A biopsy site marker having at least one small marker body or pellet of bioresorbable material such as gelatin, collagen, polylactic acid, polyglycolic acid which has a radiopaque object, preferably with a non-biological configuration. The at least one bioresorbable body or pellet with a radiopaque object is deposited into the biopsy site, by an delivery device that includes an elongated tubular body with a piston slidable within the tubular body. One end of the tube is placed into the biopsy site. At least one but preferably several marker bodies or pellets are deposited sequentially into the biopsy site through the tube. At least the bioresorbable materials of the detectable markers remain present in sufficient quantity to permit detection and location of the biopsy site at a first time point (e.g., 2 weeks) after introduction but clear from the biopsy site or otherwise do not interfere with imaging of tissues adjacent the biopsy site at a second time point (e.g., 5-7 months) after introduction.

Imageable biopsy site marker

The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.

Tissue site markers for in vivo imaging

The invention is directed to devices and methods for separating and collecting a tissue specimen from a patient's target site. The device includes a probe member with a penetrating distal tip and a tissue receiving aperture, and a tissue cutting member which is rotatable disposed within the probe member to cut a tissue specimen drawn into the interior of the device through the aperture. The longitudinal edges of the aperture are preferably sharpened to engage the cutting edges of the tissue cutting member. Vacuum may be provided in the inner lumen of the cutting member to transport tissue therethrough. Rotation, rotational oscillation and/or longitudinal reciprocation of the tissue cutting member is effective to separate a tissue specimen from surrounding tissue. An accessing cannula having an tissue receiving aperture may be concentrically disposed within the probe member and about the tissue cutting member. The tissue cutting edge of the tissue cutting member preferably is longitudinally oriented and may have a cutting angle less than 90° with respect to the longitudinal axis of the tissue cutting member.

Biopsy device with inner cutting member

The bioabsorbable implant described has a porous body formed of bioabsorbable materials that have an in vivo life span of at least 2 weeks, preferably at least three weeks and not greater than 20 weeks, preferably no greater than ten weeks. The implant has a scaffolding structure which facilitates tissue in-growth and ultimately tissue replacement of the scaffolding structure. The implant has a radiopaque imaging agent at least at the exterior margins and an orientation plurality of radiopaque elements in the interior of implant. The implant preferably has three radiopaque elements within the interior that form a plane within the implant interior.

Porous bioabsorbable implant

The invention provides marker delivery devices, assemblies, and methods. Assemblies embodying features of the invention include marker delivery devices having a delivery tube with an orifice, markers, and a plug releasably disposed in the tube occluding the orifice. The plug prevents markers from passing through the orifice before the marker is to be placed at a desired location within a patient's body, prevents ingress of tissue into the bore of the tube, and allows markers to pass out of the orifice when marker delivery is desired. Guidance of a delivery tube to a desired location within a patient's body may include the use of an imaging device, with or without the use of a guide cannula. The plug may itself serve as a marker, and may be the sole marker. Markers may be detectable by ultrasound, X-ray, magnetic resonance imaging, and other imaging devices, and may include bioactive elements.

Plugged tip delivery tube for marker placement

A biopsy marking apparatus for placing a radiopaque marker at the location of a percutaneous biopsy. The biopsy marking apparatus comprises an introducer in combination with a radiopaque marker. The introducer ejects the radiopaque marker at the location of the biopsy. The introducer is configured to completely eject the radiopaque marker and prevent it from being subsequently drawn into the introducer as the introducer is removed from the biopsied tissue mass. The radiopaque marker has enhanced radiopaque characteristics and enhanced non-migration characteristics.

Apparatus for the percutaneous marking of a lesion

A subcutaneous marking apparatus for placement of an imaging marker at a predetermined site in a tissue mass comprises a handle having a front portion and a rear portion, a cannula, a stylet slidably received within the cannula, a trigger extending from the front portion of the handle and operably engaging the stylet, and an imaging marker disposed within a marker recess in a distal end of the cannula. A user can firmly grasp the marking apparatus in one hand and simultaneously actuate the trigger with a finger or a thumb of the same hand to move the stylet and thereby place the imaging marker at the predetermined site.

Apparatus for subcutaneous placement of an imaging marker

A marking device according to one embodiment of the invention comprises a handle, a cannula having a cannula distal end and slidably mounted to the handle, and a stylet having a stylet distal end and slidably mounted to the handle in the cannula. The stylet distal end is spaced proximally of the cannula distal end to form a marker recess that receives an imaging marker. The marking device further comprises an actuator operably coupled to the cannula to effect retraction of the cannula into the handle following implantation of the imaging marker. The imaging marker can be implanted by advancing the stylet relative to the cannula to eject the imaging marker from the marker recess, or the cannula can be retracted relative to the stylet to expose the imaging marker.

Marking device with retracable cannula

A marking device (10) according to one embodiment of the invention comprises a handle (14), a cannula (16) having a cannula distal end (180) and slidably mounted to the handle (14), and a stylet having a stylet distal end and slidably mounted to the handle (14) in the cannula (16). The stylet distal end is spaced proximally of the cannula distal end (180) to form a marker recess that receives an imaging marker. The marking device (10) further comprises an actuator (20) operably coupled to the cannula (16) to effect retraction of the cannula (16) into the handle (14) following implantation of the imaging marker. The imaging marker can be implanted by advancing the stylet relative to the cannula (16) to eject the imaging marker from the marker recess, or the cannula (16) can be retracted relative to the stylet to expose the imaging marker.

Marking device with retractable cannula

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Apparatus for the percutaneous marking of a lesion

Apparatus for subcutaneous placement of an imaging marker

Marking device with retracable cannula

Marking device with retractable cannula