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

• US 5,380,291 A
• Filed: 11/17/1993
• Issued: 01/10/1995
• Est. Priority Date: 11/17/1992
• Status: Expired due to Term

• 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:
  US08/153,625
• Time in Patent Office: 419 Days
• Field of Search: 604/164, 604/165, 604/166, 604/167, 604/264, 604/272, 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. A handle provided on the trocar facilitates manipulation and control of the trocar tip penetration. 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) said light transmission and imaging means including 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,

e) said elongated member having means for containing a lighting means and a light image receiving means to cooperate with said light transmission and imaging means, and

f) handle means joined to said elongated member to permit one-handed manipulation of said elongated member and to permit the same one hand to simultaneously exert manual pressure on said elongated member in the direction of said light transmission and imaging means for surgical insertion of said light transmission and imaging means through human flesh into a body cavity.

2. The surgical penetration device as claimed in claim 1, said handle means extending away from the elongated member to avoid interference with said means for containing the lighting means and light image receiving means.

3. The surgical penetration device as claimed in claim 1 wherein said handle means has a thumb rest for the right hand.

4. The surgical penetration device as claimed in claim 1 wherein said handle means has a thumb rest for the left hand.

5. The surgical penetration device as claimed in claim 1 wherein said handle means has a thumb rest for the right and left hands to permit use of said handle means with either hand.

6. The surgical penetration device as claimed in claim 4 wherein said elongated member is hollow.

7. The surgical penetration device as claimed in claim 6 wherein said elongated member is a cylinder.

8. The surgical penetration device as claimed in claim 1 wherein said elongated member has a second end opposite said first end and said handle means is provided on said elongated member proximate said second end.

9. The surgical penetration device as claimed in claim 1 wherein said handle means is formed of plastic.

10. The surgical penetration device as claimed in claim 1 wherein said handle means is sufficiently elongated to permit gripping by all of the fingers.

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 a light transmission and imaging member with means for piercing 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) joining a handle member to the tubular body proximate an opposite end of the tubular body to manipulate said trocar and to exert manual pressure on said trocar in the direction of said light transmission and imaging means for surgical insertion of said light transmission and imaging means through human flesh into a body cavity, and

d) locating a conventional lighting means and light image receiving means 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 during manipulation of the trocar by the handle member, 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 forming the light transmission and imaging member with piercing means that include a pyramidal piercing point.

15. The method of claim 11 including forming the light transmission and imaging member with piercing means that include a conical piercing point.