Biopsy instrument stylet and cannula assembly

• US 5,146,921 A
• Filed: 09/17/1990
• Issued: 09/15/1992
• Est. Priority Date: 11/27/1987
• Status: Expired due to Fees

• Current Assignee: Vance Products Incorporated (Cook Group Incorporated)
• Original Assignee: Vance Products Incorporated (Cook Group Incorporated)
• Inventors: Terwilliger, Richard A., Hebert, John D., Hall, Jack
• Primary Examiner(s): SHAY, RANDY CITRIN
• Application Number:
  US07/583,597
• Time in Patent Office: 729 Days
• Field of Search: 128/749, 128/751, 128/754, 128/755, 606/167, 606/170, 606/171
• US Class Current: 600/567
• CPC Class Codes: A61B 10/0275 with sample notch, e.g. on the side of inner stylet
• CPC Class Codes: A61B 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms

Abstract

An instrument for removing tissue samples from a tissue mass which automatically penetrates, severs, and removes a tissue portion for examination. The instrument is motor powered, preferably by self-contained rechargeable batteries, and employs electrically actuated stops to control the action of penetration into and retraction from the tissue mass. The tissue penetrating means and severing means includes an inner stylet which penetrates the tissue mass and a hollow outer tube or cannula which surrounds the stylet and serves to sever a sample of tissue. In a preferred form the tissue penetrating end of the stylet is notched so that when the stylet penetrates the tissue mass, a portion of the tissue relaxes in the notched area. After tissue penetration by the stylet, the cannula, having a cutting surface at its distal end, penetrates the tissue and cuts off the tissue portion residing in the notched area of the stylet. The tissue penetrating and severing means are operably connected to a motor powered rotary cam assembly by means of cam followers and the rotary motion of the cam is converted to sequential, linear motion in the tissue penetrating means and severing means. The stylet mount and the cannula mount each have a recess in the backside thereof to receive a respective drive rod. A locking mechanism, such as annular grooves on the drive rods engage radially inward projections in the recess of the mounts to secure the mounts to the drive rods. A lever mechanism is provided to urge the mounts off of the drive rods for removal.

Claims

1. A biopsy stylet and cannula assembly suitable for use with a biopsy instrument having a first drive rod and a second drive rod, comprising:

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount receiving a first drive rod of the biopsy instrument therein; and

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount for receiving a second drive rod of the biopsy instrument therein, wherein said first recess means has first locking means for securing to the first drive rod to resist forward removal of said cannula mount from the first drive rod.

2. The stylet and needle assembly of claim 1 wherein the first drive rod has a first annular groove therein and wherein said first locking means comprises means for engaging said first annular groove.

3. The stylet and needle assembly of claim 2 wherein said stylet mount and said cannula mount slide with respect to each other and collectively cooperate to define a generally rectangular frontal profile receivable in a generally rectangular opening acting as a guide way in a front end of the biopsy instrument surrounding the first drive rod and the second drive rod.

4. The stylet and needle assembly of claim 3 wherein said second recess means has second locking means therein for securing to the second drive rod to resist forward removal of said stylet mount from the second drive rod.

5. The stylet and needle assembly of claim 4 wherein the second drive rod has a second annular groove therein and wherein said second locking means comprises means for engaging said second annular groove.

6. The stylet and needle assembly of claim 5 wherein said cannula mount includes a bottom portion and a forward portion, wherein said bottom portion has a top side along which said stylet mount slides, and wherein said forward portion of said cannula mount project above said top side of said bottom portion in front of said stylet mount.

7. The stylet and needle assembly of claim 6 wherein said first recess means in said cannula mount is positioned directly below said second recess means in said stylet mount.

8. The stylet and needle assembly of claim 7 wherein said first locking means comprise at least one radially inward projection with snaps into the first annular groove in the first drive rod, and wherein said second locking means comprise at least one radially inward projection which snaps into the second annular groove in the second drive rod.

9. The stylet and needle assembly of claim 8 wherein said generally rectangular frontal profile defined by said cannula mount and said stylet mount has a vertical height of about 0.8 inches and a horizontal width of about 0.4 inches, and wherein said first locking means is positioned in said first recess means a distance of at least 0.2 inches behind a front wall within said first recess means.

10. The stylet and needle assembly of claim 1 wherein said second recess means has second locking means therein for securing to the second drive rod to resist forward removal of said stylet mount from the second drive rod.

11. The stylet and needle assembly of claim 1 wherein the second drive rod has a second annular groove therein and wherein said second locking means comprises means for engaging said second annular groove.

12. A biopsy stylet and cannula assembly suitable for use with a biopsy instrument having a first drive rod and a second drive rod, comprising:

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount for receiving a first drive rod of the biopsy instrument therein; and

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount for receiving a second drive rod of the biopsy instrument therein, wherein said stylet mount and said cannula mount slide with respect to each other and collectively cooperate to define a generally rectangular frontal profile receivable in a generally rectangular opening acting as a guide way in a front end of the biopsy instrument for surrounding the first drive rod and the second drive rod.

13. The stylet and needle assembly of claim 12 wherein said generally rectangular frontal profile defined by said cannula mount and said stylet mount has a vertical height of about 0.8 inches and a horizontal width of about 0.4 inches.

14. A biopsy stylet and cannula assembly suitable for use with a biopsy instrument having a first drive rod and a second drive rod, comprising:

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount for receiving a first drive rod of the biopsy instrument therein; and

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount for receiving a second drive rod of the biopsy instrument therein, wherein said cannula mount includes a bottom portion and a forward portion, wherein said bottom portion has a top side along which said stylet mount slides, and wherein said forward portion of said cannula mount projects above said top side of said bottom portion in front of said stylet mount.

15. A biopsy stylet and cannula assembly suitable for use with a biopsy instrument having a first drive rod and second drive rod, comprising:

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount for receiving a first drive rod of the biopsy instrument therein; and

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount for receiving a second drive rod of the biopsy instrument therein, wherein the first drive rod and the second drive rod are oriented horizontally, and wherein said first recess means in said cannula mount is positioned directly vertically below said second recess means in said stylet mount.

16. A biopsy instrument, stylet and cannula assembly, comprising:

a biopsy instrument having a first drive rod and a second drive rod in an opening in a front end of said biopsy instrument;

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount sized and positioned for receiving said first drive rod of said biopsy instrument therein;

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount sized and positioned for receiving said second drive rod of said biopsy instrument therein; and

means for urging said cannula mount and said stylet mount forwardly off of said first drive rod and said second drive rod of said biopsy instrument.

17. The assembly of claim 16 wherein said first recess means has first locking means for securing to said first drive rod to resist forward removal of said cannula mount from said first drive rod, wherein said first drive rod has a first annular groove therein and wherein said first locking means engages said first annular groove, wherein said second recess means has second locking means therein for securing to said second drive rod to resist forward removal of said stylet mount from said second drive rod, and wherein said second drive rod has a second annular groove therein and wherein said second locking means engages said second annular groove.

18. The assembly of claim 17 wherein said means for urging includes a lever on said front end of said biopsy instrument which pivots to urge said cannula mount and said stylet mount forwardly.

19. The assembly of claim 16 wherein said means for urging includes a lever on said front end of said biopsy instrument which pivots to urge said cannula mount and said stylet mount forwardly.

20. A biopsy stylet and cannula assembly suitable for use with a biopsy instrument, comprising:

a cannula mount having a tubular cannula secured thereto and projecting forwardly therefrom, wherein said cannula mount has first recess means in a back side of said cannula mount for receiving a first motor powered cam driven drive rod of the biopsy instrument therein, said first recess means comprising a first recess elongated in an axial direction generally parallel to said cannula to receive said first drive rod past said back side of said cannula mount and within said cannula mount upon axial insertion of said cannula mount through a front side opening of the biopsy instrument for axial loading and axial unloading of the cannula mount through said front side opening; and

a stylet mount having a stylet secured thereto and projecting forwardly within said tubular cannula and slidable with respect to said cannula, wherein said stylet mount has second recess means in a back side of said stylet mount for receiving a second motor powered cam driven drive rod of the biopsy instrument therein, said second recess means comprising a second recess elongated in an axial direction generally parallel to said stylet to receive said second drive rod past said back side of said stylet mount and within said stylet mount upon axial insertion of said stylet mount through the front side opening of the biopsy instrument for axial loading and axial unloading of the stylet mount through said front side opening, wherein said stylet mount and said cannula mount collectively cooperate to define a frontal profile axially receivable in said front side opening of said biopsy instrument which acts as a guide way for said cannula mount and stylet mount.