Fibrous marker and intracorporeal delivery thereof

• US 9,801,688 B2
• Filed: 10/21/2014
• Issued: 10/31/2017
• Est. Priority Date: 05/23/2003
• Status: Active Grant

• Current Assignee: Senorx Incorporated (Becton, Dickinson & Co)
• Original Assignee: Senorx Incorporated (Becton, Dickinson & Co)
• Inventors: Jones, Michael L., Lubock, Paul, Malchow, Lloyd H.
• Primary Examiner(s): Luong, Peter
• Application Number:
  US14/519,531
• Publication Number:
  US 20150051477A1
• Time in Patent Office: 1,106 Days
• Field of Search: 600407, 600414, 600420, 600424, 600426, 600431, 600437, 600458, 604 19, 606116, 606130
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/392 Radioactive markers
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

An intracorporeal marker delivery system includes a delivery device including a delivery cannula and a plunger. The delivery cannula has an inner lumen, a distal tip, and a discharge opening in communication with the inner lumen. A radiographically detectable marker having a fibrous-body and a radiographically detectable marker element coupled to the fibrous body is disposed within and pushable by the plunger through the inner lumen of the delivery cannula. An MRI detectable distal tip plug is disposed at least in part within a distal portion of the inner lumen distal to the radiographically detectable marker, and configured to partially occlude the discharge opening in the delivery cannula. An ultrasound detectable short term marker is interposed between the radiographically detectable marker and the MRI detectable distal tip plug in the inner lumen of the delivery cannula.

Claims

1. An intracorporeal marker delivery system, comprising:

a delivery device including a delivery cannula and a plunger, the delivery cannula having an inner lumen, a distal tip, and a discharge opening in communication with the inner lumen, and the plunger having a plunger shaft slidably received in the inner lumen;

a radiographically detectable marker having a fibrous body and a radiographically detectable marker element coupled to the fibrous body, the radiographically detectable marker disposed within and pushable by the plunger through the inner lumen of the delivery cannula;

an MRI detectable distal tip plug configured to expand in the presence of body fluids, the MRI detectable distal tip plug disposed at least in part within a distal portion of the inner lumen distal to the radiographically detectable marker, and configured to partially occlude the discharge opening in the delivery cannula; and

an ultrasound detectable short term marker, the ultrasound detectable short term marker being interposed between the radiographically detectable marker and the MRI detectable distal tip plug in the inner lumen of the delivery cannula.

2. The intracorporeal marker delivery system of claim 1, wherein the radiographically detectable marker element is incorporated into the fibrous body.

3. The intracorporeal marker delivery system of claim 1, wherein the radiographically detectable marker element is disposed about the fibrous body.

4. The intracorporeal marker delivery system of claim 3, wherein the radiographically detectable marker element of the radiographically detectable marker is configured to constrict the fibrous body.

5. The intracorporeal marker delivery system of claim 1, wherein the MRI detectable distal tip plug includes a plug body having an MRI contrast agent.

6. The intracorporeal marker delivery system of claim 1, wherein the ultrasound detectable short term marker is configured to include bubbles from about 20 to about 1000 micrometers in diameter for ultrasound detection.

7. The intracorporeal marker delivery system of claim 1, wherein the ultrasound detectable short term marker is 2.5 millimeters to 15 millimeters in length, and is shorter than the fibrous body.

8. The intracorporeal marker delivery system of claim 1, wherein each of the fibrous body and the ultrasound detectable short term marker are bioabsorbable, the fibrous body and the ultrasound detectable short term marker being configured such that the detection life of the fibrous body is shorter than the detection life of the ultrasound detectable short term marker.

9. The intracorporeal marker delivery system of claim 1, wherein at least one of the radiographically detectable marker and the ultrasound detectable short term marker further includes an MRI contrast agent.

10. An intracorporeal marker delivery system for delivering a plurality of tissue markers to a tissue site, comprising:

a delivery device including an elongated delivery cannula and a plunger, the elongated delivery cannula having an inner lumen, a distal tip, and a discharge opening in communication with the inner lumen, and the plunger having a plunger shaft slidably received in the inner lumen;

a radiographically detectable marker including a bioabsorbable fibrous marker body that carries a radiographically detectable marker element, the radiographically detectable marker disposed within the inner lumen of the delivery cannula distal to the plunger shaft;

an MRI detectable distal tip plug configured to expand in the presence of body fluids, the MRI detectable distal tip plug disposed at least in part within a distal portion of the inner lumen distal to the radiographically detectable marker, and configured to partially occlude the discharge opening in the elongated delivery cannula; and

an ultrasound detectable short term marker, the ultrasound detectable short term marker being interposed between the radiographically detectable marker and the MRI detectable distal tip plug in the inner lumen of the elongated delivery cannula.

11. The intracorporeal marker delivery system of claim 10, wherein the radiographically detectable marker element is incorporated into the bioabsorbable fibrous marker body.

12. The intracorporeal marker delivery system of claim 10, wherein the radiographically detectable marker element is disposed about the bioabsorbable fibrous marker body.

13. The intracorporeal marker delivery system of claim 12, wherein the radiographically detectable marker element of the radiographically detectable marker is configured to constrict the bioabsorbable fibrous marker body.

14. The intracorporeal marker delivery system of claim 10, wherein the MRI detectable distal tip plug includes a plug body having an MRI contrast agent.

15. The intracorporeal marker delivery system of claim 10, wherein the ultrasound detectable short term marker is configured to include bubbles from about 20 to about 1000 micrometers in diameter for ultrasound detection.

16. The intracorporeal marker delivery system of claim 10, wherein the ultrasound detectable short term marker is 2.5 millimeters to 15 millimeters in length, and is shorter than the bioabsorbable fibrous marker body.

17. The intracorporeal marker delivery system of claim 10, wherein the ultrasound detectable short term marker is made of a bioabsorbable material, the bioabsorbable fibrous marker body and the ultrasound detectable short term marker being configured such that the detection life of the bioabsorbable fibrous marker body is shorter than the detection life of the ultrasound detectable short term marker.

18. The intracorporeal marker delivery system of claim 10, wherein at least one of the radiographically detectable marker and the ultrasound detectable short term marker further includes an MRI contrast agent.

19. An intracorporeal marker delivery system for delivering a plurality of tissue markers to a tissue site, comprising:

a delivery device including an elongated delivery cannula and a plunger, the elongated delivery cannula having an inner lumen, a distal tip, and a discharge opening in communication with the inner lumen, and the plunger having a plunger shaft slidably received in the inner lumen;

a radiographically detectable marker including a bioabsorbable fibrous marker body that carries a radiographically detectable marker element, the radiographically detectable marker disposed within the inner lumen of the delivery cannula distal to the plunger shaft;

a distal tip plug configured to expand in the presence of body fluids, the distal tip plug disposed at least in part within a distal portion of the inner lumen distal to the radiographically detectable marker, and configured to partially occlude the discharge opening in the elongated delivery cannula; and

an ultrasound detectable short term marker, the ultrasound detectable short term marker being interposed between the radiographically detectable marker and the distal tip plug in the inner lumen of the elongated delivery cannula,

wherein at least one of the radiographically detectable marker, the ultrasound detectable short term marker, and the distal tip plug further includes an MRI contrast agent.