Abstract: Systems, methods, and devices include a biopsy tissue extraction device for creating, extracting and/or collecting a biopsy tissue sample. The biopsy tissue extraction device includes a housing with an extraction opening at a first distal end and an actuation handle at a second distal end. Extraction blade(s) extend out the extraction opening responsive to an engagement of the actuation handle. The extraction blade(s) move in a linear and/or circular motion, caused by a shaft connecting the extraction blade to the actuation handle, to cut the biopsy sample from a target tissue angle. An internal obstruction (e.g., an opening lip disposed around the extraction opening) pressing against the extraction blade(s) causes the extraction blade(s) to have a non-perpendicular approach angle with the target tissue area, such that the blade(s) fully sever the biopsy sample with a single motion by cutting the biopsy sample into a conical or pyramidal shape.