Needle sheath complex and process for decompression and biopsy

• US 4,230,123 A
• Filed: 10/31/1978
• Issued: 10/28/1980
• Est. Priority Date: 10/31/1978
• Status: Expired due to Term

• Current Assignee: Irvin F. Hawkins Jr
• Original Assignee: Irvin F. Hawkins Jr
• Inventors: Hawkins, Irvin F. Jr.
• Primary Examiner(s): Howell, Kyle L.
• Application Number:
  US05/956,404
• Time in Patent Office: 728 Days
• Field of Search: 128/751-755, 128/310, 128/329, 128/350, 128/214.4, 128/654-658, 128/772
• US Class Current: 600/435
• 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 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61M 25/0606 "Over-the-needle" catheter assemblies, e.g. I.V. catheters

Abstract

A needle sheath complex and related process for external use of the complex for decompressing or sampling tissue within a multitude of areas in human and animal bodies.

The needle sheath complex is comprised of a small gauge needle which is comprised of a stylus within a cannula and which is long enough so that a shorter outer sheath can be slidable located on the small gauge needle leaving exposed a long enough portion of the smaller gauge needle to probe the body and locate the area to be decompressed or sampled. The small gauge needle is inserted into the body and when the target area has been located, the outer sheath is slid over the small gauge needle into the body stretching the opening to the target. The smaller needle is then removed leaving the larger inside diameter sheath in place in the body through which sampling or decompression can be performed. The invention includes means and processes for easily removing and reinserting the stylus within the cannula and means and processes for readily attaching or detaching the stylus from the cannula.

The invention includes means for locking the cannula of the small gauge needle to the stylus thereby freeing both hands for guiding the small gauge needle to the target.

A key feature is the removable means for locking the probe cannula to the stylus which enables changing the outer sheath without removal of the probe cannula or stylus from the target area.

Claims

1. A needle sheath complex for use in locating, removing matter from, and inserting devices in human bodies and animal bodies consisting of:

a. a probe cannula of tubular shape and consistent diameter having a small enough outer diameter to penetrate sensitive organs, arteries, and other body structures without doing substantial damage;

b. a stylus slidably located within said probe cannula with a diameter which fills said probe cannula, said stylus having a sharp piercing end and being enough longer than said probe cannula to project slightly from the end of said probe cannula to provide a cutting end;

c. an outer sheath of tubular shape slidably located over said probe cannula having an inside diameter large enough to remove matter from or insert devices in said bodies, said outer sheath being long enough to extend from the target in the body to the outside of the body and said probe cannula being at least twice that length;

d. Means for locking said stylus within said probe cannula in position, said means being removable from said probe cannula so that said outer sheath may be removed from said probe cannula whereby said outer sheath may be replaced with an outer sheath which is more rigid, less rigid, or larger in diameter, or capable of procedures different from the outer sheath removed without removing said probe cannula from the body.

2. The needle sheath complex claimed in claim 1 wherein said means for locking said stylus within said probe cannula is comprised of a lock fitting attached to an end of said probe cannula which enables attachment of a syringe or other devices to said probe cannula and a hub attached to said stylus having means for detachably connecting said hub to said lock fitting.

3. The needle sheath complex claimed in claim 2 wherein said outer sheath includes detachable means for attaching a syringe to the end of said outer sheath.

4. The needle sheath complex claimed in claim 1 wherein the end of said outer sheath which is closest to said sharp piercing end of said stylus being tapered smoothly from its outside diameter down to a snug but slideable fit between the outer diameter of said probe cannula and the inside diameter of said outer sheath so that when the outer sheath is slid into the body over the probe cannula the opening is stretched to the larger diameter.

5. A process for locating a specific target within a human or animal body, verifying that the target has been located, decompressing the cavity by catheterization and sampling the target cavity structure with a biopsy needle consisting of the following steps:

a. Inserting a small diameter probe cannula have a stylus which fills the probe cannula and which is enough longer than the probe cannula so that a sharp end of the stylus projects from the probe cannula and wherein said stylus is detachably fastened to said probe cannula so that both hands are free to guide the probe cannula to the target cavity within said body;

b. Detaching said stylus from said probe cannula and removing it;

c. Attaching a syringe to said probe cannula to draw a sample of fluid to determine whether the fluid will identify the target;

d. Sliding a catheter over said probe cannula and advancing it to the target site;

e. Removing said probe cannula from said catheter;

f. Attaching means for draining fluid from the target area to said catheter and decompressing the area;

g. Reinserting the probe cannula into said catheter to the target area and withdrawing said catheter;

h. Sliding a biopsy needle over said probe cannula and advancing said outer sheath to the target area; and

i. Taking a biopsy sample through said biopsy needle.