An Israeli doctor looked at the way pancreatic cancer had been biopsied for 25 years, decided it wasn't good enough, and reinvented the needle. The crazy part? The idea came from a squash corer.
Professor
Iyad Khamaysi runs the advanced endoscopy unit at Rambam in Haifa, and for years he watched the same broken tool come back with the same useless sample. Pancreatic cancer is the deadliest major cancer there is, the only common one with a five-year survival rate still under 20%, and whether a patient gets a diagnosis at all comes down to one small piece of tissue. By his own account, in up to one in five cases that tissue came back too fragmented and bloody to read, and the patient went back under sedation to do it again.
The tool that fetches that sample is cruder than you'd expect: a thin needle a doctor pushes in and out by hand, sometimes 30 to 50 stabs across several passes, deep inside the body. For a quarter-century the device industry attacked the problem by reshaping the tip of that needle. A new bevel. A fork. A three-sided crown. Brilliant engineering, all of it aimed at the point of a needle a human still had to shove by hand.
Khamaysi stepped out of that contest. He looked at a squash corer, the kitchen tool that turns once and lifts out a clean cylinder, and built a needle that rotates instead of stabs. Then he put a motor on it, something no one in the field had done before. His device,
Limaca Medical Ltd's Precision-GI, is the only motorized one there is. Where the old needle could take five passes and fifty stabs to bring back a smear, his takes a single pass and lifts out a clean core.
What that motor really buys is consistency. A patient at a regional hospital now gets the same grade of sample as one at a flagship research center, because a machine doesn't have an off day. The FDA fast-tracked it and cleared it, Medicare covers it, and it's in American hospitals right now. The lung is next.
Rambam, the Trendlines incubator and the Israel Innovation Authority all got behind him. The company's name, Limaca, is the old Greek word for a snail, for the spiral the needle carves. He just didn't want to send one more patient back for a second biopsy.
That's not a coincidence. That's Israel.
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