Core-severing cannula for biopsy devices
A core-severing cannula for use with tissue biopsy devices, comprising a plurality of flexible fingers for severing a tissue core. The core-severing cannula is positioned coaxially outside of a core-cutting cannula, and is slidable relative to the core-cutting cannula. As the device is activated, the core cutting cannula and core-severing cannula advance together to cut a core of tissue. Subsequently, the core-severing cannula is advanced relative to the core cutting cannula, and the fingers of the core-severing cannula assume a closed position to sever the core from the target site.
1. A core-severing biopsy needle set comprising an inner cannula having at its distal end at least one cutting edge and an outer cannula slidably disposed around and coaxially to the inner cannula, the outer cannula having at its distal end a plurality of flexible fingers having first and second side edges that intersect at a distal end to form a fingertip which is asymmetrical with respect to a radial axis of the outer cannula, the flexible fingers capable of moving between a closed position and an open position when the inner cannula is inserted through the flexible fingers, wherein in the closed position the first side edges of each flexible finger is substantially parallel to the second side edge of an adjacent flexible finger, and wherein in the open position the fingertips are positioned outside the exterior surface of the inner cannula, wherein the first and second side edges of the flexible fingers are asymmetrical with respect to a longitudinal axis of the outer cannula, and the flexible fingers are capable of moving between the closed position and the open position such that the first and second side edges of the flexible fingers slide relative to one another in axial and radial direction as the flexible fingers close upon retraction of the inner cannula from the flexible fingers.
2. The core-severing biopsy needle set of claim 1 , further comprising a stylet slidably disposed within and coaxial to the inner cannula.
3. The core-severing biopsy needle set of claim 2 , wherein the stylet terminates at its distal end in a sharp three-faceted point.
4. The core-severing biopsy needle set of claim 1 , wherein the distal end of the inner cannula includes a plurality of sharp points and an equal number of cutting edges, the cutting edges being arcuately shaped and positioned between sharp points.
5. The core-severing biopsy needle set of claim 4 , wherein the cutting edges are formed by beveling the distal edge of the inner cannula.
6. The core-severing biopsy needle set of claim 1 , wherein the outer cannula includes three fingers.
7. The core-severing biopsy needle set of claim 1 , wherein the fingers in the closed position form a substantially conical shape, tapering from the proximal end to the distal end.
8. The core-severing biopsy needle set of claim 1 , wherein the fingers are formed integrally with the outer cannula.
9. The core-severing biopsy needle set of claim 1 , wherein the outer cannula is formed by laser cutting.
10. The core-severing biopsy needle set of claim 1 , wherein the outer cannula is formed from hyperelastic material.
11. The core-severing biopsy needle set of claim 1 , wherein in the closed position, the fingertips are positioned distally of the distal end of the inner cannula.
12. A biopsy device comprising:
a handle portion defining a longitudinal axis;
an inner cannula having at its distal end at least one cutting edge;
an outer cannula slidably disposed around and coaxially to the inner cannula and having at its distal end a plurality of flexible fingers having first and second side edges that intersect at a distal end to form a fingertip which is asymmetrical with respect to a radial axis of the outer cannula, the flexible fingers capable of moving between a closed position and an open position when the inner cannula is inserted through the flexible fingers, wherein in the closed position the first side edges of each flexible finger is substantially parallel to the second side edge of an adjacent flexible finger, and wherein in the open position the fingertips are positioned outside the exterior surface of the inner cannula, wherein the first and second side edges of the flexible fingers are asymmetrical with respect to a longitudinal axis of the outer cannula, and the flexible fingers are capable of moving between the closed position and the open position such that the first and second side edges of the flexible fingers slide relative to one another in axial and radial direction as the flexible fingers close upon retraction of the inner cannula from the flexible fingers;
wherein the handle portion further comprises a two-stage carriage element, the two-stage carriage element having a flexible abutment, the inner cannula being connected at a proximal end to a first stage of the two-stage carriage element, and the outer cannula being connected at a proximal end to a second stage of the two-stage carriage element;
a catch overlapping at least a portion of the abutment in a longitudinal direction;
a first trigger disposed in the housing and movable longitudinally within the housing and contacting a portion of the flexible abutment wherein longitudinal movement of the first trigger causes a first contact force to be applied to the abutment;
a second trigger disposed in the housing and movable transversely within the housing and contacting a portion of the flexible abutment wherein transverse movement of the second trigger causes a second contact force to be applied to the abutment; and
wherein the abutment is configured to flex away from the catch when forced by either the first or second contact force, such that the catch does not overlap a portion of the abutment and the first and second stages are biased distally together to a predetermined distance whereupon movement of the first stage is arrested, and wherein after the first stage is arrested, the second stage is further biased distally to a predetermined depth whereupon movement of the second stage is arrested.
13. The biopsy device of claim 12 , wherein after arrest of the first stage, the flexible fingers are in the open position, and wherein after arrest of the second stage, the flexible fingers are in the closed position.
14. The biopsy device of claim 12 , further comprising a stylet slidably disposed within the inner cannula wherein prior to the first or second trigger contacting the flexible abutment, a distal end of the stylet extends distally beyond the distal end of the at least one cutting edge, and wherein after the first or second trigger contacting the flexible abutment, the distal end of the stylet is positioned proximally of the at least one cutting edge.
15. The biopsy device of claim 12 , wherein prior to the first or second trigger contacting the flexible abutment, the flexible fingers are in the closed position, and wherein after the first or second trigger contacts the flexible abutment the flexible fingers are in the open position.