Biopsy method

• US 7,066,893 B2
• Filed: 06/06/2002
• Issued: 06/27/2006
• Est. Priority Date: 06/06/2002
• Status: Expired due to Fees

• Current Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hibner, John A., Sebern, Elizabeth L., Piller, Michael
• Primary Examiner(s): Hindenburg, Max F.
• Assistant Examiner(s): FOREMAN, JONATHAN M
• Application Number:
  US10/164,198
• Publication Number:
  US 20030229293A1
• Time in Patent Office: 1,482 Days
• Field of Search: 600564-568, 606/167, 606/170, 606/180, 606/184, 606/185
• US Class Current: 600/566
• 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 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms
• CPC Class Codes: A61B 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2090/395 with marking agent for marking skin or other tissue

Abstract

A biopsy device having an insert and related method are disclosed. The insert permits a user to obtain a tissue sample surrounding a center core(s) of removed tissue. The additional tissue provides an effective evaluation of whether all the desired tissue has been excised and a determination of whether an acceptable margin of healthy tissue has been removed.

Claims

1. A method for obtaining a biopsy sample, the method comprising the steps of:

positioning a hollow biopsy probe having at least two sample ports in a tissue mass of a patient;

disposing a first insert in the probe to obtain a core tissue sample;

displacing a core specimen of tissue into the probe by displacing the core specimen through at least one sample port in the probe;

axially translating a cutter within die hollow biopsy probe to sever the core specimen of tissue from the tissue mass;

removing the core tissue specimen from the probe;

disposing a second insert within the probe to obtain a perimeter tissue sample, wherein the insert at least partially defines at least one specimen chamber;

rotating the insert to align a specimen chamber with one of the sample ports;

displacing a perimeter tissue specimen from the tissue mass into a specimen chamber through a sample port in the probe; and

axially translating the cutter to sever the perimeter specimen from the tissue mass.

2. The method of claim 1 further comprising communicating a vacuum source with the specimen chamber.

3. The method of claim 1 further comprising marking a perimeter tissue specimen to preserve the orientation of the specimen of tissue.

4. The method of claim 1 wherein at least one of the first and second inserts provides two specimen chambers, and wherein the method comprises the step of rotating the insert to align the two specimen chambers with two sample ports.

5. The method of claim 1 wherein the probe comprises multiple sample ports and wherein at least one of the first and second inserts defines multiple specimen chambers, and wherein the method comprises aligning at least two specimen chambers with two sample ports to obtain first and second perimeter tissue specimens simultaneously.

6. The method of claim 1 comprising severing a plurality of perimeter tissue specimens.

7. The method of claim 6 further comprising stacking perimeter tissue specimens in a position proximal to the specimen chamber.

8. A method for obtaining a biopsy sample, the method comprising the steps of:

providing a biopsy probe;

providing a core insert adapted for obtaining a core tissue sample;

providing a perimeter insert adapted for obtaining a perimeter tissue sample;

positioning the biopsy probe within a tissue mass;

positioning the core insert in the biopsy probe;

displacing a core specimen of tissue into the probe;

severing at least a portion of the core specimen to provide a core tissue sample;

removing the core insert from the probe;

inserting the perimeter insert in the biopsy probe after the step of removing the core insert and without removing the biopsy probe from the tissue mass;

displacing a perimeter specimen of tissue into the probe; and

severing at least a portion of the perimeter speciment to provide a perimeter tissue sample.

9. The method of claim 8 comprising displacing tissue into the probe using vacuum.

10. The method of claim 8 comprising severing a plurality of perimeter tissue specimens.

11. The method of claim 8 further comprising stacking perimeter tissue specimens.

12. The method of claim 8 further comprising marking a perimeter tissue specimen to preserve the orientation of the specimen of tissue.

13. The method of claim 8 wherein at least one of the inserts comprises at least two specimen chambers.

14. The method of claim 8 wherein the probe comprises multiple sample ports and wherein at least one insert defines multiple specimen chambers.