Biopsy apparatus having a tissue sample retrieval mechanism

Information

  • Patent Grant
  • 8485989
  • Patent Number
    8,485,989
  • Date Filed
    Tuesday, September 1, 2009
    15 years ago
  • Date Issued
    Tuesday, July 16, 2013
    11 years ago
Abstract
A biopsy apparatus includes a biopsy probe having a biopsy cannula and a sample basket arranged coaxially about a longitudinal axis. The sample basket is movably disposed relative to the biopsy cannula along the longitudinal axis from a tissue harvesting position to a tissue sample retrieval region. The sample basket has a sample notch formed as an elongate recessed region for receiving a tissue sample. A tissue sample retrieval mechanism includes a sample collection tank configured for removable insertion into a sample tank receptacle. The sample tank receptacle permits movement of the sample collection tank in a direction perpendicular to the longitudinal axis and prohibits movement of the sample collection tank in a direction along the longitudinal axis. The sample collection tank is configured to retrieve the tissue sample directly from the sample notch as the sample basket is moving along the longitudinal axis at the tissue sample retrieval region.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS

This application is related to International Application No. PCT/US2009/040663, filed Apr. 15, 2009.


MICROFICHE APPENDIX

None.


GOVERNMENT RIGHTS IN PATENT

None.


BACKGROUND OF THE INVENTION

1. Field of the Invention


The present invention relates to a biopsy apparatus, and, more particularly, to a biopsy apparatus having a tissue sample retrieval mechanism, and a method for retrieving a tissue sample using the same.


2. Description of the Related Art


A biopsy may be performed on a patient to help in determining whether the cells in a biopsied region are cancerous. One type of vacuum assisted biopsy apparatus includes a hand-held driver assembly having a vacuum source, and a disposable biopsy probe assembly configured for releasable attachment to the driver assembly. One biopsy technique used to evaluate breast tissue, for example, involves inserting a biopsy probe into the breast tissue region of interest to capture one or more tissue samples from the region.


The biopsy probe typically includes a biopsy cannula, e.g., a needle, having a cylindrical side wall defining a lumen, and having a side sample notch located near the distal end that extends though the side wall to the lumen. A cutting cannula is positioned coaxial with the biopsy cannula to selectively open and close the sample notch. Vacuum is applied to the lumen, and in turn to the sample notch, for receiving the tissue to be sampled when the sample notch is opened, after which the sample notch is closed by the cutting cannula to sever the tissue, and the severed tissue is transported by vacuum out of the lumen and collected.


SUMMARY OF THE INVENTION

The present invention provides a fully integrated hand-held biopsy apparatus having a tissue sample retrieval mechanism that does not rely on vacuum to transport a harvested tissue sample from the biopsy cannula to a tissue sample collection tank.


As used herein, the terms “first” and “second” preceding an element name, e.g., first drive, second drive, etc., are for identification purposes to distinguish between different elements having similar characteristic, and are not intended to necessarily imply order, unless otherwise specified, nor are the terms “first” and “second” intended to preclude the inclusion of additional similar elements.


The invention, in one form thereof, is directed to a biopsy apparatus. The biopsy apparatus includes an electromechanical power source, a biopsy probe, and a tissue sample retrieval mechanism. The biopsy probe is drivably coupled to the electromechanical power source. The biopsy probe includes a biopsy cannula and a sample basket arranged coaxially about a longitudinal axis. The sample basket is movably disposed relative to the biopsy cannula along the longitudinal axis from a tissue harvesting position to a tissue sample retrieval region. The sample basket has a sample notch formed as an elongate recessed region for receiving a tissue sample. The tissue sample retrieval mechanism includes a sample tank receptacle and a sample collection tank configured for removable insertion into the sample tank receptacle. The sample tank receptacle permits movement of the sample collection tank in a direction perpendicular to the longitudinal axis and prohibits movement of the sample collection tank in a direction along the longitudinal axis. The sample collection tank is configured to retrieve the tissue sample directly from the sample notch as the sample basket is moving along the longitudinal axis at the tissue sample retrieval region.


The invention, in another form thereof, is directed to a biopsy apparatus. The biopsy apparatus includes a driver assembly and a disposable biopsy probe assembly. The driver assembly is configured to be grasped by a user, and has an electromechanical power source. The disposable biopsy probe assembly is configured for releasable attachment to the driver assembly. The disposable biopsy probe assembly includes a transmission device configured for driving engagement with the electromechanical power source. A biopsy probe drivably is coupled to the transmission device. The biopsy probe includes a biopsy cannula and a sample basket arranged coaxially about a longitudinal axis. The sample basket is movably disposed relative to the biopsy cannula along the longitudinal axis from a tissue harvesting position to a tissue sample retrieval region. The sample basket has a sample notch formed as an elongate recessed region for receiving a tissue sample. A tissue sample retrieval mechanism includes a sample tank receptacle and a sample collection tank configured for removable insertion into the sample tank receptacle. The sample tank receptacle permits movement of the sample collection tank in a direction perpendicular to the longitudinal axis and prohibiting movement of the sample collection tank in a direction along the longitudinal axis. The sample collection tank is configured to retrieve the tissue sample directly from the sample notch as the sample basket is moving along the longitudinal axis at the tissue sample retrieval region.





BRIEF DESCRIPTION OF THE DRAWINGS

The above-mentioned and other features and advantages of this invention, and the manner of attaining them, will become more apparent and the invention will be better understood by reference to the following description of an embodiment of the invention taken in conjunction with the accompanying drawings, wherein:



FIG. 1 is a perspective view of a biopsy apparatus, configured in accordance with an embodiment of the present invention, with a disposable biopsy probe mounted to a driver assembly;



FIG. 2 is a perspective view of a biopsy apparatus of FIG. 1, with the disposable biopsy probe detached from the driver assembly;



FIG. 3 is a schematic representation of the biopsy apparatus of FIG. 1;



FIG. 4A is a perspective view of a vacuum seal element of the vacuum path of the driver assembly of FIG. 3;



FIG. 4B is a perspective view of a vacuum seal element of the vacuum path of the disposable biopsy probe of FIG. 3;



FIG. 5A is a perspective view of the fluid management tank of the disposable biopsy probe shown in FIGS. 2 and 3, with a portion broken away to expose a filter arrangement;



FIG. 5B is an exploded view of a plurality of fluid absorption layers of the filter arrangement of FIG. 5A;



FIG. 5C is a perspective view of a porous filter element of the filter arrangement of FIG. 5A.



FIG. 6 is a side view of the disposable biopsy probe of FIG. 2 showing in further detail a tissue sample retrieval mechanism with the sample collection tank removed;



FIG. 7 is a side view of the disposable biopsy probe of FIG. 6 showing the tissue sample retrieval mechanism with the sample collection tank installed, and with the sample collection tank in the raised position;



FIG. 8 is a side view of the disposable biopsy probe of FIG. 6 showing the tissue sample retrieval mechanism with the sample collection tank installed, and with the sample collection tank in the lowered collection position;



FIG. 9 is a side view of a portion of the tissue sample retrieval mechanism of FIG. 8 with a portion of the cutter cannula sectioned away to expose the retracting sample basket, and with a portion of the sample basket broken way to show the interaction of the scoop of the sample collection tank with the sample notch;



FIG. 10 is an enlarged front view of a portion of the sample collection tank of FIG. 9 showing the interaction of the scoop of the sample collection tank with the sample notch, and with the sample notch being shown in section view taken along line 11-11 of FIG. 9;



FIG. 11 is a top view of the tank positioning mechanism shown in FIG. 8;



FIG. 12 is a top view of the sample basket and the lift member of the disposable biopsy probe of FIG. 7, with a portion of lift member broken away to expose a T-shaped stop, and a leaf spring tongue forming a portion of the T-shaped stop for removing residual tissue material and debris from a vacuum path at the sample notch of the sample basket; and



FIG. 13 is a side view of the disposable biopsy probe of FIG. 7 showing the latch member of the tank positioning mechanism in the latched transport position.





Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate an embodiment of the invention, and such exemplifications are not to be construed as limiting the scope of the invention in any manner.


DETAILED DESCRIPTION OF THE INVENTION

Referring now to the drawings, and more particularly to FIGS. 1 and 2, there is shown a biopsy apparatus 10 which generally includes a non-invasive, e.g., non-disposable, driver assembly 12 and a disposable biopsy probe assembly 14.


Referring also to FIG. 3, driver assembly 12 and disposable biopsy probe assembly 14 collectively include a fluid management system 16 that includes a vacuum source 18, first vacuum path 20 and a second vacuum path 22. Vacuum source 18 and a first vacuum path 20 are permanently associated with driver assembly 12, and a second vacuum path 22 is permanently associated with disposable biopsy probe assembly 14, as more fully described below, to help facilitate the safe and effective collection of a biopsy tissue sample.


As used herein, the term “non-disposable” is used to refer to a device that is intended for use on multiple patients during the lifetime of the device, and the term “disposable” is used to refer to a device that is intended to be disposed of after use on a single patient. Also, the term “vacuum path” means a fluid passageway used to facilitate a vacuum between two points, the fluid passageway passing through one or more components, such as for example, one or more of tubing, conduits, couplers, and interposed devices. Also, the term “permanently associated” means a connection that is not intended for releasable attachment on a routine basis during the lifetime of the components. Thus, for example, driver assembly 12 including vacuum source 18 and first vacuum path 20 is reusable as a unit in its entirety, whereas disposable biopsy probe assembly 14 and second vacuum path 22 are disposable as a unit in its entirety.


Driver assembly 12 includes a housing 24 configured, and ergonomically designed, to be grasped by a user. Driver assembly 12 includes (contained within housing 24) vacuum source 18, first vacuum path 20, a controller 26, an electromechanical power source 28, and a vacuum monitoring mechanism 30. A user interface 32 is located to be mounted to, and externally accessible with respect to, housing 24.


Controller 26 is communicatively coupled to electromechanical power source 28, vacuum source 18, user interface 32, and vacuum monitoring mechanism 30. Controller 26 may include, for example, a microprocessor and associated memory for executing program instructions to perform functions associated with the retrieval of biopsy tissue samples, such as controlling one or more components of vacuum source 18 and electromechanical power source 28. Controller 26 also may execute program instructions to monitor one or more conditions and/or positions of components of biopsy apparatus 10, and to monitor the status of fluid management system 16 associated with driver assembly 12 and disposable probe assembly 14.


The user interface 32 includes control buttons 321 and visual indicators 322, with control buttons 321 providing user control over various functions of biopsy apparatus 10, and visual indicators 322 providing visual feedback of the status of one or more conditions and/or positions of components of biopsy apparatus 10.


The electromechanical power source 28 may include, for example, an electrical energy source, e.g., battery, 34 and an electrical drive assembly 36. Battery 34 may be, for example, a rechargeable battery. Battery 34 provides electrical power to all electrically powered components in biopsy apparatus 10, and thus for simplicity in the drawings, such electrical couplings are not shown. For example, battery 34 is electrically coupled to vacuum source 18, controller 26, user interface 32 and electrical drive assembly 36.


In the present embodiment, electrical drive assembly 36 includes a first drive 361 and a second drive 362, each being respectively coupled to battery 34, and each of first drive 361 and second drive 362 respectively electrically and controllably coupled to user interface 32.


First drive 361 may include an electrical motor 381 and a motion transfer unit 401 (shown schematically by a line). Second drive 362 may include an electrical motor 382 and a motion transfer unit 402 (shown schematically by a line). Each electrical motor 381, 382 may be, for example, a direct current (DC) motor, stepper motor, etc. Motion transfer unit 401 of first drive 361 may be configured, for example, with a rotational-to-linear motion converter, such as a worm gear arrangement, rack and pinion arrangement, solenoid-slide arrangement, etc. Motion transfer unit 402 of second drive 362 may be configured to transmit rotary motion. Each of first drive 361 and second drive 362 may include one or more of a gear, gear train, belt/pulley arrangement, etc.


Vacuum source 18 is electrically coupled to battery 34, and has a vacuum source port 181 for establishing a vacuum. Vacuum source 18 is electrically and controllably coupled to user interface 32. Vacuum source 18 may further include, for example, a vacuum pump 182 driven by an electric motor 183. Vacuum pump 182 may be, for example, a peristaltic pump, a diaphragm pump, syringe-type pump, etc.


First vacuum path 20 of driver assembly 12 is permanently associated with vacuum source 18. First vacuum path 20, also sometimes referred to as a non-disposable vacuum path, has a proximal end 201 and a distal end 202, and includes, for example, conduits 203, a first one-way valve 204, and a particulate filter 205. Proximal end 201 is fixedly coupled to vacuum source 18 in fluid communication therewith, e.g., is fixedly connected to vacuum source port 181 of vacuum source 18. Referring also to FIG. 4A, distal end 202 includes a first vacuum seal element 206. In the present embodiment, first vacuum seal element 206 is a planar abutment surface that surrounds a first passageway 207 of first vacuum path 20.


First one-way valve 204 is configured and arranged to permit a negative pressure fluid flow toward vacuum source 18 and to prevent a positive pressure fluid flow away from vacuum source 18 toward the distal end 202 of first vacuum path 20. The first one-way valve 204 may be, for example, a check-valve, such as a ball valve or reed valve, that opens with a fluid flow toward vacuum source 18, and closes in the case of a reverse (positive) flow away from vacuum source 18.


In the present embodiment, particulate filter 205 is located between vacuum source 18 and distal end 202 of first vacuum path 20. Particulate filter 205 may be, for example, a mesh screen formed from metal or plastic. However, it is contemplated that particulate filter 205 may be located in fluid management system 16 between vacuum source 18 and a vacuum receiving component of biopsy probe assembly 14.


The vacuum monitoring mechanism 30 is coupled to vacuum source 18 to shut off vacuum source 18 when a sensed vacuum level has fallen below a threshold level. Vacuum monitoring mechanism 30 may include, for example, a vacuum monitor and control program executing on controller 26, and a pressure sensor 301 coupled to controller 26, and in fluid communication with first vacuum path 20 for detecting a pressure in first vacuum path 20. If, for example, the vacuum flow level in first vacuum path 20 falls below a predetermined level, indicating a restriction in fluid management system 16, controller 26 may respond by shutting off vacuum source 18, e.g., turning off electric motor 183. Alternatively, controller 26 may monitor the current supplied to electric motor 183, and if the current exceeds a predetermined amount, indicating a restriction in fluid management system 16, controller 26 may respond by shutting off vacuum source 18, e.g., turning off electric motor 183.


The disposable biopsy probe assembly 14 is configured for releasable attachment to driver assembly 12. As used herein, the term “releasable attachment” means a configuration that facilitates an intended temporary connection followed by selective detachment involving a manipulation of disposable biopsy probe assembly 14 relative to driver assembly 12, without the need for tools.


The disposable biopsy probe assembly 14 includes a frame 141 to which a transmission device 42, a biopsy probe 44, and the second vacuum path 22 are mounted. Biopsy probe 44 is drivably coupled to transmission device 42, and transmission device 42 is drivably coupled to electromechanical power source 28 of driver assembly 12.


In the embodiment shown, transmission device 42 includes a first driven unit 421 and a second driven unit 422 that are drivably engaged with various components of biopsy probe 44. Also, first driven unit 421 is drivably engaged with first drive 361 of electrical drive assembly 36 of driver assembly 12. Second driven unit 422 is drivably engaged with second drive 362 of electrical drive assembly 36 of driver assembly 12.


In the embodiment shown (see, e.g., FIGS. 1-3), biopsy probe 44 includes a sample basket 441 and a cutter cannula 442. Sample basket 441 has a sharpened tip 443 to aid in puncturing tissue and has a sample notch 444 in the form of a recessed region for receiving a biopsy tissue sample. Sample basket 441 and a cutter cannula 442 are configured to be individually movable along a longitudinal axis 445.


In operation, cutter cannula 442 is linearly driven by first driven unit 421 to traverse over sample notch 444 of sample basket 441 along longitudinal axis 445. For example, first driven unit 421 may be in the form of a linear slide that is drivably engaged with first drive 361 of driver assembly 12, which in turn drives cutter cannula 442 along longitudinal axis 445 in a first direction 46, i.e., toward a proximal end of driver assembly 12, to expose sample notch 444 of sample basket 441, and drives cutter cannula 442 in a second direction 48 opposite to first direction 46 to sever tissue prolapsed into sample notch 444. Also, first driven unit 421 and second driven unit 422 may be configured to operate in unison to advance both sample basket 441 and cutter cannula 442 in unison along an longitudinal axis 445 in a piercing shot operation to aid in inserting biopsy probe 44 into fibrous tissue.


The second driven unit 422 may include a flexible toothed rack 50 and a gear train 52. Flexible toothed rack 50 is connected to sample basket 441, and gear train 52 is engaged with the teeth of flexible toothed rack 50. In operation, second drive 362 transfers rotary motion to gear train 52, and in turn gear train 52 engages flexible toothed rack 50 to move sample basket 441 linearly to transport the tissue captured in sample notch 444 out of the body of the patient. Flexible toothed rack 50 is received in a coiling unit 54 when retracting, thereby enabling substantial reduction in the overall device length of biopsy apparatus 10 as compared to a rigid capture system. Each harvested tissue sample is transported out of the body of the patient and is collected by tissue sample retrieval mechanism 56, which scoops the tissue sample out of sample notch 444. In the present embodiment, coiling unit 54 and tissue sample retrieval mechanism 56 are as an integral unit with a housing 57 that is common to coiling unit 54 and tissue sample retrieval mechanism 56. Housing 57 is attached to frame 141. Tissue sample retrieval mechanism 56 will be described in greater detail later.


In the present embodiment, the second vacuum path 22, also sometimes referred to as a disposable vacuum path 22, has a first end 221 and a second end 222, and includes for example, conduits 223, a second one-way valve 224, and a fluid management tank 225. The first end 221 is configured for removable attachment to the distal end 202 of the first vacuum path 20 of driver assembly 12. The second end 222 is coupled in fluid communication with sample basket 441, and more particularly, is coupled in fluid communication with sample notch 444 of sample basket 441.


Referring also to FIG. 4B, the first end 221 of the disposable vacuum path 22 includes a second vacuum seal element 226. The first vacuum seal element 206 of the driver assembly 12 contacts the second vacuum seal element 226 of the disposable biopsy probe assembly 14 in sealing engagement when the disposable biopsy probe assembly 14 is attached to driver assembly 12. The second vacuum seal element 226 is a compliant, e.g., rubber, annular member that surrounds a second passageway 227 of the second vacuum path 22.


The second one-way valve 224 configured and arranged to permit the negative pressure fluid flow from sample basket 441 toward the first end 221 of the second vacuum path 22, and to redundantly (in conjunction with first one-way valve 204 of driver assembly 12) prevent any positive pressure fluid flow in a direction from the first end 221 of the second vacuum path 22 toward sample basket 441. In other words, the second one-way valve 224 provides a redundant second level of protection in preventing any positive pressure from reaching sample notch 444 of sample basket 441. In the present embodiment, the second one-way valve 224 may be, for example, a duckbill valve, e.g., a reed-type valve, that opens with a fluid flow out the bill portion of the duckbill valve, and closes with a reverse flow. As shown, the second one-way valve 224 may be positioned within the second vacuum seal element 226 at first end 221 of second vacuum path 22.


Referring also to FIG. 5A, fluid management tank 225 is fluidically interposed in the second vacuum path 22 between the first end 221 and the second end 222. Fluid management tank 225 includes a body 58 and a filter arrangement 60 contained within body 58 configured to prevent a flow of residual biopsy biological material, e.g., blood and particulate matter, from sample notch 444 of sample basket 441 to vacuum source 18 of driver assembly 12.


Body 58 of fluid management tank 225 has a first port 581 and a second port 582, with the second vacuum path 22 continuing between the first port 581 and the second port 582. The second port 582 of fluid management tank 225 is coupled to sample basket 441. Each of the second one-way valve 224 and the second vacuum seal element 226 of the second vacuum path 22 is coupled to the first port 581 of fluid management tank 225, and in the present embodiment, is mounted to an external surface of body 58 of fluid management tank 225.


As illustrated in FIGS. 5A and 5B, filter arrangement 60 includes a plurality of fluid absorption layers 62, individually identified as layers 621, 622, 623 and 624, arranged side by side, with each fluid absorption layer 621, 622, 623 and 624 being spaced apart from an adjacent fluid absorption layer e.g., 621 to 622, 622 to 623, 623, to 624. Each fluid absorption layer 621, 622, 623 and 624 has a respective through opening 641, 642, 643, 644, wherein adjacent through openings of through openings 641, 642, 643, 644 of the plurality of fluid absorption layers 62 are offset one to the next, e.g., in at least one of an X, Y, and Z direction, to form a tortuous open fluid passageway 66 through the plurality of fluid absorption layers 62. Each fluid absorption layer 621, 622, 623 and 624 may be, for example, a blotting paper.


As illustrated in FIGS. 5A and 5C, filter arrangement 60 may further include a porous filter element 68 arranged to be fluidically in series with the plurality of fluid absorption layers 62 along the second vacuum path 22 that defines second passageway 227. The porous filter element 68 exhibits increased restriction to fluid flow as an increased number of pores 70 in the porous filter element 68 become clogged by residual biopsy biological material, such as blood and tissue particles. When a volume of the fluid flow through fluid management tank 225 has been reduced to a predetermined level, vacuum monitoring mechanism 30 senses the vacuum restriction, and controller 26 responds to shut off vacuum source 18.


Referring to FIGS. 6-13, each harvested tissue sample is transported out of the body of the patient and is collected by tissue sample retrieval mechanism 56. In general, tissue sample retrieval mechanism 56 collects tissue samples that have been harvested by scooping the tissue sample out of sample notch 444 of sample basket 441 of biopsy probe 44.


Referring to FIGS. 6-9, biopsy probe 44 of probe assembly 14 includes a biopsy cannula, e.g., cutter cannula 442, and sample basket 441 arranged coaxially about longitudinal axis 445. Sample basket 441 having sample notch 444 is movably disposed relative to biopsy cannula 442 along longitudinal axis 445 from a tissue harvesting position 72, as shown in FIGS. 6 and 7, to a tissue sample retrieval region 74, as illustrated in FIGS. 6-8 by electromechanical power source 28 and second drive 362, as more fully described above with respect to FIG. 3. Referring also to FIGS. 10 and 12, sample notch 444 is an elongate recessed region of sample basket 441 having a generally semicircular cross-section, and has a recessed floor 76, a pair of spaced elongate edges 78, 80 on opposite sides of recessed floor 76, a leading transition bevel 82, and a trailing transition bevel 84. Leading transition bevel 82 and trailing transition bevel 84 are located at opposite ends of the elongate recessed region, i.e., sample notch, 444.


In the present embodiment, tissue sample retrieval mechanism 56 includes a sample tank receptacle 86, a sample collection tank 88, a toggle mechanism 90, and a tank positioning mechanism 92. Sample collection tank 88 is configured for removable insertion into sample tank receptacle 86.


Sample tank receptacle 86, which may be formed integral with housing 57, includes a hollow guide 87 size to slidably receive sample collection tank 88. Thus, the configuration of sample tank receptacle 86 is such that sample tank receptacle 86 permits bi-directional movement of sample collection tank 88 in directions 89 (signified by double headed arrow) that are substantially perpendicular to longitudinal axis 445. Also, the configuration of sample tank receptacle 86 is such that sample tank receptacle 86 prohibits movement of sample collection tank 88 in a direction 46 or 48 along longitudinal axis 445.


Sample collection tank 88 defines a single collection cavity 94 (see FIG. 9) configured for receiving multiple tissue samples, such as tissue sample TS. Sample collection tank 88 has, in forming collection cavity 94, a base 96, a front wall 98, a rear wall 100, a pair of side walls 102, 104, and a removable cap 106. Sample collection tank 88 further includes a tissue sample scoop 108. Sample collection tank 88 is configured to collect a tissue sample directly from sample notch 444 as sample basket 441 moves along longitudinal axis 445 at tissue sample retrieval region 74. In this regard, tissue sample scoop 108 of sample collection tank 88 is configured to engage sample notch 444 of sample basket 441.


Tissue sample scoop 108 is fixed to and projects downwardly from base 96. Tissue sample scoop 108 extends forward toward a front portion 110 of sample collection tank 88 to terminate at a rim 112. Tissue sample scoop 108 has a tissue collection lumen 114 through which each tissue sample TS harvested by biopsy probe assembly 14 will pass. Tissue collection lumen 114 begins at an opening 116 located near rim 112 and extends to collection cavity 94. Tissue sample scoop 108 has a ramped face 118 located adjacent rim 112. Also, tissue sample scoop 108 has a first shoulder 120 and a second shoulder 122 that are positioned on opposite sides of opening 116.


A rack gear 124 is longitudinally (e.g., vertically) positioned on rear wall 100 of sample collection tank 88 to engage toggle mechanism 90.


Referring to FIGS. 6-9, toggle mechanism 90 is configured to aid in the mounting of sample collection tank 88 in sample tank receptacle 86, and to aid in the removal of sample collection tank 88 from sample tank receptacle 86. Toggle mechanism 90 is mounted to housing 57 and includes a rotary gear 126 and a spring 128. Rotary gear 126 has a rotational axis 130, e.g., an axle, which is attached to, or formed integral with, housing 57. Spring 128 is coupled between rotary gear 126 and housing 57, and is eccentrically mounted to rotary gear 126, i.e., at a location offset from rotational axis 130. Rotary gear 126 is located for driving engagement with rack gear 124 of sample collection tank 88, as sample collection tank 88 is slidably received by sample tank receptacle 86.


Referring to FIGS. 6-8, toggle mechanism 90 is configured to define a break-over point 132, e.g., at the 12:00 o'clock position in the orientation as shown. FIG. 6 shows an orientation of toggle mechanism 90 when sample collection tank 88 is not installed in hollow guide 87 of sample tank receptacle 86, where spring 128 is positioned beyond the 12 o'clock position in a clockwise direction in the orientation as shown, thus defining a home position 133 for toggle mechanism 90.



FIG. 7 shows an orientation of toggle mechanism 90 when sample collection tank 88 is installed (inserted) in hollow guide 87 of sample tank receptacle 86. As sample collection tank 88 is inserted in hollow guide 87 of sample tank receptacle 86, rack gear 124 of sample collection tank 88 engages rotary gear 126 and rotates rotary gear 126 about rotational axis 130 in the counterclockwise direction in the orientation as shown. When spring 128 is moved beyond break-over point 132, e.g., the 12 o'clock position, in the counterclockwise direction as sample collection tank 88 is slidably received by sample tank receptacle 86, spring 128 provides a biasing force 134, e.g., a downward pressure, via rotary gear 126 to bias sample collection tank 88 downwardly toward longitudinal axis 445. Thus, biasing force 134 exerts downward pressure on sample collection tank 88 when spring 128 is moved beyond the 12 o'clock position in the counterclockwise direction, in the orientation as shown in FIG. 7, and biasing force 134 is maintained when sample collection tank 88 is installed in sample tank receptacle 86.


Referring to FIG. 11 in conjunction with FIGS. 7-9, tank positioning mechanism 92 is configured to selectively move sample collection tank 88 between a raised position 136 illustrated in FIG. 7 and a lowered position 138 illustrated in FIGS. 8 and 9.


Tank positioning mechanism 92 is drivably engaged with electromechanical power source 28 to selectively lower, in conjunction with toggle mechanism 90, sample collection tank 88 from raised position 136 to lowered position 138 to position a portion, i.e., tissue sample scoop 108, of sample collection tank 88 in sliding engagement with sample notch 444 to facilitate collection of a tissue sample, e.g., tissue sample TS, from sample basket 441 as sample basket 441 is moved in tissue sample retrieval region 74. Also, electromechanical power source 28 is drivably engaged with tank positioning mechanism 92 and/or flexible toothed rack 50 to selectively raise sample collection tank 88, against the biasing force 134 exerted by toggle mechanism 90 and the biasing force 152 exerted by tank positioning mechanism 92, from lowered position 138 to raised position 136 to disengage sample collection tank 88 from sample notch 444 of sample basket 441 prior to, and following, tissue collection from sample basket 441.


More particularly, referring to FIGS. 6-8 and 11, tank positioning mechanism 92 includes a lift member 140, a spring 142, a lever 144, a latch member 146 and a latch catch 148.


Referring to FIGS. 7 and 8, lift member 140 is positioned along longitudinal axis 445. Lift member 140 has a ramp surface 150 positioned to engage ramped face 118 of sample collection tank 88. Spring 142 is positioned between lift member 140 and housing 57 to exert biasing force 152 on lift member 140 to bias ramp surface 150 in a direction away from ramped face 118 of sample collection tank 88.


As shown in FIG. 11, lever 144 extends from lift member 140 in a direction 154 perpendicular to longitudinal axis 445. Lever 144 has a distal end 156 configured to engage electromechanical power source 28, which may be in the form of a pin 158.


Electromechanical power source 28 is operable to move lift member 140 along longitudinal axis 445 in direction 46 to lift sample collection tank 88 away from longitudinal axis 445 as ramp surface 150 of lift member 140 slides along ramped face 118 of sample collection tank 88. Likewise, electromechanical power source 28 is operable to move lift member 140 along longitudinal axis 445 in direction 48 opposite first direction 46 to lower sample collection tank 88 toward longitudinal axis 445 as ramp surface 150 of lift member 140 slides along ramped face 118 of sample collection tank 88.


As shown in FIG. 11, electromechanical power source 28 includes a lift drive 363 having an electrical motor 383 coupled to a motion transfer unit 403 (shown schematically in part by a line) that generally terminates at gears 164 and 166. Gear 166 includes a slot 168 for engaging pin 158 of lever 144. Motion transfer unit 403 provides rotary motion to gear 164, which in turn imparts rotary motion to gear 166. Motion transfer unit 403 may include one or more of a gear, gear train, belt/pulley arrangement, etc., for effecting at least a partial rotation of gear 164. Gear 166, however, is only rotated at a partial revolution, so as to effect a linear translation of pin 158 of lever 144, and in turn a linear translation of lift member 140.


The lowering of sample collection tank 88 for tissue sample collection (retrieval) is initiated by electromechanical power source 28 wherein gear 166 of lift drive 363 of electromechanical power source 28 is rotated in a direction to translate the lever 144, and in turn lift member 140, in direction 48 to lower sample collection tank 88. Biasing force 152 exerted on lift member 140 aids in moving ramp surface 150 in direction 48 away from ramped face 118 of sample collection tank 88. At this time, first shoulder 120 and second shoulder 122 of tissue sample scoop 108 are positioned for respective sliding engagement with the pair of spaced elongate edges 78, 80 of the elongate recessed region of sample notch 444 of sample basket 441 along longitudinal axis 445.


More particularly, with reference to FIGS. 8 and 11, the translation of the lever 144 and in turn lift member 140 in direction 48 causes the oblique face ramped face 118 of sample collection tank 88 to slide down the oblique ramp surface 150 of lift member 140, and tissue sample scoop 108 with rim 112 are moved into the elongate recessed region of sample notch 444 of sample basket 441 toward recessed floor 76. Referring also to FIGS. 9 and 10, continued transport of the sample notch 444 in direction 46 by electromechanical power source 28 will cause rim 112 of tissue sample scoop 108 to slide along recessed floor 76 and along the sides between elongate edges 78, 80 of sample notch 444, scooping up the tissue sample TS and transporting the tissue sample TS through tissue collection lumen 114 into collection cavity 94 of sample collection tank 88 along path 170. The shoulders 120, 122 of sample collection tank 88 are configured to slide along the upper spaced elongate edges 78, 80 of sample basket 441, ensuring that no tissue sample material is pushed out of sample notch 444.


The raising of sample collection tank 88 occurs near the conclusion of the tissue collection sequence. Near the conclusion of the tissue collection sequence, the further movement of sample notch 444 of sample basket 441 in direction 46 by operation of electromechanical power source 28 and second drive 362 is transferred to lift member 140 by a driving engagement of sample basket 441 in direction 46 with a T-shaped stop 172 (see FIG. 12) attached to lift member 140, causing lift member 140 to move in direction 46. The scoop rim 112 of sample collection tank 88 reaches the sloping leading transition bevel 82 of sample notch 444 and is pushed upwards by the interplay between ramped face 118 of sample collection tank 88 and leading transition bevel 82 of sample notch 444, thus beginning to raise sample collection tank 88. As lift member 140 is further moved in direction 46 by movement of sample notch 444, the scoop rim 112 leaves sample notch 444 and ramped face 118 of sample collection tank 88 and comes to rest against ramp surface 150 of lift member 140, which closes off tissue collection lumen 114 of sample collection tank 88 and prevents the tissue sample TS from falling out of tissue collection lumen 114.


In addition, lift drive 363 is rotated to ensure that lift member 140 is translated fully in direction 46 in the event that the force exerted by sample notch 444 is insufficient to accomplish the translation. More particularly, electromechanical power source 28 rotates gear 166 of lift drive 363 in a direction to translate the lever 144 in direction 46. Thus, electromechanical power source 28 facilitates movement of lift member 140 along longitudinal axis 445 in first direction 46 against the biasing force 152 exerted by spring 142 to lift sample collection tank 88 as ramp surface 150 of lift member 140 slides along ramped face 118 of sample collection tank 88.


At the conclusion of the transport of sample notch 444 in direction 46 towards the proximal end of driver assembly 12, a leaf spring tongue 174 of T-shaped stop 172 (see FIG. 12) removes residual tissue material and debris from the second end 222 of vacuum path 22 at trailing transition bevel 84 of sample notch 444 to ensure that a sufficient vacuum may be drawn into sample notch 444.


Referring again to FIGS. 6-8, 11 and 13, latch member 146 is attached to, or formed integral with, lift member 140. Latch member 146 extends from lever 144 in direction 46, and has a distal hook 176. Latch member 146 is located for engagement with latch catch 148 to latch lift member 140 in a transport latched position, shown in FIG. 13, corresponding to raised position 136 of sample collection tank 88. Latch catch 148 may be attached to, or formed integral with, housing 57.


One purpose of latch member 146 is to maintain the proper insertion position of lever 144 during transport of biopsy probe assembly 14 to ensure proper insertion of biopsy probe assembly 14 in driver assembly 12. Prior to insertion of biopsy probe assembly 14 in driver assembly 12, lever 144 is held in a latched transport position, which is the only position permitting pin 158 at distal end 156 of lever 144 to be inserted into slot 168 (e.g., a driver recess) of lift drive 363 (see FIG. 11). In the latched transport position, as illustrated in FIG. 13, the lever 144 is held in position by latch member 146 that is held in tension against latch catch 148 by pressure (biasing force 152) from spring 142. Thus, insertion of biopsy probe assembly 14 in driver assembly 12 in the latched transport position results in placement of pin 158 at distal end 156 of lever 144 in slot 168 (e.g., a driver recess) of lift drive 363.


A second purpose of the latch member 146 is to prevent accidental reuse of the disposable probe. As part of power up, the lift drive 363 engages pin 158 at distal end 156 of lever 144 and moves lever 144 in direction 46 to a fully retracted position, which in turn causes latch member 146 to move out of engagement with latch catch 148. The tension of the latch member 146 is released, causing latch member 146 to move out of the plane of latch catch 148 and preventing latch member 146 from reestablishing contact with latch catch 148. Since spring 142 will bias lift member 140 in direction 48, the latched transport position illustrated in FIG. 13 may not be reestablished once biopsy probe assembly 14 has been removed from driver assembly 12. Since the latched transport position is the only position permitting biopsy probe assembly 14 to be inserted in driver assembly 12, accidental reuse of biopsy probe assembly 14 is prevented.


While this invention has been described with respect to at least one embodiment, the present invention can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains and which fall within the limits of the appended claims.

Claims
  • 1. A biopsy apparatus, comprising: an electromechanical power source;a biopsy probe drivably coupled to said electromechanical power source, said biopsy probe including a biopsy cannula and a sample basket arranged coaxially about a longitudinal axis, said sample basket being movably disposed relative to said biopsy cannula along said longitudinal axis from a tissue harvesting position to a tissue sample retrieval region, said sample basket having a sample notch configured as an elongate recessed region for receiving a tissue sample; anda tissue sample retrieval mechanism including a sample tank receptacle and a sample collection tank configured for removable insertion into said sample tank receptacle, said sample tank receptacle being configured to permit movement of said sample collection tank in a direction perpendicular to said longitudinal axis and being configured to prohibit movement of said sample collection tank in a direction along said longitudinal axis, said sample collection tank being configured to retrieve said tissue sample directly from said sample notch as said sample basket is moving along said longitudinal axis at said tissue sample retrieval region.
  • 2. The biopsy apparatus of claim 1, wherein said tissue sample retrieval mechanism includes a tank positioning mechanism configured to selectively move said sample collection tank between a raised position and a lowered position, said tank positioning mechanism being drivably coupled to said electromechanical power source and configured to selectively lower said sample collection tank from said raised position to said lowered position to position a sample notch engaging portion of said sample collection tank in sliding engagement with said sample notch to facilitate retrieval of a tissue sample from said sample basket as said sample basket is moved in said tissue sample retrieval region.
  • 3. The biopsy apparatus of claim 1, wherein said sample collection tank defines a single collection cavity configured for receiving multiple tissue samples, said sample collection tank having a base and a tissue sample scoop configured to engage said sample notch of said sample basket, said tissue sample scoop fixedly projecting downwardly from said base and extending forward toward a front of said sample collection tank to terminate at a rim, said tissue sample scoop having a tissue collection lumen that extends from an opening to said collection cavity.
  • 4. The biopsy apparatus of claim 3, wherein said a tissue sample retrieval mechanism includes a tank positioning mechanism configured to selectively move said sample collection tank in said sample tank receptacle between a raised position and a lowered position, said tank positioning mechanism being drivably engaged with said electromechanical power source and configured to selectively lower said sample collection tank from said raised position to said lowered position to position said tissue sample scoop in sliding engagement with said sample notch to facilitate retrieval of a tissue sample from said sample basket as said sample basket is moved in said tissue sample retrieval region.
  • 5. The biopsy apparatus of claim 4, wherein said sample collection tank has a ramped face, said tank positioning mechanism including: a lift member positioned along said longitudinal axis, said lift member having a ramp surface positioned to engage said ramped face of said sample collection tank, said lift member being configured and arranged for drivable coupling to said electromechanical power source, said electromechanical power source being operable to move said lift member along said longitudinal axis in a first direction to lift said sample collection tank away from said longitudinal axis as said ramp surface of said lift member slides along said ramped face of said sample collection tank, andsaid electromechanical power source being operable to move said lift member along said longitudinal axis in a second direction opposite said first direction to lower said sample collection tank toward said longitudinal axis as said ramp surface of said lift member slides along said ramped face of said sample collection tank.
  • 6. The biopsy apparatus of claim 5, wherein said sample tank receptacle is integral with a housing, said housing having a latch catch, and further including a lever extending from said lift member, and a latch member being configured to extend from said lever in said first direction, said latch member being located for engagement with said latch catch to latch said lift member in a latched transport position corresponding to said raised position of said sample collection tank.
  • 7. The biopsy apparatus of claim 5, wherein said ramped face is located at said scoop of said sample collection tank adjacent said rim.
  • 8. The biopsy apparatus of claim 3, wherein said elongate recessed region of said sample notch has a pair of spaced elongate edges, and said tissue sample scoop has a first shoulder and a second shoulder that are positioned on opposite sides of said opening and configured for sliding engagement with said pair of spaced elongate edges of said elongate recessed region along said longitudinal axis, with said rim of said tissue sample scoop being configured to be positioned in said elongate recessed region during retrieval of said tissue sample from said sample notch.
  • 9. The biopsy apparatus of claim 1, wherein said sample collection tank has a rear wall and a rack gear longitudinally positioned on said rear wall, said biopsy apparatus further including a toggle mechanism including a rotary gear having a rotational axis and a first spring coupled to said rotary gear at a location offset from said rotational axis, said rotary gear being located for driving engagement with said rack gear as said sample collection tank is slidably received by said sample tank receptacle, said toggle mechanism being configured to define a break-over point where said first spring provides a first biasing force via said rotary gear to bias said sample collection tank toward said longitudinal axis when said sample collection tank is installed in said sample tank receptacle.
  • 10. The biopsy apparatus of claim 9, wherein said sample collection tank has a ramped face, and said tissue sample retrieval mechanism including: a lift member positioned along said longitudinal axis, said lift member having a ramp surface positioned to engage said ramped face of said sample collection tank;a second spring positioned to exert a second biasing force on said lift member to bias said ramp surface in a direction away from said ramped face; anda lever extending from said lift member, said lever having a distal end configured to engage said electromechanical power source to facilitate movement of said lift member along said longitudinal axis in a direction against said second biasing force exerted by said second spring to lift said sample collection tank as said ramp surface of said lift member slides along said ramped face of said sample collection tank.
  • 11. A biopsy apparatus, comprising: a driver assembly configured to be grasped by a user, and having an electromechanical power source; anda disposable biopsy probe assembly configured for releasable attachment to said driver assembly, including: a transmission device configured for driving engagement with said electromechanical power source;a biopsy probe drivably coupled to said transmission device, said biopsy probe including a biopsy cannula and a sample basket arranged coaxially about a longitudinal axis, said sample basket being movably disposed relative to said biopsy cannula along said longitudinal axis from a tissue harvesting position to a tissue sample retrieval region, said sample basket having a sample notch configured as an elongate recessed region for receiving a tissue sample; anda tissue sample retrieval mechanism including a sample tank receptacle and a sample collection tank configured for removable insertion into said sample tank receptacle, said sample tank receptacle being configured to permit movement of said sample collection tank in a direction perpendicular to said longitudinal axis and being configured to prohibit movement of said sample collection tank in a direction along said longitudinal axis, said sample collection tank being configured to retrieve said tissue sample directly from said sample notch as said sample basket is moving along said longitudinal axis at said tissue sample retrieval region.
  • 12. The biopsy apparatus of claim 11, wherein said tissue sample retrieval mechanism includes a tank positioning mechanism configured to selectively move said sample collection tank between a raised position and a lowered position, said tank positioning mechanism being drivably coupled to said electromechanical power source and configured to selectively lower said sample collection tank from said raised position to said lowered position to position a sample notch engaging portion of said sample collection tank in sliding engagement with said sample notch to facilitate retrieval of a tissue sample from said sample basket as said sample basket is moved in said tissue sample retrieval region.
  • 13. The biopsy apparatus of claim 11, wherein said sample collection tank defines a single collection cavity configured for receiving multiple tissue samples, said sample collection tank having a base and a tissue sample scoop configured to engage said sample notch of said sample basket, said tissue sample scoop fixedly projecting downwardly from said base and extending forward toward a front of said sample collection tank to terminate at a rim, said tissue sample scoop having a tissue collection lumen that extends from an opening to said collection cavity.
  • 14. The biopsy apparatus of claim 13, wherein said a tissue sample retrieval mechanism includes a tank positioning mechanism configured to selectively move said sample collection tank in said sample tank receptacle between a raised position and a lowered position, said tank positioning mechanism being drivably engaged with said electromechanical power source and configured to selectively lower said sample collection tank from said raised position to said lowered position to position said tissue sample scoop in sliding engagement with said sample notch to facilitate retrieval of a tissue sample from said sample basket as said sample basket is moved in said tissue sample retrieval region.
  • 15. The biopsy apparatus of claim 14, wherein said sample collection tank has a ramped face, said tank positioning mechanism including: a lift member positioned along said longitudinal axis, said lift member having a ramp surface positioned to engage said ramped face of said sample collection tank, said lift member being configured and arranged for drivable coupling to said electromechanical power source, said electromechanical power source being operable to move said lift member along said longitudinal axis in a first direction to lift said sample collection tank away from said longitudinal axis as said ramp surface of said lift member slides along said ramped face of said sample collection tank, andsaid electromechanical power source being operable to move said lift member along said longitudinal axis in a second direction opposite said first direction to lower said sample collection tank toward said longitudinal axis as said ramp surface of said lift member slides along said ramped face of said sample collection tank.
  • 16. The biopsy apparatus of claim 15, wherein said sample tank receptacle is integral with a housing, said housing having a latch catch, and further including a lever extending from said lift member, and a latch member being configured to extend from said lever in said first direction, said latch member being located for engagement with said latch catch to latch said lift member in a latched transport position corresponding to said raised position of said sample collection tank.
  • 17. The biopsy apparatus of claim 15, wherein said ramped face is located at said scoop of said sample collection tank adjacent said rim.
  • 18. The biopsy apparatus of claim 13, wherein said elongate recessed region of said sample notch has a pair of spaced elongate edges, and said tissue sample scoop has a first shoulder and a second shoulder that are positioned on opposite sides of said opening and configured for sliding engagement with said pair of spaced elongate edges of said elongate recessed region along said longitudinal axis, with said rim of said tissue sample scoop being positioned in said elongate recessed region during retrieval of said tissue sample from said sample notch.
  • 19. The biopsy apparatus of claim 11, wherein said sample collection tank has a rear wall and a rack gear longitudinally positioned on said rear wall, said biopsy apparatus further including a toggle mechanism including a rotary gear having a rotational axis and a first spring coupled to said rotary gear at a location offset from said rotational axis, said rotary gear being located for driving engagement with said rack gear as said sample collection tank is slidably received by said sample tank receptacle, said toggle mechanism being configured to define a break-over point where said first spring provides a first biasing force via said rotary gear to bias said sample collection tank toward said longitudinal axis when said sample collection tank is installed in said sample tank receptacle.
  • 20. The biopsy apparatus of claim 19, wherein said sample collection tank has a ramped face, and said tissue sample retrieval mechanism including: a lift member positioned along said longitudinal axis, said lift member having a ramp surface positioned to engage said ramped face of said sample collection tank;a second spring positioned to exert a second biasing force on said lift member to bias said ramp surface in a direction away from said ramped face; anda lever extending from said lift member, said lever having a distal end configured to engage said electromechanical power source to facilitate movement of said lift member along said longitudinal axis in a direction against said second biasing force exerted by said second spring to lift said sample collection tank as said ramp surface of said lift member slides along said ramped face of said sample collection tank.
US Referenced Citations (404)
Number Name Date Kind
737293 Summerfeldt Aug 1903 A
1585934 Muir May 1926 A
1663761 Johnson Mar 1928 A
2953934 Sundt Sep 1960 A
3019733 Braid Feb 1962 A
3224434 Molomut et al. Dec 1965 A
3477423 Griffith Nov 1969 A
3512519 Hall May 1970 A
3561429 Jewett et al. Feb 1971 A
3565074 Foti Feb 1971 A
3606878 Kellogg Sep 1971 A
3727602 Hyden et al. Apr 1973 A
3732858 Banko May 1973 A
3800783 Jamshidi Apr 1974 A
3844272 Banko Oct 1974 A
3882849 Jamshidi May 1975 A
4275730 Hussein Jun 1981 A
4282884 Boebel Aug 1981 A
4306570 Matthews Dec 1981 A
4354092 Manabe et al. Oct 1982 A
4445509 Auth May 1984 A
4490137 Moukheibir Dec 1984 A
4549554 Markham Oct 1985 A
4577629 Martinez Mar 1986 A
4589414 Yoshida et al. May 1986 A
4603694 Wheeler Aug 1986 A
4605011 Naslund Aug 1986 A
4616215 Maddalena Oct 1986 A
4617430 Bryant Oct 1986 A
4620539 Andrews et al. Nov 1986 A
4643197 Greene et al. Feb 1987 A
4645153 Granzow et al. Feb 1987 A
4678459 Onik et al. Jul 1987 A
4696298 Higgins et al. Sep 1987 A
4702260 Wang Oct 1987 A
4706687 Rogers Nov 1987 A
4776346 Beraha et al. Oct 1988 A
4844087 Garg Jul 1989 A
4850354 McGurk-Burleson et al. Jul 1989 A
4893635 de Groot et al. Jan 1990 A
4907598 Bauer Mar 1990 A
RE33258 Onik et al. Jul 1990 E
4940061 Terwilliger et al. Jul 1990 A
4952817 Bolan et al. Aug 1990 A
4958625 Bates et al. Sep 1990 A
4967762 DeVries Nov 1990 A
4986278 Ravid et al. Jan 1991 A
4986279 O'Neill Jan 1991 A
4986807 Farr Jan 1991 A
4989614 Dejter, Jr. et al. Feb 1991 A
5025797 Baran Jun 1991 A
5057822 Hoffman Oct 1991 A
5125413 Baran Jun 1992 A
5138245 Mattinger et al. Aug 1992 A
5146921 Terwilliger et al. Sep 1992 A
5158528 Walker et al. Oct 1992 A
5176628 Charles et al. Jan 1993 A
5225763 Krohn et al. Jul 1993 A
5234000 Hakky et al. Aug 1993 A
5236334 Bennett Aug 1993 A
5242404 Conley et al. Sep 1993 A
5249583 Mallaby Oct 1993 A
5282476 Terwilliger Feb 1994 A
5282477 Bauer Feb 1994 A
5324306 Makower et al. Jun 1994 A
5334183 Wuchinich Aug 1994 A
5368029 Holcombe et al. Nov 1994 A
5368045 Clement et al. Nov 1994 A
5400798 Baran Mar 1995 A
5439474 Li Aug 1995 A
5458112 Weaver Oct 1995 A
5469860 De Santis Nov 1995 A
5479486 Saji Dec 1995 A
5485917 Early Jan 1996 A
5492130 Chiou Feb 1996 A
5496860 Matsumoto et al. Mar 1996 A
5511556 DeSantis Apr 1996 A
5526822 Burbank et al. Jun 1996 A
5535755 Heske Jul 1996 A
5546957 Heske Aug 1996 A
5554151 Hinchliffe Sep 1996 A
5560373 De Santis Oct 1996 A
5564436 Hakky et al. Oct 1996 A
5569284 Young et al. Oct 1996 A
5575293 Miller et al. Nov 1996 A
5591170 Spievack et al. Jan 1997 A
5601585 Banik et al. Feb 1997 A
5602449 Krause et al. Feb 1997 A
5617874 Baran Apr 1997 A
5649547 Ritchart et al. Jul 1997 A
5655542 Weilandt Aug 1997 A
5655657 Roshdy Aug 1997 A
5665101 Becker et al. Sep 1997 A
5669394 Bergey et al. Sep 1997 A
5699909 Foster Dec 1997 A
5700265 Romano Dec 1997 A
5709697 Ratcliff et al. Jan 1998 A
5720760 Becker et al. Feb 1998 A
5735264 Siczek et al. Apr 1998 A
5752923 Terwilliger May 1998 A
5755714 Murphy-Chutorian May 1998 A
5766135 Terwilliger Jun 1998 A
5769086 Ritchart et al. Jun 1998 A
5769795 Terwilliger Jun 1998 A
5775333 Burbank et al. Jul 1998 A
5788651 Weilandt Aug 1998 A
5792167 Kablik et al. Aug 1998 A
5807282 Fowler Sep 1998 A
5817033 DeSantis et al. Oct 1998 A
5817034 Milliman et al. Oct 1998 A
5823970 Terwilliger Oct 1998 A
5827305 Gordon Oct 1998 A
5830219 Bird et al. Nov 1998 A
D403405 Terwilliger Dec 1998 S
5857982 Milliman et al. Jan 1999 A
5879365 Whitfield et al. Mar 1999 A
5908233 Heskett et al. Jun 1999 A
5913857 Ritchart et al. Jun 1999 A
5916198 Dillow Jun 1999 A
5916229 Evans Jun 1999 A
5928164 Burbank et al. Jul 1999 A
5944673 Gregoire et al. Aug 1999 A
5951490 Fowler Sep 1999 A
5951575 Bolduc et al. Sep 1999 A
5964716 Gregoire et al. Oct 1999 A
5971939 DeSantis et al. Oct 1999 A
5976164 Bencini et al. Nov 1999 A
5980469 Burbank et al. Nov 1999 A
5980545 Pacala et al. Nov 1999 A
6007495 Matula Dec 1999 A
6007497 Huitema Dec 1999 A
6007556 Kablik et al. Dec 1999 A
6017316 Ritchart et al. Jan 2000 A
6018227 Kumar et al. Jan 2000 A
6019733 Farascioni Feb 2000 A
6022324 Skinner Feb 2000 A
6022325 Siczek et al. Feb 2000 A
6027458 Janssens Feb 2000 A
6036657 Milliman et al. Mar 2000 A
6050955 Bryan et al. Apr 2000 A
6055870 Jaeger May 2000 A
6077230 Gregoire et al. Jun 2000 A
6083176 Terwilliger Jul 2000 A
6083237 Huitema et al. Jul 2000 A
6086544 Hibner et al. Jul 2000 A
6106484 Terwilliger Aug 2000 A
6110129 Terwilliger Aug 2000 A
6120462 Hibner et al. Sep 2000 A
6123957 Jernberg Sep 2000 A
6126617 Weilandt et al. Oct 2000 A
6142955 Farascioni et al. Nov 2000 A
6162187 Buzzard et al. Dec 2000 A
6165136 Nishtala Dec 2000 A
6193673 Viola et al. Feb 2001 B1
6196978 Weilandt et al. Mar 2001 B1
6213957 Milliman et al. Apr 2001 B1
6220248 Voegele et al. Apr 2001 B1
6231522 Voegele et al. May 2001 B1
6241687 Voegele et al. Jun 2001 B1
6267759 Quick Jul 2001 B1
6273861 Bates et al. Aug 2001 B1
6273862 Privitera et al. Aug 2001 B1
6280398 Ritchart et al. Aug 2001 B1
6283925 Terwilliger Sep 2001 B1
6322523 Weilandt et al. Nov 2001 B2
6328701 Terwilliger Dec 2001 B1
6331166 Burbank et al. Dec 2001 B1
6358217 Bourassa Mar 2002 B1
6402701 Kaplan et al. Jun 2002 B1
6419641 Mark et al. Jul 2002 B1
6428486 Ritchart et al. Aug 2002 B2
6428487 Burdorff et al. Aug 2002 B1
6432064 Hibner et al. Aug 2002 B1
6432065 Burdorff et al. Aug 2002 B1
6434507 Clayton et al. Aug 2002 B1
6436054 Viola et al. Aug 2002 B1
6471659 Eggers et al. Oct 2002 B2
6482158 Mault Nov 2002 B2
6485436 Truckai et al. Nov 2002 B1
6488636 Bryan et al. Dec 2002 B2
6527736 Attinger et al. Mar 2003 B1
6540694 Van Bladel et al. Apr 2003 B1
6540761 Houser Apr 2003 B2
6551255 Van Bladel et al. Apr 2003 B2
6554779 Viola et al. Apr 2003 B2
6585664 Burdorff et al. Jul 2003 B2
6585694 Smith et al. Jul 2003 B1
6638235 Miller et al. Oct 2003 B2
6656133 Voegele et al. Dec 2003 B2
6659105 Burbank et al. Dec 2003 B2
6659338 Dittmann et al. Dec 2003 B1
6683439 Takano et al. Jan 2004 B2
6689072 Kaplan et al. Feb 2004 B2
6695786 Wang et al. Feb 2004 B2
6712773 Viola Mar 2004 B1
6712774 Voegele et al. Mar 2004 B2
6752768 Burdorff et al. Jun 2004 B2
6753671 Harvey Jun 2004 B1
6758824 Miller et al. Jul 2004 B1
6764495 Lee et al. Jul 2004 B2
6832990 Kortenbach et al. Dec 2004 B2
6849080 Lee et al. Feb 2005 B2
6908440 Fisher Jun 2005 B2
D508458 Solland et al. Aug 2005 S
6926676 Turturro et al. Aug 2005 B2
6984213 Horner et al. Jan 2006 B2
7010332 Irvin et al. Mar 2006 B1
7025732 Thompson et al. Apr 2006 B2
D525583 Vu Jul 2006 S
7153274 Stephens et al. Dec 2006 B2
7189206 Quick et al. Mar 2007 B2
7189207 Viola Mar 2007 B2
7219867 Kalis et al. May 2007 B2
7226424 Ritchart et al. Jun 2007 B2
7252641 Thompson et al. Aug 2007 B2
7276032 Hibner Oct 2007 B2
7328794 Lubs et al. Feb 2008 B2
7347828 Francese et al. Mar 2008 B2
7347829 Mark et al. Mar 2008 B2
7374544 Freeman et al. May 2008 B2
7397654 Mori Jul 2008 B2
7402140 Spero et al. Jul 2008 B2
7405536 Watts Jul 2008 B2
7407054 Seiler et al. Aug 2008 B2
7432813 Postma Oct 2008 B2
7452367 Rassman et al. Nov 2008 B2
7464040 Joao Dec 2008 B2
7473232 Teague Jan 2009 B2
7481775 Weikel, Jr. et al. Jan 2009 B2
7490048 Joao Feb 2009 B2
7513877 Viola Apr 2009 B2
7517321 McCullough et al. Apr 2009 B2
7517322 Weikel, Jr. et al. Apr 2009 B2
7648466 Stephens et al. Jan 2010 B2
7670299 Beckman et al. Mar 2010 B2
7717861 Weikel et al. May 2010 B2
7727164 Cicenas et al. Jun 2010 B2
7740594 Hibner Jun 2010 B2
7740596 Hibner Jun 2010 B2
7740597 Cicenas et al. Jun 2010 B2
7762961 Heske et al. Jul 2010 B2
7828746 Teague Nov 2010 B2
7854706 Hibner Dec 2010 B2
7883476 Miller et al. Feb 2011 B2
7974681 Wallace et al. Jul 2011 B2
8073008 Mehta et al. Dec 2011 B2
8190238 Moll et al. May 2012 B2
20010007925 Ritchart et al. Jul 2001 A1
20010011156 Viola et al. Aug 2001 A1
20010012919 Terwilliger Aug 2001 A1
20010014779 Burbank et al. Aug 2001 A1
20010034530 Malackowski et al. Oct 2001 A1
20010044595 Reydel et al. Nov 2001 A1
20010047183 Privitera et al. Nov 2001 A1
20020029007 Bryan et al. Mar 2002 A1
20020065474 Viola May 2002 A1
20020067151 Tanishita Jun 2002 A1
20020068878 Jasonni et al. Jun 2002 A1
20020082518 Weiss et al. Jun 2002 A1
20020107043 Adamson et al. Aug 2002 A1
20020120212 Ritchart et al. Aug 2002 A1
20020156395 Stephens et al. Oct 2002 A1
20030130593 Gonzalez Jul 2003 A1
20030130677 Whitman et al. Jul 2003 A1
20030163142 Paltieli et al. Aug 2003 A1
20030229293 Hibner et al. Dec 2003 A1
20030233101 Lubock et al. Dec 2003 A1
20040015079 Berger et al. Jan 2004 A1
20040019297 Angel Jan 2004 A1
20040030367 Yamaki et al. Feb 2004 A1
20040049128 Miller et al. Mar 2004 A1
20040054299 Burdorff et al. Mar 2004 A1
20040092992 Adams et al. May 2004 A1
20040167427 Quick et al. Aug 2004 A1
20040186393 Leigh et al. Sep 2004 A1
20040210161 Burdorff et al. Oct 2004 A1
20040215103 Mueller, Jr. et al. Oct 2004 A1
20040220495 Cahir et al. Nov 2004 A1
20040249278 Krause Dec 2004 A1
20040267157 Miller et al. Dec 2004 A1
20050004492 Burbank et al. Jan 2005 A1
20050004559 Quick et al. Jan 2005 A1
20050010131 Burbank et al. Jan 2005 A1
20050020909 Moctezuma de la Barrera et al. Jan 2005 A1
20050027210 Miller Feb 2005 A1
20050049489 Foerster et al. Mar 2005 A1
20050049521 Miller et al. Mar 2005 A1
20050080355 Mark Apr 2005 A1
20050085838 Thompson et al. Apr 2005 A1
20050088120 Avis Apr 2005 A1
20050101879 Shidham et al. May 2005 A1
20050113715 Schwindt et al. May 2005 A1
20050113716 Mueller, Jr. et al. May 2005 A1
20050124914 Dicarlo et al. Jun 2005 A1
20050124915 Eggers et al. Jun 2005 A1
20050165328 Heske et al. Jul 2005 A1
20050177117 Crocker et al. Aug 2005 A1
20050193451 Quistgaard et al. Sep 2005 A1
20050203439 Heske et al. Sep 2005 A1
20050209530 Pflueger Sep 2005 A1
20050275378 Canino et al. Dec 2005 A1
20050277829 Tsonton et al. Dec 2005 A1
20050277871 Selis Dec 2005 A1
20050288605 Pellegrino et al. Dec 2005 A1
20060030784 Miller et al. Feb 2006 A1
20060074344 Hibner Apr 2006 A1
20060074345 Hibner Apr 2006 A1
20060113958 Lobert et al. Jun 2006 A1
20060116603 Shibazaki et al. Jun 2006 A1
20060129063 Thompson et al. Jun 2006 A1
20060173377 McCullough et al. Aug 2006 A1
20060178666 Cosman et al. Aug 2006 A1
20060184063 Miller Aug 2006 A1
20060241515 Jones et al. Oct 2006 A1
20060258956 Haberstich et al. Nov 2006 A1
20070016101 Feldman et al. Jan 2007 A1
20070027407 Miller Feb 2007 A1
20070032741 Hibner et al. Feb 2007 A1
20070073326 Miller et al. Mar 2007 A1
20070090788 Hansford et al. Apr 2007 A1
20070106176 Mark et al. May 2007 A1
20070118048 Stephens et al. May 2007 A1
20070118049 Viola May 2007 A1
20070149894 Heske et al. Jun 2007 A1
20070161925 Quick et al. Jul 2007 A1
20070167782 Callahan et al. Jul 2007 A1
20070167828 Saadat Jul 2007 A1
20070167943 Janssen et al. Jul 2007 A1
20070179401 Hibner Aug 2007 A1
20070213590 Squicciarini Sep 2007 A1
20070213630 Beckman et al. Sep 2007 A1
20070213632 Okazaki et al. Sep 2007 A1
20070219572 Deck et al. Sep 2007 A1
20070236180 Rodgers Oct 2007 A1
20070239067 Hibner et al. Oct 2007 A1
20070255173 Hibner Nov 2007 A1
20070270710 Frass et al. Nov 2007 A1
20070276288 Khaw Nov 2007 A1
20070287933 Phan et al. Dec 2007 A1
20070293788 Entrekin et al. Dec 2007 A1
20080004545 Garrison Jan 2008 A1
20080007217 Riley Jan 2008 A1
20080015429 Tsonton et al. Jan 2008 A1
20080021487 Heisler Jan 2008 A1
20080021488 Berberich Jan 2008 A1
20080030170 Dacquay et al. Feb 2008 A1
20080064925 Gill et al. Mar 2008 A1
20080064984 Pflueger Mar 2008 A1
20080071193 Reuber et al. Mar 2008 A1
20080079391 Schroeck et al. Apr 2008 A1
20080110261 Randall et al. May 2008 A1
20080135443 Frojd et al. Jun 2008 A1
20080146962 Ritchie et al. Jun 2008 A1
20080146965 Privitera et al. Jun 2008 A1
20080154151 Ritchart et al. Jun 2008 A1
20080161682 Kendrick et al. Jul 2008 A1
20080161718 Schwindt Jul 2008 A1
20080161719 Miller et al. Jul 2008 A1
20080161720 Nicoson et al. Jul 2008 A1
20080183099 Jorgensen et al. Jul 2008 A1
20080195066 Speeg et al. Aug 2008 A1
20080200833 Hardin et al. Aug 2008 A1
20080200836 Speeg et al. Aug 2008 A1
20080208194 Bickenbach Aug 2008 A1
20080214955 Speeg et al. Sep 2008 A1
20080215056 Miller et al. Sep 2008 A1
20080221443 Ritchie et al. Sep 2008 A1
20080221444 Ritchie et al. Sep 2008 A1
20080221478 Ritchie et al. Sep 2008 A1
20080221479 Ritchie et al. Sep 2008 A1
20080221480 Hibner et al. Sep 2008 A1
20080228104 Uber et al. Sep 2008 A1
20080232604 Dufresne et al. Sep 2008 A1
20080234715 Pesce et al. Sep 2008 A1
20080281225 Spero et al. Nov 2008 A1
20080287826 Videbaek et al. Nov 2008 A1
20080306406 Thompson et al. Dec 2008 A1
20080308607 Timm et al. Dec 2008 A1
20080319341 Taylor et al. Dec 2008 A1
20090030405 Quick et al. Jan 2009 A1
20090062624 Neville Mar 2009 A1
20090082695 Whitehead Mar 2009 A1
20090125062 Arnin May 2009 A1
20090137927 Miller May 2009 A1
20090171243 Hibner et al. Jul 2009 A1
20090227893 Coonahan et al. Sep 2009 A1
20100030020 Sanders et al. Feb 2010 A1
20100030108 Anderson et al. Feb 2010 A1
20100063416 Cicenas et al. Mar 2010 A1
20100106053 Videbaek et al. Apr 2010 A1
20100152611 Parihar et al. Jun 2010 A1
20100160820 Weikel, Jr. et al. Jun 2010 A1
20100210966 Videbaek Aug 2010 A1
20100292607 Moore et al. Nov 2010 A1
20100312140 Smith et al. Dec 2010 A1
20100317995 Hibner et al. Dec 2010 A1
20100317997 Hibner et al. Dec 2010 A1
20100317998 Hibner et al. Dec 2010 A1
20110077551 Videbaek Mar 2011 A1
20110087131 Videbaek Apr 2011 A1
20110105945 Videbaek et al. May 2011 A1
20110105946 Sorensen et al. May 2011 A1
20110152715 Delap et al. Jun 2011 A1
20110160611 Ritchart et al. Jun 2011 A1
Foreign Referenced Citations (50)
Number Date Country
3924291 Jan 1991 DE
4041614 Oct 1992 DE
10034297 Apr 2001 DE
10026303 Feb 2002 DE
20209525 Nov 2002 DE
10235480 Feb 2004 DE
0433717 Jun 1991 EP
0890339 Jan 1999 EP
0995400 Apr 2000 EP
1074271 Feb 2001 EP
1520518 Apr 2005 EP
1579809 Sep 2005 EP
1665989 Jun 2006 EP
2095772 Sep 2009 EP
2106750 Oct 2009 EP
1345429 Dec 1963 FR
2739293 Apr 1997 FR
2018601 Oct 1979 GB
H10508504 Aug 1998 JP
2005530554 Oct 2005 JP
2006509545 Mar 2006 JP
2006528907 Dec 2006 JP
2007502159 Feb 2007 JP
9508945 Apr 1995 WO
9624289 Aug 1996 WO
9628097 Sep 1996 WO
9825522 Jun 1998 WO
9831285 Jul 1998 WO
9835615 Aug 1998 WO
9846290 Oct 1998 WO
9933501 Jul 1999 WO
0004832 Feb 2000 WO
0030546 Jun 2000 WO
0059378 Oct 2000 WO
0172230 Oct 2001 WO
0222023 Mar 2002 WO
0232318 Apr 2002 WO
02069808 Sep 2002 WO
2005013830 Feb 2005 WO
2006015302 Feb 2006 WO
2007047128 Apr 2007 WO
2007095330 Aug 2007 WO
2007112751 Oct 2007 WO
2008021687 Feb 2008 WO
2008024684 Feb 2008 WO
2008040812 Apr 2008 WO
2008131362 Oct 2008 WO
2010107424 Sep 2010 WO
2010120294 Oct 2010 WO
2011019343 Feb 2011 WO
Related Publications (1)
Number Date Country
20110054350 A1 Mar 2011 US