CA2520607C - Coaxial cannula with sealing element - Google Patents
Coaxial cannula with sealing element Download PDFInfo
- Publication number
- CA2520607C CA2520607C CA2520607A CA2520607A CA2520607C CA 2520607 C CA2520607 C CA 2520607C CA 2520607 A CA2520607 A CA 2520607A CA 2520607 A CA2520607 A CA 2520607A CA 2520607 C CA2520607 C CA 2520607C
- Authority
- CA
- Canada
- Prior art keywords
- coaxial cannula
- needle unit
- sealing element
- biopsy needle
- cannula
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 238000007789 sealing Methods 0.000 title claims abstract description 48
- 238000001574 biopsy Methods 0.000 claims abstract description 41
- 238000003780 insertion Methods 0.000 claims description 8
- 230000037431 insertion Effects 0.000 claims description 8
- 238000000926 separation method Methods 0.000 abstract 2
- 238000000605 extraction Methods 0.000 abstract 1
- 230000008878 coupling Effects 0.000 description 10
- 238000010168 coupling process Methods 0.000 description 10
- 238000005859 coupling reaction Methods 0.000 description 10
- 238000002604 ultrasonography Methods 0.000 description 5
- 239000011796 hollow space material Substances 0.000 description 3
- 239000012530 fluid Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
Classifications
-
- 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
-
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N1/00—Sampling; Preparing specimens for investigation
- G01N1/02—Devices for withdrawing samples
- G01N1/04—Devices for withdrawing samples in the solid state, e.g. by cutting
- G01N1/08—Devices for withdrawing samples in the solid state, e.g. by cutting involving an extracting tool, e.g. core bit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3474—Insufflating needles, e.g. Veress needles
Abstract
The invention relates to a coaxial cannula (1) for extracting samples from tissue comprising a biopsy needle unit (9) provided with a space for sample extraction and a sample separation unit (21) which coaxially encompasses the biopsy needle (9) on an external wall and is longitudinally movable. The inventive coaxial cannula (1) comprises a sealing element (3) which is arranged on the proximal end thereof and closes the space between the internal wall of the coaxial cannula and the external wall of the sample separation unit. Said coaxial cannula (1) is characterised in that the sealing element (3) opens an air outlet when the biopsy needle unit (9) is inserted, and prevents air intake when the biopsy needle unit (9) is positioned and vacuum is produced in the internal chamber of the biopsy needle.
Description
Coaxial cannula with sealing element The invention relates to a coaxial cannula that can be employed in tissue, in which for removing tissue are a biopsy needle unit with specimen removal space and a longitudinally movable specimen separating device that coaxially encloses the biopsy needle on the exterior wall, and whereby the coaxial cannula has on its proximal end a sealing element that encloses the space between the interior wall of the coaxial cannula and the exterior wall of the specimen separating device.
Known from DE GMS 202 09 525.8 is a coaxial cannula that can be inserted into tissue and in which a biopsy needle unit can be employed. A seal is provided between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit in order to, first, prevent fluid from escaping and, second, to make it possible to create a vacuum in the tissue to be biopsied. GMS 202 09 523.8 states that the sealing function of the seal must be created such that it prevents air from entering or escaping and also prevents fluid from escaping.
Such a seal has led to problems in practice. When inserting the biopsy needle unit into the coaxial cannula and during subsequent positioning of the needle unit, the air that has penetrated into the coaxial cannula as a result of the insertion process is sealed in and air bubbles form that cause problems with the ultrasound or MR
images made while the needle is being positioned so that precise positioning is not possible due to the air occlusions.
According to some embodiments disclosed herein, there is provided a biopsy apparatus, comprising: a coaxial cannula configured for insertion in tissue with the aid of a mandrel, the coaxial cannula having a proximal end and an interior wall;
a biopsy needle unit configured for insertion into the coaxial cannula after the mandrel is removed from the coaxial cannula, the biopsy needle unit having an exterior wall, an interior space, and a longitudinally movable specimen separating device; and a sealing element positioned on the proximal end of the coaxial cannula, the sealing element being configured to enclose an intermediate space between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit, wherein the la sealing element is configured to provide an air outlet of the intermediate space when the biopsy needle unit is inserted into the coaxial cannula and is configured to prevent air from entering the intermediate space after the needle unit has been positioned and a vacuum has been created in the interior space of the biopsy needle, wherein the sealing element is an elastic member defining a sealing lip and having an interior diameter, the sealing element being pushed over the proximal end of the coaxial cannula, the interior diameter being dimensioned to leave open a gap between the sealing lip of the sealing element and the biopsy needle unit, and the elasticity of the sealing element is such that, given an underpressure in the intermediate space between the exterior wall of the biopsy needle unit and the interior wall of the coaxial cannula, the sealing lip of the sealing element at the gap comes into contact with the biopsy needle unit to form a seal against the biopsy needle unit.
According to some embodiments disclosed herein the sealing element releases the air outlet when the needle unit is inserted and prevents air from entering after the needle unit has been positioned and a vacuum has been created in the biopsy needle interior space.
Known from DE GMS 202 09 525.8 is a coaxial cannula that can be inserted into tissue and in which a biopsy needle unit can be employed. A seal is provided between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit in order to, first, prevent fluid from escaping and, second, to make it possible to create a vacuum in the tissue to be biopsied. GMS 202 09 523.8 states that the sealing function of the seal must be created such that it prevents air from entering or escaping and also prevents fluid from escaping.
Such a seal has led to problems in practice. When inserting the biopsy needle unit into the coaxial cannula and during subsequent positioning of the needle unit, the air that has penetrated into the coaxial cannula as a result of the insertion process is sealed in and air bubbles form that cause problems with the ultrasound or MR
images made while the needle is being positioned so that precise positioning is not possible due to the air occlusions.
According to some embodiments disclosed herein, there is provided a biopsy apparatus, comprising: a coaxial cannula configured for insertion in tissue with the aid of a mandrel, the coaxial cannula having a proximal end and an interior wall;
a biopsy needle unit configured for insertion into the coaxial cannula after the mandrel is removed from the coaxial cannula, the biopsy needle unit having an exterior wall, an interior space, and a longitudinally movable specimen separating device; and a sealing element positioned on the proximal end of the coaxial cannula, the sealing element being configured to enclose an intermediate space between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit, wherein the la sealing element is configured to provide an air outlet of the intermediate space when the biopsy needle unit is inserted into the coaxial cannula and is configured to prevent air from entering the intermediate space after the needle unit has been positioned and a vacuum has been created in the interior space of the biopsy needle, wherein the sealing element is an elastic member defining a sealing lip and having an interior diameter, the sealing element being pushed over the proximal end of the coaxial cannula, the interior diameter being dimensioned to leave open a gap between the sealing lip of the sealing element and the biopsy needle unit, and the elasticity of the sealing element is such that, given an underpressure in the intermediate space between the exterior wall of the biopsy needle unit and the interior wall of the coaxial cannula, the sealing lip of the sealing element at the gap comes into contact with the biopsy needle unit to form a seal against the biopsy needle unit.
According to some embodiments disclosed herein the sealing element releases the air outlet when the needle unit is inserted and prevents air from entering after the needle unit has been positioned and a vacuum has been created in the biopsy needle interior space.
Due to such an embodiment of the seal, on the one hand air that has been compressed by inserting the needle unit can escape so that no occluded air bubbles are formed and ultrasound or MR images are not affected or disrupted.
The use of an appropriately dimensioned hose that is placed over the proximal end of the coaxial hose is a simple, inexpensive, yet effective embodiment of the sealing element. Care should be taken that the flexibility of the hose is such that during insertion the suction effect at slight underpressure securely closes the gap present between the interior wall of the coaxial cannula and the exterior wall of the needle unit. Specifically, this is attained by using suction to draw the proximal end, e.g., the interior edge, of the hose against the exterior side of the needle unit. For this reason the proximal end of the hose is preferably slightly curved toward the needle unit so that when the vacuum is created the projecting part of the hose piece is drawn inward and pressed against the exterior surface of the needle unit. Removing the vacuum, the underpressure, in the needle hollow space cancels the sealing effect and the gap reopens due to the elasticity of the hose.
However, the sealing element can also be part of the vacuum biopsy device (e.g., in accordance with DE GMS 202 04 363), in particular when the biopsy device is equipped with a guide roller.
In this case a stopper on the distal side at the guide roller is provided that acts as a sealer to engage a corresponding coupling bore in the cap of the coaxial cannula. If the sealing elements do not enter into the counterpart until just prior to the device being placed onto the counterpart into the countercoupling parts, the air can exit first. Thus, the effect does not occur until just before the closing so that no air bubbles or air occlusions disrupt the ultrasound or MR images.
If an intermediate piece is used between the guide roller and the proximal surface of the coaxial cap to reduce the penetration depth of the biopsy needle unit, the intermediate piece has one coupling piece on the distal side and one on the proximal side so that the stopper of the guide roller can, first, act as a seal, and second, the intermediate piece can act as a seal in the coupling cap. What is important is that the intermediate space between the needle unit and the coaxial cannula is not closed until just prior to the final positioning of the needle unit so that the air can escape and is not compressed.
Exemplary embodiments are described in detail as follows:
Fig. 1) Exploded depiction of a coaxial cannula with mandrel Fig. 2) Section through the cap of a coaxial cannula (variant A, enlarged) Fig. 3) Section through the cap of a coaxial cannula acting together with a guide roller on the biopsy device (variant B, enlarged) Fig. 4) Section through the coaxial cannula cap using an intermediate piece and a guide roller on the vacuum biopsy device Fig. 1 illustrates a coaxial cannula with mandrel in an exploded drawing. A
cap 2 is connected to the coaxial cannula tube 1 ("tube" for short). For attaching the tube 1, the latter projects into an interior bore 4 of the cap 2 at its proximal end 5 into the cap [sic] (Fig.
2). For example, a clamping seat holds the proximal tube end 5 in the cap. A sealing element 3, e.g., a hose piece, is placed over the proximal tube end 5. For inserting the coaxial cannula into the tissue, a mandrel 6 (press-in mandrel) is inserted into the coaxial cannula and the mandrel cap 7 is screwed to the cap 2. When assembled, the mandrel tip 8 projects beyond the distal end of the tube.
The coaxial cannula is inserted together with the mandrel into the tissue, e.g., by pressing it in, specifically such that, for example by means of ultrasound equipment, the mandrel tip of the mandrel is guided to or placed in the vicinity of the tissue to be examined.
The use of an appropriately dimensioned hose that is placed over the proximal end of the coaxial hose is a simple, inexpensive, yet effective embodiment of the sealing element. Care should be taken that the flexibility of the hose is such that during insertion the suction effect at slight underpressure securely closes the gap present between the interior wall of the coaxial cannula and the exterior wall of the needle unit. Specifically, this is attained by using suction to draw the proximal end, e.g., the interior edge, of the hose against the exterior side of the needle unit. For this reason the proximal end of the hose is preferably slightly curved toward the needle unit so that when the vacuum is created the projecting part of the hose piece is drawn inward and pressed against the exterior surface of the needle unit. Removing the vacuum, the underpressure, in the needle hollow space cancels the sealing effect and the gap reopens due to the elasticity of the hose.
However, the sealing element can also be part of the vacuum biopsy device (e.g., in accordance with DE GMS 202 04 363), in particular when the biopsy device is equipped with a guide roller.
In this case a stopper on the distal side at the guide roller is provided that acts as a sealer to engage a corresponding coupling bore in the cap of the coaxial cannula. If the sealing elements do not enter into the counterpart until just prior to the device being placed onto the counterpart into the countercoupling parts, the air can exit first. Thus, the effect does not occur until just before the closing so that no air bubbles or air occlusions disrupt the ultrasound or MR images.
If an intermediate piece is used between the guide roller and the proximal surface of the coaxial cap to reduce the penetration depth of the biopsy needle unit, the intermediate piece has one coupling piece on the distal side and one on the proximal side so that the stopper of the guide roller can, first, act as a seal, and second, the intermediate piece can act as a seal in the coupling cap. What is important is that the intermediate space between the needle unit and the coaxial cannula is not closed until just prior to the final positioning of the needle unit so that the air can escape and is not compressed.
Exemplary embodiments are described in detail as follows:
Fig. 1) Exploded depiction of a coaxial cannula with mandrel Fig. 2) Section through the cap of a coaxial cannula (variant A, enlarged) Fig. 3) Section through the cap of a coaxial cannula acting together with a guide roller on the biopsy device (variant B, enlarged) Fig. 4) Section through the coaxial cannula cap using an intermediate piece and a guide roller on the vacuum biopsy device Fig. 1 illustrates a coaxial cannula with mandrel in an exploded drawing. A
cap 2 is connected to the coaxial cannula tube 1 ("tube" for short). For attaching the tube 1, the latter projects into an interior bore 4 of the cap 2 at its proximal end 5 into the cap [sic] (Fig.
2). For example, a clamping seat holds the proximal tube end 5 in the cap. A sealing element 3, e.g., a hose piece, is placed over the proximal tube end 5. For inserting the coaxial cannula into the tissue, a mandrel 6 (press-in mandrel) is inserted into the coaxial cannula and the mandrel cap 7 is screwed to the cap 2. When assembled, the mandrel tip 8 projects beyond the distal end of the tube.
The coaxial cannula is inserted together with the mandrel into the tissue, e.g., by pressing it in, specifically such that, for example by means of ultrasound equipment, the mandrel tip of the mandrel is guided to or placed in the vicinity of the tissue to be examined.
Once the coaxial cannula has been inserted by means of the mandrel, the mandrel is withdrawn and removed; e.g., by unscrewing the connection to the proximal end. In order to prevent rotation or a change in the positioned coaxial cannula, surfaces are provided on the coaxial cannula in which a fork or clamp that is connected via additional elements engages, e.g., to the operating or examining table, so that the coaxial cannula is held in the selected position.
After the coaxial cannula has been inserted and positioned, and after the mandrel has been removed, the needle unit 9 of a vacuum biopsy device with or without an externally arranged cutting sleeve 21 (specimen separating device) is inserted into the tube 1 of the coaxial cannula (Fig. 2). The needle unit 9 comprises, for example, a hollow needle with a cutting sleeve 21 that encloses it coaxially and has a cutting edge on the distal side. However, the needle apparatus can also be an exterior hollow needle in the hollow space of which the cutting device is coaxially arranged. Instead of the mandrel cap, now the end face, for example of a sterile guide roller 13 of the vacuum biopsy equipment, sits against the proximal end face 10 of the cap 2 (see also Figs. 3 and 4). After insertion, the end face of the guide roller 13 of the vacuum biopsy device sits on the end face 10 of the cap. When the needle unit is inserted, the air that penetrated after the removal of the mandrel can at first escape until the sealing lip 11 is drawn to the exterior surface of the needle unit by a vacuum created in the hollow needle;, i.e., the part of the sealing element that projects beyond the cannula tube on the proximal side is designed so that when the needle unit is inserted a slight gap remains open between the sealing lip and the exterior surface of the needle unit; this occurs, for instance, by having only one edge 12 of the sealing lip touch the exterior surface. When a vacuum is created in the hollow space of the biopsy needle, the underpressure increases the pressure force so that the sealing lip 11, that is, the free hose end, is pressed against the exterior surface of the needle unit, thus preventing the entry of more air.
In the examples illustrated in Figs. 3 and 4, alternatives for the embodiment of the sealing function, the guide roller 13 does not sit flush with the end face 11 of the cap, and there is also no sealing element arranged on the proximal end of the tube 1, but instead the guide roller of the biopsy device has a stopper 14 that is inserted into a coupling counterpart 15 provided in the cap 2. The stopper seals the exterior surface of the needle unit against the guide roller via the seal 16. The cap is sealed against the stopper of the guide roller by means of the seal 17. Both seals are designed, for example, as O-rings.
Because the stopper is kept very short in its longitudinal extension (e.g.
stopper length is 5 mm), the sealing effect does not occur until just prior to placing the guide roller on the cap. In other words, the sealing effect does not occur until just before the needle tip is positioned. Air that is present in the coaxial cannula can escape until the sealing effect occurs.
Fig. 4 illustrates the same arrangement as Fig. 3, but in this case in order to reduce the penetration depth of the needle unit an intermediate piece 18 is inserted between cap 2 and guide roller 13. The intermediate piece has on its distal side a stopper 14 that is inserted into the coupling counterpiece. The seal between the cap-side coupling counterpiece of the coaxial cannula and the stopper 19 occurs via the seal 20. The stopper 14 of the guide roller is the same as that already described (Fig. 3) and is inserted into a coupling counterpiece 20 of the intermediate piece 18, which [coupling counterpiece] is arranged on the proximal side. The sealing arrangement is the same as that described for Fig. 3. In this case, as well, the sealing effect does not occur until just before the tip of the needle unit is brought into its final position.
This means that the air that has penetrated can escape from the hollow cannula during the.
insertion process. The intent of both solutions is that the air that has penetrated into the coaxial cannula when the mandrel is exchanged for the needle unit can escape to the greatest extent possible when the needle unit is inserted so that no disruptions occurs during the use of ultrasound or MR.
List of parts 1) Coaxial cannula tube (tube) 2) Cap 3) Sealing element 4) Interior bore 5) Proximal tube end 6) Mandrel 7) Mandrel cap 8) Mandrel tip 9) Needle unit 10) End face of cap 11) Sealing lip 12) Edge 13) Guide roller 14) Stopper 15) Coupling counterpiece 16) Seal 17) Seal 18) Intermediate piece 19) Seal 20) Coupling counterpiece 21) Cutting sleeve (specimen separating unit) 22) 23) 24) 25) 26)
After the coaxial cannula has been inserted and positioned, and after the mandrel has been removed, the needle unit 9 of a vacuum biopsy device with or without an externally arranged cutting sleeve 21 (specimen separating device) is inserted into the tube 1 of the coaxial cannula (Fig. 2). The needle unit 9 comprises, for example, a hollow needle with a cutting sleeve 21 that encloses it coaxially and has a cutting edge on the distal side. However, the needle apparatus can also be an exterior hollow needle in the hollow space of which the cutting device is coaxially arranged. Instead of the mandrel cap, now the end face, for example of a sterile guide roller 13 of the vacuum biopsy equipment, sits against the proximal end face 10 of the cap 2 (see also Figs. 3 and 4). After insertion, the end face of the guide roller 13 of the vacuum biopsy device sits on the end face 10 of the cap. When the needle unit is inserted, the air that penetrated after the removal of the mandrel can at first escape until the sealing lip 11 is drawn to the exterior surface of the needle unit by a vacuum created in the hollow needle;, i.e., the part of the sealing element that projects beyond the cannula tube on the proximal side is designed so that when the needle unit is inserted a slight gap remains open between the sealing lip and the exterior surface of the needle unit; this occurs, for instance, by having only one edge 12 of the sealing lip touch the exterior surface. When a vacuum is created in the hollow space of the biopsy needle, the underpressure increases the pressure force so that the sealing lip 11, that is, the free hose end, is pressed against the exterior surface of the needle unit, thus preventing the entry of more air.
In the examples illustrated in Figs. 3 and 4, alternatives for the embodiment of the sealing function, the guide roller 13 does not sit flush with the end face 11 of the cap, and there is also no sealing element arranged on the proximal end of the tube 1, but instead the guide roller of the biopsy device has a stopper 14 that is inserted into a coupling counterpart 15 provided in the cap 2. The stopper seals the exterior surface of the needle unit against the guide roller via the seal 16. The cap is sealed against the stopper of the guide roller by means of the seal 17. Both seals are designed, for example, as O-rings.
Because the stopper is kept very short in its longitudinal extension (e.g.
stopper length is 5 mm), the sealing effect does not occur until just prior to placing the guide roller on the cap. In other words, the sealing effect does not occur until just before the needle tip is positioned. Air that is present in the coaxial cannula can escape until the sealing effect occurs.
Fig. 4 illustrates the same arrangement as Fig. 3, but in this case in order to reduce the penetration depth of the needle unit an intermediate piece 18 is inserted between cap 2 and guide roller 13. The intermediate piece has on its distal side a stopper 14 that is inserted into the coupling counterpiece. The seal between the cap-side coupling counterpiece of the coaxial cannula and the stopper 19 occurs via the seal 20. The stopper 14 of the guide roller is the same as that already described (Fig. 3) and is inserted into a coupling counterpiece 20 of the intermediate piece 18, which [coupling counterpiece] is arranged on the proximal side. The sealing arrangement is the same as that described for Fig. 3. In this case, as well, the sealing effect does not occur until just before the tip of the needle unit is brought into its final position.
This means that the air that has penetrated can escape from the hollow cannula during the.
insertion process. The intent of both solutions is that the air that has penetrated into the coaxial cannula when the mandrel is exchanged for the needle unit can escape to the greatest extent possible when the needle unit is inserted so that no disruptions occurs during the use of ultrasound or MR.
List of parts 1) Coaxial cannula tube (tube) 2) Cap 3) Sealing element 4) Interior bore 5) Proximal tube end 6) Mandrel 7) Mandrel cap 8) Mandrel tip 9) Needle unit 10) End face of cap 11) Sealing lip 12) Edge 13) Guide roller 14) Stopper 15) Coupling counterpiece 16) Seal 17) Seal 18) Intermediate piece 19) Seal 20) Coupling counterpiece 21) Cutting sleeve (specimen separating unit) 22) 23) 24) 25) 26)
Claims
1. A biopsy apparatus, comprising:
a coaxial cannula configured for insertion in tissue with the aid of a mandrel, the coaxial cannula having a proximal end and an interior wall;
a biopsy needle unit configured for insertion into the coaxial cannula after the mandrel is removed from the coaxial cannula, the biopsy needle unit having an exterior wall, an interior space, and a longitudinally movable specimen separating device; and a sealing element positioned on the proximal end of the coaxial cannula, the sealing element being configured to enclose an intermediate space between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit, wherein the sealing element is configured to provide an air outlet of the intermediate space when the biopsy needle unit is inserted into the coaxial cannula and is configured to prevent air from entering the intermediate space after the needle unit has been positioned and a vacuum has been created in the interior space of the biopsy needle, wherein the sealing element is an elastic member defining a sealing lip and having an interior diameter, the sealing element being pushed over the proximal end of the coaxial cannula, the interior diameter being dimensioned to leave open a gap between the sealing lip of the sealing element and the biopsy needle unit, and the elasticity of the sealing element is such that, given an underpressure in the intermediate space between the exterior wall of the biopsy needle unit and the interior wall of the coaxial cannula, the sealing lip of the sealing element at the gap comes into contact with the biopsy needle unit to form a seal against the biopsy needle unit.
a coaxial cannula configured for insertion in tissue with the aid of a mandrel, the coaxial cannula having a proximal end and an interior wall;
a biopsy needle unit configured for insertion into the coaxial cannula after the mandrel is removed from the coaxial cannula, the biopsy needle unit having an exterior wall, an interior space, and a longitudinally movable specimen separating device; and a sealing element positioned on the proximal end of the coaxial cannula, the sealing element being configured to enclose an intermediate space between the interior wall of the coaxial cannula and the exterior wall of the biopsy needle unit, wherein the sealing element is configured to provide an air outlet of the intermediate space when the biopsy needle unit is inserted into the coaxial cannula and is configured to prevent air from entering the intermediate space after the needle unit has been positioned and a vacuum has been created in the interior space of the biopsy needle, wherein the sealing element is an elastic member defining a sealing lip and having an interior diameter, the sealing element being pushed over the proximal end of the coaxial cannula, the interior diameter being dimensioned to leave open a gap between the sealing lip of the sealing element and the biopsy needle unit, and the elasticity of the sealing element is such that, given an underpressure in the intermediate space between the exterior wall of the biopsy needle unit and the interior wall of the coaxial cannula, the sealing lip of the sealing element at the gap comes into contact with the biopsy needle unit to form a seal against the biopsy needle unit.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE20305093.2 | 2003-03-29 | ||
DE20305093U DE20305093U1 (en) | 2003-03-29 | 2003-03-29 | Coaxial cannula with sealing element |
PCT/EP2004/003327 WO2004086977A1 (en) | 2003-03-29 | 2004-03-29 | Coaxial cannula provided with a sealing element |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2520607A1 CA2520607A1 (en) | 2004-10-14 |
CA2520607C true CA2520607C (en) | 2012-07-03 |
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ID=28051430
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CA2520607A Expired - Lifetime CA2520607C (en) | 2003-03-29 | 2004-03-29 | Coaxial cannula with sealing element |
Country Status (10)
Country | Link |
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US (6) | US7645239B2 (en) |
EP (1) | EP1620016B1 (en) |
JP (1) | JP4476279B2 (en) |
AT (1) | ATE369796T1 (en) |
AU (1) | AU2004226795A1 (en) |
CA (1) | CA2520607C (en) |
DE (2) | DE20305093U1 (en) |
ES (1) | ES2290687T3 (en) |
MX (1) | MXPA05010443A (en) |
WO (1) | WO2004086977A1 (en) |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE20305093U1 (en) | 2003-03-29 | 2003-09-11 | Heske Norbert F | Coaxial cannula with sealing element |
JP4767252B2 (en) | 2004-06-14 | 2011-09-07 | ヌームアールエックス・インコーポレーテッド | Lung access device |
US7766891B2 (en) | 2004-07-08 | 2010-08-03 | Pneumrx, Inc. | Lung device with sealing features |
JP5113519B2 (en) | 2004-07-08 | 2013-01-09 | ヌームアールエックス・インコーポレーテッド | Treatment device, treatment method and material for pleural effusion |
CA2587857C (en) | 2004-11-23 | 2017-10-10 | Pneumrx, Inc. | Steerable device for accessing a target site and methods |
JP4632887B2 (en) * | 2005-07-15 | 2011-02-16 | オリンパスメディカルシステムズ株式会社 | Endoscopic puncture needle |
US8888800B2 (en) | 2006-03-13 | 2014-11-18 | Pneumrx, Inc. | Lung volume reduction devices, methods, and systems |
US9402633B2 (en) | 2006-03-13 | 2016-08-02 | Pneumrx, Inc. | Torque alleviating intra-airway lung volume reduction compressive implant structures |
US8157837B2 (en) | 2006-03-13 | 2012-04-17 | Pneumrx, Inc. | Minimally invasive lung volume reduction device and method |
US8012129B2 (en) | 2008-06-25 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical portal apparatus with waffle seal |
US8632605B2 (en) | 2008-09-12 | 2014-01-21 | Pneumrx, Inc. | Elongated lung volume reduction devices, methods, and systems |
US20110190662A1 (en) * | 2008-10-01 | 2011-08-04 | Beacon Endoscopic Corporation | Rapid exchange fna biopsy device with diagnostic and therapeutic capabilities |
US9186128B2 (en) | 2008-10-01 | 2015-11-17 | Covidien Lp | Needle biopsy device |
US9332973B2 (en) | 2008-10-01 | 2016-05-10 | Covidien Lp | Needle biopsy device with exchangeable needle and integrated needle protection |
US8968210B2 (en) | 2008-10-01 | 2015-03-03 | Covidien LLP | Device for needle biopsy with integrated needle protection |
US11298113B2 (en) | 2008-10-01 | 2022-04-12 | Covidien Lp | Device for needle biopsy with integrated needle protection |
US9782565B2 (en) | 2008-10-01 | 2017-10-10 | Covidien Lp | Endoscopic ultrasound-guided biliary access system |
JP2012517836A (en) * | 2009-02-16 | 2012-08-09 | タイジエニツクス・エヌ・ブイ | Biopsy equipment |
JP5809621B2 (en) | 2009-05-18 | 2015-11-11 | ヌームアールエックス・インコーポレーテッド | Implants for treating a patient's lungs |
JP5574674B2 (en) * | 2009-11-12 | 2014-08-20 | キヤノン株式会社 | Acoustic wave measuring device |
JP6130388B2 (en) | 2011-11-09 | 2017-05-17 | テースバク アンパーツゼルスカブ | Hand-held tissue sampler |
JP5379249B2 (en) * | 2012-01-13 | 2013-12-25 | 富士フイルム株式会社 | Tissue collection device |
WO2013158072A1 (en) | 2012-04-16 | 2013-10-24 | Hathaway Jeff M | Biopsy device |
EP2846713A1 (en) * | 2012-05-09 | 2015-03-18 | EON Surgical Ltd. | Laparoscopic port |
CA2888133C (en) | 2012-11-21 | 2023-02-21 | C.R. Bard, Inc. | Core needle biopsy device |
US10638964B2 (en) | 2012-12-19 | 2020-05-05 | Merit Medical Systems, Inc. | Biopsy device and method of use |
WO2014113665A1 (en) | 2013-01-18 | 2014-07-24 | Merit Medical Systems, Inc. | Impact biopsy device and method of use |
US9585690B2 (en) | 2013-02-21 | 2017-03-07 | Covidien Lp | Surgical access device including universal seal mechanism associated with bellows |
US10866167B1 (en) | 2013-03-15 | 2020-12-15 | Maveaux Holdina LLC | Wet gas lateral sampling system and method |
US10641687B1 (en) | 2013-03-15 | 2020-05-05 | Mayeaux Holding, Llc | Wet gas sample probe, vaporizing regulator, and methods associated therewith |
US10613004B1 (en) | 2017-06-06 | 2020-04-07 | Mayeaux Holding, Llc | Wet gas sample system |
US10690570B1 (en) | 2013-03-15 | 2020-06-23 | Mayeaux Holding, Llc | Modular conditioning component improvements and methods associated therewith |
US9995659B1 (en) | 2013-03-15 | 2018-06-12 | Mayeaux Holding Llc | Wet gas lateral sampling system and method |
KR101523662B1 (en) * | 2013-04-26 | 2015-05-28 | 서울대학교병원 | Biopsy needle |
EP3094262B1 (en) | 2014-01-17 | 2019-07-03 | Merit Medical Systems, Inc. | Flush cut biopsy needle assembly |
EP3096831B1 (en) * | 2014-01-21 | 2022-04-06 | Merit Medical Systems, Inc. | Introducer sheath |
US10390838B1 (en) | 2014-08-20 | 2019-08-27 | Pneumrx, Inc. | Tuned strength chronic obstructive pulmonary disease treatment |
US20160192828A1 (en) * | 2015-01-07 | 2016-07-07 | Nicholes Sexton | Retractor cannula and method of use |
WO2016138221A1 (en) | 2015-02-26 | 2016-09-01 | Merit Medical Systems, Inc. | Layered medical appliances and methods |
AU2016226430B2 (en) | 2015-03-04 | 2021-02-11 | Merit Medical Systems, Inc. | Dampened biopsy device and method of use |
WO2017022869A1 (en) * | 2015-07-31 | 2017-02-09 | (주)알에프메디컬 | Introducer needle capable of preventing air infiltration and gun coupled with same |
JP6960857B2 (en) * | 2015-11-30 | 2021-11-05 | マニー株式会社 | Cannula with piercing needle |
WO2017211493A1 (en) * | 2016-06-10 | 2017-12-14 | Fresenius Kabi Deutschland Gmbh | Cannulation device |
US11280805B2 (en) * | 2018-06-05 | 2022-03-22 | Chemthief, Llc | Robot device for collection of solid, liquid and/or multiphase samples |
CN109330632B (en) * | 2018-11-09 | 2023-09-29 | 上海导向医疗系统有限公司 | Biopsy rotary cutting device |
CN109276766A (en) * | 2018-12-02 | 2019-01-29 | 山东航维骨科医疗器械股份有限公司 | A kind of Medical negative pressure drainage bottle sealing device |
CN110811699B (en) * | 2019-10-25 | 2022-05-24 | 台州市立医院 | Tumor sample sampling device |
CA3197752A1 (en) | 2020-11-26 | 2022-06-02 | Avia Vascular, Llc | Blood collection devices, systems, and methods |
Family Cites Families (164)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US33258A (en) * | 1861-09-10 | Improvement in gas-burners | ||
US655542A (en) * | 1900-01-25 | 1900-08-07 | John A Beltz | Draft-equalizer. |
US3004536A (en) * | 1954-03-29 | 1961-10-17 | Carl W Walter | Blood administering apparatus |
US3606878A (en) * | 1968-10-04 | 1971-09-21 | Howard B Kellogg Jr | Needle instrument for extracting biopsy sections |
US3844272A (en) * | 1969-02-14 | 1974-10-29 | A Banko | Surgical instruments |
US3565074A (en) * | 1969-04-24 | 1971-02-23 | Becton Dickinson Co | Indwelling arterial cannula assembly |
US3994287A (en) * | 1974-07-01 | 1976-11-30 | Centre De Recherche Industrielle Du Quebec | Trocar |
GB2018601A (en) | 1978-03-28 | 1979-10-24 | Microsurgical Administrative S | Surgical cutting apparatus |
US4475548A (en) * | 1982-06-01 | 1984-10-09 | Rudolph Muto | Fitting for endotracheal tube apparatus and method of making the fitting |
DE3272596D1 (en) | 1982-09-28 | 1986-09-18 | Ward Bros Sherburn Ltd | Building cladding construction |
US4490137A (en) | 1982-09-30 | 1984-12-25 | Moukheibir Nabil W | Surgically implantable peritoneal dialysis apparatus |
USRE33258E (en) | 1984-07-23 | 1990-07-10 | Surgical Dynamics Inc. | Irrigating, cutting and aspirating system for percutaneous surgery |
US4649904A (en) * | 1986-01-02 | 1987-03-17 | Welch Allyn, Inc. | Biopsy seal |
JP2587623B2 (en) * | 1986-11-22 | 1997-03-05 | 新技術事業団 | Epitaxial crystal growth method for compound semiconductor |
US4945920A (en) | 1988-03-28 | 1990-08-07 | Cordis Corporation | Torqueable and formable biopsy forceps |
US5025797A (en) * | 1989-03-29 | 1991-06-25 | Baran Gregory W | Automated biopsy instrument |
US5400798A (en) * | 1989-03-29 | 1995-03-28 | Baran; Gregory W. | Automated biopsy instrument |
US5617874A (en) * | 1989-03-29 | 1997-04-08 | Baran; Gregory W. | Automated biopsy instrument |
US4958625A (en) | 1989-07-18 | 1990-09-25 | Boston Scientific Corporation | Biopsy needle instrument |
US5335671A (en) | 1989-11-06 | 1994-08-09 | Mectra Labs, Inc. | Tissue removal assembly with provision for an electro-cautery device |
US4940061A (en) * | 1989-11-27 | 1990-07-10 | Ingress Technologies, Inc. | Biopsy instrument |
DE8914941U1 (en) * | 1989-12-19 | 1990-09-27 | B. Braun Melsungen Ag, 3508 Melsungen, De | |
US5282476A (en) * | 1990-11-07 | 1994-02-01 | Terwilliger Richard A | Biopsy apparatus with tapered vacuum chamber |
DE4041614C1 (en) | 1990-12-22 | 1992-10-15 | Ronald Dr.Med. O-3101 Gerwisch De Luther | Tissue sample taking suction biopsy appts. - has rotary cannula fastener and vacuum cylinder at opposite ends in rotary drive handpiece |
US5290245A (en) * | 1992-04-16 | 1994-03-01 | Core Dynamics, Inc. | Valved cannula assembly |
US20050096605A1 (en) * | 1992-04-24 | 2005-05-05 | Green David T. | Valve assembly for introducing instruments into body cavities |
US5368574A (en) * | 1992-10-01 | 1994-11-29 | Ethicon, Inc. | Percutaneous catheter introducer |
US5407433A (en) * | 1993-02-10 | 1995-04-18 | Origin Medsystems, Inc. | Gas-tight seal accommodating surgical instruments with a wide range of diameters |
US5549576A (en) * | 1993-05-07 | 1996-08-27 | C. R. Bard, Inc. | Vascular introducer valve with proximal self-lubrication |
US5657963A (en) * | 1993-06-16 | 1997-08-19 | United States Surgical Corporation | Seal assembly for accommodating introduction of surgical instruments |
US5549565A (en) * | 1993-07-13 | 1996-08-27 | Symbiosis Corporation | Reusable surgical trocar with disposable valve assembly |
US5546957A (en) * | 1993-09-09 | 1996-08-20 | Norbert Heske | Biopsy needle |
US5601585A (en) * | 1994-02-08 | 1997-02-11 | Boston Scientific Corporation | Multi-motion side-cutting biopsy sampling device |
US5487392A (en) * | 1993-11-15 | 1996-01-30 | Haaga; John R. | Biopxy system with hemostatic insert |
US5649547A (en) * | 1994-03-24 | 1997-07-22 | Biopsys Medical, Inc. | Methods and devices for automated biopsy and collection of soft tissue |
US5526822A (en) * | 1994-03-24 | 1996-06-18 | Biopsys Medical, Inc. | Method and apparatus for automated biopsy and collection of soft tissue |
US5817033A (en) * | 1994-04-11 | 1998-10-06 | Desantis; Stephen A. | Needle core biopsy device |
US5752938A (en) * | 1994-09-12 | 1998-05-19 | Richard-Allan Medical Industries, Inc. | Seal for surgical instruments |
US5665062A (en) * | 1995-01-23 | 1997-09-09 | Houser; Russell A. | Atherectomy catheter and RF cutting method |
US5655542A (en) * | 1995-01-26 | 1997-08-12 | Weilandt; Anders | Instrument and apparatus for biopsy and a method thereof |
US6126617A (en) * | 1995-01-26 | 2000-10-03 | Ascendia Ab | Impact-damped biopsy instrument |
US5766135A (en) * | 1995-03-08 | 1998-06-16 | Terwilliger; Richard A. | Echogenic needle tip |
EP0889706A1 (en) * | 1995-03-08 | 1999-01-13 | TERWILLIGER, Richard, A. | Echogenic needle |
NL9500524A (en) | 1995-03-16 | 1996-11-01 | Metracon C V | Aspiration tool for cell biopsy purposes. |
US5584850A (en) * | 1995-05-25 | 1996-12-17 | Applied Medical Resources Corporation | Trocar having an anti-inversion seal |
US5662615A (en) * | 1995-09-01 | 1997-09-02 | Blake, Iii; Joseph W. | Valve and valve cartridge for trocar |
US5857982A (en) * | 1995-09-08 | 1999-01-12 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5817034A (en) * | 1995-09-08 | 1998-10-06 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5807338A (en) * | 1995-10-20 | 1998-09-15 | United States Surgical Corporation | Modular trocar system and methods of assembly |
US5709697A (en) * | 1995-11-22 | 1998-01-20 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5769086A (en) * | 1995-12-06 | 1998-06-23 | Biopsys Medical, Inc. | Control system and method for automated biopsy device |
US5807282A (en) * | 1995-12-28 | 1998-09-15 | Mayo Foundation For Medical Education And Research | Endometrial tissue curette and method |
US5823970A (en) * | 1996-03-22 | 1998-10-20 | Medical Device Technologies, Inc. | Biopsy needle set |
US5882345A (en) * | 1996-05-22 | 1999-03-16 | Yoon; Inbae | Expandable endoscopic portal |
US5752923A (en) * | 1996-06-24 | 1998-05-19 | Medical Device Technologies, Inc. | Biopsy instrument with handle and needle set |
USD403405S (en) | 1996-06-24 | 1998-12-29 | Medical Device Technologies, Inc. | Biopsy needle set |
US5913857A (en) * | 1996-08-29 | 1999-06-22 | Ethicon End0-Surgery, Inc. | Methods and devices for collection of soft tissue |
US5976164A (en) * | 1996-09-13 | 1999-11-02 | Eclipse Surgical Technologies, Inc. | Method and apparatus for myocardial revascularization and/or biopsy of the heart |
US6520951B1 (en) * | 1996-09-13 | 2003-02-18 | Scimed Life Systems, Inc. | Rapid exchange catheter with detachable hood |
IT1287512B1 (en) | 1996-12-11 | 1998-08-06 | Angela Martone | NEEDLE FOR BIOPSY |
US6027458A (en) * | 1996-12-23 | 2000-02-22 | Janssens; Jacques Phillibert | Device for taking a tissue sample |
US6007496A (en) * | 1996-12-30 | 1999-12-28 | Brannon; James K. | Syringe assembly for harvesting bone |
IT1290628B1 (en) * | 1997-01-03 | 1998-12-10 | Gallini Srl | DEVICE FOR THE EXECUTION OF BIOPSIES |
EP0963178A4 (en) * | 1997-01-30 | 2000-03-01 | Boston Scient Corp | Pneumatically actuated tissue sampling device |
US5830219A (en) * | 1997-02-24 | 1998-11-03 | Trex Medical Corporation | Apparatus for holding and driving a surgical cutting device using stereotactic mammography guidance |
DE69841230D1 (en) * | 1997-05-02 | 2009-11-19 | United States Surgical Corp | The cannula assembly |
US5779697A (en) * | 1997-05-28 | 1998-07-14 | Linvatec Corporation | Arthroscopic cannula with fluid seals |
US6017316A (en) | 1997-06-18 | 2000-01-25 | Biopsys Medical | Vacuum control system and method for automated biopsy device |
US6142955A (en) * | 1997-09-19 | 2000-11-07 | United States Surgical Corporation | Biopsy apparatus and method |
US6050955A (en) | 1997-09-19 | 2000-04-18 | United States Surgical Corporation | Biopsy apparatus and method |
US6019733A (en) * | 1997-09-19 | 2000-02-01 | United States Surgical Corporation | Biopsy apparatus and method |
US5928203A (en) * | 1997-10-01 | 1999-07-27 | Boston Scientific Corporation | Medical fluid infusion and aspiration |
US6022324A (en) * | 1998-01-02 | 2000-02-08 | Skinner; Bruce A. J. | Biopsy instrument |
US6007495A (en) | 1998-01-22 | 1999-12-28 | United States Surgical Corporation | Biopsy apparatus and method |
US6193673B1 (en) * | 1998-02-20 | 2001-02-27 | United States Surgical Corporation | Biopsy instrument driver apparatus |
US6261241B1 (en) | 1998-03-03 | 2001-07-17 | Senorx, Inc. | Electrosurgical biopsy device and method |
US6659105B2 (en) * | 1998-02-26 | 2003-12-09 | Senorx, Inc. | Tissue specimen isolating and damaging device and method |
US6331166B1 (en) * | 1998-03-03 | 2001-12-18 | Senorx, Inc. | Breast biopsy system and method |
JP3321075B2 (en) * | 1998-03-17 | 2002-09-03 | 旭光学工業株式会社 | Endoscope forceps stopper |
US6083176A (en) * | 1998-08-11 | 2000-07-04 | Medical Device Technologies, Inc. | Automated biopsy needle handle |
US6106484A (en) * | 1998-05-12 | 2000-08-22 | Medical Device Technologies, Inc. | Reusable automated biopsy needle handle |
US6283925B1 (en) * | 1998-05-12 | 2001-09-04 | Medical Device Technologies, Inc. | Biopsy needle handle |
US6077230A (en) * | 1998-05-14 | 2000-06-20 | Ethicon Endo-Surgery, Inc. | Biopsy instrument with removable extractor |
US5964716A (en) * | 1998-05-14 | 1999-10-12 | Ethicon Endo-Surgery, Inc. | Method of use for a multi-port biopsy instrument |
US5944673A (en) * | 1998-05-14 | 1999-08-31 | Ethicon Endo-Surgery, Inc. | Biopsy instrument with multi-port needle |
US6007497A (en) | 1998-06-30 | 1999-12-28 | Ethicon Endo-Surgery, Inc. | Surgical biopsy device |
US6110129A (en) * | 1998-07-13 | 2000-08-29 | Medical Device Technologies, Inc. | Biopsy needle and surgical instrument |
US6063037A (en) * | 1998-08-21 | 2000-05-16 | Manan Medical Products, Inc. | Bone marrow biopsy needle |
US6022362A (en) * | 1998-09-03 | 2000-02-08 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6033369A (en) * | 1998-09-23 | 2000-03-07 | Goldenberg; Alec | Disposable handle and needle assembly |
DE69920365T2 (en) * | 1998-10-13 | 2005-11-17 | Terumo K.K. | Self-retaining needle assembly and valve element to be applied therein |
CA2287087C (en) | 1998-10-23 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical device for the collection of soft tissue |
US6083237A (en) * | 1998-10-23 | 2000-07-04 | Ethico Endo-Surgery, Inc. | Biopsy instrument with tissue penetrating spiral |
US20010047183A1 (en) * | 2000-04-05 | 2001-11-29 | Salvatore Privitera | Surgical device for the collection of soft tissue |
US6409967B1 (en) * | 1998-11-06 | 2002-06-25 | Medtronic, Inc. | Valve obturator |
CA2701452C (en) * | 1998-11-25 | 2011-08-30 | United States Surgical Corporation | Biopsy system |
US6165136A (en) | 1998-12-23 | 2000-12-26 | Scimed Life Systems, Inc. | Semi-automatic biopsy device and related method of use |
US6162203A (en) * | 1999-01-11 | 2000-12-19 | Haaga; John R. | Cargo delivery needle |
US7189206B2 (en) * | 2003-02-24 | 2007-03-13 | Senorx, Inc. | Biopsy device with inner cutter |
US6142980A (en) * | 1999-03-15 | 2000-11-07 | 3-T Medical Products, Llc | Multi-function medical control valve assembly |
US6402701B1 (en) * | 1999-03-23 | 2002-06-11 | Fna Concepts, Llc | Biopsy needle instrument |
US6086544A (en) * | 1999-03-31 | 2000-07-11 | Ethicon Endo-Surgery, Inc. | Control apparatus for an automated surgical biopsy device |
US6120462A (en) * | 1999-03-31 | 2000-09-19 | Ethicon Endo-Surgery, Inc. | Control method for an automated surgical biopsy device |
US6221029B1 (en) * | 1999-05-13 | 2001-04-24 | Stryker Corporation | Universal biopsy system |
DE19925324C1 (en) * | 1999-06-02 | 2001-01-25 | Winter & Ibe Olympus | Trocar sleeve with duckbill valve |
US6162187A (en) | 1999-08-02 | 2000-12-19 | Ethicon Endo-Surgery, Inc. | Fluid collection apparatus for a surgical device |
JP2001104313A (en) | 1999-10-06 | 2001-04-17 | Asahi Optical Co Ltd | Organization sampling device for endoscope |
US6514215B1 (en) * | 1999-10-13 | 2003-02-04 | Pentax Corporation | Endoscopic tissue collecting instrument |
US6280398B1 (en) * | 1999-10-18 | 2001-08-28 | Ethicon Endo-Surgery | Methods and devices for collection of soft tissue |
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 |
US6290476B1 (en) * | 2000-01-10 | 2001-09-18 | Scott Wu | Hand pump with automatic and manual inflation functions |
US6241687B1 (en) * | 2000-02-18 | 2001-06-05 | Ethicon Endo-Surgery, Inc. | Method of use for a biopsy instrument with breakable sample segments |
US6231522B1 (en) * | 2000-02-18 | 2001-05-15 | Ethicon Endo-Surgery, Inc. | Biopsy instrument with breakable sample segments |
US6595946B1 (en) * | 2000-02-25 | 2003-07-22 | United States Surgical Corporation | Valve assembly |
DE10009132C1 (en) * | 2000-02-26 | 2001-10-25 | Storz Karl Gmbh & Co Kg | Trocar sleeve has seal with central opening, expander with axially movable sleeve, annular end surface, and disc shaped section |
US6730043B2 (en) * | 2000-04-18 | 2004-05-04 | Allegiance Corporation | Bone marrow biopsy needle |
US6436108B1 (en) * | 2000-04-19 | 2002-08-20 | Ensurg, Inc. | Movable ligating band dispenser |
AU5513001A (en) * | 2000-04-28 | 2001-11-12 | Keng Siang Richard Teo | A cannula assembly |
DE10026303A1 (en) | 2000-05-26 | 2002-02-07 | Pajunk Gmbh | Biopsy needle has triangular cross section needle improves suction of tissue samples |
US6419278B1 (en) * | 2000-05-31 | 2002-07-16 | Dana Corporation | Automotive hose coupling |
US6585664B2 (en) * | 2000-08-02 | 2003-07-01 | Ethicon Endo-Surgery, Inc. | Calibration method for an automated surgical biopsy device |
IT1319207B1 (en) * | 2000-10-13 | 2003-09-26 | Istituto Giannina Gaslini | IMPROVED SURGICAL INSTRUMENT, IN PARTICULAR FOR BIOPSIES OF THE RECTAL MUCOSA. |
US20060020281A1 (en) * | 2000-10-13 | 2006-01-26 | Smith Robert C | Valve assembly including diameter reduction structure for trocar |
US6712774B2 (en) * | 2000-10-13 | 2004-03-30 | James W. Voegele | Lockout for a surgical biopsy device |
US6602203B2 (en) | 2000-10-13 | 2003-08-05 | Ethicon Endo-Surgery, Inc. | Remote thumbwheel for a surgical biopsy device |
BR0114716A (en) | 2000-10-16 | 2004-01-20 | Sanarus Medical Inc | Tumor biopsy device |
US6540694B1 (en) * | 2000-10-16 | 2003-04-01 | Sanarus Medical, Inc. | Device for biopsy tumors |
JP4064243B2 (en) | 2000-11-06 | 2008-03-19 | スルーズ サージカル システムズ、インク | Biological tissue examination device |
US7458940B2 (en) * | 2000-11-06 | 2008-12-02 | Suros Surgical Systems, Inc. | Biopsy apparatus |
US6758824B1 (en) * | 2000-11-06 | 2004-07-06 | Suros Surgical Systems, Inc. | Biopsy apparatus |
US6520939B2 (en) * | 2001-02-13 | 2003-02-18 | Scimed Life Systems, Inc. | Hemostasis valve |
US7011094B2 (en) * | 2001-03-02 | 2006-03-14 | Emphasys Medical, Inc. | Bronchial flow control devices and methods of use |
US6432064B1 (en) * | 2001-04-09 | 2002-08-13 | Ethicon Endo-Surgery, Inc. | Biopsy instrument with tissue marking element |
US6620111B2 (en) * | 2001-04-20 | 2003-09-16 | Ethicon Endo-Surgery, Inc. | Surgical biopsy device having automatic rotation of the probe for taking multiple samples |
US6506181B2 (en) * | 2001-05-25 | 2003-01-14 | Becton, Dickinson And Company | Catheter having a low drag septum |
US7037303B2 (en) * | 2001-07-06 | 2006-05-02 | Opticon Medical, Inc. | Urinary flow control valve |
DE20209525U1 (en) | 2002-06-19 | 2002-11-07 | Heske Norbert F | Plastic coaxial cannula |
DE20204363U1 (en) | 2002-03-19 | 2002-05-29 | Heske Norbert F | biopsy device |
DE20204362U1 (en) * | 2002-03-19 | 2002-07-11 | Heske Norbert F | coaxial cannula |
MXPA04008781A (en) * | 2002-03-19 | 2005-12-15 | Bard Dublin Itc Ltd | Biopsy device and biopsy needle module that can be inserted into the biopsy device. |
EP1487346B1 (en) * | 2002-03-19 | 2005-08-31 | Bard Dublin ITC Limited | Vacuum biopsy device |
US20030199753A1 (en) * | 2002-04-23 | 2003-10-23 | Ethicon Endo-Surgery | MRI compatible biopsy device with detachable probe |
US7632250B2 (en) * | 2002-05-10 | 2009-12-15 | Tyco Healthcare Group Lp | Introducer seal assembly |
DE20209523U1 (en) | 2002-06-19 | 2002-09-19 | Sandor Janos | pressure engine |
US20040002632A1 (en) * | 2002-06-28 | 2004-01-01 | D'arrigo Christina | Compliant suction surgical device |
US7083626B2 (en) * | 2002-10-04 | 2006-08-01 | Applied Medical Resources Corporation | Surgical access device with pendent valve |
US7347829B2 (en) | 2002-10-07 | 2008-03-25 | Suros Surgical Systems, Inc. | Introduction system for minimally invasive surgical instruments |
EP1603462B1 (en) | 2003-02-25 | 2015-07-15 | Devicor Medical Products, Inc. | Biopsy device with variable speed cutter advance |
US7156815B2 (en) * | 2003-03-19 | 2007-01-02 | Biomedical Resources, Inc. | Soft tissue biopsy instrument |
DE20305093U1 (en) | 2003-03-29 | 2003-09-11 | Heske Norbert F | Coaxial cannula with sealing element |
US7311673B2 (en) * | 2003-04-24 | 2007-12-25 | Acueity, Inc. | Biopsy device |
WO2004096295A2 (en) * | 2003-04-25 | 2004-11-11 | Tyco Healthcare Group Lp | Surgical access apparatus |
US7169114B2 (en) | 2003-06-04 | 2007-01-30 | Krause William R | Biopsy and delivery device |
US7241276B2 (en) * | 2003-08-06 | 2007-07-10 | Trivascular, Inc. | Passive hemostatic sheath valve |
US7390316B2 (en) * | 2003-08-08 | 2008-06-24 | Teleflex Medical Incorporated | Seal positioning assembly |
US20050043682A1 (en) * | 2003-08-22 | 2005-02-24 | Cannuflow Incorporated | Flexible inflow/outflow cannula and flexible instrument port |
EP1696808A1 (en) * | 2003-12-12 | 2006-09-06 | Applied Medical Resources Corporation | Shielded septum trocar seal |
US20060047293A1 (en) * | 2004-01-23 | 2006-03-02 | Haberland Gary W | Trocar having planar fixed septum seal and related methods |
US7025721B2 (en) * | 2004-01-29 | 2006-04-11 | Boston Scientific Scimed, Inc. | Endoscope channel cap |
WO2006020267A2 (en) * | 2004-07-21 | 2006-02-23 | Tyco Healthcare Group, Lp | Introducer assembly with suspended seal |
US20060129064A1 (en) * | 2004-11-29 | 2006-06-15 | Becton, Dickinson And Company | Blood collection set with an expanded internal volume |
US7867173B2 (en) | 2005-08-05 | 2011-01-11 | Devicor Medical Products, Inc. | Biopsy device with replaceable probe and incorporating vibration insertion assist and static vacuum source sample stacking retrieval |
US7789861B2 (en) * | 2006-04-18 | 2010-09-07 | Ethicon Endo-Surgery, Inc. | Pleated trocar seal |
-
2003
- 2003-03-29 DE DE20305093U patent/DE20305093U1/en not_active Expired - Lifetime
-
2004
- 2004-03-29 EP EP04724000A patent/EP1620016B1/en not_active Expired - Lifetime
- 2004-03-29 DE DE502004004649T patent/DE502004004649D1/en not_active Expired - Lifetime
- 2004-03-29 CA CA2520607A patent/CA2520607C/en not_active Expired - Lifetime
- 2004-03-29 MX MXPA05010443A patent/MXPA05010443A/en active IP Right Grant
- 2004-03-29 AT AT04724000T patent/ATE369796T1/en not_active IP Right Cessation
- 2004-03-29 WO PCT/EP2004/003327 patent/WO2004086977A1/en active IP Right Grant
- 2004-03-29 JP JP2006504905A patent/JP4476279B2/en not_active Expired - Fee Related
- 2004-03-29 ES ES04724000T patent/ES2290687T3/en not_active Expired - Lifetime
- 2004-03-29 US US10/549,820 patent/US7645239B2/en active Active
- 2004-03-29 AU AU2004226795A patent/AU2004226795A1/en not_active Abandoned
-
2007
- 2007-03-01 US US11/680,917 patent/US7740598B2/en active Active
-
2009
- 2009-12-01 US US12/628,619 patent/US8845547B2/en active Active
-
2014
- 2014-09-15 US US14/485,847 patent/US9706980B2/en not_active Expired - Lifetime
-
2017
- 2017-05-19 US US15/600,061 patent/US9980706B2/en not_active Expired - Lifetime
-
2018
- 2018-03-12 US US15/918,064 patent/US11071529B2/en active Active
Also Published As
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MXPA05010443A (en) | 2006-03-21 |
ES2290687T3 (en) | 2008-02-16 |
EP1620016B1 (en) | 2007-08-15 |
JP4476279B2 (en) | 2010-06-09 |
DE20305093U1 (en) | 2003-09-11 |
CA2520607A1 (en) | 2004-10-14 |
AU2004226795A1 (en) | 2004-10-14 |
EP1620016A1 (en) | 2006-02-01 |
WO2004086977A1 (en) | 2004-10-14 |
US20070179403A1 (en) | 2007-08-02 |
US20060229528A1 (en) | 2006-10-12 |
US9980706B2 (en) | 2018-05-29 |
US8845547B2 (en) | 2014-09-30 |
US7740598B2 (en) | 2010-06-22 |
US20100076341A1 (en) | 2010-03-25 |
US9706980B2 (en) | 2017-07-18 |
US20180193004A1 (en) | 2018-07-12 |
US7645239B2 (en) | 2010-01-12 |
US20170252021A1 (en) | 2017-09-07 |
DE502004004649D1 (en) | 2007-09-27 |
US20150005664A1 (en) | 2015-01-01 |
US11071529B2 (en) | 2021-07-27 |
JP2006521138A (en) | 2006-09-21 |
ATE369796T1 (en) | 2007-09-15 |
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