Trocar device

• US 5,472,427 A
• Filed: 10/22/1993
• Issued: 12/05/1995
• Est. Priority Date: 10/22/1993
• Status: Expired due to Fees

• Current Assignee: David H. Rammler
• Original Assignee: David H. Rammler
• Inventors: Rammler, David H.
• Primary Examiner(s): WEISS, JOHN
• Application Number:
  US08/142,192
• Time in Patent Office: 774 Days
• Field of Search: 604/164, 604/264, 604/157, 606/182
• US Class Current: 604/164.01
• CPC Class Codes: A61B 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 17/085 with adhesive layer
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 17/3494 with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors for the peridural space A61B17/3401
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2046/205 Adhesive drapes
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2090/3788 transmitter only
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A trocar device is disclosed which is adapted for insertion into a body cavity, such as the abdominal cavity, without the need for cavity insufflation. The trocar device comprises applicator and trocar components. The trocar components comprises a cylindrical trocar tube and detachable obdurator. The applicator comprises a housing into which the trocar and obdurator are loaded prior to insertion, and means for applying a force, such as a spring or electric motor, to drive the obdurator and trocar through the body wall into the cavity. Various electrical and mechanical means are provided for limiting the penetration depth of the obdurator. In one embodiment, sonic transducer means are provided for detecting a phase change in reflected sonic waves at the internal body wall boundary to stop trocar penetration. Several alternative embodiments of the apparatus and method of use are disclosed.

Claims

1. A trocar applicator for applying a trocar to pierce an abdominal wall, said applicator comprising:

a housing comprising;

a lower pad having a orifice through which said trocar can extend; and

a vertical frame mounted on said pad;

force means for driving said trocar through said abdominal wall, said force means mounted to said frame distal from said pad;

means for maintaining said force means in a deactivated position and for activating said force means to drive said trocar; and

at a position intermediate between said pad and said force means attached to said vertical frame, trocar limiting means for limiting the distance said trocar is driven through said abdominal wall.

2. The trocar applicator as in claim 1, wherein said force means comprises a spring mounted in the upper portion of said vertical frame distal from said lower pad;

and

wherein said means for maintaining said force means is a trigger means for maintaining said force means in a deactivated position and for activating said force means to drive said trocar;

said trigger means comprising spring locking and releasing means for maintaining said spring in a compressed position and releasing said spring to drive said trocar downwardly; and

wherein said trocar distance limiting means comprises an inwardly extending protrusion.

3. A trocar device for inserting a trocar through the abdominal wall and into the abdominal cavity of a patient, said trocar device comprising:

a trocar assembly comprising;

a cylindrical trocar tube;

trocar stopping means comprising an outwardly extending protuberance;

an obdurator extending through said cylindrical tube and having a sharp end extending past one of said ends of said cylindrical tube; and

means for locking said obdurator into position within said tube; and

an applicator device comprising;

a lower pad having a orifice through which said trocar can extend;

a vertical frame mounted on said pad;

force means for driving said trocar through said abdominal wall;

trigger means for maintaining said force means in a deactivated position and for activating said force means to drive said trocar;

trocar limiting means for limiting the distance said trocar is driven through said abdominal wall;

said vertical frame including a region having coarse internal threads spaced apart from and below said force means, said region having a narrower separation than the separation between other portions of said frame between said force means and said threaded region; and

wherein said trocar limiting means comprises;

a slip-ring having an internal diameter larger than said cylindrical tube and extending inwardly sufficient to engage said protuberance,

said slip ring is adapted to adjustably engage said coarse internal threads inside said vertical frame for adjusting said penetration distance;

whereby said cylindrical trocar tube is prevented from penetrating once said protuberance abuts said slip-ring.

4. The apparatus of claim 3, wherein said force means comprises an electric motor coupled to a traction wheel adapted to apply a tractional force to drive said trocar into said abdominal wall;

said trigger means comprises an electric switch means for selectively applying electrical energy to said electric motor to drive said trocar; and

said limiting means further comprises an electric switch means for turning off said electric motor when said protuberance engages said slip ring.

5. The apparatus of claim 3, wherein said force means comprises a spring, and wherein said trocar limiting means is located at a position intermediate between said pad and said spring attached to said vertical frame.

6. A trocar device for inserting a trocar through the abdominal wall and into the abdominal cavity of a patient, said trocar device comprising:

a trocar assembly comprising;

a cylindrical trocar tube;

an obdurator extending through said cylindrical tube and having a sharp end extending past one of said ends of said cylindrical tube;

means for locking said obdurator into position within said tube; and

an applicator device comprising;

a lower pad having a orifice through which said trocar can extend;

force means comprising an electric motor coupled to a traction wheel adapted to apply a tractional force to drive said trocar into said abdominal wall;

a vertical frame mounted on said pad;

an electric switch means for selectively applying electrical energy to said electric motor to drive said trocar;

trocar limiting means for limiting the penetration of said trocar comprising;

sonic transceiver means for transmitting sonic waves from said obdurator and for receiving reflection signals of said transmitted waves;

signal analysis means for analyzing said reflection signals and for determining when said obdurator traverses said abdominal wall and penetrates said abdominal cavity; and

means responsive to said signal analysis means for controlling said electric motor to stop driving said trocar when said abdominal wall has been penetrated a predetermined distance.

7. A trocar applicator for applying a trocar to pierce an abdominal wall, said applicator comprising:

a housing comprising;

a lower pad having a orifice through which said trocar can extend; and

a vertical frame mounted on said pad;

force means for driving said trocar through said abdominal wall, said force means mounted in said frame distal from said pad;

means for maintaining said force means in a deactivated position and for activating said force means to drive said trocar; and

at a position intermediate between said pad and said force means attached to said vertical frame, trocar limiting means for limiting the distance said trocar is driven through said abdominal wall;

wherein said lower pad comprises a plurality of pad section connected by a first hinge means; and

said vertical frame comprise a plurality of separable vertical sections adapted to separate from and join with one another to open and close a space between said vertical sections for inserting and removing said trocar.

8. A trocar device for inserting a trocar through a body wall and into the body cavity of a patient, said trocar device comprising:

an applicator comprising;

a pad adapted for placement adjacent said body wall and having a orifice through which said trocar can extend;

a vertical frame mounted on said pad;

force means attached to said vertical frame for driving said trocar toward said pad and through said body wall;

trigger means for maintaining said force means in a deactivated position and for activating said force means to drive said trocar; and

trocar penetration limiting means for limiting the distance said trocar is driven by said force means; and

a trocar assembly comprising;

a cylindrical trocar tube having two ends;

trocar stopping means for cooperating with said trocar limiting means to limit the distance said trocar is driven by said force means;

an obdurator extending through the interior of said cylindrical tube and having a sharp end extending past one of said ends of said cylindrical tube; and

means for locking said obdurator into a predetermined position within said tube;

whereby said cylindrical trocar tube is prevented from being driven further into said body wall once said trocar stopping means cooperatively engages said trocar penetration limiting means.

9. The device as in claim 8 wherein:

said vertical frame includes a region having coarse threads spaced apart from said force means, said region having a narrower separation than the separation between other portions of said frame between said force means and said threaded region;

said trocar stopping means further comprising a protuberance outwardly extending from said cylindrical trocar tube; and

said trocar penetration limiting means comprising;

a slip-ring having an internal diameter larger than the external diameter of said cylindrical tube and extending inwardly a sufficient distance to engage said protuberance,

said slip-ring being adapted to be fixedly and adjustably coupled to said coarse threads of said vertical frame;

whereby engagement of said protuberance on said trocar with said adjustably positioned slip-ring fixedly coupled with said coarse threads to said frame as said trocar is driven by said force means stops said trocar from being driven further and prevents penetration of said trocar into said body cavity beyond a predetermined depth.

10. The apparatus of claim 9, wherein said force means comprises a spring and wherein said trocar limiting means is located at a position intermediate between said pad and said spring attached to said vertical frame.

11. The apparatus of claim 8, wherein said force means comprises an electric motor coupled to a traction wheel adapted to apply a tractional force to drive said trocar into said body wall;

said trigger means comprises an electric switch means for selectively applying electrical energy to said electric motor to drive said trocar; and

said trocar limiting means comprises an electric switch means for turning off said electric motor when said trocar has been driven a predetermined distance.