Biopsy system

• US 6,436,054 B1
• Filed: 11/24/1999
• Issued: 08/20/2002
• Est. Priority Date: 11/25/1998
• Status: Expired due to Fees

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Jankowski, Bruce, Lehn, Randolph, Martinelli, Scott, Ehrenfels, Karl, Stickney, Arthur, Dale, James, Viola, Frank, Rethy, Csaba L., Ivanko, David
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): WINGOOD, PAMELA LYNN
• Application Number:
  US09/448,238
• Time in Patent Office: 1,000 Days
• Field of Search: 600/564, 600/565, 600/658, 600/571
• US Class Current: 600/562
• 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 2010/0225 for taking multiple samples

Abstract

A biopsy system is provided including a housing and a biopsy instrument operatively associated with the housing and configured and dimensioned to remove a tissue sample from a patient. A firing module is included that is detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient. The biopsy instrument includes a tissue receiving portion. The system may include an indexing assembly disposed within the housing and configured to cooperate with the biopsy instrument to selectively orient the tissue receiving portion. The indexing assembly may include a manual gearing assembly configured for selective orientation of the tissue receiving portion. The system may include a linear advancement control assembly disposed within the housing and configured to effect linear actuation of a tubular knife member. An optical sensor may be disposed adjacent a portion of the tubular knife member and oriented to detect the orientation of a lateral opening formed through the tubular knife member. A carriage may be slidably disposed within the housing and configured to releasably retain at least a portion of the biopsy instrument. A method of performing a surgical biopsy is disclosed.

Claims

1. A biopsy system comprising:

a housing;

a biopsy instrument operatively associated with the housing, the biopsy instrument being configured and dimensioned to remove a tissue sample from a patient, wherein the biopsy instrument includes a tissue receiving portion and a tubular member cooperating with the tissue receiving portion, and wherein the biopsy system further includes an indexing assembly being disposed within the housing and including a camming assembly disposed on the tubular member, the indexing assembly being configured to cooperate with the biopsy instrument to selectively orient the tissue receiving portion; and

a firing module being detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient.

6. A biopsy system as recited in claim 1, further comprising a carriage being slidably disposed within the housing and being configured to releasably retain at least a portion of the biopsy instrument within the housing.

2. A biopsy system comprising:

a housing;

a biopsy instrument operatively associated with the housing, the biopsy instrument being configured and dimensioned to remove a tissue sample from a patient, wherein the biopsy instrument includes a tissue receiving portion and a tubular member cooperating with the tissue receiving portion, and wherein the biopsy system further includes an indexing assembly being disposed within the housing and including a camming assembly having a first cam member mounted on the tubular member, the first cam member being configured to engage a second cam member disposed within housing;

the indexing assembly being configured to cooperate with the biopsy instrument to selectively orient the tissue receiving portion; and

a firing module being detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient.

3. A biopsy system comprising:

a housing;

a biopsy instrument operatively associated with the housing, the biopsy instrument being configured and dimensioned to remove a tissue sample from a patient;

wherein the biopsy instrument includes a tubular member having a tissue receiving portion disposed near a distal end thereof, the biopsy instrument further including a tubular knife member coaxially disposed relative to the tubular member and being configured for actuation relative to the tubular member for severing tissue;

a linear advancement control assembly disposed within the housing and configured to effect linear actuation of the tubular knife member;

wherein the linear advancement control assembly includes a plurality of bearings mounted within the housing and being configured to effect linear movement of the tubular knife member; and

a firing module being detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient.

4. A biopsy system as recited in claim 3, wherein the plurality of bearings include three bearings oriented relative to each other such that the tubular knife member may be snap fit in between two of the bearings.

5. A biopsy system comprising:

a housing;

a biopsy instrument operatively associated with the housing, the biopsy instrument being configured and dimensioned to remove a tissue sample from a patient;

wherein the biopsy instrument includes a tubular member having a tissue receiving portion disposed near a distal end thereof, the biopsy instrument further including a tubular knife member coaxially disposed relative to the tubular member and being configured for actuation relative to the tubular member for severing tissue;

a firing module being detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient; and

an optical sensor disposed adjacent a portion of the tubular knife member and being oriented to detect the orientation of a lateral opening formed through the tubular knife member.

7. A biopsy system comprising:

a housing,

a biopsy instrument being operatively associated with the housing and including a first tubular member having a tissue basket formed near a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to the first tubular member and being configured for cooperative movement with the first tubular member to sever a tissue sample from a patient;

an indexing assembly operatively engageable with the biopsy instrument for selective orientation of the tissue basket; and

a linear advancement control assembly configured to effect linear actuation of the tubular knife member, wherein the linear advancement control assembly includes a plurality of bearings mounted within the housing and being configured to effect linear movement of the tubular knife member, and wherein the plurality of bearings are oriented relative to each other such that the tubular knife member may be snap fit in between two of the bearings.

8. A biopsy system as recited in claim 7, wherein the first tubular member includes a first cam member configured and dimensioned to cooperate with the indexing assembly to facilitate selective orientation of the tissue basket.

9. A biopsy system as recited in claim 8, the first cam member being configured to cooperate with a second cam member being disposed within the housing to orient the tissue basket to a predetermined orientation for obtaining a discrete tissue sample.

10. A biopsy system as recited in claim 8, the first cam member being configured to cooperate with a third cam member disposed within the housing to orient the tissue basket to a predetermined orientation for removal of tissue sample from the tissue basket.

11. A biopsy system as recited in claim 7, wherein the indexing assembly includes a manual gearing assembly configured to selectively orient the tissue basket.

12. A biopsy system comprising:

a housing,

a biopsy instrument being operatively associated with the housing and including a first tubular member having a tissue basket formed near a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to the first tubular member and being configured for cooperative movement with the first tubular member to sever a tissue sample from a patient;

an indexing assembly operatively engageable with the biopsy instrument for selective orientation of the tissue basket; and

an optical sensor disposed adjacent a portion of the tubular knife member and being orientated to detect the orientation of a lateral opening formed through the tubular knife member.

13. A biopsy system comprising:

a housing;

a biopsy instrument being disposed within the housing and including a first tubular member having a tissue basket disposed near a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to the first tubular member and being configured for actuation relative to the first tubular member to effect severing a discrete tissue sample; and

a linear advancement control assembly disposed within the housing and configured to cause actuation of the tubular knife member, wherein the linear advancement control assembly includes a plurality of bearings mounted within the housing and being configured to effect movement of the tubular knife member, and wherein the plurality of bearings include three bearings are oriented relative to each other such that the tubular knife member may be snap fit in between two of the bearings.

14. A biopsy system comprising:

a housing;

a biopsy instrument being disposed within the housing and including a first tubular member having a tissue basket disposed near a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to the first tubular member and being configured for actuation relative to the first tubular member to effect severing a discrete tissue sample; and

a linear advancement control assembly disposed within the housing and configured to cause actuation of the tubular knife member, wherein the linear advancement control assembly includes a plurality of bearings mounted within the housing and being configured to effect movement of the tubular knife member, and wherein the plurality of bearings are oriented and configured such that contact surfaces of the respective bearings form a partial helical thread which effects axial translation of the tubular knife member.

15. A biopsy system comprising:

a housing;

a biopsy instrument being disposed within the housing and including a first tubular member having a tissue basket disposed near a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to the first tubular member and being configured for actuation relative to the first tubular member to effect severing a discrete tissue sample;

a linear advancement control assembly disposed within the housing and configured to cause actuation of the tubular knife member;

an indexing assembly being operatively engageable with the biopsy instrument for selective orientation of the tissue basket; and

an optical sensor disposed adjacent a portion of the tubular knife member and being orientated to detect orientation of a lateral opening formed through the tubular knife member.

16. A biopsy system as recited in claim 15, wherein the first tubular member includes a first cam member configured and dimensioned to cooperate with indexing assembly to facilitate selective orientation of the tissue basket.

17. A biopsy system as recited in claim 16, the first cam member being configured to cooperate with a second cam member being disposed within the housing to orient the tissue basket to a predetermined orientation for obtaining a discrete tissue sample.

18. A biopsy system as recited in claim 16, the first cam member being configured to cooperate with a third cam member being disposed within the housing to orient the tissue basket to a predetermined orientation for removal of a tissue sample from the tissue basket.

19. A biopsy system as recited in claim 15, wherein the indexing assembly includes a manual gearing assembly configured to selectively manipulably orient the tissue basket.

20. A biopsy system comprising:

a housing;

a biopsy instrument being removably disposed within the housing and including a first tubular member having a tissue basket disposed at a distal end thereof, the tissue basket being configured for retrieval of tissue, the biopsy instrument further including a tubular knife member coaxially disposed relative to said first tubular member and configured for orientation relative to the first tubular member to sever tissue, a first cam member being mounted to the first tubular member and configured to engage a second cam member disposed at a proximal end of the biopsy instrument unit for orientation of the tissue basket; and

a carriage being slideably disposed within the housing and being configured to releasably retain at least a portion of the biopsy instrument within the housing.