A biopsy stylet and needle system is provided that is configured for navigation and spring-loaded deployment through at least one tortuous or otherwise confined length. The system includes a needle cannula through which a notched biopsy stylet is disposed. The notched biopsy stylet includes at least one outer diameter length that is about the same as, but preferably very slightly less than, the inner diameter of the needle cannula. The notched biopsy stylet also includes at least one outer diameter length that has a smaller diameter, the lengthwise position of which corresponds to the tortuous or otherwise confined length through which the system is to be operated. The smaller stylet diameter length is configured to prevent binding between the stylet and the needle cannula and/or between the needle cannula and an overlying access cannula or other access passage structure.