BIOPSY NEEDLE DEVICE
20230218279 ยท 2023-07-13
Assignee
Inventors
Cpc classification
A61B10/0275
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a biopsy needle device comprising at least one hollow outer needle, an inner needle longitudinally movably guided in the outer needle, and a housing. Such a biopsy needle device can be used to carry out a biopsy on a living being, offering improved ergonomics.
Claims
1. A biopsy needle device having at least one hollow outer needle, an inner needle guided in a longitudinally movable manner in the outer needle, and a housing, wherein the biopsy needle device has at least one manually actuable triggering element for triggering a relative movement between the outer needle and the inner needle, and at least one finger grip element for holding and/or for operating the biopsy needle device by means of at least one finger of a user, wherein the biopsy needle device comprises at least one of the following features: a) the biopsy needle device has only one finger grip element or the biopsy needle device has one or more finger grip elements which are arranged asymmetrically with respect to a longitudinal axis of the outer needle, b) the biopsy needle device has at least one finger grip element at the proximal end of the housing, c) the biopsy needle device has precisely three finger grip elements, d) at least one finger grip element or an arrangement consisting of at least two finger grip elements is mounted displaceably relative to the housing in the direction of the longitudinal axis of the outer needle.
2. (canceled)
3. The biopsy needle device as claimed in claim 1, wherein at least one finger grip element or an arrangement consisting of at least two finger grip elements is configured simultaneously as a triggering element.
4. The biopsy needle device as claimed in claim 1, wherein the biopsy needle device has at least one pretensioning operating element which can be used to carry out a relative movement between the outer needle and the inner needle in a tensioning direction counter to the force of a triggering spring of the biopsy needle device.
5. The biopsy needle device as claimed in claim 4, wherein the pretensioning operating element is configured simultaneously as a triggering element for triggering a relative movement between the outer needle and the inner needle, said relative movement being brought about by the force of the pretensioned triggering spring and being opposed to the tensioning direction.
6. The biopsy needle device as claimed in claim 4, wherein the biopsy needle device has, in addition to the pretensioning operating element, a triggering element for triggering a relative movement between the outer needle and the inner needle, said relative movement being brought about by the force of the pretensioned triggering spring and being opposed to the tensioning direction.
7. The biopsy needle device as claimed in claim 4, wherein the biopsy needle device has a holding mechanism which is used, when the triggering spring is pretensioned, to hold the pretensioning operating element, or a component connected thereto, in at least one holding position, in particular in at least two different holding positions, in relation to the force of the pretensioned triggering spring.
8. The biopsy needle device as claimed in claim 1, wherein one finger grip element, a plurality of finger grip elements or all of the finger grip elements has/have a ring shape, the ring shape being able to be configured as a ring completely closed circumferentially or a ring which is open at one point.
9. The biopsy needle device as claimed in claim 1, wherein one finger grip element, a plurality of finger grip elements or all of the finger grip elements is/are configured as a separate component which is coupled rigidly or movably to the housing.
10. The biopsy needle device as claimed in claim 1, wherein the just single finger grip element of the biopsy needle device is arranged on the housing in a manner laterally offset with respect to the longitudinal axis of the outer needle.
11. The biopsy needle device as claimed in claim 1, wherein the distance between the finger grip element arranged at the proximal end of the housing and the distal end of the housing is unchangeable.
12. The biopsy needle device as claimed in claim 1, wherein the distance between the finger grip element arranged at the proximal end of the housing and other finger grip elements of the biopsy needle device is at least 2 cm or at least 50% of the housing length of the biopsy needle device in every operating state of the biopsy needle device.
13. The biopsy needle device as claimed in claim 1, wherein a docking holder is arranged on the housing of the biopsy needle device for holding an external actuator with which the triggering element can be actuated by the user by means of remote triggering.
14. A set consisting of a biopsy needle device having at least one hollow outer needle, an inner needle guided in a longitudinally movable manner in the outer needle, and a housing, wherein the biopsy needle device has at least one manually actuable triggering element for triggering a relative movement between the outer needle and a biopsy needle device as claimed in claim 1, and an external actuator with which the triggering element of the biopsy needle device can be actuated by the user by means of remote triggering.
15. The set as claimed in claim 14, wherein the external actuator has at least one fastening element with which the external actuator is fastenable to the biopsy needle device in a form-fitting and/or force-fitting manner.
16. The set as claimed in claim 14, wherein the external actuator has an actuation plunger for remote actuation of the triggering element of the biopsy needle device, the actuation plunger being longitudinally movable in a direction which runs transversely with respect to the longitudinal axis of the outer needle.
17. A biopsy needle device having at least one hollow outer needle, an inner needle guided in a longitudinally movable manner in the outer needle, and a housing, wherein the biopsy needle device has at least one manually actuable triggering element for triggering a relative movement between the outer needle and the inner needle, wherein the manually actuable triggering element is actuable in an actuating direction which is arranged transversely with respect to the longitudinal axis of the outer needle.
18. The biopsy needle device as claimed in claim 17, wherein at least one finger grip element or an arrangement consisting of at least two finger grip elements is configured simultaneously as a triggering element.
19. The biopsy needle device as claimed in claim 17, wherein the biopsy needle device has at least one pretensioning operating element which can be used to carry out a relative movement between the outer needle and the inner needle in a tensioning direction counter to the force of a triggering spring of the biopsy needle device.
20. The biopsy needle device as claimed in claim 19, wherein the pretensioning operating element is configured simultaneously as a triggering element for triggering a relative movement between the outer needle and the inner needle, said relative movement being brought about by the force of the pretensioned triggering spring and being opposed to the tensioning direction.
21. The biopsy needle device as claimed in claim 19, wherein the biopsy needle device has, in addition to the pretensioning operating element, a triggering element for triggering a relative movement between the outer needle and the inner needle, said relative movement being brought about by the force of the pretensioned triggering spring and being opposed to the tensioning direction.
Description
BRIEF DESCRIPTION OF THE DRAWING
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DETAILED DESCRIPTION OF THE INVENTION
[0061]
[0062] As further parts of a semiautomatic movement mechanism, the biopsy needle device has an outer needle holder 6, a displacement element 5 and a triggering spring 7. In the assembled state, the outer needle holder 6 is arranged in an elongate interior space 51 of the displacement element 5. The displacement element 5 is arranged within the housing 1, 2 in the region in which the outer needle holder 6 is arranged in the interior space 51. The displacement element 5 protrudes out of the housing 1, 2 with a manual operating element which in this case is configured simultaneously as the triggering element 50 and is the pretensioning operating element. The triggering spring 7 is clamped between the outer needle holder 6 and a spring bearing 19, which serves as a counterbearing fixed on the housing. The spring bearing 19 can be formed on one or on both housing parts 1, 2. The outer needle 3 is fixedly connected at its proximal end to the outer needle holder 6, for example is adhesively bonded thereto. The inner needle 4 is guided through an inner cavity of the outer needle 3.
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[0064] In addition, the distal region of the biopsy needle device with the tissue window 40 formed on the inner needle 4 can be seen. Said distal region is additionally illustrated in enlarged form as detail enlargement B in
[0065]
[0066] The displacement element 5 serves as a tensioning device for tensioning the semiautomatic movement mechanism of the biopsy needle device. For the tensioning, the triggering element 50 is gripped by the user and pulled out of the housing 1, 2 in the proximal direction, as a result of which parts of the longitudinal struts 52, 53 emerge from the housing 1, 2 and are visible. The user can observe the cutting length markings 54 provided on the displacement element 5, e.g. on a longitudinal strut 52, and can select one of a plurality of pretensioning positions, e.g. from two different pretensioning positions, on the basis of said cutting length markings 54. During this pretensioning movement, the outer needle holder 6 arranged in the interior space 51 is carried along by the transverse strut 57 and, in the process, pressed against the triggering spring 7 mounted on the spring bearing 19 fixed on the housing. The triggering spring 7 is compressed in this way and pretensioned to a relatively great extent.
[0067] In addition, a latching release element 55 can be arranged on the displacement element 5, e.g. on a longitudinal strut 53. By means of the latching release element 55, a latching of the outer needle holder 6 which took place previously during the tensioning can be released in the event of a triggering movement of the semiautomatic movement mechanism.
[0068] As mentioned, the manual operating element of the displacement element 5 serves, during the tensioning, as the pretensioning operating element and then, during the triggering, as the manually actuable triggering element 50.
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[0073] In the exemplary embodiments, the first latching element 61 is described as a rigid part on the outer needle holder 6, and the second latching element 12 as an elastically deflectable part. However, the assignment may also be the other way around, i.e. the first latching element 61 can be elastically deflectable, and the second latching element 12 can be arranged rigidly. The first and the second latching elements 12, 61 can each also be elastically deflectable. In the exemplary embodiments, the latching contour 13 is illustrated and described as a latching protrusion. The latching contour 13 may also be configured differently, e.g. as latching depression, latching recess or any other type of latching edge.
[0074] Receiving elements 15, in which receiving pins of the finger grip element 8 can be accommodated in order to connect the latter to the housing parts 1, 2 in a form-fitting manner, can also be seen.
[0075] In addition, the previously mentioned second latching element 12 with the latching contour 13 can readily be seen in the sectional view of
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[0077] The biopsy needle device can be used as follows. First of all, the biopsy needle device is to be pretensioned into one of the pretensioning positions 1 or 2 in accordance with the cutting length markings 54 by pulling out the displacement element 5 at the manual operating element, i.e. at the triggering element 50. In the process, one of the first latching elements 61 latches to the second latching element 12. If the tissue sample is to be extracted within the scope of the biopsy, the triggering element 50 is pressed manually. By this means, the displacement element 5 is already displaced somewhat in the distal direction. In the process, the second latching element 12 is somewhat deflected by the latching release element 55, as a result of which the latching of the latching contour 13 to the first latching element 61 of the outer needle holder 6 is released. Owing to the release of said latching, the outer needle holder 6 is from this time on automatically moved further in the distal direction by the triggering spring 7. In this way, the outer needle 3 is pushed over the region of the tissue window 40 of the inner needle 4. The desired tissue sample is severed by means of the outer needle 3 and stored in that region of the tissue window 40 which then lies within the outer needle 3. The biopsy needle device can then be removed from the patient.
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[0079] In the exemplary embodiment illustrated, a finger grip element is not provided. Instead, a docking holder 16 which is configured for holding the external actuator 9 is integrally formed on the housing 1, 2. The external actuator 9 has fastening elements 90 with which it can be fastened, e.g. in a form-fitting manner, to the docking holder 16. A second triggering element 27 which is mounted displaceably in a direction transversely with respect to the longitudinal axis of the outer needle 3 can be arranged within the docking holder 16. By application of a compressive force at that end of the second triggering element 27 which is remote from the displacement element 5, the displacement element 5 can be moved by means of the second triggering element 27 in the same distal direction as by direct manual pressure actuation of the triggering element 50 of the displacement element 5. So that the second triggering element 27 can be actuated remotely, an actuation plunger 92 is guided through the actuator 9. The actuator plunger 92 can be actuated manually at an end region 91 of the external actuator 9, at which the latter can also be held manually by the user. For the deflection of the movement direction of the second triggering element 27 in the movement direction of the displacement element 5 that is substantially orthogonal thereto, a slope can be integrally formed on the second triggering element 27 in a manner similar to a ramp, which permits this conversion of the movement direction.
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[0081] The biopsy needle device likewise has a semiautomatic movement mechanism which, with regard to the design and the functioning, substantially corresponds to the previously described movement mechanism of the other embodiments. There is in turn a displacement element 5, an outer needle holder 6 and a triggering spring 7, and of course also the outer needle 3 and the inner needle 4. The outer needle holder 6 serves for holding the outer needle 3 which is fixed movably thereon. The outer needle holder 6 is in turn guided at least with a partial region in an interior space 51 of the displacement element 5. The triggering spring 7 is in turn clamped between the outer needle holder 6 and a spring bearing 19 fixed on the housing.
[0082] In contrast to the previously described embodiments, in the case of the embodiment described here the displacement element 5 is manually operable by the user laterally on the housing 1, 2 rather than at the proximal end of the biopsy needle device. For this purpose, one or two finger grip elements 58 is or are integrally formed laterally on a frame-shaped main body of the displacement element 5 or connected thereto. The lateral finger grip elements 58 protrude laterally out of the housing 1, 2 when the components are assembled. By means of this type of construction, the displacement element 5 is moved to and fro only in the region of the longitudinal extent of the housing 1, 2, but does not protrude out of the housing 1, 2 at the proximal end with different dimensions, depending on the pretensioning position, as in the case of the previously described embodiments. In this way, the entire length of the housing region of the biopsy needle device always remains the same during use, irrespective of the tensioning state.
[0083] The biopsy needle device explained with reference to
[0084] It can be seen with reference to
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[0086] In the housing part 1, the spring bearing 19, which is fixed on the housing, for the triggering spring 7 can be seen. The longitudinal struts 52, 53 are guided laterally past the spring bearing 19. In the region between the proximal end 10 and the spring bearing 19, the housing part 1 has a second latching element 12, e.g. an elastically deflectable latching tab on which a latching contour 13, e.g. a latching protrusion, is arranged. The latching contour 13 serves for latching the outer needle holder 6 in the respectively desired latching position. On the displacement element 5, e.g. on one or both longitudinal struts 52, 53, there is a latching release element 55 which comes into contact with a release contour 18 of the second latching element 12 during a triggering operation and, in the process, deflects the second latching element 12 downward and in this way releases the latching of the latching contour 13 to first latching elements 61 of the outer needle holder 6. The latching release element 55 can be located on the displacement element 5 entirely at the rear below and in each case laterally from the outer needle receptable 59.
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[0088] The function and operation of the biopsy needle device in this embodiment substantially corresponds to the manner of operation already described previously. In contrast thereto, the tensioning operation takes place here via the manual operating region having the finger grip elements 58, i.e. a different manner of gripping and finger support than in the first embodiment is possible. In contrast thereto, the biopsy needle device described here can be gripped with three fingers and in this way operated single handedly, both during the pretensioning and during the triggering movement. The finger grip elements 58 therefore also serve as a triggering element 50 for triggering the movement, which is assisted by the triggering spring, of the outer needle 3 in relation to the inner needle 4.
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[0090] Otherwise, the biopsy needle device according to
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[0093] The pistol grip has the advantage that it constitutes an ergonomically adapted handle for the user, and therefore the force which is to be applied can be minimized and at the same time the engagement precision increased. Furthermore, improved grippiness and stability in the guiding and orientation of the biopsy needle device is achieved.
[0094] It becomes clear that the pistol grip is arranged laterally on the end region 91 of the external actuator 9. However, it is also conceivable for the pistol grip to be arranged from above or below.
[0095] Otherwise, the external actuator 9 according to
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[0097] It becomes clear that two first latching elements 61 protrude in the manner of wings from the outer needle holder 6. The second latching elements 12 can be configured, for example, as elastically deflectable webs, the second latching elements 12 interacting with the first latching elements 61 of the outer needle holder 6 to fix the outer needle holder 6 in the desired latching positions.
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[0099] However, it is also conceivable for the two second latching elements 12 to be arranged only on one of the housing parts 1, 2 at different positions in the direction of longitudinal extent of the corresponding housing part 1, 2.
[0100] It can furthermore be seen that the housing parts 1, 2 in the mounted state are closed per se. that is to say that the second latching elements 12 are no longer accessible from the outside. In this way, external influences on the latching can be reduced or avoided.
[0101] Otherwise, the biopsy needle device according to
LIST OF REFERENCE SIGNS
[0102] 1 Housing part [0103] 2 Housing part [0104] 3 Outer needle [0105] 4 Inner needle [0106] 5 Displacement element [0107] 6 Outer needle holder [0108] 7 Triggering spring [0109] 8 Finger grip element [0110] 9 External actuator [0111] 10 Proximal end of the housing [0112] 11 Distal end of the housing [0113] 12 Second latching element [0114] 13 Latching contour [0115] 14 Attachment point [0116] 15 Receiving element [0117] 16 Docking holder for external actuator [0118] 18 Release contour [0119] 19 Spring bearing [0120] 20 Cutting length marking [0121] 27 Second triggering element [0122] 30 Penetration depth marking [0123] 40 Tissue window [0124] 50 Triggering element [0125] 51 Interior space [0126] 52 Longitudinal strut [0127] 53 Longitudinal strut [0128] 54 Cutting length marking [0129] 55 Latching release element [0130] 56 Outer needle guide [0131] 57 Transverse strut [0132] 58 Finger grip element [0133] 59 Inner needle receptable [0134] 60 Outer needle receptable [0135] 61 First latching element [0136] 62 Guide elements [0137] 80 Finger receptable [0138] 81 Inner recess [0139] 82 Receiving pin [0140] 90 Fastening element [0141] 91 End region [0142] 92 Actuation plunger