Claims Analysis
Total Claims: 35
Claim 1
Independent Claim
178 words
In an instrument for obtaining tissue samples from a site deep within the body, the instrument having an elongated proximal portion that is constructed to follow a long, torturous path to said site, and having a distal end constructed to sever and remove a tissue sample from the body, including tissue specimens, polyps or the like, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the body, said instrument including an actuatable severing member for severing said sample and a separately actuatable tissue sample retractor, said retractor being axially movable between an extended tissue-engaging position and a retracted position, there being an open passage into which said retractor moves when moving from said extended to said retracted position, said retractor having a distal end portion constructed to engage tissue and apply axial transporting force thereto while moving from said extended to said retracted position, said retractor constructed and arranged to be advanced and retracted repeatedly to accumulate a series of samples in said instrument without withdrawing the instrument from the body.
Claim 2
Dependent Claim
178 words
In an instrument for obtaining tissue samples from a site deep within the body, the instrument having an elongated proximal portion that is constructed to follow a long, torturous path to said site, and having a distal end constructed to sever and remove a tissue sample from the body, including tissue specimens, polyps or the like, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the body, said instrument including an actuatable severing member for severing said sample and a separately actuatable tissue sample retractor, said retractor being axially movable between an extended tissue-engaging position and a retracted position, there being an open passage into which said retractor moves when moving from said extended to said retracted position, said retractor having a distal end portion constructed to engage tissue and apply axial transporting force thereto while moving from said extended to said retracted position, said retractor constructed and arranged to be advanced and retracted repeatedly to accumulate a series of samples in said instrument without withdrawing the instrument from the body.
Claim 3
Dependent Claim
48 words
The instrument of claim 1 having a severing device comprising at least one pivotable jaw, the jaw having a pair of pivotable jaw support portions lying close to respective sides of a supporting structure, there being an open space for multiple tissue sample storage between said support portions.
Claim 4
Dependent Claim
12 words
The instrument of claim 1 wherein said retractor comprises a tissue-penetrating element.
Claim 5
Dependent Claim
36 words
The instrument of claim 3 wherein said tissue-penetrating element has a barb formation arranged to facilitate entry into tissue during advancement against the tissue and to apply axial transporting force to said tissue during retraction movement.
Claim 6
Dependent Claim
25 words
The instrument of claim 3 wherein said tissue penetrating element is constructed and arranged to penetrate a mid-portion of the sample of tissue being taken.
Claim 7
Dependent Claim
37 words
The instrument of claim 5 wherein said penetrating element is elongated and constructed to spear and securely store thereupon, in stacked relationship, a series of tissue samples in the order in which said samples have been taken.
Claim 8
Dependent Claim
24 words
The instrument of claim 6 wherein said element is sufficiently long to store a series on the order of three or more tissue samples.
Claim 9
Dependent Claim
52 words
The instrument of claim 6 wherein multiple barbs are disposed along the length of said element, constructed to enable a specimen to be advanced progressively over said barbs as additional samples are taken as a result of pressure transmitted through the previously taken samples during the spearing action on the next sample.
Claim 10
Dependent Claim
30 words
The instrument of claim 3 wherein said retractor comprises a helical cork-screw-like projection constructed to be rotated to enter tissue and constructed to move axially to retract the tissue sample.
Claim 11
Dependent Claim
36 words
The instrument of claim 9 wherein said cork-screw-like projection is sufficiently long to store thereupon a series on the order of five or more tissue samples, in the sequence in which said samples have been taken.
Claim 12
Dependent Claim
29 words
The instrument of claim 10 in which helical threads extend along the length of said projection along which previously-taken samples advance when, upon further rotation, additional samples are taken.
Claim 13
Dependent Claim
37 words
The instrument of claim 1 wherein said retractor is constructed to extend along the side of a sample being severed and having a laterally-extending dragger formation constructed to engage the sample and apply proximally-directed transporting force thereto.
Claim 14
Dependent Claim
39 words
The instrument of claim 12 wherein said retractor is constructed and arranged relative to said open passage to drag successive severed samples into the passage and stack them therein in the order in which said samples have been taken.
Claim 15
Dependent Claim
35 words
The instrument of claim 12 having a severing device comprising at least one pivotable jaw and one stationary jaw, said retractor being of generally tongue form and during severing action lying along said stationary jaw.
Claim 16
Dependent Claim
27 words
The instrument of claim 12 where said retractor is of wire form and has a distal hook formation constructed to apply proximally-directed transporting force to said sample.
Claim 17
Dependent Claim
27 words
The instrument of claim 1 wherein said retractor comprises an axially displaceable grasper constructed to grasp said tissue sample by pinching action for transport of said sample.
Claim 18
Dependent Claim
19 words
The instrument of claim 16 wherein said grasper comprises tong-like grippers constructed to grasp and transport a tissue sample.
Claim 19
Dependent Claim
28 words
The instrument of claim 17 wherein said grippers are closed upon a sample by axial movement of an actuating tube slidingly disposed over structure connected to said grippers.
Claim 20
Dependent Claim
36 words
The instrument of claim 1 in which said movable retractor is constructed to draw the severed sample into said passage away from a severing device of the instrument to prepare the instrument to take further samples.
Claim 21
Dependent Claim
16 words
The instrument of claim 19 wherein said severing device comprises at least one actuatable cutting jaw.
Claim 22
Dependent Claim
32 words
The instrument of claim 2 or 20 wherein said jaw is supported on the distal end of a tubular structure, an internal portion of said structure providing space for tissue sample storage.
Claim 23
Dependent Claim
14 words
The instrument of claim 20 wherein said severing device comprises opposed actuatable cutting jaws.
Claim 24
Dependent Claim
31 words
The instrument of claim 22 wherein said jaws are constructed to be closed upon a sample by axial movement of an actuating tube slidingly disposed over supporting arms of said jaws.
Claim 25
Dependent Claim
25 words
The instrument of claim 20 wherein said jaw is pivotably supported by supporting structure and control means extend along the instrument for pivoting said jaw.
Claim 26
Dependent Claim
25 words
The instrument of claim 1 comprising a severing device in the form of a snare loop projectable from the instrument over tissue to be removed.
Claim 27
Dependent Claim
34 words
The instrument of claim 1 wherein said instrument is sized and constructed to pass through the working channel of an endoscope to take multiple samples under endoscopic guidance without being withdrawn from the endoscope.
Claim 28
Dependent Claim
138 words
In an instrument for obtaining tissue samples, the instrument sized and constructed to pass through the working channel of an endoscope to take samples including tissue specimens, polyps or the like, under endoscopic guidance and having a distal end constructed to sever and remove a tissue sample from the body, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the endoscope, said instrument including a severing member for severing said sample and a separate tissue sample storage device, said tissue sample storage device comprising a tissue-penetrating element having a distal barb formation, said barb formation constructed and arranged to facilitate entry into tissue and to resist distal dislodgment of said sample after said barb has penetrated said tissue to accumulate a series of samples without withdrawing the instrument from the endoscope.
Claim 29
Dependent Claim
138 words
In an instrument for obtaining tissue samples, the instrument sized and constructed to pass through the working channel of an endoscope to take samples including tissue specimens, polyps or the like, under endoscopic guidance and having a distal end constructed to sever and remove a tissue sample from the body, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the endoscope, said instrument including a severing member for severing said sample and a separate tissue sample storage device, said tissue sample storage device comprising a tissue-penetrating element having a distal barb formation, said barb formation constructed and arranged to facilitate entry into tissue and to resist distal dislodgment of said sample after said barb has penetrated said tissue to accumulate a series of samples without withdrawing the instrument from the endoscope.
Claim 30
Dependent Claim
36 words
The instrument of claim 27 wherein said penetrating element is elongated and constructed to spear and store thereupon, in stacked relationship, a series of tissue samples in the order in which said samples have been taken.
Claim 31
Dependent Claim
52 words
The instrument of claim 27 wherein multiple barbs are disposed along the length of said element, constructed to enable a specimen to be advanced progressively over said barbs as additional samples are taken as a result of pressure transmitted through the previously taken samples during the spearing action on the next sample.
Claim 32
Dependent Claim
160 words
In an instrument for obtaining tissue samples, the instrument sized and constructed to pass through the working channel of an endoscope to take samples including tissue specimens, polyps or the like, under endoscopic guidance and having a distal end constructed to sever and remove a tissue sample from the body, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the endoscope, said instrument including a tissue sample storage device, said sample storage device comprising an elongated tissue penetrating element of length sufficient to accommodate at least three samples and constructed to spear a sample and enable the sample to be slidably advanced progressively thereover away from a separate severing device of the instrument as additional samples are taken as a result of pressure transmitted through the previously taken samples during the spearing action on the next sample, thereby to prepare the instrument to take further samples without withdrawing the instrument from the endoscope.
Claim 33
Dependent Claim
160 words
In an instrument for obtaining tissue samples, the instrument sized and constructed to pass through the working channel of an endoscope to take samples including tissue specimens, polyps or the like, under endoscopic guidance and having a distal end constructed to sever and remove a tissue sample from the body, the improvement wherein said instrument is constructed to take multiple biopsy samples without being withdrawn from the endoscope, said instrument including a tissue sample storage device, said sample storage device comprising an elongated tissue penetrating element of length sufficient to accommodate at least three samples and constructed to spear a sample and enable the sample to be slidably advanced progressively thereover away from a separate severing device of the instrument as additional samples are taken as a result of pressure transmitted through the previously taken samples during the spearing action on the next sample, thereby to prepare the instrument to take further samples without withdrawing the instrument from the endoscope.
Claim 34
Dependent Claim
48 words
The instrument of claim 30 wherein said tissue penetrating element, upon completion of taking of said samples, is constructed to be detached from the instrument and be sent to the pathology laboratory with said samples intact upon said element in the order in which said specimens were taken.
Claim 35
Dependent Claim
40 words
The instrument of claim 30 wherein said element is constructed and arranged, upon completion of use and withdrawal from the body, to extend distally beyond sample severing mechanism of the instrument to enable said multiple samples to be removed therefrom.