JPWO2019236977A5 - - Google Patents

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JPWO2019236977A5
JPWO2019236977A5 JP2020568346A JP2020568346A JPWO2019236977A5 JP WO2019236977 A5 JPWO2019236977 A5 JP WO2019236977A5 JP 2020568346 A JP2020568346 A JP 2020568346A JP 2020568346 A JP2020568346 A JP 2020568346A JP WO2019236977 A5 JPWO2019236977 A5 JP WO2019236977A5
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cutter
sample
biopsy device
lumen
inspection member
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Claims (19)

生検デバイスであって、
(a)ボディと、
(b)前記ボディから遠位に延びる針と、
(c)前記針に対して長手方向に平行移動可能なカッターであって、カッター内腔を規定する前記カッターと、
(d)前記カッターの回転及び平行移動を選択的に駆動するように構成されたカッター駆動アセンブリと、
(e)前記ボディに対して近位に結合された組織サンプルホルダであって、前記カッターの前記カッター内腔は、前記カッターの遠位端と前記組織サンプルホルダとの間を延びる流体管の少なくとも一部を規定する、前記組織サンプルホルダと、
f)前記カッターと前記組織サンプルホルダとの間の前記流体管内の組織サンプルの動きを選択的に停止させるように構成された回転可能なろ過器を含むサンプル停止アセンブリであって、前記回転可能なろ過器は、前記カッターに付随する遠位カプラと前記カッター駆動アセンブリに付随する近位カプラとの間で動きが失われることに応じて動くようにさらに構成されている、前記サンプル停止アセンブリと、を含む前記生検デバイス。
It ’s a biopsy device,
(A) Body and
(B) A needle extending distally from the body,
(C) A cutter that can be translated in the longitudinal direction with respect to the needle and that defines the lumen of the cutter.
(D) A cutter-driven assembly configured to selectively drive the rotation and translation of the cutter.
(E) A tissue sample holder proximally coupled to the body, wherein the cutter lumen of the cutter is at least a fluid tube extending between the distal end of the cutter and the tissue sample holder. With the tissue sample holder that defines a part,
( F) A sample stop assembly comprising a rotatable filter configured to selectively stop the movement of a tissue sample in the fluid tube between the cutter and the tissue sample holder, said rotation. The possible filter is further configured to move in response to loss of motion between the distal coupler associated with the cutter and the proximal coupler associated with the cutter driven assembly, said sample stop assembly. And the biopsy device including.
前記サンプル停止アセンブリは、前記回転可能なろ過器に隣接するサンプル検査部材を含む請求項1に記載の生検デバイス。 The biopsy device of claim 1, wherein the sample stop assembly comprises a sample inspection member adjacent to the rotatable filter. 前記サンプル検査部材を通した前記組織サンプルの目視検査が可能になるように、前記サンプル検査部材の少なくとも一部は透明である請求項2に記載の生検デバイス。 The biopsy device of claim 2, wherein at least a portion of the sample inspection member is transparent so that the tissue sample can be visually inspected through the sample inspection member. 前記回転可能なろ過器をサンプル停止位置から移送位置へ移動させるように、前回転可能なろ過器は前記ボディ及び前記サンプル検査部材に対して移動可能である請求項2に記載の生検デバイス。 The biopsy of claim 2 , wherein the rotatable filter is movable relative to the body and the sample inspection member so that the rotatable filter is moved from the sample stop position to the transfer position. device. 前記回転可能なろ過器は複数の真空開口部を含み、前記サンプル検査部材はサンプル内腔を規定し、前記回転可能なろ過器は、前記回転可能なろ過器の前記真空開口部が前記サンプル検査部材の前記サンプル内腔と流体連絡するように、前記サンプル検査部材に対して位置する請求項2に記載の生検デバイス。 The rotatable filter includes a plurality of vacuum openings, the sample inspection member defines a sample lumen, and the rotatable filter is such that the vacuum opening of the rotatable filter is the sample inspection. The biopsy device of claim 2, wherein the biopsy device is located relative to the sample inspection member so as to be in fluid contact with the sample lumen of the member. 前記サンプル検査部材の前記サンプル内腔は前記回転可能なろ過器の前記真空開口部とともに、前記組織サンプルが前記回転可能なろ過器に隣接するときに前記回転可能なろ過器を通る流体の流れを促進するように構成されている請求項5に記載の生検デバイス。 The sample cavity of the sample inspection member, along with the vacuum opening of the rotatable filter, allows the flow of fluid through the rotatable filter when the tissue sample is adjacent to the rotatable filter. The biopsy device of claim 5, which is configured to facilitate. 前記回転可能なろ過器は剛性である請求項2に記載の生検デバイス。 The biopsy device of claim 2, wherein the rotatable filter is rigid. 前記カッター駆動アセンブリはカッター駆動部材を含み、前記カッター駆動部材の少なくとも一部は、前記回転可能なろ過器を前記サンプル停止アセンブリの前記サンプル検査部材に固定するように構成されている請求項に記載の生検デバイス。 2. The cutter drive assembly comprises a cutter drive member, wherein at least a portion of the cutter drive member is configured to secure the rotatable filter to the sample inspection member of the sample stop assembly. The biopsy device described. 前記サンプル検査部材は内腔を含み、前記カッター駆動部材は内腔を含み、前記サンプル検査部材の前記内腔及び前記カッター駆動部材の前記内腔は両方とも、前記カッターの前記遠位端と前記組織サンプルホルダとの間を延びる前記流体管の一部を規定する請求項に記載の生検デバイス。 The sample inspection member includes a lumen, the cutter drive member includes a lumen, and both the lumen of the sample inspection member and the lumen of the cutter drive member are the distal end of the cutter and the lumen. The biopsy device according to claim 8 , wherein a part of the fluid tube extending between the tissue sample holder and the fluid tube is defined. 前記回転可能なろ過器はサンプル停止位置と移送位置との間を移動するように構成され、前記回転可能なろ過器は複数の開口部を含み、前記複数の開口部の各開口部は、前記回転可能なろ過器が前記サンプル停止位置にあるときに前記回転可能なろ過器を通る流体の連絡を可能にするように構成されている請求項2に記載の生検デバイス。 The rotatable filter is configured to move between a sample stop position and a transfer position, the rotatable filter comprises a plurality of openings, and each opening of the plurality of openings is the said. The biopsy device of claim 2, wherein the rotatable filter is configured to allow communication of fluid through the rotatable filter when the sample stop position. 前記サンプル停止アセンブリは、前記サンプル検査部材内の前記組織サンプルの存在を検出するセンサを含む請求項に記載の生検デバイス。 The biopsy device of claim 2 , wherein the sample stop assembly comprises a sensor that detects the presence of the tissue sample in the sample inspection member. コントローラをさらに含み、前記センサは前記コントローラと連絡しており、前記コントローラは、前記センサが前記組織サンプルの存在を検出することに応じて、前記組織サンプルホルダに供給される真空を低減するように構成されている請求項11に記載の生検デバイス。 Further including a controller, the sensor is in contact with the controller, so that the controller reduces the vacuum supplied to the tissue sample holder in response to the sensor detecting the presence of the tissue sample. The biopsy device according to claim 11 . 前記センサはインピーダンスセンサを含み、前記コントローラは、前記インピーダンスセンサからの信号に基づいて前記組織サンプルの特性を特定するように構成されている請求項12に記載の生検デバイス。 12. The biopsy device of claim 12 , wherein the sensor comprises an impedance sensor, wherein the controller is configured to characterize the tissue sample based on a signal from the impedance sensor. 前記サンプル検査部材は観察エンクロージャを含み、前記サンプル停止アセンブリの少なくとも一部は、前記サンプル停止アセンブリから前記組織サンプルを取り出せるように、前記観察エンクロージャに対して開構成と閉構成との間で動くように構成されている請求項に記載の生検デバイス。 The sample inspection member includes an observation enclosure so that at least a portion of the sample stop assembly moves between open and closed configurations with respect to the observation enclosure so that the tissue sample can be removed from the sample stop assembly. 2. The biopsy device according to claim 2 . 生検デバイスであって、
(a)ボディと、
(b)前記ボディから遠位に延びる針と、
(c)前記針に対して長手方向に平行移動可能なカッターであって、カッター内腔を規定する前記カッターと、
(d)前記ボディに対して近位に結合された組織サンプルホルダであって、前記カッターの前記カッター内腔は、前記カッターの遠位端と前記組織サンプルホルダとの間を延びる流体管の少なくとも一部を規定する、前記組織サンプルホルダと、
(e)カッター駆動アセンブリであって、前記カッターを平行移動及び回転させるように構成された前記カッター駆動アセンブリと、
(f)サンプル停止アセンブリであって、前記サンプル停止アセンブリは検査部材及びフィルターゲートを含み、前記フィルターゲートは前記検査部材と前記カッター駆動アセンブリの一部との間に配置され、前記サンプル停止アセンブリは、前記検査部材と前記カッター駆動アセンブリとの間の相対回転によって、前記フィルターゲートをサンプル停止位置と移送位置との間で移動させるように構成されている、前記サンプル停止アセンブリと、
(g)観察チューブであって、前記観察チューブは、前記サンプル停止アセンブリの前記検査部材の少なくとも一部を受け取るように構成され、前記検査部材が前記観察チューブに対して動くと前記観察チューブが前記サンプル停止アセンブリの前記検査部材の少なくとも一部を開閉するように構成されるように、前記観察チューブは前記ボディに対して固定されている、前記観察チューブと、を含む前記生検デバイス。
It ’s a biopsy device,
(A) Body and
(B) A needle extending distally from the body,
(C) A cutter that can be translated in the longitudinal direction with respect to the needle and that defines the lumen of the cutter.
(D) A tissue sample holder proximally coupled to the body, wherein the cutter lumen of the cutter is at least a fluid tube extending between the distal end of the cutter and the tissue sample holder. With the tissue sample holder that defines a part,
(E) A cutter-driven assembly configured to translate and rotate the cutter.
(F) A sample stop assembly, wherein the sample stop assembly includes an inspection member and a filter gate, the filter gate is arranged between the inspection member and a part of the cutter drive assembly, and the sample stop assembly is The sample stop assembly, which is configured to move the filter gate between the sample stop position and the transfer position by relative rotation between the inspection member and the cutter drive assembly.
(G) An observation tube, the observation tube is configured to receive at least a portion of the inspection member of the sample stop assembly, and when the inspection member moves with respect to the observation tube, the observation tube is said to be said. The biopsy device comprising the observation tube, wherein the observation tube is secured to the body so as to be configured to open and close at least a portion of the inspection member of the sample stop assembly.
前記カッター駆動アセンブリは、前記カッターの回転及び平行移動を、前記カッターの回転及び平行移動が独立に制御できるように行うように構成されている請求項15に記載の生検デバイス。 15. The biopsy device of claim 15 , wherein the cutter drive assembly is configured to rotate and translate the cutter so that the rotation and translation of the cutter can be controlled independently. 前記カッター駆動アセンブリは、前記カッターの回転及び平行移動を、前記カッターの回転及び平行移動がリンクされて前記カッターの前記回転と前記カッターの前記平行移動との間に所定の関係がもたらされるように行うように構成されている請求項15に記載の生検デバイス。 The cutter drive assembly is such that the rotation and translation of the cutter is linked to the rotation and translation of the cutter to provide a predetermined relationship between the rotation of the cutter and the translation of the cutter. The biopsy device according to claim 15 , which is configured to do so. 前記カッター駆動アセンブリは平行移動部材及び回転部材を含み、前記平行移動部材及び前記回転部材の回転は前記カッターを回転及び平行移動させるように構成されている請求項17に記載の生検デバイス。 17. The biopsy device of claim 17 , wherein the cutter drive assembly comprises a translation member and a rotation member , wherein rotation of the translation member and the rotation member is configured to rotate and move the cutter in parallel. 生検デバイスであって、
(a)ホルスターと、
(b)プローブであって、前記プローブから遠位に延びる針と、前記針によって規定される組織受け取り開口部に対して長手方向に平行移動可能なカッターとを含み、前記カッターはカッター内腔を規定する、前記プローブと、
(c)前記カッターの遠位端と組織サンプルホルダとの間を延びる導管を少なくとも部分的に規定する伝達管と、
(d)サンプル停止アセンブリであって、前記サンプル停止アセンブリは、第1のカプラ、第2のカプラ、及び前記第1のカプラと前記第2のカプラとの間に配置されたフィルターゲートを含み、前記第1のカプラ及び前記第2のカプラは、互いに対して別々に動くように構成され、前記サンプル停止アセンブリは、前記第1のカプラと前記第2のカプラとの間の相対運動によって、前記フィルターゲートをサンプル停止位置と移送位置との間で移動させるように構成されている、前記サンプル停止アセンブリと、を含む前記生検デバイス。
It ’s a biopsy device,
(A) Holster and
(B) A probe comprising a needle extending distally from the probe and a cutter translating longitudinally with respect to the tissue receiving opening defined by the needle, wherein the cutter penetrates the cutter lumen. The probe and the specified
(C) A transmission tube that at least partially defines a conduit extending between the distal end of the cutter and the tissue sample holder.
(D) A sample stop assembly, wherein the sample stop assembly includes a first coupler, a second coupler, and a filter gate disposed between the first coupler and the second coupler. The first coupler and the second coupler are configured to move separately with respect to each other, and the sample stop assembly is said by relative motion between the first coupler and the second coupler. The biopsy device comprising said sample stop assembly, which is configured to move a filter gate between a sample stop position and a transfer position.
JP2020568346A 2018-06-08 2019-06-07 Device that allows selective biopsy sample visualization during tissue removal Active JP7184929B2 (en)

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US201862682286P 2018-06-08 2018-06-08
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PCT/US2019/036012 WO2019236977A1 (en) 2018-06-08 2019-06-07 Apparatus to permit selective biopsy sample visualization during tissue removal

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PL3547927T3 (en) * 2016-12-02 2024-03-25 Devicor Medical Products, Inc. Apparatus to allow biopsy sample visualization during tissue removal
JP7185901B2 (en) 2018-09-14 2022-12-08 国立大学法人愛媛大学 Control device and control method for bone hole drill
JP7271349B2 (en) 2019-07-10 2023-05-11 キヤノン株式会社 Rotation resistance device and electronic device

Family Cites Families (38)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5526822A (en) 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
US6017316A (en) 1997-06-18 2000-01-25 Biopsys Medical Vacuum control system and method for automated biopsy device
US6086544A (en) 1999-03-31 2000-07-11 Ethicon Endo-Surgery, Inc. Control apparatus for an automated surgical biopsy device
US6162187A (en) 1999-08-02 2000-12-19 Ethicon Endo-Surgery, Inc. Fluid collection apparatus for a surgical device
US6432065B1 (en) 1999-12-17 2002-08-13 Ethicon Endo-Surgery, Inc. Method for using a surgical biopsy system with remote control for selecting and operational mode
US6428487B1 (en) 1999-12-17 2002-08-06 Ethicon Endo-Surgery, Inc. Surgical biopsy system with remote control for selecting an operational mode
US6602203B2 (en) 2000-10-13 2003-08-05 Ethicon Endo-Surgery, Inc. Remote thumbwheel for a surgical biopsy device
US6626849B2 (en) 2001-11-01 2003-09-30 Ethicon Endo-Surgery, Inc. MRI compatible surgical biopsy device
US20060074345A1 (en) 2004-09-29 2006-04-06 Hibner John A Biopsy apparatus and method
US7854707B2 (en) 2005-08-05 2010-12-21 Devicor Medical Products, Inc. Tissue sample revolver drum biopsy device
US20130324882A1 (en) 2012-05-30 2013-12-05 Devicor Medical Products, Inc. Control for biopsy device
US20140039343A1 (en) * 2006-12-13 2014-02-06 Devicor Medical Products, Inc. Biopsy system
US7938786B2 (en) 2006-12-13 2011-05-10 Devicor Medical Products, Inc. Vacuum timing algorithm for biopsy device
US8702623B2 (en) 2008-12-18 2014-04-22 Devicor Medical Products, Inc. Biopsy device with discrete tissue chambers
US9345457B2 (en) 2006-12-13 2016-05-24 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US20090131821A1 (en) 2007-11-20 2009-05-21 Speeg Trevor W V Graphical User Interface For Biopsy System Control Module
US8454531B2 (en) 2007-11-20 2013-06-04 Devicor Medical Products, Inc. Icon-based user interface on biopsy system control module
US7854706B2 (en) 2007-12-27 2010-12-21 Devicor Medical Products, Inc. Clutch and valving system for tetherless biopsy device
US8622924B2 (en) 2008-02-27 2014-01-07 Devicor Medical Products, Inc. Needle tip for biopsy device
US20100152610A1 (en) 2008-12-16 2010-06-17 Parihar Shailendra K Hand Actuated Tetherless Biopsy Device with Pistol Grip
US20100160819A1 (en) 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Central Thumbwheel
US8083687B2 (en) 2008-12-18 2011-12-27 Devicor Medical Products, Inc. Tissue biopsy device with rotatably linked thumbwheel and tissue sample holder
US8206316B2 (en) 2009-06-12 2012-06-26 Devicor Medical Products, Inc. Tetherless biopsy device with reusable portion
US8568446B2 (en) * 2010-05-13 2013-10-29 Ethicon Endo-Surgery, Inc. Multi-chamber therapeutic cell applicator instrument
US8764680B2 (en) * 2010-11-01 2014-07-01 Devicor Medical Products, Inc. Handheld biopsy device with needle firing
US8858465B2 (en) 2011-04-14 2014-10-14 Devicor Medical Products, Inc. Biopsy device with motorized needle firing
US8801742B2 (en) 2011-06-01 2014-08-12 Devicor Medical Products, Inc. Needle assembly and blade assembly for biopsy device
US8938285B2 (en) 2011-08-08 2015-01-20 Devicor Medical Products, Inc. Access chamber and markers for biopsy device
US9326755B2 (en) 2011-08-26 2016-05-03 Devicor Medical Products, Inc. Biopsy device tissue sample holder with bulk chamber and pathology chamber
US9486186B2 (en) 2011-12-05 2016-11-08 Devicor Medical Products, Inc. Biopsy device with slide-in probe
KR102210308B1 (en) 2012-02-15 2021-02-02 데비코어 메디컬 프로덕츠, 인코포레이티드 Biopsy device valve assembly
WO2017075415A1 (en) 2015-10-30 2017-05-04 Devicor Medical Products, Inc. Tissue sample holder with bulk tissue collection feature
EP3448265B1 (en) * 2016-04-29 2023-02-22 Devicor Medical Products, Inc. Tissue sample holder with enhanced features
US10729856B1 (en) * 2016-07-29 2020-08-04 Devicor Medical Products, Inc. Guide and filter for biopsy device
EP3827755B1 (en) 2016-12-02 2023-03-01 Devicor Medical Products, Inc. Multi-chamber tissue sample cup for biopsy device
PL3547927T3 (en) 2016-12-02 2024-03-25 Devicor Medical Products, Inc. Apparatus to allow biopsy sample visualization during tissue removal
US10881383B2 (en) * 2017-08-31 2021-01-05 Hologic, Inc. Systems and methods for homing an automated biopsy driver for installing a disposable biopsy needle assembly
CN107811658A (en) * 2017-11-06 2018-03-20 南京微创医学科技股份有限公司 Tissue specimen collection and separator

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