Lung access device
A pulmonary access device comprises an elongated shaft having a proximal shaft section, a bendable shaft section, a distal shaft section, and a channel. The pulmonary access device further comprises a profiled stylet configured for being disposed in the working channel of the elongated shaft, the profiled stylet having a proximal stylet section with a first lateral stiffness profile, an intermediate stylet section having a second lateral stiffness profile less than the first lateral stiffness profile, a distal stylet section, wherein, when the profiled stylet is disposed in the working channel of the elongated shaft, the intermediate stylet section axially aligns with the bendable shaft section. The pulmonary access device further comprises a pull wire affixed to the distal shaft section, such that, when the pull wire is tensioned, the bendable shaft section bends, thereby deflecting the distal shaft section relative to the proximal shaft section.
1. A method of using a pulmonary access device to biopsy a solitary pulmonary nodule (SPN) located in parenchyma of a patient, the pulmonary access device comprising an elongated shaft, the elongated shaft having a proximal shaft section, a bendable shaft section, and a distal shaft section, the pulmonary access device further comprising a steering plate affixed within the elongate shaft along the bendable shaft section and the distal shaft section, wherein the steering plate has a geometric profile that tapers down in the distal direction along the bendable shaft section, such that the steering plate gradually transitions a higher lateral stiffness profile of the proximal shaft section of the elongated shaft to a lower lateral stiffness profile of the distal shaft section of the elongated shaft, the method comprising:
introducing a profiled stylet within a channel of the elongated shaft, the profiled stylet having a proximal stylet section with a first lateral stiffness profile, an intermediate stylet section having a second lateral stiffness profile less than the first lateral stiffness profile, and a distal stylet section, wherein, when the profiled stylet is introduced within the channel of the elongated shaft, the intermediate stylet section axially aligns with the bendable shaft section of the elongated shaft;
navigating the pulmonary access device through a bronchial airway of the patient;
puncturing a distal tip of the elongated shaft through a wall of the bronchial airway into the parenchyma;
tracking the distal tip of the elongated shaft through the parenchyma to a first site of the SPN by tensioning a pull wire affixed to the steering plate to actively deflect the distal shaft section while distally advancing the pulmonary access device; and
taking a biopsy sample from the first site of the SPN.
2. The method of claim 1 , further comprising repeating the introducing, navigating, puncturing, tracking, and taking steps for a second site of the SPN different from the first site of the SPN.
3. The method of claim 1 , further comprising introducing a bronchoscope through the bronchial airway of the patient, wherein navigating the pulmonary access device through the bronchial airway of the patient comprises introducing the pulmonary access device through the bronchoscope into the bronchial airway of the patient.
4. The method of claim 1 , wherein taking the biopsy sample from the first site of the SPN comprises:
proximally retracting the profiled stylet within the channel of the elongated shaft; and
coring the biopsy sample with a distal tip of the elongated shaft.
5. The method of claim 4 , wherein taking the biopsy from the first site of the SPN comprises, while the biopsy sample is cored in the distal tip of the elongated shaft, repeatedly tensioning and relaxing the pull wire, thereby cyclically deflecting the distal shaft section until the biopsy sample is separated from the SPN.
6. The method of claim 1 , wherein taking the biopsy sample from the first site of the SPN comprises:
removing the profiled stylet from the channel of the elongated shaft;
introducing a biopsy device through the channel of the elongated shaft; and
taking the biopsy sample from the first site of the SPN with the biopsy device.
7. The method of claim 1 , wherein navigating the pulmonary access device through the bronchial airway of the patient comprises tensioning the pull wire to actively deflect the distal shaft section while distally advancing the pulmonary access device within the bronchial airway of the patient.