WO2002087447A1 - Surgical biopsy device - Google Patents
Surgical biopsy device Download PDFInfo
- Publication number
- WO2002087447A1 WO2002087447A1 PCT/US2002/012325 US0212325W WO02087447A1 WO 2002087447 A1 WO2002087447 A1 WO 2002087447A1 US 0212325 W US0212325 W US 0212325W WO 02087447 A1 WO02087447 A1 WO 02087447A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- tissue
- members
- housing
- respect
- carrier
- Prior art date
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/0041—Detection of breast cancer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00287—Bags for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
- A61B2017/008—Removal of tumors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B2017/32004—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes having a laterally movable cutting member at its most distal end which remains within the contours of said end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1407—Loop
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2238—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with means for selectively laterally deflecting the tip of the fibre
-
- 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
- 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
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
Definitions
- the apparatus preferably further comprises a first carrier slidably positioned over the first and third member, wherein the first carrier supports and advances the electrocautery wire and a suture for closing the tissue retrieval bag
- Figure 4 A is a perspective view of the apparatus of Figure 1 showing the outer rails in the fully deployed position and the inner rails slightly advanced from within the outer rails;
- Figure 6B is an enlarged perspective view of the distal end portion of the apparatus of Figure 6A;
- Figure 16 is a further enlarged view of the distalniost portion of the apparatus of Figure 15 illustrating the carriers fully advanced over the inner rails;
- Figure 18B is an enlarged sectional view, cut in the longitudinal and transverse planes showing the interaction of the pin, lock and catheter in the deployed position of the apparatus;
- Figure 22 is an enlarged view of an alternate embodiment of the carrier having hooks to retain the cutting wire
- Figure 35 is a perspective view of the apparatus inserted in a different orientation through an opening in a breast compression plate.
- Cannula or housing 12 can be composed of two separate cannulas: a proximal cannula 13 extending from conically shaped handle portion 14 and a reduced diameter cannula 16 extending distally from proximal cannula 13 and beginning at plastic interface 13 a.
- cannula 12 can be composed of a single cannula having a larger diameter proximal portion (like cannula 13) and a smaller diameter distal portion (like cannula 16).
- a portion of cannula 16 or of the reduced diameter cannula portion is configured for insertion into the patient's body.
- ring 30 has a pair of pins 32 extending through respective apertures 34 to engage ring-like slug 35 and ring 40 has a pair of pins 42 extending through apertures 44 to engage ring-like slug 45.
- Slugs 35 and 45 like slug 25, frictionally receive locks 33, 43 within radial openings 36, 46, and have a series of axial openings 38, 48, to receive the inner rails 60 and carriers 70, respectively.
- the number of openings 38, 48 corresponds to the respective number of rails 60 and carriers 70.
- Locks 33 and 43 have openings 31, 41 to receive and secure the pins 32, 42. In this manner, rings 30 and 40 are operatively connected to slugs 35 and 45.
- proximal deployment ring 20 is slid distally to advance slug 25, carrying the rails 50 distally to advance from channel 18 of cannula 16 to the deployed position as shown in Figures 3 A and 3B. (The pins in these Figures as well as Figures 4-9 have been removed for convenience). Edge 19 of slot 17a functions as a positive stop to limit travel of proximal ring 20.
- rails 50 extend radially outwardly with respect to a longitudinal axis L of cannula 16. In this position, rails 50 can direct inner rails 60 upwardly and outwardly with respect to the reduced diameter cannula 16.
- the cutting wire 86 is threaded through openings 74a, 74b in adjacent carriers 70 in a similar manner as suture 82. That is, wire 86 extends into a carrier 70 through opening 74a and exits the carrier 70 through opening 74b where it can enter opening 74a in adjacent carrier 80.
- the wire is formed into a loop 85 as shown, with the free end extending proximally through one of the carriers 70, e.g. through longitudinal slot 71, terminating within cannula 12.
- a constant force spring (not shown) is mounted at one end within cannula 12 or handle 14 and at another end to the proximal end of cutting wire 86.
- a connection wire (not shown) electrically connects cutting wire 86 to an RF frequency source for applying RF energy to the cutting wire 86. As cutting wire 86 is advanced, it is held in tension by the spring.
- Figure 22 illustrates an alternative embodiment of a carrier for retaining the cutting wire, suture and tissue retrieval bag.
- the bag and suture are mounted in a similar fashion as in the embodiment of Figures 21.
- the carriers 70' instead of openings through the carrier 70, for the cutting wire, the carriers 70' each have an eyelet 75 to retain the wire.
- the eyelets 75 are formed at the end of rods 76 which extending through longitudinal slot 71.
- the free end of the wire 86 would extend through one of the longitudinal slots 71 in carrier 70 to a proximally positioned spring.
- This embodiment allows the entire region of the wire to be exposed to tissue.
- the suture is not shown for clarity but would extend through openings in the carrier in the identical manner as Figure 21.
- the wire marker can be used as confirmation of the position of the deployed inner and outer rails 50 and 60.
- a lockout can be provided that would allow deployment of rails 50 and 60 only after the wire marker is advanced, thereby aiding the positioning of the rails with respect to the lesion.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP02728840A EP1392172B1 (en) | 2001-04-27 | 2002-04-18 | Surgical biopsy device |
DE60233724T DE60233724D1 (en) | 2001-04-27 | 2002-04-18 | SURGICAL BIOPSY DEVICE |
AU2002258866A AU2002258866B2 (en) | 2001-04-27 | 2002-04-18 | Surgical biopsy device |
JP2002584802A JP4271946B2 (en) | 2001-04-27 | 2002-04-18 | Surgical biopsy device |
CA2443966A CA2443966C (en) | 2001-04-27 | 2002-04-18 | Surgical biopsy device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/844,729 | 2001-04-27 | ||
US09/844,729 US6626903B2 (en) | 1997-07-24 | 2001-04-27 | Surgical biopsy device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2002087447A1 true WO2002087447A1 (en) | 2002-11-07 |
Family
ID=25293486
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2002/012325 WO2002087447A1 (en) | 2001-04-27 | 2002-04-18 | Surgical biopsy device |
Country Status (8)
Country | Link |
---|---|
US (3) | US6626903B2 (en) |
EP (1) | EP1392172B1 (en) |
JP (1) | JP4271946B2 (en) |
AU (1) | AU2002258866B2 (en) |
CA (1) | CA2443966C (en) |
DE (1) | DE60233724D1 (en) |
ES (1) | ES2331563T3 (en) |
WO (1) | WO2002087447A1 (en) |
Cited By (9)
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WO2008057824A2 (en) * | 2006-11-08 | 2008-05-15 | Boston Scientific Limited | Sphincterotome with stiffening member |
US8926647B2 (en) | 2002-03-20 | 2015-01-06 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US8956319B2 (en) | 2002-05-17 | 2015-02-17 | Spiration, Inc. | One-way valve devices for anchored implantation in a lung |
US8974484B2 (en) | 2001-09-11 | 2015-03-10 | Spiration, Inc. | Removable lung reduction devices, systems, and methods |
US8974527B2 (en) | 2003-08-08 | 2015-03-10 | Spiration, Inc. | Bronchoscopic repair of air leaks in a lung |
US8986336B2 (en) | 2001-10-25 | 2015-03-24 | Spiration, Inc. | Apparatus and method for deployment of a bronchial obstruction device |
US9198669B2 (en) | 2006-03-31 | 2015-12-01 | Spiration, Inc. | Articulable anchor |
US20220265252A1 (en) * | 2021-02-19 | 2022-08-25 | Covidien Lp | Device for tissue harvesting for biopsy examination |
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US20220265252A1 (en) * | 2021-02-19 | 2022-08-25 | Covidien Lp | Device for tissue harvesting for biopsy examination |
Also Published As
Publication number | Publication date |
---|---|
ES2331563T3 (en) | 2010-01-08 |
EP1392172B1 (en) | 2009-09-16 |
CA2443966C (en) | 2011-05-17 |
US20040087942A1 (en) | 2004-05-06 |
US6960172B2 (en) | 2005-11-01 |
AU2002258866B2 (en) | 2006-12-07 |
US6626903B2 (en) | 2003-09-30 |
DE60233724D1 (en) | 2009-10-29 |
US20010047169A1 (en) | 2001-11-29 |
CA2443966A1 (en) | 2002-11-07 |
EP1392172A1 (en) | 2004-03-03 |
JP2004529708A (en) | 2004-09-30 |
JP4271946B2 (en) | 2009-06-03 |
US20060030847A1 (en) | 2006-02-09 |
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