Safety trocar

• US 5,318,585 A
• Filed: 06/07/1993
• Issued: 06/07/1994
• Est. Priority Date: 10/05/1990
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Green, David T., Guy, Thomas D.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/073,254
• Time in Patent Office: 365 Days
• Field of Search: 606/184, 606/185, 604/160, 604/161, 604/164-169, 604/246-248, 604/185, 604/188, 604/264, 604/272, 604/274, 604/283, 128/751-754, 30/151, 30/152, 30/162, 30/366-368
• US Class Current: 606/185
• 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A safety trocar is provided in which the cutting tip is withdrawn into the cannula in response to counterforce being removed from the cutting tip, e.g., by the tip entering a body cavity. The cutting tip is maintained in the exposed positioned by a mechanism associated with the obturator shaft, and is automatically withdrawn into the cannula under the force of a spring when the first mechanism is released by a second mechanism associated with the obturator. Penetration force is maintained at a minimum and safe and efficacious trocar entry is facilitated.

Claims

1. A trocar comprising:

(a) a cannula assembly comprising a cannula and a cannula housing defining an internal cannula passage;

(b) a trocar assembly adapted to cooperate with said cannula assembly, said trocar assembly comprising a sharp trocar tip, an obturator shaft, a trocar housing, and obturator sleeve means fixedly secured relative to said trocar housing and extending distally therefrom to surround said obturator shaft and at least a portion of said trocar tip, said trocar tip and at least a portion of each of said obturator shaft and said obturator sleeve means configured and dimensioned for entry into said internal cannula passage;

(c) releasable obturator means associated with said obturator shaft which releasably maintains said trocar tip in an extended position relative to said cannula;

(d) means for releasing said releasable obturator means; and

(e) biasing means for retracting said trocar tip from said extended position to a retracted position in response to release of said releasable obturator means, whereby said obturator sleeve means surrounds said obturator shaft and at least a portion of said trocar tip prior to entry of said trocar tip and said obturator shaft into said internal cannula passage.

2. The trocar of claim 1, wherein said obturator sleeve means includes a lance or notch to form an internal shelf, said internal shelf adapted to cooperate with said releasable obturator means to maintain said trocar tip in said extended position.

3. The trocar of claim 2, wherein said releasable obturator means comprises a latch and a spring biasing said latch radially outward, said latch engaging said internal shelf to maintain said trocar tip in said extended position.

4. The trocar of claim 3, wherein said trocar tip is mounted to an extension member, said extension member being reciprocally mounted to said obturator shaft and spring biased away from said obturator shaft.

5. The trocar of claim 4, wherein said means for releasing said releasable obturator means comprises a pawl.

6. The trocar of claim 5, wherein said extension member assumes a position proximate said obturator shaft in response to a counterforce applied to said trocar tip.

7. The trocar of claim 6, wherein said pawl urges said latch out of engagement with said internal shelf upon release of said counterforce, whereby said biasing means retracts said trocar tip from said extended position into said cannula.

8. The trocar of claim 7, wherein said releasable obturator means comprises a latch and a spring biasing said latch radially outward.

9. The trocar of claim 8, wherein said trocar tip is mounted to an extension member, said extension member being reciprocally mounted to said obturator shaft, said extension member being spring biased away from said obturator shaft and assuming a position proximate said obturator shaft in response to a counterforce applied to said trocar tip.

10. The trocar of claim 1, wherein said releasable obturator means comprises a latch and a spring biasing said latch radially outward.

11. The trocar of claim 1, wherein said means for releasing said releasable obturator means comprises a pawl.

12. The trocar of claim 11, wherein said trocar tip is mounted to an extension member, said extension member is reciprocally mounted to said obturator shaft, and said pawl is mounted to said extension member.

13. The trocar of claim 1, wherein said trocar assembly further comprises an extension member an said trocar tip is mounted to said extension member.

14. The trocar of claim 13, wherein said extension member is reciprocally mounted to said obturator shaft and is spring-biased away from said obturator shaft.

15. The trocar of claim 14, wherein said releasable obturator means maintains said trocar tip in a first extended position with said extension member in a spaced relation with respect to said obturator shaft and a second extended position in which said extension member is proximate said obturator shaft.

16. The trocar of claim 15, wherein said extension member assumes said second extended position in response to a counterforce applied to said trocar tip.

17. The trocar of claim 15, wherein said means for releasing said releasable obturator means effects said release from said second extended position.

18. The trocar of claim 17, wherein said means for releasing said releasable obturator means comprises a pawl and said pawl releases said releasable obturator means when said extension member moves away from said proximate position relative to said obturator shaft.

19. The trocar of claim 14, wherein said extension member assumes a position proximate said obturator shaft in response to a counterforce applied to said trocar tip.

20. The trocar of claim 19, wherein said means for releasing said releasable obturator means comprises a pawl.

21. The trocar of claim 20, wherein said pawl urges said latch radially inward upon release of said counterforce applied to said trocar tip.

22. The trocar of claim 21, wherein said pawl urges said latch radially inward upon release of said counterforce applied to said trocar tip.

23. The trocar of claim 1, wherein said trocar assembly further comprises an indicator means which signals the position of said trocar tip.

24. The trocar of claim 1, wherein said means for releasing the releasable obturator means and said biasing means automatically retract said trocar tip to said retracted position in response to removal of a counterforce from said trocar tip.

25. The trocar of claim 1, further comprising means for manually effecting retraction of said trocar tip from said extended position to said retracted position.

26. A trocar comprising:

(a) a cannula assembly comprising a cannula and a cannula housing defining an internal cannula passage;

(b) a trocar assembly adapted to cooperate with said cannula assembly, said trocar assembly comprising a shaft trocar tip, and obturator shaft, obturator sleeve means fixedly secured relative to said trocar housing and surrounding said obturator shaft and at least a portion of said sharp trocar tip, an outer trocar housing and an inner trocar housing, said inner trocar housing and outer trocar housing being reciprocally mounted to each other, said trocar tip and at least a portion of said obturator shaft and said obturator sleeve means being configured and dimensioned for entry into said internal cannula passage;

(c) releasable obturator means associated with said obturator shaft which releasably maintains said trocar tip in a first extended position relative to said cannula;

(d) means for releasing said releasable obturator means; and

(e) biasing means for retracting said trocar tip to a second retracted position in response to release of said releasable obturator means.

27. The trocar of claim 26, wherein said inner trocar housing and outer trocar housing are in spaced relation when said trocar is in said retracted position, and wherein approximation of said inner and outer trocar housings moves said trocar tip into said extended position.

28. The trocar claim of 27, wherein said obturator sleeve means includes a lance or notch to form an internal shelf, said internal shelf adapted to cooperate with said releasable obturator means to maintain said trocar tip in said first extended position.

29. The trocar claim of 28, wherein said means for releasing said releasable obturator means comprises a pawl.

30. The trocar claim of 29, wherein said pawl disengages said latch from said internal shelf in response to release of said counterforce, thereby causing said biasing means to retract said trocar tip to said second, retracted position.

31. The trocar claim of 26, further comprising means for manually effecting retraction of said trocar tip from said extended position to said retracted position.

32. A method for inserting a trocar, comprising:

(a) providing a cannula assembly comprising a cannula and a cannula housing defining an internal cannula passage, and a trocar assembly adapted to cooperate with said cannula assembly, said trocar assembly comprising a sharp trocar tip, an obturator shaft, obturator sleeve means fixedly secured relative to said trocar housing and surrounding said obturator shaft and at least a portion of said sharp trocar tip, said trocar tip and at least a portion of said obturator shaft and obturator sleeve means being configured and dimensioned for entry into said internal cannula passage;

(b) inserting said obturator shaft, obturator sleeve means and trocar tip into said internal cannula passage;

(c) advancing said obturator shaft and said trocar tip to expose said trocar tip from said cannula, said trocar tip being maintained in said exposed position by releasable obturator means associated with said obturator shaft which cooperates with said obturator sleeve means;

(d) pressing said trocar tip in said exposed position against a body wall, said body wall thereby exerting a counterforce against said trocar tip;

(e) entering said trocar tip into a body cavity, thereby removing said counterforce from said trocar tip and actuating release means associated with said obturator shaft to release said releasable obturator means, whereby said trocar tip is automatically withdrawn into said cannula under the action of a biasing means.

33. The method of claim 32, wherein said maintaining means comprises a latch adapt to cooperate with a shelf lanced or notched into said obturator sleeve means.

34. The method of claim 32, wherein said release means comprises a pawl adapted to contact and release said maintaining means.