| CPC A61B 17/3403 (2013.01) [A61B 8/0841 (2013.01); A61B 8/12 (2013.01); A61B 10/0241 (2013.01); A61B 10/04 (2013.01); A61B 90/39 (2016.02); A61B 2010/045 (2013.01); A61B 2017/00274 (2013.01); A61B 2017/00477 (2013.01); A61B 2017/3405 (2013.01); A61B 2017/3411 (2013.01); A61B 2017/3413 (2013.01); A61B 2018/00547 (2013.01); A61B 18/02 (2013.01); A61B 18/12 (2013.01); A61B 2090/3925 (2016.02); A61B 2090/3933 (2016.02); A61B 2090/3954 (2016.02); A61B 2090/3966 (2016.02)] | 20 Claims |

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1. A transperineal biopsy guide configured for use with an access needle and a perineum A transrectal imaging probe adjacent a patient's perineum, the access needle including a proximal end hub, a distal sharp end opposite the proximal end hub and a longitudinal axis extending between the proximal end hub and the distal sharp end, the access needle sized to receive a biopsy instrument therethrough, the transrectal imaging probe including a proximal end, a distal end and a longitudinal axis extending between the proximal end and the distal end, the transrectal imaging probe configured to provide imaging in an imaging plane of the transrectal imaging probe, the transperineal biopsy guide comprising:
a mount attachable to the transrectal imaging probe between the proximal and distal ends of the transrectal imaging probe; and
an upper assembly extending from the mount and including:
a vertical opening;
at least one distal member laterally bordering the vertical opening, the at least one distal member comprising a first distal member comprising a first distal-facing surface; and
an access needle support structure aligned with the vertical opening and comprising a first passage configured to receive and support the access needle and a first recess on a proximal-facing side of the access needle support structure, the first recess being aligned with first passage and configured to receive at least a portion of the proximal end hub when the access needle is received in the first passage, the first recess and the proximal end hub including complementary surfaces that interface when the at least a portion of the proximal end hub is received in the first recess such that rotation of the access needle within the first passage is inhibited,
wherein the access needle support structure is displaceable relative to the at least one distal member.
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