Trocar system

• US 5,290,304 A
• Filed: 05/19/1991
• Issued: 03/01/1994
• Est. Priority Date: 05/14/1991
• Status: Expired due to Fees

• Current Assignee: Anthony Storace
• Original Assignee: Ingram S. Chodorow, Myron S. Blatt
• Inventors: Storace, Anthony
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US07/699,722
• Time in Patent Office: 1,017 Days
• Field of Search: 604/110, 604/160, 604/161, 604/164, 604/165, 604/168, 604/169, 604/185, 604/188, 604/246, 604/247, 604/248, 604/264, 604/272, 604/274, 604/283, 606/184, 606/185, 128/751-754, 30/151, 30/152, 30/162, 30/366, 30/367, 30/368
• US Class Current: 606/184
• 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 trocar system comprises a trocar housing, a pointed stylet arranged so that the pointed tip can be selectively extended outwardly (distally) from the trocar housing, a return spring in the trocar housing for retracting the stylet into the housing and a piston and piston latch system disposed within the trocar housing for restraining the stylet from retracting. The piston includes a cam element for de-latching the piston from its latched position to allow the return spring to retract the piston into the housing. The stylet engages the piston in a slot to permit limited longitudinal movement of the stylet into the housing. A distally-biased element which carries an engaging pin and is forced to move proximally by the tissue resistance experienced as the trocar is forced to puncture a body cavity wall, automatically moves to its original distal location after the tip of the trocar has completely passed through the wall. The sequence of movements, first proximal and then distal, automatically first arm and then trigger the de-latching mechanism which enables the return spring to retract the pointed stylet into a protective housing.

Claims

1. A trocar comprising:

a trocar housing, said trocar housing having a proximal end and a distal end;

a piston slideably mounted in the housing and reciprocable therein;

a stylet having a distal end and a sharp tip at said distal end;

cooperating means on said piston and said stylet for restraining said stylet for limited movement with respect to said piston;

means operatively connected to said trocar housing for biasing the piston in a direction toward the proximal end of the trocar housing;

latching means disposed in the trocar housing for latching the piston against movement in the proximal direction; and

de-latching means operatively connected to the piston and responsive to movement of the stylet relative to the piston to allow movement of the piston in the proximal direction.

2. The trocar of claim 1 further comprising setting means for moving the piston into position for latching.

3. The trocar of claim 1 wherein said latching means comprises a retention link located in said trocar housing and a corresponding latch on the piston which are engaged whenever the piston is moved into position for latching.

4. The trocar of claim 1 wherein said cooperating means comprises a pin on said stylet and a slot on said piston, said pin slideably engaging the slot on said piston.

5. The trocar of claim 4 wherein movement of the stylet toward the distal end of the housing causes the pin on said stylet to move within the slot on said piston and to engage said de-latching means for operation thereof.

6. The trocar of claim 1 further comprising a spring for biasing the stylet in the direction of the distal end of the housing.

7. The trocar of claim 1 wherein the de-latching means is a flex cam element flexibly attached to said piston, said cam element including at one end thereof an abutting edge for engaging the latch means and further comprising a cam surface at an opposing end thereof for engaging said pin on said stylet, said engagement effecting movement of the cam element so as to move the abutting edge from engagement with said latch means.

8. The trocar of claim 1 further comprising:

a second housing arranged coaxially with said trocar housing to define a handgrip therewith;

a guide tube secured to and extending from said second housing, said trocar housing being mountable longitudinally central within the guide tube;

an O-ring disposed in said second housing against the trocar housing; and

a flap-valve in said second housing springably biased to rest against said O-Ring to thereby seal against fluid passage when the trocar housing is removed from the second housing.

9. A trocar comprising:

a trocar housing having an open distal end;

a stylet located within said trocar housing, said stylet having a sharp tip at a distal end thereof, said stylet being slideably mounted for movement between an extended position and a retracted position, the sharp tip in the retracted position of the stylet being located within a second housing arranged coaxially with said trocar housing, said stylet being disposed longitudinally central within the trocar housing;

a return spring n said trocar housing for biasing said stylet toward said retracted position;

latching means in said trocar housing for locking said stylet in said extended position wherein the sharp tip extends beyond the distal end of the second housing;

de-latching means located within said trocar housing for releasing the latching means to allow the return spring to retract the stylet into the second housing; and

a set link slideably mounted in and projecting from said trocar housing operative for moving said stylet form the retracted to the extended position.

10. The trocar of claim 9 wherein the delatching means comprises:

a piston, said piston being slideably mounted within said trocar housing and having a delatching element thereon;

means connecting said stylet and said piston for allowing limited movement between the stylet and the piston;

said piston being connected to said set link and said return spring such that operation of the set link to move the stylet from the retracted to the extended position moves said piston and thereby moves the stylet through said means connecting the stylet and piston, said piston compressing the return spring as the piston moves from the retracted to the extended position.

11. The trocar of claim 10 wherein said latching means comprises said piston having a latch thereon and said trocar housing having a corresponding retention link, said latch engaging said retention link when said piston is moved to the extended position.

12. The trocar of claim 10 wherein said connecting means comprises a pin on said stylet and a slot on said piston, said pin slideably engaging the slot on said piston.

13. The trocar of claim 12 wherein movement of the stylet toward the distal end of the housing causes the pin on said stylet to move within the slot on said piston and to engage said de-latching means for operation thereof.

14. The trocar of claim 10 further comprising a spring for biasing the stylet in the direction of the distal end of the housing.

15. The trocar of claim 10 wherein the de-latching element is a flex cam element flexibly attached to said piston, said cam element including at one end thereof an abutting edge for engaging the latch means and further comprising a cam surface at an opposing end thereof for engaging said pin on said stylet, said engagement effecting movement of the cam element so as to move the abutting edge from engagement with said latch means.

16. A trocar comprising:

a trocar housing having an open distal end;

a stylet located within said trocar housing, said stylet having a sharp tip at a distal end thereof, said stylet being slideably mounted for movement between an extended position and a retracted position, the sharp tip in the retracted position of the stylet being located within a second housing arranged coaxially with the trocar housing, said stylet being disposed longitudinally central within the trocar housing;

a return spring in said trocar housing for biasing said stylet toward said retracted position;

a set link slideably mounted in and projecting from said trocar housing operative for moving said stylet form the retracted to the extended position;

a piston, said piston being slideably mounted within said trocar housing;

a protruding element on said stylet operative for travel within a confining slot in said piston for allowing limited movement between the stylet and the piston;

said piston being connected to said set link and said return spring such that operation of the set link to move the stylet from the retracted to the extended position moves said piston and thereby moves the stylet through said means connecting the stylet and piston, said piston compressing the return spring as the piston moves from the retracted to the extended position;

latching means in said trocar housing for locking said stylet in said extended position wherein the sharp tip extends beyond the distal end of the trocar housing; and

de-latching means located within said trocar housing for releasing the latching means to allow the return spring to retract the stylet into the housing.

17. In a trocar system including a protective housing having a distal end and a proximal end, a stylet, and means for retracting the stylet into the protective housing, the improvement comprising a delatching means and a cooperating distally biased blunt sensor element, said distally biased blunt sensor element retracting proximally and extending distally in a normal cycle of use of the trocar system, the cycle of use, first proximal and then distal, automatically activating said delatching means, and said means for retracting the stylet into said protective housing being enabled when said delatching means is activated.

18. A trocar comprising:

a trocar housing having an open distal end;

a stylet located within said trocar housing, said stylet having a sharp tip at a distal end thereof, said stylet being slideably mounted for movement between an extended position and a retracted position, the sharp tip in the retracted position of the stylet being located within a protecting housing, said stylet being disposed longitudinally central within the trocar housing;

means for retracting the stylet into said trocar housing;

a set link slideably mounted in and projecting from said trocar housing operative for moving said stylet from the retracted to the extended position;

a piston, said piston being slideably mounted within said trocar housing;

said piston being connected to said set link and said return spring such that operation of the set link to move the stylet from the retracted to the extended position moves said piston, said piston compressing the return spring as the piston moves from the retracted to the extended position;

latching means in said trocar housing for locking said stylet in said extended position wherein the sharp tip extends beyond the distal end of the protecting housing;

de-latching means located within said trocar housing for releasing the latching means to allow the return spring to retract the stylet into the housing; and

a cooperating distally biased blunt sensor element, said distally biased sensor element retracting proximally and extending distally in a normal cycle of use of the trocar system, the cycle of use, first proximal and then distal, automatically activating said delatching means, and said means for retracting the stylet into said trocar housing being enabled when said delatching means is activated.

19. A trocar comprising:

a trocar housing having an open distal end;

a stylet located within said trocar housing, said stylet having a sharp tip at a distal end thereof, said stylet being slideably mounted for movement between an extended position and a retracted position, the sharp tip in the retracted position of the stylet being located within a second housing, said stylet being disposed longitudinally central within the trocar housing;

a return spring in said trocar housing for biasing said stylet toward said retracted position;

latching means in said trocar housing for locking said stylet in said extended position wherein the sharp tip extends beyond the distal end of the second housing;

de-latching means located within said trocar housing for releasing the latching means to allow the return spring to retract the stylet into the second housing;

a set link slideably mounted in and projecting from said trocar housing operative for moving said stylet from the retracted to the extended position;

the delatching means comprising;

a piston, said piston being slideably mounted within said trocar housing and having a delatching element thereon;

means connecting said stylet and said piston for allowing limited movement between the stylet and the piston;

said piston being connected to said set link and said return spring such that operation of the set link to move the stylet from the retracted to the extended position moves said piston and thereby moves the stylet through said means connecting the stylet and piston, said piston compressing the return spring as the piston moves from the retracted to the extended position.