Lung access device
A steerable biopsy device comprises an outer sheath comprising a sheath body having a proximal sheath section and a distal sheath section. The outer sheath further comprises a distal sheath tip and a sheath lumen terminating at a distal port in the distal sheath tip. The biopsy device further comprises a biopsy needle integrated with the sheath body. The biopsy needle is slidably disposed in the sheath lumen. The biopsy needle comprises a needle shaft and a distal needle tip configured for being displaced between a stored position within the sheath lumen and a deployed position outside of the distal port of the distal sheath tip. The biopsy device further comprises an articulation control actuator configured for articulating the distal sheath section, and a needle actuator configured for distally advancing the distal needle tip from the stored position to the deployed position.
1 . A steerable biopsy device, comprising:
an outer sheath comprising a sheath body having a proximal sheath section and a distal sheath section, the outer sheath further comprising a distal sheath tip and a sheath lumen extending through the proximal sheath section and the distal sheath section, and terminating at a distal port in the distal sheath tip, wherein the sheath body has an outer diameter equal to or less than 2.0 mm;
a biopsy needle integrated with the sheath body, such that the biopsy needle cannot be removed from the sheath body without damaging the steerable biopsy device, the biopsy needle being slidably disposed in the sheath lumen, the biopsy needle comprising a needle shaft and a distal needle tip configured for being displaced between a stored position within the sheath lumen and a deployed position outside of the distal port of the distal sheath tip;
an articulation control actuator configured for articulating the distal sheath section; and
a needle actuator configured for distally advancing the distal needle tip from the stored position to the deployed position to acquire a tissue sample;
wherein the biopsy needle has a wall thickness and the outer sheath constrains the biopsy needle, such that the outer sheath transfers axial force applied to a proximal end of the biopsy needle in a normal vector direction of the distal sheath section when articulated at least 45 degrees without damaging or kinking the biopsy needle.
2 . The steerable biopsy device of claim 1 , further comprising a handle assembly including a handle body, the articulation control actuator associated with the handle body, and the needle actuator associated with the handle body.
3 . The steerable biopsy device of claim 1 , wherein the sheath body has a transition sheath section between the proximal sheath section and the distal sheath section.
4 . The steerable biopsy device of claim 1 , wherein the sheath body has an outer diameter equal to 1.8 mm.
5 . The steerable biopsy device of claim 1 , wherein a portion of the biopsy needle is configured for traversing the distal sheath section when the distal needle tip is distally advanced from the stored position to the deployed position, the portion of the biopsy needle having a lateral stiffness profile that is less than a lateral stiffness profile of the distal sheath section.
6 . The steerable biopsy device of claim 1 , wherein the biopsy needle comprises a biopsy channel extending through the needle shaft and a stylet slidably disposed within the biopsy channel.
7 . The steerable biopsy device of claim 1 , wherein the outer sheath comprises a pull wire having a proximal end affixed to the articulation control actuator and a distal end affixed to the distal sheath section, the articulation control actuator configured for tensioning the pull wire, such that the distal sheath section articulates.
8 . The steerable biopsy device of claim 1 , wherein the distal sheath tip is a tapered distal tip.
9 . The steerable biopsy device of claim 1 , wherein the needle actuator is spring-loaded, such that the needle actuator can be manipulated to distally advance the distal needle tip from the stored position to the deployed position, and relaxed to proximally retract the distal needle tip from the deployed position to the stored position.
10 . A pulmonary biopsy system, comprising:
the steerable biopsy device of claim 1 ; and
a bronchoscope having a working channel in which the steerable biopsy device is configured for being disposed.
11 . The pulmonary biopsy system of claim 10 , wherein the working channel of the bronchoscope has a diameter of 2.0 mm or less.
12 . The steerable biopsy device of claim 2 , wherein the needle shaft longitudinally extends through the handle body, and the needle actuator is affixed to the needle shaft.
13 . The steerable biopsy device of claim 1 , wherein the handle assembly further comprises includes a stylet port through which the stylet may be introduced into the biopsy channel.
14 . The steerable biopsy device of claim 13 , wherein the handle assembly further includes a luer connector affixed to the needle actuator, and configured for affixing the stylet relative to the needle shaft.
15 . The steerable biopsy device of claim 1 , wherein the biopsy needle has a wall thickness and the outer sheath constrains the biopsy needle, such that the outer sheath transfers axial force applied to a proximal end of the biopsy needle in a normal vector direction of the distal sheath section when articulated at least 90 degrees without damaging or kinking the biopsy needle.