JPH10513384A - 自動生検及び軟らかい組織の採取のための方法及び装置 - Google Patents
自動生検及び軟らかい組織の採取のための方法及び装置Info
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- JPH10513384A JPH10513384A JP8524403A JP52440396A JPH10513384A JP H10513384 A JPH10513384 A JP H10513384A JP 8524403 A JP8524403 A JP 8524403A JP 52440396 A JP52440396 A JP 52440396A JP H10513384 A JPH10513384 A JP H10513384A
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- tissue
- cannula
- biopsy device
- needle
- distal end
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/12—Devices for detecting or locating foreign bodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B2010/0225—Instruments for taking cell samples or for biopsy for taking multiple samples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/303—Surgical pincettes without pivotal connections with four or more legs
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.ハウジングと、 針アセンブリとを有し、該針アセンブリが、 尖った遠位端、及び該尖った遠位端に近接し、組織標本チャンバの中に開 いている横方向定置組織受け取り口を有しており、該ハウジングに回転可能な状 態で取り付けられ、組織塊の内部の軸方向固定位置に保持されている管状穿刺部 材と、 切断部材が該管状穿刺部材に沿って近位に抜き取られる時に、切断部材が 組織標本を該管状穿刺部材の近位端まで運ぶことができるように、組織塊から組 織標本を切り取るために該管状穿刺部材と共働するようにしてあるカニューレ状 切断部材と、 該管状穿刺部材及び該カニューレ状切断部材の内部に同軸配置され、切断 部材が抜き取られるときに、所定の位置において切断部材から該組織標本を取り 除くようにしてある細長いノックアウトピンとを備える、 生検器。 2.前記ノックアウトピンが少なくとも0.030 インチの有効直径を有する、請求 の範囲第1項に記載の生検器。 3.前記ノックアウトピンが約0.045 インチの有効直径を有する、求の範囲第1 項に記載の生検器。 4.前記カニューレ状カッタの内径に対する前記ノックアウトピンの有効直径の 割合が約半分である、請求の範囲第1項に記載の生検器。 5.前記管状穿刺部材が細長い外部穿刺針を備え、前記前記カニューレ状切断部 材が、前記細長い外部穿刺針の内部に同軸かつ滑動可能状態で配置された細長い 内部カニューレを備え、前記細長い内部カニューレが、前記細長い内部カニュー レが前記細長い外部穿刺針組織受け取り口よりも先まで滑動する際に、前記受け 取り口の中に突出している組織の一部を切断するために、鋭利な遠位端を有する 、請求の範囲第1項に記載の生検器。 6.前記針アセンブリがさらに組織カセットハウジングを備え、前記組織カセッ トハウジングを回転させずに中空外部穿刺針を回転させるために、前記ハウジ ングが前記組織カセットハウジングと前記外部針とを相互に連結する手段を有す る、請求の範囲第5項に記載の生検器。 7.前記相互連結手段がサムボールである、請求の範囲第6項に記載の生検器。 8.前記組織カセットハウジングがプレハブ成形プラスチックである、請求の範 囲第5項に記載の生検器。 9.内部に収容されている組織を目視できるようにするために、前記プラスチッ クが透明である、請求の範囲第8項に記載の生検器。 10.前記針アセンブリがさらに、前記外部穿刺針の下方に配置された真空内腔と 、真空圧を前記真空内腔から前記組織標本チャンバに連通させるための前記真空 内腔と前記組織標本チャンバとの間の少なくとも1つの液体連通口とを備える、 請求の範囲第5項に記載の生検器。 11.前記少なくとも1つの液体連通口がほぼ同じサイズの複数の穴からなり、そ れらの穴の全てが前記組織受け取り口のすぐ下方に配置されている、請求の範囲 第10項に記載の生検器。 12.前記少なくとも1つの液体連通口が、前記組織受け取り口のすぐ下方に配置 された第1の比較的小さな穴と、組織受け取り口から遠位の中空外部穿刺針の外 部円筒形壁の一部からなるオーバハングによって遮断されるように、前記組織受 け取り口から遠位に配置された第2の比較的大きい穴とを有する、請求の範囲第 10項に記載の生検器。 13.前記針アセンブリが横軸を有していることと、前記少なくとも1つの液体連 通口が、前記横軸に対して角度αの方向に向けられている複数のスロットからな る、請求の範囲第10項に記載の生検器。 14.前記組織受け取り口の横縁が前記横軸に対して角度αの方向に向けられてい る、請求の範囲第13項に記載の生検器。 15.前記角度αが15〜75度の範囲内である、請求の範囲第14項に記載の生検器。 16.前記内部カニューレを前記組織受け取り口を完全に閉鎖するのに十分な距離 だけ遠位に前進させることができ、、前記少なくとも1つの液体連通口が、内部 カニューレが完全前進位置にある時には内部カニューレの遠位端から遠位に配置 されている口からなり、前記口が加圧液体を使用して過剰な組織物質を針 アセンブリから洗い流すのに使用することができるようになっている、請求の範 囲第10項に記載の生検器。 17.前記針アセンブリがさらに、前記切断部材のまわりに配置された回転不能軸 受スリーブを有する、請求の範囲第1項に記載の生検器。 18.内腔、組織を穿刺するための鋭利な遠位端、及び隣接した位置にある組織塊 の一部を受け取るための前記鋭利な遠位端に近接して配置された横方向開口を有 する細長い中空外部穿刺針と、 内腔を有し、前記細長い外部穿刺針の内部に同軸かつ滑動可能状態で配置さ れている細長い内部切断カニューレにおいて、前記細長い内部カニューレが、前 記細長い内部カニューレが前記細長い外部穿刺針組織受け取り口よりも先まで滑 動する際に、前記受け取り口の中に突出している組織の一部を切断するために、 鋭利な遠位端を有していることと、それによって前記鋭利な遠位端に近接する前 記細長い内部カニューレの内部に切断された組織の部分を入れることを特徴とす る細長い内部切断カニューレと、 前記内部カニューレ内腔を通じて前記横方向開口と液体連通している真空圧 を発生させるための真空発生器と、 前記内部カニューレの内腔の中に配置されており、前記真空圧によって横方 向開口の中に引き込まれ、切断カニューレによって切断される組織標本が切断カ ニューレ内腔を通って近位まで移動するのを防止するのに十分な程度前記内腔を 遮断するようにしてある前記横方向開口の近位に配置された構造を有している組 織止め装置とを有する、 生検器。 19.前記組織止め装置が、その遠位端から前記内部カニューレ内腔に沿って配置 された直線ワイヤを備えることと、ワイヤの近位端が前記遮断構造を有するよう に成形されていることを特徴とする請求の範囲第18項に記載の生検器。 20.前記遮断構造が前記ワイヤのコルクスクリュー部を有し、コルクスクリュー 部の横断面幅が前記カッタ内腔の内径よりもほんの少し大きい、請求の範囲第19 項に記載の生検器。 21.前記ワイヤの遠位端が、中空外部穿刺針の遠位端に固定取り付けされている 先端を有する、請求の範囲第19項に記載の生検器。 22.複数の葉状部を有する遠位端を有する外部中空カニューレにおいて、前記葉 状部のそれぞれが外部カニューレ壁にヒンジ結合された近位端、及び遠位端を有 しており、葉状部の遠位端が相互に接触する閉鎖位置までヒンジのまわりを旋回 するように、それぞれが偏向させられていることを特徴とする外部中空カニュー レと、 内部中空カニューレとを有し、 前記カニューレの少なくとも1つは他のカニューレに対して滑動可能であり 、最初に、葉状部を開放位置に移動させ、組織標本を切断し、収容するため、内 部カニューレを外部カニューレに対して遠位に延ばすことができ、次いで、葉状 部が内部カニューレを離れ、そのヒンジのまわりでスナップ閉鎖されるように、 外部カニューレを内部カニューレに対して十分に延ばすことができ、これによっ て組織標本を切断し、内部カニューレの内部に収容する、 生検器。 23.鋭利な遠位部を有する外部中空カニューレと、 遠位端を半径方向に拡大するために偏向させられている遠位部を有する内部 中空カニューレとを有し、 前記カニューレの少なくとも1つは他のカニューレに対して滑動可能であり 、最初に、組織標本を捕獲するために内部カニューレ遠位部が半径方向に拡大す るように、内部カニューレを外部カニューレに対して遠位に拡大することができ 、次に、内部カニューレの遠位端部が外部カニューレによって押され、組織標本 のまわりで閉じ、組織標本を切断するように、外部カニューレを内部カニューレ に対して十分に遠位に拡大することができ、それによって組織標本を内部カニュ ーレの内部に収容する、 生検器。 24.内部カニューレの遠位部が、半径方向に拡大するために偏向させられている 一対のヒンジ付きジョーを有するアリゲータチップからなる、請求の範囲第23項 に記載の生検器。 25.内部カニューレの遠位部が複数のフック付き抽出器からなる、請求の範囲第 23項に記載の生検器。 26.外部穿刺針の内腔の中の組織標本チャンバの中に開いている横方向定置組織 受け口を有する細長い外部穿刺針と、軸方向内腔及び鋭利な遠位端を有し、前記 細長い外部穿刺針の内部に同軸かつ滑動可能状態で配置された細長い内部切断カ ニューレとからなり、前記内部カニューレが、組織受け取り口が完全に閉鎖され る位置まで遠位に前進可能であることと、前記針アセンブリが、前記組織受け取 り口の下方に配置された真空内腔からなることと、さらに内部カニューレがその 完全な前進位置にある時には、細長い内部カニューレの遠位端から遠位に配置さ れている少なくとも1つの液体連通口からなることを特徴とする生検器から、挫 滅組織片を洗い流す方法において、 a)組織受け取り口を完全に閉鎖するのに十分なだけ遠位に延在するように内 部カニューレを前進させる段階と、 b)内部カニューレ及び真空内腔の1つを通じて加圧液体を注入し、この液体 を液体連通口から2つの内腔の他方の中に流し込み、そこから液体を液体源に戻 し、それによって集積した挫滅組織片を生検器から洗い流す段階と からなることを特徴とする挫滅組織片を生検器から洗い流す方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US08/386,941 | 1995-02-10 | ||
US08/386,941 US5649547A (en) | 1994-03-24 | 1995-02-10 | Methods and devices for automated biopsy and collection of soft tissue |
PCT/US1996/001655 WO1996024289A2 (en) | 1995-02-10 | 1996-02-08 | Methods and devices for automated biopsy and collection of soft tissue |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2005141587A Division JP3868977B2 (ja) | 1995-02-10 | 2005-05-13 | 自動生検及び柔らかい組織の採取方法及び装置 |
Publications (2)
Publication Number | Publication Date |
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JPH10513384A true JPH10513384A (ja) | 1998-12-22 |
JP3706139B2 JP3706139B2 (ja) | 2005-10-12 |
Family
ID=23527740
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP52440396A Expired - Fee Related JP3706139B2 (ja) | 1995-02-10 | 1996-02-08 | 自動生検及び軟らかい組織の採取のための方法及び装置 |
JP2005141587A Expired - Fee Related JP3868977B2 (ja) | 1995-02-10 | 2005-05-13 | 自動生検及び柔らかい組織の採取方法及び装置 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2005141587A Expired - Fee Related JP3868977B2 (ja) | 1995-02-10 | 2005-05-13 | 自動生検及び柔らかい組織の採取方法及び装置 |
Country Status (7)
Country | Link |
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US (14) | US5649547A (ja) |
EP (2) | EP1197180B1 (ja) |
JP (2) | JP3706139B2 (ja) |
CA (1) | CA2211422A1 (ja) |
DE (2) | DE69633750T2 (ja) |
ES (2) | ES2231586T3 (ja) |
WO (1) | WO1996024289A2 (ja) |
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JP2005095281A (ja) * | 2003-09-24 | 2005-04-14 | Hitachi Ltd | 穿刺システムおよび穿刺方法 |
JP2005334644A (ja) * | 2004-05-21 | 2005-12-08 | Ethicon Endo Surgery Inc | Mri生検装置用位置決めジグ |
JP2006346179A (ja) * | 2005-06-16 | 2006-12-28 | Olympus Medical Systems Corp | 組織捕獲装置、内視鏡用処置具及び内視鏡 |
JP2009233333A (ja) * | 2008-03-27 | 2009-10-15 | Depuy Mitek Inc | 組織抽出・収集装置 |
JP2012520726A (ja) * | 2009-03-16 | 2012-09-10 | シー・アール・バード・インコーポレーテッド | 回転切断を有している生体組織検査装置 |
JP2013500117A (ja) * | 2009-07-27 | 2013-01-07 | オドアルド、ブレッシニアーニ | 経皮生検用の自動装置 |
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JP2015510435A (ja) * | 2012-02-15 | 2015-04-09 | デビコー・メディカル・プロダクツ・インコーポレイテッドDevicor Medical Products, Inc. | 生検装置バルブ組立体 |
US9414814B2 (en) | 2005-08-05 | 2016-08-16 | Devicor Medical Products, Inc. | Biopsy device with rotatable tissue sample holder |
US9638770B2 (en) | 2004-05-21 | 2017-05-02 | Devicor Medical Products, Inc. | MRI biopsy apparatus incorporating an imageable penetrating portion |
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JPH10508504A (ja) * | 1994-09-16 | 1998-08-25 | バイオプシス メディカル インコーポレイテッド | 組織を特定しおよびマーキングする方法および装置 |
US5954670A (en) * | 1994-10-05 | 1999-09-21 | Baker; Gary H. | Mandrel-guided tandem multiple channel biopsy guide device and method of use |
US6183497B1 (en) | 1998-05-01 | 2001-02-06 | Sub-Q, Inc. | Absorbable sponge with contrasting agent |
US6162192A (en) * | 1998-05-01 | 2000-12-19 | Sub Q, Inc. | System and method for facilitating hemostasis of blood vessel punctures with absorbable sponge |
US6071301A (en) * | 1998-05-01 | 2000-06-06 | Sub Q., Inc. | Device and method for facilitating hemostasis of a biopsy tract |
EP1284123B1 (en) | 1996-08-12 | 2005-07-20 | Ethicon Endo-Surgery, Inc. | Apparatus for marking tissue |
US5913857A (en) * | 1996-08-29 | 1999-06-22 | Ethicon End0-Surgery, Inc. | Methods and devices for collection of soft tissue |
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