Surgical trocar and spike assembly

• US 5,224,951 A
• Filed: 02/19/1991
• Issued: 07/06/1993
• Est. Priority Date: 02/19/1991
• Status: Expired due to Term

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Dexide, Inc.
• Inventors: Freitas, Michael
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US07/675,985
• Time in Patent Office: 868 Days
• Field of Search: 604/164, 604/165, 604/166-169, 604/272-274, 604/22, 604/51, 606/167-172, 128/751-754
• US Class Current: 606/172
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/3454 Details of tips
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A surgical trocar instrument is provided which includes a trocar spike designed to prevent coring of the needlepoint of a trocar tube and which is secured to a knob or holding assembly in a manner that the trocar tube resists relative rotational movement and the spike assembly is biased outwardly of the needlenose of the trocar tube, but the bias may be overcome upon insertion of the trocar tube through a cavity wall, with the bias moving the spike assembly outwardly of the trocar tube to prevent coring during additional surgical maneuvers.

Claims

1. A surgical trocar instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining an elliptical configuration terminating in a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall, and means for applying a concentric bias between said cylindrical housing and said coring prevention means, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

2. The instrument of claim 1 further including means for securing said cylindrical housing relative to said coring prevention means.

3. The instrument of claim 1 further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing.

4. The instrument of claim 3:

said means defined around the inboard end further including means for engagement with said cylindrical housing to prevent relative rotational movement between said cylindrical housing and said coring prevention means.

5. The instrument of claim 3 further including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween.

6. The instrument of claim 5 wherein said locking means comprises a series of flexible collet fingers defined around said coring prevention means for receipt interior of said means positioned around the inboard end of said cylindrical housing.

7. The instrument of claim 5 wherein one of said coring prevention means and said means positioned around the inboard end of said cylindrical housing defines a series of flexible collet fingers for locking engagement relative to a companion locking surface defined on the other end of said coring prevention means and said means positioned around the inboard end of said cylindrical housing.

11. The instrument of claim 1 or 10, the bias on said coring prevention means being overcome to move said coring prevention means inwardly relative to said cylindrical housing and away from said needle point by introduction of said cylindrical housing through said body wall, said bias moving said coring prevention means toward said needle point and positioning said coring prevention means outboard of said needle point subsequent to introduction through said body wall.

8. A surgical trocar instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall; and

means for applying a concentric bias between said cylindrical housing and said coring prevention means, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

9. A surgical trocar instrument, comprising:

an elongated trocar housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

10. A surgical instrument introducible through a trocar, said trocar having an elongate tubular housing having a first open end portion for positioning through a body wall and a second open end portion for introduction and removal of auxiliary surgical therethrough while said first open end portion is positioned through the body wall, said surgical instrument comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining an elliptical configuration terminating in a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall; and

means for applying a concentric bias between said cylindrical housing and said coring prevention means, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

12. The surgical instrument of claim 10 further including means for securing said cylindrical housing relative to said coring prevention means.

13. The surgical instrument of claim 10 further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing.

14. The surgical instrument of claim 13:

said means defined around the inboard end further including means for engagement with said cylindrical housing to prevent relative rotational movement between said cylindrical housing and said coring prevention means.

15. The surgical instrument of claim 13 further including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween.

16. The surgical instrument of claim 15 wherein said locking means comprises a series of flexible fingers defined around said coring prevention means for receipt interior of said means positioned around the inboard end of said cylindrical housing.

17. The surgical instrument of claim 15 wherein one of said coring prevention means and said means positioned around the inboard end of said cylindrical housing defines a series of flexible collet fingers for locking engagement relative to a companion locking surface defined on the other end of said coring prevention means and said means positioned around the inboard end of said cylindrical housing.

18. The surgical instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall; and

means for applying a concentric bias between said cylindrical housing and said coring prevention means, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

19. A surgical instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall, wherein said coring prevention means includes a plow-shaped end extending through said open end of said cylindrical housing.

20. A surgical trocar instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining an elliptical configuration terminating in a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall and means for applying a concentric bias between said cylindrical housing and said coring prevention means, the bias on said coring prevention means being overcome to move said coring prevention means inwardly relative to said cylindrical housing and away from said needle point by introduction of said cylindrical housing through said body wall said bias moving said coring prevention means toward said needle point and positioning said coring prevention means outboard of said needle point subsequent to introduction through said body wall, and further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing, including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween, said means positionable around the inboard end defining a bore therethrough for receipt of indicating end members of said locking means when the bias on said coring prevention means is overcome and said coring prevention means is moved inwardly relative to said cylindrical housing.

21. A surgical trocar instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical ,housing is moved through said solid material interior of said body wall; and

means for applying a concentric bias between said cylindrical housing and said coring prevention means, the bias on said coring prevention means being overcome to move said coring prevention means inwardly relative to said cylindrical housing and away from said needle point by introduction of said cylindrical housing through said body wall, said bias moving said coring prevention means toward said needle point and positioning said coring prevention means outboard of said needle point subsequent to introduction through said body wall, and further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing, including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween, said means positionable around the inboard end defining a bore therethrough for receipt of indicating end members of said locking means when the bias on said coring prevention means is overcome and said coring prevention means is moved inwardly relative to said cylindrical housing.

22. A surgical trocar instrument, comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining a sharp needle point at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension, outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall, the bias on said coring prevention means being overcome to move said coring prevention means inwardly relative to said cylindrical housing and away from said tip by introduction of said cylindrical housing through said body wall, said bias moving said coring prevention means toward said needle point and positioning said coring prevention means outboard of said needle point subsequent to introduction through said body wall, and further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing, including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween, said means positionable around the inboard end defining a bore therethrough for receipt of indicating end members of said locking means when the bias on said coring prevention means is overcome and said coring prevention means is moved inwardly relative to said cylindrical housing.

23. A surgical instrument introducible through a trocar, said trocar having an elongate tubular housing having a first open end portion for positioning through a body wall and a second open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall, said surgical instrument comprising:

an elongated trocar tubular housing having a first open end portion for positioning through a body wall and a second opposite open end portion for introduction and removal of auxiliary surgical devices therethrough while said first open end portion is positioned through the body wall;

an elongate trocar spike assembly concentrically insertable through said second open end and comprising a cylindrical housing including an inboard end and an outboard open end extendable through said second opposite open end of said trocar housing, said cylindrical housing defining an elliptical configuration terminating in a sharp needlepoint at the outboard-most end of said cylindrical housing; and

coring prevention means received within said cylindrical housing and biased for extension outboard of said needle point for urging solid material interior of said body wall away from said needle point and said open end of said cylindrical housing while said cylindrical housing is moved through said solid material interior of said body wall; and

means for applying a concentric bias between said cylindrical housing and said coring prevention means, the bias on said coring prevention means being overcome to move said coring prevention means inwardly relative to said cylindrical housing and away from said needle point by introduction of said cylindrical housing through said body wall, said bias moving said coring prevention means toward said needle point and positioning said coring prevention means outboard of said, needle point subsequent to introduction through said body wall, and further including means positioned around the inboard end of said cylindrical housing for hand positioning of said cylindrical housing through said trocar housing, including locking means defined on said coring prevention means and said means defined around the inboard end of said cylindrical housing, for locking interengagement therebetween, said means positionable around the inboard end defining a bore therethrough for receipt of indicating end members of said locking means when the bias on said coring prevention means is overcome and said coring prevention means is moved inwardly relative to said cylindrical housing.