Visually directed trocar and method

• US 5,609,562 A
• Filed: 05/10/1995
• Issued: 03/11/1997
• Est. Priority Date: 11/16/1993
• 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:
  US08/433,445
• Time in Patent Office: 671 Days
• Field of Search: 600/114, 600/104, 600/106, 600/117, 600/127, 600/183, 604/164, 604/165, 604/166, 604/167, 604/264, 604/272, 606/185
• US Class Current: 600/114
• 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 laparosopic 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 provedures can be carried out safely.

Claims

1. A surgical penetration device comprising:

a) an inflexible hollow tubular member,

b) a light transmission and imaging member formed essentially of transparent material provided at one end of said hollow tubular member to project light and receive light images,

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

d) said light transmission and imaging member being formed separately of said hollow tubular member and affixed to said one end of said hollow tubular member to extend beyond said one end of said hollow tubular member, said light transmission and imaging member having a portion that is of diminishing cross-sectional magnitude the further distant said portion is from said one end of said hollow tubular member, and

e) an opposite end of said hollow tubular member being open and the open end and the inside space of said hollow tubular member being of a 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 end of the hollow tubular member, and slidable removal of the conventional light telescope from the open end of the hollow tubular member, whereby said light transmission and imaging member is cooperable with said conventional light telescope when said conventional light telescope is inserted in said hollow tubular member.

2. The surgical penetration device as claimed in claim 1 wherein said light transmission and imaging member includes a section that is recessed in the one end of said hollow tubular member.

3. The surgical penetration device as claimed in claim 2 wherein the recessed section of said light transmission and imaging member is substantially circular in cross section.

4. The surgical penetration device as claimed in claim 2 wherein the recessed section is integrally joined to said hollow tubular member at said one end of said hollow tubular member.

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

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

7. The surgical penetration device as claimed in claim 1 wherein said hollow tubular member has a handle member provided proximate said opposite end of said hollow tubular member to facilitate manipulation of said hollow tubular member.

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

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

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

a) providing an inflexible hollow tubular member,

b) forming a light transmission and imaging member essentially of transparent material with a portion that is of diminishing cross-sectional magnitude in a predetermined direction along the light transmission and imaging member,

c) attaching the light transmission and imaging member at one end of the hollow tubular member such that the light transmission and imaging member has the diminishing cross-sectional magnitude the further distant said portion of the light transmission and imaging member is from the one end of the hollow tubular member, and leaving the opposite end of the hollow tubular member open,

d) 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,

e) 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 opposite end of the hollow tubular member to locate the conventional light telescope proximate said light transmission and imaging member in the interior hollow space of the hollow tubular 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

f) keeping the conventional light telescope in the hollow tubular member in a manner that permits slidable removal of the conventional light telescope from the opening at the opposite end of the hollow tubular member when the hollow tubular member is removed from the flesh.

11. The method of claim 10 including slidably locating said hollow tubular member with said light transmission and imaging member in a sleeve and fixing the position of said hollow tubular member relative to the sleeve such that 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.

12. The method of claim 10 including monitoring the light images received by the light transmission and imaging member 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.

13. The method of claim 10 including slidably removing the conventional light telescope from the opening at the opposite end of the hollow tubular member to separate the conventional light telescope from the hollow tubular member.

14. The method of claim 11 including slidably removing the hollow tubular member with said light transmission and imaging member from said sleeve, while said sleeve remains inserted through the flesh into a body cavity.

15. The method of claim 10 including forming the light transmission and imaging member with a cutting edge.

16. The method of claim 10 including forming the light transmission and imaging member with a piercing point.