Apparatus and method for securing tissue during ultrasound examination and biopsy

• US 6,027,457 A
• Filed: 06/18/1998
• Issued: 02/22/2000
• Est. Priority Date: 06/18/1998
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Crosby, Peter A., Shmulewitz, Ascher
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Imam, Ali M.
• Application Number:
  US09/099,490
• Time in Patent Office: 614 Days
• Field of Search: 600/437, 600/442, 600/445, 600/464, 600/562, 600/567, 600/461
• US Class Current: 600/562
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 2017/00924 for ultrasonic waves
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/4281 characterised by sound-transmitting media or devices for coupling the transducer to the tissue
• CPC Class Codes: A61B 90/17 for soft tissue, e.g. breast-holding devices
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment

Abstract

An ultrasound imaging and biopsy system is provided in which an upper compression member of the system includes a thin, flexible, sterile and disposable membrane that compresses the tissue and permits a biopsy instrument to be readily inserted therethrough. In a preferred embodiment, a table is provided that houses an ultrasound scanning system beneath a sonolucent window forming a lower compression surface. Methods of using the system to perform real-time image-guided biopsy of tissue disposed on the window are also provided.

Claims

1. Apparatus for securing biological tissue to an ultrasound scanning table having a compression surface, the ultrasound scanning table generating ultrasound images of the tissue, the apparatus comprising:

a membrane that is conformable and performable; and

a locking mechanism for engaging the thin, flexible, presterilized membrane to the compression surface to compress and immobilize the tissue between the membrane and the compression surface.

2. The apparatus as defined in claim 1, wherein the locking mechanism for engaging comprises:

a tensioning bar; and

rotating assembly for rotating the tensioning bar to pull the membrane taut.

3. The apparatus as defined in claim 1, wherein the locking mechanism for engaging further comprises:

a roll of the membrane affixed to a spindle; and

a ratchet mechanism coupled to the spindle to control unrolling of the membrane from the roll.

4. The apparatus as defined in claim 3, wherein the roll is presterilized and is housed within a replaceable cartridge.

5. The apparatus as defined in claim 1, wherein the ultrasound scanning table further comprises a cutting device for severing a soiled portion of the membrane.

6. The apparatus as defined in claim 2, wherein the rotating assembly further comprises:

a recess formed in a surface of the ultrasound scanning table;

a ball joint disposed on a first end of the tensioning bar, the ball joint arranged to permit the tensioning bar to be selectively moved from a vertical position to a horizontal position;

a buckle that clamps the tensioning bar in the horizontal position; and

a knob coupled to a second end of the tensioning bar.

7. The apparatus as defined in claim 6 further comprising a ratcheting mechanism that permits rotation of the tensioning bar, while in the horizontal position, only in a direction that tautens the membrane.

8. The apparatus for performing a biopsy of biological tissue guided by real-time ultrasound images, the apparatus comprising:

a sonolucent compression surface against which the biological tissue is secured;

a membrane that is conformable and performable;

a locking mechanism for engaging the membrane to the compression surface to compress and immobilize the tissue between the membrane and the compression surface;

an ultrasonic transducer disposed adjacent to, and acoustically coupled to, the compression surface; and

a work-station that controls activation of the ultrasonic transducer to generate and display ultrasound images of the biological tissue.

9. The apparatus as defined in claim 8, further comprising a drive system for moving the ultrasonic transducer to generate ultrasound images of the tissue at a plurality of spaced-apart locations.

10. The apparatus as defined in claim 9, wherein the drive system comprises:

a gantry; and

gantry drive assembly for moving the gantry.

11. The apparatus as defined in claim 8, wherein the locking mechanism comprises:

a tensioning bar; and

rotating assembly for rotating the tensioning bar to pull the membrane taut.

12. The apparatus as defined in claim 8, wherein the locking mechanism further comprises:

a roll of the membrane affixed to a spindle; and

a ratchet mechanism coupled to the spindle to control unrolling of the membrane from the roll.

13. The apparatus as defined in claim 12, wherein the roll is presterilized and is housed within a replaceable cartridge.

14. The apparatus as defined in claim 8, wherein the ultrasound scanning table further comprises a cutting device for severing a soiled portion of the membrane.

15. The apparatus as defined in claim 11, wherein the rotating assembly further comprises:

a recess formed in a surface of the ultrasound scanning table;

a ball joint disposed on a first end of the tensioning bar, the ball joint arranged to permit the tensioning bar to be selectively moved from a vertical position to a horizontal position;

a buckle that clamps the tensioning bar in the horizontal position; and

a knob coupled to a second end of the tensioning bar.

16. The apparatus as defined in claim 15 further comprising a ratcheting mechanism that permits rotation of the tensioning bar, while in the horizontal position, only in a direction that tautens the membrane.

17. A method for securing biological tissue to a compression surface for ultrasound imaging and biopsy, the method comprising steps of:

providing apparatus including an ultrasonic imaging table having a compression surface, a thin, flexible, presterilized membrane that is conformable and performable, and locking mechanism for engaging the membrane to the compression surface;

disposing tissue on the compression surface;

placing the membrane over the tissue;

engaging the locking mechanism to pull the membrane taut to compress and immobilize the tissue between the membrane and the compression surface; and

activating the ultrasonic imaging table to generate and display an ultrasound image of the tissue.

18. The method as defined in claim 17, further comprising a step of:

contacting a tip of a biopsy instrument to the membrane so that the tip is displayed in the ultrasound image.

19. The method as defined in claim 18, further comprising a step of:

piercing the membrane with the tip of the biopsy instrument; and

manipulating the biopsy instrument within the tissue while guided by the ultrasound image.

20. The apparatus as defined in claim 19, further comprising, upon completion of the biopsy and removal of the tissue, a step of:

severing and discarding a soiled portion of the membrane.