Patent Publication Number: US-2022211358-A1

Title: A biopsy arrangement

Description:
TECHNICAL FIELD OF THE INVENTION 
     The present invention relates to a biopsy arrangement for taking a biopsy in a human or animal tissue, a driver unit and probes. 
     BACKGROUND OF THE INVENTION 
     Today it is generally accepted that the final diagnosis of malignant suspicious lesions has to be confirmed using biopsy techniques. The most commonly performed cell- and tissue-sampling techniques are fine needle aspiration (FNA) using mainly 22G and 23G needles (0.6-0.7 mm in diameter) and core needle biopsy (CNB) or vacuum assisted biopsy (VAB) needles using everything between 8G and 18G needles (1.3-4.2 mm in diameter), with the latter two techniques dominating globally. Because of the significantly improved sensitivity and minimally invasiveness when combining needle biopsy techniques with imaging guidance the number of open surgical biopsies is steadily declining. 
     In contrast to FNA, CNB and VAB allow for large volume tissue sampling which permits differentiation between in situ and invasive lesions, histologic diagnosis of micro-calcifications and the analysis of several relevant biomarkers. 
     There are significant advancements when it comes to visualization techniques continuously pushing the boundaries for what is possible when it comes to locating a suspicious lesion. In addition a number of developments like the use of advanced biomarkers for following and personalizing adjuvant treatment are defining new requirements concerning very precise and minimally invasive tissue sampling. 
     The distal end of biopsy needles used in most CNB and VAB devices is a sharp, solid tip, which is needed for penetration of tissue towards the location where a biopsy is to be taken. To penetrate suspicious lesions the needle has to be inserted manually or using the generally used spring-loaded mechanism to thrust the needle into the lesions with a predetermined length. Thereafter a tissue sampling procedure is initiated, usually incorporating the opening of a residual space which is filled with surrounding tissue and subsequently closed, whereby the tissue inside the residual space is severed from surrounding tissue. 
     The opening and possible closing of the residual space is usually accomplished by the relative movement of two separate elements of the needle biopsy assembly, e.g. an inner sampling needle relative to an outer cutting needle, an inner trocar relative to an outer sampling needle, or a distal cutting blade relative to a distal tip sampling needle. 
     Different types of biopsy devices are well known in the art. A few documents describing biopsy devices with hollow needles and elongated rods are WO 0056220, EP 2520237, US 2012/0029354, U.S. Pat. Nos. 5,188,118, 5,348,022, 5,121,751, 6,120,463, 8,282,573, 7,828,748, WO 2014/007380, DE 20211934U, U.S. Pat. Nos. 8,313,444, and 5,392,790. A core biopsy arrangement has been described by the present applicant in EP 2323563, wherein a reciprocating longitudinal movement is applied to a biopsy needle. In EP 3206587 and WO 2016/058845 the present applicant discloses a biopsy arrangement utilizing such a reciprocating longitudinal movement of the biopsy needle where specific details around the needle configuration comprising an inner trocar and a specific configuration of the needle distal tip for cutting the sample is described. Further, the following documents describe biopsy arrangements comprising blades or severing arrangements: WO 2012015801, EP 1832234, WO 0010465, U.S. Pat. No. 5,615,690, RU 2212848, US 2009012423, WO 2008115526. 
     Additionally, the manual insertion of large diameter needles through healthy tissue towards the targeted lesion can be cumbersome, especially if said tissue is dense or fibrotic. The physician has to apply manual force to navigate the needle towards the lesion while maintaining dexterity and control not to injure vessels and organs. The insertion process is a source of patient anxiety and should therefore be as short and efficient as possible. 
     The cases indicated for biopsy vary widely in technical complexity regarding location and size of the lesion as well as the need for tissue volume. Different devices with different needle insertion and sample acquisition mechanism are used dependent on the requirements of the case at hand. 
     This requires the physician to be trained in the use of several different biopsy platforms. Ultrasound-guided biopsies are highly dependent on the experience of the physician. The need for multiple biopsy platforms limits the experience a physician can gain on each single platform. The healthcare facility needs to purchase, store and maintain multiple biopsy platforms with obvious economic disadvantages. 
     SUMMARY 
     An object of the present invention is to provide a biopsy arrangement which can be used for taking a biopsy from many different types of lesions in different locations. 
     A further object of the present invention is to provide a biopsy arrangement with improved flexibility and unprecedented ease of use. 
     This is achieved by a biopsy arrangement, a driver unit and a probe according to the independent claims. 
     According to one aspect of the invention a biopsy arrangement for taking a biopsy in a human or animal tissue is provided. Said biopsy arrangement comprises:
         a driver unit; and   at least two different types of probes which can be releasably connected to the driver unit, said at least two different types of probes comprising at least a first probe type and a second probe type,   wherein said driver unit comprises at least two different probe controlling devices which are controlling different probe modules in a connected probe, said at least two different probe controlling devices comprising a suction generating device and a needle moving device, and   wherein probe modules of the first probe type comprise a suction transferring module and at least one needle manipulating module, wherein said suction transferring module is configured for transferring a suction from the suction generating device of the driver unit to a needle of the first probe type and wherein said at least one needle manipulating module is a first probe type needle manipulating module configured for providing longitudinal and/or rotational movement to at least a part of the needle of the first probe type, and   wherein probe modules of the second probe type comprise at least one needle manipulating module, which is a second probe type spring loaded needle manipulating module which is configured for providing a spring loaded longitudinal movement to at least a part of a needle of the second probe type,   wherein the different types of probes use different sampling techniques.       

     According to another aspect of the invention a driver unit for use together with at least two different types of probes for taking a biopsy in a human or animal tissue is provided. Said driver unit comprises a first connection device for releasably connecting said probes, wherein said driver unit comprises at least two different probe controlling devices which can control different probe modules in a connected probe, wherein the different types of probes use different sampling techniques. 
     According to another aspect of the invention a probe for taking a biopsy or leaving a marker in a human or animal tissue is provided, which probe comprises a second connection device configured for releasable connection to a first connection device of a driver unit as described above, wherein said probe comprises at least one needle manipulating module. 
     Hereby a biopsy arrangement is provided where a driver unit can be used for a number of different types of probes. The driver unit can hereby be reused and the probes can suitably be single use probes. Different types of probes are in this invention not only different dimensions of the biopsy needles but also includes different means for sampling the tissue which also requires different functions for controlling the probe. At least one of the probe types which can be connected to and controlled by the driver unit comprises a suction transferring module and at least one of the probe types comprises a spring loaded needle manipulating module. Hereby both core needle biopsy and vacuum assisted biopsy can be provided by one and the same biopsy arrangement. The driver unit comprises at least two different probe controlling devices comprising a suction generating device and a needle moving device. Probe modules in the different probes can be controlled by the probe controlling devices in the driver unit when the probes are connected to the driver unit. Hereby the physician can easily change between different probe types and still use the same driver unit. A user friendly device is provided since the interface is extremely simplistic and physicians only need to master one driver unit. The most suitable probe type can be chosen for each patient and for each lesion which strongly facilitates the work given the heterogeneity of lesions sampled today (small, large, soft, hard, difficult locations etc.). Modern visualization techniques enables targeting smaller and smaller lesions and changes in treatment regimes are adding requirements for repeat biopsies during neoadjuvant treatment as well as pre-operative sampling of lymph nodes. The simplified procedure and the flexibility of the biopsy arrangement results in that tissue samples of better quality can be taken, which supports the important development of personalized medicine. Furthermore with a biopsy arrangement according to the invention the situation for the physician (typically a radiologist) will be improved and it will facilitate for more inexperienced users to manage complex cases with ease. This will increase operational efficiency of healthcare facilities. With a biopsy arrangement according to the invention clinics would only need one biopsy platform instead of a number of different platforms used for different types and positions of tumors. The high quality of the tissue samples provided by the biopsy arrangement according to the invention will improve possibility for both correct diagnosis and treatment. 
     In one embodiment of the invention said suction generating device of the driver unit is configured for connecting to a suction transferring module of a connected probe and said needle moving device of the driver unit is configured for connecting to one or more needle manipulating modules of a connected probe for controlling longitudinal and/or rotational movement of at least a part of a needle of a probe connected to the driver unit. 
     In one embodiment of the invention said probe controlling devices of the driver unit further comprise a pulsing device which can transfer reciprocating pulses to a needle of a connected probe. Hereby longitudinal, reciprocating pulses can be transferred to a biopsy needle of a connected probe. Such a reciprocating oscillating movement of the needle or a part of the needle (inner needle part and/or outer needle part, such as cannulas or trocars) is especially suitable when dense or fibrotic tissue need to be penetrated on the way to a tumor. Also when penetrating the tumor for taking a biopsy the oscillating movement can preferably be used in order to improve the filling of the needle with tissue utilizing the inertia stabilization caused by the fast acceleration pulses applied to the needle. 
     In one embodiment of the invention a further probe module of both the first and second probe types is a pulse transferring module which is configured for transferring reciprocating pulses provided from the pulsing device of the driver unit to at least a part of a needle of the first and second probe types when connected to the driver unit. 
     In one embodiment of the invention the pulse transferring module of at least one of the different types of probes is configured for transferring reciprocating pulses provided from the pulsing device of the driver unit to both an inner and an outer needle part of a needle of the probe and the pulse transferring module of another one of the different types of probes is configured for transferring reciprocating pulses provided from the pulsing device of the driver unit to only one of an inner and an outer needle part of the needle. 
     In one embodiment of the invention said biopsy arrangement comprises a third probe type which can be releasably connected to the driver unit, said third probe type being a different type of probe than the first and the second probe types, wherein probe modules of the third probe type comprise a suction transferring module and a needle manipulating module, wherein said suction transferring module is configured for transferring a suction from the suction generating device of the driver unit to a needle of the third probe type and wherein said needle manipulating module is a third probe type needle manipulating module, which is configured for providing longitudinal movement to an inner needle part of the needle of the third probe type for positioning of the inner needle part in a front or back position in relation to an outer needle part of the needle and configured for providing rotational movement to the outer needle part of the needle. Hereby three different probe types using different sampling techniques can be used with one and the same reusable driver unit. 
     In one embodiment of the invention said third probe type further comprises a sample separating module configured for cooperating with a sample separating device provided in the driver unit, said sample separating device comprising or being connected to a motor, wherein said sample separating module is connected to an outer needle part of the needle such that a rotational movement can be provided to the outer needle part from the sample separating device through the sample separating module. 
     In one embodiment of the invention said third probe type further comprises a pulse transferring module which is configured for transferring reciprocating pulses provided from the pulsing device of the driver unit to an inner and/or outer needle part of a needle of the third probe type. 
     In one embodiment of the invention said biopsy arrangement further comprises a fourth probe type which can be releasably connected to the driver unit, wherein said fourth probe type is a marker probe configured for leaving a marker in a human or animal tissue, which marker probe can be controlled by one or more of the probe controlling devices provided in the driver unit. Hereby the biopsy arrangement according to the invention can also be used for leaving a marker in the tissue, i.e. one and the same driver unit can be used also for the marker probe. This will provide an effective and easily handled system. 
     In one embodiment of the invention at least one of the at least two different types of probes comprises a distal-tip loaded needle and at least one of the at least two different types of probes comprises a side aperture needle. Hereby different probes comprising different needle types, using different sampling techniques can be used with one and the same driver unit. 
     In one embodiment of the invention each one of the at least two different types of probes comprises a unique probe identification and the driver unit comprises a probe identification recognition device which is connected to the at least two different probe controlling devices and comprises control logic such that the probe identification recognition device can activate certain probe controlling devices in dependence of which type of probe has been identified by the probe identification recognition device. Hereby one and the same driver unit can be used for different probe types and different functions in the driver unit can be activated in dependence of type of probe connected. 
     Further embodiments of the invention are described in the dependent claims. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1 a    is a perspective side view and  FIG. 1 b    is a perspective bottom view of a biopsy arrangement according to one embodiment of the invention. 
         FIG. 2 a    is a perspective top view and  FIG. 2 b    is a perspective bottom view of a driver unit according to one embodiment of the invention. 
         FIG. 3 a    is a side view and  FIG. 3 b    is a bottom view of a first probe type according to one embodiment of the invention. 
         FIG. 4 a    is a side view and  FIG. 4 b    is a bottom view of a second probe type according to one embodiment of the invention. 
         FIG. 5 a    is a side view and  FIG. 5 b    is a bottom view of a third probe type according to one embodiment of the invention. 
         FIG. 6 a    is a side view and  FIG. 6 b    is a bottom view of a fourth probe type according to one embodiment of the invention. 
     
    
    
     DETAILED DESCRIPTION OF EMBODIMENTS 
       FIGS. 1 a  and 1 b    show different perspective views of a biopsy arrangement  1  according to one embodiment of the invention. The biopsy arrangement  1  is an arrangement for taking a biopsy in a human or animal tissue and comprises according to the invention a driver unit  3  and at least two different types of probes  5   a ,  5   b ,  5   c ,  5   d  which can be releasably connected to the driver unit  3 . The driver unit  3  can suitably be hand held and it is reusable. The probes  5   a ,  5   b ,  5   c ,  5   d  are suitably single use biopsy probes or a marker probe. The at least two different types of probes comprise at least a first probe type  5   a  and a second probe type  5   b . According to the invention these different types of probes are not only different dimensions of the biopsy needles but also including different functions for controlling the probe. At least one of the single use probe types which can be connected to and controlled by the driver unit comprises a suction transferring module and at least one of the single use probe types comprises a spring loaded needle manipulating module. Hereby both core needle biopsy and vacuum assisted biopsy can be provided by one and the same biopsy arrangement. Hereby the different types of probes use different sampling techniques. 
       FIGS. 2 a  and 2 b    show different perspective views of the driver unit  3  of the biopsy arrangement  1  as shown in  FIGS. 1 a  and 1 b   . In  FIG. 2 b    a driver connection surface  9  of the driver unit  3  can be seen which driver connection surface  9  can be mated and connected with a probe connection surface  21   a ,  21   b ,  21   c ,  21   d  of a connected probe  5   a ,  5   b ,  5   c ,  5   d .  FIGS. 3-6  show four different types of probes  5   a ,  5   b ,  5   c ,  5   d  according to embodiments of the invention which can be used together with the driver unit  3  as shown in  FIG. 2 .  FIGS. 3 a  and 3 b    show a first probe type  5   a ,  FIGS. 4 a  and 4 b    show a second probe type  5   b ,  FIGS. 5 a  and 5 b    show a third probe type  5   c  and  FIGS. 6 a  and 6 b    show a fourth probe type  5   d . According to the invention at least two different single use probe types should be provided for connection to one and the same driver unit. All the four probe types  5   a ,  5   b ,  5   c ,  5   d  as shown in  FIGS. 3, 4, 5 and 6  need not be provided according to the invention and furthermore different properties of the different probe types which will be described in detail below with reference to  FIGS. 3-6  may be combined differently in different probe types and still be within the scope of the invention. 
     The driver unit  3  comprises at least two different probe controlling devices  101 ,  102 ,  103 ,  104  which are controlling different probe modules  201 ,  202 ,  203 ,  204 ,  205 ,  206 ,  207 ,  208 ,  209  in a connected probe  5   a ,  5   b ,  5   c ,  5   d . The at least two different probe controlling devices  101 ,  102 ,  103 ,  104  comprise at least a suction generating device  101  and a needle moving device  102 . The needle moving device  102  is a DC motor both directly coupled to a cogwheel  102   a  generating rotational movement but also coupled to a linear screw  102   b  with an actuator generating a longitudinal movement. 
     The driver unit  3  can be connected to a base unit (not shown). The base unit can provide power and possibly also vacuum and pressurized air to the driver unit  3 . Alternatively the driver unit  3  can be connected directly to a power point without the need of a base unit in between. Power is needed both for the suction generating device  101  and the needle moving device  102 . 
     The suction generating device  101  is typically a sealed air connection coupled to a vacuum pump with an integrated back flow valve to ensure air only flows in on direction. 
     In one embodiment of the invention the driver unit  3  further comprises a pulsing device  103  which can transfer longitudinal, reciprocating pulses to a biopsy needle of a connected probe. Such a reciprocating oscillating movement of the needle or a part of the needle (inner needle part and/or outer needle part, such as cannulas or trocars) is especially suitable when dense or fibrotic tissue need to be penetrated on the way to a tumor. Also when penetrating the tumor for taking a biopsy the oscillating movement can preferably be used in order to improve the filling of the needle with tissue utilizing the inertia stabilization caused by the fast acceleration pulses applied to the needle. The pulsing device  103  can be a piston arrangement. Such a piston arrangement comprises a piston arranged to reciprocate in a piston casing. This piston arrangement is driven by a movement generating source (not shown), e.g. weight accelerated by pressurized air generated by a compressor. Such a movement generating source can be provided either in the driver unit  3  or in a base unit to which the driver unit can be connected. In an alternative, the piston arrangement is driven by magnetic forces, hydraulic forces or spring-generated forces. In another alternative, the piston arrangement is driven by forces generated by an electric motor or a piezo-electric device. In EP 2323563, EP 3206587 and WO 2016/058845 the present applicant describes details of one type of pulsing device which can be used also in this invention. 
     The driver unit  3  comprises furthermore a first connection device  11  for realeasable connection to said probes  5   a ,  5   b ,  5   c ,  5   d . The first connection device  11  can be provided as one or more recesses and/or projecting parts  11  for mating with corresponding recesses/projecting parts  23   a ,  23   b ,  23   c ,  23   d  on a probe  5   a ,  5   b ,  5   c ,  5   d . These recesses and/or projecting parts  11  can be provided to the driver connection surface  9  as shown in  FIG. 2 b   , i.e. in this example two projecting parts  11  in one end of the driver unit and two recesses in an opposite end. However different configurations are of course possible. Furthermore, in this example the first connection device  11  further comprises a front connection device  11   a  provided in a front end of the driver unit  3  for mating with a front connection device  23   a ′ of a probe. In this example the first connection device  11  furthermore comprises a releasing button  11   b . A probe connected to the driver unit  3  can be released by pushing this releasing button  11   b . This release button  11   b  is hereby connected to a locking device provided to the recesses and/or projecting parts  11  of the first connection device  11 . 
     At least one activation button  13   a ,  13   b  is provided on an outside surface of the driver unit  3 . This activation button  13   a ,  13   b  is connected to the at least two different probe controlling devices  101 ,  102 ,  103 ,  104  of the driver unit  3 . A physician using the biopsy arrangement  1  can activate the different probe controlling devices by pushing this at least one activation button  13   a ,  13   b . One push on the activation button can in some embodiments initiate a whole sampling sequence and/or a number of pushes on the activation button can activate different steps in a sampling sequence. More than one activation button  13   a ,  13   b  could also be provided for initiating different steps of a sampling sequence. In this embodiment two activation buttons  13   a ,  13   b  are provided, where a first activation button  13   a  is for activation of a sampling sequence and/or different steps of a sampling sequence and a second activation button  13   b  is provided for controlling a pulsing device of the driver unit as described above. 
     A first probe type  5   a  is shown in  FIGS. 3 a  and 3 b   .  FIG. 3 a    is a side view of the first probe type  5   a  and  FIG. 3 b    is a top view of the first probe type  5   a  showing a probe connection surface  21   a  of the first probe type  5   a  which probe connection surface  21   a  can be mated and connected with the driver connection surface  9  of the driver unit  3 . The first probe type  5   a  comprises a second connection device  23   a  for releasable connection to the first connection device  11  of the driver unit  3 . The second connection device  23   a  can be provided as one or more recesses and/or projecting parts for mating with corresponding recesses/projecting parts  11  on a driver unit  3 . The recesses and/or projecting parts  23   a  can be provided to the probe connection surface  21   a  as shown in  FIG. 3 b   , i.e. in this example two projecting parts  23   a  in one end of the probe and two recesses  23   a  in an opposite end. However different configurations are of course possible. Furthermore, in this example the second connection device  23   a  further comprises a front connection device  23   a ′ provided in a front end of the probe  5   a  for mating with a front connection device  11   a  of the driver unit  3 . The first probe type  5   a  comprises at least two different probe modules  201 ,  202 . These probe modules comprise a suction transferring module  201  and at least one needle manipulating module  202 . The suction transferring module  201  is configured for transferring suction from the suction generating device  101  of the driver unit  3  to a needle  25   a  of the first probe  5   a . By providing suction to the needle  25   a  a biopsy sample can be sucked into a sample receiving opening  27   a  of the needle and the biopsy sample can possibly also be transferred within the needle  25  to a sample collection device  28   a  possibly provided in the single use probe  5   a . Hereby a number of biopsy samples can be taken and transferred through the needle to the sample collection device  28   a  without the need to remove the needle from the tumor/lesion. However a sample collection device  28   a  is not necessary for the invention. The at least one needle manipulating module  202  for the first probe type  5   a  is called a first probe type needle manipulating module  202  and it can be configured for providing longitudinal and/or rotational movement to at least a part of the needle  25   a  of the first probe type  5   a . In one embodiment of the invention, as shown in  FIGS. 5 a  and 5 b   , both longitudinal and rotational movement is provided to the needle  25 . If the needle  25   a  comprises an inner needle part  29   a  and an outer needle part  31   a  (which in this embodiment both are cannulas), i.e. an inner cannula provided inside an outer cannula, the first probe type needle manipulating module  202  can be configured to provide longitudinal movement to only the inner needle part  29   a  in relation to the outer needle part  31   a  hereby providing the opening and closing of the sample receiving opening  27   a . Furthermore the first probe type needle manipulating module  202  can be configured for providing rotational movement to only the inner needle part  29   a  in order to cut off the biopsy sample. However, another alternative would be to provide the longitudinal movement and the rotational movement to only the outer needle part  31   a  for cutting off the biopsy sample. The first probe type needle manipulating module  202  comprises in this embodiment a rotational movement generating part  202   a , for example a cogwheel, and a longitudinal movement generating part  202   b , for example a linear screw with an actuator. The first probe type needle manipulating module  202  is configured for connecting to the needle moving device  102  of the driver unit  3 . In this embodiment of the invention the first probe type  5   a  further comprises a pulse transferring module  203 , which is configured for transferring reciprocating pulses provided from the pulsing device  103  of the driver unit  3  to the biopsy needle  25   a  of the first probe type  5   a  when connected to the driver unit  3 . This first probe type pulse transferring module  203  can be configured for transferring the reciprocating pulses to only one of the inner or outer needle part  29   a ,  31   a  of the needle  25   a  or to both the inner and outer needle part  29   a ,  31   a . In this first probe type  5   a  it can be advantageous to only transfer the reciprocating pulses to the outer needle part  31   a  of the needle  25   a . 
     For the first probe type  5   a  the whole sampling sequence can in one embodiment be initiated by only one push on a first activation button  13   a  of the driver unit  3  when the needle has been placed in a position suitable for tissue sampling. Hereby the suction generating device  101  is first activated for generating a vacuum to the needle and then the needle moving device  102  is automatically activated such that the inner needle part  29   a  is rotated and translated longitudinally in relation to the outer needle part  31   a , first back for filling the needle with sample and then forward for severing the sample whereby the sample is transported to the sample collection device  28   a  due to the pressure difference. A second activation button  13   b  can be pushed for activating the pulsing device  103  during needle positioning before the sampling process. 
     A second probe type  5   b  is shown in  FIGS. 4 a  and 4 b   .  FIG. 4 a    is a side view of the second probe type  5   b  and  FIG. 4 b    is a top view of the second probe type  5   b  showing a probe connection surface  21   b  of the second probe type  5   a  which probe connection surface  21   b  should be mated and connected with the driver connection surface  9 . The second probe type comprises a second connection device  23   b  for releasable connection to the first connection device  11  of the driver unit  3  for example provided as projecting parts and/or recesses  23   b  and a front connection device  23   b ′ on the probe connection surface  21   b  in the same way as described above for the first probe type  5   a . The second probe type  5   b  comprises at least one probe module which is a needle manipulating module  204 , in this embodiment called a second probe type spring loaded needle manipulating module  204 . Said second probe type spring loaded needle manipulating module  204  is configured for providing a spring loaded longitudinal movement to at least a part of a needle  25   b  of the second probe type  5   b . Also this needle  25   b  can comprise an inner needle part  29   b  and an outer needle part  31   b  (which in this embodiment both can be cannulas) whereby a sample receiving opening  27   b  can be opened or closed by a relative motion between the inner and outer needle part  29   b ,  31   b . The inner needle part  29   a  can in one embodiment be provided with the sample receiving opening  27   b  at a side surface of a top part of the needle and the outer needle part  31   b  can be configured for cutting the sample provided into the opening  27   b  when the outer needle part  31   b  is moved in relation to the inner needle part  29   b  for closing the opening  27   b . The longitudinal motion of first the inner needle part  29   b  into a tumor and thereafter the outer needle part  31   b  to cut the sample is in this second probe type  5   b  provided by a spring loaded action. This is what usually is called core needle biopsy. The spring loading is provided in the second probe type spring loaded needle manipulating module  204  which is connected to the needle moving device  102  of the driver unit  3  for being activated. At least one spring is hereby provided in the second probe type spring loaded needle manipulating module  204 . For example one spring can be provided for loading only the outer needle part  31   b . In another example two springs can be provided for loading the inner needle part  29   b  and the outer needle part  31   b  separately. The second probe type spring loaded needle manipulating module  204  is configured for connecting to the needle moving device  102  of the driver unit  3  for loading and releasing the at least one spring. For example a coil spring can be used and loaded to for example 30-60 N in dependence of the weight of the needle part to be accelerated. In one example the outer needle part should be accelerated over a distance between 15-30 mm to a speed of 7-15 m/s. 
     Also the second probe type  5   b  can in one embodiment of the invention comprise a pulse transferring module  205 , which is configured for transferring reciprocating pulses provided from the pulsing device  103  of the driver unit  3  to the needle  25   b  of the second probe type  5   b  when connected to the driver unit  3 . This second probe type pulse transferring module  205  can be configured for transferring the reciprocating pulses to only one of the inner or outer needle part  29   b ,  31   b  of the needle  25   b  or to both the inner and outer needle part  29   b ,  31   b . In this second probe type  5   b  it can be advantageous to transfer the reciprocating pulses to both the inner and outer needle parts  29   b ,  31   b  of the needle  25   b.    
     For the second probe type  5   b  the sampling sequence can in one embodiment be initiated by a first push on a first activation button  13   a  of the driver unit  3  when the needle has been placed in a position suitable for tissue sampling. The first push on the first activation button  13   a  will activate the needle moving device  102  such that an outer needle part  31   b  of the needle will be retracted, a spring will be loaded and tissue will fill the sample receiving opening  27   b . A second push on the first activation button  13   a  will release the spring whereby the outer needle part  31   b  will move forward and hereby close the sample receiving opening  27   b  of the needle and a sample will be severed. A second activation button  13   b  can be pushed for activating the pulsing device  103  during needle positioning before the sampling process. 
     A third probe type  5   c  is shown in  FIGS. 5 a  and 5 b   .  FIG. 5 a    is a side view of the third probe type  5   c  and  FIG. 5 b    is a top view of the third probe type  5   c  showing a probe connection surface  21   c  of the third probe type  5   c  which probe connection surface  21   c  should be mated and connected with the driver connection surface  9 . The third probe type comprises a second connection device  23   c  for releasable connection to the first connection device  11  of the driver unit  3  for example provided as projecting parts and/or recesses  23   c  and a front connection device  23   c ′ on the probe connection surface  21   c  in the same way as described above for the first probe type  5   a . The third probe type  5   c  comprises at least two probe modules. 
     The third probe type  5   c  is a different type of probe than the first and the second probe types. Probe modules of the third probe type  5   c  comprise a suction transferring module  206 , a needle manipulating module  207 , in this embodiment called a third probe type needle manipulating module  207  and possibly also a pulse transferring module  208 . Said suction transferring module  206  is configured for transferring a suction from the suction generating device  101  of the driver unit  3  to a needle  25   c  of the third probe type  5   c . Said third probe type needle manipulating module  207  is configured for providing longitudinal movement to an inner needle part  29   c  of the needle  25   c  of the third probe type  5   c  for positioning of the inner needle part  29   c  in a front or back position in relation to an outer needle part  31   c  of the needle  25   c . Said pulse transferring module  208  is configured for transferring reciprocating pulses provided from the pulsing device  103  of the driver unit  3  to the inner and/or outer needle part  29   c ,  31   c  of the needle  25   c  of the third probe type  5   c . In one embodiment of the invention a needle part connection device is provided in connection with the pulse transferring module  208 , which needle part connection device is configured for keeping the inner and outer needle part together or separated such that the pulses can be provided either to the combined unit of inner and outer needle part of the needle or to one of them separately. One example of such a pulse transferring module and needle part connection device is described by the present applicant in EP 3206587 and WO 2016/058845. 
     The third probe type comprises furthermore in this embodiment, but not necessarily a sample separating module  209 . The sample separating module  209  is configured to be connected to a sample separating device  104  (seen in  FIG. 2 b   ) optionally provided in the driver unit  3  when the third probe is connected to the driver unit. The sample separating module  209  and sample separating device  104  are however not necessary for the invention. The sample separating device  104 , provided in the driver unit  3  can be a cogwheel connected to a motor and the sample separating module  209  provided in the probe can be a cogwheel connected to an outer needle part  31   c  of the needle  25   c  such that a rotational movement can be provided to the outer needle part  31   c  in order to separate a sample, i.e. cut a sample from the tissue. By providing two separate motors in the driver unit  3 , where one motor is for providing longitudinal movement to the needle and one motor is provided for separating a sample by rotating a part of the needle, a rotation can be provided to a part of the needle independently of a longitudinal movement of the needle which is advantageous with this type of sample severing method. Furthermore, when different motors are provided for these two separate functions different motor performances can be used for the different motors, which is suitable. A fast rotation with a high starting torque is suitable for the sample severing process. This is also described in more detail in EP 3206587 and WO 2016/058845. 
     For the third probe type  5   c  the sampling sequence can in one embodiment be initiated by a first push on a first activation button  13   a  of the driver unit  3  when the needle has been placed in a position suitable for tissue sampling. The first push will in one embodiment activate the needle moving device  102  such that the inner needle part  29   c  is retracted and also activate the suction generating device  101 . In this position the second activation button  13   b  can be used for activating the pulsing device  103 . Hereby the needle can be pulsed into the lesion and sample will fill the needle. Thereafter a second push of the first activation button  13   a  will activate the sample separation device  104  and a sample will be severed as described above. After having removed the needle from the patient a third push of the first activation button  13   a  can then activate the needle moving device  102  again such that the inner needle part  29   c  is moved forward and the sample hereby is pushed out from the needle. In this embodiment the inner needle part can be a solid trocar and the outer needle part a cannula. 
     A fourth probe type  5   d  is shown in  FIGS. 6 a  and 6 b   .  FIG. 6 a    is a side view of the fourth probe type  5   d  and  FIG. 6 b    is a top view of the fourth probe type  5   d  showing a probe connection surface  21   d  of the fourth probe type  5   d  which probe connection surface  21   d  should be mated and connected with the driver connection surface  9 . The fourth probe type comprises a second connection device  23   d  for releasable connection to the first connection device  11  of the driver unit  3  for example provided as projecting parts and/or recesses  23   d  and a front connection device  23   d ′ on the probe connection surface  21   d  in the same way as described above for the first probe type  5   a . The fourth probe type  5   d  is similar to the second probe type  5   b  and comprises a needle manipulating module  204 ′, which is spring loaded in the same way as described above in relation to the second probe type  5   b . The fourth probe type  5   d  can suitably also comprise a pulse transferring module  205 ′, which is configured for transferring reciprocating pulses provided from the pulsing device  103  of the driver unit  3  to a needle  25   d  of the fourth probe type  5   d  when connected to the driver unit  3 . The needle  25   d  of the fourth probe type  5   d  comprises an inner needle part  29   d  and an outer needle part  31   d , where the inner needle part  29   d  is arranged to push out a marker  32  in the tissue when the needle  25   d  has been positioned correctly in the tissue. The longitudinal movement of the inner needle part  29   d  for pushing out the marker  32  is controlled by the needle manipulating module  204 ′. In this embodiment the inner needle part can be a solid trocar and the outer needle part can be a cannula. The outer needle part  31   d  is suitably provided with a sharp beveled end for penetrating the tissue. 
     As a complement or alternative any one of the first, second or third probe types  5   a ,  5   b ,  5   c  can comprise a further probe module (not shown) for leaving a marker in a human or animal tissue, i.e. a marker function could be integrated in the first, second and/or third probe types  5   a ,  5   b ,  5   c.    
     The needles  25   a ,  25   b ,  25   c ,  25   d  of the different probe types  5   a ,  5   b ,  5   c ,  5   d  can as described above comprise an inner and an outer needle part  29   a, b, c, d ,  31   a, b, c, d . The sampling method can be either a distal-tip sampling method as shown for the third probe type  5   c  or a side aperture sampling method as shown for the first and second probe types  5   a ,  5   b.    
     Each one of the different single use probe types  5   a ,  5   b ,  5   c ,  5   d  comprises according to one embodiment of the invention a unique probe identification  41   a ,  41   b ,  41   c ,  41   d  and the reusable drive unit  3  comprises a probe identification recognition device  43 . The probe identification and the probe identification recognition device can be based on for example mechanical activation or electrical or optical reading. In the embodiments as shown in  FIGS. 2-6  the probe identification is provided as projections provided in different patterns  41   a ,  41   b ,  41   c ,  41   d  on the connection surface  21   a ,  21   b ,  21   c ,  21   d  of the probes  5   a ,  5   b ,  5   c ,  5   d . These projections are received in corresponding recesses with sensors  43  (probe identification recognition device) in the connection surface  9  of the driver unit  3 . The probe identification recognition device  43  of the driver unit  3  is connected to the at least two different probe controlling devices  101 ,  102 ,  103 ,  104  and comprises control logic such that the probe identification recognition device  43  can activate certain probe controlling devices  101 ,  102 ,  103 ,  104  in dependence of which type of probe  5   a ,  5   b ,  5   c ,  5   d  has been identified by the probe identification recognition device  43 . The control logic can be a microprocessor with software connected to position indicators. Other identification methods such as for example RFID are of course possible and covered by the invention. 
     Other types of probes which can be connected to the driver unit according to the invention than those described above with reference to the drawings  3 ,  4 ,  5  and  6  can also be provided. Probe modules can be chosen from the ones described above and be combined in different ways and further probe modules can be provided. Furthermore a design of the needle of the probe can be varied, for example either a distal-tip or a side aperture sampling method can be provided.