This disclosure concerns systems and methods for tissue sampling using ultrasound guidance. Systems according to the various embodiments of the disclosure include a needle, for instance a biopsy needle, disposed coaxially about small gauge ultrasound probe. These systems are useful in a variety of procedures including pulmonary nodule sampling.

A puncture treatment tool includes a needle tube whose distal end is insertable into tissue, a cylindrical main body through which the needle tube is inserted, a needle stopper through which the main body is inserted and which is provided such that a position where the needle stopper is fixed to the main body can be changed in a direction of a longitudinal axis of the main body, and a slider which is fixed to a proximal end part of the needle tube, the slider being disposed to be operated movable relative to the main body. The slider is configured to be capable of selecting from a first state in which the slider is movable in the axial direction relatively to the main body without rotating in the circumferential direction of the main body, or a second state in which the slider is rotatable in the circumferential direction.

Needles are deployed in tissue under direct ultrasonic or other imaging. To aid in deploying the needle, a visual needle guide is projected on to the image prior to needle deployment. Once the needle guide is properly aligned, the needle can be deployed. After needle deployment, a safety boundary and treatment region are projected on to the screen. After confirming that the safety boundary and treatment regions are sufficient, the patient can be treated using the needle.

A percutaneously delivered medical device and its method of use includes a catheter, at least two electromagnetic sensing coils located within the distal tip of the catheter, and at least one within the proximal handle, and a multi-element planar ultrasound transducer array located within the distal tip of the catheter and configured to transmit and receive ultrasonic energy in at least two imaging modes. The device also includes an imaging system coupled to the ultrasound transducer and is used for creating an image of tissue in a first target plane that extends orthogonally from the catheter body. The medical device also includes a backscatter evaluation system for use in receiving and evaluating the acoustic spectral characteristics of tissues within a second target area within the first target plane.

According to one aspect, a medical device including a shaft having a proximal and a distal end. The medical device may also include a handle coupled to the proximal end of the shaft. The medical device may further include a body at the distal end of the shaft. The body may have a wall defining a lumen within the body, and the lumen may have a longitudinal axis. The wall may include a protrusion at the distal end of the body, and the protrusion may be defined by a gap in the wall and may have a sharp portion configured to grasp tissue. The gap may extend proximally from the distal end of the body, and edges of the wall defining the gap may be transverse to the longitudinal axis.

A system for planning and performing a guided and free-handed transperineal prostate biopsy includes a transrectal ultrasound probe, an access needle configured to perforate a perineal access site of a patient, a biopsy gun, and a guide. The guide includes a sliding platform, stabilization bars, upper and lower mounts, and fasteners. The system and guide apparatus is used for locating a target area using the ultrasound probe, positioning the ultrasound and the access needle at respective designated points, precisely measuring the distance to a designated point, and obtaining specimens from a precise point in the prostate, wherein the method is performed free-handed, and multiple tissue or cell specimens may be obtained from the prostate through an initial access needle.

A system, method, and storage device storing computer executable instructions for use in tissue analysis and therapy. A motorized optical probe for illuminating tissue generates light fluorescence and/or diffuse reflectance signals corresponding to the illuminated tissue. One or more ultrasound, CT and MRI imaging guidance systems identify the position of the optical probes relative to the tissue. An imaging system generates a three-dimensional image of the tissue based on the generated light signals and the identified position of the optical probe.

Biopsy needle guide with pointer for performing a biopsy in a tissue of a patient in conjunction with an imaging method for imaging the tissue and identification of a target volume to be examined, comprising a needle guide head (2), which is freely movable in a plane via at least two degrees of freedom and is mounted so as to be movable about an axis (S) that does not stand perpendicular to this plane, and has a needle passage opening (20, 29), a marker pin (4), which can be inserted in an opening (20, 29) of the head (2) and contains a marker part (41), which can be imaged by the imaging method with good contrast, wherein, when the marker pin (4) is inserted in the opening (20, 29), the marker part (41) lies in the pivot axis (S) of the head (2), as well as a use of such a biopsy needle guide.

A biopsy device for taking a 3D biopsy may comprise an outer sleeve, a hollow main shaft, a biopsy tube and a tube shaft. The hollow main shaft may have a distal end portion with a sideward facing notch, and the main shaft may be adapted to be accommodated within the outer sleeve. The biopsy tube may be provided for receiving cut and thus isolated tissue. A proximal end of the biopsy tube may be releasably attachable to a distal end of the tube shaft so that the biopsy tube is movable together with the tube shaft within the hollow main shaft between a proximal position in which the biopsy tube is not located in the notch, and a distal position in which the biopsy tube is located in the notch.

A surgical console includes a drive assembly, vacuum interface, fluid transfer device, user interface, and control circuit. The drive assembly is configured to be coupled to an endoscopic tool and to be rotated by a motor. The vacuum interface is configured to apply a vacuum to the endoscopic tool. The fluid transfer device is configured to flow fluid through the endoscopic tool. The user interface is configured to receive a user input indicating at least one of instructions to rotate the endoscopic tool while applying the vacuum, or to flow fluid through the endoscopic tool. The control circuit controls at least one of the drive assembly, the vacuum interface, or the fluid transfer device based on the instructions, and is configured to cause the drive assembly to rotate the endoscopic tool while the vacuum interface applies the vacuum responsive to the user input indicating instructions to rotate the endoscopic tool.