Apparatus and method for stabilizing a needle

Abstract

Apparatus and methods for use in an image-guided interventional procedure are described herein. In one embodiment, an apparatus includes a base configured to be releasably coupled to a patient's skin. A support portion extends from the base at an angle transverse to a longitudinal axis defined by the base. The support portion has a first end portion and a second end portion. The first end portion is disposed adjacent the base. A holder portion extends from the second end portion of the support portion. The holder portion defines an opening and is configured to be moved between a first configuration in which the opening defined by the holder portion has a first size and is configured to movably receive an interventional tool therethrough, and a second configuration in which the opening defined by the holder portion has a second size different than the first size.

1 . An apparatus, comprising:
 a base configured to be releasably coupled to a patient's skin, the base defining a longitudinal axis;   a support portion extending from the base at an angle transverse to the longitudinal axis defined by the base, the support portion having a first end portion and a second end portion, the first end portion disposed adjacent the base; and   a holder portion extending from the second end portion of the support portion, the holder portion defining an opening,   the holder portion configured to be moved between a first configuration in which the opening defined by the holder portion has a first size and is configured to movably receive an interventional tool therethrough, and a second configuration in which the opening defined by the holder portion has a second size different than the first size.   
     
     
         2 . The apparatus of  claim 1 , wherein the holder portion when in the second configuration is configured to releasably maintain the interventional tool within the opening. 
     
     
         3 . The apparatus of  claim 1 , wherein the holder portion includes a first holder arm and a second holder arm that collectively define the opening. 
     
     
         4 . The apparatus of  claim 1 , further comprising:
 an adjustment mechanism coupled to the holder portion, the adjustment mechanism configured to be moved between a first configuration in which an opening defined by the adjustment mechanism has a first size and a second configuration in which the opening has a second size different than the first size, the opening of the adjustment mechanism being disposed in an overlying relation with the opening of the holder portion.   
     
     
         5 . The apparatus of  claim 1 , wherein the holder portion includes an adjustment portion configured to selectively adjust the size of the opening defined by the holder portion between a plurality of sizes, the plurality of sizes including the first size and the second size. 
     
     
         6 . The apparatus of  claim 1 , wherein the support portion includes a grip member configured to move the holder portion between the first configuration and the second configuration. 
     
     
         7 . The apparatus of  claim 1 , wherein the base is configured to be adhesively coupled to the patient's skin. 
     
     
         8 . The apparatus of  claim 1 , wherein the base is configured to be coupled to the patient's skin using a suction force. 
     
     
         9 . The apparatus of  claim 1 , wherein the interventional tool is a needle. 
     
     
         10 . An apparatus, comprising:
 a base configured to be releasably coupled to a patient's skin, the base defining a longitudinal axis;   a support portion extending from the base at an angle transverse to the longitudinal axis defined by the base, the support portion having a first end portion and a second end portion, the first end portion disposed adjacent the base;   a holder portion extending from the second end portion of the support portion in a first direction, the holder portion defining an opening configured to receive an interventional tool therethrough;   a first rib member extending from the support portion in a second direction opposite the first direction; and   a second rib member extending from the support portion in the second direction, the first rib member and the second rib member each being pivotally movable relative to the support portion from a first configuration in which the first rib member and the second rib member are substantially parallel to each other and the opening defined by the holder portion has a first diameter, and a second configuration in which the first rib member and the second rib member are each pivoted relative to the support portion and the opening defined by the holder portion has a second size greater than the first size.   
     
     
         11 . The apparatus of  claim 10 , wherein when the first rib member and the second rib member are in the first configuration, the holder portion is configured to releasably maintain the interventional tool within the opening. 
     
     
         12 . The apparatus of  claim 10 , wherein the holder portion includes a first holder arm and a second holder arm that collectively define the opening. 
     
     
         13 . The apparatus of  claim 10 , further comprising:
 an adjustment mechanism coupled to the holder portion, the adjustment mechanism configured to be moved between a first configuration in which an opening defined by the adjustment mechanism has a first size and a second configuration in which the opening of the adjustment mechanism has a second size different than the first size.   
     
     
         14 . The apparatus of  claim 10 , wherein the first size of the opening is a first diameter of the opening, the second size of the opening is a second diameter of the opening, the holder portion includes an adjustment portion configured to selectively adjust the diameter of the opening defined by the holder portion between a plurality of diameters, the plurality of diameters including the first diameter and the second diameter. 
     
     
         15 . The apparatus of  claim 10 , wherein the base is configured to be adhesively coupled to the patient's skin. 
     
     
         16 . The apparatus of  claim 10 , wherein the base is configured to be coupled to the patient's skin using a suction force. 
     
     
         17 . The apparatus of  claim 10 , wherein the interventional tool is a needle. 
     
     
         18 . An apparatus, comprising:
 a base configured to be releasably coupled to a patient's skin;   an elongate support member coupled to the base, the elongate support member having a first end portion and a second end portion, the first end portion being coupled to the base; and   a holder member releasably couplable to the second end portion of the elongate support member, the holder member configured to be coupled to a tool guide during an image guided interventional procedure,   the holder member configured to be movable from a first position in which the holder member is coupled to the tool guide, the tool guide configured to guide an interventional tool during an image guided interventional procedure at a predetermined angle relative to the patient's body, and a second position in which the holder member is coupled to the elongate support member and configured to stabilize the interventional tool at the predetermined angle relative to the patient's body.   
     
     
         19 . The apparatus of  claim 18 , further comprising:
 a clamp device coupled to the second end portion of the elongate support member, the holder member being releasably couplable to the clamp device.   
     
     
         20 . The apparatus of  claim 18 , further comprising:
 a clamp device pivotally coupled to the second end portion of the elongate support member, the holder member being releasably couplable to the clamp device, the clamp device and the holder member collectively being pivotally movable relative to the support member when the holder member is coupled to the claim device.   
     
     
         21 . The apparatus of  claim 18 , wherein the first end portion of the support member is pivotally coupled to the base. 
     
     
         22 . The apparatus of  claim 18 , wherein the base is configured to be adhesively coupled to the patient's skin. 
     
     
         23 . The apparatus of  claim 18 , wherein the base is configured to be coupled to the patient's skin with a suction force. 
     
     
         24 . The apparatus of  claim 18 , wherein the interventional tool is a needle. 
     
     
         25 . A method, comprising:
 guiding an interventional tool at a predetermined angle relative to a patient's body using a holder member coupled to an image guided positioning device during an interventional procedure such that a distal end of the interventional tool extends through an opening defined in a stabilizing device and is disposed at a first position, the stabilization device including a base and an elongate shaft coupled to the base;   releasing the holder member from the image guided positioning device;   releasably coupling the holder member to the stabilization device;   verifying a position of the interventional tool relative to the patient's body using image information of the patient's body and the interventional tool;   releasably coupling the stabilization device to the patient's body; and   moving the interventional tool such that the distal end of the interventional tool penetrates the patient's body and is disposed at a second position.   
     
     
         26 . The method of  claim 25 , further comprising:
 after the moving the interventional tool, verifying a position of the interventional tool relative to the patient's body using image information of the patient's body and the interventional tool.