Tissue tagging device

• US 5,800,445 A
• Filed: 10/20/1995
• Issued: 09/01/1998
• Est. Priority Date: 10/20/1995
• Status: Expired due to Term

• Current Assignee: LSI Solutions, Inc., United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Bovard, Mark A., Sauer, Jude S., Greenwald, Roger J., Castro, Salvatore, Ratcliff, Keith, Savage, Robert C.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/546,011
• Time in Patent Office: 1,047 Days
• Field of Search: 604/116, 606/1, 606/187, 606/116, 128/749-754
• US Class Current: 606/116
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A tagging device for marking the location of lesions within the body prior to a surgical procedure such as excision or biopsy. The device includes an elongated tube having one end supported on a housing and a second end extending distally therefrom. An anchor is positioned within the distal end of the elongated tube and has an elongated member extending proximally therefrom. An actuation assembly including a plunger is movable within the tube to engage and push the anchor from the distal end of the tube. The anchor and the actuation assembly are positioned and configured such that the anchor is pivoted from a position parallel to the longitudinal axis of the tube to a position perpendicular to the longitudinal axis of the tube as it as being pushed from the tube.

Claims

1. A tagging device for identifying a particular location within a mass of body tissue comprising:

an elongated tube having a proximal end and a distal end;

an anchor releasably positioned within the distal end of the elongated tube;

an elongated member having a first end connected to a central portion of the anchor;

a tension member attached to said elongated tube, said tension member being adapted to hold the elongated member in tension relative to the elongated tube; and

a plunger operably engageable with the anchor to move the anchor from a first position within the elongated tube to a second position ejected from the elongated tube;

wherein the plunger and anchor are configured to rotate the anchor as the anchor moves between the first and second positions.

2. A tagging device according to claim 1 wherein the tension member is slidably positioned about and frictionally engages the elongated tube, a second end of the elongated member being connected to the tension member, wherein movement of the anchor from the first position toward the second position causes the tension member to move distally along the elongated tube and wherein the frictional engagement between the tension member and the elongated tube causes further rotation of the anchor.

3. A tagging device according to claim 2 wherein the proximal end of the elongated tube has an increased outside diameter section, the tension member being positioned about the increased diameter section, the distal end of the elongated tube having a smaller diameter section to permit the tension member to be easily removed from the elongated tube after the anchor has been pushed from the elongated tube.

4. A tagging device according to claim 1 wherein the distal end of the elongated tube includes a longitudinal slot, the elongated member being positioned to pass through the slot to connect to the central portion of the anchor.

5. A tagging device according to claim 1 wherein in the first position, a longitudinal axis of the anchor is aligned with a longitudinal axis of the elongated tube and in the second position, the longitudinal axis of the anchor is perpendicular to the longitudinal axis of the elongated tube.

6. A tagging device according to claim 1 further comprising a housing defining a throughbore connected to the proximal end of the elongated tube, the plunger being configured to extend through the throughbore into the elongated tube.

7. A tagging device according to claim 6 wherein the housing includes an opening and the plunger includes a cantilevered latch member, the cantilevered latch member engaging a wall within the housing opening to prevent further retraction of the plunger when the plunger is in a retracted position.

8. A tagging device according to claim 1 wherein the anchor has a main body portion, a first end and a second end, the first end of the anchor having a tail extending at an angle from the main body portion, and wherein the plunger is movable from a retracted position into contact with the tail of the anchor to move the anchor from within the elongated tube.

9. A tagging device according to claim 8 wherein the angle of the tail is such that upon engagement with the plunger, the anchor is continuously rotated as it is moved from the elongated tube from the first position substantially parallel to a longitudinal axis of the elongated tube to the second position substantially perpendicular to the longitudinal axis of the elongated tube.

10. A tagging device according to claim 9 wherein the elongated member is positioned within the elongated tube.

11. A tagging device according to claim 1 wherein the anchor includes a body sloping upwardly from the central portion to first and second ends thereof, and a tail extending at an angle from the second end of the body, the first and second ends of the body and the central portion engaging an inner surface of the elongated tube to retain the anchor within the elongated tube while in a retracted position of the plunger.

12. A tagging device according to claim 1 wherein the anchor comprises a first end tapered to form an edge.

13. A tagging device according to claim 1 wherein the distal end of the elongated tube includes a longitudinal slot formed therein, the slot being configured to permit passage of the elongated member during movement of the anchor.

14. A tagging device for identifying a particular location within a mass of body tissue comprising:

an elongated tube having a proximal end and a distal end;

an anchor releasably positioned within the distal end of the elongated tube;

an elongated member having a first end connected to a central portion of the anchor; and

a plunger which defines a hollow tube slidably positioned within the elongated tube, a second end of the elongated member being positioned within the hollow tube, the plunger being operably engageable with the anchor to move the anchor from a first position within the elongated tube to a second position ejected from the elongated tube, the distal end of the hollow tube and of the elongated tube having a longitudinal slot dimensioned to permit passage of the elongated member during movement of the anchor between the first and second positions; and

wherein the plunger and anchor are configured to rotate the anchor continuously as the anchor moves between the first and second positions.

15. A tagging device comprising:

an elongated tube having a proximal and a distal end;

an anchor positioned within the elongated tube;

an elongated member extending parallel to and external of the elongated tube, the elongated member having a distal end connected to the anchor and a proximal end connected to the proximal end of the elongated tube.

a plunger movably positioned within the elongated tube from a retracted position to an extended position to engage and move the anchor from a first position within the elongated tube to a second position outside the elongated tube; and

wherein the elongated member is connected to the anchor a position to cause the anchor to continuously rotate during movement between the first and second positions.

16. A tagging device comprising:

an elongated tube having a proximal end and a distal end;

an elongated anchor positioned within the elongated tube and having a central portion and a body sloping away from the central portion to first and second ends thereof;

an elongated member having a distal end connected to the central portion of the anchor and a proximal end extending within the elongated tube;

a plunger positioned within the elongated tube and being movable between retracted and extended positions to engage the second end of the anchor and move the anchor from a first position within the elongated tube wherein the anchor is disposed in a first orientation such that one of the ends of the anchor is distal of the central portion and the other end is proximal of the central portion, to a second position outside the elongated tube; and

wherein the second end of the anchor is configured to cause rotation of the anchor during movement between the first and second positions.

17. A tagging device according to claim 16 wherein the second end of the anchor includes a tail extending at an angle from the body of the anchor, wherein the plunger engages the tail to cause rotation of the anchor during movement of the anchor between the first and second positions.

18. A tagging device comprising:

(a) a first handle;

(b) a second handle movable relative to the first handle;

(c) a first elongated member fixedly attached to the first handle;

(d) a second elongated member fixedly attached to the second handle; and

(e) an anchor, the first and second elongated members being fixedly attached to the anchor in a spaced manner.

19. The tagging device according to claim 18, wherein movement of the first handle relative to the second handle is limited by interacting structures on the first handle and the second handle.

20. The tagging device according to claim 18, wherein the first and second handles form a passage to accommodate passage of a structure for introducing the tagging device to tissue.

21. The tagging device according to claim 20, wherein the structure for introducing the tagging assembly to tissue is a needle.

22. The tagging device according to claim 18, wherein the first and second elongated members define a longitudinal axis and further wherein movement of the first handle relative to the second handle effects movement of the anchor from an orientation substantially aligned with the longitudinal axis to an orientation substantially transverse to the longitudinal axis.