Instrument for tissue sampling

• US 5,121,751 A
• Filed: 03/16/1990
• Issued: 06/16/1992
• Est. Priority Date: 03/16/1990
• Status: Expired due to Term

• Current Assignee: Atrion (Atrion Corporation)
• Original Assignee: Ryder International Corporation (Atrion Corporation), Meadox Medicals, Inc. (Boston Scientific Corporation)
• Inventors: Panalletta, Joseph V.
• Primary Examiner(s): Hindenburg, Max
• Application Number:
  US07/495,427
• Time in Patent Office: 823 Days
• Field of Search: 128/749, 128/753-755, 606/167, 606/170
• US Class Current: 600/567
• CPC Class Codes: A61B 10/0241 for prostate
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate

Abstract

A tissue sampling instrument or device for use with a two-part needle assembly having an outer cannula and an inner stylet, includes first and second carriage structures for displacing the respective stylet and cannula. The instrument also includes a drive carriage structure which provides separate and sequential engagement and displacement of the two needle carriage structures during operation of the instrument. The drive carriage structure first engages and displaces the stylet carriage, and thereafter engages and displaces the cannula carriage in order to produce sequential motions of the stylet and cannula in the operation to capture the tissue sample. The drive carriage structure also includes means for releasing the engagement of the stylet carriage at the termination of its driven displacement prior to the sequentially successive engagement of the cannula carriage structure. The stylet and cannula carriage structures of the two-part needle assembly can be coupled to enable positively and releasably retaining the two carriage structures together prior to installation of the coupled needle assembly into the instrument housing the drive carriage structure.

Claims

1. A tissue sampling instrument for use with a two-part needle assembly having an outer, first needle cannula within which an inner second needle stylet is axially translated, said instrument comprising:

a) a first carriage structure affixed to and for carrying and displacing said inner stylet through said outer cannula;

b) second carriage structure affixed to and for carrying and displacing said outer cannula relative to said inner stylet; and

c) drive means comprising a drive member structure separately and sequentially engageable with and disengageable from both of said first and second carriage structures to enable engaging and displacing said first carriage structure followed by engaging and displacing said second carriage structure in order to produce sequential motions of the stylet and cannula and capture of a tissue sample therebetween.

2. The instrument according to claim 1, wherein said drive means comprises engagement and release means for terminating said driven displacement of said first carriage structure prior to said sequentially successive driven displacement of said second carriage structure.

3. The instrument according to claim 2, wherein said release means comprises a deflectable arm member disengageable from drive engagement with said first carriage structure for driving said respective displacement thereof.

4. The instrument according to claim 3, wherein said arm member comprises guide means for deflection and said disengagement of said arm member.

5. The instrument according to claim 4, wherein said guide means comprises at least one cam follower.

6. An instrument according to claim 5 wherein said cam follower is displaceable through a guiding cam groove formed in said instrument.

7. An instrument according to claim 1, wherein said drive means comprises spring means for propelling the displacements of said first and second carriage structures, and wherein said instrument further comprises trigger means for releasing said propulsion by said spring means;

a cocking member movable to energize said spring means, said cocking member being selectively and reversibly movable between a guard position in which said spring means is fully energized and in which said cocking member blocks release of said propulsion by said trigger means, and a retracted position in which said cocking member unblocks release of said propulsion by said trigger means.

8. An instrument according to claim 1 further comprising coupling means for positively and releasably retaining said first and second carriage structures in coupled assembly apart from said drive means to enable said coupled assembly prior to installation thereof into said tissue sampling instrument.

9. An instrument according to claim 8, further comprising a guide member projecting from one of said carriage structures, said guide member being slidably received by guide structure formed on the other of said carriage structures for guiding said relative displacements of said coupled carriage structures during tissue sampling operation thereof.

10. A carriage assembly according to claim 8, wherein said coupling means comprises a resiliently deflectable coupling member for selectively coupling and uncoupling of said carriage structures.

11. A tissue sampling instrument for use with a two-part needle assembly having an outer, first needle cannula within which an inner second needle stylet is axially translated, said instrument comprising:

a) a first carriage structure affixed to and for carrying and displacing said inner stylet through said outer cannula;

b) second carriage structure affixed to and for carrying and displacing said outer cannula relative to said inner stylet; and

c) drive means for separately and sequentially engaging and displacing said first carriage structure followed by engaging and displacing said second carriage structure in order to produce sequential motions of the stylet and cannula and capture of a tissue sample therebetween, wherein said drive means comprises a single spring member for propelling said displacements of both said first and second carriage structures.

12. A tissue sampling instrument for use with a two-part needle assembly having an outer, first needle cannula within which an inner second needle stylet is axially translated, said instrument comprising:

a) a first carriage structure affixed to and for carrying and displacing said inner stylet through said outer cannula;

b) second carriage structure affixed to and for carrying and displacing said outer cannula relative to said inner stylet; and

c) drive means for separately and sequentially engaging and displacing said first carriage structure followed by engaging and displacing said second carriage structure in order to produce sequential motions of the stylet and cannula and capture of a tissue sample therebetween, wherein said drive means comprises;

a single spring member;

a drive assembly movable between a first and second position propelled by said spring member, and including a trailer member adapted when said drive assembly is in said first position to engage said first, stylet carriage structure such that the motion of said drive assembly from said first position toward said second position advances said first stylet carriage structure;

cam means for disengaging said trailer member from said first stylet carriage structure at an intermediate point in said movement of said drive assembly thereby terminating the advance movement of said first stylet carriage structure; and

means on said drive assembly for engaging said second cannula carriage structure at an intermediate point in said movement of said drive assembly toward said second position, and for propelling said advancing movement of said second cannula carriage structure after said termination of the advancing movement of said first, stylet carriage structure to cause said tissue sample capture between said stylet and cannula.

13. A tissue sampling instrument for use with a two-part needle assembly having an outer, first needle cannula within which an inner second needle stylet is axially translated, said instrument comprising:

a) a first carriage structure affixed to and for carrying and displacing said inner stylet through said outer cannula;

b) second carriage structure affixed to and for carrying and displacing said outer cannula relative to said inner stylet; and

c) drive means for separately and sequentially engaging and displacing said first carriage structure followed by engaging and displacing said second carriage structure in order to produce sequential motions of the stylet and cannula and capture of a tissue sample therebetween, further comprising counting and disabling means for registering the number of successive tissue sampling operations of said instrument and for disabling said instrument after a selected number of said operations have been completed.