Safety device for trocars and surgical instruments therefor

• US 5,129,885 A
• Filed: 02/13/1990
• Issued: 07/14/1992
• Est. Priority Date: 02/13/1990
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Young, Wayne P., Green, David T.
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): Gutowski, Anthony
• Application Number:
  US07/479,375
• Time in Patent Office: 882 Days
• Field of Search: 604/110, 604/111, 604/117, 604/158, 604/162, 604/164, 604/165-167, 604/169, 604/198, 604/263, 606/1, 606/139, 606/140, 606/172, 606/184, 606/185
• US Class Current: 604/164.01
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3494 with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors for the peridural space A61B17/3401
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A safety locking device is provided for assuring proper matching relationship between a surgical instrument and a trocar guide tube housing. The safety device is slidably mounted on the elongated portion of the surgical instrument, and includes locking fingers with locking tabs projecting radially inward to releasable a circumferential groove in the surgical instrument elongated portion. The locking fingers include a camming surface to engage a corresponding camming surface associated with an appropriate guide tube housing. As the surgical instrument is inserted into an appropriate guide tube housing, the guide tube housing camming surface engages the locking finger camming surface to disengage the locking tabs from the circumferential groove and permit complete insertion of the instrument. A sleeve surrounds the locking fingers to prevent tampering, and as unlocking tool is provided.

Claims

1. A surgical device comprising

a surgical instrument having an elongated portion configured and dimensioned to be inserted into a trocar guide tube, said elongated portion having locking engagement means;

a safety collar mounted onto said elongated portion, said safety collar having locking means configured and dimensioned t engage said surgical instrument locking engagement means for selectively preventing movement of said safety collar relative to said elongated portion;

a trocar guide tube housing having an opening configured and dimensioned to receive said eleongated portion and to prevent passage of said safety collar through said opening;

a guide tube extending from said housing in axial alignment with said opeing; and

releasing means on said trocar guide tube housing for contacting said locking means to disengage said locking means form said locking engagement means, thereby permitting said safety locking collar to slide axially along said eleongation portion as said elongated portion is further inserted into said guide tube housing.

2. A surgical sevice according to claim 1 wherein said locking engagement means further comprise a circumferential groove in said instrument elongated portion.

3. A surgical device according to claim 2 wherein said locking means further comprise at least one locking finger.

4. A surgical device according to claim 3 wherein said locking finger includes at least one locking tab configured and dimensioned to releasably engage said circumferential groove.

5. A surgical device according to claim 4 wherein said locking finger further includes a locking finger camming surface.

6. A surgical device according to claim 5 wherein said releasing means further comprise a trocar guide tube housing camming surface configured and dimensioned to engage said locking finger camming surface as said surgical instrument elongated portion is inserted into said guide tube housing, said guide tube housing camming surface urging said locking finger radially outward to disengage said locking tab from said circumferential groove.

7. A surgical device according to claim 6 further comprising a plurality of said locking fingers.

8. A surgical device according to claim 7 further comprising a collar housing configured and dimensioned to receive and support said collar, said collar housing a substantially cylindrical sleeve portion surrounding said locking fingers.

9. A method for assuring proper matching between a trocar guide tube housing and a surgical instrument having an elongated portion to be axially inserted into an opening in said housing comprising the following steps:

providign a safety collar configured and dimensioned to assume a first position engaging the elongated portion, said collar in said first position being fixed relative to the elongated portion and obstructing full insertion of the surgical instrument into the guide tube housing opening, and a second position in axial sliding relationship relative to the elongated portion, thereby permitting insertion of the instrument into the guide tube housing opening;

providing means associated with the guide tube housing for releasing said safety collar from said first position to said seocnd position to permit axial sliding of the collar relative to said elongated portion;

inserting axially the elongated protion of the surgical instrument into the guide tube housing opening;

engaging said releasing means with said collar to release said collar from said first position to said second position in order to permit the elongated portion to be fully inserted into the guide tube housing.