Current CPC
Class: |
A61B
17/3401 (20130101) |
Current International
Class: |
A61B
17/34 (20060101); A61m 005/32 (); A61b
017/34 () |
Field of
Search: |
;128/221,2B,339,218N,347,310,329,215,216,214.4 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: McGowan; J. C.
Attorney, Agent or Firm: Kirkpatrick; Martin
Claims
What is claimed is:
1. A spinal needle comprising
a hollow outer needle having an outer surface
a stylet removably insertable within said hollow outer needle
said stylet forward end and said outer needle forward end
cooperating in the extreme forward position of said stylet to
provide a generally closed piercing end
said generally closed piercing end having two generally planar side
bevel faces and a generally planar heel face
said side bevel faces each forming an acute angle with the
longitudinal axis of said spinal needle and intersecting one
another at an acute angle to form a straight cutting edge inclined
to the longitudinal axis of said spinal needle and lying in a plane
including the longitudinal axis of said spinal needle
said side bevel faces intersecting said outer needle surface to
form two curved cutting edges which intersect to form a point
said heel face being inclined at an angle to the longitudinal axis
of said spinal needle and joining said side bevel faces and said
straight cutting edge,
said closed piercing end having a dimension defined as the distance
from said point to the projection of said opposite outer needle
surface, measured in a plane containing said straight cutting
edge,
said cutting edge extending from one-half to three-quarters of said
dimension.
2. A spinal needle as claimed in claim 1 wherein
said side bevel faces intersect one another at an angle of
55.degree. to 85.degree..
3. A spinal needle as claimed in claim 1 wherein
said heel face is inclined at an angle of 15.degree. to 21.degree.
to said longitudinal axis.
4. A spinal needle comprising
a hollow outer needle having a forward end with a cylindrical bore
and cylindrical outer surface
a stylet removably insertable within said hollow needle to an
extreme forward position and fitting closely within said bore
said stylet forward end and said outer needle forward end
cooperating in said extreme forward position to provide a generally
closed piercing end
said generally closed piercing end having two generally planar side
bevel faces and a generally planar heel face
said side bevel faces each forming an acute angle of 15.degree. to
21.degree. with the longitudinal axis of said spinal needle and
intersecting one another at an acute angle of 55.degree. to
85.degree. to form a straight cutting edge inclined to the
longitudinal axis of said spinal needle and lying in a plane
including the longitudinal axis of said spinal needle
said side bevel faces intersecting said outer needle surface to
form curved cutting edges which intersect to form a point
said closed piercing end having a dimension defined as the distance
from said point to the projection of said opposite outer needle
surface, measured in a plane containing said straight cutting
edge,
said heel face being inclined at a shallow angle to the
longitudinal axis of said spinal needle and joining said side bevel
faces and said cutting edge remote from said point to define the
length of said straight cutting edge as about one-half to
three-quarters of said dimension.
5. A spinal needle as claimed in claim 4 wherein
said heel face is inclined at an angle of 15.degree. to 21 degrees
to said longitudinal axis.
6. A spinal needle comprising
a hollow outer needle having a hub and a forward end, said forward
end having a cylindrical bore and cylindrical outer surface
a stylet removably insertable within said hollow needle to an
extreme forward position and having a hub and a cylindrical forward
end and fitting closely within said bore
said stylet forward end and said outer needle forward end
cooperating in said extreme forward position to provide a generally
closed piercing end
locking means for limiting said inserted stylet to a single
predetermined angular position with respect to said outer needle in
said extreme forward position
said generally closed piercing end having two generally planar side
bevel faces and a generally planar heel face
said side bevel faces each forming an identical acute angle of
15.degree. to 21.degree. with the longitudinal axis of said spinal
needle and intersecting one another at an actue angle of 55.degree.
to 85.degree. to form a straight cutting edge inclined to the
longitudinal axis of said spinal needle and lying in a plane
including the longitudinal axis of said spinal needle
said side bevel faces intersecting said outer needle surface to
form curved cutting edges which intersect to form a point
said closed piercing end having a dimension defined as the distance
from said point to the projection of said opposite outer needle
surface, measured in a plane containing said straight cutting
edge,
said heel face being inclined at an angle of 15.degree. to
21.degree. to the longitudinal axis of said spinal needle and
joining said side bevel faces at equal angles thereto remote from
said point to define said straight cutting edge as about one-half
to three-quarters of said dimension.
7. A spinal needle comprising
a hollow outer needle having an outer surface
a stylet removably insertable within said hollow outer needle
said stylet forward end and said outer needle forward end
cooperating in the extreme forward position of said stylet to
provide a generally closed piercing end
said generally closed piercing end having two generally planar side
bevel faces and a generally planar heel face
said side bevel faces each forming an acute angle with the
longitudinal axis of said spinal needle and intersecting one
another at an acute angle to form a straight cutting edge inclined
to the longitudinal axis of said spinal needle and lying in a plane
including the longitudinal axis of said spinal needle
said side bevel faces intersecting said outer needle surface to
form two curved cutting edges which intesect to form a point, each
said side bevel face including a rounded end remote from said
point,
said heel face being inclined at an angle to the longitudinal axis
of said spinal needle and joining said side bevel faces, said heel
face having a pointed forward edge joining said straight cutting
edge,
said closed piercing end having a dimension defined as the distance
from said point to the projection of said opposite outer needle
surface, measured in a plane containing said straight cutting
edge,
said cutting edge extending from one-half to three-quarters of said
dimension.
Description
This invention relates to spinal needles. In particular, it relates
to an improved hollow spinal needle with a central stylet that can
be inserted into the sub-arachnoid space of the vertebral canal
with minimum stretching of the surrounding tissues.
The spinal cord and nerve roots lie within the vertebral canal
surrounded by three membrane layers, dura mater, arachnoid and pia
mater. The first two layers lie in close approximation at the
perIphery of the canal while the pia mater overlays the spinal
cord. The resultant space separating the first two from the third
is termed the sub-arachnoid space and within it pass nerve roots
and the circulating cerebrospinal fluid (CSF). It is within this
region that many therapeutic and diagnostic maneuvers are carried
out, i.e., lumbar puncture for manometery and CSF sampling, spinal
anesthesia, myelography, etc.
In order to reach this space, a spinal needle must pass through
several tissues of varying density, resistance and fiber
orientation. The needle tip must puncture and penetrate the skin
layers, then subcutaneous fat layer, interspinal ligament,
ligamentum flavum, epidural space, dura mater, arachnoid and come
to rest with the sub-arachnoid space with its entire beveled
opening within this space.
Since the entire opening of the needle must lie within the
sub-arachnoid space, the tip of a spinal needle must be shorter and
so more sharply tapered than that of a standard hypodermic needle.
A standard hypodermic needle is in general ground to have a bevel
face at an angle of about 10.degree. to the logitudinal axis of the
needle, but the end face of a spinal needle must have a steeper
angle of about 18.degree.t. Since the force required to penetrate
the patient's skin and underlying tissue is in proportion to this
angle, a spinal needle requires greater force for insertion than a
standard non-spinal needle. Since trauma to tissues and control of
the spinal needle is related to this force, it is desirable to
provide a spinal needle that can be inserted with reduced force,
while still providing an opening that lies entirely within the
spinal canal.
It is an object of this invention to provide a spinal needle that
can be inserted with minimum force.
It is a further object to provide such a needle that can be
inserted with a minimum of stretching or tearing of the tissue
beyond the incision made by the cutting edge of the needle.
It is a still further object of the invention to provide such a
needle that will provide a minimum danger of trauma when the needle
is inserted and its stylet removed for use.
According to the invention, there is provided a novel spinal needle
comprising a hollow outer needle and a stylet removably insertable
within it. The stylet forward end and the outer needle forward end
cooperate to provide a generally closed piercing end having two
generally planar side bevel faces and a generally planar heel face.
The side bevel faces each form an acute angle with the longitudinal
axis of said spinal needle and intersect at an acute angle to form
a straight cutting edge lying in a plane including the longitudinal
axis of the spinal needle and inclined thereto. The side bevel
faces also intersect the outer needle surfaces to form two curved
cutting edges which intersect to form a point. The heel face is
inclined at an angle to the longitudinal axis of the spinal needle
and joins the side bevel faces and the straight cutting edge.
Other objects, features and advantages will appear from the
following description of a preferred embodiment of the invention,
taken together with the attached drawings thereof, in which:
FIG. 1 is a side elevation of the complete spinal needle of the
invention, partially broken away to show the stylet;
FIG. 2 is a detail view of the locking means with the stylet partly
removed from the outer needle;
FIG. 3 is an enlarged view of the piercing end of the spinal
needle;
FIG. 4 is a view similar to FIG. 3 but rotated through
90.degree.;
FIGS. 5, 6 and 7 are views taken on the lines 5--5, 6--6, and 7--7
respectively of FIG. 3;
FIG. 8 is a view similar to FIG. 3 but viewed in the plane of one
of the bevel faces;
FIG. 9 shows the shape of the cut made by the needle of the
invention;
FIG. 10 shows the unstretched opening resulting from the cut of
FIG. 9; and
FIG. 11 is a comparative graph of needle penetration forces.
Referring now to the drawing, and particularly to FIG. 1, the
spinal needle 10 of the invention includes a hollow outer needle 12
with a forward end 14 and a hub 16. In the preferred embodiment,
outer needle 12 has a uniform cylindrical bore 18 and a cylindrical
outer surface 20.
A stylet 22 is removably inserted within hollow outer needle 12;
stylet 22 has a hub 24 and a forward end 26, and is uniformly
cylindrical of a size to fit closely within bore 18. The extreme
forward position of stylet 22 within needle 12 is determined by the
engagement of stop surfaces 28 and 30 on needle hub 16 and stylet
hub 24 respectively. When surfaces 28 and 30 engage one another,
stylet 22 is in its forward position, and end 26 of stylet 22 is
flush with end 14 of needle 12 to form a generally closed piercing
end 32. The angular orientation of stylet 22 with respect to needle
12 is determined by locking means comprising a boss 34 on stylet
hub 24 and a slot 36 on needle hub 16. Stop surfaces 30 and 28 can
engage one another only when boss 34 fits into slot 36, limiting
stylet 22 to a single longitudinal and angular position flush with
respect to needle 12 in the extreme forward position.
Referring now particularly to FIGS. 3 through 8, in accordance with
the invention, the generally closed piercing end 32 of spinal
needle 10 has two side bevel faces 40 and 42. The plane of each
side bevel face forms with the longitudinal axis 44 of needle 10 an
acute angle 46, which may be about 15.degree. to 21.degree., and is
about 18.degree. in the preferred embodiment (FIG. 8). Bevel faces
40 and 42 intersect one another to include between them an acute
angle 48, which may be about 55 to 85.degree., and is about
75.degree. in the preferred embodiment (FIGS. 6 and 7).
Side bevel face 40 intersects outer needle surface 20 to form a
curved cutting edge 50, and side bevel face 42 intersects surface
20 to form a curved cutting edge 52. Edges 50 and 52 intersect to
form a point 54, having an included angle 56 (FIG. 4). The
intersection of side bevel faces 40 and 42 forms a straight cutting
edge 58 leading away from point 54, and forming with axis 44 an
angle 60 (FIG. 3) which is determined by the angles 46 and 48. Each
side bevel face has a rounded end 70 remote from point 54.
Piercing end 32 of spinal needle 10 further has a heel face 62,
forming with axis 44 a shallow angle 64, of about 15 to 21 degrees
and preferably about 18 degrees and joining bevel faces 40 and 42
at equal angles. Heel face 62 has a pointed forward end 72 which
joins cutting edge 58 to limit the extent of straight cutting edge
58 remote from point 54. Piercing end 32 has a dimension defined as
the distance 73 from point 54 to the projection 74 of the opposite
outer needle surface, measured in a plane containing cutting edge
58. Cutting edge 58 extends from one-half to three-quarters of
distance 73 before being terminated by heel face 62 at pointed end
72. In the preferred embodiment, the length of cutting edge 58 is
about two-thirds of distance 73.
In use, spinal needle 10 is inserted into the sub-arachnoid space
of the vertebral canal with stylet 22 in its extreme forward
position, as determined by stop means 30 and 28, and oriented as
determined by locking means 34 and 36. In entering the skin and
tissue of a patient, curved cutting edges 50 and 52 create a curved
incision 70 (FIG. 9), while straight cutting edge 58 creates a
straight incision 72 extending away from curved incision 70 and
connecting with it. As needle 10 is inserted to make this incision,
flaps 74 and 76 are folded away from the incision lines, leaving an
unstretched opening 78 (FIG. 10) that is very nearly fully
circular. Thus, the needle piercing end 32 is admitted up to the
point of intersection of cutting edge 58 and heel face 62 without
any stretching of the skin and tissue, and only moderate stretching
is necessary to admit the full cross-section of the needle, the
presence of heel face 62 greatly reducing the possibility of trauma
without substantially increasing needle penetration forces. Once
needle 10 is fully inserted, stylet 22 may be removed, leaving
outer neeele 12 in place with its opening fully within the
sub-arachnoid space. Fluid may then be removed or injection into
the sub-arachnoid space as desired.
The graph of FIG. 11 illustrates the much reduced penetration
forces needed with the spinal needle of the invention, as compared
to a conventional spinal needle of the same gauge, the reduction in
point penetration being especially significant, as well as the
gradually increasing force until heel penetratin occurs.
* * * * *