Biopsy instrument driver apparatus

• US 6,193,673 B1
• Filed: 02/19/1999
• Issued: 02/27/2001
• Est. Priority Date: 02/20/1998
• Status: Expired due to Fees

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Viola, Frank J., Dale, James, Stickney, Arthur C.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): WINGOOD, PAMELA LYNN
• Application Number:
  US09/252,548
• Time in Patent Office: 739 Days
• Field of Search: 600/562, 600/564, 600/565, 600/566, 600/567, 600/568, 604/170
• US Class Current: 600/568
• 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

A driver apparatus is provided for use with a biopsy instrument, the driver apparatus including a housing and an insertion mechanism including a carriage movably associated with the housing and adapted to support the biopsy instrument to affect longitudinal movement of at least a portion of the biopsy instrument. A linear motion control mechanism is also included that is adapted to move a tissue cutting element of the biopsy instrument from a first position to a second position relative to a tissue receiving portion of the biopsy instrument. Further, a tissue retract mechanism is included which facilitates removal of a tissue specimen from the biopsy instrument without removing the entire biopsy instrument from a surgical site.

Claims

1. A driver apparatus for use with a biopsy instrument which includes a plurality of relatively moveable elongated members, the driver apparatus comprising:

a housing;

an insertion mechanism including a carriage moveably associated with the housing and being adapted to support the biopsy instrument to affect longitudinal movement of at least a portion of the biopsy instrument relative to the housing;

a linear motion control mechanism adapted to move a tissue cutting element of the biopsy instrument from a first position to a second position relative to a tissue receiving portion of the biopsy instrument wherein the tissue cutting element cuts tissue extending into the tissue receiving portion of the biopsy instrument; and

a tissue retract mechanism which facilitates removal of a tissue specimen from the biopsy instrument without removing the entire biopsy instrument from a surgical site, the tissue retract mechanism including a retention member adapted to moveably support a portion of the biopsy instrument that is operatively associated with the tissue receiving portion such that the tissue receiving portion is proximally moveable relative to the tissue cutting element for retrieving the tissue specimen from the surgical site.

3. A driver apparatus as recited in claim 1, wherein the tissue retract mechanism includes at least one longitudinal guide member being supported with the housing, the retention member being supported on the at least one longitudinal guide member for slidable movement within a range of longitudinal movement of the biopsy instrument.

4. A driver apparatus as recited in claim 3, wherein the retention member defines at least one bore for slidably receiving the at least one longitudinal guide member, the bore being configured and dimensioned to provide a tolerance such that the longitudinal guide member may freely move within limits of the bore.

5. A driver apparatus as recited in claim 3, wherein the tissue retract mechanism includes a pair of longitudinal guide members being spaced apart in a parallel configuration, the retention member having an indexing member operatively mounted thereto such that manipulation of the indexing member facilitates rotational orientation of the tissue receiving portion of the biopsy instrument.

6. A driver apparatus as recited in claim 1, wherein the tissue receiving portion of the biopsy instrument is in communication with a vacuum source.

7. A driver apparatus as recited in claim 1, wherein the biopsy instrument includes a sharpened distal penetrating end disposed adjacent the tissue receiving portion.

2. A driver apparatus for use with a biopsy instrument which includes a tissue receiving portion and a tissue cutting element, the driver apparatus comprising:

a housing;

an insertion mechanism adapted to support the biopsy instrument thereon, the insertion mechanism including a carriage moveably associated with the housing such that the carriage is moveable from a retracted position to an advanced position to affect longitudinal movement of the biopsy instrument; and

a cutting element controller assembly operatively disposed on the housing, the controller assembly including;

a linear motion control mechanism adapted to move [a] the tissue cutting element of the biopsy instrument from a first position to a second position relative to a tissue receiving portion of the biopsy instrument wherein the tissue cutting element cuts tissue extending into the tissue receiving portion of the biopsy instrument, the tissue receiving portion being proximally moveable relative to the tissue cutting element for retrieving a tissue sample from a tissue sample site,

a motor operatively associated with the cutting element when the biopsy instrument is mounted on the driver apparatus such that the motor facilitates movement of the tissue cutting element relative to the tissue receiving portion, and

an enabling switch disposed relative to the linear motion control mechanism and electrically connected to the motor such that movement of the tissue cutting element from the second position to the first position causes the enabling switch to activate the motor.

8. A driver apparatus as recited in claim 2, wherein the linear motion control mechanism includes a rack and pinion gear arrangement operatively connected to the tissue cutting element, the rack and pinion gear arrangement being manipulable to facilitate a range of longitudinal movement of the tissue cutting element between the first position, whereby the tissue cutting element encloses substantially all of the tissue receiving portion, and the second position, whereby the tissue cutting element exposes substantially all of the tissue receiving portion.

9. A driver apparatus as recited in claim 8, wherein the rack linearly translates between a proximal microswitch and a distal microswitch of the enabling switch, wherein contact with one of the proximal microswitch or the distal microswitch activates the motor.

10. A driver apparatus as recited in claim 9, wherein a first position sensor is disposed with the proximal microswitch and a second position sensor is disposed with the distal microswitch, the first position sensor detecting the tissue cutting element in the second position and the second position sensor detecting the tissue cutting element in the first position for activating and deactivating the motor.

11. A driver apparatus as recited in claim 2, further including a forward lock for maintaining the tissue cutting element in the first position.

12. A driver apparatus as recited in claim 2, further including a retracted lock for maintaining the tissue cutting element in the second position.

13. A biopsy system comprising:

a biopsy instrument including a vacuum tube having a sharpened distal penetrating end and a tissue receiving portion adjacent the distal penetrating end, the biopsy instrument further including a knife tube rotatably disposed about the vacuum tube and configured to advance distally for severing a tissue sample from a tissue sample site;

a vacuum source communicating with the tissue receiving portion; and

a drive apparatus mounted with the biopsy instrument, the drive apparatus including;

a housing,

an insertion mechanism adapted to support the biopsy instrument, the insertion mechanism including a carriage moveably associated with the housing such that the carriage is moveable to effect longitudinal movement of the biopsy instrument, and

a linear motion control mechanism adapted to move a tissue cutting element of the knife tube from a first position to a second position relative to the tissue receiving portion of the vacuum tube wherein the tissue cutting element of the knife tube cuts tissue extending into the tissue receiving portion of the vacuum tube, the tissue receiving portion being proximally moveable relative to the tissue cutting element for retrieving the tissue sample from the tissue sample site.

14. A biopsy system as recited in claim 13, wherein the insertion mechanism includes a spring loaded piercing sub-assembly which is configured to fire the carriage such that the biopsy instrument is rapidly thrust into the tissue sample site, the piercing sub-assembly including cocking arms that are operatively connected to a spring, the spring being connected to the carriage and configured to load the carriage from a relaxed state to a cocked position.

15. A biopsy system as recited in claim 14, further including a cocking position sensor disposed within the drive apparatus and being configured to detect the carriage in the cocked position whereby the cocking position sensor is configured for disabling cutting action of the knife tube.

16. A biopsy system as recited in claim 13, wherein the linear motion control mechanism includes a rack and pinion gear arrangement operatively connected to the tissue cutting element, the rack and pinion gear arrangement being manipulable to facilitate a range of longitudinal movement of the tissue cutting element between the first position, whereby the tissue cutting element encloses substantially all of the tissue receiving portion, and the second position, whereby the tissue cutting element exposes substantially all of the tissue receiving portion.

17. A driver apparatus as recited in claim 13, further including a motor operatively associated with the cutting element of the knife tube such that the motor facilitates movement of the cutting element relative to the tissue receiving portion of the vacuum tube.

18. A biopsy system as recited in claim 17, further including an enabling switch disposed relative to the linear motion control mechanism and electrically connected to the motor such that movement of the tissue cutting element from the second position to the first position causes the enabling switch to activate the motor.

19. A biopsy system as recited in claim 18, wherein at least a portion of the linear motion control mechanism linearly translates between a proximal microswitch and a distal microswitch of the enabling switch, wherein contact with one of the proximal microswitch or the distal microswitch activates the motor.

20. A biopsy system as recited in claim 13, further including a tissue retract mechanism being operatively connected to the vacuum tube and mounted with the housing, the tissue retract mechanism facilitating movement of the tissue receiving portion relative to the tissue cutting element of the knife tube.

21. A biopsy system as recited in claim 20, wherein the tissue retract mechanism includes a retention member adapted to moveably support the vacuum tube such that the retention member facilitates movement of the tissue receiving portion relative to the tissue cutting element.

22. A biopsy system as recited in claim 21, wherein the tissue retract mechanism includes at least one longitudinal guide member being supported with the housing, the retention member being supported on the at least one longitudinal guide member for slidable movement within a range of longitudinal movement of the biopsy instrument.

23. A biopsy system as recited in claim 22, wherein the retention member defines at least one bore for slidably receiving the at least one longitudinal guide member, the bore being configured and dimensioned to provide a tolerance such that the longitudinal guide member may freely move within limits of the bore.

24. A biopsy system as recited in claim 23, wherein the tissue retract mechanism includes a pair of longitudinal guide members being spaced apart in a parallel configuration, the retention member having an indexing member operatively mounted thereto such that manipulation of the indexing member facilitates rotational orientation of the tissue receiving portion.