Integrated Imaging and Biopsy System with Integrated Surgical, Therapy, and Diagnostic Devices

• US 20080221444A1
• Filed: 09/10/2007
• Published: 09/11/2008
• Est. Priority Date: 03/07/2007
• Status: Abandoned Application

• Current Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Original Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Inventors: Hibner, John A., Dietz, Timothy G., Ritchie, Paul G., Speeg, Trevor W. V.
• Application Number:
  US11/852,757
• Publication Number:
  US 20080221444A1
• Time in Patent Office: Days
• US Class Current: 600/427
• CPC Class Codes: A61B 10/0041 Detection of breast cancer mammography by transillumination A61B5/0091, by X-rays A61B6/502, by ultrasonic means A61B8/0825
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 10/0275 with sample notch, e.g. on the side of inner stylet
• CPC Class Codes: A61B 10/0283 with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe A61B10/025, A61B10/0266 take precedence
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms
• CPC Class Codes: A61B 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/00212 using remote controls
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2562/08 Sensors provided with means for identification, e.g. barcodes or memory chips
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/74 Manipulators with manual electric input means
• CPC Class Codes: A61B 6/0414 : with compression means
• CPC Class Codes: A61B 6/0435 : with means for imaging suspended breasts
• CPC Class Codes: A61B 6/12 : Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/4405 : the apparatus being movable or portable, e.g. handheld or mounted on a trolley
• CPC Class Codes: A61B 6/4411 : the apparatus being modular A61B6/4283 takes precedence
• CPC Class Codes: A61B 6/4423 : related to hygiene or sterilisation
• CPC Class Codes: A61B 6/4441 : the rigid structure being a C-arm or U-arm
• CPC Class Codes: A61B 6/4494 : Means for identifying the diagnostic device
• CPC Class Codes: A61B 6/463 : characterised by displaying multiple images or images and diagnostic data on one display
• CPC Class Codes: A61B 6/502 : for diagnosis of breast, i.e. mammography
• CPC Class Codes: A61B 6/548 : Remote control of the apparatus or devices
• CPC Class Codes: A61B 6/566 : involving communication between diagnostic systems
• CPC Class Codes: A61B 90/14 : Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
• CPC Class Codes: A61B 90/17 : for soft tissue, e.g. breast-holding devices
• CPC Class Codes: A61B 90/36 : Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/98 : using electromagnetic means, e.g. transponders
• CPC Class Codes: G16H 10/40 : for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 30/20 : for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A diagnostic station integrates patient support, imaging, biopsy, and treatment. An illustrative version of a prone mammography table localizes a breast with an imaging modality (e.g., X-ray, etc.) based upon a rotating C-arm that may encircle the localized breast. A biopsy system is integrated into the controls and displays or user interface of the diagnostic station, sharing integrated utilities (e.g., vacuum, power, data communication, etc.). Ancillary devices may be identified and authenticated by the integrated system, such as to base available functionality on the identification and/or authentication of an ancillary device. Ancillary devices that may be integrated with the system may include devices that are operable to perform surgical, therapeutic, diagnostic, or other functions.

Claims

1. A medical apparatus, comprising:

(a) a patient support comprising a breast localization assembly operably configured to compress and localize a breast and at least partially composed of a material transparent in a selected imaging spectrum;

(b) a diagnostic imaging system movable relative to the breast localization assembly for diagnostic imaging of the localized breast;

(c) a biopsy device attaching structure positioned proximate to the breast localization assembly;

(d) an ancillary device, wherein the ancillary device is operable to perform one or more of a surgical, therapeutic, or diagnostic function;

(e) a controller operable to control the ancillary device, wherein the controller is integral with the patient support, wherein the controller is communicatively coupled with the ancillary device; and

(f) an energy source operable to provide a surgical, therapeutic, or diagnostic energy to the ancillary device, wherein the energy source is integral with the patient support, wherein the energy source is communicatively coupled with the ancillary device.

2. The medical apparatus of claim 1, wherein the ancillary device comprises a surgical device operable using an energy modality selected from the group consisting of RF, laser, ultrasound, microwave, and HIFU.

3. The medical apparatus of claim 1, wherein the ancillary device comprises a therapeutic device operable to perform an ablation.

4. The medical apparatus of claim 1, wherein the ancillary device comprises a therapeutic device operable to perform irradiation.

5. The medical apparatus of claim 4, wherein the therapeutic device is operable to perform brachytherapy.

6. The medical apparatus of claim 4, wherein the therapeutic device is operable to perform interstitial X-ray procedures.

7. The medical device of claim 4, wherein the therapeutic device comprises a surgical X-ray tube stylet.

8. The medical apparatus of claim 1, further comprising a coordinate generator operable to generate spatial coordinates for directing the positioning of the ancillary device.

9. The medical apparatus of claim 8, wherein the coordinate generator is in communication with the image processing unit.

10. The medical apparatus of claim 8, wherein the coordinate generator is further operable to generate spatial coordinates for directing positioning of a biopsy device engaged with the biopsy device attaching structure.

11. The medical apparatus of claim 1, further comprising a biopsy device engaged with the biopsy device attaching structure, wherein the biopsy device has a cannula defining a lumen, wherein the cannula is insertable into tissue of a patient.

12. The medical apparatus of claim 11, wherein the ancillary device comprises a treatment element, wherein the treatment element is insertable through the lumen of the biopsy device to reach a treatment site within the patient.

13. The medical apparatus of claim 12, wherein the biopsy device is operable to communicate biopsy tissue samples through the same lumen that the treatment element of the ancillary device is insertable through.

14. The medical apparatus of claim 11, wherein the cannula is configured to be removed from the remainder of the biopsy device and selectively reattached to the remainder of the biopsy device.

15. The medical apparatus of claim 1, wherein the ancillary device comprises a diagnostic device operable to perform one or both of electromagnetic fringe field sensing or ambient mass spectroscopy.

16. The medical apparatus of claim 1, wherein the ancillary device comprises a diagnostic device mounted proximate to the biopsy device attaching structure, wherein the diagnostic device is operable to analyze tissue samples extracted using a biopsy device coupled with the biopsy device attaching structure.

17. The medical apparatus of claim 1, further comprising an ancillary device authentication feature operable to evaluate the authenticity of the ancillary device, wherein the ancillary device authentication feature is further operable to regulate operability of at least one of the patient support, the diagnostic imaging system, the ancillary device, or a biopsy device coupled with the biopsy device attaching structure.

18. A medical system, the system comprising:

(a) a patient support comprising a breast localization assembly operably configured to compress and localize a breast;

(b) a diagnostic imaging system for diagnostic imaging of the localized breast;

(c) a biopsy device positioned proximate to the breast localization assembly; and

(d) a diagnostic device operable to analyze tissue samples obtained using the biopsy device in order to provide a diagnosis, wherein at least a portion of the diagnostic device is engaged with or positioned proximate to the biopsy device.

19. The medical system of claim 18, wherein the diagnostic device is operable to perform either or both of

(i) administration or analysis of a bioconjugate, or

(ii) a molecular assay.

20. A medical system, the system comprising:

(a) a patient support comprising a breast localization assembly operably configured to compress and localize a breast and at least partially composed of a material transparent in a selected imaging spectrum;

(b) a diagnostic imaging system operable to provide diagnostic imaging of the localized breast;

(c) a biopsy device attaching structure positioned proximate to the breast localization assembly;

(d) an ancillary device, wherein the ancillary device is operable to perform one or more of a surgical, therapeutic, or diagnostic function;

(e) a controller operable to control the ancillary device, wherein the controller is integral with the patient support, wherein the controller is communicatively coupled with the ancillary device; and

(f) an energy source operable to provide a surgical, therapeutic, or diagnostic energy to the ancillary device, wherein the energy source is integral with the patient support, wherein the energy source is communicatively coupled with the ancillary device, wherein the energy source comprises a source of one or more of RF, ultrasound, microwaves, or electricity.