CN1706347A - 磁共振成像装置定位夹具 - Google Patents

磁共振成像装置定位夹具 Download PDF

Info

Publication number
CN1706347A
CN1706347A CNA2005100746342A CN200510074634A CN1706347A CN 1706347 A CN1706347 A CN 1706347A CN A2005100746342 A CNA2005100746342 A CN A2005100746342A CN 200510074634 A CN200510074634 A CN 200510074634A CN 1706347 A CN1706347 A CN 1706347A
Authority
CN
China
Prior art keywords
plate
mri
patient
nearside
support
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CNA2005100746342A
Other languages
English (en)
Other versions
CN100462056C (zh
Inventor
罗伯特·休斯
蒂莫西·G·迪茨
迈克尔·安德雷科
肯特·斯温德塞德
杰伊·威尔金斯
比尔·克莱姆
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Devicor Medical Products Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN1706347A publication Critical patent/CN1706347A/zh
Application granted granted Critical
Publication of CN100462056C publication Critical patent/CN100462056C/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
    • A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/0041—Detection of breast cancer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B2010/0225—Instruments for taking cell samples or for biopsy for taking multiple samples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00796—Breast surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00911—Material properties transparent or translucent for fields applied by a magnetic resonance imaging system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3908—Soft tissue, e.g. breast tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3933—Liquid markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3987—Applicators for implanting markers

Abstract

一种在穿刺活组织检查过程中与用于乳房压缩和引导针芯活组织检查仪器乳房线圈结合用在开放和闭合式磁共振成像(MRI)机中地定位机构或者夹具。定位夹具包括可按三维笛卡儿座标定位的导向装置，用于支撑并定向MRI相容活组织检查仪器，特别地，用于支撑并定向可疑组织或病变的活组织检查部位的套管。z－制动器提高了插入的准确性，防止了过度插入或者因疏忽造成的套管回缩。套管容纳了一个MRI相容活组织检查装置的探头，并可包含各种零件以增强其可成像性，以增强整个过程的真空及压力辅助等等。

Description

磁共振成像装置定位夹具
相关申请的交叉参考
本申请要求名称为“磁共振成像活组织检查装置”的美国临时申请的优先权，该美国临时申请由Hughes等人于2004年5月21日申请，系列号为60/573,510，该临时申请的公开内容在此作为参考全部引用。
技术领域
本发明总的涉及一种辅助组织取样的成像方法，更具体地说，涉及一种为了获得皮下活组织检查和为了去除病变而将活组织检查探头相对于磁共振成像(MRI)乳房线圈定位的改进方法。
背景技术
最近，针芯活组织检查装置已经与成像技术结合以更好的对准乳腺组织中的病变。一种这样的可在市场上购买到的产品由EthiconEndo-Surgery公司以为MAMMOTOMETM的商标名称在市场上销售。在于1996年6月18日授权给Burbank等人的美国专利No.5,526,822中描述了该装置的一个实施例，其在此被作为参考引用。它的手柄接收机械和电子能量以及来自与磁共振成像(MRI)机的高磁场隔开的远程位置控制模块的真空辅助。
如该参考文献所述，该仪器是一种图像引导式经皮针吸乳腺活组织检查仪器。该仪器是真空辅助的，并自动完成用于恢复组织样本的一些步骤。在将其从体内切除之前，医生使用这个装置收集(使用真空)“活”组织。这允许采集变化硬度的组织的样本。另外，使用侧开口孔，避免了必须插入病变，而这种插入病变会趋向于将肿块推开，引起轨迹转移灶，或者引起血肿，该血肿与在其中循环的剩余造影剂一起可能导致与可疑病变极为相似。侧孔可以围绕探头的纵向轴线旋转，从而允许采集多个组织样本而不用重新定位探头。这些特征允许对大病变多份采样并完全去除小病变。
在前述的Hibner等人提交的公开号为US 2003/0199785的专利申请中，描述的定位夹具可与乳房线圈连接。这些定位夹具协助使探头准确地定位在乳房组织内的可疑病变的位置。特别地，可疑病变的X-Y-Z笛卡儿坐标被参照作为定位夹具中的参考标记物。当患者已从封闭式膛孔MRI机中退出后，人视力可见的每一个轴的测量导向装置允许探头相应地定位，而不需要在插入过程中使探头成像。另外，定位夹具使得能够在MRI活组织检查装置中采用可拆卸的探头。因此，在探头的后续再成像过程中，如在封闭式膛孔MRI机的封闭界线范围内所需要的那样，MRI活组织检查装置的手柄是可拆卸的。当手柄与探头连接时，可采用描述的定位夹具的各种支撑结构来支撑手柄所延伸的长度。
尽管与可拆卸的MRI活组织检查探头一起使用的定位夹具是有许多优点，但还需要包含附加的零件其通过以不用手方式支撑各种活组织检查装置以进一步帮助高效且舒适地在定位夹具内定位患者的乳房。
发明内容
本发明通过提供一种将MRI活组织检查装置与乳房线圈连接的定位和导向组件，以将探头准确地定位并保持在患者乳房的所需位置处，用于进行活组织检查及相关的诊断和治疗程序，从而克服了现有技术的上述不足和其它缺点。
在本发明的一个方面中，定位夹具有利地提供了侧向和中间压缩构件，该构件可被集中于患者的乳房并相反地压缩患者的乳房，并通过近侧控制来锁定在该位置中，该近侧控制避免了不得不影响患者的不便与不适。因此，产生压力的医学步骤对于患者是方便的，且对于护理者是快捷的。
在本发明的另一方面中，通过提供一种无须装载MRI成像材料的一次性机架使得相对于定位夹具定位可疑病变的基准更加经济。因此，简化了其储藏、包装及灭菌，而且还允许终端用户选择合适的内容。一次性基准能与活组织检查探头的支架结合。
在本发明的又一个方面中，定位夹具具有可调节的支撑活组织检查探头支架的可移动盘。因此，可在将可移动盘锁紧在底座构件上之前，相对于侧向压缩构件的所需插入点可远远地设置在活组织检查探头的支架上。
在本发明的再一个方面中，定位夹具有支架，其被定位成能够相对于侧板侧向移动，该侧板定位了用于压缩患者乳房的一侧的侧栅格。导轨可定位在支架上以设定高度坐标。靶标导轨包括限定了用于活组织检查仪器穿刺角度的活组织检查导向装置。
本发明的这些及其它目的和优点将在附图及其说明书中变得更为清楚。
附图说明
与说明书结合并组成该说明书的一部分的附图图示了本发明的实施例，并与上述本发明的总体说明以及下面给出的实施例的详细描述一起阐释了本发明的原理。
图1是磁共振成像(MRI)活组织检查系统的分解透视图；
图2是与图1中的MRI活组织检查系统的定位夹具的支架轨道相对准的带外壳的MRI活组织检查装置的透视图；
图3是带外壳的MRI活组织检查装置与图1中的MRI活组织检查系统的定位夹具支架的轨道接合后的透视图；
图4是图1中的定位夹具的导向系统的分解透视图；
图5是一种由用于图1中的MRI活组织检查系统的定位夹具的侧栅支撑的可选择的支架和靶标导轨的透视图；
图6是一种用于图5中的托架和靶标导轨的可选择的导向系统的分解透视图；
图7是具有扁平刀片穿刺尖端和内腔的闭塞器的左视图，该内腔在侧向向凹槽与在近端处具有用于闭塞器毂的外部接合零件的流体接头连通；
图8是图7中的闭塞器的主视图；
图9是沿线9-9截取的图8中的闭塞器的纵向横截面的左视图；
图10是沿着远离毂接合部分的线10-10截得的图7的闭塞器的主横截面图；
图11是沿着线11-11穿过毂接合部分截得的图7的闭塞器横截面的主视图；
图12是图6中的导向系统的可供选择的靶标轨道、套管和闭塞器的透视图；
图13是具有与轨道成一体的枢转的z-制动器的定位夹具的透视图；
图14是图13中的z-制动器的详细透视图；
图15是图1中的用于MRI活组织检查系统的定位夹具的透视图；
图16是用于图33中的定位夹具的具有可替换和/或可移动的杆的侧板的透视图；
图17是图15中的定位夹具的塔形支架的透视图；
图18是单轨道定位夹具的乳房定位部分的透视图；
图19是用于图1中的MRI活组织检查系统的具有装置保护弹出杆的定位夹具的透视图；
图20是用于图1中的MRI活组织检查系统的具有伸缩式装置保护器的定位夹具的透视图；
图21是定位夹具的俯视图，其具有近侧中间板锁紧控制器、柔性/弧形中间栅板和侧板以及由柔性凸轮锁紧侧向组件；
图22是沿着直线22-22截取的图21的侧板和定位夹具的底板的顶部凹槽的横截面的主视图；
图23是用于图1中的MRI活组织检查系统的部分切除的定位夹具的俯视图，其包括具有柔性肋的侧板；
图24是沿线24-24截取的图21中的侧板、侧板的顶部凹槽的横截面的主视图；
图25是具有挤压触发器的定位夹具的俯视图，该挤压触发器带有用于调节中间栅板的凸轮锁定件；
图26是用于图1中的MRI活组织检查系统的可供选择的患者支架的透视图；
图27是具有用于图1中的MRI活组织检查系统的定位夹具的台锯式导向装置和锁紧杆的导向部件的透视图；
图28是图27中的导向部件的侧视图；
图29是用于图1的MRI活组织检查系统的定位夹具的导向元件的主视图，其具有分离支撑臂和远端靶标环；
图30是图29的导向元件的俯视剖面图；
图31是图30中从X-Y对准夹具拆下的伸缩式靶标环的详细透视图；
图32是与X-Y对准夹具相连的图31的伸缩式靶标环俯视横截面图，示了气体出口和隔膜；
图33是图31-32中的伸缩式靶标环的隔膜的主视图；
图34是用于图1中的MRI活组织检查系统的远距离旋转的定位夹具的俯视图；
图35是图34中的远距离旋转的定位夹具的横截面的俯视图；
图36是图35中的远距离旋转的定位夹具的旋转控制机构的详细视图；
图37是具有一体的远端靶标夹具的蜂窝状侧板的透视图示出了其旋转开启部位；
图38是具有图37的一体的远端靶标夹具的蜂窝状侧板的透视图示出了其安装有探头导向装置的旋转关闭位置；
图39是定位夹具的中间板、中间栅板和侧板的视图，该定位夹具带有弹性软垫来加强支撑并提高舒适度；
图40-41是在用于定位夹具上的可选择支架上的啮合的插孔锁定件的透视图；
图42是具有可替换的栅格构件的侧板的透视图；
图43是具有用于图1中的MRI活组织检查系统的可拆卸杆的可选择的侧栅板的主透视图；
图44是图43中的侧栅板的可拆卸杆的左后侧透视图；
图45是图44中的可拆卸杆的上部的详细透视图；
图46是图44中的可拆卸杆的下部的详细透视图；
图47是图43中的侧栅板的下部的后透视图；
图48是用于图1中的MRI活组织检查系统的可选择的盒状定位夹具的顶部左侧透视图；
图49是图48中的可选择的盒状定位夹具的左视图，该定位夹具具有可调节地将其锁紧在其中的X-轴线导向板，从而支撑锁紧的Y-轴线导向框架；
图50是可供选择的基准支架的近侧透视图；
图51是图51中的可供选择的基准支架的俯视图；
图52是图51中的基准支架的近端侧视图；
图53是图51中的基准支架的右视图；
图54是用于图51中的基准支架的一次性基准的图解性俯视图；以及
图55是用于图51中的基准支架的可选择的一次性基准的图解性俯视图。
具体实施方式
现在参考附图，其中相同的附图标记表示在几个视图中相同的构件，在图1中，磁共振成像(MRI)相容活组织检查系统10包括导向件、MRI成像标记和流体处理能力，该导向件引导与活组织检查装置本身分开并且有利地包括改进的穿刺部分的套管和导入闭塞器的导向件。安装装置允许沿所需的轨道精确穿刺而不会超射。
MRI相容活组织检查系统10包括控制模块12，该控制模块典型地位于容纳MRI机(未示出)的防护室的外部或至少被隔开，以减轻与它的强磁场和/或灵敏的射频(RF)信号检测天线的有害的相互作用。控制模块12控制并给MRI活组织检查装置14提供动力，该装置14可以紧靠MRI机的方式配合使用。MRI活组织检查装置14的一个例子是前述的MAMMOTOMETM仪器。MRI活组织检查装置14由被连接到乳房线圈18上的定位夹具16精确地定位，而该线圈又支撑着病人(未示出)。可在市场上购买到的乳房线圈18的例子包括由Waukesha WI.A的MRI DEVICE CORPORATION制造的BIOPSY BREASTCOIL MODEL BBC。导向组件20、特别是套管22被有利地连接到定位夹具16上以在处置的具体部分中与MRI活组织检查装置14的选择性使用相结合地增加成像和治疗的灵活性和准确性。导向组件20可包括一个或多个闭塞器24，其中的一个是这样的，即它在插入时并且在MRI活组织检查装置14未被插入其中的程序的后续部分中密封套管22。设置与定位夹具16一起使用的限深器26，以有利地防止套管22的过度插入、套管22的无意收回和/或提高将套管22沿Z轴安置到所需位置的准确性。
为了方便起见，在这里使用一个惯常作法来通过笛卡儿坐标在参照定位夹具16的乳腺组织内定位可疑的病变，并且其后将仪器(例如套管22)定位到这个位置，而不需要连续地成像该区域。如将在下面更详细描述的，沿乳房的外侧受压缩的多孔屏障相对于病人胸部的中间平面定义了X-Y平面，而且X轴相对于站立的病人是垂直的(径向的)，并且从面向定位夹具16的外露部分的医生的角度看相当于从左到右的轴线。相对于贴近病人皮肤的定位夹具16连接或定位的基准标记(未示出)定义了该平面的原点。垂直于该X-Y平面并向乳房的中间侧延伸的是Z轴，虽然应当理解可以允许相对该Z轴的插入角度有一定的变化，该轴典型地对应于MRI活组织检查装置14插入的取向和深度。这样，为了清楚起见，术语“Z轴”可以与“穿刺轴线”互相替换地使用，尽管后者可以或不可以垂直于用于在病人身上定位插入点的空间坐标。
将支撑安装限制器/限深器的追踪轨道与支撑活组织检查装置的重量的活组织检查轨道分离可有利地减少各组件之间的相互干扰，允许实现其中可以有选择地安装和除去某些构件且不会干扰其它构件的操作步骤。
在使用中，通过将电缆管理卷筒30放置在从控制模块12的一侧突出的电缆管理连接鞍座32上而制备MRI相容活组织检查系统10以便使用。缠在电缆管理卷筒30上的成对的电气电缆34和机械电缆36用于分别传递控制信号和刀具旋转/前进动作。具体地，电气和机械电缆34，36各具有连接在位于控制模块12中的相应电气和机械端口40，42上的一端和连接到安放MRI活组织检查装置14的机架44上的另一端。可以在不使用时保持机架44的MRI对接杯座46通过对接工位安装托架48被钩到控制模块12上。
安装到墙上的界面锁定盒50将系绳52设在控制模块12上的锁定端口54上。使系绳52有利地、独特地终止，并不够长以避免疏忽地将控制模块12过份靠近MRI机地设置。直插式外罩56可以有利地将系绳52，电气电缆34和机械电缆36对准在控制模块12上的它们各自的端口52，42，44。遥控键盘58可以在远侧被连接到电气电缆34上，以提高医生对MRI活组织检查装置14的控制，特别是当在将HRI活组织检查装置插入到定位夹具16中后不容易进行对MRI活组织检查装置14自身的控制时。
通过第一真空管线60提供真空辅助，该第一真空管线连接在控制模块12和捕捉液体及固体碎片的真空罐64的出口62之间。管道组件66完成控制模块12和MRI活组织检查装置14之间的气体连通。特别是，将第二真空管线68连接到真空罐64的入口70上。第二真空管线68分成被连接到MRI活组织检查装置14上的两个真空管线72，74。利用安装在机架44中的MRI活组织检查装置14，控制模块12进行功能检查。将盐水手工注入活组织检查装置14中以用作润滑剂并有助于实现真空密封。控制模块12致动在MRI活组织检查装置14中的刀具机构(未示出)，监控全部行程。
也将MRI相容活组织检查系统10的靠近MRI机使用的部分组装起来。将通常已知的乳房线圈18连同其它的身体支撑垫(未示出)一起放置在MRI机的台架上。被连接在位于乳房线圈18的每一横向侧上的凹陷部内以接近在其中悬垂地暴露的病人乳房的定位夹具16包括水平的中间板80，可重复使用的基底组件82，侧面组件84和定位基座86。定位夹具16还装配有一次性的中间栅90和侧窗(或多孔板)92。
基底组件82放置在乳房线圈18的选择的侧面凹陷部内。中间栅90被连接到中间板80的中间边缘上，在接收病人乳房的选择的乳房孔94的内边缘下大致沿乳房线圈18的纵向轴线垂直地对准。在病人如此定位并且将乳房的外部区域消毒的情况下，使侧窗92向下滑入侧面组件84的三边框架式导向器96中，该导向器96又放置在中间板80上。基底组件82和侧面组件84沿Z轴彼此相对地移动，以将病人的乳房压在中间栅90和侧窗92之间。在侧面组件84，基底组件82和中间板80之间形成的机构保持了这种压缩。
可以将造影剂注射到病人体内以增强成像。使台架前进到MRI机孔中以成像定位夹具16和乳腺组织。将侧窗92上的基准标记定位并指定为X-Y-Z坐标系的原点。然后，将可疑病变定位在图像内，并且选择其上的一个点以确定其相对于原点的位置。应当理解，通过具有用可成像材料形成的侧窗92，可以便于定向初始扫描的X-Y-Z轴，由此提供除基准标记的原点之外的X-Y平面。在确定了目标位置的情况下，从MRI机器孔收回台架。
定位基座86沿侧面组件84的X轴可滑动地被接合，并限定了用于在选择的Y轴坐标上定位单个靶标轨(“轨道”)98的垂直导向器。轨道98又沿着用于在所需的Z轴坐标上定位限深器26和机架44的Z轴设置深度导向器。限深器被锁紧在轨道98上。其后，可以使标记仪(未示出)穿过限深器26，以在乳房上标记插入点。此后，将限深器26移开。在浅注射麻醉剂之后，在标记的位置处划开一切口，并随后将麻醉剂更深地注入划开的切口中。然后，将限深器26在轨道98上重新定位至所需的Z轴坐标参考。
将闭塞器24插入套管22并可以定位成封闭套管22的任何孔(侧面和/或远端)，从而给乳腺组织提供封闭的表面。也可以如此地成形或构成闭塞器以提高孔位置的可见性。闭塞器24和套管22之一会提供一锋利的尖端(未示出)以穿刺乳腺组织。例如，如果使用具有开口端的套管22，则闭塞器可以设置锋利的尖端。
将闭塞器24插入到套管22中，并且由轨道98将组合体引导到适当的取向，直到到达由限深器26设定的准确的深度。一旦完全插入，限深器26就防止过度插入。套管22有利地锁住轨道98和/或限深器26以防止无意中造成的收回，例如当收回闭塞器24并且从乳腺组织接收压力时，或更后面的当将MRI活组织检查装置14的探头100从套管22收回时。
将台架移入MRI机孔中并且对病人重新成像以确定套管22相对于可疑病变的放置。有利地是，套管22和/或闭塞器24的可成像材料，或许包含或包括标记材料，提高了在为随后的活组织检查样本定位时确定套管22和其套管侧孔102的位置的能力。
通过缩回台架而将病人从MRI机中移出，并且将有机架的MRI活组织检查装置14带到定位夹具16。从MRI活组织检查装置14的探头100上去除保护帽(未示出)，并且从套管22取出闭塞器24。图2和3中示出了将机架44安装到轨道98上，其中机架44和MRI活组织检查装置14结合在一起地在轨道98上滑动，而该轨道98已经相对于基座86和侧面组件84被定位在一确定位置。套管22和探头100的构件可以有利于从视觉上且以机械方式相对套管侧孔102定向探头100的探头侧孔104，以及形成气体密封。有利地是，机架44和/或探头100可以锁定在轨道98和套管22上，以确定完全插入并避免过度插入及无意中发生缩回。机架44允许希望手握使用的MRI活组织检查装置14在它与定位夹具16的连接中有足够的支撑，以准确地保持它的位置并且避免或最小化由探头100带来的负载。
其后，MRI相容活组织检查系统10可以通过在真空辅助下致动刀具机构、收回该刀具并取出组织样本来采集组织样本，取出组织样本的步骤或许也可以在真空辅助下进行。探头100/套管22的组合体能够为了另外的样本手动、或许自动地转动相对于它们的纵向轴线的所需角度，或者可以在目前的取向上通过进一步采取真空辅助来采集另外的样本。然后，使刀具前进以关闭探头侧孔104，并且将机架44从定位夹具16退回，从而将探头100从套管22取出。
在这点上可以进行额外的步骤或步骤的组合，例如使用探头100、专门的闭塞器24(例如，细探头)或仅仅是套管22来将各种药剂引导到活组织检查的手术部位。这些例子包括排液，引入麻醉剂，引入止血剂，随气压吹入和引入用于随后定位活组织检查部位的标记，或其它诊断或治疗过程。
然后，为了重新成像而通常将病人拉回到MRI机孔中，以确定至少一部分可疑病变的去除和标记的可能位置。在这个重新成像期间，用闭塞器或细探头24密封套管22。其后，移开定位夹具16，将病人用绷带包扎且从台架上移开，并且将MRI相容活组织检查系统10的一次性使用部分作为医疗废物进行处理。
特别参考附图2-3，单个靶标轨道98便于分离组件的顺序安装。首先，安装限深器26，然后是套管22(如图1所示)，接着使活组织检查工具14滑上单个靶标导轨98。作为替换方式，如图2-3所示，单个靶标导轨98可以接收限深器26，然后使用MRI活组织检查装置14而不用分离的套管22。穿刺到病人乳房中的最大深度通过限深器26在单个靶标导轨98上的位置而预先设定。在机架44和单个靶标导轨98之间的接合机构(未示出)和/或由被表现为向上伸出的销110且在限深器26的上部轨道夹紧臂112上的掣子和卡扣在向上伸出的销110上的由弹簧向下偏压的摇杆插口114形成的接合机构防止MRI活组织检查装置14的无意缩回。机架44可以通过在摇杆插口114的近侧致动臂116上的向下压力而脱离。
单个靶标导轨98可以将纵向尺寸设定成在近侧有效地延伸，从而在探头100接触病人的皮肤之前，MRI活组织检查装置14接合单个靶标导轨98。还将单个靶标导轨98的尺寸设定成不会在近侧延伸到其不能用于闭孔MRI机(未示出)的程度。相信该MRI相容活组织检查系统10将程序运转时间最小化到小于上述的45分钟。然而，尽管迅速完成运转，放射科医生可以将探头100准确定位到病变中心的2mm(最大5mm)内。另外，在对病人最小限度地重新定位的过程(桌子的两侧)中，放射科医生可以最大限度地接近两个乳房(左或右)。此外，穿刺组织需要最小量的力，例如小于4lbs。虽然限深器26用于防止超射，但在进一步插入探头100之前用于将限深器26重新定位的构件允许医生在瞄准另一位置方面具有灵活性。
在图4中，用于MRI相容活组织检查系统10的一种可替换的导向组件200包括有连接到靶标导轨204上的支架202，并且设有用于支撑MRI活组织检查装置的活组织检查导轨206，两个导轨204，206对准Z轴。将靶标导轨204连接到定位支柱86(图4中未示出)上并垂直地调整到所需的Y位置。圆形安装点208可以形成与定位基座86的旋转接合以允许倾斜的瞄准导向。
靶标导轨204的侧面210包括上凸缘212和下凸缘214，它们各具有用于滑动地接收套管固定件216的L形横截面。在每个凸缘212，214上的多个竖排的侧向突出的凸脊218用作用于套管固定件216的锁定表面。在凸缘212，214之间，使侧通道220在其中凹陷。套管固定件216通过使它的套管毂224在近侧被接收在套管固定件216的毂接收器225中来引导套管222并在远侧由限深器226定位和限制。
限深器226包括接合侧通道220的滑动件228。限深器壳体230与该构件连接，终止于标线片232。锁定杆234被垂直地钉在远侧开口的凹陷部(未示出)内，在限深器226中形成由弹簧从那里偏压离开的侧面部分236，从而在远侧突出的支脚238相对凸脊218枢转并接合该凸脊218，特别是相对近侧移动地枢转。将侧面部分236靠着限深器壳体230的远侧开口的凹陷部向近侧压下的操作释放了在远侧突出的支脚238，以允许在远侧重新定位限深器226。
使活组织检查装置10的穿刺轴线与通过靶标导轨204和活组织检查导轨206限定的轴线对准，上述两个导轨分别从那里沿横向和纵向垂直地偏移。从靶标导轨204延伸的水平平面和从活组织检查导轨206延伸的垂直平面在为穿刺轴线的共同中心线处相交。具有垂直地对准并平行于穿刺轴线的活组织检查导轨206有利地用否则会产生插入的远端的偏移的最小扭转负载为活组织检查装置14的重量提供支撑。从而，即使对于相对较重和细长的装置，也可以在所需插入点的5mm、甚至2mm内实现其远端的定位和保持。由此，可以进行“免手持”过程，可用在穿刺轴线上方垂直位移的方案替换在所显示的变型中避免穿刺的不方便或不实用性的方案。特别是，具有可以与靶标导轨204的任一侧接合的支架可以进一步提供垂直对称并允许操作者充分利用通过乳房线圈18提供的空间。
虽然“免手持”能力对于单独插入式/多样本式活组织检查装置是有利的，但应当理解，带有在此所描述的预设的限深器的这种穿刺导向已经应用于甚至轻型活组织检查装置，该装置在每单个样本单独插入时使用针芯活组织检查。特别是，不需要在连续成像时修正放置。当免手操控的时候，避免了插入时的过度穿刺和无意的移动。
在靶标导轨204中的底部楔形通道240接收在支架202上的顶部楔形延长部242，而且该延长部在其中滑动。应当理解，当从近侧看时在这里示出了关于定位基座86的左侧的安装，但是导向组件200有利地包括允许在定位基座86的两侧上的安装和使用的对称部分，以增加在定位探头100方面的灵活性。因而，支架202的水平基底244将活组织检查导轨206形成为由第一和第二对单片眼镜插孔248，250位于侧面的活组织检查导向通道246，从而可以将单片眼镜254上的一对锁定钩252插入每对单片眼镜插孔248，250中，这取决于哪一个更靠近病人。可以将支架202直接连接到定位基座86(未示出)上，而不如图所示地将支架202安装到靶标导轨204上。支架202是机械上坚固的并能够支撑MRI活组织检查装置14的总重量。由于MRI活组织检查装置14不共用支架202，当需要接近浅的或深的病变时，可以最优化支架202以支撑MRI活组织检查装置14。
作为在定位和准备插入点时的初始步骤，插入单片眼镜标线片258中的导向衬圈256引导标记仪和/或画线手术刀(未示出)。其后可以将单片眼镜254去除或留在适当位置上，以便在除去限深器226的标线片232之外还引导套管222，限深器也可以保持用于引导套管222的导向衬圈260。将导向衬圈256，260去除允许单片眼镜254和限深器226的标线片258，232引导更大的组件，例如用于将可疑病变相对导向组件200定位的基准262。
以首先通过套管固定件216的接收套管毂224的毂接收器225的方式保持套管222的对准。在图中显示的变型中，套管222具有用于接收导入闭塞器268的端部开口的轴266，该导入闭塞器包括在固体闭塞器轴272的远端的穿刺尖端(例如扁平刀片)270。进入固体闭塞器轴272的斜切的凹陷部276对准套管222的套管侧孔278，并且由此终止于探头100(图1-3)。可以选择闭塞器268的材料以帮助定位套管222的套管侧孔276，否则该侧孔可能更加难以在MRI扫描部分中看到和定位。
套管毂224具有被连接到导向指旋轮282上的近侧圆柱形边缘280，该导向指旋轮282在近侧从套管固定件216的毂接收器225延伸出，用于旋转套管222，以将它的套管侧孔278相对于指旋轮282上与之相对应的且作为锁定槽284示出的可见标记定位。指旋轮282包括由夹在指旋轮282和套管毂224的近侧圆柱形边缘280之间的弹性密封环288和鸭嘴密封件290密封的中心通孔286。因而，包括进入锁定槽284的锁定条292的闭塞器268的插入封闭了中心通孔286并相对弹性密封环288形成动态密封。
在去除了闭塞器268后，可以将细探头298插入套管222，从而可以将在细探头298的近侧呈现的软管尖端300用于对手术位置吹气或用作其它目的，例如排放体液或将治疗或诊断剂通过细探头298的探头杆302插入到对准套管222的侧孔278的探头侧孔304。细探头298还包括锁定小突起306。
套管固定件216包括由弹簧向下偏压的卡扣接合在限深器226的倾斜捕捉器310上的摇杆插口308，防止套管222在无意中被缩回。套管固定件216可以通过在摇杆插口308的近侧致动臂312上的向下压力被脱开。被连接到套管固定器216的底部上的由弹簧向上偏压的摇杆插口314同样地接合限深器226。因而，在将限深器226在靶标导轨204上设置到所需的插入深度之后，可以使套管固定器216在远侧前进，且不会超射，随后当从其移去器具，例如闭塞器268，细探头298和MRI活组织检查装置14时，可以将该套管固定器保持就位。
在图5中，由侧栅板支撑的支架320提供了一种对第一靶标轨道322空间定位的可选择的支撑，并因而导引了套管22或者其它穿刺活组织检查装置(在图5中未显示)的插入。第一靶标轨道322包括连接轴324，其容纳在(Y-轴)高度轭326的左侧或右侧的轴毂(未显示)中，高度轭326在基座328上可垂直调节，进而在侧栅板330上横向调节。基座328包括近侧垂直矩形柱332，薄壁334从其远侧突出，横向向外张开(限定了左侧和右侧的垂直矩形槽336及338)形成支架340的一部分，支架340具有顶部悬臂344和底部悬臂346，它们能够分别在侧栅板330中形成的顶部轨道348和底部轨道350上横向滑行。当参照横向测量导向装置(未显示)将横向调整杆351重新定位至所需位置的左侧或右侧时，横向(X-轴)调整杆351可被升起以抬高支架328，从而将悬臂344及346从与轨道348及350的接合状态中脱离。
高度轭326是矩形封套，其远侧中部被中断形成分别垂直地卡在左、右垂直的矩形槽336中锁定的左、右臂352上。锁定的左、右臂352分别具有脊状近侧表面(未显示)，其可通过高度锁定杆356与每个垂直矩形槽336的近侧上的脊状表面358选择性地邻近锁闭结合。升起的高度锁定杆356解锁高度轭326以进行高度调节。高度轭326的近侧顶面作为观察孔360，来读取形成在基架328的近侧表面上的高度测量标尺362。当高度轭326被重新垂直定位时，可升起高度锁定杆356使高度轭326从与支架328的锁定接合状态中脱离。
第一靶标轨道322的对称性安装设置容许将其用于基座328的任一侧，从而能够充分地接触侧栅板330。允许连接轴324旋转，从而使穿刺的轴线包括向上或向下的轨迹。在说明性的例证中，高度轭326的近侧角部包括角度制动器364(例如，-15°，0°，+15°)，其可通过角度锁定杆366选择角度。第一靶标轨道322包括远端制动器347，其作为基准支架或者单片的局部参考，如在这里描述的但未在图5中显示的那样。
在图6中，另一种可供选择的导向组件400包括能与第一靶标轨道322的底部槽403接合的托架402，导向组件400可与图5的侧栅板的支撑支座320连接。为了给图1-3中的MRI活组织检查装置14提供附加的导向，第二靶标轨道406包括侧向槽408，其被沿着第一靶标轨道322的纵向导向翼片410导向。当全部接合时，在爪弹簧414的推动下绕定位于第二靶标轨道406附近的侧窗418中的垂直爪销416枢转的棘爪412，落入定位于第一靶标轨道322上的邻近制动器420中。
套管422包括在近侧连接到圆柱形毂424上并具有接近开口的远端428的侧孔426的中空轴(或插管)423。圆柱形毂424具有用于转动侧孔426的在外部设置的指旋轮430。圆柱形毂424具有一内部凹陷部432，该凹陷部432包含鸭嘴密封件434，弹性密封环436和密封保持器438，以在轴423是空的时候提供液体密封，并密封到插入的导入闭塞器440上。
导入器440有利地包括许多带有相应构件的组件。中空轴442包括在侧开口446和近侧端口448之间连通的流体腔444。将中空轴442的纵向尺寸设定为，当被完全接合时使穿刺尖端449延伸出套管422的远端428。闭塞器指旋轮帽450包围近侧端口448，并包括接合套管指旋轮430以保证侧开口446对准套管422中的侧孔426的锁定件452，该锁定件452包括可见的角度指示器454。闭塞器密封盖456可以在近侧嵌入闭塞器指旋轮帽450中，以封闭流体腔444。闭塞器密封盖456包括锁定件458，该锁定件包括对应于在闭塞器指旋轮帽430上的可见角度指示器454的可见角度指示器460。
在图7-11中，更为详细地示出了引入闭孔器440。该闭孔器440具有中空轴442，其能提供一个多功能的流体管腔444。在图8中，穿刺端449由扁平刀片441形成，该扁平刀片441被安装在于两个在远端倾斜的三角形支架447和449之间形成的垂直槽445中。中空轴442的近侧口448形成软管尖端(如leur接头)，以利用管腔444进行向成像侧槽口446的气动或液压传送，该槽口446用作一个成像侧槽口并与平刀片441邻近。在图7及9中，近侧口448上的外部接合零件包括与周向的环状槽453邻近的沿周向突出的环圈451。在图9中，通气孔455穿过与成像侧槽口446相对的侧面，允许实现套管内的压力均衡或利用在套管内的真空腔(在图7-11中未显示)。在图10及11中，顶部导槽457沿纵向向下地经过中空轴442的近侧口448，从而可以用键固定与套管的接合，以将成像侧槽口446与套管中的侧孔对准。在图7及9中，成像侧槽口446的倒圆的前、后边缘459和461将对组织的创伤降到最小。作为选择方案，顶部导槽457可允许视觉指引，从而确定在穿刺过程中使成像侧槽口446转开而不对准侧孔，以防止组织进入成像侧槽口446中。然后，可使成像侧槽口446通过旋转而对准以便获得成像确认/或使用多功能管腔444。
应当理解，可有利地使用各种其它的套管、闭孔器、细探针和/或探头，例如在Hibner等人于2002年4月23日申请的申请号为NO.10/171,330并且在2003年10月23日公开的公开号为NO.US2003/0199785的题为“LOCALIZATION MECHANISM FOR AN MRI COMPATIBLEBIOPSY DEVICE”的美国正式专利申请中，以及在Tsonton等人在同一天申请的题为“MRI BIOPSY APPARATUS INCORPORATING A SLEEVE ANDMULTI-FUNCTION OBTURATOR”且申请号为NO.-------------的美国正式专利申请中所描述的，这两个专利申请的内容在此均全部引作参考。
参照图6和图12，在穿刺组织的过程中，通过具有套管毂462的套管固定件460引导套管422，该套管毂462接收套管422的圆柱形毂424。套管固定件460具有沿第二靶标导轨406的顶部和底部导向凸缘466，468滑动的侧面套管毂通道464，上述两凸缘分别具有一由排列好的凹槽和脊部形成的棘齿表面470，该棘齿表面在相应的顶部和底部导轨锁定摇杆插口476，478上与相应的顶部和底部棘齿构件472，474相互作用，该摇杆插口476，478在套管固定件460的相应侧由相应的顶部和底部锁销480，482接合。使棘齿构件472，474的近侧倾斜，例如允许远侧移动。各导轨锁定摇杆插口478，480的远侧部分由相应的导轨锁定压缩弹簧484，486偏压离开套管固定件460，以将棘齿构件472，474偏压成接触导向凸缘466，468的脊状表面470。同时压下导轨锁定摇杆插口476，478允许在近侧缩回套管固定件460，取回支撑在其中的任何套管422，直到套管固定件460到达第二靶标导轨406的近侧端，由此，套管固定件460按顺时针(从顶部看)转动棘爪412，并由此当从第一靶标导轨404松开第二靶标导轨406时与第二靶标导轨406接合，导致随连续的近侧移动从那里取出。
当在第一位置将第二靶标导轨406安装在第一靶标导轨322上之前，最好将套管固定件460可调整地定位在第二靶标导轨406上，以设定所需的穿刺深度。特别是，深度导向器490由具有侧面通道496的新月形深度指示器492形成，该侧面通道496被做成接合顶部和底部导向凸缘466，468的形状。定位在侧面通道496的顶部和底部上的前倾表面498，以接合在第二靶标导轨406上的脊状棘齿表面470，允许通过从第二靶标导轨406的远端插入深度指示器492来进行组装。其后，摩擦接合阻碍进一步的近侧运动并强烈地抵抗特别是来自深度导向器490的深度导杆499的任何远侧运动，当将深度致动器杆505用于在其中转动和纵向定位深度导杆499时，该导杆的远端501在深度指示器492中的外侧孔503内旋转并且其近端向侧面偏转。将深度导杆499的中部容放在纵向通孔509中，该纵向通孔在套管固定件460中形成，外侧为侧面通道408。为了粗调深度，使深度导杆499上的外部导向螺纹507有选择地接合套管固定件460，直到顶部和底部粗调(“快速”)按钮511，513被向内压入套管固定件460中，压缩相应的顶部和底部粗调压缩弹簧515，517。各粗调按钮511，513包括一相应的垂直长孔519，521，它们的内表面具有涡轮部分523，525，以在通过释放的粗调压缩弹簧515，517而被促进接合时接合在深度导杆499上的外部导向螺杆507。
在图13中，与图1所示乳房线圈18一起使用的定位夹具502有利地包括基座组件504，其具有顶部凹陷部506，该凹陷部的尺寸能容纳可拆卸的侧向组件(精度盘)508，该侧向组件包括有支架510，其在将凸轮型锁定件512从位于可拆卸的侧向组件508中的水平窗口514中释放时可滑动。支架510又限定了一个垂直窗口516，Y轴安装件518可与凸轮型锁定件519一起在该窗口内(Y轴)上下滑动的垂直地定位具有折叠的前安装单片眼镜522的Z轴轨道520。
在图13-14中，可以理解的是，将折叠的前安装单片眼镜522有利地设置于侧窗92附近。这样，即使邻近地设置z-制动器(未显示)或者不使用z-制动器，也能在患者乳房附近提供标记和画线的参照点。此外，可使单片眼镜522旋转离开以使其不与其它元件相互干扰。
基座组件504包括向下开口的左侧槽524和右侧槽526，其能与下面的中间板(未显示)上的零件接合，也可由左侧杆528和右侧杆530与中间板脱离。在顶部凹槽506中形成的开放轨道532容纳一个或多个从用于与轨道532接合的可拆卸的侧向组件528上向下突出的零件(未显示)。一旦被充分定位，这些零件将与轨道532接合，为临床医生提供可拆卸的侧向组件508已被完全插入的触觉确认。被邻近定位在可在拆卸的侧向装置508上的按钮开关534能与其脱离。较有利地，在许多例子中，定位夹具502的各个元件的接合与分离提供了已经实现装配及接合的确切的触觉和视觉确认，同时使可能使患者惊慌的噪声最小。
由可拆卸的侧向装置508提供的优点在于，临床医生可事先设定用于套管/探头插入的所需坐标，而不会有在MRI仪器上进行这些设置的不便。特别地，支架512和Z轴轨道520可在其各自的窗514、516内被调节并锁定在适当的位置处。z-制动器(未显示)可被类似地准确定位在Z轴轨道520上。
在图15-16中，用于定位夹具551的可供选择的侧板550有利地包括可定位的和/或可移动的杆552。应当可以理解，虽然杆552被如图所示垂直地安装在框架554上，但是在一些应用中也可选择地水平安装。通过偏移或者去除任一给定的杆552，可避免发生所需插入点位于杆552的后面的不利情况。
在图16中，定位夹具551被有利地允许进行大量的调整，从而定位及导向元件可集中于在设备中的患者乳房周围，而不是集中患者乳房上。特别地，设置精度盘556，其被在顶部凹槽558中的一对左侧开口轨道562和右侧开口轨道564导向进入在基座组件560的顶部凹槽558上的位置处，这一对轨道562、564能与精度盘556上的左侧向下突出的T型零件566和右侧向下突出的T型零件508接合。棘轮制动器570迅速咬合在中心轨道574的远端孔572中。
进而，基座组件560具有向下开口的左、右楔形槽576、578，其与中间板584的向上延伸的燕尾形轨道580、582滑动接合。在基座组件560上的凸轮锁586将燕尾形轨道580、582锁定在各自的楔形槽576、578中。
在图15中，穿过精度盘556的窄侧向槽588限定了在图34中示出的塔形支架590的侧向(x-轴)定位。在图17中，塔形支架590包括带有底座594的支架主体592，基座594足够宽以横跨窄侧向槽588。螺纹柱596向下延伸穿过窄侧向槽588以与在下锁定构件600中的螺纹孔598接合，下锁定构件600能沿着精度盘556的底面滑动。通过旋转在支架主体592顶部上的下锁定把手602实现塔形支架590的选择性接合，其旋转螺纹柱596使底座594和下锁定构件600分开或者夹紧。
模制的z-轴轨道604的垂直(y-轴)定位由插入式摩擦构件606设置，该插入式摩擦构件606被限制在支架主体592中的垂直通道608内，并由凸轮锁止件610夹紧。z-轴轨道604具有与插入式摩擦元件606接合的内孔式摩擦夹具612。单片眼镜安装件614被枢轴地连接在z-轴轨道604的远端，并被远离在z-轴轨道604近端上的近端单片眼镜弹杆616转动。
在图18中，绘制了单轨定位夹具630的乳房定位部分，其有利于地增加单个数据的准确性。锁定后栅板632和前栅板634的所有紧固相对于轨道636的共用平面在同一方向上发生，轨道636被安装在底板640的模制内嵌圈(molded-in coil)安装件638的上面。侧向组件(未显示)有利地与同一轨道636接合并将其锁定。
这里描述的定位和导向部件提供了极高的准确性。但仍期望能避免因疏忽而接触这些部分，例如，导致已插入的套管或者探头移动。特别地，当MRI活组织检查装置固定在定位夹具上时，临床医生可能因疏忽而碰撞附近伸出的外壳，打开了导向元件的锁定。最后，在图19中，定位夹具670可有利地具有在主底座674附近延伸的人工或者弹性开启的杆672。当杆676完全伸出时，弹簧荷载的弹跳锁(pop-up lock)676与其接合。
作为可选择的，在图20中，定位夹具690包括远端与杆696连接的左伸缩臂692和右伸缩臂694，其被手动地、气体压缩地或者弹簧偏压地向外延伸。
在图21-24中，定位夹具700有利地便于将位于后栅板702和侧板704之间的患者乳房置于中心，同时形成均匀的压力以避免带来的不舒适，并除去了在患者下方调节支撑后栅板702的中间板706，形成了连续两步骤的下锁定机构。特别地，该锁定为临床医生提供了确切的触觉及视觉反馈，但又无声而不会影响患者的舒适。尽可能少移动患者有助于使其保持舒适。特别地，弹性、一次性的后栅板702在709处中央支撑，容许其侧部708、710根据患者的需要弯曲。侧板704被弯曲，这也增加了舒适度，并有助于将乳房置于中心。凸轮锁定件701向着右侧导向表面728b的右近端部分730b成凸轮形，从而推动侧板704使其与角平面703(图40)锁定接合，该角平面703位于定位夹具700的支撑底板705的左侧导向表面728的左近端部分730a上。分别属于基板705的左侧导向表面728a和右侧导向表面728b的左侧和右侧末端部分732引导中间板706。特别地，回弹导向构件733、734沿侧向从中间板706延伸出，用于分别相对于末端部分732a、732b定中心。
在图23-24中，环形锁定控制器712包括控制旋钮720，其在旋钮凹部721内旋转90°，旋钮凹部721在侧板704中形成，经过轴722与滑动构件723连接，滑动构件723在狭槽724中使中间板706滑动，通过按钮720的凸出的表面735将侧板704的突出肋726向下压与中间板706接触，以使其牢固、准确。在这些板704、706的范围内，不需要精确的定位仪器，这种灵活性是令人满意的。这两个控制器712、701有利地锁定定位了板704、706，从而压缩并定位患者乳房，而无需在患者的下方操作。
在图25中，定位夹具750有利地包括一次性的挠性且弯曲的、且固定在中间栅板751和中间板753上的中间垫752，中间垫752由一种用于弥补性设备的公知材料形成，因为这些材料对较小的压力具有弹性，并具有能快速温暖而变得舒适的能力。手风琴状的垂直杆754、756与患者乳房的顶部和底部接触，以助于对患者乳房提供相等的压力。侧栅板760的加厚侧边缘758提高了强度和稳定性。近端控制器有利地包括手掌放置部分759，其形成有窗口755的侧板757延伸出，使用户的手指能环绕连接在中间板753上的中间把手745，由此允许方便的手挤压控制器751将侧栅板760拉向中间栅板751，以挤压患者的乳房，随后用户用其自由的手致动凸轮锁定件747，以将侧板和中间板757、753锁定在一起。
在图26中，一个可供选择的与按摩台相似用于整体支撑的患者支架800，包括沙漏状拱形上部802，其左、右侧独木舟形部分804、806允许患者乳房悬垂以用于定位夹具(在图26中未显示)。导向平面808在上部802下面并与其顶部和底部相连，并且具有相应的左、右侧独木舟形部分810、812，由此使作为y-轴的参照的台面部分814。
在图27-28中，定位夹具900的导向元件有利地包括滑动、锁闭及放大的气泡指示器，如同过去使用的木工工作台锯，所有物品均置于装置外边缘的外侧，以增强测量的可视性。锁定杆的位置非常明显。下部轨道的较大横截面积提供了较好的支撑。
在图29中，定位夹具1000的导向元件有利地使用近端支撑臂1002使对MRI活组织检查装置14的远端的瞄准和支撑相分离，如图30所示，当MRI活组织检查装置14不在时，可旋转近端支撑臂1002使其偏离。近端支撑臂1002支撑MRI活组织检查装置14的重量，并具有用于准确和可靠的定位(未显示)的第二锁定机构。MRI活组织检查装置14的远端(即探头)由分离结构支撑并与其对准，该分离结构由伸缩式靶标环1004示出，并在图30中绘出。
在图31中，描绘了作为使伸缩式靶标环1004对准的一种途径的X-Y对准夹具1006。定位夹具1000的底板1008具有能引导X-Y对准夹具1006的水平支架1010的侧通道1009。可从具有锁定机构(未显示)的刻度窗1012读出刻度标记(未显示)以保持该侧向(X)位置。有利地，X-Y对准夹具1006的垂直导向装置1014(图31)可有利地由透明材料形成，并邻近于侧板1016设置。该垂直导向装置1014也被有利地与水平支架1010铰接在一起，从而使其在需要时能向下翻转。垂直导向装置1014具有位于垂直通道1020中央处的垂直狭槽1018。伸缩式靶标环1004的远端包括可与垂直通道1020接合的锁定凸轮背部1022，以锁定伸缩式靶标环1004所选择的垂直(Y)位置。可在将元件的这部分装配在MRI乳房线圈(在图31-33中未显示)之前进行该调整。在图31-33中，示出的伸缩式靶标环1004具有被套管或探头穿透的隔膜1024，这有助于避免了因疏忽造成的回缩和形成气动密封。伸缩式靶标环1004还具有用于排水或其它目的的侧口1026。
在图34-36中，描绘出定位夹具1102的导轨构件1100，其具有强度加强的由按钮起动的针状旋转装置和增强的样品收集窗。探头到轨道的分界面1106的凸轮边缘1104增加了重叠的表面区域以增大支撑及强度。通过旋转机构1110机械连通的按钮1108允许远距离的旋转(例如，每次动作转动10度)，避免了到达那里和人工旋转的需要。由透明材料形成的样品收集窗提高了可见性。
在图37-38中，具有一体化的远端靶标夹具1202的蜂窝状侧板1200可与上述定位夹具中的一种一起使用(在图37-38中未显示)。一体化的远端靶标夹具1202包括与侧板1202的右侧通道1206铰接的垂直滑动的门铰接附件1204。右侧调整螺栓1208将垂直滑动的门铰接附件1204锁定于一特定的垂直(Y)坐标处。一体的远端靶标夹具1202的水平臂1210包括标线1212，其水平滑动地与顶部轨道1214接合并由中间锁定螺栓1216锁定在选定的侧向(X)位置处。在水平臂1210的最左端，锁定机构1218由与侧板1200的左侧垂直通道1222接合的凹槽端220形成一个，如在图38中所示，侧板1200由左锁定螺杆1224保持在适当位置处，其中还示出了套管1226和闭塞器1228，它们穿过标线1212插入与MRI活组织检查装置连接(在图54-56中未显示)。
在图39中，定位夹具1300有利地包括有一定形状、柔软的、中间的侧向弹性垫1302和1304(例如，一次性凝胶)，它们分别从中间栅板1306和侧板1308向内突出。因而提高了适应性和患者的舒适感。增加的后面弹性是经解剖学矫正并改进了的支撑。侧板1308的顶部有利地向外倾斜，靠在用于支撑患者的侧向弹性垫1304的加厚部分1310上，其帮助容纳各种各样的患者。
在图40-41中，侧板1402上的塔形支架1400形成侧向装置1404，并包括：齿轮状插孔形脊1406；次轴锁定杆1408，其沿着次轴(竖直方向，Y轴)定位铰接的z轴导轨1410，导轨1410的近端被铰接在包裹塔形支架1400的封套1412。因此，当保持一套Y坐标时，在导轨1410远端处的单片眼镜1412可旋转偏离。同样地，侧板1402包括主轴凸轮锁定件1414，其与塔形支架1400连接以在特定的侧向点(X)处锁定。
在图42中，用于定位夹具的侧板1500包括模制水平栅格构件1502。为加强选择通常位于一个栅格构件1502的后面的插入点的能力，每个栅格构件1502的水平部分1508的每一侧包括左侧波浪形部分1504和右侧波浪形部分1506。因此，当使用套管或探头向上或向下移动特定的栅格元件1502时，这些波浪形部分1504和1506水平延伸以允许水平部分1508产生更大的位移。
在图43-47中，一种可供选择的用于定位夹具的侧栅的1600包括垂直导向叶片1602，其被有利地拆卸和侧向重新定位，以便避免使插入点变模糊。而且，每个垂直导向叶片1602包括远端向外的弓形件1604，其具有与侧栅框架1614的向下倾斜的下部杆1608相连的向上倾斜表面1606和侧栅框架1614的的向下倾斜的上部杆1612相连的向上倾斜的表面1610，因此通过导向叶片1602的侧向部分施加在每个垂直导向叶片1602远端的压力能够作用于框架1614中。左侧、中间和右侧固定的垂直支架1601、1603、1605为框架1614提供了刚性。顶部销钉1616水平突出，并且其远端离开每个导向叶片1602的顶端。向上的弧形横杆1618以其后部中点连接于顶部销钉1616的顶部。类似地，底部销钉1620水平伸出，并且其远端离开每个导向叶片1602的底端。向上的弧形横杆1622以其后部中点连接于底部销钉1616的顶部。一系列水平且矩形的狭槽1624沿着上部杆1612间隔地设置，并且一系列水平且矩形的狭槽1626沿着下部杆1608间隔地设置。一对垂直对准的狭槽1624、1626分别容纳导向叶片1602的弧形横杆1618、1622。在插入的过程中，每个横杆1618、1622被弹性地变形成更直的结构，因而阻止取出。每个狭槽1624、1626足够地细长以容许即使在没有拆开的情况下进行一些侧向调整。
在图48-49中，一种可供选择的用于图1的MRI活组织检查系统的盒定位夹具1700包括开成为插入乳房线圈(未显示)的左侧及右侧凸缘1702、1704。跨接在凸缘1702、1704的底部上的侧栅格1706被向下插入用于压迫患者乳房的顶部和底部的框架通道1708中。侧栅格1706的顶部被略微弯曲，并且其角部更适合“人类”。侧框架1708中的每个垂直导杆1713的底部上的调节把手1709可进行侧向调整以到达另外的模糊位置。侧栅格1706有利地通过扭转PC绕着中心点1711(图49)枢转，以适应乳房。凸缘1702、1704与载体框架1710形成一体，载体框架1710包括与侧栅格1706隔开设置的上部杆1712，并具有向上开口的顶部边缘以增加可视性。在图49中，X-板导向装置1714沿垂直方向定向，放置于在其近侧边缘具有台锯形锁定件1718的载体框架1710的下表面1716上。侧向测量刻度1720(图48)有助于侧向定位。对X-板导向装置1714的进一步支撑来自在X-板导向装置1714的顶部远侧角部上的近侧开口的钩，钩于上部杆1712上。可以理解的是，载体框架1710的前边缘为气体助力的，在其与乳房线圈相连的L-支柱上具有侧面气袋，提供强度并准确地将系统悬挂于乳房线圈。右、左锁定凸轮1722、1724将整个载体支架1710锁定在上部杆1712中，以除去任何累积的误差。Y-高度栅1726利用近侧台锯形锁定件1728夹紧X-板导向装置1714的平行的近侧垂直边缘和远侧垂直边缘，用于垂直高度的调整。
在图50-53中，描绘了一种可供选择的用于图1的定位夹具的基准支架1800。如在图4中所示或者在下面描述的，带有螺纹的毂1802容纳基准。近侧的通道臂1804通过远端锁定通道1806与第一靶标轨道接合，远侧锁定通道1806夹紧第一靶标轨道，直至一对释放臂1808、1810将远侧锁定通道1806展开。
在图54中，短基准仪器3200a作为图4中的基准262的例子，其与定位夹具一起使用以确定在患者皮肤上的外部点的坐标。透明的聚碳酸酯主体3202a与安装在中空嘴3206a上的阀体3204a装配在一起。成像腔3208a从在近侧从阀体3204a延伸的近侧填充口3210a沿纵向穿过单向阀室3212a，进入在中空嘴3206a中的细长空腔3214a，其远端由多孔插塞3216a局部地密封。作为多孔插塞3216a的材料的例子包括多孔PTFE、多孔聚乙烯、多孔聚丙烯、聚苯乙烯和玻璃粉。在中空嘴3206a近端上的外螺纹3218a容许其与支架接合，如单片眼镜或者套管安装件。在使用时，，通过将注射器针头(未显示)通过密封近侧填充口3210a的隔膜3217a刺入而将成像流体，例如但不限于这里描述的这些材料注入近侧填充口3210a中，当流体如箭头3224a所示进入细长的空腔3214a，而空气如箭头3226a所示地通过多孔塞3216a排出时，使密封3320a在压缩阀弹簧3222a的阀室3212a中移动。终端用户持续填充直到如通过透明的聚碳酸酯主体3202a所观察到其被明显地充满，即，当注入更多的流体时能感觉到阻力时，当填充口3210a看上去已充满时，或者当流体通过多孔塞3216a开始漏出时。应当可以理解，也可采用双向阀，其允许过量的压力以排出流体，或者用户从其中抽出流体。另外，隔膜3217a可足以保持在短基准仪器3200a中的液体。
在图55中，长基准仪器3200b作为成像闭塞器或者针芯或者可供选择的在患者外部使用的作为基准的零件的例子。尽管为了清楚在图55中未示出，但可包括第二开口腔用于插入工具。具有末端开口的套管的引入闭塞器还可包括穿刺尖。透明的聚碳酸酯主体3202b具有与中空嘴3206a一体形成的阀主体部分3204a。成像腔3208b从近侧阀主体部分3204b延伸出的近侧管件3210b沿纵向延伸穿过单向阀室3212b，进入中空嘴3206b的细长的空腔3214b，该中空嘴3206b的远端由小通气孔3216b局部地密封。在中空嘴3206b的近端上的外螺纹3218b容许其与支架接合，如套管毂。
在使用时，成像流体，例如但不限于这里描述的那些材料，被引入近侧导管接头3210b中，当流体如箭头3224b所示地进入细长室3214b时，而空气如箭头3226b所示地通过通气孔3216b排出时，使密封3320b在压缩封闭阀弹簧3222a的阀室3212b中移动。在充满之后，液体的表面张力防止通过通气孔3216b的流体损失。
尽管通过一些实施例的描述对本发明进行了说明，并且这些说明性实施例的描述相当的详细，但本发明的申请人并不想将所附的权利要求的范围以任何方式限制或者限定得如此详细。对于本领域的技术人员而言，可以很容易地想到附加的优点及修改。例如，其它成像模式会对本发明的一些方面有利。作为另一个例子，作为导向组件的一部分的与侧板分离的基准标记物可被定位于在患者乳房的外部上的一个特定点处。

Claims (10)

1.一种参照取自患者乳房的诊断图象进行侵害性最小的医疗过程的装置，该装置包括：
中间压缩构件；
侧向压缩构件，其可相对于中间压缩构件移动以压缩并定位患者的乳房；
可相对于侧向压缩构件定位的活组织检查探头支架；
包括侧向导向表面的底座；
侧板，其大小为在底座的侧向导向表面中平移，并支撑侧向压缩构件；以及
联结在底座和侧板之间的侧板锁定构件；
在底板和侧板中选定的一个中形成的中间导向表面；
中间板，其大小为在与侧板相对的中间导向表面中平移，并支撑中间压缩构件；
联结在中间板与中间板导向表面之间的中间板锁定构件；
多个调整锁定致动器，终端用户可在近侧接近以将中间压缩构件、侧向压缩构件和活组织检查探头支架定位并锁定在一起，而不到达患者下方或者患者周围。
2.根据权利要求1所述的装置，其特征在于，中间板包括在近侧延伸的手柄，侧板包括延伸到中间板手柄附近的手柄，其中，一致地移动这些手柄，将中间和侧向压缩构件在患者的乳房上对中，而且将两个手柄挤压在一起以对患者的乳房施加压力。
3.根据权利要求1所述的装置，其特征在于，中间板导向表面被限定在远离侧板导向表面的基板上，侧板锁定构件包括将侧板锁定在底板上的凸轮锁，并且中间板锁定构件包括在中间板和侧板之间可运动以在二者之间产生锁闭结合的滑动连接件。
4.根据权利要求1所述的装置，其特征在于，活组织检查探头支架还包括被定位用于支撑活组织检查装置的近侧下部的支架。
5.根据权利要求1所述的装置，其还包括近侧受偏压的机架，以避免因疏忽造成的与活组织检查探头支架接触。
6.根据权利要求5所述的装置，其特征在于，近侧受偏压的机架包括在近侧延伸机架轨道的充气的圆柱体。
7.根据权利要求6所述的装置，其特征在于，近侧受偏压的机架包括通过枢轴转动连接的臂和被定位为从侧向向近侧方向旋转该臂的弹簧。
8.根据权利要求1所述的装置，其还包括上部和下部水平框架，以及远离下部水平框架延伸的导向表面，活组织检查探头支架包括垂直对准的板，其大小为可在上部和下部水平框架之间侧向滑动。
9.根据权利要求8所述的装置，其还包括与下述板连接的锁定件，即，该板在操作上被构造成锁住从上部和下部水平框架中选出的一个。
10.根据权利要求8所述的装置，其还包括滑动地夹持该板的近侧边缘和远侧边缘的垂直支架，并包括在操作上被构造成将该垂直支架锁定在该板上的锁定件。
CNB2005100746342A 2004-05-21 2005-05-23 磁共振成像装置定位夹具 Expired - Fee Related CN100462056C (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US57351004P 2004-05-21 2004-05-21
US60/573,510 2004-05-21

Publications (2)

Publication Number Publication Date
CN1706347A true CN1706347A (zh) 2005-12-14
CN100462056C CN100462056C (zh) 2009-02-18

Family

ID=34941406

Family Applications (5)

Application Number Title Priority Date Filing Date
CNB2005800214885A Expired - Fee Related CN100477967C (zh) 2004-05-21 2005-05-20 包含可成像穿刺部分的mri活检器械
CNB2005100746357A Expired - Fee Related CN100443057C (zh) 2004-05-21 2005-05-23 装有套管和多功能闭塞器的磁共振成像活组织检查器械
CNB2005100746361A Expired - Fee Related CN100493462C (zh) 2004-05-21 2005-05-23 Mri活组织检查装置
CNB2005100746342A Expired - Fee Related CN100462056C (zh) 2004-05-21 2005-05-23 磁共振成像装置定位夹具
CN2009101301255A Expired - Fee Related CN101554333B (zh) 2004-05-21 2005-05-23 Mri活组织检查装置

Family Applications Before (3)

Application Number Title Priority Date Filing Date
CNB2005800214885A Expired - Fee Related CN100477967C (zh) 2004-05-21 2005-05-20 包含可成像穿刺部分的mri活检器械
CNB2005100746357A Expired - Fee Related CN100443057C (zh) 2004-05-21 2005-05-23 装有套管和多功能闭塞器的磁共振成像活组织检查器械
CNB2005100746361A Expired - Fee Related CN100493462C (zh) 2004-05-21 2005-05-23 Mri活组织检查装置

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN2009101301255A Expired - Fee Related CN101554333B (zh) 2004-05-21 2005-05-23 Mri活组织检查装置

Country Status (7)

Country Link
US (8) US7708751B2 (zh)
EP (3) EP1598015B1 (zh)
CN (5) CN100477967C (zh)
AU (3) AU2005202204B2 (zh)
CA (4) CA2507963C (zh)
DE (2) DE602005023807D1 (zh)
ES (1) ES2303994T3 (zh)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101044992B (zh) * 2006-03-31 2010-10-27 伊西康内外科公司 Mri活检装置
CN102018576A (zh) * 2006-05-01 2011-04-20 伊西康内外科公司 导引立方体和将活检器械导引到患者乳房中的装置
CN106164692A (zh) * 2014-03-27 2016-11-23 皇家飞利浦有限公司 具有用于磁共振成像的射频线圈的真空夹板
CN109655773A (zh) * 2019-01-22 2019-04-19 厦门大学 一种核磁共振仪可插拔式滚印线圈探头及其设计方法
CN114469284A (zh) * 2022-03-31 2022-05-13 真健康（北京）医疗科技有限公司 四自由度穿刺针定位导向装置
CN115792747A (zh) * 2023-02-13 2023-03-14 北京航空航天大学 多模态磁粒子成像的固定及配准标定系统

Families Citing this family (470)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
ATE303099T1 (de) 2002-03-19 2005-09-15 Bard Dublin Itc Ltd Vakuum-biopsievorrichtung
WO2003077768A1 (de) 2002-03-19 2003-09-25 Bard Dublin Itc Limited Biopsievorrichtung sowie ein in die biopsievorrichtung einsetzbares biopsienadelmodul
US20030199753A1 (en) 2002-04-23 2003-10-23 Ethicon Endo-Surgery MRI compatible biopsy device with detachable probe
US7826883B2 (en) * 2002-04-23 2010-11-02 Devicor Medical Products, Inc. Localization mechanism for an MRI compatible biopsy device
DE60318595T2 (de) * 2002-08-01 2009-01-08 James E. Birmingham Selis Biopsievorrichtungen
US20070260267A1 (en) * 2002-10-07 2007-11-08 Nicoson Zachary R Localizing obturator
US20080161720A1 (en) * 2002-10-07 2008-07-03 Nicoson Zachary R Registration system
US7347829B2 (en) * 2002-10-07 2008-03-25 Suros Surgical Systems, Inc. Introduction system for minimally invasive surgical instruments
EP1614403B2 (en) 2003-03-14 2014-06-18 Depuy Spine, Inc. Hydraulic device for the injection of bone cement in percutaneous vertebroplasty
DE10314240A1 (de) 2003-03-29 2004-10-07 Bard Dublin Itc Ltd., Crawley Druckerzeugungseinheit
US8066713B2 (en) 2003-03-31 2011-11-29 Depuy Spine, Inc. Remotely-activated vertebroplasty injection device
US8415407B2 (en) 2004-03-21 2013-04-09 Depuy Spine, Inc. Methods, materials, and apparatus for treating bone and other tissue
WO2006011152A2 (en) 2004-06-17 2006-02-02 Disc-O-Tech Medical Technologies, Ltd. Methods for treating bone and other tissue
US8579908B2 (en) 2003-09-26 2013-11-12 DePuy Synthes Products, LLC. Device for delivering viscous material
US7379769B2 (en) 2003-09-30 2008-05-27 Sunnybrook Health Sciences Center Hybrid imaging method to monitor medical device delivery and patient support for use in the method
US8048003B2 (en) * 2003-10-14 2011-11-01 Suros Surgical Systems, Inc. Vacuum assisted biopsy device
US8357103B2 (en) * 2003-10-14 2013-01-22 Suros Surgical Systems, Inc. Vacuum assisted biopsy needle set
EP1673015B1 (en) 2003-10-14 2014-03-19 Suros Surgical Systems, Inc. Vacuum assisted biopsy needle set
US7988642B2 (en) * 2003-10-14 2011-08-02 Suros Surgical Systems, Inc. Vacuum assisted biopsy device
US20090312817A1 (en) * 2003-11-26 2009-12-17 Wicab, Inc. Systems and methods for altering brain and body functions and for treating conditions and diseases of the same
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US7708751B2 (en) 2004-05-21 2010-05-04 Ethicon Endo-Surgery, Inc. MRI biopsy device
EP1913883A3 (en) * 2004-05-21 2010-02-24 Ethicon Endo-Surgery, Inc. MRI biopsy device localization fixture
US9638770B2 (en) * 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
US8932233B2 (en) 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
US20070066988A1 (en) * 2005-09-22 2007-03-22 Keshava Datta Trocar obturator with cutting edges
US8075568B2 (en) 2004-06-11 2011-12-13 Selis James E Biopsy devices and methods
EP1776047B1 (en) 2004-07-09 2012-12-05 Bard Peripheral Vascular, Inc. Transport system for biopsy device
JP5009159B2 (ja) 2004-10-08 2012-08-22 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波手術器具
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US9186175B2 (en) * 2004-10-28 2015-11-17 Nico Corporation Surgical access assembly and method of using same
US8795195B2 (en) 2004-11-29 2014-08-05 Senorx, Inc. Graphical user interface for tissue biopsy system
SE529741C2 (sv) * 2005-01-17 2007-11-13 Sandvik Intellectual Property Förfarande för termisk isolering av svetsfog samt hylsa därför
US7517321B2 (en) 2005-01-31 2009-04-14 C. R. Bard, Inc. Quick cycle biopsy system
US20060200041A1 (en) 2005-03-04 2006-09-07 Ethicon Endo-Surgery, Inc. Biopsy device incorporating an adjustable probe sleeve
US7517322B2 (en) 2005-03-04 2009-04-14 Ethicon Endo-Surgery, Inc. Biopsy device with variable side aperture
US20060241385A1 (en) * 2005-04-12 2006-10-26 Ethicon Endo-Surgery, Inc. Guided disposable fiducial for breast biopsy localization fixture
GB2425610A (en) * 2005-04-29 2006-11-01 Univ London Magnetic properties sensing system
US9381024B2 (en) 2005-07-31 2016-07-05 DePuy Synthes Products, Inc. Marked tools
US9918767B2 (en) 2005-08-01 2018-03-20 DePuy Synthes Products, Inc. Temperature control system
US7867173B2 (en) * 2005-08-05 2011-01-11 Devicor Medical Products, Inc. Biopsy device with replaceable probe and incorporating vibration insertion assist and static vacuum source sample stacking retrieval
US8262585B2 (en) 2005-08-10 2012-09-11 C. R. Bard, Inc. Single-insertion, multiple sampling biopsy device with linear drive
WO2007021905A2 (en) 2005-08-10 2007-02-22 C.R. Bard Inc. Single-insertion, multiple sample biopsy device with integrated markers
EP1921999B1 (en) 2005-08-10 2015-08-05 C.R.Bard, Inc. Single-insertion, multiple sampling biopsy device usable with various transport systems
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US8360629B2 (en) 2005-11-22 2013-01-29 Depuy Spine, Inc. Mixing apparatus having central and planetary mixing elements
US7740593B2 (en) 2005-12-09 2010-06-22 Senorx, Inc Guide block for biopsy or surgical devices
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
DE102006004993A1 (de) * 2006-02-01 2007-08-09 Innomedic Gmbh Verfahren und Vorrichtung zur Durchführung minimal-invasiver Interventionen
US7766843B2 (en) * 2006-03-03 2010-08-03 Ethicon Endo-Surgery, Inc. Biopsy method
US7520876B2 (en) 2006-04-21 2009-04-21 Entellus Medical, Inc. Device and method for treatment of sinusitis
US8657846B2 (en) 2006-04-21 2014-02-25 Entellus Medical, Inc. Guide catheter and method of use
US7507210B2 (en) * 2006-05-01 2009-03-24 Ethicon Endo-Surgery, Inc. Biopsy cannula adjustable depth stop
DE102007002855A1 (de) * 2006-06-06 2007-12-13 Wolfram Schnepp-Pesch Probenahmevorrichtung, insbesondere Biopsienadel
WO2008001385A2 (en) 2006-06-29 2008-01-03 Depuy Spine, Inc. Integrated bone biopsy and therapy apparatus
US8886284B2 (en) * 2006-07-31 2014-11-11 The Trustees Of Dartmouth College Devices and methods for combined optical and magnetic resonance imaging
WO2008024684A2 (en) 2006-08-21 2008-02-28 C.R. Bard, Inc. Self-contained handheld biopsy needle
CN101516412B (zh) 2006-09-14 2014-02-12 德普伊斯派尔公司 骨水泥及其使用方法
US8485987B2 (en) 2006-10-06 2013-07-16 Bard Peripheral Vascular, Inc. Tissue handling system with reduced operator exposure
AU2007311451A1 (en) 2006-10-19 2008-04-24 Depuy Spine, Inc. Fluid delivery system
WO2008051987A2 (en) 2006-10-24 2008-05-02 C.R. Bard Inc. Large sample low aspect ratio biopsy needle
US8326401B2 (en) * 2006-11-24 2012-12-04 Senorx, Inc. MRI detectable obturator
US20080139925A1 (en) * 2006-11-24 2008-06-12 Senorx, Inc. MRI detectable obturator
IL187667A (en) * 2006-11-27 2011-12-29 Mediguide Ltd System and method for navigating a surgical needle toward an organ of the body of a patient
US20120283563A1 (en) * 2011-05-03 2012-11-08 Moore Kyle P Biopsy device with manifold alignment feature and tissue sensor
US7981049B2 (en) * 2006-12-13 2011-07-19 Devicor Medical Products, Inc. Engagement interface for biopsy system vacuum module
EP1932481B1 (en) * 2006-12-13 2010-06-30 Ethicon Endo-Surgery, Inc. Biopsy system with vacuum control module
US8702623B2 (en) 2008-12-18 2014-04-22 Devicor Medical Products, Inc. Biopsy device with discrete tissue chambers
US9345457B2 (en) * 2006-12-13 2016-05-24 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US20140039343A1 (en) 2006-12-13 2014-02-06 Devicor Medical Products, Inc. Biopsy system
US20080172033A1 (en) 2007-01-16 2008-07-17 Entellus Medical, Inc. Apparatus and method for treatment of sinusitis
US20080221444A1 (en) * 2007-03-07 2008-09-11 Ritchie Paul G Integrated Imaging and Biopsy System with Integrated Surgical, Therapy, and Diagnostic Devices
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8226675B2 (en) 2007-03-22 2012-07-24 Ethicon Endo-Surgery, Inc. Surgical instruments
US20080234709A1 (en) 2007-03-22 2008-09-25 Houser Kevin L Ultrasonic surgical instrument and cartilage and bone shaping blades therefor
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8241266B2 (en) 2007-04-05 2012-08-14 Entellus Medical, Inc. Apparatus and method for treatment of ethmoids
US7715679B2 (en) * 2007-05-07 2010-05-11 Adc Telecommunications, Inc. Fiber optic enclosure with external cable spool
MX2010001019A (es) * 2007-07-26 2010-08-10 Alpha Scient Corp Dispositivo quirurgico de suturacion, metodo y herramientas utilizadas con el mismo.
US9226748B2 (en) * 2007-07-26 2016-01-05 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US8882791B2 (en) 2007-07-27 2014-11-11 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8257377B2 (en) 2007-07-27 2012-09-04 Ethicon Endo-Surgery, Inc. Multiple end effectors ultrasonic surgical instruments
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8348967B2 (en) 2007-07-27 2013-01-08 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8252012B2 (en) 2007-07-31 2012-08-28 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modulator
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US7756379B2 (en) 2007-08-06 2010-07-13 Adc Telecommunications, Inc. Fiber optic enclosure with internal cable spool
US20090088625A1 (en) * 2007-10-01 2009-04-02 Kenneth Oosting Photonic Based Non-Invasive Surgery System That Includes Automated Cell Control and Eradication Via Pre-Calculated Feed-Forward Control Plus Image Feedback Control For Targeted Energy Delivery
US8202229B2 (en) * 2007-10-01 2012-06-19 Suros Surgical Systems, Inc. Surgical device
US8808200B2 (en) 2007-10-01 2014-08-19 Suros Surgical Systems, Inc. Surgical device and method of using same
USD594983S1 (en) 2007-10-05 2009-06-23 Ethicon Endo-Surgery, Inc. Handle assembly for surgical instrument
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US8290569B2 (en) 2007-11-23 2012-10-16 Hologic, Inc. Open architecture tabletop patient support and coil system
US8374676B2 (en) * 2007-11-23 2013-02-12 Hologic, Inc. Chest wall coil array for breast imaging
US9076203B2 (en) * 2007-11-26 2015-07-07 The Invention Science Fund I, Llc Image guided surgery with dynamic image reconstruction
US7614202B2 (en) * 2007-11-27 2009-11-10 Atlas Vac Machine Co., Llc Sealer and interchangeable tooling therefor
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US7901423B2 (en) 2007-11-30 2011-03-08 Ethicon Endo-Surgery, Inc. Folded ultrasonic end effectors with increased active length
US20090163870A1 (en) * 2007-12-20 2009-06-25 Jake Flagle Targeting obturator
US8241225B2 (en) 2007-12-20 2012-08-14 C. R. Bard, Inc. Biopsy device
US7854706B2 (en) 2007-12-27 2010-12-21 Devicor Medical Products, Inc. Clutch and valving system for tetherless biopsy device
US20090209854A1 (en) * 2008-02-19 2009-08-20 Parihar Shailendra K Biopsy method
US8801670B2 (en) 2008-02-27 2014-08-12 Entellus Medical, Inc. Apparatus and method for accessing a sinus cavity
US20090247901A1 (en) * 2008-03-25 2009-10-01 Brian Zimmer Latching side removal spacer
US20090247900A1 (en) * 2008-03-25 2009-10-01 Brian Zimmer Push button adjustable spacer
US8886287B2 (en) * 2008-04-14 2014-11-11 Mri Robotics Llc Tissue-stabilization device and method for medical procedures
US20090270726A1 (en) 2008-04-23 2009-10-29 Leimbach Jessica P Methods For Imaging
US8864681B2 (en) * 2008-04-23 2014-10-21 Devicor Medical Products, Inc. Biopsy devices
AU2009201610A1 (en) 2008-04-23 2009-11-19 Devicor Medical Products, Inc. PEM and BSGI biopsy devices and methods
US8532748B2 (en) 2008-04-23 2013-09-10 Devicor Medical Products, Inc. Devices useful in imaging
US8043316B2 (en) * 2008-05-02 2011-10-25 Suros Surgical Systems, Inc. Adjustable spacer
US8449478B2 (en) * 2008-05-16 2013-05-28 Conquest Medical Technologies Biopsy device
US20090292224A1 (en) * 2008-05-22 2009-11-26 Bowman Bryan J Positioning mechanism for an introducer device
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
DE102008038414B4 (de) 2008-08-19 2019-04-11 Bip Biomed.-Instrumente & Produkte Gmbh Auslösevorrichtung für die Spannschlitten einer handspannbaren Biopsiepistole
US9080425B2 (en) * 2008-10-17 2015-07-14 Foro Energy, Inc. High power laser photo-conversion assemblies, apparatuses and methods of use
US8162852B2 (en) * 2008-10-23 2012-04-24 Devicor Medical Products, Inc. Methods for medical device alignment
US20100106015A1 (en) 2008-10-23 2010-04-29 Norris Perry R Medical device alignment
US7846109B2 (en) 2008-12-18 2010-12-07 Devicor Medical Products, Inc. Biopsy device with sliding cutter cover
US8167815B2 (en) * 2008-12-18 2012-05-01 Devicor Medical Products, Inc. Biopsy device with retractable cutter
US20100160819A1 (en) * 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Central Thumbwheel
US8366635B2 (en) 2008-12-18 2013-02-05 Devicor Medical Products, Inc. Biopsy probe and targeting set interface
US8460206B2 (en) * 2008-12-18 2013-06-11 Devicor Medical Products, Inc. Multi-orientation targeting set for MRI biopsy device
US20100160811A1 (en) * 2008-12-18 2010-06-24 Parihar Shailendra K Z-Stop Feature of Targeting Set for MRI Biopsy Device
US7862518B2 (en) 2008-12-18 2011-01-04 Devicor Medical Products, Inc. Biopsy device with telescoping cutter cover
US9398922B2 (en) * 2008-12-18 2016-07-26 Devicor Medical Products, Inc. Targeting set for MRI biopsy device with probe holster support
US20100160822A1 (en) 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Detachable Needle
US8217649B2 (en) * 2009-01-09 2012-07-10 Siemens Medical Solutions Usa, Inc. System for use in MR imaging using tissue mechanical resonance
US8690793B2 (en) * 2009-03-16 2014-04-08 C. R. Bard, Inc. Biopsy device having rotational cutting
AU2009344276B2 (en) 2009-04-15 2014-06-05 C.R. Bard, Inc. Biopsy apparatus having integrated fluid management
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8834513B2 (en) 2009-06-05 2014-09-16 Entellus Medical, Inc. Method and articles for treating the sinus system
US8282667B2 (en) 2009-06-05 2012-10-09 Entellus Medical, Inc. Sinus dilation catheter
US8206316B2 (en) 2009-06-12 2012-06-26 Devicor Medical Products, Inc. Tetherless biopsy device with reusable portion
US8197495B2 (en) 2009-06-16 2012-06-12 Devicor Medical Products, Inc. Biopsy targeting cube with elastomeric edges
US8366634B2 (en) * 2009-06-16 2013-02-05 Devicor Medical Products, Inc. Biopsy targeting cube with elastomeric body
US8167814B2 (en) 2009-06-16 2012-05-01 Devicor Medical Products, Inc. Biopsy targeting cube with malleable members
US8241302B2 (en) 2009-06-16 2012-08-14 Devicor Medical Products, Inc. Biopsy targeting cube with angled interface
US8858537B2 (en) * 2009-06-16 2014-10-14 Devicor Medical Products, Inc. Biopsy targeting cube with living hinges
US8206314B2 (en) 2009-06-17 2012-06-26 Devicor Medical Products, Inc. MRI biopsy targeting grid with round openings
US20100324445A1 (en) * 2009-06-17 2010-12-23 Mollere Rebecca J MRI Biopsy Cylindraceous Targeting Guide
US20100324444A1 (en) 2009-06-17 2010-12-23 Mollere Rebecca J MRI Biopsy Targeting Grid Wall Guide
US8747331B2 (en) * 2009-06-23 2014-06-10 Hologic, Inc. Variable angle guide holder for a biopsy guide plug
US8344596B2 (en) 2009-06-24 2013-01-01 Ethicon Endo-Surgery, Inc. Transducer arrangements for ultrasonic surgical instruments
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9017326B2 (en) 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
EP3572002A1 (en) 2009-08-12 2019-11-27 C.R. Bard Inc. Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula
US8430824B2 (en) 2009-10-29 2013-04-30 Bard Peripheral Vascular, Inc. Biopsy driver assembly having a control circuit for conserving battery power
US8485989B2 (en) 2009-09-01 2013-07-16 Bard Peripheral Vascular, Inc. Biopsy apparatus having a tissue sample retrieval mechanism
USD640977S1 (en) 2009-09-25 2011-07-05 C. R. Bard, Inc. Charging station for a battery operated biopsy device
US8888686B2 (en) 2009-09-23 2014-11-18 Entellus Medical, Inc. Endoscope system for treatment of sinusitis
US20110071391A1 (en) * 2009-09-24 2011-03-24 Speeg Trevor W V Biopsy marker delivery device with positioning component
US8529465B2 (en) * 2009-09-24 2013-09-10 Devicor Medical Products, Inc. Biopsy marker delivery devices and methods
US20110082364A1 (en) * 2009-10-05 2011-04-07 Hibner John A MRI Biopsy Targeting Cube with Retention Wiper
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8986302B2 (en) 2009-10-09 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US10172669B2 (en) 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US8747404B2 (en) 2009-10-09 2014-06-10 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8574231B2 (en) 2009-10-09 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8906016B2 (en) 2009-10-09 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising steam control paths
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8597206B2 (en) 2009-10-12 2013-12-03 Bard Peripheral Vascular, Inc. Biopsy probe assembly having a mechanism to prevent misalignment of components prior to installation
US20110092850A1 (en) * 2009-10-16 2011-04-21 Kulkarni Abhijit G MRI Biopsy Targeting Guide with Rotational Lock
US8162848B2 (en) * 2009-10-16 2012-04-24 Devicor Medical Products, Inc. MRI biopsy targeting cube with eccentric lock
US20110092983A1 (en) * 2009-10-16 2011-04-21 Pawar Ajay D MRI Biopsy Targeting Cube with Locking Flap
US8162849B2 (en) * 2009-10-16 2012-04-24 Devicor Medical Products, Inc. MRI biopsy targeting cube with gripping arms
US8162847B2 (en) * 2009-10-16 2012-04-24 Devicor Medical Products, Inc. MRI biopsy targeting cube with snap corners
WO2011066470A1 (en) 2009-11-25 2011-06-03 Clements Robert M Device and system for multiple core biopsy
WO2011063517A1 (en) * 2009-11-27 2011-06-03 Sentinelle Medical Inc. Systems and methods for tracking positions between imaging modalities and transforming a displayed three-dimensional image corresponding to a position and orientation of a probe
US9427186B2 (en) 2009-12-04 2016-08-30 Endomagnetics Ltd. Magnetic probe apparatus
US10634741B2 (en) 2009-12-04 2020-04-28 Endomagnetics Ltd. Magnetic probe apparatus
US8347689B2 (en) * 2009-12-08 2013-01-08 GM Global Technology Operations LLC Tool for assisting leak testing of an enclosed volume and method incorporating the tool
US8480592B2 (en) 2009-12-23 2013-07-09 C. R. Bard, Inc. Biopsy probe mechanism having multiple echogenic features
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8419759B2 (en) 2010-02-11 2013-04-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with comb-like tissue trimming device
US9259234B2 (en) 2010-02-11 2016-02-16 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements
US8382782B2 (en) 2010-02-11 2013-02-26 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement
US8579928B2 (en) 2010-02-11 2013-11-12 Ethicon Endo-Surgery, Inc. Outer sheath and blade arrangements for ultrasonic surgical instruments
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8531064B2 (en) 2010-02-11 2013-09-10 Ethicon Endo-Surgery, Inc. Ultrasonically powered surgical instruments with rotating cutting implement
US8323302B2 (en) 2010-02-11 2012-12-04 Ethicon Endo-Surgery, Inc. Methods of using ultrasonically powered surgical instruments with rotatable cutting implements
US8961547B2 (en) 2010-02-11 2015-02-24 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with moving cutting implement
US8696665B2 (en) 2010-03-26 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with reduced firing force
EP2552322B1 (en) 2010-03-30 2016-11-16 Martin L. Flatland Tissue excision device
JP5144833B2 (ja) 2010-04-08 2013-02-13 学校法人 久留米大学 吸引穿刺装置
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8709035B2 (en) 2010-04-12 2014-04-29 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion
US8623044B2 (en) 2010-04-12 2014-01-07 Ethicon Endo-Surgery, Inc. Cable actuated end-effector for a surgical instrument
US8496682B2 (en) 2010-04-12 2013-07-30 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
WO2011130639A1 (en) 2010-04-15 2011-10-20 Entellus Medical, Inc. Method and apparatus for treating dilating the ethmoid infundibulum
US10105485B2 (en) 2010-04-16 2018-10-23 MRI Interventions, Inc. MRI surgical systems including MRI-compatible surgical cannulae for transferring a substance to and/or from a patient
US8535311B2 (en) 2010-04-22 2013-09-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising closing and firing systems
US8685020B2 (en) 2010-05-17 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instruments and end effectors therefor
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US8790342B2 (en) 2010-06-09 2014-07-29 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing pressure-variation electrodes
US8926607B2 (en) 2010-06-09 2015-01-06 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing multiple positive temperature coefficient electrodes
US8795276B2 (en) 2010-06-09 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a plurality of electrodes
US8888776B2 (en) 2010-06-09 2014-11-18 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing an electrode
US8753338B2 (en) 2010-06-10 2014-06-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a thermal management system
US8764747B2 (en) 2010-06-10 2014-07-01 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising sequentially activated electrodes
US9005199B2 (en) 2010-06-10 2015-04-14 Ethicon Endo-Surgery, Inc. Heat management configurations for controlling heat dissipation from electrosurgical instruments
US8834466B2 (en) 2010-07-08 2014-09-16 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US9149324B2 (en) 2010-07-08 2015-10-06 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US20120016413A1 (en) 2010-07-14 2012-01-19 Ethicon Endo-Surgery, Inc. Surgical fastening devices comprising rivets
US8453906B2 (en) 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US8979844B2 (en) 2010-07-23 2015-03-17 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8702704B2 (en) 2010-07-23 2014-04-22 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8979843B2 (en) 2010-07-23 2015-03-17 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9011437B2 (en) 2010-07-23 2015-04-21 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8888809B2 (en) 2010-10-01 2014-11-18 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8628529B2 (en) 2010-10-26 2014-01-14 Ethicon Endo-Surgery, Inc. Surgical instrument with magnetic clamping force
FR2967567B1 (fr) * 2010-11-19 2012-12-14 Jean-Charles Persat Vecteur de prelevement pour tissus en particulier adipeux
US8971993B2 (en) 2010-11-19 2015-03-03 Mediguide Ltd. Systems and methods for navigating a surgical device
US9332926B2 (en) 2010-11-25 2016-05-10 Invivo Corporation MRI imaging probe
US8715277B2 (en) 2010-12-08 2014-05-06 Ethicon Endo-Surgery, Inc. Control of jaw compression in surgical instrument having end effector with opposing jaw members
US20120245486A1 (en) * 2011-03-25 2012-09-27 Anthony Melchiorri Ghost-core biopsy needle
CN103249365B (zh) 2011-03-25 2015-06-24 奥林巴斯医疗株式会社 活检用处理器具
US8951195B2 (en) * 2011-04-05 2015-02-10 Houston Medical Robotics, Inc. Motorized systems and methods for accessing the lumen of a vessel
US8968293B2 (en) 2011-04-12 2015-03-03 Covidien Lp Systems and methods for calibrating power measurements in an electrosurgical generator
US9414816B2 (en) 2011-06-23 2016-08-16 Devicor Medical Products, Inc. Introducer for biopsy device
CN103228222B (zh) * 2011-07-06 2014-06-18 奥林巴斯医疗株式会社 检体提取处理器具
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
USD700967S1 (en) 2011-08-23 2014-03-11 Covidien Ag Handle for portable surgical device
US9044243B2 (en) 2011-08-30 2015-06-02 Ethcon Endo-Surgery, Inc. Surgical cutting and fastening device with descendible second trigger arrangement
US20220370052A1 (en) * 2011-09-16 2022-11-24 Hologic, Inc. Breast biopsy lateral arm system
WO2013040017A1 (en) 2011-09-16 2013-03-21 Hologic Inc. Breast biopsy lateral arm system
US11284869B2 (en) * 2011-09-16 2022-03-29 Hologic, Inc. Breast biopsy lateral arm system
TWI449516B (zh) * 2011-10-14 2014-08-21 Iner Aec Executive Yuan 病灶假體
USD687549S1 (en) 2011-10-24 2013-08-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US9314292B2 (en) 2011-10-24 2016-04-19 Ethicon Endo-Surgery, Llc Trigger lockout mechanism
US9283360B2 (en) 2011-11-10 2016-03-15 Entellus Medical, Inc. Methods and devices for treating sinusitis
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
WO2013158072A1 (en) 2012-04-16 2013-10-24 Hathaway Jeff M Biopsy device
WO2013173617A1 (en) * 2012-05-16 2013-11-21 The Seaberg Company, Inc. Safety needle
US9486239B2 (en) 2012-05-24 2016-11-08 Boston Scientific Scimed, Inc. Subintimal re-entry device
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
BR112015007010B1 (pt) 2012-09-28 2022-05-31 Ethicon Endo-Surgery, Inc Atuador de extremidade
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US9014784B2 (en) * 2012-11-06 2015-04-21 Xiaoyu Yang Reconfigurable MRI-guided surgical apparatus
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
JP6400919B2 (ja) * 2013-03-07 2018-10-03 芝浦メカトロニクス株式会社 基板処理装置及び基板処理方法
EP2968560B1 (en) 2013-03-11 2020-04-29 Endomagnetics Ltd. Hypoosmotic solutions for lymph node detection
US9239314B2 (en) 2013-03-13 2016-01-19 Endomagnetics Ltd. Magnetic detector
US9234877B2 (en) 2013-03-13 2016-01-12 Endomagnetics Ltd. Magnetic detector
US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US10123787B2 (en) 2013-03-14 2018-11-13 Boston Medical Center Corporation Combination introducer and stylet
AU2014237346B2 (en) 2013-03-15 2020-02-27 Hologic, Inc. System and method for reviewing and analyzing cytological specimens
US10274553B2 (en) 2013-03-15 2019-04-30 Canon U.S.A., Inc. Needle placement manipulator with attachment for RF-coil
US9222996B2 (en) 2013-03-15 2015-12-29 The Brigham And Women's Hospital, Inc. Needle placement manipulator with two rotary guides
CA2906862A1 (en) * 2013-03-15 2014-09-18 Alpha Scientific Corporation Surgical suturing device with transverse engagement
US9730762B2 (en) 2013-03-15 2017-08-15 Neocoil, Llc Automatic needle insertion location identification
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
EP3498176B1 (en) 2013-03-20 2021-04-28 Bard Peripheral Vascular, Inc. Biopsy device
JP6132636B2 (ja) * 2013-04-10 2017-05-24 東芝メディカルシステムズ株式会社 Ｒｆコイル及び磁気共鳴イメージング装置
AU2014290446A1 (en) 2013-07-19 2016-01-28 Devicor Medical Products, Inc. Biopsy device targeting features
CA2918879A1 (en) 2013-07-24 2015-01-29 Centre For Surgical Invention & Innovation Multi-function mounting interface for an image-guided robotic system and quick release interventional toolset
US9295514B2 (en) 2013-08-30 2016-03-29 Ethicon Endo-Surgery, Llc Surgical devices with close quarter articulation features
US9891296B2 (en) 2013-09-13 2018-02-13 MRI Interventions, Inc. Intrabody fluid transfer devices, systems and methods
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9861428B2 (en) 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
EP3808281B1 (en) 2013-11-05 2024-01-10 C. R. Bard, Inc. Biopsy device having integrated vacuum
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
US9526565B2 (en) 2013-11-08 2016-12-27 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9408660B2 (en) 2014-01-17 2016-08-09 Ethicon Endo-Surgery, Llc Device trigger dampening mechanism
JP6467434B2 (ja) 2014-02-27 2019-02-13 ザ ブリガム アンド ウィメンズ ホスピタル インコーポレイテッドＴｈｅ Ｂｒｉｇｈａｍ ａｎｄ Ｗｏｍｅｎ’ｓ Ｈｏｓｐｉｔａｌ， Ｉｎｃ． 載置装置
CN103876785B (zh) * 2014-03-05 2015-09-30 中国人民解放军第二军医大学 实体瘤微创活检及消融多功能针
KR102397300B1 (ko) 2014-03-17 2022-05-13 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술 캐뉼라 및 수술 캐뉼라를 식별하는 관련 시스템 및 방법
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
USD773664S1 (en) 2014-03-26 2016-12-06 BioTE Medical, LLC Trocar
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US10524852B1 (en) 2014-03-28 2020-01-07 Ethicon Llc Distal sealing end effector with spacers
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US9757186B2 (en) 2014-04-17 2017-09-12 Ethicon Llc Device status feedback for bipolar tissue spacer
US10251670B2 (en) 2014-05-09 2019-04-09 Canon U.S.A., Inc. Positioning apparatus
US10376256B2 (en) * 2014-05-12 2019-08-13 Plass Rescue Technologies Ag Wound occlusion device
US9993232B2 (en) 2014-05-22 2018-06-12 Andrew N. Ellingson Biopsy with marker device and method
US9700333B2 (en) 2014-06-30 2017-07-11 Ethicon Llc Surgical instrument with variable tissue compression
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
JP6560338B2 (ja) * 2014-08-15 2019-08-14 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 可変入口ガイド構成を有する外科用システム
US10194976B2 (en) 2014-08-25 2019-02-05 Ethicon Llc Lockout disabling mechanism
US9877776B2 (en) 2014-08-25 2018-01-30 Ethicon Llc Simultaneous I-beam and spring driven cam jaw closure mechanism
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
WO2016040817A1 (en) 2014-09-12 2016-03-17 Canon U.S.A., Inc. Needle positioning apparatus
WO2016044072A1 (en) 2014-09-18 2016-03-24 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US10201333B2 (en) 2014-09-24 2019-02-12 Devicor Medical Products, Inc. MRI biopsy system
CN107205735B (zh) 2014-11-26 2022-02-22 Devicor医疗产业收购公司 用于活检装置的图形用户界面
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US10111699B2 (en) 2014-12-22 2018-10-30 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US9848937B2 (en) 2014-12-22 2017-12-26 Ethicon Llc End effector with detectable configurations
US10092348B2 (en) 2014-12-22 2018-10-09 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10314638B2 (en) 2015-04-07 2019-06-11 Ethicon Llc Articulating radio frequency (RF) tissue seal with articulating state sensing
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
US10130410B2 (en) 2015-04-17 2018-11-20 Ethicon Llc Electrosurgical instrument including a cutting member decouplable from a cutting member trigger
US9872725B2 (en) 2015-04-29 2018-01-23 Ethicon Llc RF tissue sealer with mode selection
PL3288467T3 (pl) 2015-05-01 2022-03-07 C. R. Bard, Inc. Urządzenie do biopsji
GB2538088B (en) * 2015-05-06 2019-01-16 Caldbeck Overseas Ltd Clinical sampling device
US20180140286A1 (en) 2015-05-06 2018-05-24 Devicor Medical Products, Inc. Mri guided breast biopsy targeting assembly with obturator overshoot feature
US10646208B2 (en) 2015-05-06 2020-05-12 Devicor Medical Products, Inc. Marker delivery device for use with MRI breast biopsy system
US10682156B2 (en) 2015-05-28 2020-06-16 Akm A. Rahman Angle-guidance device and method for CT guided drainage and biopsy procedures
CA2988065C (en) 2015-06-04 2024-03-26 Endomagnetics Ltd. Marker materials and forms for magnetic marker localization (mml)
WO2016201083A1 (en) 2015-06-11 2016-12-15 Devicor Medical Products, Inc. Mri biopsy system
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US9867673B2 (en) 2015-07-14 2018-01-16 Canon U.S.A, Inc. Medical support device
US10639065B2 (en) 2015-07-21 2020-05-05 Canon U.S.A., Inc. Medical assist device
US11207059B2 (en) 2015-07-29 2021-12-28 Devicor Medical Products, Inc. Biopsy imaging rod with an egress port, with a biopsy marker and with a biased pushrod
CA2995312C (en) * 2015-08-21 2021-08-17 Synaptive Medical (Barbados) Inc. Method, system and apparatus for tracking cortical stimulator locations
US11033322B2 (en) 2015-09-30 2021-06-15 Ethicon Llc Circuit topologies for combined generator
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
WO2017083412A1 (en) * 2015-11-11 2017-05-18 Devicor Medical Products, Inc. Marker delivery device and method of deploying a marker
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
CN105686865B (zh) * 2016-01-14 2018-03-02 深圳安科高技术股份有限公司 一种全自动乳腺立体定位装置及系统
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11051840B2 (en) 2016-01-15 2021-07-06 Ethicon Llc Modular battery powered handheld surgical instrument with reusable asymmetric handle housing
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10092317B2 (en) 2016-01-22 2018-10-09 Lsi Solutions, Inc. Thoracic cannula, obturator, and assembly thereof
JP6630835B2 (ja) 2016-01-29 2020-01-15 キヤノン ユーエスエイ，インコーポレイテッドＣａｎｏｎ Ｕ．Ｓ．Ａ．，Ｉｎｃ ツール配置マニピュレータ
EP3393571B1 (en) 2016-02-17 2024-03-06 ClearPoint Neuro, Inc. Intrabody surgical fluid transfer assemblies with adjustable exposed cannula to needle tip length, related systems and methods
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
USD800307S1 (en) 2016-02-25 2017-10-17 BioTE Medical, LLC Trocar
US10335124B1 (en) 2016-02-29 2019-07-02 Devicor Medical Products, Inc. Marker delivery device with adaptor for biopsy site marking and method of use thereof
US10786224B2 (en) 2016-04-21 2020-09-29 Covidien Lp Biopsy devices and methods of use thereof
CN109069135A (zh) 2016-04-29 2018-12-21 Devicor医疗产业收购公司 具有击发闭塞器的mri指导的活检靶向设置
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
ES2963174T3 (es) * 2016-05-25 2024-03-25 Triopsy Medical Inc Diseño de aguja de biopsia
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10729856B1 (en) 2016-07-29 2020-08-04 Devicor Medical Products, Inc. Guide and filter for biopsy device
US10357326B1 (en) 2016-07-29 2019-07-23 Devicor Medical Products, Inc. MRI breast biopsy targeting grid and cube
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
CN110191667B (zh) 2016-08-18 2022-06-03 海王星医疗公司 用于增强小肠视觉效果的装置和方法
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
JP6948389B2 (ja) 2016-10-19 2021-10-13 キヤノン ユーエスエイ, インコーポレイテッドCanon U.S.A., Inc 穿刺器具を位置決めするための配置マニピュレータおよびアタッチメント
US11160538B2 (en) 2016-10-31 2021-11-02 Devicor Medical Products, Inc. Biopsy device with linear actuator
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
CN106618687B (zh) * 2016-12-09 2023-05-26 成都五义医疗科技有限公司 一种触觉反馈式穿刺针
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
DE102017104301A1 (de) * 2017-03-01 2018-09-06 Hubert Noras Biopsienadelführung mit zweistufiger Fixierung
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
CN106995779B (zh) * 2017-05-03 2023-06-02 浙江天科高新技术发展有限公司 用于管道内壁及夹缝表面的微生物采样器及其采样方法
US11116483B2 (en) 2017-05-19 2021-09-14 Merit Medical Systems, Inc. Rotating biopsy needle
EP3624698A4 (en) 2017-05-19 2021-06-09 Merit Medical Systems, Inc. SEMI-AUTOMATIC BIOPSY NEEDLE DEVICE AND METHODS OF USE
EP3624697B1 (en) 2017-05-19 2024-02-14 Merit Medical Systems, Inc. Biopsy needle devices and methods of use
WO2018217636A1 (en) 2017-05-22 2018-11-29 Devicor Medical Products, Inc. Mri targeting set with improved targeting sleeve
EP3641678B1 (en) * 2017-06-21 2023-12-13 Boston Scientific Medical Device Limited Surgical guidance systems and devices.
US10603117B2 (en) 2017-06-28 2020-03-31 Ethicon Llc Articulation state detection mechanisms
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
EP3654822B1 (en) * 2017-07-20 2023-11-15 Neptune Medical Inc. Dynamically rigidizing overtube
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US10864055B2 (en) 2017-10-13 2020-12-15 Sonex Health, Inc. Tray for a soft tissue cutting device and methods of use
EP3714282B1 (en) * 2017-11-23 2022-02-23 Qonetec AG Nmr probe head with piezoelectric actuators
JP7253562B2 (ja) * 2017-11-24 2023-04-06 ナショナル ユニバーシティ ホスピタル （シンガポール） プライベイト リミテッド バルーン固定式生検装置
US11331161B2 (en) 2018-03-23 2022-05-17 Covidien Lp Surgical assemblies facilitating tissue marking and methods of use thereof
US11253237B2 (en) 2018-05-09 2022-02-22 Clearpoint Neuro, Inc. MRI compatible intrabody fluid transfer systems and related devices and methods
EP3781074A1 (en) 2018-05-09 2021-02-24 ClearPoint Neuro, Inc. Mri compatible intrabody fluid transfer systems and related devices and methods
EP3811383A4 (en) * 2018-06-22 2022-03-23 Florida State University Research Foundation, Inc. SYSTEM AND METHOD FOR MANAGEMENT OF HIGH VOLTAGES IN BI-2212 WIRE WINDED COMPACT SUPERCONDUCTING MAGNETS
US11737851B2 (en) 2018-06-28 2023-08-29 Cook Medical Technologies Llc Medical devices for magnetic resonance imaging and related methods
EP3820377A1 (en) 2018-07-13 2021-05-19 Devicor Medical Products, Inc. Biopsy device with self-reversing cutter drive
JP2021531111A (ja) 2018-07-19 2021-11-18 ネプチューン メディカル インク． 動的硬化医療用複合構造
DE102018121733A1 (de) * 2018-09-06 2020-03-12 Pajunk GmbH Medizintechnologie Kanüle
WO2020146458A1 (en) 2019-01-11 2020-07-16 Mayo Foundation For Medical Education And Research Micro-invasive surgical device and methods of use
US11432733B2 (en) 2019-03-13 2022-09-06 Blossom Innovations Tissue detection devices, systems and methods
US11793392B2 (en) 2019-04-17 2023-10-24 Neptune Medical Inc. External working channels
US11517294B2 (en) 2019-05-07 2022-12-06 Covidien Lp Biopsy devices and methods of use thereof
US11160468B2 (en) * 2019-06-26 2021-11-02 Profound Medical Inc. MRI-compatible patient support system
US11723729B2 (en) 2019-06-27 2023-08-15 Cilag Gmbh International Robotic surgical assembly coupling safety mechanisms
US11612445B2 (en) 2019-06-27 2023-03-28 Cilag Gmbh International Cooperative operation of robotic arms
US11607278B2 (en) 2019-06-27 2023-03-21 Cilag Gmbh International Cooperative robotic surgical systems
US11413102B2 (en) 2019-06-27 2022-08-16 Cilag Gmbh International Multi-access port for surgical robotic systems
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
CN112336418A (zh) * 2019-09-16 2021-02-09 李升锦 经皮穿刺活检术定位栅栏
US11684750B2 (en) 2019-10-08 2023-06-27 Clearpoint Neuro, Inc. Extension tube assembly and related medical fluid transfer systems and methods
CN113081263A (zh) * 2019-12-23 2021-07-09 武汉联影智融医疗科技有限公司 介入穿刺系统及具有其的诊疗设备
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11027931B1 (en) * 2020-02-01 2021-06-08 Blockwise Engineering Llc Marker band locator system
EP4126095A1 (en) 2020-03-30 2023-02-08 Neptune Medical Inc. Layered walls for rigidizing devices
CN111493941A (zh) * 2020-04-27 2020-08-07 青岛大学附属医院 肝脏穿刺活检装置固定装置
CN111821034B (zh) * 2020-06-29 2022-03-18 西安交通大学医学院第一附属医院 一种用于胸腔镜手术的磁锚定肺结节定位装置
CN112451052B (zh) * 2020-12-11 2022-03-29 中国人民解放军陆军特色医学中心 一种乳腺肿瘤切除装置
US20220218392A1 (en) * 2021-01-11 2022-07-14 Cook Medical Technologies Llc Access Devices, Treatment Devices, and Kits Useful for Performing Treatment under Magnetic Resonance Imaging and Related Methods
USD989961S1 (en) 2021-04-30 2023-06-20 Sonex Health, Inc. Soft tissue cutting device
CN113397662B (zh) * 2021-06-17 2022-12-09 黎涛 一种胸外科用穿刺装置
US11931026B2 (en) 2021-06-30 2024-03-19 Cilag Gmbh International Staple cartridge replacement
CN113491585B (zh) * 2021-07-16 2022-09-20 泰州市人民医院 一种具有无创固定功能的局部麻醉装置
US20230346205A1 (en) 2022-04-27 2023-11-02 Neptune Medical Inc. Multi-lumen port adapter manifold devices and methods of use
CN115350353B (zh) * 2022-08-10 2023-09-01 吉林大学 一种肛周疾病清洗肛门用换药护理装置
CN115337054B (zh) * 2022-10-19 2023-01-10 成都美创医疗科技股份有限公司 等离子辅助乳腺肿瘤旋切活检针

Family Cites Families (368)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US277970A (en) * 1883-05-22 Burial-case
US184014A (en) * 1876-11-07 Improvement in pump-valves
US277829A (en) * 1883-05-15 Hammock
US1337733A (en) 1920-04-20 Ernest j
US875475A (en) 1905-12-05 1907-12-31 Frank D Warren Boiler-setting.
US873745A (en) 1907-04-23 1907-12-17 Elwood Haynes Metal alloy.
US875745A (en) * 1907-04-29 1908-01-07 George Richard Steward Apparatus for the rapid generation of steam.
US1734652A (en) 1924-05-17 1929-11-05 United Filters Corp Filter
US1693741A (en) 1927-05-23 1928-12-04 Wuest Andrew Liquid filter
US1941982A (en) 1930-12-02 1934-01-02 Darco Sales Corp Filtering device
US2047714A (en) 1934-12-29 1936-07-14 Ingersoll Rand Co Hose coupling
US2689048A (en) 1950-01-11 1954-09-14 Milton A Powers Refillable filter
US2656930A (en) 1950-10-25 1953-10-27 Revere Sugar Refinery Drainage leaf attachment means for leaf type filters
US3270506A (en) * 1961-10-31 1966-09-06 Gen Electric Liquid-vapor fuel injector flameholder
US3401684A (en) 1965-12-16 1968-09-17 Weck & Co Edward Biopsy capsules
US3456806A (en) 1966-01-20 1969-07-22 Sidney M Borston Stands,particularly for hair curlers
US3561429A (en) 1968-05-23 1971-02-09 Eversharp Inc Instrument for obtaining a biopsy specimen
US3732858A (en) 1968-09-16 1973-05-15 Surgical Design Corp Apparatus for removing blood clots, cataracts and other objects from the eye
US3844272A (en) 1969-02-14 1974-10-29 A Banko Surgical instruments
US3996935A (en) 1969-02-14 1976-12-14 Surgical Design Corporation Surgical-type method for removing material
CA937475A (en) 1969-02-28 1973-11-27 Jamshidi Khosrow Biopsy needle
US3734099A (en) 1971-04-07 1973-05-22 H Bender Powered surgical cutter
US3785380A (en) 1972-02-22 1974-01-15 R Brumfield Filtering blood sucker
US3945375A (en) 1972-04-04 1976-03-23 Surgical Design Corporation Rotatable surgical instrument
US3833000A (en) 1972-06-02 1974-09-03 H Bridgman Medical aspiration system
US3815604A (en) 1972-06-19 1974-06-11 Malley C O Apparatus for intraocular surgery
US3890712A (en) 1973-08-29 1975-06-24 Oscar Lopez Saliva ejector
US3937222A (en) 1973-11-09 1976-02-10 Surgical Design Corporation Surgical instrument employing cutter means
US3889657A (en) 1974-02-12 1975-06-17 Gomco Surgical Mfg Co Uterine aspirating curette
US4007742A (en) 1974-06-03 1977-02-15 Surgical Design Corporation. Surgical system for controlling the infusion of fluid to and the evacuation of fluid and material from an operating field
US4019514A (en) 1974-06-03 1977-04-26 Surgical Design Corporation Surgical system for controlling the infusion of fluid to and the evacuation of fluid and material from an operating field
US3938505A (en) 1974-08-16 1976-02-17 Khosrow Jamshidi Soft tissue biopsy aspirating device
US4083706A (en) 1974-10-25 1978-04-11 Wiley Corless W Sterile trap accessory for use with surgical aspirator
US3994297A (en) 1974-12-09 1976-11-30 Kopf J David Ophthalmic instrument
USD243559S (en) 1975-08-15 1977-03-01 James Irwin Hoyle Stand for hair dryer and curling iron
FR2332743A1 (fr) 1975-11-28 1977-06-24 Inst Nat Sante Rech Med Sondes et appareils de biopsie cerebrale
US4101756A (en) 1976-03-18 1978-07-18 Jiichi Yamano Electrically heated curling iron and stand therefor
US4159773A (en) 1976-08-09 1979-07-03 Losenno Luigi G Beautician's tool hanger
US4030719A (en) * 1976-08-30 1977-06-21 Contour Fabricators, Inc. Child immobilizing device for X-rays
US4117843A (en) 1977-05-12 1978-10-03 Surgical Design Corp. Surgical operating system with upper pressure limit
US4167944A (en) 1977-06-27 1979-09-18 Surgical Design Corp. Rotatable surgical cutting instrument with improved cutter blade wear
US4167943A (en) 1977-06-27 1979-09-18 Surgical Design Corp. Blade type rotatable surgical cutting instrument with improved cutter blade wear
US4169060A (en) 1977-10-25 1979-09-25 Eastman Kodak Company Blood-collecting and serum-dispensing device
US4203444A (en) 1977-11-07 1980-05-20 Dyonics, Inc. Surgical instrument suitable for closed surgery such as of the knee
US4177814A (en) 1978-01-18 1979-12-11 KLI, Incorporated Self-sealing cannula
US4368734A (en) 1978-01-27 1983-01-18 Surgical Design Corp. Surgical instrument
GB2018601A (en) 1978-03-28 1979-10-24 Microsurgical Administrative S Surgical cutting apparatus
US4210146A (en) 1978-06-01 1980-07-01 Anton Banko Surgical instrument with flexible blade
US4513745A (en) 1978-06-21 1985-04-30 Amoils Selig P Surgical instruments and methods particularly adapted for intra-ocular cutting and the like
US4221225A (en) 1978-11-13 1980-09-09 Sloan Noah H Body cavity examination device
US4320761A (en) 1979-02-06 1982-03-23 Haddad Heskel M Surgical device for excision of tissue
US4316465A (en) 1979-03-30 1982-02-23 Dotson Robert S Jun Ophthalmic handpiece with pneumatically operated cutter
US4257425A (en) 1979-06-04 1981-03-24 Codman & Shurtleff, Inc. Biopsy specimen collector
US4308878A (en) 1979-11-29 1982-01-05 Silva Wilbur W Curling iron holder
US4393879A (en) 1980-04-11 1983-07-19 Milex Products, Inc. Tissue-collecting apparatus
US4282098A (en) 1980-05-19 1981-08-04 Filter Specialists, Inc. Filter top hinge
US4354093A (en) 1980-05-19 1982-10-12 Zago Jean Claude Electrically heated hair curling instrument and temperature control stand therefore
US4562838A (en) 1981-01-23 1986-01-07 Walker William S Electrosurgery instrument
US4382808A (en) 1981-06-26 1983-05-10 Beckman Instruments, Inc. Assembly for holding a filter
US4517977A (en) 1981-07-24 1985-05-21 Unisearch Limited Co-axial tube surgical infusion/suction cutter tip
US4468217A (en) 1982-07-09 1984-08-28 Kuzmick Kenneth M Surgical suction tip with filter
US4649151A (en) 1982-09-27 1987-03-10 Health Research, Inc. Drugs comprising porphyrins
US4530356A (en) 1983-02-08 1985-07-23 Helfgott Maxwell A Ophthalmic surgical instrument with beveled tip
US4533818A (en) 1983-02-16 1985-08-06 Sara Green Electric hair curler with self-contained battery power supply
US4549554A (en) 1984-01-03 1985-10-29 Markham Charles W Aspiration biopsy device
USRE33258E (en) 1984-07-23 1990-07-10 Surgical Dynamics Inc. Irrigating, cutting and aspirating system for percutaneous surgery
US4651753A (en) 1984-10-12 1987-03-24 Jayco Pharmaceuticals Endoscopic multiple biopsy instrument
US4669465A (en) * 1984-12-10 1987-06-02 Gv Medical, Inc. Laser catheter control and connecting apparatus
US4708147A (en) 1985-02-25 1987-11-24 Haaga John R Universal biopsy needle
DE3518547C2 (de) 1985-05-23 1994-04-14 Angiomed Ag Hohlnadel eines Biopsiebestecks
US4644951A (en) 1985-09-16 1987-02-24 Concept, Inc. Vacuum sleeve for a surgical appliance
DE3538545A1 (de) 1985-10-30 1987-05-07 Braun Ag Kabelloser lockenstab mit einer separaten heizstation
US4696298A (en) 1985-11-19 1987-09-29 Storz Instrument Company Vitrectomy cutting mechanism
AT385890B (de) 1987-04-13 1988-05-25 Immuno Ag Biopsieeinrichtung zur gewinnung von gewebsproben und applikation von substanzen in einem arbeitsgang
US4781198A (en) 1986-09-08 1988-11-01 Kanabrocki Eugene L Biopsy tracer needle
US4893635A (en) 1986-10-15 1990-01-16 Groot William J De Apparatus for performing a biopsy
US5157603A (en) 1986-11-06 1992-10-20 Storz Instrument Company Control system for ophthalmic surgical instruments
US5217478A (en) 1987-02-18 1993-06-08 Linvatec Corporation Arthroscopic surgical instrument drive system
GB8706958D0 (en) 1987-03-24 1987-04-29 Brooke G M Surgical suction tip
US4875478A (en) * 1987-04-10 1989-10-24 Chen Harry H Portable compression grid & needle holder
US4776848A (en) * 1987-07-20 1988-10-11 Anthony Solazzo Urethral fluid application device and system
DE3805179A1 (de) 1988-02-19 1989-08-31 Wolf Gmbh Richard Geraet mit einem rotierend angetriebenen chirurgischen instrument
US4989614A (en) 1988-02-23 1991-02-05 Vance Products Incorporated Fine-needle aspiration cell sampling methods
WO1989011831A1 (en) 1988-06-06 1989-12-14 Sumitomo Electric Industries, Ltd. Catheter for medical treatment
US5215526A (en) * 1988-07-06 1993-06-01 Ethicon, Inc. Safety trocar
US4919146A (en) 1988-10-25 1990-04-24 Medrad, Inc. Biopsy device
US4871074A (en) 1988-12-01 1989-10-03 Bryson Ronald D Hair appliance organizer
US4982739A (en) 1989-02-06 1991-01-08 Board Of Regents For The Univeristy Of Oklahoma Biosample aspirator
US5289831A (en) 1989-03-09 1994-03-01 Vance Products Incorporated Surface-treated stent, catheter, cannula, and the like
US4926877A (en) 1989-04-24 1990-05-22 Bookwalter John R Biopsy needle with completely closable cutting end bore
US5226909A (en) 1989-09-12 1993-07-13 Devices For Vascular Intervention, Inc. Atherectomy device having helical blade and blade guide
US4973019A (en) 1989-10-02 1990-11-27 Baird Barbara D Curling iron safety holder apparatus
US5112299A (en) 1989-10-25 1992-05-12 Hall Surgical Division Of Zimmer, Inc. Arthroscopic surgical apparatus and method
US5295980A (en) 1989-10-30 1994-03-22 Ersek Robert A Multi-use cannula system
US5505210A (en) * 1989-11-06 1996-04-09 Mectra Labs, Inc. Lavage with tissue cutting cannula
US5256160A (en) 1989-11-06 1993-10-26 Mectra Labs, Inc. Medical device valving mechanism
US5415169A (en) 1989-11-21 1995-05-16 Fischer Imaging Corporation Motorized mammographic biopsy apparatus
US5057085A (en) 1989-11-24 1991-10-15 Medical Device Technologies, Inc. Stabilized aspiration biopsy needle assembly
US5074311A (en) 1989-12-06 1991-12-24 Hasson Harrith M Biopsy device
US4985027A (en) 1990-02-26 1991-01-15 Dressel Thomas D Soft tissue aspiration device and method
US5172701A (en) 1990-02-28 1992-12-22 Medical Device Technologies, Inc. Single use automated soft tissue aspiration biopsy device
US5031778A (en) 1990-03-15 1991-07-16 Vernald Edgecombe Support assembly for a hair dryer and like instruments
US5243994A (en) 1990-03-16 1993-09-14 Ryder International Corporation Instrument for tissue sampling including a carriage assembly
US5090649A (en) 1990-03-27 1992-02-25 Tipp Charles S Portable support for curling iron
USD329304S (en) 1990-03-27 1992-09-08 Tipp Charles S Stand for handheld curling iron or similar article
US5027827A (en) 1990-03-28 1991-07-02 Cody Michael P Vacuum biopsy apparatus
US5431645A (en) 1990-05-10 1995-07-11 Symbiosis Corporation Remotely activated endoscopic tools such as endoscopic biopsy forceps
US5195985A (en) 1990-05-25 1993-03-23 Hall John E Syringe having a retractable needle
JPH06114070A (ja) 1990-06-22 1994-04-26 Vance Prod Inc 外科用組織切除装置
US5275609A (en) 1990-06-22 1994-01-04 Vance Products Incorporated Surgical cutting instrument
US5124532A (en) 1990-07-09 1992-06-23 Hafey Marilyn J Organizer for cordless electrically energized hair salon utensils
US5353804A (en) 1990-09-18 1994-10-11 Peb Biopsy Corporation Method and device for percutaneous exisional breast biopsy
US5111828A (en) 1990-09-18 1992-05-12 Peb Biopsy Corporation Device for percutaneous excisional breast biopsy
USD332670S (en) 1990-10-09 1993-01-19 Mcfarland James G Hair curling iron support stand
ES2118742T3 (es) 1990-10-19 1998-10-01 Smith & Nephew Inc Dispositivo quirurgico.
US5183052A (en) 1990-11-07 1993-02-02 Terwilliger Richard A Automatic biopsy instrument with cutting cannula
IL96352A (en) 1990-11-14 1994-11-11 Du Kedem Tech Ltd Hard tissue biopsy device
USD342585S (en) 1990-11-26 1993-12-21 Fernando Fischbach Organizer for curling irons
US6346107B1 (en) 1990-12-14 2002-02-12 Robert L. Cucin Power-assisted liposuction instrument with cauterizing cannual assembly
US5054615B1 (en) 1990-12-28 1997-01-28 Ross I Stillwagon Hot work organizer
US5217479A (en) 1991-02-14 1993-06-08 Linvatec Corporation Surgical cutting instrument
US5409497A (en) 1991-03-11 1995-04-25 Fischer Imaging Corporation Orbital aiming device for mammo biopsy
US5108381A (en) 1991-03-11 1992-04-28 Kolozsi William Z Tissue sample collection trap
US5141189A (en) 1991-05-06 1992-08-25 Andrew David R Curling iron holder
DE9206853U1 (zh) 1991-05-31 1992-10-22 Heske, Norbert, 8087 Tuerkenfeld, De
EP0596967A4 (en) 1991-07-31 1994-10-19 Mentor O & O Inc OPERATING CONTROL OF A HANDPIECE DURING AN OPHTHALMIC SURGERY PROCEDURE.
US5197968A (en) 1991-08-14 1993-03-30 Mectra Labs, Inc. Disposable tissue retrieval assembly
US5284156A (en) 1991-08-30 1994-02-08 M3 Systems, Inc. Automatic tissue sampling apparatus
US5211165A (en) * 1991-09-03 1993-05-18 General Electric Company Tracking system to follow the position and orientation of a device with radiofrequency field gradients
US5285795A (en) 1991-09-12 1994-02-15 Surgical Dynamics, Inc. Percutaneous discectomy system having a bendable discectomy probe and a steerable cannula
US5273545A (en) 1991-10-15 1993-12-28 Apple Medical Corporation Endoscopic cannula with tricuspid leaf valve
US5320110A (en) 1991-10-29 1994-06-14 Wang Ko P Pleural biopsy syringe-needles
US5445150A (en) * 1991-11-18 1995-08-29 General Electric Company Invasive system employing a radiofrequency tracking system
US5437277A (en) * 1991-11-18 1995-08-01 General Electric Company Inductively coupled RF tracking system for use in invasive imaging of a living body
US5250059A (en) 1992-01-22 1993-10-05 Devices For Vascular Intervention, Inc. Atherectomy catheter having flexible nose cone
US5192439A (en) 1992-02-03 1993-03-09 Electromedics, Inc. Blood collection reservoir and filter device
US5213110A (en) 1992-03-16 1993-05-25 Du-Kedem Projects Ltd. Pistol-grip vacuum soft tissue biopsy device
GB9206853D0 (en) 1992-03-28 1992-05-13 Archer Christopher C Marry frame
US5307808A (en) * 1992-04-01 1994-05-03 General Electric Company Tracking system and pulse sequences to monitor the position of a device using magnetic resonance
US5318025A (en) * 1992-04-01 1994-06-07 General Electric Company Tracking system to monitor the position and orientation of a device using multiplexed magnetic resonance detection
US5602449A (en) 1992-04-13 1997-02-11 Smith & Nephew Endoscopy, Inc. Motor controlled surgical system and method having positional control
ZA932947B (en) 1992-04-28 1993-10-27 Schering Plough Healthcare Applicator for semisolid medications
US5281197A (en) 1992-07-27 1994-01-25 Symbiosis Corporation Endoscopic hemostatic agent delivery system
DE4225001C1 (de) * 1992-07-29 1993-11-18 Siemens Ag Stereotaktische Zusatzeinrichtung für Kernspintomographen
US5514131A (en) * 1992-08-12 1996-05-07 Stuart D. Edwards Method for the ablation treatment of the uvula
US5234000A (en) 1992-09-25 1993-08-10 Hakky Said I Automatic biopsy device housing a plurality of stylets
FR2698486B1 (fr) 1992-11-24 1995-03-10 Sgs Thomson Microelectronics Structure de protection contre les surtensions directes pour composant semiconducteur vertical.
US5295890A (en) 1993-01-19 1994-03-22 Myers Jeff D Remotely controlled toy vehicle with water ejection capabilities
US5643304A (en) 1993-02-16 1997-07-01 Danek Medical, Inc. Method and apparatus for minimally invasive tissue removal
US5403276A (en) 1993-02-16 1995-04-04 Danek Medical, Inc. Apparatus for minimally invasive tissue removal
US5541972A (en) * 1993-04-23 1996-07-30 Anthony; Betty J. Disposable padding device for a mammography X-ray plate
US5464300A (en) 1993-04-29 1995-11-07 Crainich; Lawrence Medical instrument and coupling apparatus for same
AU6667494A (en) 1993-05-07 1994-12-12 Danek Medical, Inc. Surgical cutting instrument
US5429138A (en) 1993-06-03 1995-07-04 Kormed, Inc. Biopsy needle with sample retaining means
DE4322894A1 (de) 1993-07-09 1995-01-12 Mann & Hummel Filter Flüssigkeitsfilter
US5358638A (en) 1993-08-27 1994-10-25 Isp Investments Inc. Multiple layer filter bag including abrasion-resistant material
US5601585A (en) 1994-02-08 1997-02-11 Boston Scientific Corporation Multi-motion side-cutting biopsy sampling device
US5423844A (en) 1993-10-22 1995-06-13 Promex, Inc. Rotary surgical cutting instrument
US5543695A (en) 1993-12-15 1996-08-06 Stryker Corporation Medical instrument with programmable torque control
US5411513A (en) 1994-02-24 1995-05-02 Danek Medical, Inc. Transmission mechanism for a surgical cutting instrument
US5456267A (en) 1994-03-18 1995-10-10 Stark; John G. Bone marrow harvesting systems and methods and bone biopsy systems and methods
US5649547A (en) 1994-03-24 1997-07-22 Biopsys Medical, Inc. Methods and devices for automated biopsy and collection of soft tissue
US5526822A (en) 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
US5560373A (en) * 1994-04-11 1996-10-01 De Santis; Stephen A. Needle core biopsy instrument with durable or disposable cannula assembly
US5921943A (en) * 1994-04-26 1999-07-13 Kass; Erik S. Controlled surgical core biopsy system
US5997560A (en) 1994-07-21 1999-12-07 Sdgi Holdings, Inc. Surgical cutting instrument
US5458112A (en) * 1994-08-15 1995-10-17 Arrow Precision Products, Inc. Biliary biopsy device
US5794626A (en) 1994-08-18 1998-08-18 Kieturakis; Maciej J. Excisional stereotactic apparatus
EP1304085A3 (en) 1994-09-16 2004-01-21 Ethicon Endo-Surgery, Inc. Biodegradable tissue marking device
SE511575C2 (sv) 1994-09-20 1999-10-25 Bladhs Medical Ab Sätt och anordning för uppsamling av benvävnadsfragment
US5954670A (en) 1994-10-05 1999-09-21 Baker; Gary H. Mandrel-guided tandem multiple channel biopsy guide device and method of use
USD371220S (en) 1994-10-31 1996-06-25 Behrens Kathie J Curling iron holder
WO1996014023A1 (de) 1994-11-04 1996-05-17 Norbert Heske Hohlkanüle zur intrakorporalen gewebeuntersuchung aus kunststoff
USD379554S (en) 1994-11-29 1997-05-27 Landers Osiris R Curling iron and stove combination
US5520635A (en) 1994-12-16 1996-05-28 Gelbfish; Gary A. Method and associated device for removing clot
US5928218A (en) 1994-12-16 1999-07-27 Gelbfish; Gary A. Medical material removal method and associated instrumentation
US5647374A (en) 1994-12-30 1997-07-15 North American Scientific Needle for imaging and sampling
US5448022A (en) 1995-01-13 1995-09-05 Rishel; Richard C. Tip-on wheelchair scale adaptor
DE19500893A1 (de) 1995-01-13 1996-07-18 Walz Elektronik Gmbh Vorrichtung zur Zertrümmerung von Konkrementen im medizinischen Bereich
US5655542A (en) 1995-01-26 1997-08-12 Weilandt; Anders Instrument and apparatus for biopsy and a method thereof
US5575293A (en) 1995-02-06 1996-11-19 Promex, Inc. Apparatus for collecting and staging tissue
US5882206A (en) 1995-03-29 1999-03-16 Gillio; Robert G. Virtual surgery system
US5980549A (en) 1995-07-13 1999-11-09 Origin Medsystems, Inc. Tissue separation cannula with dissection probe and method
US5685838A (en) 1995-04-17 1997-11-11 Xomed-Treace, Inc. Sinus debrider apparatus
US5615782A (en) 1995-05-18 1997-04-01 Choe; In J. Work stand
US5788673A (en) * 1995-06-05 1998-08-04 Atrion Medical Products, Inc. Drug infusion system
US5843111A (en) 1995-06-19 1998-12-01 Ophthalmic Research Center International Bv Vitreous removing apparatus
US5611352A (en) 1995-09-14 1997-03-18 Kobren; Myles S. Cervical biopsy device
US6083177A (en) * 1995-09-14 2000-07-04 Kobren; Myles S. Cervical biopsy device and method
US5630939A (en) 1995-09-15 1997-05-20 Imtec Corporation Filter assembly device for use in surgical aspirated suction
US5715822A (en) * 1995-09-28 1998-02-10 General Electric Company Magnetic resonance devices suitable for both tracking and imaging
US5782775A (en) * 1995-10-20 1998-07-21 United States Surgical Corporation Apparatus and method for localizing and removing tissue
USD377996S (en) 1995-10-25 1997-02-11 Gilbert Scarla B Curling iron stand
US5804936A (en) 1995-10-31 1998-09-08 Smith & Nephew, Inc. Motor controlled surgical system
US5782764A (en) 1995-11-07 1998-07-21 Iti Medical Technologies, Inc. Fiber composite invasive medical instruments and methods for use in interventional imaging procedures
US5848978A (en) 1995-11-14 1998-12-15 Genx International, Inc. Surgical biopsy device
US6461350B1 (en) 1995-11-22 2002-10-08 Arthrocare Corporation Systems and methods for electrosurgical-assisted lipectomy
US5769086A (en) 1995-12-06 1998-06-23 Biopsys Medical, Inc. Control system and method for automated biopsy device
AU1331497A (en) 1995-12-18 1997-07-14 Kerisma Medical Products, L.L.C. Fiberoptic-guided interstitial seed manual applicator and seed cartridge
AUPN741996A0 (en) 1996-01-04 1996-01-25 Interfix Limited A driver
US5669923A (en) 1996-01-24 1997-09-23 Gordon; Mark G. Anterior capsulotomy device and procedure
US5827305A (en) 1996-01-24 1998-10-27 Gordon; Mark G. Tissue sampling device
US5916229A (en) 1996-02-07 1999-06-29 Evans; Donald Rotating needle biopsy device and method
US6203524B1 (en) 1997-02-10 2001-03-20 Emx, Inc. Surgical and pharmaceutical site access guide and methods
US5800389A (en) 1996-02-09 1998-09-01 Emx, Inc. Biopsy device
CA2247076C (en) 1996-02-26 2005-08-16 Biopsys Medical, Inc. Articulating guide arm for medical applications
JPH09237982A (ja) * 1996-02-29 1997-09-09 Oki Data:Kk ロック機構
US5928137A (en) 1996-05-03 1999-07-27 Green; Philip S. System and method for endoscopic imaging and endosurgery
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5910139A (en) 1996-08-29 1999-06-08 Storz Instrument Co. Numeric keypad simulated on touchscreen
US5913857A (en) 1996-08-29 1999-06-22 Ethicon End0-Surgery, Inc. Methods and devices for collection of soft tissue
US5810806A (en) 1996-08-29 1998-09-22 Ethicon Endo-Surgery Methods and devices for collection of soft tissue
US5730134A (en) * 1996-09-09 1998-03-24 General Electric Company System to monitor temperature near an invasive device during magnetic resonance procedures
US5976164A (en) 1996-09-13 1999-11-02 Eclipse Surgical Technologies, Inc. Method and apparatus for myocardial revascularization and/or biopsy of the heart
US5794799A (en) 1996-09-25 1998-08-18 Collins; Joyce E. Curling iron organizer with temperature display
USD386818S (en) 1996-09-30 1997-11-25 Cindy Boomfield Receptacle for a hair curling iron
US6276661B1 (en) 1996-11-06 2001-08-21 Medtronic, Inc. Pressure actuated introducer valve
NL1004592C2 (nl) * 1996-11-22 1998-06-08 Spiro Research Bv Warmtewisselaarbuis en vervaardigingswijze daarvoor.
US6331165B1 (en) 1996-11-25 2001-12-18 Scimed Life Systems, Inc. Biopsy instrument having irrigation and aspiration capabilities
WO1998025556A1 (en) 1996-12-11 1998-06-18 Chiron Vision Corporation Remote control for ophthalmic surgical control console
US7699855B2 (en) 1996-12-12 2010-04-20 Intuitive Surgical Operations, Inc. Sterile surgical adaptor
US5779649A (en) 1996-12-17 1998-07-14 Pabban Development, Inc. Surgical suction wand with filter
US5830219A (en) * 1997-02-24 1998-11-03 Trex Medical Corporation Apparatus for holding and driving a surgical cutting device using stereotactic mammography guidance
DE19709224C2 (de) * 1997-03-06 2001-07-19 Siemens Ag Kompressionsteil für eine medizinische Kompressionseinrichtung sowie Kompressionseinrichtung dazu
US6416510B1 (en) 1997-03-13 2002-07-09 Biocardia, Inc. Drug delivery catheters that attach to tissue and methods for their use
US5855554A (en) * 1997-03-17 1999-01-05 General Electric Company Image guided breast lesion localization device
US5817048A (en) 1997-03-20 1998-10-06 Brown University Research Foundation Ultrasonic alternative to laser-based photodynamic therapy
USD403810S (en) 1997-03-28 1999-01-05 Owens Miron J Combined hair curling iron and support with timer switch
IT1292837B1 (it) 1997-04-03 1999-02-11 Alberto Bauer Apparecchio chirurgico per biopsia.
US5893862A (en) 1997-04-10 1999-04-13 Pratt; Arthur William Surgical apparatus
US5871454A (en) 1997-04-22 1999-02-16 Majlessi; Heshmat Percutaneous excisional biopsy device
US5938604A (en) 1997-05-28 1999-08-17 Capintec, Inc. Radioactive needle for biopsy localization and a method for making the radioactive needle
NL1006254C2 (nl) 1997-06-06 1998-12-08 Cordis Europ Met MRI-verenigbare geleidingsdraad.
US6017316A (en) 1997-06-18 2000-01-25 Biopsys Medical Vacuum control system and method for automated biopsy device
DE19758617B4 (de) 1997-09-11 2006-06-14 Biopsytec Gmbh Ohrmarke
US6080113A (en) 1998-09-11 2000-06-27 Imagyn Medical Technologies California, Inc. Incisional breast biopsy device
US6142955A (en) * 1997-09-19 2000-11-07 United States Surgical Corporation Biopsy apparatus and method
US6050955A (en) 1997-09-19 2000-04-18 United States Surgical Corporation Biopsy apparatus and method
US6019733A (en) 1997-09-19 2000-02-01 United States Surgical Corporation Biopsy apparatus and method
US6048321A (en) 1997-10-10 2000-04-11 William E. McPherson Guide assembly for a biopsy device
AU9326398A (en) * 1997-11-24 1999-06-10 Johnson & Johnson Research Pty. Limited Biopsy assembly including an expandable sleeve
US6251418B1 (en) 1997-12-18 2001-06-26 C.R. Bard, Inc. Systems and methods for local delivery of an agent
US6022324A (en) 1998-01-02 2000-02-08 Skinner; Bruce A. J. Biopsy instrument
US6193414B1 (en) 1998-01-06 2001-02-27 Alfiero Balzano Dual protected instant temperature detector
US5911701A (en) 1998-01-29 1999-06-15 Sdgi Holidings, Inc. Surgical cutting instrument
US6213988B1 (en) 1998-02-10 2001-04-10 Medtronic, Inc. Introducer with external hemostasis clip
US6193673B1 (en) 1998-02-20 2001-02-27 United States Surgical Corporation Biopsy instrument driver apparatus
US6261241B1 (en) * 1998-03-03 2001-07-17 Senorx, Inc. Electrosurgical biopsy device and method
US6659105B2 (en) 1998-02-26 2003-12-09 Senorx, Inc. Tissue specimen isolating and damaging device and method
USD426025S (en) 1998-02-27 2000-05-30 Alan Lind Holmes Curling iron organizer
US6758848B2 (en) * 1998-03-03 2004-07-06 Senorx, Inc. Apparatus and method for accessing a body site
US6471700B1 (en) * 1998-04-08 2002-10-29 Senorx, Inc. Apparatus and method for accessing biopsy site
US6174291B1 (en) * 1998-03-09 2001-01-16 Spectrascience, Inc. Optical biopsy system and methods for tissue diagnosis
JPH11267133A (ja) 1998-03-25 1999-10-05 Olympus Optical Co Ltd 治療装置
US6347241B2 (en) 1999-02-02 2002-02-12 Senorx, Inc. Ultrasonic and x-ray detectable biopsy site marker and apparatus for applying it
US6161034A (en) 1999-02-02 2000-12-12 Senorx, Inc. Methods and chemical preparations for time-limited marking of biopsy sites
US5980546A (en) 1998-04-13 1999-11-09 Nexus Medical System, Inc. Llc Guillotine cutter used with medical procedures
US6428498B2 (en) 1998-04-14 2002-08-06 Renan Uflacker Suction catheter for rapidly debriding abscesses
US20010045575A1 (en) * 1998-05-01 2001-11-29 Mark Ashby Device and method for facilitating hemostasis of a biopsy tract
US5964716A (en) 1998-05-14 1999-10-12 Ethicon Endo-Surgery, Inc. Method of use for a multi-port biopsy instrument
US5944673A (en) 1998-05-14 1999-08-31 Ethicon Endo-Surgery, Inc. Biopsy instrument with multi-port needle
US6077230A (en) * 1998-05-14 2000-06-20 Ethicon Endo-Surgery, Inc. Biopsy instrument with removable extractor
US6036632A (en) * 1998-05-28 2000-03-14 Barzell-Whitmore Maroon Bells, Inc. Sterile disposable template grid system
US6676628B2 (en) 1998-06-04 2004-01-13 Alcon Manufacturing, Ltd. Pumping chamber for a liquefracture handpiece
US6007497A (en) 1998-06-30 1999-12-28 Ethicon Endo-Surgery, Inc. Surgical biopsy device
DE19834586A1 (de) * 1998-07-31 2000-02-10 Siemens Ag Medizinisches Zielgerät
US6440147B1 (en) 1998-09-03 2002-08-27 Rubicor Medical, Inc. Excisional biopsy devices and methods
US6602227B1 (en) 1998-09-25 2003-08-05 Sherwood Services Ag Surgical system console
US6280399B1 (en) 1998-10-06 2001-08-28 Allegiance Corporation Substance delivery device for use with a procedure performing instrument
US6056700A (en) * 1998-10-13 2000-05-02 Emx, Inc. Biopsy marker assembly and method of use
US6245084B1 (en) 1998-10-20 2001-06-12 Promex, Inc. System for controlling a motor driven surgical cutting instrument
CA2287087C (en) 1998-10-23 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical device for the collection of soft tissue
US6632182B1 (en) 1998-10-23 2003-10-14 The Trustees Of Columbia University In The City Of New York Multiple bit, multiple specimen endoscopic biopsy forceps
US20010047183A1 (en) 2000-04-05 2001-11-29 Salvatore Privitera Surgical device for the collection of soft tissue
US20010049502A1 (en) 1998-11-25 2001-12-06 Light Sciences Corporation Guide sheath for repeated placement of a device
US6289233B1 (en) * 1998-11-25 2001-09-11 General Electric Company High speed tracking of interventional devices using an MRI system
US6356782B1 (en) * 1998-12-24 2002-03-12 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US6951611B2 (en) 1999-01-29 2005-10-04 Gambro Dialysatoren Gmbh & Co. Kg Filters and method for producing filters
US6725083B1 (en) 1999-02-02 2004-04-20 Senorx, Inc. Tissue site markers for in VIVO imaging
US8282573B2 (en) 2003-02-24 2012-10-09 Senorx, Inc. Biopsy device with selectable tissue receiving aperture orientation and site illumination
US6402701B1 (en) 1999-03-23 2002-06-11 Fna Concepts, Llc Biopsy needle instrument
US6120462A (en) 1999-03-31 2000-09-19 Ethicon Endo-Surgery, Inc. Control method for an automated surgical biopsy device
US6086544A (en) 1999-03-31 2000-07-11 Ethicon Endo-Surgery, Inc. Control apparatus for an automated surgical biopsy device
US6272372B1 (en) 1999-06-09 2001-08-07 Biopsy Sciences, Llc Needle having inflatable position indicator
US6306132B1 (en) 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
US6123299A (en) 1999-07-01 2000-09-26 Zach, Sr.; Howard L. Electrical outlet curling iron
US6162187A (en) 1999-08-02 2000-12-19 Ethicon Endo-Surgery, Inc. Fluid collection apparatus for a surgical device
DE29914191U1 (de) 1999-08-13 1999-11-11 Dewert Antriebs Systemtech Handbedienungseinrichtung
EP1225833A4 (en) * 1999-09-14 2003-11-26 Papillon Surgical BREAST STABILIZER
US6675037B1 (en) * 1999-09-29 2004-01-06 Regents Of The University Of Minnesota MRI-guided interventional mammary procedures
US6109446A (en) 1999-10-08 2000-08-29 Foote; Antoinette Collapsible curling iron organizer
EP1098468B1 (en) 1999-11-05 2006-02-15 Alcatel Method and apparatus for multiple access in a communication system
US6428487B1 (en) * 1999-12-17 2002-08-06 Ethicon Endo-Surgery, Inc. Surgical biopsy system with remote control for selecting an operational mode
US6632200B2 (en) 2000-01-25 2003-10-14 St. Jude Medical, Daig Division Hemostasis valve
US6551283B1 (en) * 2000-01-25 2003-04-22 St. Jude Medical, Daig Division Hemostasis valve
JP2001252261A (ja) 2000-02-29 2001-09-18 Ge Medical Systems Global Technology Co Llc 沈入物および磁気共鳴撮影装置
US6468227B2 (en) 2000-03-17 2002-10-22 Zimmon Science Corporation Device for performing a medical procedure
CA2404958A1 (en) * 2000-03-31 2001-10-11 Artes Medical, Inc. Urethra surgical device
CA2566926C (en) 2000-04-27 2010-10-05 Cryocath Technologies, Inc. Catheter
US6889073B2 (en) * 2000-05-08 2005-05-03 David A. Lampman Breast biopsy and therapy system for magnetic resonance imagers
US6494844B1 (en) 2000-06-21 2002-12-17 Sanarus Medical, Inc. Device for biopsy and treatment of breast tumors
US6321613B1 (en) 2000-06-28 2001-11-27 Joseph Avidor Continuously variable transmission
AU2000268339A1 (en) 2000-08-01 2002-02-25 Tim Luth Device for navigating and positioning medical instruments in magnetic resonance tomographs
US6485436B1 (en) 2000-08-10 2002-11-26 Csaba Truckai Pressure-assisted biopsy needle apparatus and technique
DE10042519C1 (de) 2000-08-30 2002-04-04 Karlsruhe Forschzent Biopsiegerät für den MRT-Einsatz
US6712773B1 (en) 2000-09-11 2004-03-30 Tyco Healthcare Group Lp Biopsy system
US6730044B2 (en) 2000-10-13 2004-05-04 Ethicon Endo-Surgery, Inc. Firing mechanism for use in a surgical biopsy device
US6602203B2 (en) 2000-10-13 2003-08-05 Ethicon Endo-Surgery, Inc. Remote thumbwheel for a surgical biopsy device
JP4108473B2 (ja) 2000-10-16 2008-06-25 サナルス・メディカル・インコーポレイテッド 腫瘍の生体検査装置
US7458940B2 (en) 2000-11-06 2008-12-02 Suros Surgical Systems, Inc. Biopsy apparatus
US6758824B1 (en) 2000-11-06 2004-07-06 Suros Surgical Systems, Inc. Biopsy apparatus
WO2002069808A2 (en) 2000-11-06 2002-09-12 Suros Surgical Systems, Inc. Biopsy apparatus
IL140494A0 (en) 2000-12-22 2002-02-10 Pneumatic control system for a biopsy device
US6716619B1 (en) * 2001-02-08 2004-04-06 Clinomics Biosciences, Inc. Stylet for use with tissue microarrayer and molds
US6432064B1 (en) 2001-04-09 2002-08-13 Ethicon Endo-Surgery, Inc. Biopsy instrument with tissue marking element
US6558337B2 (en) 2001-04-17 2003-05-06 Wisconsin Alumni Research Foundation Positioner for medical devices such as biopsy needles
US20030004529A1 (en) 2001-06-28 2003-01-02 Mark Tsonton Trocar having an improved seal design
US6942627B2 (en) 2001-07-19 2005-09-13 Ethicon Endo-Surgery, Inc. Surgical biopsy device having a flexible cutter
WO2003026509A2 (en) 2001-09-20 2003-04-03 The Government Of The United States Of America, Asrepresented By The Secretary Of The Department Of Health And Human Services Tissue-sampling instrument and methods of use
US20030097079A1 (en) 2001-10-19 2003-05-22 Garcia Maurice M. Biopsy needle sheath
US6626849B2 (en) 2001-11-01 2003-09-30 Ethicon Endo-Surgery, Inc. MRI compatible surgical biopsy device
US20030099307A1 (en) 2001-11-13 2003-05-29 Narad Networks, Inc. Differential slicer circuit for data communication
US7171256B1 (en) 2001-11-21 2007-01-30 Aurora Imaging Technology, Inc. Breast magnetic resonace imaging system with curved breast paddles
US6975701B2 (en) * 2001-11-23 2005-12-13 Galkin Benjamin M Devices for patient comfort in mammography and methods of use
US7192404B2 (en) * 2001-12-12 2007-03-20 Ethicon Endo-Surgery, Inc. MRI compatible surgical biopsy device having a tip which leaves an artifact
US20030109802A1 (en) * 2001-12-12 2003-06-12 Laeseke Paul F. Cauterizing biopsy system
US6780191B2 (en) 2001-12-28 2004-08-24 Yacmur Llc Cannula system
ATE303099T1 (de) 2002-03-19 2005-09-15 Bard Dublin Itc Ltd Vakuum-biopsievorrichtung
US7769426B2 (en) * 2002-04-23 2010-08-03 Ethicon Endo-Surgery, Inc. Method for using an MRI compatible biopsy device with detachable probe
US6770063B2 (en) 2002-04-23 2004-08-03 Uresil, L.P. Thoracic vent kit
US20030199753A1 (en) 2002-04-23 2003-10-23 Ethicon Endo-Surgery MRI compatible biopsy device with detachable probe
US7316726B2 (en) 2002-04-23 2008-01-08 Tissue Extraction Devices, Llc Evaporation valve
US7826883B2 (en) * 2002-04-23 2010-11-02 Devicor Medical Products, Inc. Localization mechanism for an MRI compatible biopsy device
US7066893B2 (en) 2002-06-06 2006-06-27 Ethicon Endo-Surgery, Inc. Biopsy method
US6921943B2 (en) 2002-09-18 2005-07-26 Globitech Incorporated System and method for reducing soft error rate utilizing customized epitaxial layers
US20080161720A1 (en) 2002-10-07 2008-07-03 Nicoson Zachary R Registration system
US7347829B2 (en) * 2002-10-07 2008-03-25 Suros Surgical Systems, Inc. Introduction system for minimally invasive surgical instruments
US7438692B2 (en) 2002-10-18 2008-10-21 Mark Tsonton Localization mechanism for an MRI compatible biopsy device
US7149566B2 (en) * 2002-10-31 2006-12-12 Manoa Medical, Inc. Soft tissue orientation and imaging guide systems and methods
US6923754B2 (en) 2002-11-06 2005-08-02 Senorx, Inc. Vacuum device and method for treating tissue adjacent a body cavity
US7351210B2 (en) 2002-12-11 2008-04-01 Ethicon-Endo-Surgery, Inc. Biopsy device with piston advance
US7025732B2 (en) 2003-02-25 2006-04-11 Ethicon Endo-Surgery, Inc. Biopsy device with variable speed cutter advance
US6999553B2 (en) * 2003-03-04 2006-02-14 Livingston Products, Inc. Method and apparatus for x-ray mammography imaging
JP4368890B2 (ja) 2003-03-10 2009-11-18 スリーエム イノベーティブ プロパティーズ カンパニー フィルタ・ハウジング組立て体
US7792568B2 (en) * 2003-03-17 2010-09-07 Boston Scientific Scimed, Inc. MRI-visible medical devices
JP2004350675A (ja) 2003-05-06 2004-12-16 Hoseki No Angel:Kk 水槽用フィルター及び水槽用浄化装置
US7641668B2 (en) 2003-05-16 2010-01-05 Scimed Life Systems, Inc. Fluid delivery system and related methods of use
US7001341B2 (en) * 2003-08-13 2006-02-21 Scimed Life Systems, Inc. Marking biopsy sites
CN1836237A (zh) 2003-08-19 2006-09-20 皇家飞利浦电子股份有限公司 高速缓存数据资产的方法
US7351228B2 (en) 2003-11-06 2008-04-01 Becton, Dickinson And Company Plunger rod for arterial blood collection syringes
WO2005072636A1 (en) * 2004-01-23 2005-08-11 Traxyz Medical, Inc. Methods and apparatus for performing procedures on target locations in the body
US7445739B2 (en) 2004-03-24 2008-11-04 Ethicon Endo-Surgery, Inc. Method of forming a biopsy device
US9345456B2 (en) 2004-03-24 2016-05-24 Devicor Medical Products, Inc. Biopsy device
AU2012200479B2 (en) 2004-05-21 2014-08-14 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating a sleeve and multi-function obturator
US9638770B2 (en) 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
EP1761174B1 (en) 2004-05-21 2009-10-07 Ethicon Endo-Surgery, Inc. Mri biopsy apparatus incorporating an imagable penetrating portion
US7708751B2 (en) 2004-05-21 2010-05-04 Ethicon Endo-Surgery, Inc. MRI biopsy device
US8277474B2 (en) * 2004-05-26 2012-10-02 Medtronic, Inc. Surgical cutting instrument
US20060004258A1 (en) * 2004-07-02 2006-01-05 Wei-Zen Sun Image-type intubation-aiding device
US7276032B2 (en) 2004-09-29 2007-10-02 Ethicon Endo-Surgery, Inc. Biopsy apparatus and method
DE102004058122A1 (de) * 2004-12-02 2006-07-13 Siemens Ag Registrierungshilfe für medizinische Bilder
US7041217B1 (en) 2004-12-20 2006-05-09 Filtertek Inc. Filter rings
US7611474B2 (en) 2004-12-29 2009-11-03 Ethicon Endo-Surgery, Inc. Core sampling biopsy device with short coupled MRI-compatible driver
US7470237B2 (en) * 2005-01-10 2008-12-30 Ethicon Endo-Surgery, Inc. Biopsy instrument with improved needle penetration
DE102005003380A1 (de) 2005-01-24 2006-08-03 Innomedic Gmbh Haltevorrichtung
US20080200834A1 (en) 2005-09-28 2008-08-21 Mark Joseph L Introducer device for improved imaging
US20080200835A1 (en) 2006-06-30 2008-08-21 Monson Gavin M Energy Biopsy Device for Tissue Penetration and Hemostasis
US20080300506A1 (en) 2007-05-29 2008-12-04 Boston Scientific Scimed, Inc. Biopsy device with multiple cutters

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101044992B (zh) * 2006-03-31 2010-10-27 伊西康内外科公司 Mri活检装置
CN102018576A (zh) * 2006-05-01 2011-04-20 伊西康内外科公司 导引立方体和将活检器械导引到患者乳房中的装置
CN102018576B (zh) * 2006-05-01 2014-04-16 伊西康内外科公司 导引立方体和将活检器械导引到患者乳房中的装置
CN106164692A (zh) * 2014-03-27 2016-11-23 皇家飞利浦有限公司 具有用于磁共振成像的射频线圈的真空夹板
CN109655773A (zh) * 2019-01-22 2019-04-19 厦门大学 一种核磁共振仪可插拔式滚印线圈探头及其设计方法
CN114469284A (zh) * 2022-03-31 2022-05-13 真健康（北京）医疗科技有限公司 四自由度穿刺针定位导向装置
CN114469284B (zh) * 2022-03-31 2022-07-01 真健康（北京）医疗科技有限公司 四自由度穿刺针定位导向装置
CN115792747A (zh) * 2023-02-13 2023-03-14 北京航空航天大学 多模态磁粒子成像的固定及配准标定系统
US11940507B1 (en) 2023-02-13 2024-03-26 Beijing University Of Aeronautics And Astronautics Fixation and registration calibration system for multimodal magnetic particle imaging

Also Published As

Publication number Publication date
CN1976638A (zh) 2007-06-06
CN100493462C (zh) 2009-06-03
CN1706348A (zh) 2005-12-14
CN101554333B (zh) 2011-01-12
CA2507963A1 (en) 2005-11-21
CA2508099C (en) 2016-03-29
CN1706349A (zh) 2005-12-14
US20080015429A1 (en) 2008-01-17
US9795365B2 (en) 2017-10-24
EP1598015A1 (en) 2005-11-23
US20050261581A1 (en) 2005-11-24
EP1598015B1 (en) 2010-09-29
CN100443057C (zh) 2008-12-17
US20050277829A1 (en) 2005-12-15
EP2283772A1 (en) 2011-02-16
US7711407B2 (en) 2010-05-04
US7831290B2 (en) 2010-11-09
AU2005202242A1 (en) 2005-12-08
CN101554333A (zh) 2009-10-14
US20050283069A1 (en) 2005-12-22
CA2507963C (en) 2014-11-18
AU2005202242B2 (en) 2010-07-15
US20130231586A1 (en) 2013-09-05
EP1598006B1 (en) 2008-03-26
EP1598006A3 (en) 2006-02-01
CA2508100A1 (en) 2005-11-21
US7862517B2 (en) 2011-01-04
US7693567B2 (en) 2010-04-06
US20110015517A1 (en) 2011-01-20
EP2283772B1 (en) 2012-03-14
CN100462056C (zh) 2009-02-18
CN100477967C (zh) 2009-04-15
CA2508099A1 (en) 2005-11-21
US7708751B2 (en) 2010-05-04
DE602005023807D1 (de) 2010-11-11
AU2005202204A1 (en) 2005-12-08
DE602005005548D1 (de) 2008-05-08
EP1598006A2 (en) 2005-11-23
CA2887799A1 (en) 2005-11-21
AU2005202206A1 (en) 2005-12-15
DE602005005548T2 (de) 2009-04-30
AU2005202204B2 (en) 2011-12-08
CA2887799C (en) 2017-10-10
US20070038144A1 (en) 2007-02-15
US20090281453A1 (en) 2009-11-12
ES2303994T3 (es) 2008-09-01

Similar Documents

Publication Publication Date Title
CN1706347A (zh) 磁共振成像装置定位夹具
JP4799905B2 (ja) Ｍｒｉ生検装置用位置決めジグ
US7438692B2 (en) Localization mechanism for an MRI compatible biopsy device
US7826883B2 (en) Localization mechanism for an MRI compatible biopsy device
US7769426B2 (en) Method for using an MRI compatible biopsy device with detachable probe
CN101066214A (zh) 活检插管的可调限深器
CN101066215A (zh) 用于活检装置的栅格及可旋转立方体导引定位夹具
AU2014290446A1 (en) Biopsy device targeting features
US20180280108A1 (en) Breast support compression pillow
CN211796625U (zh) 前列腺穿刺取样装置
CN109965951A (zh) 一种用于脊柱经皮精准靶向穿刺的三维定位装置
CN218279756U (zh) 穿刺激光定位仪
EP1820453B1 (en) An MRI compatible biopsy device with detachable probe
EP1913883A2 (en) MRI biopsy device localization fixture

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
ASS Succession or assignment of patent right

Owner name: DEWEIKE MEDICAL PRODUCTS COMPANY

Free format text: FORMER OWNER: ETHICON ENDO-SURGERY, INC.

Effective date: 20111028

C41 Transfer of patent application or patent right or utility model
TR01 Transfer of patent right

Effective date of registration: 20111028

Address after: ohio

Patentee after: Devicor Medical Products, Inc.

Address before: ohio

Patentee before: Ethicon Endo-Surgery Inc.

CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20090218

Termination date: 20170523

CF01 Termination of patent right due to non-payment of annual fee