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Collection filter

a collection filter and filter body technology, applied in medical science, surgery, vaccination/ovulation diagnostics, etc., can solve the problems of increased risk of infection and bleeding at the sample site, significant trauma to the breast tissue, and requiring considerable recovery time for patients, so as to achieve the effect of maximizing the length and overall size of the core, avoiding infection and bleeding, and ensuring the integrity of the longitudinal integrity

Inactive Publication Date: 2006-02-09
MILLER MICHAEL E +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

"The present invention is a disposable tissue removal device that includes a cutting element mounted to a handpiece. The cutting element has an outer cannula with a trocar tip and a cutting board, and an inner cannula with an inwardly beveled cutting edge. The inner cannula is driven by both a rotary motor and a reciprocating motor. The inner cannula is designed to eliminate the risk of catching the edge on the tissue-receiving opening and to make complete severance of the tissue. The device has an aspiration tube with a collection trap that can retain tissue samples excised by the cutting device. The filter element in the collection trap allows fluids to pass while retaining tissue samples. The device is made of MRI compatible materials and can be used in a variety of procedures. The tissue-receiving opening has teeth that help prevent the forward motion of the tissue and maximize the length and overall size of the core. The outer cannula has a stiffening element to maintain its longitudinal integrity. The inner cannula may have a bead or dimple to prevent it from rising up into the tissue-receiving opening."

Problems solved by technology

This procedure causes significant trauma to the breast tissue, often leaving disfiguring results and requiring considerable recovery time for the patient.
This is often a deterrent to patients receiving the medical care they require.
The open technique, as compared to the percutaneous method, presents increased risk of infection and bleeding at the sample site.
In addition, this method does not provide for a pathological assessment of the tissue, which can provide a more complete assessment of the stage of the cancer, if found.
First, the device would sometimes fail to remove a sample, therefore, requiring additional insertions.
This was generally due to tissue failing to prolapse into the sampling notch.
Secondly, the device had to be inserted and withdrawn to obtain each sample, therefore, requiring several insertions in order to acquire sufficient tissue for pathology.
Although the Burbank device presents an advancement in the field of biopsy devices, several disadvantages remain and further improvements are needed.
These small holes often become clogged with blood and bodily fluids.
This increases the time necessary to wrap up the procedure, which ultimately affects the cost of the procedure.
In addition, the required clean-up and / or sterilization of reusable parts increases the staffs' potential exposure to body tissues and fluids.
Finally, the reusable handle is heavy, large and cumbersome for handheld use.
A further disadvantage is that current biopsy devices comprise an open system where the tissue discharge port is simply an open area of the device.
In addition, the open system increases the exposure to potentially infectious materials, and requires increased handling of the sample.
As a practical matter, the open system also substantially increases the clean-up time and exposure, because a significant amount of blood and bodily fluid leaks from the device onto the floor and underlying equipment.
Additionally, when using the current biopsy devices, physicians have encountered significant difficulties severing the tissue.
For instance, the inner cutter often fails to completely sever the tissue.
In the case of the Burbank apparatus, the failure to completely sever the tissue after the first advancement of the inner cutter results in a necessary second advancement of the inner cutter.
In this event, the procedure is prolonged, which is significant because the amount of trauma to the tissue and, ultimately, to the patient is greatly affected by the length of the procedure.
This lifting causes the inner cutter to catch on the edge of the tissue receiving opening, which ultimately results in an incomplete cut and dulling of the blade, rendering the blade useless.
Also, prior devices often produce small tissue samples.
An additional disadvantage of the prior devices is presented by the complexity of the three-pedal footswitch.
Operation of the three pedals is difficult and awkward.
These disadvantages become even more significant when using the handheld biopsy device.
For instance, the physician must operate the biopsy device and the ultrasound probe simultaneously making it particularly difficult to manually advance the inner cutter.
In addition, when an assistant is required to remove each sample from the open discharge port, use of the handheld device becomes even more awkward.
Due to these disadvantages, many physicians have declined to use the handheld model.
This is unfortunate because, some lesions that can signify the possible presence of cancer cannot be seen using the stereotactic unit.
Due to the difficulties associated with the handheld device, doctors often choose the open surgical biopsy, which is particularly unfortunate because a majority of the lesions that cannot be seen using the sterotactic unit turn out to be benign.
This means that the patient has unnecessarily endured a significant amount of pain and discomfort; not to mention extended recovery time and disfiguring results.
In addition, the patient has likely incurred a greater financial expense because the open surgical technique is more difficult, time consuming and costly, especially for those patients without health insurance.
The disadvantages of the open surgical technique coupled with the odds that the lesion is benign present a disincentive for the patient to consent to the biopsy.
The added discomfort alone is enough to cause many patients to take the risk that the lesion is benign.
The acceptance of this risk can prove to be fatal for the minority of cases where the lesion is malignant.
Finally, current vacuum assisted biopsy devices are not capable of being used in conjunction with MRI.
This is due to the fact that many of the components are made of magnetic components that interfere with the operation of the MRI.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

example 1

[0110] Eighteen trial biopsies were performed upon patients after obtaining informed consent and preparing the patients according to standard biopsy procedures. In each case, biopsies were performed according to the following procedure. The patient was positioned on her back on the surgical table, and the lesion was located using ultrasound. A small incision was made in the breast. Wile viewing the lesion using ultrasound, an early embodiment of the present invention was inserted into the breast with the tissue receiving opening adjacent the lesion. The cutter was engaged to sample and / or remove the lesion. The lesions varied in size from 6-22 mm. The surgeon's comments are provided in Table 1.

TABLE 1Surgeon's Comments Regarding the Use of EarlyEmbodiments of the Present Biopsy DeviceTrialNumberSurgeon's Comments1Went very well, lesion took approximately 50 seconds togo away2Large fatty breast, very difficult to get needle to mass;eventually successfully removed3Successfully remov...

example 2

[0113] Surgeons performing biopsies using the device of this invention and a device having the features of U.S. Pat. No. 5,526,882 to Burbank provided feedback as to the efficiency of each device. The surgeons' input was used to calculate the amount of time and the number of strokes necessary to remove a lesion. Table 2 compares the amount of time and the number of strokes necessary to remove comparable lesions using each device.

TABLE 2Comparison of Removal Times and Number of Strokes ofthe Present Biopsy Device with the Prior Art DevicePresent Biopsy DevicePrior ArtRemoval Times (sec)Lesion Diameter108050013135845162051280No. of StrokesLesion Diameter101625132742164164

[0114] This data demonstrates that the present tissue biopsy apparatus consistently removes a lesion with fewer strokes and in less time than the prior cutter, the present tissue biopsy device performs 80% faster than the prior cutter, which ultimately results in reduced trauma to the tissue.

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PUM

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Abstract

A filter element is provided for use with a tissue cutting device. The tissue cutting device includes a tissue collection trap in which the filter element is mounted. The filter element includes a body formed of a mesh material. The mesh material is constructed to allow for fluids to pass through a portion of the filter element while tissue samples excised by the cutting device are retained therein.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This Application is a Continuation of application Ser. No. 10 / 848,278 filed on May 18, 2004 which is a Divisional of application Ser. No. 09 / 707,022 filed Nov. 6, 2000, now U.S. Pat. No. 6,758,824; and this application is related to application Ser. No. 10 / 639,569 filed Aug. 12, 2003 which is a Divisional of application Ser. No. 09 / 864,031 filed on May 23, 2001, now U.S. Pat. No. 6,638,235, which is a Continuation-in-Part of application Ser. No. 09 / 707,022 filed Nov. 6, 2000, now U.S. Pat. No. 6,758,824.FIELD OF THE INVENTION [0002] This invention relates to biopsy instruments and methods for taking a biopsy. More specifically, this invention relates to disposable biopsy devices for removing several tissue samples using a single insertion. BACKGROUND OF THE INVENTION [0003] In the diagnosis and treatment of breast cancer, it is often necessary to remove multiple tissue samples from a suspicious mass. The suspicious mass is typically dis...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B10/00A61B10/02A61B17/00A61M1/00
CPCA61B10/025A61B10/0283A61B17/3498A61B2217/007A61B2017/00973A61B2217/005A61B2010/0208
Inventor MILLER, MICHAEL E.MARK, JOSEPH L.
Owner MILLER MICHAEL E
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