Apparatus for the percutaneous marking of a lesion

• US 9,579,159 B2
• Filed: 11/05/2013
• Issued: 02/28/2017
• Est. Priority Date: 06/17/1999
• Status: Expired due to Fees

• Current Assignee: Bard Peripheral Vascular Incorporated (Becton, Dickinson & Co), BARD Shannon Limited (Becton, Dickinson & Co)
• Original Assignee: Bard Peripheral Vascular Incorporated (Becton, Dickinson & Co), BARD Shannon Limited (Becton, Dickinson & Co)
• Inventors: Chesbrough, Richard M., Field, Steven E., Goosen, Ryan L., Zerfas, Jeffery W., Davis, Richard E.
• Primary Examiner(s): BUI, VY Q
• Application Number:
  US14/072,436
• Publication Number:
  US 20140058258A1
• Time in Patent Office: 1,211 Days
• Field of Search: 606/185, 606/167, 606/181, 606/184, 606/1, 600/562, 600/564, 600/567, 604/164, 604/63, 604/264
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 2090/3995 Multi-modality markers
• CPC Class Codes: A61B 8/481 involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream analysis of echo signal exploiting properties of a contrast enhancer in devices for short-range imaging with acoustic waves G01S7/52039
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61M 5/007 for contrast media

Abstract

A biopsy marking apparatus for placing a radiopaque marker at the location of a percutaneous biopsy. The biopsy marking apparatus comprises an introducer in combination with a radiopaque marker. The introducer ejects the radiopaque marker at the location of the biopsy. The introducer is configured to completely eject the radiopaque marker and prevent it from being subsequently drawn into the introducer as the introducer is removed from the biopsied tissue mass. The radiopaque marker has enhanced radiopaque characteristics and enhanced non-migration characteristics.

Claims

1. A marking apparatus for the percutaneous placement of an imaging marker at a location in a tissue mass to facilitate subsequent determination of the location of the tissue mass, the marking apparatus comprising:

a handle defining a hollow interior;

a cannula mounted to the handle and configured to extend from the handle, the cannula being configured to define a lumen open to the hollow interior of the handle, a distal end of the cannula forming an insertion tip with an axial opening at the insertion tip;

a stylet having a proximal end with a proximal tip and a distal end, slidably received within the lumen for movement between a ready position and an extended position, where, in the ready position, the distal end of the stylet is spaced inwardly from the insertion tip to define a marker recess between the distal end of the stylet and the axial opening, and in the extended position the distal end of the stylet extends at least into the marker recess;

an imaging marker disposed completely within the marker recess to be expelled through the axial opening by movement of the stylet from the ready position to the extended position, wherein the imaging marker has no lead long enough to extend from the interior of the tissue mass to the exterior of the tissue mass when the imaging marker has been placed in the tissue mass;

an actuator having a plunger connected to the proximal end of the stylet, and configured to effect the relative movement of the cannula and the stylet to move the stylet from the ready position to the extended position by moving the plunger between first and second positions to expel the imaging marker; and

a safety configured to prohibit the sliding of the stylet, wherein the safety comprises a channel provided on one of the handle and the plunger and a catch provided on the other of the handle and the plunger such that when the catch and channel are aligned, the plunger can move between the first and second positions and when the catch and the channel are mis-aligned, the plunger cannot move between the first and second positions.

2. The marking apparatus of claim 1, wherein the imaging marker comprises a wire-form body.

3. The marking apparatus of claim 2, wherein the imaging marker includes an interior hollow portion thereof forming an air trap to enhance the ultrasound characteristic of the imaging marker.

4. The marking apparatus of claim 3, wherein the imaging marker comprises a wire-form coil.

5. The marking apparatus of claim 1, wherein the stylet is slidably mounted to the handle such that at least a portion of the stylet remains within the hollow interior of the handle as the stylet is slid between the ready and the extended position.

6. The marking apparatus of claim 1, further comprising a stop preventing the ready removal of the stylet from the handle.

7. A marking apparatus, comprising:

a handle defining a hollow interior;

a cannula mounted to the handle, the cannula being configured to define a lumen open to the hollow interior of the handle, a distal end of the cannula forming an insertion tip with an axial opening at the insertion tip;

a stylet having a proximal end with a proximal tip and a distal end, slidably received within the lumen for movement between a ready position and an extended position, where, in the ready position, the distal end of the stylet is spaced inwardly from the insertion tip to define a marker recess;

an imaging marker disposed completely within the marker recess to be expelled through the axial opening, the imaging marker has no lead long enough to extend from the interior of the tissue mass to the exterior of the tissue mass when the imaging marker has been placed in the tissue mass;

an actuator having a plunger coupled to the stylet, the actuator being configured to effect the relative movement of the cannula and the stylet to move the stylet from the ready position to the extended position to expel the imaging marker from the axial opening at the insertion tip;

a safety that comprises a channel provided on one of the handle and the actuator and a catch provided on the other of the handle and the actuator and configured such that when the catch and channel are rotationally aligned, the plunger can move the stylet from the ready position to the extended position, and configured such that when the catch and the channel are rotationally mis-aligned, the plunger cannot move the stylet from the ready position to the extended position; and

a latch mechanism that includes the catch of the safety, and configured such that the catch fixes the stylet in the extended position to prevent the retraction of the stylet from the extended position,

whereby the marking apparatus has the handle, the cannula, the stylet, the actuator, and the latch combined as a single unitary self-contained device, and is configured to be grasped and operated by a single hand of a user.

8. The marking apparatus of claim 7, wherein the latch mechanism comprises a detent on one of the plunger and the handle and the catch on the other of the plunger and the handle, the catch being receivable within the detent as the stylet is moved from the ready position to the extended position.

9. The marking apparatus of claim 8, wherein the handle has an inner surface forming the hollow interior and defining an open end, the plunger being slidably received within the handle hollow interior through the open end, the detent comprising a recess formed in the handle inner surface, and the catch comprising a protuberance extending from the plunger.

10. The marking apparatus of claim 7, further comprising a stop configured to prevent the ready removal of the stylet from the handle.

11. A marking apparatus for the percutaneous placement of an imaging marker at a location in a tissue mass to facilitate subsequent determination of the location of the tissue mass, the marking apparatus comprising:

a handle defining a hollow interior;

a cannula extending from the handle and defining a lumen open to the hollow interior of the handle, a distal end of the cannula forming an insertion tip with an axial opening at the insertion tip;

a stylet having a distal end, slidably received within the lumen for movement between a ready position and an extended position, where, in the ready position, the distal end of the stylet is spaced inwardly from the insertion tip to define a marker recess between the distal end of the stylet and the axial opening, and in the extended position the distal end of the stylet extends at least into the marker recess;

an actuator having a plunger, the plunger having at least a portion slidably mounted within the hollow interior of the handle and connected to the stylet to effect movement of the stylet between the ready and extended positions by moving the plunger between first and second positions;

an imaging marker disposed completely within the marker recess to be expelled through the axial opening by movement of the stylet from the ready position to the extended position, wherein the imaging marker has no lead long enough to extend from the interior of the tissue mass to the exterior of the tissue mass when the imaging marker has been placed in the tissue mass; and

a safety that comprises a channel provided on one of the handle and the actuator and a catch provided on the other of the handle and the actuator and configured such that when the catch and channel are rotationally aligned, the plunger can move the stylet from the ready position to the extended position, and configured such that when the catch and the channel are rotationally mis-aligned, the plunger cannot move the stylet from the ready position to the extended position.

12. The marking apparatus of claim 11, wherein the plunger is slidably mounted to the handle and configured such that the plunger is not removable from the handle after the expulsion of the imaging marker without deforming at least one of the handle and the plunger.

13. The marking apparatus of claim 11, wherein the plunger configured to effect movement of the stylet from the ready position to the extended position to expel the imaging marker from the axial opening at the insertion tip, whereby the marking apparatus has the handle, the cannula, the stylet, the plunger and the actuator combined as a single unitary self-contained device, and is configured to be grasped and operated by a single hand of a user.

14. The marking apparatus of claim 11, wherein the plunger is slidably mounted to the handle such that the plunger is not readily removable from the handle after the expulsion of the imaging marker from the marker recess.

15. The marking apparatus of claim 14, further comprising a stop preventing the ready removal of the plunger from the handle.

16. The marking apparatus of claim 11, comprising a latch mechanism that includes the catch of the safety, and configured such that the catch fixes the stylet in the extended position to prevent the retraction of the stylet from the extended position.

17. The marking apparatus of claim 11, wherein the imaging marker includes an interior hollow portion thereof forming an air trap to enhance the ultrasound characteristic of the imaging marker.

18. The marking apparatus of claim 17, wherein the imaging marker is made from a wire-form coil.