Trocar having transparent cannula and method of using

• US 5,256,149 A
• Filed: 02/14/1992
• Issued: 10/26/1993
• Est. Priority Date: 02/14/1992
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Stephens, Randy R., Banik, Michael S.
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US07/836,670
• Time in Patent Office: 620 Days
• Field of Search: 604/165, 604/158, 604/164, 604/272, 604/168, 604/269, 604/274
• US Class Current: 604/164.01
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00907 for light

Abstract

A trocar having a trocar obturator and a trocar cannula. The trocar cannula has a cannula tube mounted in a cannula handle, wherein the cannula has an interior passage therethrough. The interior of the trocar cannula is visible through the trocar cannula. The trocar obturator is housed in the trocar cannula for insertion into a body cavity. When used in an endoscopic surgical procedure on a mammal, such that the trocar cannula is inserted into a body cavity and serves as a passageway to and from the body cavity, the interior of the trocar cannula is visible through the cannula so that the passage of instruments, sutures, staples, surgical tissue samples, etc., into and out of the mammalian body cavity through the cannula can be observed by a surgeon during an endoscopic procedure by observing the interior of the cannula at a point exterior to the cannula by looking through the cannula either directly or by using an endoscope.

Claims

1. A trocar cannula having an interior passage therethrough, comprising

an elongate trocar cannula tube;

and,

a trocar cannula handle for mounting said cannula tube,

wherein the interior passages of said trocar cannula tube and trocar cannula handle are visible through the tube and handle.

2. The trocar cannula of claim 1 wherein the handle additionally comprises valve means for sealing off the passage.

3. The trocar cannula of claim 2 further comprising sealing means mounted about the entrance to the cannula handle for sealingly engaging a member inserted therethrough.

4. The trocar cannula of claim 1, wherein the cannula comprises a transparent material selected from the group consisting of polycarbonates, acrylates, urethanes, polyvinylchlorides, copolymers thereof, clear composite resins, and co-extruded resins.

5. The trocar of claim 4 wherein the material comprises polycarbonate.

6. The cannula of claim 1 wherein the cannula walls comprise sufficient thickness to effectively provide mechanical strength while remaining transparent.

7. The cannula of claim 1 additionally comprising a sufficient amount of a pigment or dye effective to tint the cannula while allowing the interior of the cannula to remain visible through the cannula.

8. A trocar, comprising

an elongate trocar obturator having a proximal end and a distal end, said distal end having a tip;

an elongate trocar cannula having an interior passage therethrough for receiving the trocar obturator, said cannula comprising an elongate trocar cannula tube and a trocar cannula handle for mounting said cannula tube,

wherein the interior of the trocar cannula is visible through the trocar cannula.

9. The trocar of claim 8 wherein the obturator comprises a sharp piercing tip at its distal end.

10. The trocar of claim 9 further comprising

a protective tube having a distal end and a proximal end slideably mounted around the trocar obturator, moveable between an extended position and a retracted position, said protective tube being disposed concentrically around said obturator;

and

biasing means acting on the proximal end of the protective tube to move the tube to the extended position to cover the piercing tip.

11. The trocar of claim 8 wherein the trocar cannula further comprises valve means for sealing off the passage.

12. The trocar of claim 11 wherein the trocar cannula further comprises sealing means mounted about the entrance to the cannula handle for sealingly engaging a member inserted therethrough.

13. A method of performing an endoscopic surgical procedure on a mammal using a trocar, comprising

inserting a trocar into a body cavity, said trocar comprising a trocar cannula having a passage therethrough, and, an elongate trocar obturator, wherein said trocar cannula comprises an elongate trocar cannula tube, having a distal end and a proximal end, and a trocar cannula handle for mounting the proximal end of the trocar cannula tube, wherein the interior of the trocar cannula is visible through the cannula;

removing the trocar obturator from the trocar cannula;

using the trocar cannula as a pathway to and from the body cavity in order to perform an endoscopic surgical procedure within the body cavity; and

observing the interior of the cannula through the cannula during at least part of the procedure.

14. The method of claim 13 wherein the trocar comprises a sharp, distal piercing tip.

15. The method of claim 13 wherein the trocar obturation further comprises

a protective tube, having a distal end and a proximal end slideably mounted around the obturator, moveable between an extended position and a retracted position, said protective tube being disposed concentrically around the obturator;

and,

biasing means acting as the proximal end of the protective tube to move the tube to the extended position to cover the piercing tip.

16. The method of claim 13 wherein the trocar cannula further comprises valve means for sealing off the passage.

17. The trocar of claim 13 wherein the trocar cannula further comprises sealing means mounted about the entrance to the cannula handle for sealingly engaging a member inserted therethrough.

18. The trocar cannula of claim 13, wherein the cannula comprises a transparent material selected from the group consisting of polycarbonates, acrylates, urethanes, polyvinylchlorides, copolymers thereof, clear composite resins, and co-extruded resins.

19. The trocar of claim 18 wherein the material comprises polycarbonate.

20. The trocar cannula of claim 13 wherein the cannula tube comprises an interior visible through the tube and the handle is opaque.

21. The trocar cannula of claim 13 wherein the handle comprises an interior visible through the handle and the tube is opaque.

22. The cannula of claim 13 wherein the cannula walls comprise sufficient thickness to effectively provide mechanical strength while remaining transparent.

23. The cannula of claim 13 additionally comprising a sufficient amount of a pigment or dye effective to tint the cannula while allowing the interior of the cannula to remain visible through the cannula.

24. A method of performing an endoscopic surgical procedure on a mammal using a trocar cannula having a passage therethrough, comprising

inserting a trocar cannula into a body cavity, wherein said trocar cannula comprises an elongate trocar cannula tube, having a distal end and a proximal end, and a trocar cannula handle for mounting the proximal end of the trocar cannula tube, the interior of the cannula being visible through the cannula;

using the trocar cannula as a pathway to and from the body cavity in order to perform an endoscopic surgical procedure within the body cavity; and

observing the interior of the cannula through the cannula during at least part of the procedure.

25. The method of claim 24 wherein the trocar cannula further comprises valve means for sealing off the passage.

26. The trocar of claim 24 wherein the trocar cannula further comprises sealing means mounted about the entrance to the cannula handle for sealingly engaging a member inserted therethrough.

27. The trocar cannula of claim 24, wherein the cannula comprises a transparent material selected from the group consisting of polycarbonates, acrylates, urethanes, polyvinylchlorides, copolymers thereof, clear composite resins, and co-extruded resins.

28. The trocar of claim 27 wherein the material comprises polycarbonate.

29. The trocar cannula of claim 24 wherein the cannula tube comprises an interior visible through the tube and the handle is opaque.

30. The trocar cannula of claim 24 wherein the handle comprises an interior visible through the handle and the tube is opaque.

31. The cannula of claim 24 wherein the cannula walls comprise sufficient thickness to effectively provide mechanical strength while remaing transparent.

32. The cannula of claim 24 additionally comprising a sufficient amount of a pigment or dye effective to tint the cannula while allowing the interior of the cannula to remain visible through the cannula.

33. In a method of using a trocar in an endoscopic surgical procedure, the trocar comprising an elongate trocar obturator and an elongate trocar cannula having a passage therethrough, the method comprising inserting the trocar into a mammalian body cavity, and removing the obturator from the cannula, and using the cannula as a passageway to the body cavity for insertion of an endoscopic surgical instrument within the cannula, the improvement comprising

using a transparent trocar cannula wherein the interior of the trocar cannula is visible through the trocar cannula and observing the instrument within the interior of the cannula during at least part of the procedure.

34. The method of claim 33 wherein the trocar obturator comprises a sharp, distal piercing point.

35. The method of claim 33 wherein the trocar obturator further comprises

a protective tube having a distal end and a proximal end slideably mounted around the trocar obturator, moveable between an extended position and a retracted position, said protective tube being disposed concentrically around said obturator;

and

biasing means acting on the proximal end of the protective tube to move the tube to the extended position.

36. The method of claim 33 wherein the trocar cannula comprises valve means for sealing off the passage.

37. The method of claim 33 wherein the trocar cannula further comprises sealing means mounted about the entrance to the trocar cannula for sealingly engaging a member inserted therethrough.

38. The method of claim 33, wherein the cannula comprises a transparent material selected from the group consisting of polycarbonates, acrylates, urethanes, polyvinylchlorides, copolymers thereof, clear composite resins, and co-extruded resins.

39. The method of claim 38 wherein the material comprises polycarbonate.

40. The method of claim 33 wherein the cannula walls comprise sufficient thickness to effectively provide mechanical strength while remaining transparent.

41. The method of claim 33 additionally comprising a sufficient amount of a pigment or dye effective to tint the cannula while allowing the interior of the cannula to remain visible through the cannula.

42. In a method of using a trocar cannula in an endosurgical procedure, the trocar cannula comprising an elongate trocar cannula tube and a trocar cannula handle for mounting the tube, the method comprising inserting the trocar cannula into a mammalian body cavity, and using the cannula as a passageway to the body cavity, the improvement comprising

using a transparent trocar cannula wherein the interior of the trocar cannula is visible through the trocar cannula and observing the interior of the trocar cannula during at least part of the procedure.

43. The method of claim 42 wherein the trocar cannula comprises valve means for sealing off the passage.

44. The method of claim 42 wherein the trocar cannula further comprises sealing means mounted about the entrance to the trocar cannula for sealingly engaging a member inserted therethrough.

45. The method of claim 42, wherein the cannula comprises a transparent material selected from the group consisting of polycarbonates, acrylates, urethanes, polyvinylchlorides, copolymers thereof, clear composite resins, and co-extruded resins.

46. The method of claim 45 wherein the material comprises polycarbonate.

47. The method of claim 42 wherein the cannula walls comprise sufficient thickness to effectively provide mechanical strength while remaining transparent.

48. The method of claim 42 additionally comprising a sufficient amount of a pigment or dye effective to tint the cannula while allowing the interior of the cannula to remain visible through the cannula.