Surgery – Instruments – Cutting – puncturing or piercing
Reexamination Certificate
2000-07-10
2004-01-06
Truong, Kevin T. (Department: 3731)
Surgery
Instruments
Cutting, puncturing or piercing
Reexamination Certificate
active
06673086
ABSTRACT:
BACKGROUND OF THE INVENTION
1. Field of Invention
The invention relates to a device for the micro-dissection of tissue with a fine needle, which is supported in a holder movable in space along three axes.
2. Description of the Prior Art
Generic devices are used, for example, in conjunction with the molecular-biological diagnosis of tumors, for which the DNA or RNA of cells is analyzed in sections of tumor tissue. The presence, for example, of certain DNA sequences permits conclusions to be drawn concerning the nature of the tumor and, insofar as statistical data are already available, concerning the course of the disease.
However, sections of tumor tissue do not contain tumor cells exclusively. As a rule, suspicious (that is, tumorous) cells are embedded in otherwise healthy cell tissue in such sections. If the whole of the section is investigated by molecular biological techniques, the danger exists that the DNA of the tumorous cells diminishes quantitatively relative to the DNA of the other cells to such an extent, that a detection of DNA sequences of certain tumor cells is no longer possible, at least not with a sufficient reliability.
There has therefore been a change in procedure in the direction of isolating tumorous tissue regions or cells, which can be identified under the microscope, from sections of such tumor tissues by micro-dissection, and by working up only these regions.
At the present time, different techniques are known for the micro-dissection of tissue. One possibility consists, for example, in severing the questionable region of tissue from the remaining tissue of the section by UV laser radiation and removing it then, for example, by aspiration, for further processing. A different known possibility consists in depositing a special film on the section and of “gluing” the film with infrared radiation to the surface of the tissue region. After gluing, the tissue region adheres so firmly to the film, so that it can be removed together with it from the tissue section. Both methods, however, are relatively expensive.
In the case of a different generic device, the tissue of interest is scratched with the optimally ground end of a steel cannula, which is moved with a conventional manipulator, out of the section, and the severed region of the tissue is removed for further processing with an aspiration or adhesion cannula. It is also known that, instead of a steel cannula, a finely drawn out glass cannula can be used, the tip of which, optionally, is broken or sharpened in a different way. Working with the described “scratching” cannula is very laborious. Moreover, the danger exists that the section will tear in an uncontrolled manner.
Accordingly, an object of the invention is to provide an apparatus for micro-dissection, which makes a more convenient and more reliable severing of tissue possible and, moreover, can be realized relatively inexpensively.
SUMMARY OF THE INVENTION
This and other objects of the present invention, which will become apparent hereinafter, are achieved by coupling the needle to an oscillating drive mechanism for oscillating the needle in longitudinal and/or transverse directions with a predetermined amplitude and frequency.
For micro-dissections, the inventive apparatus, as is known from the state of the art, uses a fine needle, which is disposed in a holder of a conventional manipulator, which can be moved in space along three axes.
In its simplest embodiment, a manipulator, which can be used in the inventive apparatus, only has a movable holder. Usually, but not necessarily, the movable holder is connected with a microscope in such a manner that, with the free end of an instrument, held in the holder, it is possible to work under optical control on an object, disposed on the microscope stage.
According to the invention, as discussed above, the needle, which is used for the micro-dissection, is coupled with an oscillating drive mechanism, which can cause the needle to oscillate in longitudinal and/or transverse direction with a selectable frequency and amplitude.
In operation, the free end of the oscillating needle is purposefully brought into contact with selected regions of the tissue, the latter being severed and broken up.
There exist different methods of operating the needle of the inventive device, depending on the direction of oscillation of the needle.
According to the first method, the needle is oscillated longitudinally by the oscillating drive mechanism, then guided for dissection along the edge of the region of tissue of interest, severing the latter as a whole from the section of tissue. When this method of the invention is used, the frequency of the needle is selected so that, as far as possible, only longitudinal oscillations occur and transverse resonance oscillations are avoided.
According to the second method, of the invention, the needle and the oscillating drive mechanism are coupled so that the needle oscillates transversely. In this case, the tissue region is not cut free along a line. Rather, the region of tissue of interest is scratched out piece by piece with the end of the transversely oscillating needle. With this method, especially several small regions of tissue can be detached from a section of tissue more quickly than they can with the first method.
Both methods can be realized without major problems by appropriately constructing the inventive apparatus.
In this connection, however, the first and second methods do not necessarily presuppose a differently directed coupling of oscillating drive mechanism and needle. In the case of a device, in which the needle is caused to oscillate longitudinally, it is also conceivable to select the frequency so that, aside from a basic longitudinal oscillation (optionally with a very small amptitude), transverse resonance oscillations occur in the tip region of the needle, with which a procedure in the above-described second manner is then also possible.
With this first method, the tissue, severed in one piece, can be removed from the section by aspiration or by an adhesion cannula. With the second method, preferably the liquid over the tissue section, together with the detached tissue fragments, are aspirated from the section and collected.
For both methods, if the oscillation frequency and amplitude are adjusted appropriately, the needle can easily penetrate with its tip into the usual tissue and break it up or divide it.
Since tissue sections usually are very thin, an amplitude in the micrometer range is, in most cases, sufficient when the first method is used. If the device is operated according to the second method, the amplitude of the transverse oscillations of the needle should be selected so that it is clearly less than the diameter of the tissue region, which is to be severed, so that the sample is prepared as cleanly as possible.
In order to avoid adverse effect on the operator's hearing, the frequency should preferably be selected outside of the audible range, that is, in the ultrasonic region. Basically, however, a frequency is sufficient, which ensures that the tip region of the needle oscillates so quickly in the tissue, that the directly adjoining tissue regions do not produce any mechanical stresses that interfere with the dissection. In other words, the frequency should be adjusted so that the tissue regions, which come into contact with the moving needle only laterally, are moved only insignificantly if at all by the latter. In this way, it is ensured that only the desired region of tissue actually is broken up or severed by the tip of the needle and that a tearing off or detachment of adjoining regions is avoided.
Preferably, the needle is an etched steel needle. However, the needle may also be formed of glass, hard metal or tungsten. It is also possible to grind the end of the needle. However, it has turned out that the distal contour of the needle is relatively unimportant for practicing the invention. The concept of needle should, therefore, not be defined too narrowly within the scope of the invention. It should include essentially any fine exte
Hofmeier Gerhard
Niendorf Axel
Schmidt-Rabenau Hartmut
Eppendorf AG
Sidley Austin Brown & Wood LLP
Truong Kevin T.
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