Biopsy site marker deployment device
View Patent ↗A biopsy marker deployment device is provided herein. According to one exemplary embodiment, the deployment device includes a deployment assembly and an actuator configured to selectively actuate the deployment assembly. The deployment assembly is configured to selectively deposit a marker in a biopsy site through at least one aperture and to substantially reduce space between the aperture and the deployment assembly.
1. A marker deployment device, comprising:
a selectively actuatable expanding deployment assembly that includes a cannula having at least one aperture formed therein, an expandable member, and a push rod that is slidably received within said cannula;
wherein said expandable member is configured to selectively deploy a marker outside of said deployment assembly through said at least one aperture; and
wherein said pushrod and said at least one aperture are in fluid communication with the outside of said deployment assembly prior to said marker deployment and said aperture is at least partially obstructed after said marker is deployed to prevent said marker from re-entering said deployment assembly after said marker has been deployed.
2. The device of claim 1 , wherein said expandable member is positioned adjacent to a distal end of said push rod.
3. The device of claim 2 , wherein said expandable member is fixedly secured to a distal end of said push rod.
4. The device of claim 1 , wherein said expandable member is compressed into a first position prior to said deployment assembly being actuated, such that a depression is formed in a surface of said expandable member, said depression being a predetermined size sufficient to receive said marker therein.
5. The device of claim 4 wherein said cannula is positioned to substantially surround said pushrod and said depression of said expandable member, prior to said deployment assembly being actuated.
6. The device of claim 5 , wherein said pushrod is actuated to advance said distal end of said push rod through said cannula so as to uncover said depression formed in said expandable member.
7. The device of claim 6 , wherein a portion of said expandable member expands to deploy said marker from said aperture of said cannula, while said expandable member also occludes said aperture after deploying said marker, thereby preventing said marker from re-entering said cannula after deployment.
8. The device of claim 7 , further including an outer cannula having an aperture formed therein, said outer cannula selectively receiving said deployment assembly, wherein said expandable member deploys said marker out of said deployment device through said aperture formed in said outer cannula and said expandable member prevents said marker from re-entering both said outer cannula and said deployment cannula.
9. The device of claim 8 , wherein said deployment device further includes a hub member secured to said deployment cannula, whereby said hub serves to prevent lateral movement of said deployment cannula to a predetermined distance.
10. The device of claim 8 , wherein said expandable member is defined by a distal end and a proximal end, whereby said distal end of said expandable member contacts a wall positioned distally of said aperture formed in said outer cannula during expansion of said expandable member.
11. The device of claim 2 , wherein said expandable member is constructed of one of expandable mesh, nitinol, a polymer, or a shape memory material.
12. The device of claim 1 , wherein said deployment assembly further includes:
a first engagement member positioned within said cannula;
a second engagement member detachably secured to a distal end of said pushrod; and
wherein said expandable member comprises a flexible member having a first end secured to said second engagement member and a second end secured to a portion of said pushrod;
wherein said marker is positioned on a top surface of said flexible member and said marker is selectively deployed by coupling said receiving member to said protruding member and retracting said push rod to eject said marker through said aperture; and wherein said flexible member serves to obstruct said aperture after said marker has been deployed, thereby preventing said marker from re-entering said deployment device.
13. The device of claim 12 , wherein said pushrod further includes a marker retaining cavity defined therein.
14. The device of claim 13 , wherein said flexible member is positioned over said marker retaining cavity and said marker is positioned on a top surface of said flexible member within said marker retaining cavity.
15. The device of claim 13 , wherein said second end of said flexible member is secured to said pushrod adjacent to said marker retaining cavity.
16. The device of claim 13 , further including an outer cannula having an aperture formed therein, said outer cannula selectively receiving said deployment assembly, wherein said flexible member deploys said marker out of said deployment device through said aperture formed in said outer cannula and said flexible member prevents said marker from reentering both said outer cannula and said deployment cannula.
17. The device of claim 1 , further including a platform that is adapted to carry at least one marker is connected to said push rod, wherein said platform is selectively movable from a first, pre-deployment position, to a second deployment position, wherein said platform serves to at least partially obstruct said aperture of said cannula once in the second deployment position.
18. The device of claim 17 , wherein said push rod includes a cavity fanned therein, said platform being selectively retained in said first pre-deployment position within said cavity.
19. The device of claim 18 , wherein said cavity includes retaining shoulders formed therein for retaining said platform.
20. The device of claim 19 , further including biasing elements operatively connected to said platform, said biasing element serving to move said platform into said second deployment position once said platform is released from said retaining shoulders.
21. The device of claim 1 , wherein said expandable member further comprises a selectively opening outlet door that covers said aperture when in a closed position, and wherein said selectively opening outlet door is biased into said closed position such that said selectively opening outlet door closes after said marker is deployed from said cannula thereby preventing said marker from reentering said cannula.
22. The device of claim 21 , wherein selectively opening outlet door includes a living hinge.
23. The device of claim 22 , wherein said cannula further includes an internal wall positioned adjacent said aperture.
24. The device of claim 23 , wherein said internal wall is inclined so as to form a ramp.
25. The device of claim 21 , wherein at least a distal end of said push rod is flexible.
26. The device of claim 25 , wherein said push rod is sized so as to partially extend out of said aperture when said deployment device is actuated.
27. The device of claim 25 , wherein said push rod is substantially rigid but includes a flexible tip.
28. The device of claim 25 , wherein said push rod further comprises a first cross-section and said marker further comprises a second cross-section, said first cross-section being smaller than said second cross-section.
29. The device of claim 28 , wherein said door is positioned to interfere with said second cross-section after said marker is deployed, said door preventing said marker from reentering said cannula.
30. The device of claim 28 , wherein said push rod extends beyond said aperture when said marker is deployed, said door wiping-off said marker front said distal end of said push rod when said push rod is retracted.
31. The device of claim 28 , wherein said push rod extends beyond a distal end of said door when said marker is deployed, said door wiping-off said marker from said distal end of said push rod when said push rod is retracted.
32. The device of claim 25 , wherein said distal end of said push rod is smaller in cross-section than said marker, said door slidingly engaging said distal end of said push rod after said marker is deployed, said door preventing reentry of said marker into said cannula.
33. The device of claim 1 , wherein said expandable member of said deployment assembly further includes a flexible strip having first and second ends, wherein said first end is connected to an internal wall of said cannula adjacent said opening in said cannula and said second end is free.
34. The device of claim 33 , wherein said push rod is positioned over said second end of said flexible strip such that said second end of said flexible strip is trapped between said pushrod and an internal surface of said cannula when said deployment device is in a first, pre-deployment position.
35. The device of claim 34 , wherein a marker retaining cavity is defined by a distal end of said push rod, said cannula and said flexible strip when said deployment device is in said first pre-deployment position; wherein said marker retaining cavity retains a marker.
36. The device of claim 35 , wherein said push rod may be selectively advanced toward said aperture in said cannula and over said flexible strip, thereby minimizing said marker retaining cavity and forcing said marker out of said cannula through said aperture.
37. The device of claim 36 , wherein said push rod is selectively retracted after said marker is deployed from said aperture such that said second end of said flexible member is no longer trapped by said pushrod, and wherein said second end biases upwardly to at least partially obstruct said aperture to prevent said marker from re-entering said cannula.