Abstract: A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member and at least one removable member secured about the exterior of the rotatable member. The at least one removable member defines a plurality of tissue sample compartments. Each tissue sample compartment is configured to receive one or more tissue samples captured by the cutter. In some versions, the at least one removable member comprises a belt and a plurality of vials.

Abstract: A multiple use adhesive dispenser facilitates precise, extended dispensing for a surgical procedure by sequentially positioning an ampoule containing a flowable material, such as a polymerizable monomer compound such as a cyanoacrylate adhesive. In one version particularly suited to an open surgical procedure, the ampoules are affixed to a tape substrate that is unreeled from an internal storage reel and transported proximate to an ampoule gripping mechanism with an underlying tape substrate peeled away and internally stored as each ampoule is positioned for dispensing. Actuating an ampoule advancement handle positions the next ampoule and squeezing a movable handle toward a fixed handle effects dispensing. Another version has an elongate shaft that internally augers each ampoule in succession into a pair of spaced jaws that are pinched together by actuating rods to dispense adhesive.

Abstract: A biopsy marker applier and method are described and illustrated. The biopsy marker applier can include a cannula and at least one marker disposed within the cannula. A member can be positioned on the cannula, such as sliding member disposed to slide along the cannula. The sliding member can be used to control or limit the depth of insertion of the biopsy marker applier in a biopsy device and/or a patient.

Abstract: A biopsy marker applier and method are described and illustrated. The biopsy marker applier can include a cannula and at least one marker disposed within the cannula. A member can be positioned on the cannula, such as sliding member disposed to slide along the cannula. The sliding member can be used to control or limit the depth of insertion of the biopsy marker applier in a biopsy device and/or a patient.

Abstract: A biopsy device may include a needle, a cutter, and a handpiece. A vacuum pump in the handpiece may provide a vacuum to the needle and/or to the cutter. A pressure pump in the handpiece may also provide pressurized air to the needle and/or to the cutter. A motor in the handpiece may drive the vacuum pump, the pressure pump, and/or the cutter. A vacuum sensor may sense a vacuum level within the biopsy device, and cause initiation of operational cycles in response to sensed vacuum levels. Portions of a valving mechanism and a clutching mechanism may be integrally formed. A clutching and valving mechanism may be driven by a first battery-powered motor; and a cutter, pressure pump, and vacuum pump by a second battery-powered motor. A biopsy device may thus provide vacuum, pressurized air, and power from within a handpiece, such that the biopsy device is tetherless.

Abstract: A biopsy system includes a biopsy device, a vacuum canister, a vacuum control module, and a plurality of tubes. A first tube is configured to provide an axial vacuum to the biopsy device, while a second tube is configured to provide a lateral vacuum. A third tube is configured to communicate atmospheric air to the second tube. A fourth tube is configured to communicate saline to the second tube. The vacuum canister is configured to collect fluids drawn through the first tube and the second tube. The canister has a lid with trenches formed in it for retaining the first, second, third, and fourth tubes. The lid also has engagement regions for selectively pinching each of the tubes against to prevent fluid communication through selected tubes. The canister can be removably inserted into the vacuum control module, which includes components for selectively pinching the tubes against the engagement regions.

Abstract: A vacuum control module for use in a biopsy system includes a user interface that presents buttons and icons to control operation of a biopsy device. The icons may indicate, e.g., the position of a cutter relative to a transverse opening, whether the system is in a view sample mode, that an adjacent button is operable to reset the position of a rotatable tissue sample holder, whether the system is in a maintenance vacuum pulse mode, the level of vacuum provided by a vacuum source, the volume level of a speaker, that an adjacent button is operable to place the system in a standby mode, and that an adjacent button is operable to shut down the system. The icons may each have an associated button. The icons may be allocated among separate pages (e.g., a probe page and a system page). Another button may be used to switch between pages.

Abstract: A biopsy device includes a probe and holster that may be coupled together. The probe includes a cannula with a transverse opening and a cutter within the cannula. The holster includes a mechanism that is operable to rotate and translate the cutter within the cannula. In one example, the holster also includes a user interface having buttons and indicators. The indicators may indicate, e.g., the longitudinal position of the cutter within the cannula and an error condition. The buttons may be operable to, e.g., selectively and incrementally adjust the longitudinal position of the cutter within the cannula, initiate a sampling cycle, initiate a clear probe cycle, and initiate a lateral vacuum cycle. The user interface may also include a trigger operable to cock and fire the cannula into tissue. The user interface may be provided as one or more membranes on one or more sidewalls of the holster.

Abstract: A biopsy system includes a vacuum control module, a cannula with a transverse opening, a cutter within the cannula, and a rotatable tissue sample holder. The vacuum control module includes a speaker, a vacuum source, and a graphical user interface for controlling the biopsy system. The graphical user interface includes a display and capacitive switches that serve as buttons. The graphical user interface is operable to perform, e.g., the following functions: varying the position of the cutter relative to the transverse opening, activating a view sample mode, resetting the position of the rotatable tissue sample holder, activating a maintenance vacuum pulse mode, varying the level of vacuum provided by the source of vacuum, varying the level of volume of sounds emitted by the speaker, selectively placing the biopsy system in a standby mode, and selectively shutting the biopsy system down.

Abstract: A biopsy device includes a probe portion and a holster portion that may be coupled together. The probe portion includes a rotatable tissue sample holder that is configured to hold tissue samples. One or more portions of the tissue sample holder may be formed of a transparent or translucent material, e.g., a translucent manifold and shaft, transparent or translucent tissue sample trays, and a transparent cup that is external to the manifold and trays. The holster portion may include one or more sources of light, such as light emitting diodes (LEDs). The LEDs may be configured to illuminate at least a portion of the tissue sample holder, such as to facilitate viewing of tissue samples in the tissue sample holder. For instance, one LED may be aligned with the shaft of the tissue sample holder, while two additional LEDs may be positioned on both sides of the shaft.

Abstract: An apparatus for achieving weight loss in a patient is disclosed. The apparatus has a barrier material and an applicator for dispensing the barrier material about the intestine. An injector is used to place the barrier material to block nutrient transfer from the intestine into the blood stream. The barrier material is a polymerizable adhesive that can be injected interstitially between layers of the intestine, or injected into vascular structures to partially block the flow of blood to the nutrient absorbing layers.

Abstract: A biopsy device may be used to obtain and store multiple tissue samples. The device permits the tissue samples to be stored in a sequenced fashion within a generally transparent tissue storage chamber disposed at a proximal end of the biopsy device. The tissue samples can be stored on flexible tissue sample strips arranged around the circumference of a rotating vacuum manifold disposed within the chamber.

Abstract: A needle may be fired into tissue by a needle firing mechanism, which may include a fork for holding the needle and a firing rod coupled with the fork. A spring urges the fork to a distal, fired position. A screw gear is coupled with the rod. A sled is positioned at the proximal end of the rod. A catch is configured to engage the sled when the sled is moved to a proximal position. The screw gear is operable to convert rotational motion from a motor and gear set into linear motion to move the rod proximally to engage the sled with the catch, thereby cocking the needle firing mechanism. The motor may also be used to translate the screw gear distally relative to the rod after the sled has engaged with the catch. A trigger is used to fire the cocked needle firing mechanism.

Abstract: A biopsy device includes a cutter defining a cutter lumen and a tissue sample holder for collecting tissue samples. In one example, the tissue sample holder has a rotatable manifold that is configured to redirect fluid from one axial direction to an opposite axial direction. The tissue sample holder also has a plurality of tissue sample trays through which fluid may be communicated. The tissue sample trays define chambers that are each configured to separately hold tissue samples. The tissue sample trays are removable relative to the manifold. A cup is configured to cover the manifold and trays. A tissue sample holder rotation mechanism is operable to rotate the manifold to successively index each chamber of the tissue sample trays with the cutter lumen. A feature may prevent rotation of the manifold when one part of the biopsy device is separated from another part of the biopsy device.

Abstract: A biopsy system includes a biopsy device having a translating cutter for severing tissue samples and a vacuum control module. The vacuum control module is separate from the biopsy device. The vacuum control module includes a vacuum pump and vacuum canister, and is portable by a single hand. The vacuum canister and the vacuum control module have complimentary ports that are configured to couple upon insertion of the vacuum canister into the vacuum control module. The complimentary ports provide fluid communication between a vacuum pump in the vacuum control module and a reservoir in the vacuum canister. The biopsy device may be placed in fluid communication with the vacuum pump via the canister without the user having to separately connect any tubes with the canister or pump.

Abstract: A multiple use adhesive dispenser facilitates precise, extended dispensing for a surgical procedure by sequentially positioning an ampoule containing a flowable material, such as a polymerizable monomer compound such as a cyanoacrylate adhesive. In one version particularly suited to an open surgical procedure, the ampoules are affixed to a tape substrate that is unreeled from an internal storage reel and transported proximate to an ampoule gripping mechanism with an underlying tape substrate peeled away and internally stored as each ampoule is positioned for dispensing. Actuating an ampoule advancement handle positions the next ampoule and squeezing a movable handle toward a fixed handle effects dispensing. Another version has an elongate shaft that internally augers each ampoule in succession into a pair of spaced jaws that are pinched together by actuating rods to dispense adhesive.