Retractable safety penetrating instrument

• US 5,330,432 A
• Filed: 12/06/1991
• Issued: 07/19/1994
• Est. Priority Date: 12/06/1991
• Status: Expired due to Fees

• Current Assignee: Inbae Yoon
• Original Assignee: Inbae Yoon
• Inventors: Yoon, InBae
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): JONES, MARYBETH O
• Application Number:
  US07/805,506
• Time in Patent Office: 956 Days
• Field of Search: 604/117, 604/164-169, 604/264, 604/272-274, 606/184, 606/185, 606/191
• US Class Current: 604/164.12
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• 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 2017/3458 threaded
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A retractable safety penetrating instrument includes a cannula and a needle disposed within the cannula and supported in a manner to automatically move proximally from an extended position wherein a sharp distal end of the needle protrudes from the cannula to a retracted position wherein the sharp distal end of the needle is protected in response to distal movement of the retractable safety penetrating instrument upon penetration into a cavity in the body. A retracting mechanism moves the needle proximally, is normally locked in a position preventing proximal movement of the needle and is released by distal movement of an operating member to trigger retraction of the needle.

Claims

1. A retractable safety penetrating instrument for introduction into a cavity in the body comprising

a cannula having a distal end for positioning in the body cavity, a proximal end for positioning externally of the body cavity and a lumen extending between said distal and proximal ends;

a tubular needle slidably disposed in said cannula lumen and having a sharp distal tip for penetrating a wall of the cavity;

retracting means for moving said sharp distal tip proximally from an extended position where said sharp distal tip protrudes beyond said cannula distal end to a retracted position where said sharp distal tip is withdrawn into said cannula to prevent contact of said sharp distal tip with tissue; and

trigger means including an operating member movable distally when said sharp distal tip has penetrated into said cavity and a trigger member for being engaged by said operating member when said operating member moves distally for automatically actuating said retracting means to move said sharp distal tip to said retracted position.

2. A retractable safety penetrating instrument as recited in claim 1 and further comprising means for permitting said needle to move proximally as said needle penetrates the cavity wall and wherein said operating member is disposed on said needle.

3. A retractable safety penetrating instrument as recited in claim 1 and further comprising an inner member disposed within said needle and means for permitting said inner member to move proximally as said needle penetrates the cavity wall and wherein said operating member is disposed on said inner member.

4. A retractable safety penetrating instrument as recited in claim 3 wherein said inner member includes an angled distal end surface and said needle includes an angled distal end surface at said sharp distal tip and wherein said inner member distal end surface is aligned with said needle distal end surface as said needle penetrates the cavity wall.

5. A retractable safety penetrating instrument as recited in claim 1 and further comprising means for permitting said cannula to move proximally as the needle penetrates the cavity wall and wherein said operating member is disposed on said cannula.

6. A retractable safety penetrating instrument as recited in claim 1 wherein said retracting means includes means for biasing said needle proximally and further including locking means engageable with said retracting means for preventing movement of said sharp distal tip proximally, said trigger means further including releasing means for being engaged by said operating member when said operating member moves distally for disengaging said locking means from said retracting means.

7. A retractable safety penetrating instrument for introduction into a cavity in the body comprising

a cannula having a distal end for positioning in the body cavity, a proximal end for positioning externally of the body cavity and a lumen extending between said distal and proximal ends;

a tubular needle slidably disposed in said cannula lumen and having a sharp distal tip for penetrating a wall of the cavity;

retracting means for moving said needle proximally from an extended position where said sharp distal tip protrudes beyond said cannula distal end to a retracted position where said sharp distal tip is withdrawn into said cannula to prevent contact of said sharp distal tip with tissue, said retracting means including means for biasing said needle proximally;

locking means engageable with said retracting means for preventing movement of said retracting means proximally, said locking means including a latch biased into engagement with said retracting means; and

trigger means including an operating member movable distally when said sharp tip has penetrated into said cavity for automatically actuating said retracting means to move said needle to said retracted position, said trigger means including releasing means for being engaged by said operating member when said operating member moves distally for disengaging said locking means from said retracting means.

8. A retractable safety penetrating instrument as recited in claim 7 wherein said latch includes a spring.

9. A retractable safety penetrating instrument as recited in claim 8 wherein said releasing means includes cam means for disengaging said latch from said retracting means.

10. A retractable safety penetrating instrument as recited in claim 9 wherein said releasing means further includes a trigger on said cam means for being engaged by said operating member when said operating member moves distally.

11. A retractable safety penetrating instrument as recited in claim 10 wherein said cam means is biased to a rest position wherein said trigger is disposed within the path of distal movement of said operating member.

12. A retractable safety penetrating instrument as recited in claim 8 wherein said releasing means includes spring means and a trigger on said spring means biased into the path of distal movement of said operating member.

13. A retractable safety penetrating instrument as recited in claim 7 wherein said latch includes a locking bar and said releasing means includes spring means for biasing said locking bar into engagement with said retracting means and disengaging said locking bar from said retracting means, said releasing means further including a trigger biased into the path of distal movement of said operating member.

14. A retractable safety penetrating instrument as recited in claim 7 wherein said locking means and said releasing means are of integral, unitary construction.

15. A retractable safety penetrating instrument as recited in claim 7 wherein said locking means and said releasing means are of multi-part construction.

16. A retractable safety penetrating instrument for introduction into a tubular vessel in the body comprising

a cannula having a distal end for positioning in the tubular vessel, a proximal end for positioning externally of the tubular vessel and a lumen extending between said distal and proximal ends;

a tubular needle disposed in said lumen of said cannula and having a sharp distal end for penetrating the wall of the tubular vessel;

retracting means for moving said sharp distal end proximally relative to the cannula from an extended position where said sharp distal end protrudes beyond said cannula distal end to a retracted position where said sharp distal end is disposed within said cannula distal end; and

trigger means for automatically actuating said retracting means to move said sharp distal end to said retracted position in response to movement of said needle distally upon said cannula distal end entering the tubular vessel whereby said sharp distal end of said needle is protected from inadvertent contact with tissue in the tubular vessel.

17. A retractable safety penetrating instrument as recited in claim 16 wherein said retracting means includes means for biasing said needle in a proximal direction.

18. A retractable safety penetrating instrument as recited in claim 17 further including means engageable with said retracting means for preventing movement of said needle in the proximal direction and said trigger means includes means for automatically disengaging said movement preventing means.

19. A retractable safety penetrating instrument for introduction into a tubular vessel in the body comprising

a cannula having a distal end for positioning in the tubular vessel, a proximal end for positioning externally of the tubular vessel and a lumen extending between said distal and proximal ends;

a tubular needle disposed in said lumen of said cannula and having a sharp distal end for penetrating the wall of the tubular vessel and a hollow proximal end;

retracting means for moving the needle proximally relative to the cannula from an extended position where said sharp distal end protrudes beyond said cannula distal end to a retracted position where said sharp distal end is disposed within said cannula distal end, said retracting means including means for biasing said needle in a proximal direction;

means engageable with said retracting means for preventing movement of said needle in the proximal direction;

trigger means for automatically actuating said retracting means to move said needle to said retracted position in response to movement of said retractable safety penetrating instrument distally upon said cannula distal end entering the tubular vessel whereby said sharp distal end of said needle is protected from inadvertent contact with tissue in the tubular vessel, said trigger means including means for automatically disengaging said movement preventing means; and

housing means for mounting said proximal end of said needle and cylindrical member means secured to said housing means and extending into said needle proximal end for guiding proximal movement of said needle.

20. A retractable safety penetrating instrument as recited in claim 19 wherein said biasing means includes a spring disposed within said needle concentrically around said cylindrical member means.

21. A retractable safety penetrating instrument as recited in claim 20 further including a rim on said cylindrical member means disposed within said proximal end of said needle and a plate on said proximal end of said needle, said spring being mounted in compression between said rim and said plate.

22. A retractable safety penetrating instrument as recited in claim 19 wherein said biasing means is disposed within said housing means externally of said needle.

23. A retractable safety penetrating instrument as recited in claim 22 further including rail means mounted externally on said proximal end of said needle and having an abutment wall, and said biasing means includes a spring mounted in compression between said housing means and said abutment wall.

24. A retractable safety penetrating instrument as recited in claim 23 further including plate means extending from said rail means and having an aperture therein for receiving said proximal end of said needle.

25. A retractable safety penetrating instrument as recited in claim 24 further including pin means on said rail means for providing a positive stop limiting proximal movement of said needle.

26. A retractable safety penetrating instrument as recited in claim 24 further including a tube secured to said housing means and extending into said proximal end of said needle, longitudinal slot means in said proximal end of said needle and pin means on said tube received within said slot means for providing a positive stop limiting proximal movement of said needle.

27. A retractable safety penetrating instrument as recited in claim 19 wherein said biasing means includes a spring disposed concentrically around said needle.

28. A retractable safety penetrating instrument as recited in claim 27 further including a plate mounted on said proximal end of said needle and an annular skirt disposed concentrically around said needle and extending from said plate, said spring being disposed concentrically around said needle within said skirt and maintained in compression between said housing means and said plate.

29. A retractable safety penetrating instrument for providing fluid communication with a cavity in the body comprising

a cannula for providing a passage through a cavity wall and having a distal end for positioning in the body cavity, a proximal end for positioning externally of the body cavity and a lumen extending between said distal and proximal ends;

a tubular needle having a sharp distal end for penetrating the cavity wall; and

means for mounting the needle in said lumen of said cannula for allowing proximal movement of said needle relative to said cannula during penetration of the cavity wall, said means for mounting including means for biasing said needle in a distal direction to allow proximal movement of said needle against the distal bias in response to a proximal force from tissue contact at said distal end of said needle during penetration of the cavity wall.

30. A retractable safety penetrating instrument as recited in claim 29 wherein said needle includes a proximal end and further including a housing mounting said needle proximal end and a flange on said needle proximal end disposed in said housing and wherein said distal biasing means includes a spring mounted in compression between said flange and said housing.

31. A retractable safety penetrating instrument as recited in claim 30 wherein said housing includes an end wall and said needle proximal end is hollow and further including a tube extending from said end wall into said proximal end of said needle, said spring being disposed concentrically around said tube.

32. A retractable safety penetrating instrument as recited in claim 31 wherein said needle distal end includes an end surface tapering to a sharp tip and a cylindrical body joined to said end surface at a trailing edge and said cannula distal end includes a peripheral edge, said trailing edge being aligned with said peripheral edge when said needle moves proximally against the distal bias in response to a proximal force from tissue contact at said distal end of said needle to present a substantially smooth profile.

33. A retractable safety penetrating instrument as recited in claim 32 further including positive stop means for limiting proximal movement of said needle against said distal bias.

34. A retractable safety penetrating instrument as recited in claim 33 wherein said positive stop means is disposed at said proximal end of said needle.

35. A retractable safety penetrating instrument for introduction into a cavity in the body comprising

a cannula having a distal end for positioning in the body cavity, a proximal end for positioning externally of the body cavity and a lumen extending between said distal and proximal ends;

a tubular needle disposed in said lumen of said cannula having a sharp distal end for penetrating the cavity wall;

means for biasing said needle distally within said lumen of said cannula to an extended position where said sharp distal end protrudes beyond said cannula distal end;

retracting means for moving said needle proximally relative to said cannula from said extended position to a retracted position to prevent contact of said sharp distal end with tissue; and

trigger means for automatically actuating said retracting means to move said needle to said retracted position in response to movement of said needle distally within said lumen of said cannula.

36. A retractable safety penetrating instrument as recited in claim 35 further including means for selectively moving said needle from said retracted position to said extended position.

37. A retractable safety penetrating instrument as recited in claim 36 wherein said means for selectively moving includes knob means on said needle, housing means for mounting said needle and slot means in said housing means for receiving said knob means, said knob means being movable along said slot means to move said needle from said retracted position to said extended position.

38. A retractable safety penetrating instrument as recited in claim 37 further including means for selectively locking said needle in said extended position.

39. A retractable safety penetrating instrument as recited in claim 38 wherein said means for locking includes a locking member pivotably mounted on said housing means for being selectively moved into a position preventing proximal movement of said knob means along said slot means.

40. A retractable safety penetrating instrument as recited in claim 35 further including a tube extending through said housing means and into said proximal end of said needle and a hub mounting said tube externally of said housing means.

41. A retractable safety penetrating instrument as recited in claim 40 further including a valve mounted externally of said housing for controlling flow through said tube.

42. A retractable safety penetrating instrument as recited in claim 40 further including at least one conduit mounted externally of said housing in fluid communication with said tube.