The disclosed technology relates generally to a biopsy device and, more specifically, to a biopsy device which ensures that the biopsy needle and specimen are segregated from the surrounding healthy tissue and portions of the device which engage such surrounding tissue.
Biopsies of tissue which is suspected to be diseased or to require treatment is a commonly used diagnostic procedure. Typically, a biopsy needle is inserted into the tissue to be biopsied, and a specimen of the tissue is drawn into the needle. The needle is then retracted, through healthy tissue, in order to remove the needle from the body. In some cases, prior to retraction of the needle, a secondary substance, such as a bio-adhesive or a pharmaceutical is injected into the biopsy site.
One major disadvantage of the currently used methodology is that insertion of the biopsy needle into the biopsied tissue results in contamination of the needle, and following retraction of the needle through healthy tissue can result in contamination of the healthy tissue. For example, removal of the contaminated biopsy syringe or biopsy needle through healthy tissue can result in spreading of infection, spreading of degrading enzymes or digestive juices, exposing immunologically isolated regions of the body to the immune system, or seeding cancerous cells in healthy regions of the body.
U.S. Pat. No. 6,702,760 to Krause et al discloses a biopsy device with coagulant. This patent is concerned with collection of tissue specimens and includes a proximal end with application channel and a distal end with a wider channel. A tube or needle is movable in and out of the application channel to take a biopsy, while fluids can be applied through the wider application channel. Retraction of the needle causes material to be forced out of the outer tube. However, retraction of the biopsy needle into the device results in contamination of the fluids or secondary solution by the wall of the biopsy needle due to contact therebetween. Thus, the secondary solution being injected is no longer considered sterile, because it has been contaminated by whatever substance(s) are disposed on the biopsy needle following its penetration into the biopsy site.
U.S. Pat. No. 8,486,155 to McAlister et al discloses a fistula repair plug having multiple layers. A surgical device is disclosed to plug within a lumen of a patient. Media from previous chambers can be expelled into the patient. It appears that the cartridges used to house liquids using for plugging are movable on support rails. However, the disclosed device does not include a biopsy needle, and the application needles do not include any needles positioned one within another.
U.S. Pat. No. 5,325,857 to Nabai et al discloses a skin biopsy device using a syringe. A cylindrical plug is cut from a pad of an absorbable sponge and is implanted in a biopsy site. The two step process includes first taking a biopsy and removing the syringe, and then using the same syringe as it is the same size of the hole and punching out a hold of sponge and depositing it in the biopsy site. As such, the contaminated syringe is introduced into healthy tissue again following removal of the biopsy specimen.
Therefore, there exists a need in the art for a biopsy needle device including a biopsy needle and a lumen for application of a secondary solution, which are independently movable relative to one another, such that contaminated material, such as the biopsy needle following obtaining of the biopsy specimen, is not exposed at any stage to healthy tissue or to the secondary solution injected into the healthy tissue.
The disclosed technology relates generally to biopsy devices and, more specifically, to a biopsy device which ensures that the biopsy needle and specimen are segregated from the surrounding healthy tissue and portions of the device which engage such surrounding tissue.
There is thus provided, in accordance with an embodiment of the disclosed technology, a biopsy device, including:
a biopsy needle having an interior lumen adapted to have disposed therein a biopsy specimen, and an exterior surface;
a biopsy syringe fluidly connected to the biopsy needle and including a syringe piston, the biopsy syringe adapted to receive the biopsy specimen from the biopsy needle;
a first motor functionally associated with the biopsy needle and driving longitudinal movement of the biopsy needle along a longitudinal axis thereof;
a secondary solution sleeve including an interior cylindrical portion and an exterior cylindrical portion disposed about the interior cylindrical portion and concentric thereto defining a lumen between the interior and exterior cylindrical portions; and
a secondary solution syringe, fluidly connected to the secondary solution sleeve, the secondary solution syringe adapted to contain a secondary solution designed to be injected into an injection site via the secondary solution sleeve;
wherein the biopsy needle is sized to fit within the interior cylindrical portion, is concentric therewith, and is retractable into an interior of the interior cylindrical portion under the force of the first motor, such that the biopsy needle and the interior lumen thereof are segregated from the lumen by the interior cylindrical portion.
In some embodiments, the biopsy needle is longer than the secondary solution sleeve.
In some embodiments, the exterior cylindrical portion of the secondary solution sleeve includes at an end thereof at least one slot in fluid communication with the lumen, the at least one slot adapted to have the secondary solution exit the lumen therethrough.
In some embodiments the biopsy device further includes a first piston motor functionally associated with the syringe piston and adapted to drive longitudinal movement of the syringe piston.
In some embodiments, the secondary solution syringe includes a secondary solution piston adapted to propel the secondary solution toward the secondary solution sleeve, the device further including a second piston motor functionally associated with the secondary solution piston and adapted to drive longitudinal movement thereof.
In some embodiments, the first motor includes at least one longitudinally extending rail, the biopsy syringe is mounted on the at least one rail and supported thereby such that motion of the biopsy syringe is limited to a single dimension. In some such embodiments, the biopsy syringe is removable from the rails.
In some embodiments, the secondary solution syringe is removable from the device for replacement thereof or for filling thereof.
There is further provided in accordance with another embodiment of the present invention a method for obtaining a biopsy specimen, the method including: providing a biopsy device as described hereinabove; positioning the biopsy device such that the biopsy needle and the secondary solution sleeve are adjacent a boundary of a biopsy site; operating the first motor to propel the biopsy needle into the biopsy site; withdrawing a biopsy specimen from the biopsy site into the biopsy syringe via the biopsy needle; injecting a secondary solution from the secondary solution sleeve to the vicinity of the biopsy site around the needle and a lesion caused thereby; operating the first motor to retract the needle, through the injected secondary solution, into the sleeve; and withdrawing the needle and the sleeve out of the body via healthy tissue surrounding the biopsy site, wherein the exterior surface of the needle is segregated from the healthy tissue by enclosure thereof in the sleeve.
In some embodiments, the secondary solution includes at least one component which, when the secondary solution is injected to the vicinity of the biopsy site, forms a physical barrier separating the biopsy needle from healthy tissue therearound. In some embodiments, the at least one component includes at least one of fibringlue and at least one coagulant. In some embodiments, the secondary solution includes at least one therapeutic component for treating the biopsy site. In some embodiments, the secondary solution includes at least one prevention component adapted to prevent damage to healthy tissue surrounding the biopsy site by contaminants from the biopsy site.
There is additionally provided in accordance with yet another embodiment of the disclosed technology a method for obtaining a biopsy specimen, the method including providing a biopsy device including a biopsy needle having an interior lumen and an exterior surface and a secondary solution sleeve including an interior cylindrical portion and an exterior cylindrical portion disposed about the interior cylindrical portion and concentric thereto defining a lumen between the interior and exterior cylindrical portions, wherein the biopsy needle is sized to fit within the interior cylindrical portion and is concentric therewith. Further steps can or do include positioning the biopsy device such that the biopsy needle and the sleeve are adjacent a boundary of a biopsy site; propelling the biopsy needle into the biopsy site; withdrawing a biopsy specimen from the biopsy site into the biopsy needle; retracting the needle from the biopsy site into the interior cylindrical portion of the sleeve; and withdrawing the needle and the sleeve out of the body via healthy tissue surrounding the biopsy site, wherein the exterior surface of the needle is segregated from the healthy tissue by enclosure thereof in the sleeve.
In some embodiments, the lumen of the sleeve is fluidly connected to at least one secondary solution reservoir and the exterior cylindrical portion of the sleeve includes at least one slot, and the method further includes, while the sleeve is positioned adjacent the boundary of the biopsy site, injecting a secondary solution from the secondary solution reservoir to the boundary of the biopsy site, via the at least one slot in the sleeve.
In some embodiments, the secondary solution includes at least one component which, when the secondary solution is injected to the vicinity of the biopsy site, forms a physical barrier separating the biopsy needle from healthy tissue there-around. In some embodiments, the at least one component includes at least one of fibringlue and at least one coagulant. In some embodiments, the secondary solution includes at least one therapeutic component for treating the biopsy site. In some embodiments, the secondary solution includes at least one prevention component adapted to prevent damage to healthy tissue surrounding the biopsy site by contaminants from the biopsy site.
In an embodiment of the disclosed technology, a biopsy device includes a biopsy syringe and needle for collecting a biopsy specimen, and a secondary solution syringe and sleeve for delivering a secondary solution to the biopsy site. The biopsy syringe is fully retractable into the secondary solution sleeve, such that the secondary solution and healthy tissue surrounding the biopsy site are fully and completely segregated from the biopsy needle and specimen, which may carry contaminants from the biopsy site.
It is appreciated that in the context of the description and claims herein, the terms “forward”, “anterior”, “protecting” and equivalents thereof relates to the needle end of the biopsy device or to motion toward the needle end of the biopsy device or toward a target tissue. Similarly, the terms “backward”, “rearward”, “posterior”, “retracting” and equivalents thereof relate to the plunger end of the biopsy device, or to motion away from the needle end of the biopsy device or away from a target tissue.
Reference is now made to
Reference is additionally made to
The biopsy arrangement 104, including the biopsy syringe 106, piston 108, biopsy needle 110, and the biopsy piston motor 111, are functionally associated with a biopsy motor 121 adapted to move the entire biopsy arrangement 104 along a longitudinal axis of biopsy syringe 106, thereby to move the biopsy syringe 106 and biopsy needle 110 forward or rearward relative to the base 102, as explained hereinbelow. In the illustrated embodiment, the biopsy motor is a rack and pinion mechanism and includes a cog or pinion 122 functionally associated with a rack 124 connected to biopsy syringe 106, such that rotation of cog 122 results in longitudinal motion of rack 124 together with the biopsy arrangement 104 as known in the art. In some embodiments the biopsy syringe 106, piston 108, and biopsy needle 110 are removably connected to rail 124, and are removable therefrom for extraction of a biopsy specimen and/or for replacement or sterilization of the syringe 106, piston 108 and needle 110 following contamination thereof, for example after a biopsy procedure is complete. It is appreciated that operation of the biopsy motor may be pre programmed, or may be affected by the user actively initiating such operation, for example by providing electronic instructions via a computer, pushing a suitable button or operating a suitable lever.
As seen with particular clarity in
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The piston 138 may be functionally associated with a second piston motor 145 adapted to move the piston 138 along a longitudinal axis thereof, such that forward motion of piston 138 under the driving force of the piston motor causes the secondary substance in the chamber of secondary substance syringe 136 to be propelled into sleeve 141 via conduit 140, as explained hereinbelow. In the illustrated embodiment, the second piston motor 145 is a rack and pinion mechanism and includes a pinion or cog 142 functionally associated with a rack 144 connected to piston 138, such that rotation of cog 142 results in longitudinal motion of rack 144 together with the piston 138. It is appreciated that operation of the second piston motor 145 may be pre programmed, or may be affected by the user actively initiating such operation, for example by providing electronic instructions via a computer, pushing a suitable button or operating a suitable lever.
In some embodiments, the secondary solution arrangement 134 is removable from base 102, for example for filling thereof or for replacement of components thereof, as necessary.
Reference is now additionally made to
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As explained in further detail hereinbelow, during use of the device 100, a secondary solution flows is propelled by piston 138 from secondary solution syringe 136, via conduit 140 to lumen 168, and flow out of slots 170 to an injection site. It is a particular feature of the disclosed technology that, as seen in sectional illustration d of
Turning specifically to
In some embodiments, the interior cylindrical portion 166 extends proximally beyond the end of exterior cylindrical portion 164, as seen in cross sectional illustration e in
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Reference is now made to
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Reference is now made to
The forward motion of the biopsy arrangement 104 causes biopsy needle 110 to extend further into the biopsy site 182, as seen clearly in
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Reference is now made to
The secondary solution injected into the healthy tissue adjacent the biopsy site is designed to form a physical barrier separating the lesion formed by the biopsy needle 110 in the biopsy site 182 from the healthy tissue surrounding the biopsy site, as well as to enclose the needle 110 and segregate it from the surrounding healthy tissue while it is being retracted from the biopsy site 182, as explained in further detail hereinbelow with reference to
In some embodiments, the secondary solution may further include components specifically targeted to the biopsy site and designed to assist in treatment or healing thereof. For example, in cases in which the biopsy site is an abscess, the secondary solution may include antibiotics for treatment of the infection in the abscess. Similarly, in cases in which the biopsy site is in a digestive organ the secondary substance may include one or more components for neutralizing digestive enzymes. As another examples, if the biopsy site is a cancerous tumor, the secondary solution may include radioisotopes, chemotherapeutic agents, and/or molecules that specifically target the specific cell surface marker of that tumor.
Turning now to
It is a particular feature of the disclosed technology that during retraction thereof, the needle 110, which is now contaminated by contaminants from the biopsy site, is fully segregated from the healthy tissue surrounding the biopsy site. Specifically, the secondary solution sleeve 141 is disposed immediately adjacent the boundary of biopsy site 182, and as such each retracting section of the needle is immediately covered by the sleeve 141. The short segment of the biopsy needle 110 which may be exposed to the surrounding healthy tissue during retraction thereof due to the geometries of the needle, the sleeve, and the biopsy site boundary, is segregated from the surrounding tissue by the physical barrier formed by the injected secondary solution 190. As such, any contamination of the healthy tissue surrounding the biopsy site, such as spreading of infection from an abscess biopsy site or seeding cancerous cells picked up by the needle during biopsy of a tumor, is prevented.
Reference is finally made to
While the disclosed technology has been taught with specific reference to the above embodiments, a person having ordinary skill in the art will recognize that changes can be made in form and detail without departing from the spirit and the scope of the disclosed technology. The described embodiments are to be considered in all respects only as illustrative and not restrictive. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope. Combinations of any of the methods and apparatuses described hereinabove are also contemplated and within the scope of the invention.