[Novel echogenic needle for ultrasound-guided peripheral nerve block "Hakko type CCR"].
A novel echogenic insulated nerve block needle (CCR-needle: Echogenic Needle Type CCR; Hakko, Japan) is commercially available since 2006 in Japan. This needle has three echogenic dimples, namely corner cube reflectors (CCR) on its tip. The CCR-needle will potentially provide a significant advantage for detecting the needle tip. In this report, we firstly evaluated this new disposable echogenic needle in simulation phantom, and demonstrated improved visibility of the needle tip. Afterwards, an interscalene brachial plexus block was performed on a male patient undergoing shoulder surgery. The needle insertion procedure was the "out of plane" ultrasound-guided technique using simultaneous electrical nerve stimulation. The surgery was successfully conducted without any complications.
Department of Anesthesiology, National Hospital Organization Tokyo Medical Center, Tokyo 152-8902.
Wataru
W
Takayama
Rie
R
Yasumura
Takehiko
T
Kaneko
Yoshiro
Y
Kobayashi
Takaaki
T
Kamada
Tamotsu
T
Yoshikawa
Yasuhiko
Y
Aoyama
D000768:Anesthesia, General; D001917:Brachial Plexus; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D009407:Nerve Block / Q000295:instrumentation*; D019637:Orthopedic Procedures; D010525:Peripheral Nerves; D012782:Shoulder / Q000601:surgery; D018084:Ultrasonography, Interventional / Q000295:instrumentation*