Surgical device for the collection of soft tissue

• US 6,273,862 B1
• Filed: 04/05/2000
• Issued: 08/14/2001
• Est. Priority Date: 10/23/1998
• Status: Expired due to Term

• Current Assignee: Devicor Medical Products Incorporated (Danaher Corporation)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Privitera, Salvatore, Reiter, Michael J., Piller, Michael E., Hibner, John A., Buzzard, Jon D., Iverson, David S.
• Primary Examiner(s): Recia, Henry J.
• Assistant Examiner(s): HO, TAN-UYEN THI
• Application Number:
  US09/543,122
• Time in Patent Office: 496 Days
• Field of Search: 606/167, 606/168, 606/170, 606/138, 606/180, 600/566, 600/567, 128/754
• US Class Current: 600/568
• 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 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms

Abstract

A handheld biopsy device is provided for the collection of soft tissue samples from a surgical patient. In a preferred embodiment, the biopsy device comprises a handpiece, a fluid collection system, and a power transmission source. The handpiece is configured for grasping by a single hand, and being independently manipulatable by hand for movement of the instrument toward and away from the patient. An elongated piercer extends from the distal end of the handpiece. The piercer has a sharpened distal end for entering the tissue and a port located proximal to the sharpened distal end for receiving a portion of tissue mass. An elongated cutter is disposed coaxially relative to a piercer lumen of the piercer. A distal blade of the cutter slides distally past the port of the piercer to severe the tissue portion drawn into the port by vacuum. The cutter is retracted to a most proximal position for removal of the tissue portion from a cutter lumen of the cutter. The handpiece further comprises a holster for detachably connecting a cutter rotational transmission and a cutter axial transmission to the power transmission source.

Claims

1. A biopsy device for the collection and retrieval of at least one soft tissue portion from a surgical patient, said biopsy device comprising:

a. a handpiece configured for grasping by a single hand, said handpiece having a distal end and a proximal end, said handpiece being independently manipulatable by the single hand without an external support for movement of said biopsy device toward and away from the surgical patient;

b. an elongated piercer extending from the distal end of said handpiece, said piercer having

i. a piercer lumen,

ii. a sharpened distal end for entering tissue when said handpiece of said biopsy device is moved independently by the single hand toward the surgical patient so as to cause said sharpened distal end to penetrate the tissue, and

iii. a port located proximal to said sharpened distal end for receiving a portion of a tissue mass when said handpiece is further manipulated independently by the single hand so as to position the tissue mass adjacent to said port, said piercer lumen being in fluid communication with said port;

c. an elongated cutter having a distal end, a proximal end, and a cutter lumen therethrough, said cutter being disposed coaxially and slidably relative to said piercer, said cutter having a cutting blade on the cutter distal end for cutting the portion of tissue protruding into said port of said piercer when said cutter slides distally past said port, thereby depositing the portion of cut tissue within said cutter lumen of said cutter proximal to said cutting blade;

d. a cutter rotational transmission contained within said handpiece and operationally connected to said elongated cutter, and when said cutter rotational transmission is actuated, said cutter is rotated about its longitudinal axis;

e. a cutter axial transmission contained within said handpiece and operationally connected to said elongated cutter, and when said cutter axial transmission is actuated, said cutter is slid in an axial direction relative to said piercer; and

f. a power transmission source connected to the proximal end of said handpiece and operationally engageable with;

i. said cutter rotational transmission for actuating said cutter rotational transmission, and

ii. said cutter axial transmission for actuating said cutter axial transmission.

2. The biopsy device of claim 1 further comprising a tubular tissue remover having a proximal end and a distal end, said remover disposed in said cutter lumen of said cutter and having a strainer on the distal end thereof and disposed proximally of said port, said strainer for obstructing said cutter lumen so that the portion of cut tissue severed by said cutter is prevented from moving proximally through said cutter lumen.

3. The biopsy device of claim 2 further comprising a first vacuum tube having a proximal end and a distal end, and the distal end of said first vacuum tube is connected in fluid communication to the proximal end of said tubular tissue remover.

4. The biopsy device of claim 3 further comprising a first connector attached to the proximal end of said first vacuum tube, said first connector providing for the fluidic connection of said first vacuum tube to a fluid collection system.

5. The biopsy device of claim 3 wherein said first vacuum tube is made of a material which permits visualization of the flow of fluid therethrough.

6. The biopsy device of claim 1 further comprising a second vacuum tube having a distal end and a proximalend, and a portion of said second vacuum tube is contained within said handpiece, wherein the proximal end of said second vacuum tube is releasably attached to a fluid collection system, and the distal end of said second vacuum tube is in fluid communication with said piercer lumen.

7. The biopsy device of claim 6 wherein said second vacuum tube is made of a material which permits visualization of the flow of fluid therethrough.

8. The biopsy device of claim 6 further comprising a second connector attached to the proximal end of said second vacuum tube, said second connector providing for the fluidic connection of said second vacuum tube to said fluid collection system.

9. The biopsy device of claim 1 wherein said handpiece further comprises a holster for detachably connecting said handpiece to said power transmission source.

10. The biopsy device of claim 9 wherein said power transmission source includes a first electrically driven motor and a first rotatable shaft, and said first motor is connected to the proximal end of said first rotatable shaft, and said first rotatable shaft has a distal end rotationally mounted to said holster, so that said first motor is operationally engaged with said cutter rotational transmission of said handpiece.

11. The biopsy device of claim 10 wherein said power transmission source further includes a second electrically driven motor and a second rotatable shaft, and said second motor is connected to the proximal end of said second rotatable shaft, and said second rotatable shaft has a distal end rotationally mounted to said holster, so that said second motor is operationally engaged with said cutter axial transmission of said handpiece.

12. The biopsy device of claim 1 wherein said handle has a tissue sampling surface thereon disposed between the proximal and distal ends of said handpiece for the retrieval of the portion of the cut tissue from within said cutter lumen of said biopsy device.