Morcellator with detachable handle

• US 20080039884A1
• Filed: 08/10/2006
• Published: 02/14/2008
• Est. Priority Date: 08/10/2006
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Nohilly, Martin J., Cohn, Simon
• Granted Patent: US 8,100,928 B2
• Time in Patent Office: Days
• US Class Current: 606/180
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• CPC Class Codes: A61B 2017/320024 Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means

Abstract

A surgical morcellator includes a trocar body portion and a handle portion detachably mounted to the trocar body portion. The trocar body portion is relatively lightweight and may be used separately from the handle portion with other laparoscopic instruments while morcellation is not required during the surgical procedure.

Claims

1. A surgical morcellator, which comprises:

a trocar body portion; and

a handle portion detachably mounted to the trocar body portion.

2. A surgical morcellator as defined by claim 1, which further comprises:

a handle portion detachment mechanism situated on the trocar body portion and the handle portion, the handle portion detachment mechanism detachably mounting the handle portion to the trocar body portion.

3. A surgical morcellator as defined by claim 2, wherein the handle portion detachment mechanism includes:

at least one first member situated on the handle portion;

at least one second member situated on the trocar body portion, the at least one first member of the handle portion selectively cooperatively engaging the at least one second member on the trocar body portion for detachably mounting the handle portion on the trocar body portion; and

means for selectively preventing the disengagement of the at least one first member from the at least one second member.

4. A surgical morcellator as defined by claim 2, wherein the handle portion detachment mechanism includes:

at least one elongated first member situated on the handle portion;

at least one elongated second member situated on the trocar body portion, the at least one elongated first member on the handle portion slidably engaging the at least one second member on the trocar body portion, at least one of the at least one elongated first member and the at least one elongated second member having a notch formed therein; and

a push button actuator, the push button actuator being mounted on at least one of the handle portion and the trocar body portion, the push button actuator including a push button projection mounted thereon for pressing by a user of the morcellator, and a tab mounted thereon, the tab being selectively received by the notch formed in the at least one of the at least one elongated first member and the at least one elongated second member.

5. A surgical morcellator as defined by claim 2, wherein the handle portion detachment mechanism includes:

a pair of parallelly disposed, elongated first members situated on the handle portion;

a pair of parallelly disposed, elongated second members situated on the trocar body portion, the pair of elongated second members cooperatingly engaging the pair of elongated first members to detachably secure the handle portion to the trocar body portion, one elongated second member of the pair of elongated second members having a notch formed therein; and

a push button actuator, the push button actuator being mounted on the handle portion, the push button actuator including a push button projection mounted thereon for pressing by a user of the morcellator, and a tab mounted thereon, the tab being selectively received by the notch formed in the one elongated second member.

6. A surgical morcellator, which comprises:

a trocar body portion, the trocar body portion including a cylindrical outer sleeve, the outer sleeve having a bore formed axially therethrough, and a cylindrical cutting blade, the cylindrical cutting blade having an axial distal end and a sharpened edge situated at the distal end, the cutting blade being received by the axial bore of the outer sleeve and being rotatable therein, the outer sleeve being reciprocatingly slidable axially on the cutting blade selectively to cover and at least partially uncover the sharpened edge of the cutting blade; and

a handle portion, the handle portion being mounted on the trocar body portion, the handle portion having a trigger piece movably mounted thereon, the trigger piece being operatively coupled to the outer sleeve to effect the selective axial movement of the outer sleeve to cover and at least partially uncover the sharpened edge of the cutting blade.

7. A surgical morcellator as defined by claim 6, wherein the outer sleeve includes a distal end and a proximal end situated axially opposite the distal end, the distal end of the outer sleeve being situated in proximity to the distal end of the cutting blade, the proximal end of the outer sleeve being attached to the trocar body portion;

and wherein the trocar body portion further includes a housing, the housing having a front wall and an opening formed through the thickness of the front wall, the proximal end of the outer sleeve being received by the opening in the front wall of the housing, a collar mounted on the proximal end of the outer sleeve, and a rotatable knob operatively coupled to the collar, whereby rotation of the knob by a user of the morcellator effects rotation of the collar and the outer sleeve on which the collar is mounted.

8. A surgical morcellator as defined by claim 7, wherein the trocar body portion further includes a hub, the hub being concentrically mounted on the collar, the knob being attached to the hub, the hub being operatively coupled to the collar and being rotatable with the collar and axially moveable on the collar.

9. A surgical morcellator as defined by claim 8, wherein the housing of the trocar body portion defines an internal cavity;

wherein the hub includes a first end and a second end situated axially opposite the first end, the knob being mounted on the first end of the hub and situated outside the handle portion housing at the front wall thereof, the hub further including a circular flange having a plurality of spaced apart openings formed circumferentially therein, the circular flange being situated within the cavity of the trocar body portion; and

wherein the trocar body portion includes at least one projection situated within the cavity thereof, the at least one projection being received by at least one of the openings formed in the flange to selectively prevent rotational movement of the hub, the collar on which the hub is mounted and the outer sleeve on which the collar is mounted.

10. A surgical morcellator as defined by claim 9, wherein the trocar body portion further includes a first compression spring, the first compression spring engaging the hub to bias the hub to a first axial position in which the at least one projection is received by the at least one of the openings in the hub, the hub being axially moveable on the collar and positionable thereon against the bias of the first compression spring in a second position in which the at least one projection is unseated from the at least one of the openings in the hub to allow the hub, the collar on which the hub is mounted and the outer sleeve on which the collar is mounted to rotate upon the user of the morcellator rotating the knob.

11. A surgical morcellator as defined by claim 6, wherein the trocar body portion includes a U-shaped member, the U-shaped member having a pair of spaced apart arms, the collar being situated between the arms, the arms being operatively coupled to the collar, the U-shaped member being axially moveable on the trocar body portion such that axial movement of the U-shaped member effects axial movement of the collar and axial movement of the outer sleeve on which the collar is mounted, the trigger piece of the handle portion being operatively coupled to the U-shaped member to effect axial movement thereof.

12. A surgical morcellator as defined by claim 11, wherein the collar includes a flange extending radially outwardly therefrom;

and wherein each of the spaced apart arms of the U-shaped member has a channel formed in a surface thereof, the channel of one arm of the spaced apart arms facing the channel of the other arm of the spaced apart arms, the flange of the collar being received by the channels of the spaced apart arms and being slidable therein to allow the collar to rotate on the U-shaped member.

13. A surgical morcellator as defined by claim 12, wherein the trocar body portion includes a second compression spring, the second compression spring engaging the U-shaped member to bias the U-shaped member in a first axial position in which the outer sleeve on which the collar attached to the U-shaped member is mounted is covering the sharpened edge of the cutting blade, the U-shaped member being axially moveable on the trocar body portion and positionable thereon against the bias of the second compression spring in a second position in which the outer sleeve is at least partially uncovering the sharpened edge of the cutting blade.

14. A surgical morcellator as defined by claim 13, wherein the U-shaped member includes a leg extending therefrom, the leg having a free end and a hook projecting from the free end;

and wherein the handle portion includes an elongated arm, the arm being operatively coupled to the trigger piece and moving reciprocatingly in response to movement of the trigger piece, the arm having a hooked free end, the hooked free end selectively engaging the hook of the leg of the U-shaped member to effect movement of the U-shaped member and the outer sleeve operatively coupled thereto upon movement of the trigger piece.

15. A surgical morcellator as defined by claim 14, wherein the handle portion is detachably mounted on the trocar body portion;

and wherein the surgical morcellator further comprises a handle portion detachment mechanism situated on the trocar body portion and the handle portion, the handle portion detachment mechanism detachably mounting the handle portion to the trocar body portion.

16. A surgical morcellator as defined by claim 15, wherein the handle portion detachment mechanism includes:

at least one elongated first member situated on the handle portion;

at least one elongated second member situated on the trocar body portion, the at least one elongated first member on the handle portion engaging the at least one second member on the trocar body portion, at least one of the at least one elongated first member and the at least one elongated second member having a notch formed therein; and

a push button actuator, the push button actuator being mounted on at least one of the handle portion and the trocar body portion, the push button actuator including a push button projection mounted thereon for pressing by a user of the morcellator, and a tab mounted thereon, the tab being selectively received by the notch formed in the at least one of the at least one elongated first member and the at least one elongated second member.

17. A surgical morcellator as defined by claim 15, wherein the handle portion detachment mechanism includes:

a pair of parallelly disposed, elongated first members situated on the handle portion;

a pair of parallelly disposed, elongated second members situated on the trocar body portion, the pair of elongated second members cooperatingly engaging the pair of elongated first members to detachably secure the handle portion to the trocar body portion, one elongated second member of the pair of elongated second members having a notch formed therein; and

a push button actuator, the push button actuator being mounted on the handle portion, the push button actuator including a push button projection mounted thereon for pressing by a user of the morcellator, and a tab mounted thereon, the tab being selectively received by the notch formed in the one elongated second member.

18. A surgical morcellator as defined by claim 17, wherein the arm is selectively moveable transversely;

and wherein the tab of the push button actuator selectively engages the arm to move the arm transversely, the arm being moveable transversely between a first position in which the hooked end thereof engages the hook of the leg of the U-shaped member to effectively operatively couple the trigger piece to the U-shaped member whereby movement of the trigger piece effects movement of the outer sleeve to cover and at least partially uncover the sharpened edge of the cutting blade, and a second position in which the hooked end of the arm is disengaged from the hook of the leg of the U-shaped member to effectively operatively decouple the trigger piece from the U-shaped member to allow the handle portion to be detached from the trocar body portion.

19. A surgical morcellator as defined by claim 18, wherein the trocar body portion further includes a resilient leaf spring, the leaf spring being in a biased first position in which the leaf spring is engageable with the U-shaped member to prevent axial movement thereof and to prevent the outer sleeve from at least partially uncovering the sharpened edge of the cutting blade when the handle portion is detached from the trocar body portion, the leaf spring engaging and being deflected by the arm to a second position in which the leaf spring is disengageable with respect to the U-shaped member to allow the axial movement thereof and to allow the outer sleeve to at least partially uncover the sharpened edge of the cutting blade when the handle portion is mounted on the trocar body portion.

20. A surgical morcellator as defined by claim 6, wherein the axial length of the trocar body portion including the outer sleeve thereof is between about 125 millimeters and about 135 millimeters.

21. A surgical morcellator as defined by claim 6, wherein the outer sleeve includes a distal end situated in proximity to the distal end of the cutting blade;

wherein the outer sleeve further includes a sidewall; and

wherein the sidewall of the outer sleeve has formed through the thickness thereof a pair of vacuum release holes, the vacuum release holes being positioned on the outer sleeve on diametrically opposite sides of the sidewall in proximity to the distal end thereof.

22. A surgical morcellator as defined by claim 21, wherein the vacuum release holes are positioned on the sidewall of the outer sleeve about 0.250 inches from the distal end thereof.

23. A surgical morcellator as defined by claim 6, wherein the cutting blade includes a bore formed axially therethrough;

and wherein the trocar body portion includes at least one of a duck bill seal and a flippable seal in communication with the axial bore of the cutting blade, and a surgical trocar reducer cap in further communication with the axial bore of the cutting blade.

24. A surgical morcellator as defined by claim 6, wherein the cutting blade includes a bore formed axially therethrough;

wherein the trocar body portion includes a cylindrical inner sleeve, the inner sleeve being received by the axial bore of the cutting blade, the cutting blade being interposed and rotatable between the inner sleeve and the outer sleeve, the inner sleeve having a bore formed axially therethrough; and

wherein the trocar body portion further includes one of a duck bill seal and a flippable seal, the one of the duck bill seal and the flippable seal being in communication with the axial bore of the inner sleeve, and further includes a surgical trocar reducer cap, the surgical trocar reducer cap being in communication with the axial bore of the inner sleeve.