MRI biopsy apparatus incorporating an imageable penetrating portion

• US 9,638,770 B2
• Filed: 12/30/2005
• Issued: 05/02/2017
• Est. Priority Date: 05/21/2004
• Status: Expired due to Fees

• Current Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Original Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Inventors: Dietz, Timothy G., Datta, Keshava, Hibner, John A., Murray, Michael A., Hughes, Robert, Tsonton, Mark
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Gupta, Vani
• Application Number:
  US11/323,535
• Publication Number:
  US 20070167736A1
• Time in Patent Office: 4,141 Days
• Field of Search: 600411, 600423, 600574, 600433-435, 600426, 600431, 324309, 324318, 324307
• CPC Class Codes: A61B 10/0041 Detection of breast cancer mammography by transillumination A61B5/0091, by X-rays A61B6/502, by ultrasonic means A61B8/0825
• CPC Class Codes: A61B 10/0275 with sample notch, e.g. on the side of inner stylet
• CPC Class Codes: A61B 2010/045 Needles pointed biopsy devices with vacuum aspiration A61B10/0283
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 5/05 Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves impedance plethysmography A61B5/0295; measuring movement of the entire body or parts thereof A61B5/11; detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof A61B5/24
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process

Abstract

An obturator as part of a biopsy system enhances use with Magnetic Resonance Imaging (MRI) by indicating location of a side aperture in an encompassing cannula. The cannula (e.g., detached probe, sleeve sized to receive a core biopsy probe) includes a side aperture for taking a tissue sample. When the obturator is inserted in lieu of the biopsy device into the cannula, a notch formed in a shaft of the obturator corresponds to the side aperture. A dugout trough into the notch may further accept aqueous material to further accentuate the side aperture. In addition, a series of dimensionally varied apertures (e.g., wells, slats) that communicate through a lateral surface of the shaft and that are proximal to the side aperture receive an aqueous material to accentuate visibility in an MRI image, even in a skewed MRI slice through the cannula/obturator.

Claims

1. An apparatus for use with a minimally invasive medical procedure into human breast tissue, the apparatus comprising:

a. a cannula formed of a magnetic resonance imaging (MRI) compatible material comprising a lateral opening proximate to a distal end and a longitudinal lumen sized to receive a core biopsy cutting member;

b. an obturator comprising a shaft formed of an MRI compatible material and sized for insertion into the cannula in lieu of the core biopsy cutting member, wherein the obturator comprises an MRI imageable lumen extending longitudinally within the obturator and operably configured to receive an MRI visible fluid, wherein the MRI imageable lumen comprises;

i. a first portion positionable proximal to the lateral opening of the cannula,

ii. a second portion positionable distal to the lateral opening of the cannula, and

iii. an MRI visible insert positionable to align with the lateral opening of the cannula, wherein the MRI visible insert comprises an internal passageway connecting the first portion to the second portion, such that the internal passageway is configured to enable the MRI visible fluid to flow from the first portion of the MRI imageable lumen to the second portion of the MRI imageable lumen, wherein the MRI visible insert has a different brightness when imaged under MRI than the first and second portions that are filled with the MRI visible fluid.

2. The apparatus of claim 1, wherein the MRI visible insert appears as a dark region in an MRI scan output, and the MRI visible fluid appears as a light region in the Mill scan output.

3. The apparatus of claim 1, further comprising a vent formed in a distal portion of the obturator, wherein the vent is operably configured to pass air from within the MRI imageable lumen to outside the Mill imageable lumen.

4. The apparatus of claim 1, wherein the cannula includes an open distal end, the obturator further comprising a distally attached piercing tip.

5. The apparatus of claim 1, wherein the MRI visible insert is integrally formed with the obturator.

6. An apparatus for use with a minimally invasive medical procedure into human breast tissue, the apparatus comprising:

a. a cannula formed of a magnetic resonance imaging (MRI) compatible material comprising a lateral opening proximate to a distal end and a longitudinal lumen sized to receive a core biopsy cutting member; and

b. an obturator formed of an MRI compatible material and sized for insertion into the cannula in lieu of the core biopsy cutting member, wherein the obturator comprises a lower portion extending longitudinally and an upper portion extending longitudinally, wherein the lower portion is engaged with the upper portion, wherein the engagement of the lower portion and the upper portion permits the lower portion and the upper portion to rotate in unison, wherein the engagement of the lower portion and the upper portion permits a select one of the lower portion and the upper portion to slide longitudinally relative to the other select one of the lower portion and the upper portion to selectively close the lateral opening of the cannula during insertion of the apparatus and open the lateral opening of the cannula during imaging.

7. The apparatus of claim 6, wherein the cannula includes an open distal end, the lower portion of obturator further comprising a distally attached piercing tip.

8. The apparatus of claim 6, wherein the lower portion comprises a dovetail channel and the upper portion comprises a dovetail tab operable configured to slidingly engage the dovetail channel.

9. The apparatus of claim 6, wherein the obturator is comprised of a thermoplastic.