A steerable guiding device: the new method in ultrasound guidance.
OBJECTIVE
A working model (WM) of a newly designed device for ultrasound-guided puncture was tested.


METHODS
WM featured a wheel-shaped metallic guide that passively rotated within the plane of view as the operator tried to redirect the needle. Four operators performed US-guided intercostal puncture of 24 targets in phantoms using a commercially available preset needle guide (PG). 24 other targets were punctured using WM that we have made. The number of needle passage, procedure time, and the number of inadvertent rib touchings were compared between PG use and WM use.


RESULTS
Performance of WM was comparable to that of PG except in one operator, where WM was associated with fewer needle passage (P = 0.0044) and less procedure time (P = 0.0233).


CONCLUSIONS
It is believed that WM will make US-guided procedures both easier and more flexible. The performance of new device should be investigated by in vivo studies.
Han
Daehee
D
Department of Radiology, Kangdong Sacred Heart Hospital, Seoul, Korea.
Lan Seo
Young
Y
Soon Choi
Chul
C
Chul Kim
Ho
H
Young Yoon
Dae
D
Hoon Bae
Sang
S
Hee Moon
Jeung
J
Hyup Kim
Seung
S
Soo Kim
Sam
S
Han
Heon
H
D004867:Equipment Design; D019047:Phantoms, Imaging; D011677:Punctures / Q000295:instrumentation*; D018084:Ultrasonography, Interventional / Q000295:instrumentation*