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Publication numberUS2505358 A
Publication typeGrant
Publication date25 Apr 1950
Filing date20 Apr 1949
Priority date20 Apr 1949
Also published asDE849592C
Publication numberUS 2505358 A, US 2505358A, US-A-2505358, US2505358 A, US2505358A
InventorsSaul B Gusberg, Edward J Sovatkin
Original AssigneeSklar Mfg Co Inc J
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Double-cutting biopsy bistoury
US 2505358 A
Abstract  available in
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Claims  available in
Description  (OCR text may contain errors)

April 25,1950 5. B. GUSBERG ETAL DOUBLE-CUTTING BIOPSY BISTOURY Filed April 20, 1949 w M T Patented Apr. 25, 1%50 2,5055358? DOUBLE-CUTTIN G BIOPSY BISTOURY" Saul B." 1 Ginsberg; and EdwardiE .Ii. Sovatkimz. New

JY'orlnN. Y.,. assignurs to .la Sklar-Manufaetur-- ing 00., Inc., Long Island .Gity,',N-.- aicorpnration of New York Application April 20, 1949, Serial No. 88,566

3 Claims.

This invention relates to an instrument for shipping or cutting a specimen of tissue, particularly from the uterus for subsequent laboratory examination to determine the presence of diseased tissue and particularly for the purpose of determining whether such tissue is cancerous.

A suitable instrument for snipping or severing a specimen of such tissue, is made available by this invention.

The drawings show a life size view of the complete instrument, Fig. 1 being partly in section showing the snipping members spaced apart, and Fig. 2 showing the complete instrument with the parts in their relative positions during insertion and after snipping.

The entire instrument I is made of metal, preferably of stainless steel having a knurled elongated handle 2, and aifixed therein, at its upper edge, a circular post 3. The circular post 3 is provided with a circular flexible rod 4 as a continuation thereof, whereby the elongated handle 2, the post 3 and the rod 4 are'in fixed relation. The rod 4 is about the diameter of the post 3 and many times longer than the post 3, the overall measurement of the entire device shown in the drawings being approximately 9 /2 inches. A sleeve 5, having a knurled surface is mounted to slide upon the post 3. The sleeve 5 has secured thereto the tubing 6 which is slidably arranged on the rod 4. The rod 4 and the tubing 6 carry two cup-like members I and 8. The members 1 and 8 are provided, respectively, with sharpened cooperating snipping or cutting edges 9 and Ill. The member I is provided with a smooth beadlike dome Ii acting as an inserting head.

The instrument consists of two relatively movable units, the longer unit comprises the handle 2, post 3, rod 4 and the cup member 7, all aligned in fixed relation. The second unit consists of the sleeve 5, on the post 3, tubing 6 and the cup member 8, sliding with the tubing 6, to make contact with the cup member I. The sleeve 5 is always in contact with at least a portion of the post 3.

A surgeon desiring to examine tissue of a patients uterus, brings the two cup members 1 and 8 into contact, as shown in Fig. 2, locates the closed cups opposite the tissue from which a specimen is to be snipped, withdraws the lower cup 8, by sliding the sleeve 5 outwardly on the post 3, thereby separating the cups to their relative position shown in Fig. l, (at which they are about an inch apart) ,aligns the tissue from which a specimen is to be snipped between the two separated cups 1 and 8 and then moves the sleeve 5 upwardly on the post 3 until the cups engage such tissue and 2 then, while holding the handle 2 rigidly, presses upwardly on the sleeve 5 and simultaneously turns the same, whereby a specimen section of tissue is snipped by the combined pressure and cutting action of the cups and by the rotation of the lower cup 8. The maximum separation of the handle 2 and the sleeve 5 is about one inch and corresponds to the maximum distance apart of the two cup members 1 and 8. The surgeon b this arrangement may hold the instrument by firmly grasping the handle 2 in the palm of his hand and applying upward pressure upon the sleeve 5 by the use of the thumb and index finger. Inasmuch as such fingers will readily span the short distance through which the sleeve 5 is movable, the required pressure may be exerted by the thumb and index finger upon the cups 1 and 8. This arrangement permits the ready insertion and positioning of the instrument under the control of one of the surgeon's hands, and further permits the same hand to apply contact pressure of the two cups upon the tissue. When the device is manipulated for actual severing, the other hand of the surgeon is required in order to rotate the sleeve 5 while continued pressure is being applied, upon the sleeve 5, by the hand which grasps the instrument. When the snipping action is completed, the surgeon may then withdraw the instrument with finger pressure still applied to the sleeve 5 to keep the cups in contact and confine the snipped specimen within the two cups. The cups may then be separated and the specimen removed for laboratory examination.

The device may be made in different sizes, the

' device shown in the drawings representing the largest size required by a surgeon.

We claim:

1. A bistoury for snipping specimen from tissue, comprising a handle, a post on the handle, a rod on the post, a sleeve on the post, a section of tubing secured on the sleeve and encompassing said rod, a pair of cone-shaped cup members, one carried by said rod and the other by the tubing, snipping edges at the bases of said cups, said sleeve, tubing and cup carried thereby being slidably and rotatably arranged for such movements, said snipping edges interengaging when the sleeve has been moved to its maximum extent and thereby interengaging said snipping edges and closing the recesses in the cups, said handle being of such length as to fit crosswise in and be grasped by a hand of the user, said sleeve being at all times within the reach of the thumb and index finger of the user when the handle is so grasped.

2. A bistoury of the character set forth in claim 1 in which the upper cup member is provided at its apex with a dome.

3. A bistoury for snipping specimen from tissue, comprising two interengaging members, one of said members consisting of a handle, a post on the handle, a rod on the post, a cone-shaped cup member on the free end of'the rod, the other member consisting of a sleeve mounted on the post, a section of tubing carried by the sleeve and an inverted cone-shaped cup member at the free 10 end of the tubing, said members having relative sliding and rotary movement, said cup members having cutting edges at their bases, said cutting edges interengaging when said second member is moved to its maximum extent, the inverted cup ll member, while in engagement with its companion cup member, being capable of rotation with said sleeve.

S. B. GUSBERG.

EDWARD J. SOVATKIN.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS Number Name Date 1,167,014 O'Brien Jan. 4, 1916 1,867,624 Hoffman July 19, 1932

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1167014 *25 Jun 19154 Jan 1916William R O'brienVeterinary surgical instrument.
US1867624 *1 Apr 193019 Jul 1932Memorial Hospital For The TreaDevice for obtaining biopsy specimens
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3394699 *22 Jul 196530 Jul 1968Panto Entpr IncInstrument for obtaining a biopsy specimen
US3472230 *19 Dec 196614 Oct 1969Fogarty T JUmbrella catheter
US3485236 *9 Dec 196523 Dec 1969Becton Dickinson CoBiopsy specimen collecting and spreading device
US3561449 *1 May 19689 Feb 1971Frank A BellantoniCutter tool
US3705577 *22 Dec 196912 Dec 1972Sierra Rafael BBiopsy needle with eccentrically-mounted cutting tip
US3837345 *31 Aug 197324 Sep 1974A MatarVenous valve snipper
US4018228 *24 Feb 197519 Apr 1977Goosen Carl CSurgical punch apparatus
US4243048 *21 Sep 19766 Jan 1981Jim ZegeerBiopsy device
US4732154 *16 Jun 198622 Mar 1988Surgical Systems & Instruments, Inc.Rotary catheter system
US4842579 *29 Jul 198827 Jun 1989Surgical Systems & Instruments, Inc.Atherectomy device
US4886061 *9 Feb 198812 Dec 1989Medinnovations, Inc.Expandable pullback atherectomy catheter system
US4898575 *10 Jun 19886 Feb 1990Medinnovations, Inc.Guide wire following tunneling catheter system and method for transluminal arterial atherectomy
US4957482 *22 Mar 198918 Sep 1990Surgical Systems & Instruments, Inc.Atherectomy device with a positive pump means
US5011490 *7 Dec 198930 Apr 1991Medical Innovative Technologies R&D Limited PartnershipEndoluminal tissue excision catheter system and method
US5040542 *5 Mar 199020 Aug 1991Norman GrayBone biopsy needle
US5041082 *24 Feb 198720 Aug 1991Samuel ShiberMechanical atherectomy system and method
US5074311 *9 Oct 199024 Dec 1991Hasson Harrith MBiopsy device
US5129913 *4 Oct 199014 Jul 1992Norbert RuppertSurgical punch apparatus
US5156610 *26 Nov 199120 Oct 1992Evi CorporationCatheter atherotome
US5160342 *30 Dec 19913 Nov 1992Evi Corp.Endovascular filter and method for use thereof
US5211651 *16 Aug 199018 May 1993Evi CorporationCatheter atherotome
US5282484 *28 Jul 19921 Feb 1994Endovascular Instruments, Inc.Method for performing a partial atherectomy
US5372601 *30 Mar 199313 Dec 1994Lary; Banning G.Longitudinal reciprocating incisor
US5443443 *17 Aug 199322 Aug 1995Surgical Systems & Instruments, Inc.Atherectomy system
US5556405 *13 Oct 199517 Sep 1996Interventional Technologies Inc.Universal dilator with reciprocal incisor
US5643297 *10 Mar 19951 Jul 1997Endovascular Instruments, Inc.Intra-artery obstruction clearing apparatus and methods
US5643298 *6 May 19961 Jul 1997Nordgren; Gregory N.Intra-artery obstruction clearing apparatus and methods
US5665098 *23 Jul 19969 Sep 1997Endovascular Instruments, Inc.Unitary removal of plaque
US5685320 *3 May 199511 Nov 1997Zimmon; David S.Lateral biopsy device
US5746758 *21 Oct 19965 May 1998Evi CorporationIntra-artery obstruction clearing apparatus and methods
US6142955 *20 Feb 19987 Nov 2000United States Surgical CorporationBiopsy apparatus and method
US6165187 *16 Aug 199626 Dec 2000Endo Vascular Instruments, Inc.Method of enlarging a lumen of an artery
US669585931 Mar 200024 Feb 2004Coalescent Surgical, Inc.Apparatus and methods for anastomosis
US671277311 Sep 200030 Mar 2004Tyco Healthcare Group LpBiopsy system
US672670420 Mar 200027 Apr 2004By-Pass, Inc.Advanced closure device
US686086019 Nov 20011 Mar 2005Tyco Healthcare Group, LpTissue sampling and removal apparatus and method
US697933820 Mar 200027 Dec 2005By-Pass Inc.Low profile anastomosis connector
US702213130 May 19994 Apr 2006By-Pass Inc.Methods and devices for vascular surgery
US70637118 Dec 199920 Jun 2006By-Pass, Inc.Vascular surgery
US718920723 May 200313 Mar 2007Tyco Healthcare Group LpBiopsy system having a single use loading unit operable with a trocar driver, a knife driver and firing module
US729114610 Sep 20046 Nov 2007Minnow Medical, Inc.Selectable eccentric remodeling and/or ablation of atherosclerotic material
US75138773 Jun 20047 Apr 2009Tyco Healthcare Group LpTissue sampling and removal apparatus and method
US754731316 May 200316 Jun 2009Medtronic, Inc.Tissue connector apparatus and methods
US772264329 Jul 200225 May 2010Medtronic, Inc.Tissue connector apparatus and methods
US774279528 Mar 200622 Jun 2010Minnow Medical, Inc.Tuned RF energy for selective treatment of atheroma and other target tissues and/or structures
US774461119 Nov 200329 Jun 2010Medtronic, Inc.Minimally invasive valve repair procedure and apparatus
US776304010 Feb 200327 Jul 2010Medtronic, Inc.Tissue connector apparatus and methods
US787904710 Dec 20031 Feb 2011Medtronic, Inc.Surgical connection apparatus and methods
US789225528 Aug 200322 Feb 2011Medtronic, Inc.Tissue connector apparatus and methods
US78968923 Apr 20031 Mar 2011Medtronic, Inc.Multiple bias surgical fastener
US79145447 Dec 200429 Mar 2011Medtronic, Inc.Minimally invasive valve repair procedure and apparatus
US793884018 Nov 200310 May 2011Medtronic, Inc.Apparatus and methods for anastomosis
US79639732 Sep 200521 Jun 2011Medtronic, Inc.Multiple loop tissue connector apparatus and methods
US797655621 Dec 200612 Jul 2011Medtronic, Inc.Anastomosis apparatus and methods
US802951914 Sep 20064 Oct 2011Medtronic, Inc.Eversion apparatus and methods
US810534510 Jan 200331 Jan 2012Medtronic, Inc.Anastomosis apparatus and methods
US81188225 Apr 200121 Feb 2012Medtronic, Inc.Bridge clip tissue connector apparatus and methods
US812857716 Jan 20076 Mar 2012Tyco Healthcare Group LpBiopsy system
US817783610 Mar 200915 May 2012Medtronic, Inc.Apparatus and methods for minimally invasive valve repair
US82111245 Feb 20073 Jul 2012Medtronic, Inc.Sealing clip, delivery systems, and methods
US82111315 Apr 20113 Jul 2012Medtronic, Inc.Apparatus and methods for anastomosis
US8216265 *19 Sep 200810 Jul 2012Karl Storz Gmbh & Co. KgMedical instrument for punching out tissue
US829825127 Feb 200830 Oct 2012Medtronic, Inc.Anastomosis apparatus and methods
US83530927 Feb 201115 Jan 2013Medtronic, Inc.Multiple bias surgical fastener
US83539214 Aug 201015 Jan 2013Medtronic, IncTissue connector apparatus and methods
US836423726 Feb 201029 Jan 2013Vessix Vascular, Inc.Tuned RF energy for selective treatment of atheroma and other target tissues and/or structures
US839411426 Sep 200312 Mar 2013Medtronic, Inc.Surgical connection apparatus and methods
US839654811 Nov 200912 Mar 2013Vessix Vascular, Inc.Selective drug delivery in a lumen
US840166712 Nov 200919 Mar 2013Vessix Vascular, Inc.Selective accumulation of energy with or without knowledge of tissue topography
US849665323 Apr 200830 Jul 2013Boston Scientific Scimed, Inc.Thrombus removal
US85180609 Apr 200927 Aug 2013Medtronic, Inc.Medical clip with radial tines, system and method of using same
US852958331 Mar 200010 Sep 2013Medtronic, Inc.Surgical clip removal apparatus
US855109611 May 20108 Oct 2013Boston Scientific Scimed, Inc.Directional delivery of energy and bioactives
US866870424 Apr 200911 Mar 2014Medtronic, Inc.Medical clip with tines, system and method of using same
WO1989007422A1 *7 Feb 198924 Aug 1989Fischell RobertExpandable pullback atherectomy catheter system
Classifications
U.S. Classification600/564
International ClassificationA61B10/04, A61B10/00, A61B10/02, A61B17/22
Cooperative ClassificationA61B10/04, A61B17/32075
European ClassificationA61B10/04