Needle-handling device
An apparatus comprising: a sheath comprising a plurality of openings at a distal end; an elongate first needle extendible perpendicularly from said sheath through one of said plurality of openings; and an assembly comprising at least two second needles arranged in a predetermined pattern relative to said first needle, and extendible perpendicularly from said sheath, wherein, when extended from said distal end of said sheath: (i) each of said second needles extends a different length from said distal end of said sheath, (ii) at least a distal portion of each of said second needles is resiliently biased to extend laterally outwardly in relation to said first needle, and (iii) a lateral spread region defined by said distal portions of all of said second needles is determined based, at least in part, on a distance of said extending from said distal end of said sheath.
1. An apparatus for sampling a target organ the apparatus comprising:
a sheath, shaped to define a plurality of openings at a distal face of the sheath;
an elongated first needle extendible perpendicularly from said distal face of said sheath through one of said plurality of openings, wherein said first needle comprises at least one anchoring element, comprising a side-facing aperture configured to receive, a portion of a tissue, located at a distal portion of said first needle, configured to prevent a migration of said apparatus from said target organ by receiving the portion of the tissue into the side-facing aperture, such that the portion of the tissue remains intact to the target organ during the anchoring; and
an assembly comprising at least two second needles arranged in a predetermined pattern relative to said first needle, and extendible perpendicularly from said distal face of said sheath, wherein each of said second needles is extendible out of one of said plurality of openings,
wherein, when extended from said distal face of said sheath:
(i) each of said second needles extends a different length from said distal face of said sheath,
(ii) at least a distal portion of each of said second needles is resiliently biased to extend laterally outwardly in relation to said first needle, and
(iii) a lateral spread region defined by said distal portions of all of said second needles is determined based, at least in part, on a distance of said extending from said distal face of said sheath.
2. The apparatus according to claim 1 , wherein said first needle and said assembly are each configured to be extendible independently of one another.
3. The apparatus according to claim 1 , wherein said side-facing aperture is configured to receive a portion of said target organ therein, and wherein said side-facing aperture comprises a distal edge configured to incise said target organ only upon application of a predetermined amount of axial force.
4. The apparatus according to claim 1 , wherein said predetermined pattern comprises said at least two second needles arranged in a surrounding pattern relative to said first needle.
5. The apparatus according to claim 1 , further comprising a manipulating hub coupled to said sheath, wherein said manipulating hub comprises a first and second slide members configured to reciprocally slide distally and proximally along a common axis.
6. The apparatus according to claim 5 , wherein:
(i) said reciprocal sliding of said first slide member is configured to reciprocally extend and retract said first needle from said distal face of said sheath; and
(ii) said reciprocal sliding of said second slide member is configured to reciprocally extend and retract said assembly from said distal face of said sheath.
7. The apparatus according to claim 5 , wherein an extent of said reciprocal sliding of said second slide member in the distal direction is determined by an axial position of said first slide member.
8. The apparatus according to claim 5 , wherein said reciprocal sliding of said second slide member in the distal direction is only possible following said reciprocal sliding of said first slide member in the distal direction.
9. The apparatus according to claim 5 , wherein said manipulating hub comprises a stop located distally to said first slide member, wherein said stop determines a maximal said reciprocal sliding of said first slide member in the distal direction.
10. The apparatus according to claim 5 , wherein at least a portion of said manipulating hub is selectively rotatable (i) in tandem with or (ii) relative to said sheath.
11. A method for sampling a target organ, comprising:
providing an apparatus comprising:
a sheath, shaped to define a plurality of openings at a distal face of the sheath;
an elongated first needle extendible perpendicularly from said distal face of said sheath through one of said plurality of openings, wherein said first needle comprises at least one anchoring element, comprising a side-facing aperture at a distal portion of said first needle, configured to prevent a migration of said apparatus from said target organ; and
an assembly comprising at least two second needles arranged in a predetermined pattern relative to said first needle, and extendible perpendicularly from said distal face of said sheath, wherein each of said second needles is extendible out of one of said plurality of openings,
wherein, when extended from said distal face of said sheath:
(i) each of said second needles extends a different length from said distal face of said sheath,
(ii) at least a distal portion of each of said second needles is resiliently biased to extend laterally outwardly in relation to said first needle, and
(iii) a lateral spread region defined by said distal portions of all of said second needles is determined based, at least in part, on a distance of said extending from said distal face of said sheath;
extending said first needle to engage said target side;
anchoring said first needle by receiving a portion of a tissue in the target side into the side-facing aperture, wherein the portion of the tissue remains intact to the target side during the anchoring; and
extending said assembly to engage said target side.
12. The method according to claim 11 , wherein said first needle and said assembly are each configured to be extendible independently of one another.
13. The method according to claim 11 , wherein said side-facing aperture comprises a distal edge configured to incise said target organ only upon application of a predetermined amount of axial force.
14. The method according to claim 11 , wherein said predetermined pattern comprises said at least two second needles arranged in a surrounding pattern relative to said first needle.
15. The method according to claim 11 , wherein said apparatus further comprises a manipulating hub coupled to said sheath, wherein said manipulating hub comprises a first and second slide members configured to reciprocally slide distally and proximally along a common axis.
16. The method according to claim 15 , wherein:
(i) said reciprocal sliding of said first slide member is configured to reciprocally extend and retract said first needle from said distal face of said sheath; and
(ii) said reciprocal sliding of said second slide member is configured to reciprocally extend and retract said assembly from said distal face of said sheath.
17. The method according to claim 15 , wherein an extent of said reciprocal sliding of said second slide member is determined by an axial position of said first slide member.
18. The method according to claim 15 , wherein said manipulating hub comprises a stop located distally to said first slide member, wherein said stop determines a maximal said reciprocal sliding of said first slide member in the distal direction.