CA2351034A1 - Apparatus for the percutaneous marking of a lesion - Google Patents
Apparatus for the percutaneous marking of a lesion Download PDFInfo
- Publication number
- CA2351034A1 CA2351034A1 CA002351034A CA2351034A CA2351034A1 CA 2351034 A1 CA2351034 A1 CA 2351034A1 CA 002351034 A CA002351034 A CA 002351034A CA 2351034 A CA2351034 A CA 2351034A CA 2351034 A1 CA2351034 A1 CA 2351034A1
- Authority
- CA
- Canada
- Prior art keywords
- radiopaque marker
- marking apparatus
- biopsy
- legs
- biopsy marking
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
- A61B8/481—Diagnostic techniques involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/007—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests for contrast media
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3987—Applicators for implanting markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3995—Multi-modality markers
Abstract
A biopsy marking apparatus for placing a radiopaque marker at the location of a percutaneous biopsy. The biopsy marking apparatus comprises an introduces in combination with a radiopaque marker. The introduces ejects the radiopaque marker at the location of the biopsy. The introduces is configured to completely eject the radiopaque marker and prevent it from being subsequently drawn into the introduces as the introduces is removed from the biopsied tissue mass. The radiopaque marker has enhanced radiopaque characteristics and enhanced non-migration characteristics.
Claims (37)
1. A biopsy marking apparatus for the percutaneous placement of a marker at a biopsy site in a tissue mass to facilitate subsequent determination of the location of the biopsy site, the biopsy marking apparatus comprising:
an introduces having:
a handle to be grasped by a user;
a cannula having a proximal end mounted to the handle and a distal end defining an insertion tip, a stylet slidably received within the cannula for movement between a ready position in which a distal end of the stylet is spaced inwardly from the cannula tip to form a marker recess between the distal end of the stylet and the cannula tip, and an extended position in which the distal end of the stylet extends at least to the cannula tip to effectively fill the marker recess, and a plunger movably mounted to the handle and operably engaging the stylet, the plunger being movable between a first position and a second position for moving the stylet between the ready position and the extended position;
and a radiopaque marker disposed within the marker recess, whereby when the plunger is moved between the first and second positions, the stylet is moved from the ready to the extended position to eject the radiopaque marker from the marker recess.
an introduces having:
a handle to be grasped by a user;
a cannula having a proximal end mounted to the handle and a distal end defining an insertion tip, a stylet slidably received within the cannula for movement between a ready position in which a distal end of the stylet is spaced inwardly from the cannula tip to form a marker recess between the distal end of the stylet and the cannula tip, and an extended position in which the distal end of the stylet extends at least to the cannula tip to effectively fill the marker recess, and a plunger movably mounted to the handle and operably engaging the stylet, the plunger being movable between a first position and a second position for moving the stylet between the ready position and the extended position;
and a radiopaque marker disposed within the marker recess, whereby when the plunger is moved between the first and second positions, the stylet is moved from the ready to the extended position to eject the radiopaque marker from the marker recess.
2. The biopsy marking apparatus according to claim 1 and further comprising a latch for fixing the stylet in the extended position to prevent the return of the marker to the marker recess.
3. The biopsy marking apparatus according to claim 2 wherein the latch comprises a detent on one of the plunger and the handle and a catch on the other of the plunger and the handle, the catch being receivable within the detent as the plunger is moved from the first to the second position.
4. The biopsy marking apparatus according to claim 3 wherein the handle defines an inner surface forming a hollow interior thereof having 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.
5. The biopsy marking apparatus according to claim 4 wherein the recess is spaced from the open end and the handle further comprises a groove extending from the open end to the detent recess and is sized to receive the protuberance, whereby when the plunger is moved from the first to second position, the protuberance is slidably guided within the groove to the detent recess.
6. The biopsy marking apparatus according to claim 5 wherein the handle is formed with an opening extending through the handle to the inner surface to form the detent recess.
7. The biopsy marking apparatus according to claims 1-6 wherein the handle includes a guide passage extending from the hollow interior of the handle to the handle exterior, and the cannula proximal end is mounted within the guide passage.
8. The biopsy marking apparatus according to claim 7 wherein the stylet has a proximal end disposed within the hollow interior of the body in abutting contact with the plunger when the plunger is in the second position.
9. The biopsy marking apparatus according to claims 1-8 wherein the stylet proximal end includes a plate in abutting contact with the plunger when the plunger is in the second position.
10. The biopsy marking apparatus according to claims 1-9 wherein the radiopaque marker has an interior hollow portion thereof forming an air trap to enhance the ultrasound characteristic of the radiopaque marker.
11. The biopsy marking apparatus according to claims 1-10 wherein the radiopaque marker has an anchor about which a tissue mass can prolapse to aid in fixing the position of the radiopaque marker within the tissue mass.
12. The biopsy marking apparatus according to claims 1-11 wherein the radiopaque marker comprises a wire-form body.
13. The biopsy marking apparatus according to claim 12 wherein the body comprises a pair of legs, each of the legs having a first end and a second end, a bight portion of the body connecting the first ends of the legs and at least one of the second ends of the legs forming an anchor.
14. The biopsy marking apparatus according to claim 13 wherein said one second end comprises a tip projecting away from a longitudinal axis of the respective leg to form the anchor.
15. The biopsy marking apparatus according to claim 13 wherein each of the second ends of the legs comprises a tip projecting away from a longitudinal axis of the respective leg to form an anchor.
16. The biopsy marking apparatus according to claims 14-15 wherein the tips project away from the corresponding legs in different directions.
17. The biopsy marking apparatus according to claims 13-16 wherein each of the legs approaches the other leg in a direction from the bight portion to the respective second end.
18. The biopsy marking apparatus according to claims 13-17 wherein the legs overlap.
19. The biopsy marking apparatus according to claims 12-18 wherein the wire-form body has a hollow interior portion forming an air trap to enhance the utrasound characteristic of the radiopaque marker.
20. The biopsy marking apparatus according to claims 1-11 wherein the radiopaque marker comprises a cylindrical body.
21. The biopsy marking apparatus according to claim 20 wherein the cylindrical body comprises at least one groove for receiving a portion of a tissue mass and a corresponding ridge for abutting the prolapsed tissue and thereby forming an anchor to retard the migration of the radiopaque marker within the tissue mass.
22. The biopsy marking apparatus according to claim 21 wherein there are multiple grooves and multiple corresponding ridges forming multiple anchors.
23. The biopsy marking apparatus according to claim 22 wherein the multiple grooves are continuous.
24. The biopsy marking apparatus according to claim 23 and further comprising an anchor comprising a plate and a wire connecting the plate to the cylindrical body.
25. In a radiopaque marker for use in the percutaneous marking of a biopsy site from a tissue mass, the improvement comprising:
a marker body and an anchor extending away from the body for fixing the location of the radiopaque marker in the tissue mass by the tissue mass prolapsing about the anchor.
a marker body and an anchor extending away from the body for fixing the location of the radiopaque marker in the tissue mass by the tissue mass prolapsing about the anchor.
26. The radiopaque marker according to claim 25 wherein the body is a wire-form body comprising a pair of legs, each leg having a first and second end, a bight portion connecting the first ends of the legs, and at least the leg second end of one of the legs forming an anchor.
27. The radiopaque marker according to claim 26 wherein said one second end comprises a tip projecting away from a longitudinal axis of the respective leg to form the anchor.
28. The radiopaque marker according to claim 27 wherein the second end of each of the legs comprises a tip projecting away from a longitudinal axis of the respective leg to form an anchor.
29. The radiopaque marker according to claim 28 wherein the tips of the legs project away from the respective legs in different directions.
30. The radiopaque marker according to claim 27-30 wherein each of the legs approaches the other leg in a direction from the bight portion to the respective second end.
31. The radiopaque marker according to claim 27-30 wherein the legs overlap.
32. The radiopaque marker according to claim 25-31 wherein the body has a hollow interior portion forming an air trap to enhance the utrasound characteristic of the radiopaque marker.
33. The radiopaque marker according to claim 25 wherein the radiopaque marker comprises a cylindrical body.
34. The radiopaque marker according to claim 33 wherein the cylindrical body comprises at least one groove for receiving a portion of a tissue mass and a corresponding ridge for abutting prolapsed tissue, thereby forming an anchor to retard migration of the radiopaque marker relative to the tissue mass.
35. The radiopaque marker according to claim 34 wherein there are multiple grooves and multiple corresponding ridges forming multiple anchors.
36. The radiopaque marker according to claim 35 wherein the multiple grooves are continuous.
37. The radiopaque marker according to claim 36 including an anchor comprising a plate and a wire connecting the plate to the cylindrical body.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/596,160 | 2000-06-16 | ||
US09/596,160 US6575991B1 (en) | 1999-06-17 | 2000-06-16 | Apparatus for the percutaneous marking of a lesion |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2351034A1 true CA2351034A1 (en) | 2001-12-16 |
CA2351034C CA2351034C (en) | 2010-05-04 |
Family
ID=24386199
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2351034A Expired - Lifetime CA2351034C (en) | 2000-06-16 | 2001-06-15 | Apparatus for the percutaneous marking of a lesion |
Country Status (3)
Country | Link |
---|---|
US (7) | US6575991B1 (en) |
EP (2) | EP1163888B1 (en) |
CA (1) | CA2351034C (en) |
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-
2000
- 2000-06-16 US US09/596,160 patent/US6575991B1/en not_active Expired - Lifetime
-
2001
- 2001-06-08 EP EP01114036A patent/EP1163888B1/en not_active Expired - Lifetime
- 2001-06-08 EP EP10182082A patent/EP2277471B1/en not_active Expired - Lifetime
- 2001-06-15 CA CA2351034A patent/CA2351034C/en not_active Expired - Lifetime
-
2003
- 2003-04-23 US US10/421,517 patent/US7569065B2/en not_active Expired - Lifetime
-
2005
- 2005-09-23 US US11/162,814 patent/US10463446B2/en active Active
-
2008
- 2008-12-15 US US12/335,118 patent/US8052708B2/en not_active Expired - Fee Related
-
2011
- 2011-09-29 US US13/248,279 patent/US8579931B2/en not_active Expired - Fee Related
-
2013
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-
2017
- 2017-01-18 US US15/408,999 patent/US20170119492A1/en not_active Abandoned
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EP2277471B1 (en) | 2012-08-22 |
US8579931B2 (en) | 2013-11-12 |
EP1163888A1 (en) | 2001-12-19 |
US10463446B2 (en) | 2019-11-05 |
US20090093714A1 (en) | 2009-04-09 |
US7569065B2 (en) | 2009-08-04 |
EP2277471A2 (en) | 2011-01-26 |
US6575991B1 (en) | 2003-06-10 |
US8052708B2 (en) | 2011-11-08 |
EP1163888B1 (en) | 2012-01-11 |
EP2277471A3 (en) | 2011-02-16 |
US20030204137A1 (en) | 2003-10-30 |
US20140058258A1 (en) | 2014-02-27 |
US20170119492A1 (en) | 2017-05-04 |
US20060025795A1 (en) | 2006-02-02 |
US20120022369A1 (en) | 2012-01-26 |
CA2351034C (en) | 2010-05-04 |
US9579159B2 (en) | 2017-02-28 |
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