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

• US 5,551,947 A
• Filed: 11/17/1993
• Issued: 09/03/1996
• 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:
  US08/153,628
• Time in Patent Office: 1,021 Days
• Field of Search: 604/164, 604/165, 604/166, 604/167, 604/264, 604/272, 606/185, 128/4, 128/3, 600/114, 600/104, 600/117, 600/127, 600/183
• US Class Current: 604/264
• 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 that can include a blade edge 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 first and second opposite ends and an inside space,

b) a light transmission and imaging member affixed to and extending beyond said first end of said inflexible elongated member and being formed essentially of transparent material to project light and receive light images,

c) a piercing edge for said light transmission and imaging member cooperable with said light transmission and imaging member, and

d) the second end of said elongated member being open and the open second end and the inside space being of respective predetermined size to permit detachable slidable insertion of a conventional lighting member and a conventional light image receiving member in the form of a conventional light telescope into the inside space from the open second end of the elongated member, and slidable removal of the conventional light telescope from the open second end of the elongated member, whereby said light transmission and imaging member is cooperable with said conventional light telescope when said conventional light telescope is inserted in said elongated member.

2. The surgical penetration device as claimed in claim 1, wherein said piercing edge extends axially and transversely of said light transmission and imaging member.

3. The surgical penetration device as claimed in claim 1, wherein said light transmission and imaging member is of pyramidal shape.

4. The surgical penetration device as claimed in claim 1, wherein said light transmission and imaging member has a light transmissible portion with a free end and a recessed portion recessed in the first end of said elongated member, said light transmissible portion having a cross-section that increases in magnitude from the free end toward the first end of said elongated member.

5. The surgical penetration device as claimed in claim 1, wherein said inflexible elongated member is a hollow tube with a hollow space extending to said light transmission and imaging member, said hollow space constituting the inside space for insertion and removal of the conventional light telescope.

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

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

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

9. The surgical penetration device as claimed in claim 1, wherein a handle member is provided proximate said second end of said elongated member to facilitate manipulation of said elongated member.

10. The surgical penetration device as claimed in claim 9 wherein said handle member extends away from the elongated member to avoid interference with the open second end of the elongated member and permit slidable removal of the conventional light telescope from the open second end of the elongated member while the handle member is being gripped.

11. The surgical penetration device as claimed in claim 10 wherein said handle member is in the shape of a pistol grip.

12. The surgical penetration device as claimed in claim 11 wherein the handle member has a thumb rest.

13. The surgical penetration device as claimed in claim 11 wherein said handle member has a right and left hand thumb rest to permit use of said handle member with either hand.

14. The surgical penetration device as claimed in claim 1 wherein a handle member is joined to said elongated member proximate said second end of said elongated member and extends away from the elongated member to permit one-handed manipulation of the elongated member and permit the same one hand to simultaneously exert manual pressure on the elongated member in the direction of the light transmission and imaging member to facilitate surgical insertion of the light transmission and imaging member through human flesh into a body cavity.

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

a) providing an inflexible elongated member with an interior space,

b) attaching a light transmission and imaging member formed essentially of transparent material at one end of the elongated member and providing an opening at a second opposite end of said elongated member,

c) providing a piercing edge for cooperation with the light transmission and imaging member to pierce flesh and permit insertion of the light transmission and imaging member through the pierced flesh into a body cavity,

d) slidably locating a conventional lighting member and a conventional light image receiving member in the form of a conventional light telescope in the opening at the second end of the elongated member to locate the conventional light telescope proximate said light transmission and imaging member in the interior space of the elongated member to enable light from the conventional light telescope to project outwardly away from said light transmission and imaging member and to permit the conventional light telescope 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 for the conventional light telescope of the flesh and body cavity being entered, and

e) keeping the conventional light telescope in the elongated member in a manner that permits slidable removal of the conventional light telescope from the operating at the second end of the elongated member when the elongated member is removed from the flesh.

16. The method of claim 15 including slidably locating said elongated member with said light transmission and imaging member in a sleeve and fixing the position of said elongated member 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.

17. The method of claim 16 including slideably removing the elongated member with said light transmission and imaging member from said sleeve, while said sleeve remains inserted through the flesh into a body cavity.

18. The method of claim 15 including slidably removing the conventional light telescope from the opening at the second end of the elongated member to separate the conventional light telescope from the elongated member.

19. The method of claim 15 including monitoring the light images received by the conventional light telescope 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.

20. The method of claim 15 including joining a handle member to the elongated member proximate the second end of the elongated member to manipulate the elongated member and permit exertion of manual pressure on the elongated member in the direction of the light transmission and imaging member for surgical insertion of the light transmission and imaging member through human flesh into a body cavity when the piercing edge for the light transmission and imaging member pierces the flesh.

21. The method of claim 20 including forming the handle member to extend away from the elongated member to permit one-handed manipulation of the elongated member and permit the same one hand to simultaneously exert manual pressure on the elongated member in the direction of the light transmission and imaging member to facilitate surgical insertion of the light transmission and imaging member through human flesh into a body cavity.