Removable localizing wire

• US 8,744,554 B2
• Filed: 03/27/2012
• Issued: 06/03/2014
• Est. Priority Date: 11/22/2004
• Status: Active Grant

• Current Assignee: Bard Peripheral Vascular Incorporated (Becton, Dickinson & Co)
• Original Assignee: Bard Peripheral Vascular Incorporated (Becton, Dickinson & Co)
• Inventors: Field, Steven E., Mulder, Brian R.
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/431,435
• Publication Number:
  US 20120239087A1
• Time in Patent Office: 798 Days
• Field of Search: 606/116, 606/185, 606/1, 600/414, 600/420, 600/431, 600/434, 600/562, 600564-567
• US Class Current: 600/431
• 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

Abstract

A localizing wire includes an anchor portion that can change shape from a collapsed shape to an expanded shape and thereby anchor within a tissue mass. The localizing wire has an exterior portion that can lie flat against the tissue mass. The localizing wire can be repositioned or withdrawn without the need for the reinsertion of an introducer.

Claims

1. A method of marking a lesion in a tissue mass in a patient, the method comprising:

providing a localizing wire and a tube having at least one lumen, the localizing wire comprising a localizing thread and a localizing anchor having a collapsed shape delineating a first bounded area when the localizing anchor is in the at least one lumen and an expanded shape delineating a second bounded area when the localizing anchor is outside the at least one lumen, wherein the second bounded area results from an area expansion of the first bounded area;

inserting the tube, with the localizing anchor in the collapsed shape in the at least one lumen, into the tissue mass;

moving one of the localizing wire and the tube to place the localizing anchor outside the at least one lumen at a first selected location relative to the lesion to release the anchor from the collapsed shape to expand to the expanded shape for exerting an expansive force by the localizing anchor against the tissue mass without puncturing the tissue mass at the first selected location relative to the lesion,

wherein the collapsed shape is defined by four angled internal corners with only one internal corner being greater than 90 degrees, and the expanded shape is a triangle.

2. The method according to claim 1, and retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape.

3. The method according to claim 2, and repositioning the tube to relocate the localizing member at a second selected location relative to the lesion.

4. The method according to claim 1, and withdrawing the tube from the tissue mass with the localizing anchor remaining in the first selected location and the localizing thread extending exterior of the tissue mass.

5. The method according to claim 4, and reinserting the tube into the tissue mass with the localizing thread extending through the at least one lumen.

6. The method according to claim 5, and retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape.

7. The method according to claim 6, and withdrawing the tube with the localizing wire therein to remove the localizing wire from the tissue mass.

8. The method according to claim 1, wherein providing a tube comprises providing one of a cannula and a sheath.

9. A method of marking a lesion in a tissue mass in a patient, the method comprising:

providing a localizing wire and a tube having at least one lumen, the localizing wire comprising a localizing thread and a localizing anchor having a collapsed shape delineating a first bounded area when the localizing anchor is in the at least one lumen and an expanded shape delineating a second bounded area when the localizing anchor is outside the at least one lumen, wherein the second bounded area results from an area expansion of the first bounded area;

inserting the tube, with the localizing anchor in the collapsed shape in the at least one lumen, into the tissue mass; and

moving one of the localizing wire and the tube to place the localizing anchor outside the at least one lumen at a first selected location relative to the lesion to release the anchor from the collapsed shape to expand to the expanded shape for exerting an expansive force by the localizing anchor against the tissue mass without puncturing the tissue mass at the first selected location relative to the lesion,

wherein the collapsed shape is substantially a figure eight shape and the expanded shape is a circle.

10. The method according to claim 9, and retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape.

11. The method according to claim 10, and repositioning the tube to relocate the localizing member at a second selected location relative to the lesion.

12. The method according to claim 9, and withdrawing the tube from the tissue mass with the localizing anchor remaining in the first selected location and the localizing thread extending exterior of the tissue mass.

13. The method according to claim 12, and reinserting the tube into the tissue mass with the localizing thread extending through the at least one lumen.

14. The method according to claim 13, and retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape.

15. The method according to claim 14, and withdrawing the tube with the localizing wire therein to remove the localizing wire from the tissue mass.

16. The method according to claim 9, wherein providing a tube comprises providing one of a cannula and a sheath.

17. A method of marking a lesion in a tissue mass in a patient, the method comprising:

providing a localizing wire and a tube having at least one lumen, the localizing wire comprising a localizing thread and a localizing anchor having a collapsed shape delineating a first bounded area when the localizing anchor is in the at least one lumen and an expanded shape delineating a second bounded area when the localizing anchor is outside the at least one lumen, wherein the second bounded area results from an area expansion of the first bounded area;

inserting the tube, with the localizing anchor in the collapsed shape in the at least one lumen, into the tissue mass;

moving one of the localizing wire and the tube to place the localizing anchor outside the at least one lumen at a first selected location relative to the lesion to release the anchor from the collapsed shape to expand to the expanded shape for exerting an expansive force by the localizing anchor against the tissue mass without puncturing the tissue mass at the first selected location relative to the lesion,

wherein each of the collapsed shape and the expanded shape is a four sided polygon.

18. The method according to claim 17, and retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape.

19. The method according to claim 18, and repositioning the tube to relocate the localizing member at a second selected location relative to the lesion.

20. The method according to claim 17, comprising:

withdrawing the tube from the tissue mass with the localizing anchor remaining in the first selected location and the localizing thread extending exterior of the tissue mass;

reinserting the tube into the tissue mass with the localizing thread extending through the at least one lumen;

retracting the localizing anchor into the at least one lumen to return the localizing anchor from the expanded shape to the collapsed shape; and

withdrawing the tube with the localizing wire therein to remove the localizing wire from the tissue mass.