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EP0481685A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Medical device for localizing a lesion

Assignee: Cook Inc
•
Filing: 1991-10-10
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Granted: —
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Expires: 2011-10-10
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Abstract

Abstract A medical device (10) for localizing a nonpalpable breast lesion (20). The device includes a tubular introducer needle (11) and a wire guide (14) positioned therein for inserting into a breast (25) to the site of the lesion. The wire guide includes a distal portion (16) which is preformed into a resilient helical coil configuration for locking into position about the lesion. The distal portion includes a superelastic metallic alloy for maintaining the helical coil configuration after repeated extensions from and retractions into the needle passageway. With a visualization aid such as an X-ray film or ultrasound, a radiologist typically inserts the needle with the wire guide positioned therein into the breast to the site of the lesion and extends the distal portion of the wire guide from the needle. The distal end of the needle includes a plurality of indentations for enhancing the ultrasound visualization thereof. As the distal portion of the wire guide emerges from the needle, the acuate distal end (17) of the wire guide cuts into and scribes a helical path about the tissue distal to the lesion. The remainder of the distal portion of the wire guide follows the path scribed by the acuate distal tip and locks about the tissue distal to the lesion. Should the needle and wire guide not be appropriately positioned, the distal portion of the wire guide is retracted into the passageway of the needle to reposition the needle and guide. After desired positioning, the needle is removed with the wire guide remaining in a locked position distally about the lesion for guiding guides the surgeon to the lesion site during subsequent surgery.

Inventors

  • 👤 Richard H. Miller
  • 👤 Brian L. Bates
  • 👤 Todd A. Hall
  • 👤 Thomas A. Osborne

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 12:19
CPC Classifications
A; A61; A61B; A61B90/00; A61B90/39; A61B17/00; A61B17/00234; A61B2017/00349; A61B2090/3904; A61B2090/3908; A61B2090/3987; A61F; A61F2210/00; A61F2210/0014; A61F2210/0019

Claims Analysis

Total Claims: 10
Claim 1
Independent Claim 81 words
A medical device for localizing a nonpalpable lesion in a breast, comprising: a tubular needle (11) having a passageway (12) extending therethrough for accommodating a retractable wire guide, said needle comprising a distal end (13) tapered for insertion into the site of said lesion; said wire guide having a straight portion (14) and a metallic preformed distal portion (16), characterised in that the distal portion is preformed into a resilient configuration, of substantially at least more than a 180 degree turn.
Claim 2
Dependent Claim 68 words
A wire guide for localizing a nonpalpable lesion in a breast, said guide comprising: a straight portion; and a distal portion preformed into a resilient configuration of substantially more than a 180 degree turn, said guide being for use in the device of claim 1, and being of material and configuration such that it can be smoothly inserted into and smoothly withdrawn from the region of the lesion.
Claim 3
Dependent Claim 31 words
The device of claim 1 or guide of claim 2, characterised in that the resilient configuration is in the form of at least one coil, with an acuate distal end (17).
Claim 4
Dependent Claim 21 words
The device or guide of claim 3, characterised in that said resilient configuration is in the form of a helical configuration.
Claim 5
Dependent Claim 69 words
The device or the guide of claim 4, characterised in that said distal portion resilient configuration assumes an unwound configuration when positioned in said passageway of said needle, said distal portion resuming the resilient helical coil configuration as said distal portion of said wire guide is extended from said passageway of said needle, said helical configuration including a passageway (18) extending longitudinally through and laterally from said straight portion.
Claim 6
Dependent Claim 30 words
The device of claim 1,3,4 or 5, or the guide of claim 2,3,4 or 5, characterised in that said distal end of the wire guide is of superelastic metallic alloy.
Claim 7
Dependent Claim 33 words
The device or guide of claim 6, characterised in that the alloy is of nickel and titanium, and/or of material having a predetermined transformation temperature which is normally below the normal operating temperature.
Claim 8
Independent Claim 99 words
The device of any one preceding device claim, further characterised by a second cannula (22) having a distal end (29) and a passageway (30) extending longitudinally therethrough; wherein said distal portion includes an unwound configuration for positioning in said passageway of said second cannula; and wherein the first mentioned cannula includes a proximal end, said distal end of said second cannula piece abutting against said proximal end of said first cannula when transferring said distal portion of said wire guide in said unwound configuration from said passageway of said second cannula to said passageway of said first cannula piece.
Claim 9
Dependent Claim 52 words
The device of claim 8, further characterised by a cap (31) having a passageway extending longitudinally therein sized for reviewing said first and second cannulas and aligning said passageways thereof, the first cannula optionally having a plurality of indentations in an outer surface thereof about said distal tapered end, for guidance purposes.
Claim 10
Dependent Claim 299 words
A medical device for localizing a nonpalpable lesion in a breast comprising: a tubular introducer needle including a first cannula having a first distal end tapered for insertion into said breast to the site of said lesion, a first proximal end, a first passageway extending longitudinally between said first ends, a plug-drawn interior surface about said first passageways, and an outer surface having a plurality of semispherical indentations therein about said first distal end; a second cannula including a second distal end, a second proximal end, a second passageway extending longitudinally between said second ends and a second plug-drawn interior surface about said second passageway; a connector having a passageway extending longitudinally therein and sized for receiving said first and second cannulas and aligning said passageways thereof; and a wire guide having a straight portion and a distal portion, said distal portion including a superelastic, nickel and titanium metallic alloy and being preformed into a resilient helical coil configuration including at least more than a 180 degree turn, an acuate distal end, and a passageway extending longitudinally therethrough and laterally from said straight portion, said alloy having a predetermined transformation temperature, said distal end portion assuming an unwound configuration when positioned in said first passageway of at least one of said first and second cannulas, said at least more than a 180 degree turn following a path scribed by said acuate distal end as said distal portion is extended from said first passageway at said tapered first distal end of said cannula, said second distal end of said second cannula abutting against said first proximal end of said first cannula when transferring said distal portion of said wire guide in said unwound configuration from said second passageway of said second cannula to said first passageway of said first cannula.

References Cited (Backward Citations)

BE707070A Cited
DE1566139A1 Cited
EP0129634A1 Cited
WO1986005378A1 Cited

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