Target tissue localization method

• US 6,325,816 B1
• Filed: 10/02/2000
• Issued: 12/04/2001
• Est. Priority Date: 08/19/1998
• Status: Expired due to Term

• Current Assignee: Artemis Medical, Inc. (Johnson & Johnson)
• Original Assignee: Artemis Medical, Inc. (Johnson & Johnson)
• Inventors: Fulton, Richard Eustis III, Dubrul, William R.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/677,952
• Time in Patent Office: 428 Days
• Field of Search: 606/200, 606/127, 606/116, 606/185, 606/159, 606/232, 606/220, 606/214, 606/213, 606/117, 128/898
• US Class Current: 606/200
• 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
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

A target tissue localization device (28) has outer and inner members (30, 32) which are longitudinally movable relative to one another. An anchor (42) is secured to the outer and inner members and is movable from a radially-contracted configuration to a radially-expanded configuration. The anchor may be a tubular mesh anchor. The anchor may have a sufficiently large cross-sectional area when in the radially-expanded configuration to substantially eliminate inadvertent dislodgment of the anchor once radially-expanded. In use, the location of the target tissue (56) is determined and the distal end of the localization device is passed through the patient'"'"'s skin (58) and to the target tissue to create a tissue track (60) between the patient'"'"'s skin and the target tissue. The target tissue includes near and far sides (62, 64). The anchor element, located at the target tissue is expanded to an expanded configuration. The method the anchor element may be located on the far side of the target tissue. The localization device may be selected with an anchor which is palpable for relocation of the target tissue.

Claims

1. A method for localizing a target tissue comprising:

determining the location of the target tissue;

passing a distal end of an elongate localization device through the patient'"'"'s skin and to the target tissue to create a tissue track between the patient'"'"'s skin and the target tissue, the target tissue comprising a near side towards the patient'"'"'s skin and a far side opposite the near side, the localization device comprising an anchor element secured to a placement device, the placement device extending from the anchor element, along the tissue track and through the patient'"'"'s skin;

it'"'"'s he

locating the anchor element on the far side of the target tissue; and

expanding the anchor element to an expanded configuration on the far side of the target tissue.

2. The method according to claim 1 further comprising:

relocating the target tissue using the localization device; and

removing at least a sample of the relocated target tissue.

3. The method according to claim 1 further comprising selecting the localization device having an anchor which is palpable at the patient'"'"'s target tissue.

4. The method according to claim 3 wherein the relocating step is carried out at least in part by palpation of the patient.

5. The method according to claim 3 wherein the selecting step comprises selecting an anchor having first and second cross-sectional areas, lying in radially-oriented planes, when in the first and second configurations, said second area being at least four times said first area.

6. The method according to claim 1 wherein the location determining step is carried out by at least one of x-ray, ultrasound, fluoroscope, MRI, nuclear medicine, computer tomography, plain film and other image guided techniques.

7. The method according to claim 1 wherein the passing step is carried out with the aid of a hollow introducer needle having a sharpened tip and housing the placement device.

8. A method for localizing target tissue comprising:

determining the location of the target tissue;

selecting an elongate localization device having an anchor which is palpable at the patient'"'"'s target tissue when in an expanded configuration at the target tissue, the localization device comprising a guide element extending from the anchor;

passing a distal end of the localization device through the patient'"'"'s skin and to the target tissue to create a tissue track between the patient'"'"'s skin and the target tissue, the guide element extending along the tissue track and through the patient'"'"'s skin;

locating the anchor element at the target tissue;

expanding the anchor element from a contracted configuration to the expanded configuration;

relocating the target tissue at least in part by palpation of the patient to locate the anchor; and

removing at least a sample of the relocated target tissue.

9. The method according to claim 8 wherein the expanding step causes the anchor to assume a generally flattened spherical shape.

10. The method according to claim 8 wherein the selecting step selects a Malecot-type anchor having a plurality of generally radially-extending segments when in the expanded configuration.

11. The method according to claim 8 wherein the selecting step selects a tubular mesh anchor.

12. The method according to claim 8 wherein the expanding step is carried out so the anchor, when in the expanded configuration, has a cross-sectional area at least four times the cross-sectional area of the anchor when in the contracted configuration.

13. The method according to claim 8 wherein the selecting step selects a balloon-type anchor.