Laparoscopic surgical device and related method

• US 5,209,721 A
• Filed: 01/31/1992
• Issued: 05/11/1993
• Est. Priority Date: 01/31/1992
• Status: Expired due to Fees

• Current Assignee: Peter J. Wilk
• Original Assignee: Peter J. Wilk
• Inventors: Wilk, Peter J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/830,117
• Time in Patent Office: 466 Days
• Field of Search: 604/22, 604/26, 604/49, 604/164, 128/747, 128/748, 128/DIG. 12, 128/DIG. 13, 128/24 AA, 128/898
• US Class Current: 604/26
• 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 2017/00106 ultrasonic
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 5/03 Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs A61B5/205 takes precedence
• CPC Class Codes: A61B 8/0858 involving measuring tissue layers, e.g. skin, interfaces
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

A device for use in laparoscopic surgical operations comprises a Veress needle assembly including a Veress needle, and a pressure sensor or an ultrasound sensor operatively connected to the needle assembly for monitoring pressure. In using the device to insufflate or pressurize a patient'"'"'s abdomen with carbon dioxide, the needle is connected to a pressure source upon the detection of a drop in pressure or in response to an ultrasonic image or other indication as to the locations of internal organs and tissues of the patient.

Claims

1. A method for use in performing a laparoscopic surgical operation, comprising the steps of:

inserting a Veress needle through an abdominal wall of a patient;

during said step of inserting, automatically monitoring pressure at a distal end of said needle; and

upon detecting a drop in pressure at said distal end of said needle, connecting said needle to a pressure source for inflating an abdominal cavity of the patient, thereby commencing abdominal insufflation prior to a laparoscopic procedure.

2. The method defined in claim 1 wherein said step of automatically monitoring is implemented via an obturator slidably inserted into said needle, further comprising the step of removing said obturator from said needle prior to said step of connecting said needle to a pressure source.

3. The method defined in claim 1, further comprising the step of inserting said needle into a sleeve prior to said step of inserting, said step of inserting including the step of inserting said sleeve with said needle through said abdominal wall of the patient, said step of automatically monitoring including the step of operating a pressure sensor mounted to said sleeve.

4. A method for use in performing a laparoscopic surgical operation, comprising the steps of:

inserting a Veress needle through an abdominal wall of a patient;

during said step of inserting, emitting ultrasonic pressure waves in the direction of insertion of said needle;

automatically sensing ultrasonic waves reflected from internal tissues in the patient;

analyzing the sensed ultrasonic waves to determine internal structures of said patient;

upon detecting, via said steps of sensing and analyzing, an abdominal cavity of said patient in the direction of insertion of said needle, manipulating said needle to position a distal end thereof in the detected abdominal cavity; and

upon the positioning of the distal end of said needle in the detected abdominal cavity, connecting said needle to a pressure source for inflating the detected abdominal cavity of the patient, thereby commencing abdominal insufflation prior to a laparoscopic procedure.

5. The method defined in claim 4 wherein said steps of emitting and sensing are implemented via an obturator slidably inserted into said needle, further comprising the step of removing said obturator from said needle prior to said step of connecting said needle to a pressure source.

6. The method defined in claim 4, further comprising the step of inserting said needle into a sleeve prior to said step of inserting, said step of inserting including the step of inserting said sleeve with said needle through said abdominal wall of the patient, said steps of emitting and sensing including the respective steps of operating a pressure wave transducer and a pressure sensor mounted to said sleeve.

7. The method defined in claim 4, further comprising the steps of removing said needle from the abdominal wall of the patient in the event that an organ obstruction is detected in the direction of insertion of said needle.