A combination of probe holder and laser navigation
- Yoshimune Osaka1Email authorView ORCID ID profile and
- Yoshihisa Morita1
Received: 18 January 2018
Accepted: 14 February 2018
Published: 21 February 2018
To the Editor,
a This holder is composed of a flexible arm (white arrows), a holding part, and a laser device (red arrow). b With the use of the probe holder, the probe could be held more stable than with the free-hand procedure. The laser navigation assures reliable administration of ultrasound-guided nerve block. c The ultrasound image (needle, white arrows)
The fixed probe makes it possible for a person to inject the anesthetic agent and insert a catheter alone. Furthermore, the laser navigation helps to pay attention to the plane of the ultrasound beam. We used the probe holder previously developed by us for a linear probe (S-Nerve HFL50x/15-6®, FUJIFILM Medical Co., Ltd., Tokyo, Japan). This device is consisting of three parts, the flexible arm (Flexible arm®, PROKIZAI.COM Co., Ltd., Naha, Japan), the probe holder, and the laser module (Line laser module®, Denshi Tusho Co. Ltd., Tokyo, Japan). The laser navigation and the probe holder were mounted on the flexible arm (Fig. 1b) using deformable plastic (Moldable Plastic®, TFabWorks, Chiba, Japan). Although this combined device is not in commercial, this plastic can be deformed for any type of probes without special tools. It seems to be more stable than using free-hand laser navigation.
The insertion area was cleaned with povidone, and the sterile cover (Cathereeplus™, Nichiban CO. Ltd., Tokyo, Japan) was applied to the probe. Once “the best view” was fixed, the probe holder could keep the position throughout the procedure. We consider this combination as superior to that of the probe holder and the needle guide device because the needle guide is useful only when the insertion site is near the probe. In addition, the laser navigation can predict the cross-section of the ultrasound beam. Despite some clinical limitation, the use of a probe holder combined with laser navigation is very useful for administering ultrasound-guided nerve blocks.
Declarations
Funding
None to report.
Authors’ contributions
YO performed the procedure and wrote the manuscript. YM prepared the manuscript preparation, critical comment, and final approval. Both authors read and approved the final manuscript.
Consent for publication
Written consent was obtained from the patient for publication of this report.
Competing interests
Both authors declare that they have no competing interest.
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References
- Gupta RK, Lane J, Allen B, Shi Y, Schildcrout JS. Improving needle visualization by novice residents during an in-plane ultrasound nerve block simulation using an in-plane multiangle needle guide. Pain Med. 2013;14:1600–7.View ArticlePubMedGoogle Scholar
- Whittaker S, Lethbridge G, Kim C, Keon Cohen Z, Ng I. An ultrasound needle insertion guide in a porcine phantom model. Anaesthesia. 2013;68:826–9.View ArticlePubMedGoogle Scholar
- Ueshima H, Kitamura A. The use of a needle guide kit improves the stability of ultrasound-guided techniques. J Anesth. 2015;29:803–4.View ArticlePubMedGoogle Scholar
- Collins GB, Fanou EM, Young J, Bhogal P. A comparison of free-hand vs laser-guided long-axis ultrasound techniques in novice users. Br J Radiol. 2013;86(1029):20130026.View ArticlePubMedPubMed CentralGoogle Scholar
