U.S. patent number 3,800,783 [Application Number 05/265,280] was granted by the patent office on 1974-04-02 for muscle biopsy device.
Invention is credited to Khosrow Jamshidi.
United States Patent |
3,800,783 |
Jamshidi |
April 2, 1974 |
MUSCLE BIOPSY DEVICE
Abstract
Mean for obtaining muscle tissue specimens from a body
comprising a generally rectangular blade having a tapered and
pointed distal puncturing and cutting tip, and with sheath means
for slidably enveloping the blade. A slot is formed in the blade
and is arranged generally obliquely to the central axis of the
blade to form a generally sharpened hook in the blade. The hook has
a point directed toward the proximate end of the blade and
comprises an overhanging barb forming a sample-retaining cavity.
The blade is slidable within the sheath between retracted and
extended dispositions, with the forward edges of the sheath
enclosing the barb when the blade is in retracted disposition, and
with the sharpened tip of the barb being exposed when the blade is
in extended disposition.
Inventors: |
Jamshidi; Khosrow (Minneapolis,
MN) |
Family
ID: |
23009809 |
Appl.
No.: |
05/265,280 |
Filed: |
June 22, 1972 |
Current U.S.
Class: |
600/567;
606/184 |
Current CPC
Class: |
A61B
10/0275 (20130101) |
Current International
Class: |
A61B
10/00 (20060101); A61b 010/00 () |
Field of
Search: |
;128/2B,2R,347,310,305 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Howell; Kyle L.
Claims
I claim:
1. Biopsy means for obtaining muscle tissue specimens from a body
and comprising:
a. blade means in the form of a rigid generally rectangular
parallelepipedon with opposed upper and lower surfaces and opposed
lateral edges and having a shank portion with a tapered pointed
distal puncturing and cutting tip;
b. hollow rectangular sheath means slidably enveloping said blade
means and providing a hollow blade-receiving sleeve with the distal
tip end of each surface of said sheath being tapered in
continuation with the taper formed on said blade and forming an
extension of said pointed puncturing and cutting tip;
c. a slot formed in said blade means and arranged obliquely to the
central axis and extending toward the tip end thereof to form a
generally sharpened hook in said blade spaced from the tip thereof
and disposed on said upper surface along said shank portion and
adjacent said tapered zone, said hook having a point directed
toward the proximate end of said blade and comprising an
overhanging barb forming a sample-retaining cavity with opposed
blade and barb walls, said cavity having an inner end wall surface
disposed generally within said shank portion;
d. said barb being rigid and having a generally triangular
configuration with a sharpened tip and sharpened lateral cutting
edges;
e. said blade being slidable within said sheath between retracted
and extended dispositions, with the forward edges of said sheath
enclosing said barb when said blade is in said retracted
disposition and with the sharpened tip of said barb being exposed
when said blade is in said extended disposition.
2. The biopsy means as defined in claim 1 being particularly
characterized in that said opposed blade and barb walls forming
said sample-retaining cavity are arranged in planes disposed
substantially parallel to the tapered tip portion of said upper
blade surface.
Description
BACKGROUND OF THE INVENTION
The present invention relates generally to an improved biopsy
device, and more particularly to a means for obtaining muscle
tissue or other fibrous samples. The biopsy apparatus of the
present invention is particularly adapted to obtain such samples
without requiring the patient to undergo unusual or extensive
surgical procedures, and without the requirement that large
openings be formed within the body.
In the gathering of biopsy samples for clinical diagnosis, the
nature of the same can be determined by pathological examination.
For such examination to be meaningful in the clinical diagnosis,
the biopsy material must be obtained in adequate quantities and
also in undamaged condition.
At the present time, a variety of specific biopsy instruments are
being utilized for obtaining specimens, with these methods normally
making use of cylindrical punches having barbed hooks disposed
thereon. However, such instruments are normally cumbersome when
being utilized for obtaining biopsy specimens from fibrous or
muscular tissue, or may suffer the disadvantage of obtaining
extremely minute quantities for pathological examination.
Accordingly, it is deemed desirable to utilize a device which
reduces the complexity of the procedure for the operator, thereby
reducing the incidents of complications resulting therefrom, and
also to utilize apparatus which neither damages nor destroys the
specimen when being obtained.
SUMMARY OF THE INVENTION
Briefly, in accordance with the present invention, a biopsy means
is provided for obtaining fibrous or muscle tissue specimens from a
body, the means comprising a blade in the form of a generally
rectangular parallelepipedon with opposed upper and lower surfaces,
and with opposed lateral edges, with the blade having a tapered
pointed distal puncturing and cutting tip. A slot is formed in the
blade and is arranged obliquely to the central axis of the blade to
form a generally sharpened hook in the blade, with the hook being
spaced from the tip and remote from the tapered point of the blade,
the hook forming an overhanging barb to define a sample-retaining
cavity with opposed blade and barb walls. A hollow rectangular
sheath is arranged to slidably envelope the blade and the sheath is
provided with tapered cutting edges in continuation with the taper
formed on the blade, to thereby form an extension of the pointed
puncturing and cutting tip. The blade is slidable within the sheath
between retracted and extended dispositions, with the forward edges
of the sheath enclosing the barb when the blade is in retracted
disposition and with the sharpened tip of the barb being exposed
when the blade is in extended disposition.
Thus, the sheath is disposed so as to cover the hook means, and the
device utilized to puncture the body with a stabbing push, and when
the pertinent area is reached, the sheath is permitted to be
withdrawn, while the blade is advanced so as to engage fibrous
tissue or muscular tissue within the hook zone. When the tissue has
been gathered, the sheath is then moved forwardly or advanced over
the area covered by the blade so as to shear the gathered tissue
and capture it within the specimen-retaining cavity zone. The
apparatus is then withdrawn and the biopsy specimen utilized for
its intended purpose of examination for diagnostic purposes.
Therefore, it is a primary object of the present invention to
provide an improved biopsy gathering device, particularly adapted
to gather fibrous or muscular tissue without requiring unusual or
difficult surgical procedures.
It is still a further object of the present invention to provide an
improved device for obtaining biopsy specimens which device obtains
specimens with minimal discomfort for the patient, and with a
resulting minimal degree of damage or exposure to damage for the
gathered specimen.
It is yet a further object of the present invention to provide an
improved device for obtaining biopsy specimens which reduces the
complexity of the procedures for the operator, and thereby reduces
the extent of complications resulting therefrom.
Other and further objects of the present invention will become
apparent to those skilled in the art upon a study of the following
specification, appended claims, and accompanying drawing.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a top plan view of the biopsy device of the present
invention, and illustrating the blade in extended disposition, with
the hook portion being exposed, and illustrating, in phantom, the
disposition of the blade in retracted disposition, and with a
portion of the sheath being broken away;
FIG. 2 is a side elevational view of the device shown in FIG. 1,
and with a portion of the sheath being broken away;
FIG. 3 is a detail sectional view, on a slightly enlarged scale,
and illustrating a latch and locking mechanism for controlling the
disposition of the sheath means of the device illustrated in FIGS.
1 and 2, and with the forward portion of the device being broken
away;
FIG. 4 is a vertical sectional view taken along the line and in the
direction of the arrows 4--4 of FIG. 1, with this figure being on a
slightly enlarged scale and illustrating the forward tip portion
only of the apparatus illustrated in FIGS. 1 and 2; and
FIG. 5 is a vertical sectional view taken along the line and in the
direction of the arrows 5--5 of FIG. 1 and illustrating the
structure with the blade in retracted disposition, and with a
muscle specimen retained within the specimen-retaining cavity.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In accordance with the preferred modification of the present
invention, and with particular attention being directed to FIGS. 1
and 2, the biopsy means generally designated 10 comprises a blade
portion or element 11 in the form of a generally rectangular
parallelepipedone with opposed upper and lower surfaces 12 and 13,
and lateral edges 14 and 15. The blade has a shank portion along
with a tapered pointed distal puncturing and cutting tip 17,
terminating in a point 18. A hollow rectangular sheath means 20 is
arranged to slidably envelope the blade 11 and provides a hollow
blade receiving sleeve for the blade 11. The tip end of each
surface of the sheath is tapered as at 21, with this taper being in
continuation with the taper formed on the blade and forms an
extension of the pointed puncturing and cutting tip area 17.
A slot is formed in the blade means 11 as at 23, and is arranged
obliquely to the central axis of the blade to form a generally
sharpened hook in the blade at a point spaced from the tip 18. The
lateral edges of the upper portion of the blade remaining after the
slot has been formed are tapered away so as to form a generally
sharpened hook as at 24, with these lateral edges being sharpened
so as to form a sharpened cutting edge. The overhanging portion of
the hook is, as indicated, spaced from the tip of the blade.
It will be noted, therefore, that the hook 24 has a point 25 which
is directed toward the proximate end of the blade and comprises an
overhanging barb forming the sample-retaining cavity 23 with its
opposed blade and barb walls.
Attention is now directed to FIG. 3 wherein the details of the
latching means are illustrated. The proximate end of the sleeve 20
is roughened or knurled as at 30 to enhance the gripping features
of the sheath. A spring-loaded latching dogs 31 and 32 are
provided, with the spring element being shown at 33. A
dog-retaining recess is available at 35 and 36 to permit retraction
of the dogs into the cavity to permit the sleeve to be slid
thereover. A pivot means for the dogs is illustrated at 37 and 38,
with a stop lug being shown at 39 and 40.
The sample-retaining cavity is preferably formed in a plane which
is disposed substantially parallel to the plane of the tapered tip
portion of the upper blade surface, since this sharpened tip area
and cooperating sample-retaining cavity plane will diminish or
otherwise reduce the tendency to damage the specimen to be
obtained.
In use, therefore, the operator initially places the sheath over
the tip portion of the structure, and urges the device forward with
a stabbing push. Upon reaching the tissue area to be examined, the
operator extends the blade forwardly by retracting the sheath, and
urges the blade forwardly thereafter. When the blade has entered
the muscle or other fibrous tissue a desired amount, the sheath is
then forced forwardly and thereby is utilized to cut away or shear
the muscle tissue retained within the hook area of the device, that
is, the material retained within the specimen-retaining cavity, as
is indicated in detail in FIG. 5 as at 42. With the sample thus
retained, the device is retracted from the body and the sample then
made available for examination for diagnostic purposes.
The structure of the present invention provides an opportunity to
obtain samples of relatively large size because of the broad base
of the rectangular structure. The sharp edges of the sheath are
arranged to cut the fibrous bundle as the device enters the muscle,
this being accomplished without causing unusual damage to the
tissue. This procedure is also accomplished without unusual or
difficult surgical procedures involved.
* * * * *