U.S. patent number 3,929,123 [Application Number 05/432,097] was granted by the patent office on 1975-12-30 for muscle biopsy needle.
Invention is credited to Khosrow Jamshidi.
United States Patent |
3,929,123 |
Jamshidi |
* December 30, 1975 |
Muscle biopsy needle
Abstract
Means for obtaining muscle tissue specimens from a body and
comprising a generally cylindrical shaft having a tapered and
pointed distal puncturing and cutting tip, and with coaxially
disposed sheath means having a sharpened forward cutting edge
slidably enveloping the shaft. A sample receiving cavity is formed
in the shaft and is provided with a generally sharpened hook in the
forward portion of the cavity. The hook has a point directed toward
the proximate end of the shaft and comprises an overhanging barb
forming a portion of the sample retaining cavity. The sheath is
slidable over the shaft between retracted and extended
dispositions, with the forward edges of the sheath enclosing the
barb when the sheath is in its forward predetermined disposition,
and with the sharpened tip of the barb being exposed when the
sheath is in retracted disposition. The forward sharpened cutting
edge of the sheath forms a cutting edge which separates that
portion of the sample retained within the sample receiving cavity
from the bulk of the tissue, with the separation being in the form
of a clean extraction cut. For removal of the sample, simple
retraction of the device is possible.
Inventors: |
Jamshidi; Khosrow (Minneapolis,
MN) |
[*] Notice: |
The portion of the term of this patent
subsequent to January 2, 1991 has been disclaimed. |
Family
ID: |
26987154 |
Appl.
No.: |
05/432,097 |
Filed: |
January 9, 1974 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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330184 |
Feb 7, 1973 |
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Current U.S.
Class: |
600/567 |
Current CPC
Class: |
A61B
10/0275 (20130101); A61B 2017/320064 (20130101) |
Current International
Class: |
A61B
10/00 (20060101); A61B 010/00 () |
Field of
Search: |
;128/2B,2R,310,305,347 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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249,551 |
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May 1970 |
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SU |
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231,712 |
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Mar 1970 |
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SU |
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125,870 |
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May 1959 |
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SU |
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1,267,960 |
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Jun 1961 |
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FR |
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270,419 |
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May 1965 |
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AU |
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1,451,726 |
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Jul 1966 |
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FR |
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Primary Examiner: Howell; Kyle L.
Attorney, Agent or Firm: Haugen; Orrin M.
Parent Case Text
CROSS-REFERENCE TO RELATED APPLICATION
The present application is a continuation-in-part of co-pending
application Ser. No. 330,184, filed Feb. 7, 1973 and entitled
"MUSCLE BIOPSY NEEDLE", now abandoned, which application
constitutes an improvement over that device disclosed and claimed
in co-pending application Ser. No. 265,280, filed June 22, 1972 and
entitled "MUSCLE BIOPSY DEVICE", now U.S. Pat. No. 3,800,783.
Claims
I claim:
1. Biopsy means for obtaining muscle tissue specimens from a body
and comprising:
a. blade means comprising a generally cylindrical shaft and having
a shank portion with an inwardly tapered pointed distal puncturing
and cutting tip;
b. hollow tubular sheath means slidably enveloping said blade means
with free axial and arcuate rotational motion of said sheath means
relative to said cylindrical shaft and providing a hollow blade
receiving sleeve with the circumferential distal tip end of said
sheath terminating along a plane normal to the tubular axis and
being tapered inwardly at the distal tip end in continuation with
the taper formed on said blade and forming an extension of said
pointed puncturing and cutting tip;
c. a sample receiving slot formed in said blade means and forming a
sample retaining cavity in said blade at a point spaced from the
distal tip thereof and disposed adjacent the surface of said shaft
along said shank portion and adjacent said tapered zone;
d. said sheath being slidable over said blade between retracted and
extended dispositions, with the forward edges of said sheath
enclosing said sample receiving slot when said blade is in said
retracted disposition and with the said sample receiving cavity
being exposed when said blade is in said extended disposition;
and
e. detent means being formed along said cylindrical shaft, and a
mating plunger member is provided along the axial length of said
sheath means, the arrangement being such that when said distal tip
end of said sheath reaches the proximate end of the taper formed on
said blade, said plunger is received within said detent means.
2. The biopsy means as defined in claim 1 being particularly
characterized in that said sample receiving slot is arranged
obliquely to the central axis of said shaft to form a generally
sharpened hook in said blade means at a point spaced from the
distal tip thereof, said hook having a point directed toward the
proximate end of said blade and comprising an overhanging barb
forming an upper wall of a sample retaining cavity within said
blade means, the edge portions of said overhanging barb being
sharpened to present a cutting edge. pg,14
3. The biopsy means as defined in claim 1 being particularly
characterized in that sample engaging hook means are provided
within the confines of said sample receiving slot.
4. The biopsy means as defined in claim 1 being particularly
characterized in that a bore is formed within said cylindrical
shaft, and a sample engaging hook means is provided in combination
with said biopsy means, said sample engaging hook means being
slidably received axially within said bore and with the hook means
being disposed within said slot when said hook means is advanced
into said slot, with said hook means including a shaft having a
gripping handle at one end thereof and a sample engaging hook at
the other end thereof, with said shaft having a length greater than
the axial distance from the forward end of said sample receiving
slot to the proximal end of said cylindrical shaft so as to be
sufficient to carry said hook means into the confines of said
sample retaining cavity.
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 established or formed within the body.
In the gathering of biopsy samples for clinical diagnosis, certain
characteristics, conditions as well as the nature of the sample can
be determined by pathological examination. For such examination to
be meaningful for the clinical diagnosis, the biopsy sample
material must be obtained in sufficient and adequate quantities and
also in undamaged condition.
At the present time, a variety of specific biopsy instruments are
being utilized for obtaining specimens, with certain of these
methods and apparatus 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, and may suffer the
disadvantage of either damaging the sample or 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 patient as well as
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 cylindrical shaft having a tapered
pointed distal puncturing and cutting tip. A sample retaining
cavity is formed in the shaft and is arranged with an overhanging
forwardly disposed obliquely formed barb providing a generally
sharpened hook forwardly of the cavity. The hook is spaced from the
tip and remote from the tapered point of the blade, the hook
forming an overhanging barb enclosing a portion of the sample
retaining cavity. A hollow sheath is arranged to slidably envelope
the shaft and the sheath is provided with a tapered forward cutting
edge in continuation with the taper formed on the shaft, to thereby
form an extension of the pointed puncturing and cutting tip. The
sheath is slidably over the shaft between predetermined retracted
and extended dispositions, with the forward edges of the sheath
enclosing the entire axial extent of the barb when the sheath is in
predetermined forward or extended dispostion and with the sharpened
inwardly directed tip of the barb being exposed when the sheath is
in retracted disposition.
Thus, the sheath is disposed so as to cover the sample receiving
cavity and the hook means and to provide a controllable cutting
means while being moved forwardly from open to closed dispositions.
The device is utilized to puncture the body with its forward
sharpened tip with a stabbing push while the sheath encloses the
barbed portion, and when the pertinent area or zone to be examined
is reached, the sheath is withdrawn, while the blade is advanced so
as to engage fibrous tissue or muscular tissue within the hook or
barb zone. When the tissue has been gathered, the sheath is then
moved forwardly preferably with radial twisting or otherwise
advanced over the area being covered by the blade until the
predetermined forward point is reached so as to sever the gathered
tissue and capture it within the specimen retaining cavity zone
adjacent the barb or hook. The apparatus with its smooth outer
contour 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 asrt upon a study of the following
specification, appended claims, and accompanying drawing.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a side elevational view of the biopsy device of the
present invention, and illustrating the cylindrical shaft with the
sleeve portion being removed therefrom;
FIG. 2 is a side elevational view of the sleeve portion which
cooperates with the portion of the device illustrated in FIG.
1;
FIG. 3 is a side elevational view illustrating the cylindrical
shaft of FIG. 1 having the sleeve element of FIG. 2 disposed
thereover, and illustrating, in phantom, the disposition of the
forward portion of the sheath when in extended disposition over the
shaft portion;
FIG. 4 is a view similar to FIG. 1, and illustrating the
disposition of gripping hooks formed within the sample retaining
cavity;
FIG. 5 is a view similar to FIG. 4, and illustrating a second form
of gripping hook which may be utilized to immobilize or otherwise
firmly grip specimens within the sample receiving cavity;
FIG. 6 is a sectional view taken through the diameter of a
cylindrical shaft similar to that device illustrated in FIG. 1,
with a through-bore being formed therein to receive a sample
retaining hook element, such as that illustrated in FIG. 7;
FIG. 7 is a side elevational view of a sample gathering hook which
is utilized in combination with the device illustrated in FIG.
6;
FIG. 8 is a vertical sectional view taken through the diameter of
the shaft of FIG. 6, and illustrating the sample gathering hook of
FIG. 7 in place within the cylindrical shaft device of FIG. 6, and
further illustrating a sample being retained within the sample
receiving cavity, it being noted that the sheath means is shown
removed from the device of FIG. 8;
FIG. 9 is a perspective view of a biopsy device of the present
invention, which includes a predetermined stop element disposed
along the length of the cylindrical shaft, FIG. 9 illustrating the
cylindrical shaft with the sleeve portion in retracted disposition
thereover;
FIG. 10 is a detail perspective view on a slightly enlarged scale,
of the tip portion only of the device in the disposition
illustrated in FIG. 9;
FIG. 11 is a view similar to FIG. 10, but showing the sleeve
portion in its forwardly extended disposition;
FIG. 12 is a sectional view taken through the diameter of the
modification illustrated in FIG. 9, and illustrating the sleeve in
predetermined forward dispositions;
FIG. 13 is a view similar to FIG. 12 and illustrating the sleeve in
retracted disposition; and
FIG. 14 is a vertical sectional view taken along the line and in
the direction of the arrows 14--14 of FIG. 13.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In accordance with the preferred modification of the present
invention, and with particular attention being directed to FIGS. 1,
2, and 3, the biopsy means generally designated 10 comprises a
cylindrical shaft portion or element 11, the shaft having a shank
portion 12 along with a tapered pointed distal puncturing and
cutting tip 13, terminating in a point 14. A hollow sheath means 15
is arranged to slidably envelope the shaft 11 and provides a hollow
shaft receiving sleeve for the shaft 11. The tip end or edge of the
forward surface of the sheath is tapered as at 16 to form a cutting
edge, with this taper being generally in continuation with the
taper formed on the blade to form an extension of the pointed
puncturing and cutting tip area 13. It will be appreciated that the
taper formed on the tip 13 of shank 12 may be either cylindrical in
form, or may comprise a bevel-like end which in effect slices
across the diameter of the shaft to form a sharpened, generally
semi-cylindrical cutting or puncturing surface.
A slot is formed in the shaft means 11 as at 20, and is arranged
obliquely to the central axis of the shaft to form a generally
sharpened hook in the shaft at a point spaced from the tip 14. The
lateral edges of the upper portion of the blade remaining after the
slot has been formed are, of course, tapered so as to form a
generally sharpened hook as at 21, 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 20 has a point 21 which
is directed toward the proximate end of the blade and comprises an
overhanging barb partially enveloping the sample-retaining cavity
20 with opposed walls.
The sample retaining cavity is preferably formed in a plane which
is disposed substantially parallel to the axis of the shaft to form
a hook or barb element. This sharpened tip area and cooperating
sample retaining cavity plane has been found to diminish or
otherwise reduce the tendency to damage the specimen to be
obtained.
In use, therefore, the operator initially places the sheath over
the shaft and advances the sheath to cover the sample retaining
cavity at 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 while retracting
the sheath, and urges the shaft forwardly. When the blade has
entered the muscle or other fibrous tissue to a desired extent, the
sheath is then forced forwardly with relative rotation about the
shaft, if desired, and is thereby utilized to cut away or shear the
muscle tissue which has become held within the sample retaining
cavity of the device, that is, the material retained within the
specimen retaining cavity, as is indicated in detail in FIG. 3 as
at 25. With the sample thus retained, the device is retracted from
the body and the sample then made available for examination for
diagnostic purposes.
Attention is now directed to that embodiment of the device
illustrated in FIG. 4 of the drawing, wherein there is illustrated
a cylindrical shaft element 30 having a sharpened tip portion as at
31 terminating in a pointed cutting edge 32, and with an
intermediate sample retaining cavity 33 being formed along the
shaft 30. Sample retaining cavity 33 is provided with a plurality
of upstanding sample engaging hooks or teeth 34--34 which have
sharpened tip portions adapted to capture the tissue and retain it
conveniently within the sample retaining cavity. In this
embodiment, a sleeve similar to that sleeve element 15 illustrated
in FIG. 2 will be employed, with the manner of employment being
similar to that illustrated in FIG. 3.
Attention is now directed to FIG. 5 of the drawings wherein a still
further modification is illustrated wherein the shaft 30 is
provided with axially extending inwardly directed hooks 36--36
which are arranged to engage tissue coming within the confines of
sample retaining cavity 33. The function, structure and use of the
device illustrated in FIG. 5 is similar to that described in
connection with FIG. 4 hereinabove.
Attention is now directed to FIGS. 6, 7 and 8 wherein still a
further embodiment of the apparatus is shown. In this embodiment,
the cylindrical shaft 40 is provided having a sharpened forwardly
extending tip 41 terminating in point 42. A sample retaining cavity
is formed in the shank of the shaft 40 as at 43, with the purpose
of this cavity being the same as that illustrated in the
embodiments of FIGS. 1-5 inclusive. A central or axial bore is
formed within shaft 40 as at 45, with this bore being arranged to
receive the sample retaining hook element 46 therewithin. Hook
element 46 terminates in a tip 47, having a barb formed therein
with a barbed zone being shown at 48. For purposes of controlled
disposition of element 46 within shaft 40, a knurled head is
provided as illustrated at 49.
In FIG. 8, the element 46 is shown inserted within the bore 45
formed in shaft 40 and biopsy specimen or sample 50 is illustrated
as being retained or held within the confines of sample retaining
cavity 43. Also, as is apparent in the illustration of FIG. 6,
sleeve 15 is received over the circumference of shaft 40 in the
manner as has been illustrated in connection with the structures of
FIGS. 1-5 inclusive.
Attention is now directed to the embodiment illustrated in FIGS.
9-14 inclusive wherein the biopsy means generally designated 60 is
shown, with this device being generally similar to that shown and
described in connection with FIGS. 1-8 inclusive hereinabove. In
this embodiment, however, the cylindrical shaft 61 having a sleeve
element 62 disposed thereover, is provided with an annular detent
slot 64 about the proximate end of the cylindrical shaft. It is the
purpose of this annular detent to receive spring-biased plunger 65
therewithin, spring-biased plunger having been disposed within bore
66 formed in sleeve 62, with spring 67 assisting in biasing the
plunger 65 downwardly. Set screw 68 is provided to fully capture
the assembly.
The axial disposition of the annular slot 64 is predetermined so as
to provide a continuous cutting edge from the sharpened tip to the
outer circumference of the sleeve 62, and also to enable the
surgeon to ascertain when this predetermined position has been
reached.
Thus, in operation, the device is placed in its operative
disposition as illustrated in FIG. 12, and inserted into the body
to the extent necessary to reach the area or zone to be examined.
Upon reaching this point, the shaft is continually advanced into
the zone, with the sleeve being permitted to become retracted until
the disposition is reached as illustrated in FIG. 13. At this
point, the surgeon, by grasping the knurled gripping portion 69 of
the sleeve, will rotate the sleeve radially while advancing the
sleeve portion only forwardly into the body. This motion cuts away
the area captured within the barbed zone, with the cut being clean,
decisive, and uniform. The integrity of the sample is accordingly
preserved. Upon reaching the disposition of FIG. 12, the plunger 65
drops into the slotted area 64, and the entire device is then
removed.
The structures of the present invention provide an opportunity to
obtain samples of relatively large size because of the broad base
of the cylindrical structure. The sharp edges of the sheath are
arranged to rotationally cut the fibrous bundle as the device
enters the muscle, this being accomplished without causing unusual
damage to either the sample or residual tissue. This procedure is
also accomplished without unusual or difficult surgical procedures
involved.
* * * * *