Traction-inducing compression assembly for enhanced tissue imaging

• US 5,851,180 A
• Filed: 07/12/1996
• Issued: 12/22/1998
• Est. Priority Date: 07/12/1996
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Crosby, Peter Andrew, Shmulewitz, Ascher
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): SHAW, SHAWNA JEANNINE
• Application Number:
  US08/680,560
• Time in Patent Office: 893 Days
• Field of Search: 128/653.1, 128/660.01, 128/660.09, 128/915, 378/37, 378/177, 378/195, 378/196, 378/197, 378/204, 378/208, 606/130, 600/407, 600/437, 600/445
• US Class Current: 600/407
• CPC Class Codes: A61B 6/0414 with compression means
• CPC Class Codes: A61B 6/4417 related to combined acquisition of different diagnostic modalities
• CPC Class Codes: A61B 6/502 for diagnosis of breast, i.e. mammography
• CPC Class Codes: A61B 8/0825 for diagnosis of the breast, e.g. mammography
• CPC Class Codes: A61B 8/4416 related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data

Abstract

Apparatus and methods are provided for compressing biological tissue for use with a radiographic or sonographic imaging system that enhances imaging of the tissue near a patient'"'"'s chest wall. The apparatus includes a compression assembly having first and second compression surfaces, and structure for positioning the first compression surface relative to the second compression surface so that the first and second compression surfaces experience a lateral translation as they move towards one another. In addition the first and second compression surfaces may be tilted slightly relative to a plane orthogonal to the patient'"'"'s chest wall to enhance the traction effect and to provide partial imaging within the patient'"'"'s chest wall.

Claims

1. A compression assembly for imaging biological tissue, the compression assembly for use with imaging apparatus that provides a visualization of an internal structure of the biological tissue, the compression assembly comprising:

a fixed compression surface having a fixed first proximal edge;

a second compression surface having a second proximal edge;

means for positioning the first compression surface substantially opposite and spaced apart from the second compression surface to define an imaging field, the means for positioning including means for moving the first compression surface relative to the second compression surface so that the first proximal edge moves rearwardly of the second proximal edge when the first compression surface is moved towards the second compression surface,

thereby inducing traction in a biological tissue when partially inserted between the first compression surface and the second compression surface, the traction assisting in drawing the internal structure of the biological tissue within the imaging field.

2. The compression assembly as defined in claim 1 wherein the means for positioning comprises a support member connected to the first compression surface and a vertical positioning means, the vertical positioning means angled forward from a plane parallel to a patient'"'"'s chest wall by an angle θ

.

3. The compression assembly as defined in claim 2 wherein the vertical positioning means comprises a screw-type drive.

4. The compression assembly as defined in claim 2 wherein the vertical positioning means comprises a rack and pinion-type drive.

5. The compression assembly as defined in claim 2 wherein the angle θ

is less than about fifteen degrees.

6. The compression assembly as defined in claim 1 wherein the first compression surface is inclined inward towards a patient'"'"'s chest wall by an angle Φ

, relative to a plane orthogonal to the patient'"'"'s chest wall.

7. The compression assembly as defined in claim 6 wherein the angle Φ

is less than about forty-five degrees.

8. The compression assembly as defined in claim 1 wherein the second compression surface is inclined inward towards a patient'"'"'s chest wall by an angle Ω

, relative to a plane orthogonal to the patient'"'"'s chest wall.

9. The compression assembly as defined in claim 8 wherein the angle Ω

is less than ninety degrees.

10. The compression assembly as defined in claim 1 wherein at least one of the first and second compression surfaces grips tissue when tissue is disposed in contact therewith.

11. Apparatus for imaging biological tissue comprising an imaging system that provides a visualization of an internal structure of the biological tissue and a compression assembly comprising a first compression surface having a fixed first proximal edge, a second compression surface having a second proximal edge, and means for positioning the first compression surface substantially opposite and spaced apart from the second compression surface to define an imaging field, the improvement comprising:

means for moving included within the means for positioning for moving the first compression surface relative to the second compression surface so that the first proximal edge moves rearwardly of the second proximal edge as the first compression surface is moved towards the second compression surface.

12. The apparatus as defined in claim 11 wherein the means for positioning comprises a support member connected to the first compression surface and a vertical positioning means, the vertical positioning means angled forward from a plane parallel to a patient'"'"'s chest wall by an angle θ

.

13. The apparatus as defined in claim 11 wherein the first compression surface is inclined inward towards a patient'"'"'s chest wall by an angle Φ

, relative to a plane orthogonal to the patient'"'"'s chest wall.

14. The apparatus as defined in claim 11 wherein the second compression surface is inclined inward toward a patient'"'"'s chest wall by an angle Ω

, relative to a plane orthogonal to the patient'"'"'s chest wall.

15. The compression assembly as defined in claim 11 wherein at least one of the first and second compression surfaces grips tissue when tissue is disposed in contact therewith.

16. The apparatus as defined in claim 11 wherein the imaging system generates radiographic images.

17. The apparatus as defined in claim 11 wherein the imaging system generates ultrasound images.

18. A method of compressing biological tissue to a substantially uniform thickness for use with an imaging apparatus that provides a visualization of an internal structure of the biological tissue, the method comprising steps of

providing a first compression surface having a fixed proximal edge;

providing a second compression surface having a proximal edge;

inserting a biological tissue between the first and second compression surfaces and in contact therewith;

translating the first compression surface so that the first proximal edge moves distally of the second proximal edge as the first compression surface is moved towards the second compression surface, thereby inducing a state of traction in the biological tissue as the biological tissue is compressed between the first compression surface and the second compression surface.

19. The method as defined in claim 18 further comprising steps of tilting the first compression surface slightly upward by an angle Φ

with respect to a horizontal plane, and maintaining the first compression surface at the angle Φ

during the step of translating.

20. The method as defined in claim 18 further comprising steps of tilting the second compression surface slightly downward by an angle Ω

with respect to a horizontal plane, and maintaining the second compression surface at the angle Ω

during the step of translating.