CPC A61B 90/39 (2016.02) [A61B 8/0841 (2013.01); A61B 8/12 (2013.01); A61B 10/0241 (2013.01); A61B 10/04 (2013.01); A61B 17/3403 (2013.01); A61B 2010/045 (2013.01); A61B 2017/00274 (2013.01); A61B 2017/00477 (2013.01); A61B 2017/3413 (2013.01); A61B 2018/00547 (2013.01); A61B 18/02 (2013.01); A61B 18/12 (2013.01)] |
AS A RESULT OF REEXAMINATION, IT HAS BEEN DETERMINED THAT: |
The patentability of claims 1, 3, 8-9 and 17 is confirmed. |
New claims 21-24 are added and determined to be patentable. |
Claims 2, 4-7, 10-16 and 18-20 were not reexamined. |
[ 21. The apparatus of claim 1, wherein the apparatus is configured such that the access needle remains a fixed distance from the transrectal probe when both the access needle is supported by the platform, and the upper mount is secured to the transrectal probe.]
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[ 22. An apparatus configured to couple with a transrectal probe and for use in guiding an access needle in a transperineal prostate biopsy procedure, the access needle configured to perforate and be positioned within subcutaneous tissue of a perineum at an access site of a target area of a patient, the apparatus comprising: an upper mount and a lower mount configured to couple to each other, the lower mount configured to engage the transrectal probe and secure the upper mount relative to the transrectal probe, the upper mount comprising a platform and a pair of stabilization bars spaced-apart from each other, the pair of stabilization bars including a back portion, a front portion, and a length extending along a longitudinal axis between the back and front portions, the longitudinal axis of the pair of stabilization bars being generally parallel with a longitudinal axis of the transrectal probe when the upper mount is secured to the transrectal probe, the platform configured to support the access needle and the platform configured to slide on the pair of stabilization bars along at least a portion of the length so as to displace the access needle along the at least a portion of the length, wherein the access needle and the platform are configured to be secured together in order to provide stabilization of the access needle such that the access needle is moveable in the transperineal prostate biopsy procedure by moving the transrectal probe when the upper mount is secured to the transrectal probe.]
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[ 23. The apparatus of claim 21, further comprising the access needle having a hub.]
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[ 24. A method of performing a transperineal prostate biopsy procedure employing the apparatus of claim 1 and with both the access needle supported by the platform and the upper mount secured to the transrectal probe, the method comprising:
insert the transrectal probe into an anus of the patient, and with the transrectal probe so inserted, perforate the subcutaneous tissue of the perineum at the access site with the access needle;
without withdrawing the access needle from the subcutaneous tissue or the transrectal probe from the anus, insert at least one biopsy needle through the access needle along a first path to a first location within the prostrate; and
without withdrawing the access needle from the subcutaneous tissue or the transrectal probe from the anus, insert the at least one biopsy needle through the access needle along a second path to a second location within the prostrate, the second path being different from the first path and the second location being different than the first location.]
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