WO2023136646A1

WO2023136646A1 - Thrucut biopsy device

Info

Publication number: WO2023136646A1
Application number: PCT/KR2023/000629
Authority: WO
Inventors: 고형진
Original assignee: 주식회사 플라워메디칼
Priority date: 2022-01-13
Filing date: 2023-01-13
Publication date: 2023-07-20
Also published as: KR20240078421A; KR20230109474A; KR102668868B1

Abstract

An embodiment of the present invention relates to a thrucut biopsy device which can improve sampling efficiency, and to a thrucut biopsy device which can further improve tissue sampling accuracy, can further enhance safety during sampling, and can improve tissue sampling efficiency.

Description

amputation biopsy instrument

Embodiments of the present invention relate to cutting biopsy instruments.

In general, for examining a biological tissue, a method of injecting an instrument capable of sampling the biological tissue into the biological tissue and collecting a target tissue from the biological tissue is used. These types include suction biopsy and excisional biopsy.

Recently, excisional biopsy, which can be obtained while maintaining the histological shape intact by cutting tissue with a needle shape and can increase diagnostic accuracy, has been widely used. In the case of cutting biopsy, it minimizes the caliber of the needle inserted into the affected area, minimizes repetitive invasive acts, and enables precise procedures on small specimens, so it is more widely used than suction biopsy.

Since the tissue to be harvested has blood vessels or other tissues around it and/or on the path through which the biopsy needle penetrates, the operator must be very careful.

Therefore, it is necessary to enable a biopsy instrument to be used for biopsy to be operated comfortably in a state in which the operator can feel maximum stability during the procedure.

However, the conventional biopsy instrument has a problem in that the operator has to adjust the instrument rather than considering the operator's convenience, making it difficult to provide a sense of stability in the procedure. In addition, there was a limitation that it was difficult to use in dangerous areas due to too strong firing power depending on the mechanism.

Embodiments of the present invention are to solve the above problems, it is possible to provide a cutting biopsy instrument that can improve user convenience and give a sense of security to the operator.

In addition, the present invention can provide a cutting biopsy instrument through which an operator can accurately and safely collect tissue with a simple operation.

One embodiment of the present invention includes a needle portion having a tissue harvesting groove, and a needle portion provided shorter than the needle needle to cover the needle needle and move along the longitudinal direction of the needle needle to selectively open and close the tissue harvest groove. , A needle set, a housing having an inner space therein so that at least one region of the needle set is disposed, and accommodated in the housing and coupled to one end of the outer needle, so that the needle penetrates and moves along the longitudinal direction of the housing. A first block provided, a second block accommodated in the housing, coupled to one end of the needle, and provided to move in parallel with the movement direction of the first block, and a first spring providing elastic force to the first block. And, a spring portion including a second spring providing an elastic force to the second block, a first handle portion provided to selectively drive at least one of the first block and the second block, and the first block or a second handle portion provided to fix at least one of the second blocks, wherein the first handle portion independently drives at least one of the first block and the second block, and the first handle portion operates on the first block in a first state. Provided is a cutting biopsy instrument characterized in that it can drive a two-stage loading state by moving one block to a first position and moving the second block to a second position in a second state.

The cutting biopsy instrument according to the embodiments of the present invention can collect tissue while maintaining a stable gripping state with a simple operation.

In addition, the user can change the gripping state of the housing according to his or her taste, and thus, the biopsy procedure can be performed more safely.

In addition, accurate tissue cutting is possible because the firing operation can be performed lightly while the tissue collecting groove is accurately inserted into the tissue part to be harvested.

1 is a perspective view illustrating a cutting biopsy instrument according to an embodiment.

FIG. 2 is a cross-sectional view of the cutting biopsy instrument of FIG. 1 .

3 is a cross-sectional view of a housing of the cutting biopsy instrument of FIG. 1;

FIG. 4 is a diagram illustrating a first block of the cutting biopsy instrument of FIG. 1 .

FIG. 5 is a diagram illustrating a second block of the cutting biopsy instrument of FIG. 1 .

FIG. 6 is a view illustrating a first handle part of FIG. 1 .

FIG. 7 is an enlarged view of portion A of FIG. 2 .

8A and 8B are diagrams schematically illustrating an operation sequence of a cutting biopsy instrument according to an embodiment.

9 is a perspective view illustrating a cutting biopsy instrument according to another embodiment.

10 is a cross-sectional view of the cutting biopsy instrument of FIG. 9 .

One embodiment of the present invention includes a needle portion having a tissue harvesting groove, and a needle portion provided shorter than the needle needle to cover the needle needle and move along the longitudinal direction of the needle needle to selectively open and close the tissue harvest groove. , A needle set, a housing having an inner space therein so that at least one region of the needle set is disposed, and accommodated in the housing and coupled to one end of the outer needle, so that the needle penetrates and moves along the longitudinal direction of the housing. A first block provided, a second block accommodated in the housing, coupled to one end of the needle, and provided to move in parallel with the movement direction of the first block, and a first spring providing elastic force to the first block. And, a spring portion including a second spring providing an elastic force to the second block, a first handle portion provided to selectively drive at least one of the first block and the second block, and the first block or a second handle portion provided to fix at least one of the second blocks, wherein the first handle portion independently drives at least one of the first block and the second block, and the first handle portion operates on the first block in a first state. It is possible to provide a cutting biopsy instrument characterized in that it can drive a two-stage loading state by moving one block to a first position and moving the second block to a second position in a second state.

According to one embodiment, the first handle portion is provided to move along the longitudinal direction of the housing and is provided to move along the longitudinal direction of the housing, and a first hooking portion selectively engaged with the first block, It may include a second engaging portion that selectively engages with the second block.

According to another embodiment, the second engaging portion includes a stepped portion protruding in one direction perpendicular to the axial direction, and the second engaging portion selectively penetrates the second block or the stepped portion according to the driving of the first handle portion. It may be combined with one end of the second block by a part.

According to another embodiment, the second catching portion may further include a sliding portion positioned adjacent to the stepped portion, and the second catching portion may be provided to pass through the second block through the sliding portion.

According to another embodiment, the second handle portion is provided on the side of the housing and may include a first fixing portion selectively fixing the first block to the first position.

According to another embodiment, the second handle portion is provided on the side of the housing and may further include a second fixing portion selectively fixing the second block to the second position.

According to another embodiment, the second handle unit may release the coupling between the second block and the second fixing unit and the coupling between the first block and the first fixing unit by a pressing force.

According to another embodiment, the spring unit may further include a third spring providing an elastic force to the first handle unit.

According to another embodiment, the apparatus may further include a third handle part positioned adjacent to the second handle part and capable of switching the cutting biopsy instrument into a locked state.

Other aspects, features and advantages other than those described above will become apparent from the following drawings, claims and detailed description of the invention.

Since the present invention can apply various transformations and have various embodiments, specific embodiments will be illustrated in the drawings and described in detail in the detailed description. Effects and features of the present invention, and methods for achieving them will become clear with reference to the embodiments described later in detail together with the drawings. However, the present invention is not limited to the embodiments disclosed below and may be implemented in various forms.

In the following embodiments, terms such as first and second are used for the purpose of distinguishing one component from another component without limiting meaning.

In the following examples, expressions in the singular number include plural expressions unless the context clearly dictates otherwise.

In the following embodiments, terms such as include or have mean that features or components described in the specification exist, and do not preclude the possibility that one or more other features or components may be added.

In the following embodiments, when a part such as a unit, area, component, etc. is on or above another part, not only when it is directly above the other part, but also when another unit, area, component, etc. is interposed therebetween Including case

In the following embodiments, terms such as connect or combine do not necessarily mean direct and/or fixed connection or coupling of two members unless the context clearly indicates otherwise, and does not mean that another member is interposed between the two members. not to exclude

In the drawings, the size of components may be exaggerated or reduced for convenience of explanation. For example, since the size and thickness of each component shown in the drawings are arbitrarily shown for convenience of description, the present invention is not necessarily limited to the illustrated bar.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings, and when describing with reference to the drawings, the same or corresponding components are assigned the same reference numerals and overlapping descriptions thereof will be omitted. do.

FIG. 1 is a perspective view illustrating a cutting biopsy instrument 1 according to an embodiment, and FIG. 2 is a cross-sectional view of the cutting biopsy instrument of FIG. 1 . FIG. 3 is a cross-sectional view of a housing of the cutting biopsy instrument of FIG. 1 , FIG. 4 is a view showing a first block of the cutting biopsy instrument of FIG. 1 , and FIG. 5 is a second block of the cutting biopsy instrument of FIG. 1 . 6 is a drawing showing the first handle part of FIG. 1 . FIG. 7 is an enlarged view of portion A of FIG. 2 .

1 to 7 , the cutting biopsy instrument 1 of the present embodiment includes a housing 11, a needle set 12, a first block 13, a second block 14, and a first handle part 15. ), a second handle part 16 and a spring part 17 may be included.

The cutting biopsy instrument 1 of the present embodiment may be configured to operate on a biopsy subject, and may perform tissue extraction necessary for the biopsy subject.

The needle set 12 may include an outer needle portion 121 and an inner needle portion 122 overlapping each other.

The needle set 12 can penetrate the epidermis of the biopsy target and collect tissue. For example, the needle set 12 may penetrate the epidermis of a biopsy target by moving in the first direction D1 .

The outer needle part 121 is disposed outside the inner needle part 122, for example, the outer diameter of the outer needle part 121 may be the same as or larger than the outer diameter of the inner needle part 122.

The outer needle part 121 may move along the longitudinal direction of the inner needle part 122, for example, in the first direction D1 or the second direction D2 while being disposed outside the inner needle part 122.

For example, the outer needle portion 121 is formed on a pipe so that the inner needle portion 122 is accommodated therein, and may be formed to have a shorter length than the inner needle portion 122 .

According to one embodiment, the end of the outer needle portion 121 in the second direction D2 may be coupled to the first block 13 . Therefore, the outer needle part 121 can be interlocked with the movement of the first block 13.

Referring to FIG. 5, the needle part 122 has a cutting surface 1221 located at the end in the first direction D1 and a tissue collecting groove 1222 located adjacent to the second direction D2 from the cutting surface 1221. can include The tissue collection groove 1222 of the inner needle 122 may be selectively opened and closed by the outer needle 121 according to the relative movement of the inner needle 122 and the outer needle 121 . That is, the tissue collection groove 1222 may be covered with the outer needle part 121 or not covered with the outer needle part 121 according to the movement of the inner needle part 122 and the outer needle part 121 .

The tissue harvesting groove 1222 may have a structure of a groove that opens upward or downward.

The needle part 122 may be disposed to penetrate the housing 11 in the axial direction D. According to one embodiment, the second direction (D2) end of the needle needle portion 122 may be fixed to the second block (14).

As an optional embodiment, the outer needle part 121 has a cutting surface 1211 formed at one end so as to cut the tissue accommodated in the tissue collection groove 1222 of the inner needle part 122, and reciprocates with respect to the inner needle part 122. may be provided to do so. The cutting surface 1211 of the outer needle part 121 may be provided with an inclination in a different direction from the cutting surface 1221 of the inner needle part 122, but is not necessarily limited thereto, and the blade 1221 of the inner needle part 122 It may be provided to have an inclination in the same direction as.

The needle set 12 passes through the housing 11 and protrudes outward through the second opening 112 at the distal end of the housing 11 .

The housing 11 may be a case for maintaining durability of the cutting biopsy instrument 1 and may include an arrangement space therein.

Referring to FIG. 2 , at least one area of the needle set 12 may be disposed in a space inside the housing 11 .

As can be seen in FIGS. 1 and 2 , the housing 11 may have a structure extending in the axial direction D, and a first handle portion 15 is provided at an end of the housing 11 in the second direction D2. is located, and the second handle part 16 may be positioned to be exposed on one side of the housing 11 . The length of the housing 11 may be formed to a length sufficient for a user to grip with one hand. The user may hold the body of the housing 11 with one hand and pull the first handle part 15 with the other hand to perform loading and/or collection operations. After the loading is completed, the user can hold the body of the housing 11 with one hand and then press the second handle part 16 during the procedure to perform a firing operation. At this time, since the second handle part 16 is located in front of the side of the housing 11, the user holds the housing 11 like holding a pencil and presses the second handle part 16 with his index finger to perform a firing operation. can do. Optionally, the user may press the second handle part 16 with a thumb while holding the housing 11 to perform a firing operation. In this way, the user can perform the procedure after gripping the housing 11 according to the user's comfortable pose.

As can be seen in FIG. 3, the housing 11 has a first opening 111 formed on the upper side of the side, a second opening 112 formed at the end in the first direction D1, and a third opening formed at the end in the second direction D2. An opening 113 may be included. The second handle part 16 is exposed to the outside through the first opening 111, the needle set 12 is exposed through the second opening 112, and the first handle through the third opening 113. Section 15 is exposed.

The housing 11 may include a first fixed end 1111 and a second fixed end 1112 positioned adjacent to the first opening 111 . The first fixing end 1111 may be located at an end of the first opening 111 in the first direction D1, and the second fixing end 1112 may be located in the second direction D2 of the first opening 111. may be located at the end. The second handle part 16 can be positioned within the housing 11 by the first fixing end 1111 and the second fixing end 1112 and does not deviate to the outside of the first opening 111 .

A first shaft coupling portion 1141 and a second shaft coupling portion 1142 may be positioned adjacent to the first opening 111 within the housing 11 .

The first shaft coupling part 1141 may be located adjacent to the center of the first opening 111, and as shown in FIG. 2, the first fixing part 161 may be coupled thereto. The first pivoting shaft 1611 of the first fixing part 161 is coupled to the first shaft coupling part 1141 , and the first fixing part 161 is rotatable around the first pivoting shaft 1611 . Although not shown in the drawings, a spring coupled to the first fixing part 161 may be further coupled to the first shaft coupling part 1141, and accordingly, the first fixing part 161 is operated in a state having an elastic force. 2 can support the fixing part 162. The spring may be a torsion spring.

The second shaft coupling part 1142 is located inside the housing 11 close to the second fixing end 1112. The second fixing part 162 may be coupled to the second shaft coupling part 1142 . The second pivoting shaft 1621 of the second fixing part 162 is coupled to the second shaft coupling part 1142, and the second fixing part 162 is rotatable around the second pivoting shaft 1621.

The second handle part 16 may be configured by the first fixing part 161 and the second fixing part 162 . A detailed description of this will be given later.

A first partition wall 115 extending along the axial direction D is positioned inside the housing 11 . The first partition wall 115 extends in the axial direction D along approximately the central portion of the housing 11 to divide the interior of the housing 11 in the vertical direction in the drawing. As can be seen in FIG. 2 , the first block 13 and the second block 14 are arranged in one divided area, and the second handle part 16 is coupled to the other area. The first partition wall 115 may serve as a guide rail for movement of the first block 13 and the second block 14 in the axial direction (D).

A first window 1151 and a second window 1152 may be formed in the first partition wall 115, and the first window 1151 is provided so that a part of the first fixing part 161 enters and exits, The second window 1152 may be provided to allow a portion of the second fixing part 162 to come in and out. In this way, the first block 13 and the second block are formed by the first fixing part 161 and the second fixing part 162 that have entered the lower guide rail area through the first window 1151 and the second window 1152. (14) can be supported.

In the guide rail area partitioned by the first partition wall 115, a plurality of partition walls may be installed in a direction perpendicular to the axial direction D to divide the area. For example, the first vertical partition wall 1171, the second vertical partition wall 1172, the third vertical partition wall 1173, and the fourth vertical partition wall are sequentially formed from one end of the first direction D1 to the end of the second direction D2. 1174 and a fifth vertical partition wall 1175 may be disposed.

Referring to FIGS. 2 and 3 , within the first guide area 1181 defined between the second vertical partition wall 1172 and the third vertical partition wall 1173, the first block 13 moves in the axial direction D. You can exercise. In addition, the second block 14 may move in the axial direction (D) within the second guide area 1182 defined between the fourth vertical partition wall 1174 and the fifth vertical partition wall 1175 .

According to an embodiment, a first horizontal partition wall 1161 extending in the axial direction D is disposed in the second direction D2 within the first guide area 1181, and accordingly, the first guide area 1181 ) becomes narrower from the point where the first horizontal bulkhead 1161 is installed in the first direction D1 to the second direction D2. A first spring 171 coupled to the first block 13 is disposed in the first guide area 1181 narrowed by the first horizontal partition wall 1161, and the first spring 171 is disposed in the first horizontal partition wall ( 1161) so that it does not bounce off when the first spring 171 is compressed.

According to one embodiment, the first spring 171 is within an area defined by the first block 13, the third vertical partition wall 1173, and the first horizontal partition wall 1161 within the first guide area 1181. can be located One end of the first spring 171 may be fixed to the first block 13 and the other end may be fixed adjacent to the third vertical bulkhead 1173 .

The movement of the first block 13 in the first direction D1 can be stopped by the second vertical barrier rib 1172 within the first guide area 1181, and the first block 13 is located at the end of the first horizontal barrier 1161. Movement in the second direction D2 may be stopped by this.

According to an embodiment, a second horizontal partition wall 1162 extending in the axial direction D is disposed in the second direction D2 within the second guide area 1182, and accordingly, the second guide area 1182 ) becomes narrower from the point at which the second horizontal bulkhead 1162 is installed in the first direction D1 to the second direction D2. A second spring 172 coupled with the second block 14 is disposed in the second guide area 1182 narrowed by the second horizontal partition wall 1162, and the second spring 172 is disposed in the second horizontal partition wall ( 1162) so that it does not spring out when the second spring 172 is compressed.

According to one embodiment, the second spring 172 is within an area defined by the second block 14, the fifth vertical partition wall 1175, and the second horizontal partition wall 1162 within the second guide area 1182. can be located The second spring 172 may have one end fixed to the second block 14 and the other end adjacent to and fixed to the fifth vertical bulkhead 1175 .

The second block 13 may stop moving in the first direction D1 by the fourth vertical partition wall 1174 within the second guide area 1182, and is located at the end of the second horizontal partition wall 1162. Movement in the second direction D2 may be stopped by this.

First guide grooves 1176 are formed in the first vertical partition 1171 and the second vertical partition 1172, and second guide grooves 1176 are formed in the third vertical partition 1173 and the fourth vertical partition 1174 1177) may be formed, and a third guide groove 1178 may be formed in the fifth vertical partition wall 1175. The first hooking part 153 of the first handle part 15 is guided by the first guide groove 1176, and the second hooking part 153 of the first handle part 15 is guided by the second guide groove 1177. (154) can be guided. The third guide groove 1178 may guide the extension 152 of the first handle part 15 .

According to an embodiment, the first vertical partition 1171 and the second vertical partition 1172 may be formed as a single vertical partition, and the third vertical partition 1173 and the fourth vertical partition 1174 may also be formed as a single vertical partition. It can be formed as a partition wall.

Meanwhile, as shown in FIG. 2 , a third spring 173 may be further positioned in a region between the first vertical barrier rib 1171 and the second opening 112 . The third spring 173 has one end fixed in the housing and the other end fixed to the first hooking part 153 of the first handle part 15 so that the first handle part 15 can be elastically restored to its original position. . According to one embodiment, one end of the third spring 173 may be fixed to the second coupling part 1192 of the housing 11 . The housing 11 may be assembled by installing a first coupling portion 1191, a second coupling portion 1192, and a third coupling portion 1193 at both ends in the axial direction D, respectively.

According to one embodiment, the spring unit 17 is coupled to the first block 13 to provide an elastic force, the first spring 171, and the second block 14 coupled to the second spring to provide an elastic force ( 172), and optionally a third spring 173 coupled to the first handle part 15 to provide an elastic force may be further included.

4 and 5 are views illustrating a first block 13 and a second block 14 according to an embodiment.

The outer needle part 121 may be coupled to the first block 13, and the inner needle part 122 may be coupled to the second block 14. Since the first block 13 is located within the first guide area 1181 of the housing 11 and the second block 14 is located within the second guide area 1182 of the housing 11, the needle part 122 It may pass through the outer layer 121 through the first block 13 .

The first block 13 may have a first channel 131 through which the extension part 152 of the first handle part 15 passes. The first channel 131 may be defined by a pair of first supports 1311 extending from both ends of the first block 13 in the width direction of the body. The first support surface 132 to which the first hooking part 153 of the first handle part 15 is selectively engaged is located at the end of the first support 1311 in the first direction D1. Therefore, in the first handle part 15, the extension part 152 passes through the first channel 131 and the first locking part 153 is selectively coupled to the first support surface 132 to form the first block 13. can be selectively driven.

The second block 14 may have a second channel 141 through which the extension 152 of the first handle part 15 passes. The second channel 141 may be defined by a pair of second supports 1411 extending from both ends of the second block 14 in the width direction of the body. The second support surface 142 to which the second hooking part 154 of the first handle part 15 is selectively engaged is located at the end of the second support 1411 in the first direction D1. Therefore, in the first handle part 15, the extension part 152 passes through the second channel 141 and the second locking part 154 is selectively coupled to the second support surface 142 to form a second block 14. can be selectively driven.

6 is a view showing the first handle part 15 .

The first handle unit 15 according to an embodiment independently drives at least one of the first block 13 and the second block 14 to remove the first block 13 in a first state. By moving to the first position and moving the second block 14 to the second position in the second state, the second stage loading state can be driven.

The first handle part 15 includes a lever 151 provided at the end in the second direction D2 so that the user can pull the first handle part 15 by manipulation and the lever 151 in the axial direction D. An extended extension 152 may be included. The extension part 152 is introduced into the housing 11 through the third opening 113 and extends so that an end portion in the first direction D1 passes through the first block 13 . The extension part 152 may be formed in a column shape extending in the axial direction (D), the thickness of the first channel 131 of the first block 13 and the second channel of the second block 14 ( 141) may be formed to a thickness capable of penetrating.

The first handle part 15 may include a first hooking part 153 and a second hooking part 154 disposed to be spaced apart from each other along the extension part 152 . The first catching part 153 is located at the end of the extension part 152 in the first direction D1, and the second catching part 154 is located between the first catching part 153 and the lever 151. .

The first hooking portion 153 may be formed to a thickness that may not pass through the first channel 131 of the first block 13 . Therefore, the user can selectively move the first block 13 by the first clasp 153, and at this time, the first clasp 153 is the first support surface 132 of the first block 13. to transmit the user's power.

Optionally, the first hooking part 153 has a groove 1531 formed on one side, and one end of the third spring 173 can be coupled to the groove 1531, and the opposite end coupled to the extension part 152 The direction tip 1532 may be disposed toward the third spring 173.

The second catching part 154 may be located at a substantially intermediate position of the extension part 152, and the distance between the first catching part 153 and the second catching part 154 is of the first block 13. It may be a length corresponding to the sum of the axial length and the length of the first spring 171 . At this time, the length of the first spring 171 may be the length before the first spring 171 is deformed, but may be the length in a slightly compressed state.

The second clasp 154 may be provided to be selectively coupled with the second block 14 . As the user manipulates the handle 151, the second hooking part 154 is not engaged with the second block 14 at the first time point, but is engaged with the second block 14 at a second time point different from the first time point. It can be provided as much as possible. That is, at the first point of view, the second hooking part 154 passes through the second block 14 without being coupled to the second block 14, and at the second time point, the second hooking part 154 is Combined with the second block 14, the second block 14 can be moved.

According to one embodiment, as shown in FIG. 6 , the second hooking part 154 may include a stepped part 1541 protruding in one direction perpendicular to the axial direction D. The stepped portion 1541 may move the second block 14 by being combined with the second support surface 142 of the second block 14 at the second time point.

In addition, the second hooking part 154 may further include a sliding part 1542 positioned adjacent to the stepped part 1541 . According to one embodiment, the sliding part 1542 may be located perpendicular to the stepped part 1541 . That is, the sliding part 1542 and the stepped part 1541 may be disposed adjacent to each other by 90 degrees in the thickness direction of the extension part 152 .

As described above, the extension part 152 passes through the second channel 141 of the second block 14, but the stepped part 1541 does not penetrate the second channel 141, and The sliding part 1542 may be provided to pass through the second channel 141 .

To this end, the second channel 141 may be provided to have a first width W1 in a direction perpendicular to the axial direction D, and the sliding portion 1542 has a second width W2 and a stepped portion 1541 ) may be provided to each have a third width W3. In this case, the third width W3 may be larger than the first width W1, and the second width W2 may be equal to or smaller than the first width W1.

When the sliding part 1542 passes through the second channel 141, the sliding surface 1543 of the sliding part 1542 faces the inner surface of the second channel 141. To avoid friction, the sliding surface 1543 It may be slightly spaced apart from the inner surface of the second channel 141 .

When the lever 151 is pulled in the second direction D2 in the state shown in FIG. 6, the sliding surface 1543 passes through the second channel 141 of the second block 14. The first handle part 15 does not move the second block 14.

When the user rotates the lever 151 by 90 degrees around the extension part 152 and pulls it in the second direction D2, the second hooking part 154 moves through the second channel 141 of the second block 14. , the step portion 1541 contacts the second support surface 142 and the first handle portion 15 moves the second block 14 .

The third spring 173 coupled to the first hooking part 153 of the first handle part 15 removes the first handle part 15 when the user pulls the lever 151 in the second direction D2 and then releases it. It recovers again in one direction (D1). In addition, when the user rotates the lever 151 by 90 degrees around the extension part 152 and releases it, the third spring 173 can return the first handle part 15 back to its original state.

7 is a view showing the second handle part 16 in more detail. The second handle part 16 may include a first fixing part 161 and a second fixing part 162 .

The first fixing part 161 is provided on the side of the housing 11 and can selectively fix the first block 13 to a first position. The first fixing part 161 is provided to be rotatable around the first rotation axis 1611, the 1-1 end 1612 faces the first opening 111, and the 1-2 end ( 1613) is rotatably coupled to the first shaft coupling part 1141 of the housing 11 in a state where the first pivoting shaft 1611 selectively passes through the first window 1151 of the first partition wall 115. do. The first fixing part 161 may be provided so that the 1-1st end 1612 receives elastic force in a direction toward the first opening 111 . The 1-1st end 1612 may support the second fixing part 162 and the 1-2nd end 1613 may selectively support the 1st block 13 .

The second fixing part 162 is provided on the side of the housing 11 and can selectively fix the second block 14 to a second position. The second fixing part 162 is provided so as to be rotatable around the second pivoting shaft 1621, and the 2-1st end 1624 is attached to the first fixing end 1111 of the first opening 111. It is possible to prevent the second fixing part 162 from being completely separated out of the first opening 111 by touching the second fixing part 162 . The 2-2nd end portion 1625, which is an end opposite to the 2-1st end portion 1624, may selectively support the second block 14 by penetrating the second window 1152 of the first partition wall 115. . The 2-1 end portion 1624 may be provided in a wedge shape toward the first opening 111 , and the 2-second end portion 1625 may be provided in a wedge shape toward the second window 1152 .

The portion of the second rotation shaft 1621 toward the 2-1 end 1624 passes through the first opening 111, and the first surface 1622 facing the outside of the housing 11 is the second fixed end. The second surface 1623 that selectively touches 1112 and faces the inside of the housing 11 comes into contact with the 1-1 end 1612 of the first fixing part 161.

The second fixing part 162 can elastically rotate around the second pivoting shaft 1621, and a spring (not shown) is coupled to the second pivoting shaft 1621 to form a second fixing part 162. may be elastically supported so that the first surface 1622 faces the outside of the housing 11 . Optionally, a spring (not shown) is coupled only to the first rotation shaft 1611 such that the first fixing part 161 moves the second fixing part 162 so that the first surface 1622 faces the outside of the housing 11. can be supported elastically. Accordingly, the user may operate the second handle part 16 by pressing the first surface 1622 .

In this way, by the pressing force of the second handle part 16, the second block 14 and the second fixing part 162 are sequentially coupled and the first block 13 and the first fixing part 161 are sequentially coupled. ) can be uncoupled.

8A to 8B are diagrams schematically illustrating operation steps of the cutting biopsy instrument according to an embodiment of the present invention described above.

Step S1 is a preparation state. At this time, the tissue collection groove 1222 of the inner needle 122 is covered by the outer needle 121.

Step S2 is a first loading operation, and as the user pulls the lever 151 in the second direction D2, the first hooking part 153 is coupled to the first block 13 in the first state. At this time, the first block 13 is moved by a first distance a1 in the second direction D2 and positioned at the first position. Accordingly, the first spring 171 is compressed, the third spring 173 is extended, and the first and second ends 1613 of the first fixing part 161 fixably support the first block 13 . Accordingly, the first block 13 is in a state of receiving the force stored by the first spring 171 . At this time, the sliding part 1542 of the second clasp 154 penetrates the second channel 141 of the second block 14 so that the second block 14 may not move.

In this way, as the first block 13 moves in the second direction D2, the outer needle part 121 also moves, so that the tissue harvesting groove 1222 of the inner needle part 122 is exposed.

In this state, when the user releases the lever 151, the first handle part 15 is restored to its original position by the restoring force of the third spring 173 in step S3, and the second locking part 154 is the second block 14 ) again in the first direction D1.

Step S4 is a second loading operation. As the user rotates the lever 151 by 90 degrees around the axial direction D and pulls it in the second direction D2, the second hooking part 154 in the second state The stepped portion 1541 comes into contact with the second support surface 142 of the second block 14 . At this time, the second block 14 is moved by a second distance a2 in the second direction D2 and positioned at the second position. The second distance a2 may be the same as the first distance a1. Accordingly, the second spring 172 is compressed, the third spring 173 is extended, and the second-second end portion 1625 of the second fixing part 162 fixably supports the second block 14 . Accordingly, the second block 14 is in a state of receiving the force stored by the second spring 172 .

In this state, when the user releases the lever 151, the first handle part 15 is restored to its original position by the restoring force of the third spring 173 in step S5, and at this time, the axial direction of the third spring 173 ( In addition to the restoring force of D), the restoring force in the rotational direction centered on the axial direction (D) also operates to rotate the first handle part 15 in the opposite direction to the direction in which the user turned, so that the lever 151 can be restored to its original state. there is.

Next, a launching operation of the biopsy device after loading is described.

8B is a diagram sequentially illustrating firing operations of the biopsy device after loading.

In the state in which the loading is completed in step S5, the user inserts the needle assembly into the treatment site of the patient. At this time, the user may grip the housing so that the thumb is placed on the second handle part 16 or hold the housing so that the second handle part 16 can be pressed with the index finger while holding the housing like holding a pencil. Regardless of the position in which the housing is held, the user can perform the procedure in a stable state that suits him/her best.

In this state, when the user presses the first surface 1622 of the second fixing part 162 with the first pressure P1, the second fixing part 162 rotates counterclockwise as in step S6, The coupling between the 2-2nd end 1625 of the fixing part 162 and the second block 14 is released, and the second block 14 moves in the first direction D1 by the condensed force of the second spring 172. ) is fired forward. At the same time, the needle part 122 coupled to the second block 14 also moves forward in the first direction D1 and is deeply embedded into the tissue, and the tissue collecting groove 1222 is exposed. Tissue is seated in the exposed tissue collection groove 1222 .

Next, when the user presses the first surface 1622 of the second fixing part 162 with the second pressure P2, the second fixing part 162 further rotates counterclockwise as in step S7, The top 162 presses the first fixing part 161, and the first fixing part 161 also rotates counterclockwise. Accordingly, the coupling between the first and second ends 1613 of the first fixing part 161 and the first block 13 is released, and the first block 13 is moved by the condensed force of the first spring 171. It is forward fired in the first direction D1. At the same time, the outer needle 121 coupled to the first block 13 also moves forward in the first direction D1 to cover the tissue extraction groove 1222.

The outer needle 121 cuts the tissue seated in the tissue collection groove 1222 so that the cut tissue is sealed and accommodated in the tissue collection groove 1222.

As such, since the user can easily collect tissue by pressing the second handle part 16 with his or her thumb or forefinger, the user can perform the procedure in a stable posture preferred by the user. In addition, since the needle assembly 12 can be launched only by pressing the second handle part 16 provided on the side of the housing 11, it is possible to provide the user with a comfortable posture during the procedure and feel more psychologically stable. can elevate

After the firing is completed, a reloading operation may be performed by pulling the lever 151 as shown in step S2 of FIG. 8A for the next firing. At this time, step S2 may be a process of reloading for the next launch and a recovery process for recovering the collected tissue. That is, in step S2, when the user pulls the lever 151 and moves and fixes the first block 13 in the second direction D2, the outer cover 121 moves together and the tissue harvesting groove 1222 is opened. The user may retrieve the tissue accommodated in the open tissue collection groove 1222 . As described above, since the present invention can perform the recovery process by a reloading operation without the need to perform a separate recovery process, the user's inconvenience can be minimized. After retrieving the tissue, the user can complete loading only by rotating and pulling the lever 151, so reloading can be more convenient.

9 and 10 are perspective and cross-sectional views of a cutting biopsy instrument according to another embodiment of the present invention.

The cutting biopsy instrument according to the embodiment may further include a third handle portion 18 positioned adjacent to the second handle portion 16 .

As can be seen in FIG. 10, the third handle part 18 is slidably coupled to the front end of the housing 11, some of which protrude to the outside of the housing and can be manipulated by the user, and others are inside the housing. is extended to

The end of the third handle part 18 in the second direction (D2) extending toward the inside of the housing is formed in a clasp shape and provided so as to be caught inside the housing, so that the user can easily remove the third handle part 18 from the housing. When the lock is released by pushing the lever part exposed to the outside in the first direction D1, the third handle part 18 may prevent the third handle part 18 from being released from engagement with the housing.

The portion extending into the housing of the third handle part 18 extends in the second direction D2, and the first fixing end 1111 of the housing 11 before the user pushes it in the first direction D1. ) can be extended beyond Therefore, when the user is in a state before pushing the third handle part 18 in the first direction D1, the second handle part 18 extends around the first fixing end 1111. Since the front end of the second fixing part 162 of the handle part 16 is supported, even if the user presses the second fixing part 162, it may not operate. In this state, since the cutting biopsy instrument is in a locked state, safety can be maintained even if the loading is completed.

When the user pushes the third handle part 18 in the first direction D1, the extension of the third handle part 18 and the second fixing part 162 of the second handle part 16 are engaged. Since is released, the safe state is released and the user can press the second fixing part 162 to proceed with the firing process.

Since the third handle part 18 as described above is located adjacent to the second handle part 16 serving as a firing button, it is convenient for the user to operate. That is, the user who has finished loading can manipulate the second handle part 16 immediately after releasing the safety state by manipulating the third handle part 18 after inserting the needle assembly into the treatment site, thereby increasing user convenience. can be maximized. Furthermore, since the third handle part 18 is located in front of the second handle part 16, the user can more conveniently release the safety, and the user does not need to position his/her hand differently for firing, thereby improving operation convenience. can make it even higher.

According to the present invention, the charging operation for the two spring structures can be completed with a simple operation, and the user's grip comfort and ease of operation can be provided at the same time, so that the procedure can be safely completed.

Each of the embodiments described above is an embodiment that can be implemented independently, but it goes without saying that the structure of each embodiment can be applied in combination to other embodiments.

In this way, the present invention has been described with reference to the embodiments shown in the drawings, but this is only exemplary, and those skilled in the art will understand that various modifications and equivalent other embodiments are possible therefrom. . Therefore, the true technical scope of protection of the present invention should be determined by the technical spirit of the appended claims.

Specific executions described in the embodiments are examples, and do not limit the scope of the embodiments in any way. In addition, if there is no specific reference such as "essential" or "important", it may not necessarily be a component necessary for the application of the present invention.

In the specification of the embodiments (particularly in the claims'), the use of the term "above" and similar indicating terms may correspond to both singular and plural. In addition, when a range is described in the embodiment, it includes the invention to which individual values belonging to the range are applied (unless there is a description to the contrary), and it is as if each individual value constituting the range is described in the detailed description. . Finally, if there is no explicit description or description of the order of the steps constituting the method according to the embodiment, the steps may be performed in an appropriate order. Examples are not necessarily limited according to the order of description of the steps. The use of all examples or exemplary terms in the embodiments is simply for explaining the embodiments in detail, and the scope of the embodiments is not limited due to the above examples or exemplary terms unless limited by the claims. In addition, those skilled in the art can appreciate that various modifications, combinations and changes can be made according to design conditions and factors within the scope of the appended claims or equivalents thereof.

Embodiments of the present invention can be used as a biopsy instrument for examining a living tissue.

Claims

A needle set including a needle set having a tissue harvesting groove and an outer needle provided shorter than the needle needle to cover the needle needle and move along the longitudinal direction of the needle needle to selectively open and close the tissue harvesting groove;

a housing having an inner space therein so that at least one region of the needle set is disposed;

a first block accommodated in the housing, coupled to one end of the outer needle, and provided to move along the longitudinal direction of the housing through which the inner needle passes;

a second block accommodated in the housing, coupled to one end of the needle, and provided to move in parallel with the movement direction of the first block;

a spring unit including a first spring providing elastic force to the first block and a second spring providing elastic force to the second block;

a first handle portion provided to selectively drive at least one of the first block and the second block; and

A second handle portion provided to fix at least one of the first block and the second block; includes,

The first handle unit independently drives at least one of the first block and the second block to move the first block to a first position in a first state and move the second block to a second position in a second state. A cutting biopsy instrument, characterized in that it can be moved into position to drive a two-stage loading state.
According to claim 1,

The first handle part,

a first hooking portion provided to move along the longitudinal direction of the housing and selectively engaged with the first block; and

and a second hooking part provided to move along the longitudinal direction of the housing and selectively engaged with the second block.
According to claim 2,

The second catching portion includes a stepped portion protruding in one direction perpendicular to the axial direction, and the second catching portion selectively penetrates the second block according to the driving of the first handle unit or the second block by the stepped portion. Combined with one end of the excision biopsy instrument.
According to claim 3,

The second catching part further includes a sliding part positioned adjacent to the stepped part, and the second catching part is provided to pass through the second block through the sliding part.
According to claim 1,

The second handle part is provided on a side of the housing and includes a first fixing part selectively fixing the first block to the first position.
According to claim 5,

The second handle part is provided on a side of the housing and further includes a second fixing part selectively fixing the second block to the second position.
According to claim 6,

The cutting biopsy instrument, wherein the second handle unit releases the coupling between the second block and the second fixing unit and the coupling between the first block and the first fixing unit by pressing force.
According to claim 1,

The spring unit further comprises a third spring providing an elastic force to the first handle unit.
According to claim 1,

The cutting biopsy instrument further comprises a third handle part positioned adjacent to the second handle part and capable of switching the cut biopsy instrument to a locked state.