Automatic biopsy instrument with independently actuated stylet and cannula

• US 5,188,118 A
• Filed: 04/24/1991
• Issued: 02/23/1993
• Est. Priority Date: 11/07/1990
• Status: Expired due to Fees

• Current Assignee: Arlanda Medicinska Instrument Company AB
• Original Assignee: Richard A. Terwilliger
• Inventors: Terwilliger, Richard A.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Tucker, Guy V.
• Application Number:
  US07/690,628
• Time in Patent Office: 671 Days
• Field of Search: 128/754, 128/753, 128/752, 128/749, 128/750, 128/751, 128/755, 606/167, 606/170, 606/171, 606/184, 606/185
• US Class Current: 600/566
• CPC Class Codes: A61B 10/0266 means for severing sample
• 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 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms

Abstract

An automatic biopsy instrument includes a cannula 13 provided over a stylet 11. The stylet 11 directs the cannula 13 to a biopsy site. The instrument urges the cannula 13 past the stylet 11 in order to collect a tissue sample. The stylet 11 initially travels in a direction opposite to the direction of travel of the cannula 13, then travels in the direction of travel of cannula 13 in order to assist firstly in collecting a sample and secondly to assist in severing the tissue sample from the surrounding mass.

Claims

1. An automatic biopsy instrument including:

a body;

a cavity defined in said body;

a cannula piston movably mounted in said cavity;

means for biasing said cannula piston relative to said cavity;

first means for urging said cannula piston against the biasing means;

an elongate cannula with an elongate inner bore;

means for securing said cannula to said cannula piston so that the cannula can move with the cannula piston;

an elongate stylet positioned in said inner bore of the cannula; and

second means for urging the stylet away from said cannula piston in a direction opposite to the direction of the motion of the cannula as caused by the biasing means so as to allow capture of biopsy tissue in said cannula when said stylet is in a relatively retracted position.

2. The instrument of claim 1 wherein:

said biasing means can bias said cannula piston to an uncocked position;

said first urging means can urge said cannula piston against said biasing means to a cocked position; and

means for selectively locking said cannula piston in said cocked position.

3. The instrument of claim 1 including:

said cannula having a distal end;

said stylet having a tip;

wherein said first urging means can urge said cannula piston against said biasing means to a cocked position, such that said tip of said stylet is extended from said distal end of said cannula; and

wherein said biasing means can bias said cannula piston to an uncocked position wherein said distal end of said cannula is urged over and past said tip of said stylet.

4. The automatic biopsy instrument of claim 1 wherein:

said second means for urging the stylet includes a stylet piston, means for movably mounting the stylet piston to the cannula piston, and means for biasing the stylet piston with respect to the cannula piston; and

means for securing the stylet to the stylet piston.

5. The automatic biopsy instrument of claim 4 wherein:

said means for movably mounting the stylet piston to the cannula piston includes a passage defined in the cannula piston;

said stylet piston including means for retaining said stylet piston in said passage while allowing limited relative motion between the stylet piston and the cannula piston, said retaining means including first and second retaining ends; and

said means for biasing the stylet piston with respect to the cannula piston located between the cannula piston and one of the first and second retaining ends.

6. The automatic biopsy instrument of claim 1 including:

said inner bore of the cannula communicating with the cavity; and

means for creating a seal between the cannula piston and the cavity with the cannula piston biased against said cavity by the biasing means in order to ensure that the tissue sample is retained in the cannula.

7. An automatic biopsy instrument including:

a body;

a cannula extending from said body, which cannula defines an inner bore;

a cannula piston moveably mounted in said body;

means for securing the cannula to the cannula piston;

a stylet positioned in said inner bore of said cannula;

first means for urging said cannula in a first direction past said stylet in a rapid manner in order to collect a tissue sample in said inner bore of said cannula; and

second means for urging said stylet away from said cannula piston in a second direction which is opposite to the first direction so as to allow capture of biopsy tissue in said cannula when said stylet is in a relatively retracted position.

8. The automatic biopsy instrument of claim 7 wherein:

said body defines an internal cavity;

said first urging means includes a cannula piston movably mounted in the cavity and a means for biasing the cannula piston in said first direction.

9. The automatic biopsy instrument of claim 8 wherein:

said second urging means includes a stylet piston, means for movably mounting the stylet piston to the cannula piston, and means for biasing the stylet piston with respect to the cannula piston; and

means for securing the stylet to the stylet piston.

10. The automatic biopsy instrument of claim 9 wherein:

said means for movably mounting the stylet piston to the cannula piston includes a passage defined in the cannula piston;

said stylet piston including means for retaining said stylet piston in said passage while allowing limited relative motion between the stylet piston and the cannula piston, said retaining means including first and second retaining ends;

said means for biasing the stylet piston with respect to the cannula piston located between the cannula piston and one of the first and second retaining ends.

11. The automatic biopsy instrument of claim 8 including:

said inner bore of the cannula communicating with the internal cavity; and

means for creating a seal between the cannula piston and the internal cavity with the cannula piston biased in the first direction by said first urging means in order to ensure that the tissue sample is retained in the cannula.

12. The automatic biopsy instrument of claim 7 including:

said second means for subsequently allowing the stylet to move in the first direction with the cannula, in order to allow capture of biopsy tissue.

13. An automatic biopsy instrument including:

a body;

a cannula extending from said body, which cannula defines an inner bore;

a stylet positioned in said inner bore of said cannula;

first urging means including a cannula piston attached to said cannula for moving said cannula in a first direction relative to said stylet in a rapid manner in order to collect a tissue sample in said inner bore of said cannula; and

second urging means for urging said stylet away from said cannula piston in a second direction which is opposed to the first direction, said cannula piston subsequent to initial movement in the first direction, engaging a portion of said second urging means to move said stylet in said first direction with the cannula.

14. The automatic biopsy instrument of claim 13 wherein:

said second urging means includes a stylet piston, means for movably mounting the stylet piston to the cannula piston, and means for biasing the stylet piston with respect to the cannula piston; and

means for securing the stylet to the stylet piston.

15. The automatic biopsy instrument of claim 14 wherein:

said means for movably mounting the stylet piston to the cannula piston includes a passage defined in the cannula piston;

said stylet piston including means for retaining said stylet piston in said passage while allowing limited relative motion between the stylet piston and the cannula piston, said retaining means including first and second retaining ends;

said means for biasing the stylet piston with respect to the cannula piston located between the cannula piston and one of the first and second retaining ends.

16. The automatic biopsy instrument of claim 13 including:

an internal cavity defined by said body;

said inner bore of the cannula communicating with the internal cavity; and

means for creating a seal between the cannula piston and the internal cavity with the cannula piston urged in the first direction in order to ensure that the tissue sample is retained in the cannula.

17. An automatic biopsy instrument including:

a body;

a cannula extending from said body, which cannula defines an inner bore;

a stylet positioned in said inner bore of said cannula;

first urging means including a cannula piston attached to said cannula for extending said cannula from said body in a first direction in order to collect and sever a tissue sample; and

second urging means including a stylet piston attached to said stylet for biasing said stylet away from said cannula piston in a second direction opposite to the first direction, said cannula piston, subsequent to initial movement in the first direction, engaging a portion of said stylet piston to move said stylet in the first direction of motion of the cannula in order to assist the cannula in severing the tissue sample.

18. A needle set for an automatic biopsy instrument comprising:

a stylet;

a hollow cannula;

said stylet sized in order to be able (1) to fit inside of the hollow stylet, (2) to move relative to the hollow cannula from a position extending from the hollow cannula to a position withdrawn inside of the hollow cannula in order to define a collection space, and (3) to allow vacuum to communicate between the stylet and the cannula to the collection space to assist in the holding of a tissue sample in the collection space;

means adapted for securing the hollow cannula to a cannula piston of an automatic biopsy instrument; and

means adapted for securing the stylet to a stylet piston of the automatic biopsy instrument so that under the urging of the automatic biopsy instrument the stylet and cannula can move from (1) a cocked position with the stylet extending from the cannula, (2) to a first intermediate motion with the cannula moving past the stylet in order to define the collection space for capturing tissue, (3) to a second intermediate motion with stylet and the cannula moving together in order to sever captured tissue, (4) to an uncocked position with the cannula at rest and extended past the stylet.