U.S. patent number 3,628,524 [Application Number 04/803,199] was granted by the patent office on 1971-12-21 for biopsy needle.
Invention is credited to Khosrow Jamshidi.
United States Patent |
3,628,524 |
Jamshidi |
December 21, 1971 |
**Please see images for:
( Certificate of Correction ) ** |
BIOPSY NEEDLE
Abstract
A biopsy needle of uniform diameter throughout the major portion
of its length includes a tapered distal end portion which
terminates in a distal cutting edge. An elongate stylet is
insertable into the needle and has a closed distal end which is
positioned in close proximity to and cooperates with the distal
cutting edge of the needle to present a symmetrical closed end to
facilitate insertion of the needle into a patient and collection of
a biopsy specimen. The stylet and needle are releasably interlocked
together whereby upon removal of the stylet, a biopsy tissue will
be collected in the tapered distal end portion of the needle.
Because of the expanded tapered interior of the needle there is
little, if any, compression of the tissue specimen within the
needle and therefore little, if any, damage to the tissue
specimen.
Inventors: |
Jamshidi; Khosrow (Faribault,
MN) |
Family
ID: |
25185870 |
Appl.
No.: |
04/803,199 |
Filed: |
February 28, 1969 |
Current U.S.
Class: |
600/567; 604/188;
606/184; 604/239 |
Current CPC
Class: |
A61B
10/025 (20130101) |
Current International
Class: |
A61B
10/00 (20060101); A61b 010/00 () |
Field of
Search: |
;128/2,310,2B,347,305,221 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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135,689 |
|
May 1952 |
|
SW |
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142,879 |
|
Nov 1953 |
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SW |
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153,540 |
|
Jun 1963 |
|
SU |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Howell; Kyle L.
Claims
What is claimed is:
1. An elongate hollow biopsy needle having opened distal and
proximal ends, said distal end defining a cutting edge,
said needle being of uniform hollow cylindrical configuration
throughout the major portion of its length, and having an external
distal end surface portion tapered generally uniformly,
uninterrupted, toward the tip of the distal end, and an internal
end surface defining an inner biopsy tissue receiving and retaining
bore immediately adjacent the distal end and with the needle
converging from a first circular diameter which extends along the
major portion of the length of the needle toward and to a second
and significantly smaller circular diameter at the distal end, an
elongate stylet positioned within said needle and corresponding
generally in length and shape to the bore formed in said needle,
said stylet being of uniformly cylindrical configuration throughout
a major portion of its length, and having a uniformly uninterrupted
tapered distal end portion converging to a closed distal end
tip;
means arranged on said needle and stylet to position the stylet
within said needle so that the distal ends of the needle and stylet
cooperate with each other to present a symmetrical closed tip end
whereby said needle and stylet may be inserted as a unit into a
tissue, and when said stylet is removed from the needle after
insertion into a tissue, and upon manipulation of the needle, the
distal cutting end of the needle will cut a tissue sample and the
tissue sample will be collected in the expanded distal end portion
of the bore of the needle to thereby minimize damage to the
tissue.
2. The biopsy needle as defined in claim 1 wherein said distal
cutting edge of the needle is obliquely disposed relative to the
longitudinal axis of said needle.
3. The biopsy needle as defined in claim 1 wherein said distal
cutting edge of the needle has a plurality of teeth thereon
extending along an axis disposed generally parallel to the
longitudinal axis of the needle.
4. The biopsy needle as defined in claim 1 wherein said distal
cutting edge of the needle has a pair of diametrically opposed
teeth extending therefrom along an axis generally parallel to the
longitudinal axis of the needle and each tooth defining a cutting
edge extending substantially parallel to said longitudinal axis of
said needle.
5. The biopsy needle as defined in claim 1 wherein the tapered
portion of said needle adjacent the tip edge of said distal end
portion has a rasplike circumferential exterior surface to
facilitate cutting through hard tissues such as a bone.
Description
SUMMARY OF THE INVENTION
Heretofore, biopsy tissue has been obtained by means of a number of
specialized biopsy instruments. One such instrument is a biopsy
needle which is typically of elongate cylindrical construction and
the tissue is collected interiorly of the needle. However, it has
been found that biopsy tissue collected in such needles is
compressed and often crushed so that the specimen is unusable.
Biopsy needles of this type are used to obtain bone marrow biopsy
specimens and when the specimen is unusable a new specimen must be
obtained.
It is therefore a general object of this invention to provide a
biopsy needle whose distal end portion has a uniformly tapered
interior so that the specimen is allowed to expand as it is
collected and will therefore not be crushed and damaged.
More specifically, it is an object of this invention to provide a
biopsy needle having a tapered distal portion terminating in a
cutting edge which is useful in not only obtaining bone marrow
biopsy tissue but also biopsy specimens from the liver, kidney,
spleen, skin, muscle and other tissues. One particular cutting edge
which may be employed in a biopsy needle to great advantage is a
double saw tooth cutting edge, the teeth being diametrically
opposed and each presenting a cutting edge which is substantially
parallel to the axis of the needle thereby permitting effective
radial cutting as well as penetration by the needle.
These and other objects and advantages of this invention will more
fully appear from the following description made in connection with
the accompanying drawings wherein like reference characters refer
to the same or similar parts throughout the several views.
BRIEF DESCRIPTION OF THE FIGURES OF THE DRAWING
FIG. 1 is an exploded perspective view of the biopsy needle and
stylet associated therewith,
FIG. 2 is a perspective view of a smaller, narrower stylet which
may be advantageously used to remove the tissue specimen from the
needle,
FIG. 3 is a longitudinal cross-sectional view illustrating the
stylet and needle of FIG. 1 in interlocked relation with respect to
each other, and
FIG. 4 is a perspective view of the distal end portion of a needle
illustrating the modified form of a cutting edge.
DETAILED DESCRIPTION OF THE INVENTION
Referring now to the drawings and more specifically to FIG. 1, it
will be seen that one embodiment of a novel biopsy needle
designated generally by the reference numeral 10 is there shown.
This biopsy needle is preferably constructed of metal and includes
an elongate substantially cylindrical body 11 which terminates in a
tapered distal end portion 12. Referring now to FIG. 3, it will be
noted that the interior or lumen 12a of the distal end portion is
uniformly tapered and very smoothly communicates with lumen or
interior 11a of the major portion of the tubular body 11. The
tapered end portion 12 terminates in a distal cutting edge 13
which, as shown, is oblique or bevelled relative to the
longitudinal axis of the needle. The interior surface at the distal
end of the distal end portion is bevelled or tapered outwardly to
define the cutting edge 13.
The biopsy needle 11 is provided with a pair of outwardly
projecting oppositely disposed finger grip elements 14 and
terminates in a cylindrical slightly enlarged end member 15. The
proximal end member 15 has a distal end wall 16 which has an
aperture therein that communicates with the lumen 11a of the
tubular body 11. The proximal end member 14 also has a notch 17
therein which extends from the proximal end thereof and terminates
in an offset portion.
An elongate stylet 18 is provided and is similar in shape and
length to the needle 11 and is also formed of a suitable metallic
material. The stylet is of substantially cylindrical configuration
but includes a tapered distal end portion 19 which terminates in a
bevelled or oblique distal end 20. The major portion of the stylet
18 corresponds in length to the length of the tubular body 11 but
is of slightly smaller diameter and the tapered end portion 19
corresponds in length to the length of the tapered end portion 12
of the needle 10. Thus the stylet is adapted to be inserted into
the needle in snug-fitting relation therein as best seen in FIG.
3.
The stylet 18 includes a proximal end member 21 which is of
cylindrical configuration and which is adapted to be positioned
within the proximal end member 15 of the needle 10. A locking pin
22 is affixed to the proximal end member 21 and projects radially
outwardly therefrom. This locking pin 22 is adapted to be inserted
into the notch 17 to be seated in the offset portion thereof when
the stylet is inserted into the needle 10 to releasably interlock
the stylet and needle together. This locking notch and pin on the
stylet and needle also positions the bevelled distal end 20 in a
congruent relationship with respect to the distal end 13 of the
needle 11. By positioning the stylet and needle in this
predetermined relation, the distal end of the assembly presents a
closed end surface which is disposed in substantially a single
oblique plane.
The tapered end portion 12 of the needle 10 has a rasplike exterior
surface 12b to facilitate penetration of bone when a bone or bone
marrow specimen is to be obtained. It is also pointed out that the
stylet illustrated in FIG. 2 and designated generally 23 is used in
the removal of the tissue specimen from the needle 10. This stylet
23 is of cylindrical configuration and is formed of a suitable
metallic material and includes a looped end portion 24 which
defines a handle. It is pointed out that this stylet has a
substantially smaller diameter than the diameter defined by the
opened distal end of the needle 10. The stylet is inserted into the
distal end to gently urge the specimen towards the proximal end of
the needle.
In use, the stylet 18 will be inserted into the needle 10 and will
be interlocked therewith so that the tapered distal end 20 is
positioned in predetermined relation with respect to the distal
cutting edge 13 whereby a closed symmetrical end surface disposed
substantially in a single plane is presented. The needle may be
inserted into the patient until the tissue to be removed is engaged
by the distal end of the needle. In the event that a bone matter
sample is to be obtained, the rasplike surface 12b will facilitate
penetration of a bone such as the iliac crest. Rotating the needle
about its longitudinal axis, the rasplike surface serves to produce
a boring effect upon the bone and facilities entry into the marrow.
When the distal end of the needle has reached the tissue from which
the specimen is to be removed, the stylet 18 will be removed from
the needle and the needle may again be revolved about its
longitudinal axis while urging the same forwardly. This movement of
the needle produces a cutting action of the tissue and allows the
specimen to be collected interiorly of the needle. Because of the
expanded configuration of the interior of the tapered portion 12,
the biopsy specimen will not be crushed. After the specimen has
been collected, the needle 10 may be removed from the biopsy tract
and the stylet 23 may be inserted into the distal end to urge to
specimen gently toward the proximal end of the needle and outwardly
thereof. Alternatively, a conventional syringe may be attached to
the proximal end of the needle to allow the specimen to be
aspirated from the needle.
Referring now to FIG. 4, it will be seen that a slightly different
embodiment of the cutting edge of the needle is there shown. The
needle is identical in construction to that shown in FIG. 1 and
includes a tubular body (not shown) and a uniformly tapered distal
end portion 25. The interior of the tapered end portion terminates
in a distal end which defines a cutting edge 26. The cutting edge
26 is provided with a pair of diametrically opposed teeth 27 which
projects axially of the needle. Each tooth 27 defines an axial
cutting edge 28 which is disposed substantially parallel to the
longitudinal axis of the needle. These axial cutting edges 28 are
of substantially the same length and the point of each tooth is
disposed in substantially coplanar relation. The cutting edge
surface defined between each axial cutting edge 28 is generally of
spiral configuration and facilitates cutting of a tissue as the
needle is urged forwardly in an axial direction. However, the axial
cutting edges 28 permit radial cutting when the needle is revolved
about its longitudinal axis. The needle illustrated in FIG. 4 will
also be provided with a stylet having a distal end configuration
which will present a closed end surface disposed in a single
plane.
It has therefore been found that a needle having a cutting edge
such as that shown in FIG. 4 is specifically adaptable for use in
obtaining a biopsy specimen from softer tissues such as the liver,
kidney, skin and muscle tissue. The tissue sample will enters the
expanding tapered distal end portion 25 and be moved axially of the
needle without the attendant compression effect normally associated
with conventional biopsy needles. With respect to muscle tissue, it
is preferred that because of the striations, characteristic of
muscle tissue, the needle will be of elliptical cross-sectional
configuration rather than circular cross-sectional configuration.
The distal end portion thereof will be tapered and the distal end
will terminate in a cutting edge. The stylet associated with such
needle will also have similar configuration to permit accurate
telescoping of the stylet within the needle and proper positioning
of the end of the stylet with respect to the distal end of the
needle.
It has been found that through the use of the biopsy needle
described hereinabove, specimens may be obtained without damage
through crushing of the specimen and thus preserves the spatial
relationships of the cellular elements and organelles of the tissue
biopsied. This obviates the necessity of repeating the tissue
removing technique for a biopsy specimen and thus minimizes anxiety
problems associated with patients when obtaining biopsy specimens.
It also will permit a more accurate assessment of the relationship
of the various components of the tissue biopsied. It has also been
found that the present biopsy needle which uses a uniformly tapered
distal end portion is adaptable for obtaining biopsy specimens from
various kinds of tissues and organs and thereby eliminates the need
for specialized instruments.
As pointed out above, the cutting edge of the biopsy needle may be
changed slightly in design from the oblique or bevelled cutting
edge to the design illustrated in FIG. 4 wherein a pair of
diametrically opposed teeth are utilized for cutting soft tissue.
The use of a rasplike exterior surface may be employed in biopsy
needles used in the obtaining of bone and/or bone marrow biopsy
specimens. Thus present concept contemplates the use of biopsy
needles for the purpose of acquiring biopsy specimens regardless of
the tissue specimen to be taken.
There it will be seen, from the preceding paragraphs, that we have
provided a biopsy needle which is not only of simple and
inexpensive construction, but one which functions in a more
efficient manner than any heretofore known comparable needle.
It will, of course, be understood that various changes may be made
in the form, details, arrangement and proportions of the various
parts without departing from the scope of my invention.
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