• Verbal consent
  • Prepare lab form and pot with formalin
  • Use USS guidance whenever possible
  • Ensure the patient is not on anti-coagulants
  • Mark out lump, LA with 5ml of 1% lignocaine with adrenaline
  • Prepare area and trolley with sterile gloves etc
  • Demonstrate to the patient the sound the gun makes
  • 11-blade scalpel to make skin incision
  • Introduce core-biopsy needle into the incision and advance towards lesion
  • Fire gun; inner needle then surrounding sheath fire into mass
  • Withdraw and ask assistant to scrape tissue out of groove
  • Repeat until 3-5 good cores (sink to bottom) are taken from different directions
  • Pressure to 5 minutes.