Safety trocar instrument having a retractable trocar actuated by relief of pressure on the trocar point

• US 5,158,552 A
• Filed: 11/04/1991
• Issued: 10/27/1992
• Est. Priority Date: 11/04/1991
• Status: Expired due to Term

• Current Assignee: Sherwood Services AG
• Original Assignee: American Cyanamid Co (Pfizer Inc.)
• Inventors: Borgia, Julian F., Allen, William J., Stein, Jeffrey A.
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US07/787,183
• Time in Patent Office: 358 Days
• Field of Search: 604/164, 604/158, 604/165, 604/166, 604/167, 604/168, 604/169, 604/170, 604/274
• US Class Current: 604/164.12
• 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 2090/08021 of the patient or his organs

Abstract

A safety trocar instrument, for piercing the wall of an anatomical cavity to provide communication with the inside of the cavity, includes a tubular cannula and an elongate trocar having a sharp piercing point. The trocar is mounted for axial reciprocal movement within the cannula between a withdrawn rest position, in which the point is received within and shielded by the distal end of the cannula, a fully extended position in which the point is exposed beyond the distal end of the cannula, and an intermediate retracted position in which the point also is exposed beyond the distal end of the cannula. A retraction spring biases the trocar to its withdrawn position. A latch latches the trocar, in opposition to the retraction spring, for reciprocal movement between the fully extended and intermediate positions. A trip member couples the trocar to the latch member when the trocar moves from the fully extended position to the intermediate position, and trips the latch member when the trocar returns toward the fully extended position to unlatch the trocar and permit it to be moved to the withdrawn position by the retraction spring.

Claims

1. A safety trocar instrument for piercing the wall of an anatomical cavity to provide communication with the inside of the cavity, said trocar instrument comprising:

(a) a tubular cannula;

(b) an elongate trocar, having a sharp piercing point, mounted for axial reciprocal movement within said cannula between a withdrawn rest position in which said point is received within and shielded by the distal end of said cannula, a fully extended position in which said point is exposed beyond the distal end of said cannula, and an intermediate position retracted toward the rest position from the fully extended position in which said point is also exposed beyond the distal end of said cannula;

(c) means for biasing said trocar to its withdrawn position;

(d) latch means for latching said trocar, in opposition to said biasing means, for reciprocal movement between the fully extended position and the intermediate position; and

(e) trip means coupling said trocar to said latch means when said trocar moves from the fully extended position to the intermediate position, and tripping said latch means when said trocar returns toward said fully extended position to unlatch said trocar and thereby permit said trocar to be moved to the withdrawn rest position by said biasing means.

2. The safety trocar instrument according to claim 1, further comprising means for urging said trocar from the intermediate position toward the fully extended position when said trocar is latched by said latch means.

3. The safety trocar instrument according to claim 1, wherein said trocar further comprises lost-motion coupling means for coupling said trocar to said latch means and including upper and lower flanges mounted in the region of the proximal end of said trocar and a stop plate mounted on said trocar for reciprocal movement between said upper and lower flanges.

4. The safety trocar instrument according to claim 3, further comprising a catch mounted in fixed position relative to said cannula, and wherein said latch means comprises a pawl for linking said catch and said stop plate when said trocar is moved to the fully extended position.

5. The safety trocar instrument according to claim 4, wherein said trip means comprises a trip arm mounted to engage said trocar when said trocar is moved from the fully extended position to the intermediate position and to unlink said pawl from said stop plate when said trocar is returned toward the fully extended position from the intermediate position.

6. The safety trocar instrument according to claim 1, further comprising plunger means for manually moving said trocar from the withdrawn rest position to the fully extended position.

7. The safety trocar instrument according to claim 6, wherein said plunger means comprises means for gripping a portion of said trocar remote from said piercing point when said trocar is in the withdrawn rest position and for releasing said remote portion when said trocar reaches the fully extended position.

8. The safety trocar instrument according to claim 7, wherein said plunger means further comprises a plunger head mounted for reciprocal movement relative to said trocar, and wherein said gripping means comprises at least one pusher element mounted in said plunger head, and means for driving said pusher element to grip said trocar in a radial direction and to release said trocar.

9. The safety trocar instrument according to claim 8, wherein said trocar and said plunger head are mounted for reciprocal movement in the same axial direction;

wherein said pusher element has an outer cam surface and is mounted within said plunger head for pivoted movement into and out of gripping engagement with said trocar; and

wherein said driving means comprises a cam driver mounted in said plunger head cooperating with said cam surface in a first position to hold said pusher element in gripping engagement with said trocar and in a second position to release said pusher element from gripping engagement with said trocar.

10. The safety trocar instrument according to claim 1, wherein said trocar, said biasing means, and said trip means constitute a trocar subassembly that is removable as a unit from said cannula.

11. A safety trocar instrument for piercing the wall of an anatomical cavity to provide communication with the inside of the cavity, said trocar instrument comprising:

(a) a tubular cannula;

(b) an elongate trocar, having a sharp piercing point, mounted for axial reciprocal movement within said cannula between a withdrawn rest position in which said point is received within and shielded by the distal end of said cannula and a fully extended position in which said point is exposed beyond the distal end of said cannula;

(c) means for biasing said trocar to its withdrawn position;

(d) latch means for latching said trocar in opposition to said biasing means; and

(e) trip means for tripping said latch means to unlatch said trocar and thereby permit said trocar to be moved to its withdrawn rest position by said biasing means; and

(f) lost-motion coupling means coupling said trip means to said trocar and permitting said trocar, when latched by said latch means, to reciprocate between the fully extended position and an intermediate retracted position in which said trocar point is also exposed beyond the distal end of said cannula, said trocar arming said trip means when moved to the intermediate retracted position and actuating said trip means to trip said latch means when returned toward the fully extended position.

12. The safety trocar instrument according to claim 11, wherein said trocar arms said trip means when said trocar is moved to the intermediate retracted position by counterforce on said trocar point and thereafter actuates said trip means to trip said latch means when counter force is relieved from said trocar point.

13. The safety trocar instrument according to claim 11, wherein said coupling means comprises means for urging said trocar toward the fully extended position from the intermediate retracted position when said trocar is latched by said latch means.

14. The safety trocar instrument according to claim 11, further comprising a housing in which said trocar is mounted for said reciprocal movement, and a catch mounted in fixed position relative to said cannula, and wherein said latch means comprises a pawl pivot mounted within said housing to link said catch and said trocar together when said trocar is moved to the fully extended position.

15. The safety trocar instrument according to claim 14, wherein said trip means includes an arm pivotably mounted within said housing to be coupled to said trocar when said trocar is moved to the intermediate retracted position as permitted by said lost-motion coupling means, and to disengage said pawl from said catch when said trocar returns toward said fully extended position.

16. The safety trocar instrument according to claim 15, wherein said lost-motion coupling means comprises upper and lower flanges mounted in the region of the proximal end of said trocar and a stop plate mounted on said trocar for reciprocal movement between said upper and lower flanges, wherein said pawl includes a hook engageable with said stop plate when said trocar is moved to its fully extended position.

17. The safety trocar instrument according to claim 11, further comprising a housing, and a catch mounted in fixed position relative to said cannula, and wherein

said latch means comprises a pawl pivotably mounted within said housing to link said catch and said trocar together when said trocar is moved to its fully extended position;

said trip means comprises an arm pivotably mounted within said housing to be coupled to said trocar when said trocar is moved to the intermediate retracted position as permitted by said lost-motion coupling means, and to disengage said pawl from said catch when said trocar is returned toward the fully extended position; and

said lost-motion coupling means comprises upper and lower flanges mounted in the region of the proximal end of the trocar and a stop plate mounted on said trocar for reciprocal movement between said upper and lower flanges.

18. A safety trocar instrument according to claim 17, further comprising means for urging said trocar toward the fully extended position from the intermediate retracted position when said trocar is latched by said latch means.

19. The safety trocar instrument according to claim 11, further comprising plunger means for manually moving said trocar from the withdrawn rest position to the fully extended position.

20. The safety trocar instrument according to claim 19, wherein said plunger means comprises means for gripping a portion of said trocar remote from said piercing point when said trocar is in the withdrawn rest position and for releasing said remote portion when said trocar reaches the fully extended position.

21. The safety trocar instrument according to claim 20, wherein said plunger means further comprises a plunger head mounted for reciprocal movement relative to said trocar, and wherein said gripping means comprises at least one pusher element mounted in said plunger head, and means for driving said pusher element to grip said trocar in a radial direction and to release said trocar.

22. The safety trocar instrument according to claim 21, wherein said trocar and said plunger head are mounted for reciprocal movement in the same axial direction;

wherein said pusher element has an outer cam surface and is mounted within said plunger head for pivoted movement into and out of gripping engagement with said trocar; and

wherein said driving means comprises a cam driver mounted in said plunger head cooperating with said cam surface in a first position to hold said pusher element in gripping engagement with said trocar and in a second position to release said pusher element from gripping engagement with said trocar.

23. The safety trocar instrument according to claim 21, wherein said trocar, said biasing means, and said trip means constitute a trocar subassembly that is removable as a unit from said cannula.

24. A safety trocar instrument for piercing the wall of an anatomical cavity to provide communication with the inside of the cavity, said trocar instrument comprising:

(a) a main body-cannula subassembly including;

(1) a main body;

(2) a tubular cannula projecting from the main body; and

(b) a trocar subassembly formed to mate with said main body-cannula subassembly and including;

(1) a housing;

(2) an elongate trocar, having a sharp piercing point, mounted for axial reciprocal movement relative to said housing between a withdrawn rest position, a fully extended position, and an intermediate position retracted from the fully extended position toward the withdrawn position, said trocar being formed to be coaxially received in said cannula with said point exposed beyond the distal end thereof in the fully extended and intermediate positions, and with said point withdrawn into and shielded by the distal end of said cannula in the withdrawn position;

(3) means for biasing said trocar toward its withdrawn position;

(4) plunger means with which said trocar subassembly can be manually urged toward said main body-cannula subassembly to an armed stage to move said trocar to its fully extended position;

(5) latch means for latching said trocar, in opposition to said biasing means, for reciprocal movement between the fully extended position and the intermediate position when the instrument is in the armed stage; and

(6) trip means coupling said trocar to said latch means when said trocar moves from the fully extended position to the intermediate position in the armed stage, said trip means thereafter tripping said latch means when said trocar returns toward the fully extended position from the intermediate position thereby to permit said trocar to be urged to its withdrawn position by said biasing means.