Visually directed trocar for laparoscopic surgical procedures and method of using same

• US 5,376,076 A
• Filed: 11/17/1993
• Issued: 12/27/1994
• Est. Priority Date: 11/17/1992
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Worldwide Optical Trocar Licensing Corporation
• Inventors: Kaali, Steven G.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): FLANAGAN, BEVERLY MEINDL
• Application Number:
  US08/153,632
• Time in Patent Office: 405 Days
• Field of Search: 604/164, 604/165, 604/166, 604/167, 604/264, 604/272, 604/168, 604/158, 606/185, 128/3, 128/4
• US Class Current: 604/164.08
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/3132 for laparoscopy
• 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 2090/373 using light, e.g. by using optical scanners

Abstract

A new and improved laparoscopic trocar and sleeve assembly in which the trocar is provided with a transparent tip and accommodates a light telescope for supplying a video console so that while the trocar is being surgically inserted through the abdominal wall and into the abdominal cavity, visualization on the video console will be possible to avoid injury to blood vessels in the abdominal cavity wall or injury to any of the internal organs located in the abdominal cavity. Once clear visualization is established, conventional laparoscopic procedures can be carried out safely.

Claims

1. A surgical penetration device comprising:

a) an inflexible elongated member having a first end,

b) light transmission and imaging means provided at the first end of said elongated member to project light and receive light images,

c) piercing means cooperable with said light transmission and imaging means for piercing human flesh to permit surgical insertion of said light transmission and imaging means through human flesh into a body cavity,

d) said light transmission and imaging means being affixed to said first end of said inflexible elongated member and including a light transmission and imaging member formed essentially of transparent material, and

e) said elongated member having means for containing a conventional lighting means and a conventional light image receiving means in the form of a conventional telescope to cooperate with said light transmission and imaging means, said containing means being sized to permit detachable slidable insertion of the conventional telescope in the elongated member and slidable removal of the conventional telescope from the elongated member.

2. The surgical penetration device as claimed in claim 1 wherein said piercing means include a sharp pointed tip formed on said light transmission and imaging means.

3. The surgical penetration device as claimed in claim 1 wherein said elongated member is hollow.

4. The surgical penetration device as claimed in claim 1 wherein said elongated member is a cylinder.

5. The surgical penetration device as claimed in claim 1 wherein said light transmission and imaging means has a light transmissible tapered section and a light transmissible nontapered section, a predetermined amount of said nontapered section being recessed in the first end of said elongated member.

6. The surgical penetration device as claimed in claim 5 wherein the nontapered section of said light transmission and imaging member is substantially circular in cross section.

7. The surgical penetration device as claimed in claim 5 wherein the predetermined amount of said nontapered section is integrally joined to said elongated member at said first end of said elongated member.

8. The surgical penetration device as claimed in claim 1 wherein said light transmission and imaging member is formed of glass.

9. The surgical penetration device as claimed in claim 1 wherein said light transmission and imaging member is formed of plastic.

10. The surgical penetration device as claimed in claim 1 wherein said elongated member has a second end opposite said first end, and handle means are provided proximate said second end to facilitate manipulation of said elongated member.

11. A method of visualizing insertion of a surgical device through flesh into a body cavity comprising the steps of:

a) providing a novel hollow trocar with a tubular body and forming a light transmission and imaging member essentially of transparent material, and with a tipped end such that said light transmission and imaging member pierces human flesh for surgical insertion through human flesh,

b) joining said light transmission and imaging member to one end of said tubular body formed of a biocompatible material,

c) slidably locating a conventional lighting means and a conventional light image receiving means in the form of a conventional lighted telescope in said hollow trocar proximate said light transmission and imaging member to enable light from the lighting means to project outwardly away from said light transmission and imaging member and to permit the light image receiving means to receive light images that pass from outside said light transmission and imaging member through said light transmission and imaging member while said light transmission and imaging member is being inserted through the flesh into a body cavity, whereby said light transmission and imaging member provides a receivable image of the flesh and body cavity being entered.

12. The method of claim 11 including slidably locating said hollow trocar with said light transmission and imaging member in a sleeve and fixing the position of said hollow trocar relative to the sleeve such that substantially only the light transmission and imaging member projects from one end of the sleeve to permit insertion of the sleeve with the light transmission and imaging member through the flesh into a body cavity.

13. The method of claim 11 including monitoring the light images received by the light image receiving means on a video screen while the light transmission and imaging member is being inserted through the flesh into a body cavity to obtain continuous video aided visual imaging of the internal location of the light transmission and imaging member during such insertion.

14. The method of claim 11 including slidably removing the conventional lighted means from the hollow trocar to separate the trocar from the conventional light telescope.

15. The method of claim 12 including slidably removing the hollow trocar with the conventional light telescope from said sleeve, while said sleeve remains inserted through the flesh into a body cavity.

16. The method of claim 15 including reinserting the conventional light telescope in the sleeve, without the hollow trocar.