Retracting tip trocar assembly

• US 5,441,513 A
• Filed: 03/12/1992
• Issued: 08/15/1995
• Est. Priority Date: 03/12/1992
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Roth, Alex T.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): MULCARE, NANCY C
• Application Number:
  US07/850,089
• Time in Patent Office: 1,251 Days
• Field of Search: 606/167, 606/185, 604/158, 604/164, 604/165, 604/167, 604/169, 604/264, 604/272
• US Class Current: 606/185
• 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 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A retracting tip trocar assembly including a trocar tube and a shaft having a piercing tip at one end thereof. The device includes a retracting mechanism which allows the piercing tip to be held in a cutting position upon application of an insertion force such as when the piercing tip is pressed against a wall of a human body cavity. Upon release of the insertion force, such as when the piercing tip passes through the wall, the retracting mechanism causes the piercing tip to be retracted into the trocar tube.

Claims

1. A retracting tip trocar assembly comprising:

an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof;

an elongated trocar tube in which the trocar obturator is housed, the piercing tip being movable in the axial direction from a cutting position at which the piercing tip is outside a distal end of the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube;

a trocar handle housing which receives the proximal end of the elongated trocar obturator and which includes a catch;

a first link pivotally attached to the trocar obturator and to a second link, the second link being pivotally attached to the trocar handle housing, the links being in a first configuration when the piercing tip is in a cutting position outside the distal end of the trocar tube and the links being in a second configuration when the piercing tip is in the shielded position; and

retracting means mounted within the trocar handle for retracting the piercing tip from the cutting position to the shielded position, the retracting means acting on at least one of the first and second links;

wherein the catch releasably maintains the links in the first configuration.

2. The retracting tip assembly of claim 1, wherein

said links are movable from said first configuration, at which the links prevent movement of the trocar obturator, to said second configuration, at which the links do not prevent movement of the trocar obturator, the links being held in the first configuration when the piercing tip is pressed against an object with an axial insertion force above a threshold value,

said retracting means comprises biasing means for applying a bias force on at least one of said links such that the biasing means moves the at least one of said links from the first configuration to the second configuration when the axial insertion force is below the threshold value upon release of the axial insertion force placed upon the piercing tip while the piercing tip is in the cutting position, to retract the piercing tip to the shielded position.

3. The retracting tip assembly of claim 2, wherein the insertion force comprises a compressive load acting in an axial direction parallel to the axial direction of tip movement.

4. The retracting tip assembly of claim 1, wherein the retracting means comprises a spring engaged with at the least one of said links and biasing the links toward the second configuration, wherein one end of said first link is pivotally attached to a proximal end of said trocar obturator, another end of said first link is pivotally attached to an end of said second link, and another end of said second link is pivotally attached to said trocar housing.

7. The retracting tip assembly of claim 1, further comprising a stop in the trocar handle housing for sustaining the insertion force which acts axially on the piercing tip, the trocar obturator and the first and second links being aligned substantially axially and supporting the insertion force against the stop when the piercing tip is in the cutting position and the piercing tip is pushed against an object.

8. The retracting tip assembly of claim 1, wherein the first and second links include abutting surfaces which press against each other when the piercing tip is in the cutting position.

9. The retracting tip assembly of claim 8, wherein the first and second links comprise a single piece of plastic material.

10. The retracting tip trocar assembly of claim 9, wherein the single piece of plastic comprises two plastic links connected by a bendable section of the plastic material.

13. The retracting tip assembly of claim 1, wherein the ends of the first and second links not pivotally connected to one another are closer together when the piercing tip moves to the shielded position.

14. The retracting tip assembly of claim 1, further comprising a latch arm on one of the links for manually moving the links to the first configuration, the trocar handle housing including catch means for holding the latch arm in an armed position at which the piercing tip is in the cutting position.

15. The retracting tip trocar assembly of claim 14, wherein one end of the latch arm is connected to one of the links and the other end thereof extends outwardly of the trocar handle, the catch means comprising a curved slot in the trocar handle, the latch arm being movable along the curved slot, the curved slot terminating in an enlarged opening formed in part by a support surface against which the latch arm presses when the piercing tip is in an armed position.

16. The retracting tip assembly of claim 15, wherein the piercing tip is located further outside the distal end of the trocar tube in the armed position than when the piercing tip is in the cutting position.

17. The retracting tip assembly of claim 16, wherein the latch arm automatically moves from the support surface to a position in alignment with the curved slot when the piercing tip is pushed against an object.

18. The retracting tip assembly of claim 1, wherein the trocar handle housing includes a track and the obturator has a shaft which includes a slider, the slider cooperating with the track to guide the shaft axially along the trocar tube.

5. A retracting tip trocar assembly comprising:

an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof;

an elongated trocar tube in which the trocar obturator is housed, the piercing tip being movable in the axial direction from a cutting position at which the piercing tip is outside a distal end of the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube;

a trocar handle housing which receives the proximal end the elongated trocar obturator and which includes a catch;

a member movable from a first position at which the member prevents movement of the trocar obturator to a second position at which the member does not prevent movement of the trocar obturator, the member being held in the first position when the piercing tip is held against an object with an axial force above a threshold value, wherein the member comprises first and second links for holding the piercing tip in the cutting position while the insertion force load is placed on the piercing tip, the first link pivotally attached to the trocar obturator and to the second link, the second link being pivotally attached to the trocar handle housing, the links being in a first configuration when the piercing tip is in the cutting position and the links being in a second configuration when the piercing tip is in the shielded position; and

at least one spring mounted within the trocar handle housing for retracting the piercing tip from the cutting position to the shielded position;

wherein the catch releasably maintains the links in the first configuration and said at least one spring applies a bias force on at least one of said links such that when the insertion force is below the threshold value, upon release of the axial insertion force placed on the piercing tip while the piercing tip is in the cutting position, the links move from the first configuration to the second configuration and the piercing tip moves to the shielded position.

6. The retracting tip assembly of claim 5, wherein the spring is engaged with at least one of the links and biases the links toward the second configuration, wherein one end of said first link is pivotally attached to a proximal end of said trocar obturator, another end of said first link is pivotally attached to an end of said second link, and another end of said second link is pivotally attached to said trocar housing.

12. The retracting tip assembly of claim 6, wherein the spring comprises a torsion spring.

19. The retracting tip assembly of claim 6, wherein the torsion spring comprises a wire having first and second arms extending from a coiled portion of the wire, the first arm pressing against the first link and the second arm pressing against the second link.

11. A retracting tip trocar assembly comprising:

an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof;

an elongated trocar tube in which the trocar obturator is housed, the piercing tip being movable in the axial direction from a cutting position at which the piercing tip is outside a distal end of the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube;

a trocar handle housing which receives the proximal end of the elongated trocar obturator and which includes a catch;

a member movable from a first position at which the member prevents movement of the trocar obturator to a second position at which the member does not prevent movement of the trocar obturator, the member being held in the first position when the piercing tip is held against an object with an axial force above a threshold value, wherein the member comprises a deformable link for holding the piercing tip in the cutting position while the insertion force is placed on the piercing tip, the deformable link having a first configuration when the piercing tip is in the cutting position and having a second configuration when the piercing tip is in the shielded position; and

at least one spring for retracting the piercing tip from the cutting position to the shielded position;

wherein the catch releasably maintains the deformable link in the first configuration and said at least one spring applies a bias force on said link such that when the insertion force is below the threshold value, upon release of the axial insertion force placed on the piercing tip while the piercing tip is in the cutting position, the link moves from the first configuration to the second configuration and the piercing tip moves to the shielded position.

20. A method of puncturing a wall of a human body cavity, comprising the steps of:

providing a retractable tip trocar assembly having an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof, an elongated trocar tube in which the trocar obturator is housed such that the piercing tip is movable in the axial direction from a cutting position at which the piercing tip is outside the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube, a trocar handle housing which receives the proximal end of the elongated trocar obturator and which includes a catch, retracting means mounted within a trocar handle housing for retracting the piercing tip from the cutting position to the shielded position, a first link pivotally attached to the trocar obturator and to a second link, the second link being pivotally attached to the trocar handle housing, the links being in a first configuration when the piercing tip is in the cutting position and the links being in a second configuration when the piercing tip is in the shielded position, the retracting means acting on at least one of the first and second links;

placing the links in the first configuration with the piercing tip in the cutting position; and

piercing a wall of a human body cavity by manually pushing the piercing tip against the wall of the human body cavity until the piercing tip punctures the wall, thereby triggering the retracting means to move the links to the second configuration and withdraw the piercing tip entirely into the trocar tube.

21. The method of claim 20, further comprising a step of insufflating the human body cavity.

22. The method of claim 21, wherein the insufflating step is performed prior to the piercing step.

23. The method of claim 20, wherein one end of said first link is pivotally attached to a proximal end of said trocar obturator, another end of said first link is pivotally attached to an end of said second link, and another end of said second link is pivotally attached to said trocar housing.

24. A method of puncturing a wall of a human body cavity, comprising the steps of:

providing a retractable tip trocar assembly having;

an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof, an elongated trocar tube in which the trocar obturator is housed such that the piercing tip is movable in the axial direction from a cutting position at which the piercing tip is outside the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube,

retracting means mounted within a trocar handle housing for retracting the piercing tip from the cutting position to the shielded position, the trocar handle housing receiving the proximal end of the trocar obturator,

a member, comprising links, movable from a first position at which the member prevents movement of the trocar obturator to a second position at which the member does not prevent movement of the trocar obturator, the member being held in the first position when the piercing tip is pressed against an object with an axial force above a threshold value, and

biasing the member toward the second position by applying a bias force on the member such that when the insertion force is below the threshold value the member moves from the first position to the second position and the piercing tip moves to the shielded position;

placing the links in a straight configuration with the piercing tip in the cutting position;

piercing a wall of a human body cavity by manually pushing the piercing tip against the wall of the human body cavity until the piercing tip punctures the wall, thereby triggering movement of the links to a bent configuration and withdrawing the piercing tip entirely into the trocar tube;

wherein the trocar assembly includes a trocar handle housing which receives the proximal end of the elongated trocar obturator, and the retracting means is mounted within the trocar handle housing and includes at least one spring for biasing the links toward the bent configuration, the links being extendible to a straight configuration, and the trocar assembly includes a latch arm mounted to at least one of the links and extending through a slot in the housing, the slot defining a catch;

the step of placing the links in the straight configuration comprising moving the latch arm along the slot to extend the links to the straight configuration and engaging the latch arm with the catch to hold the piercing tip in the cutting position.

25. The method of claim 24, wherein the housing includes an upper housing and a lower housing, the trocar obturator and retracting means being supported by the upper housing and the upper housing being separable from the lower housing, the lower housing including a valve for automatically sealing the trocar tube when the trocar obturator is removed from the trocar tube, the method further comprising a step of separating the upper housing from the lower housing such that the trocar tube is sealed by the valve, the separating step being performed after the piercing step is performed.

26. The method of claim 24, wherein the latch arm is flexible and is automatically disengaged from the catch during the piercing step due to axial movement of the link means when an insertion load force is placed on the piercing tip.

27. The method of claim 24, wherein one end of said first link is pivotally attached to a proximal end of said trocar obturator, another end of said first link is pivotally attached to an end of said second link, and another end of said second link is pivotally attached to said trocar housing.

28. A method of puncturing a wall of a human body cavity, comprising the steps of:

providing a retractable tip trocar assembly having;

an elongated trocar obturator extending in an axial direction and having a proximal end and a piercing tip at a distal end thereof,

an elongated trocar tube in which the trocar obturator is housed such that the piercing tip is movable in the axial direction from a cutting position at which the piercing tip is outside the trocar tube to a shielded position at which the piercing tip is entirely within the trocar tube,

retracting means for retracting the piercing tip from the cutting position to the shielded position,

a trocar handle housing which receives the proximal end of the elongated trocar obturator, the retracting means being mounted in the trocar handle housing,

a member which includes a first link pivotally attached to the proximal end of the trocar obturator and to a second link, the second link being pivotally attached to the trocar handle housing, the links being in a first configuration when the piercing tip is in the cutting position and the links being in a second configuration when the piercing tip is in the shielded position, the retracting means acting on at least one of the links and the links being held in the first configuration when the piercing tip is pressed against an object with an axial force above a threshold value;

biasing the links toward the second configuration, the biasing means applying a bias force on the links such that when the insertion force is below the threshold value, the links move from the first configuration to the second configuration and the retracting means moves the piercing tip to the shielded position;

placing the links in the first configuration with the piercing tip in the cutting position and the links in the first configuration;

piercing a wall of a human body cavity by manually pushing the piercing tip against the wall of the human body cavity with an axial force above the threshold value until the piercing tip punctures the wall and the axial force falls below the threshold value, whereupon the retracting means moves the links to the second configuration to withdraw the piercing tip entirely into the trocar tube.

29. The method of claim 28, wherein one end of said first link is pivotally attached to a proximal end of said trocar obturator, another end of said first link is pivotally attached to an end of said second link, and another end of said second link is pivotally attached to said trocar housing.

30. The method of claim 28, wherein the links are in a straight configuration in the first configuration, the housing has a slot therein, and the member includes a latch arm extending through the slot in the housing, the slot having a catch and the step of placing the links in the first configuration comprising moving the latch arm along the slot to extend the links to the straight configuration and engaging the latch arm with the catch to hold the piercing tip in the cutting position.

31. The method of claim 30, wherein the housing includes an upper housing, having the slot therein, and a lower housing, the trocar obturator and retracting means being supported by the upper housing and the upper housing being separable from the lower housing, the lower housing including a valve for automatically sealing the trocar tube when the trocar obturator is removed from the trocar tube, the method further comprising a step of separating the upper housing from the lower housing such that the trocar tube is sealed by the valve, the separating step being performed after the piercing step is performed.

32. The method of claim 30, wherein the latch arm is flexible and there is included a step of automatically disengaging the latch arm from the catch during the piercing step due to axial movement of the links when an insertion force is placed on the piercing tip.

33. The method of claim 28, further comprising a step of insuring the human body cavity.

34. The method of claim 33, wherein the insufflating step is performed prior to the piercing step.