EBUS-TBNA Needle
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What are EBUS-TBNA Needle?

The EBUS-TBNA (Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration) needle is a specialized tool used to collect tissue samples from the lungs and nearby areas during a bronchoscopy. This needle is a hollow, flexible tube that fits through a bronchoscope, a thin device inserted into the airways. It often features a back-cut point or other specialized tip design to make it easier to penetrate tissues and gather samples. Additionally, the needle is equipped with echogenic markers or surface texturing to improve its visibility under ultrasound, helping clinicians position and guide it accurately.

Product Specification


Product NameEBUS-TBNA Needle
ApplicationGuided Transbronchial Needle Aspiration
MaterialsStainless steel 304, 316L, Nitinol
HardnessHV 200-250
TipBack Cut Point
Inner Diameter (ID)0.86 mm
Outer Diameter (OD)1.06 mm
Gauge19G
Length115 mm
Tolerance+/-0.01 mm
ManufacturingLaser Etching, Grinding
CertificationISO 9001:2015, ISO 13485
FacilitiesGrinding Machine, 5 Axis Laser Cutting Machine
PackingPP bag or tailor-made packing on request


 

Material Selection

 

The materials used in EBUS needles are selected to ensure they meet the stringent requirements of medical procedures, providing a combination of strength, flexibility, biocompatibility, and compatibility with imaging technologies. Medical-grade stainless steel (often 304 or 316L) and Nitinol (Nickel-Titanium Alloy) are the most commonly used materials. Stainless steel can be modified to enhance visibility under ultrasound, ensuring precise guidance during procedures.

 

Both stainless steel and Nitinol comply with strict medical device standards. Stainless steel meets ISO 13485 and ASTM F899 standards, while Nitinol adheres to ISO 13485 for medical devices. These standards ensure that the materials are safe, reliable, and suitable for medical applications.

 

In terms of hardness, stainless steel and Nitinol typically fall within the 200-250 HV range. This hardness ensures that the needles are strong enough for tissue penetration while maintaining the necessary flexibility and resilience for accurate sampling. This balance of properties is crucial for the effective performance of EBUS needles in clinical settings.

 

Grinding

 

EBUS needles are designed with a back-cut point to enhance their performance during biopsy procedures. This design includes a bevel that extends towards the back of the needle, creating a sharp cutting edge that facilitates tissue penetration and sample collection. The needle is hollow, allowing for the aspiration of tissue samples.

 

The back-cut point tip is typically formed through a precise grinding process. First, the needle is initially shaped to approximate its final dimensions and taper. Next, a grinding machine is used to carefully grind the bevels of the needle, including the back-cut point. This process involves precise control of the angle and depth of the grind to achieve a sharp, efficient cutting edge. Finally, the needle tip undergoes additional finishing processes to smooth any rough edges and ensure the sharpness and precision of the back-cut point.

 

Laser Etching and Laser Marking

 

For EBUS (Endobronchial Ultrasound) needles, echogenicity is crucial because it enhances the needle's visibility during ultrasound-guided procedures. Echogenicity refers to how well a material reflects ultrasound waves, making the needle visible on an ultrasound image. To achieve this, various methods are used, including surface texturing, echogenic coatings, and echogenic markers.

 

One effective method is laser etching or laser marking. In this process, a high-precision laser, such as a CO2 or fiber laser, is used to etch fine patterns or grooves onto the needle's surface. Laser etching removes material to create precise grooves or textures, while laser marking modifies the surface to provide high-contrast features. This technique allows for exact control over the depth and pattern of the grooves, which improves the needle's echogenicity.

 

At Manners, we use advanced 5-axis laser cutting machines to create intricate spiral patterns on EBUS needles. These machines offer high machining accuracy, with positioning and cutting tolerances typically in the range of ±0.01 mm to ±0.1 mm, ensuring precise and consistent results for enhanced needle visibility and performance.

 

Electropolishing

 

After laser processing, EBUS needles undergo electropolishing to enhance their surface quality.

 

Electropolishing is a metal finishing process that removes a thin layer from the surface of metal parts, which smooths out irregularities and creates a shiny, mirror-like finish. This process not only improves the appearance of the needles but also boosts their corrosion resistance and overall performance.

 

For EBUS needles, it’s essential to follow standards like ISO 13485, ASTM B912, and ASTM A967. These standards ensure that the electropolishing process meets the necessary quality, safety, and performance criteria, providing a consistent and reliable finish for medical applications.

 

Ultrasonic Cleaning

 

After electropolishing, EBUS needles are subjected to ultrasonic cleaning to ensure they are thoroughly cleaned.

 

Ultrasonic cleaning uses high-frequency sound waves, typically between 20 kHz and 40 kHz, to clean complex and delicate parts. The ultrasonic transducers in the cleaning machine generate sound waves that create rapid pressure changes in the cleaning solution.

 

These changes produce microscopic bubbles, known as cavitation bubbles, which collapse and generate powerful shock waves. These shock waves effectively remove dirt, grease, and other contaminants from the needle surfaces, reaching into small crevices and intricate details. This method ensures that the EBUS needles are thoroughly cleaned and ready for use.



EBUS-TBNA Needle Advantages

EBUS-TBNA Needle Application

EBUS-TBNA needles are crucial for diagnosing various conditions by obtaining tissue samples from lymph nodes or masses within the lungs or the mediastinum, the area between the lungs. During the procedure, an endobronchial ultrasound (EBUS) provides real-time imaging of the airway and surrounding structures, allowing the physician to accurately guide the needle to the targeted area. This precise guidance helps in diagnosing conditions such as cancer, infections, and other diseases. Compared to traditional surgical biopsy methods, EBUS-TBNA is less invasive, which lowers patient risk and shortens recovery time.

The manufacturing process of
EBUS-TBNA Needle involve several steps

Here are the general steps in the manufacturing process: