FULL CORE BIOPSY DEVICE
A biopsy device includes coaxially disposed inner and outer needles in which the outer needle tip is configured for obtaining a tissue sample. The inner surface of the outer needle includes a tissue retention feature which may include a countersink and/or a feature formed in the inner surface. The device may be configured such that the inner needle does not extend past a certain point within the outer needle.
1 . A biopsy device comprising:
an outer needle hub;
an outer needle coupled at a proximal end to the outer needle hub, the outer needle including:
an outer needle tip at an opposite distal end;
a tissue slicing feature defined at said tip configured for cutting tissue; and
an inner surface including a countersink formed at said tip;
an inner needle hub; and
an inner needle coupled at a proximal end to said inner needle hub, the inner needle including an inner needle tip at an opposite distal end, said inner needle coaxially disposed within said outer needle.
2 . The biopsy device of claim 1 , wherein the countersink is tapered from a distalmost end of said outer needle.
3 . The biopsy device of claim 2 , wherein said countersink is tapered at approximately a one to two degree angle relative to the inner surface.
4 . The biopsy device of claim 1 , wherein;
said tissue slicing feature includes a plurality of prongs and valleys between said prongs, said valleys defining a diameter; and
said countersink is tapered from said tip to an inner end located at a distance from said tip equal to twice said diameter.
5 . The biopsy device of claim 4 , wherein said tissue slicing feature is a Franseen tip.
6 . The biopsy device of claim 1 , wherein said outer needle includes a tissue retention feature defined in said inner surface between said tissue slicing feature and said proximal end of said outer needle.
7 . The biopsy device of claim 6 , wherein:
said tissue slicing feature includes a plurality of prongs and valleys between said prongs;
said countersink is tapered from a distalmost end of said outer needle to an inner end located between said valleys and said proximal end of said outer needle; and
said tissue retention feature is defined between said inner end of said countersink and said proximal end of said outer needle.
8 . The biopsy device of claim 6 , wherein said tissue retention feature includes a groove defined in said inner surface.
9 . The biopsy device of claim 8 , wherein said groove is a spiral groove.
10 . The biopsy device of claim 6 , wherein said tissue retention feature is defined at least partially in said countersink.
11 . The biopsy device of claim 6 , wherein:
said tissue slicing feature includes a plurality of prongs and valleys between said prongs; and
said tissue retention feature is defined between said valleys and said proximal end of said outer needle.
12 . The biopsy device of claim 1 , further comprising:
a mechanism coupled to said outer needle hub and said inner needle hub for charging and firing said outer needle relative to said inner needle to capture a tissue sample within said outer needle tip,
wherein said inner needle and said outer needle are sized so that said inner needle tip is always proximal of a distalmost end of said outer needle tip when the outer needle is charged and fired.
13 . The biopsy device of claim 1 , wherein:
said inner needle is hollow along its length, and said device further comprises:
a vacuum generating component including;
a chamber in communication with said proximal end of said inner needle;
a piston coupled to said proximal end of said inner needle and slidably disposed within said chamber; and
a handle coupled to said proximal end of said inner needle configured to manually pull the inner needle and said piston therewith to draw a vacuum within said chamber.
14 . The biopsy device of claim 13 , wherein said inner needle includes a filter covering said inner needle tip.
15 . The biopsy device of claim 14 , wherein said filter is an etched membrane filter.
16 . The biopsy device of claim 1 , wherein said inner needle is hollow along its length and includes a filter covering said inner needle tip.
17 . The biopsy device of claim 16 , wherein said filter is an etched membrane filter.
18 . The biopsy device of claim 17 , wherein said hollow inner needle is communication with a vent at said proximal end thereof.
19 . The biopsy device of claim 1 , wherein said outer needle is substantially rigid.
20 . The biopsy device of claim 1 , wherein said outer needle and said inner needle are flexible at least adjacent said top of said outer needle.
21 . The biopsy device of claim 20 , wherein said outer needle and said inner needle are flexible along substantially the entire length of said outer needle.
22 . The biopsy device of claim 1 , wherein said inner needle is a stylet having a sharp tip configured to penetrate tissue.
23 . The biopsy device of claim 22 , wherein:
said stylet includes an inner lumen extending from said tip along the length of said stylet; and
said tip includes a number of openings in communication with said inner lumen.
24 . The biopsy device of claim 22 , wherein said stylet defines grooves extending from said tip along the length of said stylet.
25 . The biopsy device of claim 22 , further comprising:
a mechanism coupled to said outer needle hub and said inner needle hub for charging and firing said outer needle relative to said stylet to capture a tissue sample within said outer needle tip,
wherein said stylet and said outer needle are sized so that said stylet tip is initial distal a distalmost end of said outer needle tip before the outer needle is fired.
26 . A biopsy device comprising:
an outer needle hub;
an outer needle coupled at a proximal end to the outer needle hub, the outer needle including:
an outer needle tip at an opposite distal end;
a tissue slicing feature defined at said tip configured for cutting tissue; and
an inner surface including a tissue retention feature defined therein between said tissue slicing feature and said proximal end of said outer needle;
an inner needle hub; and
an inner needle coupled at a proximal end to said inner needle hub, the inner needle including an inner needle tip at an opposite distal end, said inner needle coaxially disposed within the outer needle.
27 . The biopsy device of claim 26 , wherein said tissue retention feature includes a groove defined in said inner surface.
28 . The biopsy device of claim 27 , wherein said groove is a spiral groove.
29 . The biopsy device of claim 26 , wherein:
said tissue slicing feature includes a plurality of prongs and valleys between said prongs; and
said tissue retention feature is defined between said valleys and said proximal end of said outer needle.
30 . The biopsy device of claim 26 , wherein said tissue retention feature includes a countersink tapered from a distalmost end of said outer needle toward said proximal end of said outer needle.
31 . A biopsy device comprising:
an outer needle hub;
an outer needle coupled at a proximal end to the outer needle hub, the outer needle including an outer needle tip at an opposite distal end and a tissue slicing feature formed at said outer needle tip;
an inner needle hub;
an inner needle coupled at a proximal end to the inner needle hub, the inner needle including an inner needle tip at an opposite distal end, the inner needle being coaxially disposed within the outer needle; and
a mechanism coupled to said outer needle hub and said inner needle hub for charging and firing said outer needle relative to said inner needle to capture a tissue sample within said outer needle tip,
wherein said inner needle and said outer needle are sized so that said inner needle tip is always proximal of a distalmost end of said outer needle tip when the outer needle is charged and fired.
32 . The biopsy device of claim 31 , wherein:
said tissue slicing feature includes a plurality of prongs and valleys therebetween, said prongs having a height from said valleys to a distalmost end of said outer needle tip; and
said inner needle and said outer needle are sized so that said inner needle tip is initially positioned, before said outer needle is fired, at a distance from said valleys approximately equal to one quarter of said height.
33 . A biopsy device comprising:
an outer needle hub;
an outer needle coupled at a proximal end to said outer needle hub and including an outer needle tip at an opposite distal end;
an inner needle hub;
an inner needle coupled at a proximal end to said inner needle hub and including an inner needle tip at an opposite distal end, said inner needle coaxially disposed within said outer needle; and
a vacuum generating component including;
a chamber in communication with said proximal end of said inner needle;
a piston coupled to said proximal end of said inner needle and slidably disposed within said chamber; and
a handle coupled to said proximal end of said inner needle configured to manually pull the inner needle and said piston therewith to draw a vacuum within said chamber.
34 . The biopsy device of claim 33 , wherein said inner needle includes a filter covering said inner needle tip.
35 . The biopsy device of claim 34 , wherein said filter is an etched membrane filter.
36 . The biopsy device of claim 35 , wherein said chamber is in communication with the proximal end of said outer needle.
37 . A method of obtaining a tissue sample using a biopsy device comprising:
introducing a biopsy device into a tissue site where a tissue sample is to be obtained, the biopsy device including a hollow inner needle slidably disposed within a hollow outer needle, a chamber in communication with the inner needle, and a piston coupled to the inner needle and disposed within said chamber;
obtaining the tissue sample with the outer needle; and
withdrawing the piston within the chamber to generate a vacuum within the inner needle to retain the tissue sample within the outer needle as the device is extracted from the tissue site.
38 . The method of claim 37 , wherein the step of withdrawing the piston occurs as the biopsy device is extracted from the tissue site.
39 . The method of claim 38 , wherein the step of withdrawing the piston is limited to a duration less than time to fully extract the outer needle from the tissue site.
40 . The method of claim 38 , wherein the step of withdrawing the piston commences before the tissue sample is obtained within the outer needle.
41 . An outer needle for use in a biopsy device having an inner needle to be slidably disposed within the outer needle and a mechanism coupled to the inner and outer needles to advance the outer needle over the inner needle to obtain a tissue sample, said outer needle comprising:
a proximal end to be coupled to the charging and firing mechanism;
an outer needle tip at an opposite distal end;
a tissue slicing feature at said tip configured for cutting tissue; and
an inner surface including a countersink formed at said tip.
42 . The outer needle of claim 41 , wherein the countersink is tapered from said distalmost end of said outer needle.
43 . The outer needle of claim 42 , wherein said countersink is tapered at approximately a one to two degree angle relative to the inner surface.
44 . The outer needle of claim 41 , wherein;
said tissue slicing feature includes a plurality of prongs and valleys between said prongs, said valleys defining a diameter; and
said countersink is tapered from said tip to an inner end located at a distance from said tip equal to twice said diameter.
45 . The outer needle of claim 41 , wherein said outer needle includes a tissue retention feature defined in said inner surface between said tissue slicing feature and said proximal end of said outer needle.
46 . The outer needle of claim 45 , wherein:
said countersink is tapered from said tip to an inner end located between said valleys and said proximal end of said outer needle; and
said tissue retention feature is defined between said inner end of said countersink and said proximal end of said outer needle.
47 . The outer needle of claim 45 , wherein said tissue retention feature includes a groove defined in said inner surface.
48 . The outer needle of claim 47 , wherein said groove is a spiral groove.
49 . The outer needle of claim 45 , wherein said tissue retention feature is defined at least partially in said countersink.
50 . The outer needle of claim 41 , wherein said outer needle is rigid substantially along its length.
51 . The outer needle of claim 41 , wherein said outer needle is flexible at least adjacent said tip.