Seal protection apparatus

• US 5,226,891 A
• Filed: 04/07/1992
• Issued: 07/13/1993
• Est. Priority Date: 04/07/1992
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Bushatz, David C., Tangherlini, Vincent C.
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US07/864,571
• Time in Patent Office: 462 Days
• Field of Search: 604/164, 604/165, 604/158, 604/274, 604/157
• US Class Current: 604/165.02
• 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 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2017/3464 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Abstract

A trocar adapted to provide a working channel through a body wall and includes a cannula defining the channel along an axis between the distal and proximal ends of the cannula. A housing disposed at the proximal end of the cannula includes at least one elastomeric seal. An elongate obturator adapted to be moved in proximity to the seal includes a sharp distal tip and a sheath which protects the seal from the sharp tip during movement of the obturator through the working channel. This sheath is movable from a first position wherein it is releasably fixed to the obturator and a second position wherein it is releasably fixed to the housing to expose the shape tip distally of the cannula.

Claims

1. A trocar adapted to provide a working channel through a body wall, comprising:

a cannula defining the working channel along an axis between the distal and a proximal end of the cannula;

a housing attached to the cannula at the proximal end of the cannula;

at least one seal disposed in the housing;

an elongate obturator adapted to move through the seal in the housing and through the working channel of the cannula, the obturator having a sharp distal tip for puncturing the body wall; and

a sheath overlying the obturator and movable between a first position wherein the sheath has a releasable fixed relationship with the obturator and extends between the sharp tip and the seal to prevent damage to the seal, and a second position wherein the sheath has a fixed relationship with the housing and the obturator is movable relative to the sheath to expose the sharp tip distally of the cannula.

2. The trocar recited in claim 1 further comprising:

an annular tongue disposed on one of the sheath and the obturator; and

an annular groove defined in the other of the sheath and the obturator and adapted to receive the annular tongue for releasibly locking the sheath to the obturator in the first position.

3. The trocar recited in claim 1 further comprising an axial flange having a fixed relationship with the housing and positioned to engage the sheath in the first position and to move the sheath to the second position.

4. The trocar recited in claim 3 wherein the axial flange is an inner annulus and the trocar further comprises:

an outer annulus carried by the sheath and axially engageable by the inner annulus to release the sheath from the fixed relationship with the obturator.

5. The trocar recited in claim 4 wherein one of the inner annulus and the outer annulus defines a ramp which radially expands the outer annulus to release the sheath from the fixed relationship with the obturator.

6. A trocar adapted to provide a working channel through a body wall, comprising:

a cannula defining the working channel along an axis between the distal and a proximal end of the cannula;

a housing attached to the cannula at the proximal end of the cannula;

at least one seal disposed in the housing;

an elongate obturator adapted to move through the seal in the housing and through the working channel of the cannula, the obturator having a sharp distal tip for puncturing the body wall;

a sheath overlying the obturator and movable between a first position wherein the sheath has a fixed relationship with the obturator and a second position wherein the sheath has a fixed relationship with the housing; and

means responsive to digital movement of the obturator relative to the housing for permitting the sheath to move from the first position to the second position, and responsive to the proximal movement of the obturator relative to the housing for permitting the sheath to move from the second position to the first position.

7. The trocar recited in claim 6 further comprising:

a tongue disposed on one of the sheath and the obturator; and

a groove disposed on the other of the sheath and the obturator and configured to receive the tongue to hold the sheath in the first position.

8. The trocar recited in claim 7 wherein the permitting means includes means fixed to the housing for engaging the tongue and removing the tongue in the first position from the groove to permit the sheath to move to the second position and for releasing the tongue in the second position into the groove to permit the sheath to move to the first position.

9. The trocar recited in claim 8 wherein:

the tongue is disposed on the sheath;

the groove is defined in the obturator; and

the engaging means includes an annular flange extending axially of the trocar and having characteristics for radially expanding in response to distal movement of the obturator to remove the tongue from the groove.

10. The trocar recited in claim 8 wherein:

the tongue is disposed on the sheath;

the groove is defined in the obturator; and

the engaging means includes an annular flange extending axially of the trocar and having characteristics for radially contracting the tongue from the second position to engage the groove in the first position.

11. The trocar recited in claim 6 wherein the permitting means is biased to the first position.

12. A method for providing a working channel across a body wall, comprising the steps of:

providing a subassembly including a trocar housing and a cannula forming the working channel, and a seal mechanism enclosed in the housing;

inserting into the working channel an obturator having an elongate shaft and a sharp distal tip;

protecting the seal mechanism during the inserting step with a shield locked to the obturator in a first position wherein the shield is disposed between the sharp tip and the seal mechanism;

unlocking the shield from the obturator to exposed the sharp tip;

puncturing the body wall with the sharp tip to permit the cannula to cross the body wall; and

removing the obturator and the shield from the cannula leaving the working channel in operative position across the body wall.

13. The method recited in claim 12 further comprising the step of locking the shield to the subassembly to prevent any significant movement of the shield relative to the subassembly during the penetrating step.

14. The method recited in claim 13 wherein during the removing step the method further comprises the steps of:

unlocking the shield from the subassembly; and

locking the shield to the obturator.

15. The method recited in claim 14 wherein at least a portion of the locking step and the second unlocking step occur generally simultaneously.

16. A trocar adapted to provide a working channel through a body wall, comprising:

a cannula;

a housing attached to the cannula and defining with the cannula a working channel;

an elongate obturator having an axis extending between a proximal end and a distal end, the obturator being adapted for movement through the working channel of the housing and cannula;

a sharp tip formed at the distal end of the obturator and having a particular configuration with a plurality of surfaces intersecting along lines which converge to an apex of the sharp distal tip;

a sheath overlying the obturator and having an outer radius and an inner radius, and

at least one of the lines of the obturator tip extending proximally to a base point at a radius at least as long as the outer radius of the sheath,

the sheath has a distal end defined by a plurality of flat planar surfaces equal in number to the number of surfaces forming the obturator tip; and

the flat surfaces being separated by at least one axial opening configured to receive the base point of the obturator tip.

17. The trocar recited in claim 16 wherein the particular configuration includes portions of a tetrahedron.