Endosonography-Guided Fine-Needle Biopsy of Indurated Pancreatic Lesions Using an Automated Biopsy Device

Binmoeller, Kenneth F.; Jabusch, Hans C.; Seifert, Helge; Soehendra, Nib

doi:10.1055/s-2007-1004220

Cited by 37 publications

(24 citation statements)

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“…However, because there is a limit to the speed that the needle can be moved by hand, we performed the procedure by using a spring-loaded biopsy needle (Olympus NA-11J-KB) because such a needle was reported to be superior for obtaining good histological samples. 28 The NA-11J-KB was originally developed by Binmoeller et al 29 and was subsequently improved for clinical use. This spring-loaded needle consists of 3 components: the needle, a protective spiral metal sheath, and a handle.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Kanno

Ishida

Hamada

et al. 2012

Gastrointestinal Endoscopy

140

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Section: Discussionmentioning

confidence: 99%

“…Large-gauge needles have the potential risk of greater complications, 15,16 whereas small-gauge needles offer the advantages of greater safety and flexibility for puncture of the target lesions. Therefore, most of the published studies on EUS-FNA used 22-gauge (G) needles.…”

mentioning

confidence: 99%

Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Kanno

Ishida

Hamada

et al. 2012

Gastrointestinal Endoscopy

140

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“…Then, in 1996, we reported our first experiences in 27 consecutive patients with various kinds of lesions, 19 followed by a report on the use of EUS-FNAB for submucosal tumors in the upper gastrointestinal tract 20 and for pancreatic mass lesions, in 1997. 21 In 1997, Binmoeller et al 22 first reported an automated biopsy device for patients with pancreatic lesions that could not be penetrated with a conventional manually operated aspiration needle. Subsequently, numerous reports concerning extended indications for EUS-FNAB have been published, mainly in countries other than Japan.…”

Section: History Of Eus-fnabmentioning

confidence: 99%

“…Using the newly developed automated biopsy device, EUS-FNAB procedures are easier to perform and sufficient materials can more readily be obtained. 22 As to needle technology, the shapes of the tips and the diameter of the needle have been continuously developed and improved. Needles range from 19 to 22 gauge, with a depth of penetration of up to 10 cm.…”

Section: Equipmentmentioning

confidence: 99%

Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): past, present, and future

et al. 2005

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Endoscopic ultrasound (EUS) is a combination of endoscopy and intraluminal ultrasonography. EUS also enables ultrasonographic images of high resolution to be obtained. However, whether a lesion is malignant or benign cannot be diagnosed solely from the findings of EUS. Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) was developed to enhance the diagnostic capabilities of EUS by providing additional pathological findings. Though more than 10 years have passed since EUS-FNAB was first used for pancreatic disease, EUS FNAB has not been widely accepted in Japan. This may be due to the technical difficulties, relatively low sensitivity for the detection of malignancies, and Japanese gastroenterologists' and surgeons' inherent conservative way of thinking. We describe here a short history of EUS-FNAB, with details of technical tips, current indications and contraindications, diagnostic accuracy, and complications. The clinical utility of EUS-FNAB has been gradually understood and EUS-FNAB procedures have been increasing in number in Japan. So in the near future, EUS followed by EUS-FNAB will be routinely performed in the same manner as gastrointestinal endoscopy, followed by biopsy under direct vision. Also, therapeutic EUS procedures, such as EUS-guided celiac plexus neurolysis, pancreatic tumor ablation, drainage of pancreatic pseudocysts, and the development of an anastomosis may become feasible as less invasive and safer techniques than those used at present.

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“…The objective is to design an actuating mechanism that can be used in the design of the fluid sampler for diagnostic purposes [3][6] [7]. …”

Section: Iiiactuationmentioning

confidence: 99%

Design and development of actuating system for diagnostics application in minimally invasive surgery (MIS)

Payandeh

Rothe

Parameswaran

2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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Abstract-This paper presents some initial concepts in the design and development of actuating systems based on shape memory alloy for Minimally Invasive Surgery (MIS). Specially the motivation is to design tissue/fluid storage mechanism which can be used to collect samples from the surgical area for further diagnostic procedure. The proposed hybrid design combines passive source of energy with the active source. The passive source is based on the storage of spring energy and the active source is based on utilization of shape memory alloy as a part of switching mechanism. Various design concepts for the switching mechanism are presented combined with the design of their prototypes.

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Endosonography-Guided Fine-Needle Biopsy of Indurated Pancreatic Lesions Using an Automated Biopsy Device

Abstract: The spring-loaded biopsy needle allows tissue sampling of indurated pancreatic lesions that cannot be penetrated with conventional aspiration needles. Further studies are warranted to determine whether this device can improve the results of EUS-guided fine-needle aspiration biopsy.

Cited by 37 publications

References 0 publications

Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): past, present, and future

Design and development of actuating system for diagnostics application in minimally invasive surgery (MIS)

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