Trocar assembly

• US 5,620,456 A
• Filed: 10/20/1995
• Issued: 04/15/1997
• Est. Priority Date: 10/20/1995
• Status: Expired due to Term

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: Lasersurge, Inc.
• Inventors: Tiberio, Thomas A., Sauer, Jude S., Greenwald, Roger J., Bovard, Mark A.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): RASCHE, PATRICK WILLIAM
• Application Number:
  US08/546,168
• Time in Patent Office: 543 Days
• Field of Search: 128/754, 128/751, 604/22, 604/164, 604/264, 606/167, 606/171, 606/185, 606/170, 606/174, 30/173, 30/175, 30/187
• US Class Current: 606/185
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• 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 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• 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 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

An obturator assembly for penetrating body tissue, includes a handle assembly having a finger-actuated trigger member, a sleeve member connected to and extending from the handle assembly, an obturator shaft at least partially positioned within the sleeve member and engageable with the finger-actuated trigger member of the handle assembly and a cutting mechanism supported by the distal end portion of the obturator shaft. The cutting mechanism is deployable for cutting action upon movement of the trigger member. A method of using the obturator assembly is also disclosed.

Claims

1. An obturator assembly for penetrating body tissue, which comprises:

a handle assembly including a finger-actuated trigger member;

a sleeve member connected to and extending from the handle assembly;

an obturator shaft at least partially positioned within the sleeve member and engageable with the finger-actuated trigger member of the handle assembly, the obturator shaft defining a longitudinal axis and having proximal and distal end portions; and

a cutting mechanism disposed at the distal end portion of the obturator shaft, the cutting mechanism deployable for cutting action upon movement of the trigger member,

wherein the obturator shaft is adapted to move distally upon movement of the trigger member to deploy the cutting mechanism from the sleeve member, and

wherein the cutting mechanism includes first and second blade members, the blade members at least moveable relative to the longitudinal axis of the obturator shaft between a first non-deployed position wherein the cutting blades are disposed within the obturator sleeve and a second deployed position wherein cutting edges of the cutting blades are displaced from the longitudinal axis and exposed beyond the obturator sleeve.

2. The obturator assembly according to claim 1 wherein the cutting edges of the cutting blades move substantially within a common plane to thereby form a linear incision in body tissue.

3. The obturator assembly according to claim 1 including a camming mechanism for moving the cutting blades between the first non-deployed position and the second deployed position, the camming mechanism including a cam slot formed in each cutting blade and a single cam pin positioned within the cam slots.

4. The obturator assembly according to claim 1 wherein the first and second blade members are supported by the sleeve member.

5. The obturator assembly according to claim 4 wherein the first and second blade members each include a mounting slot wherein a mounting pin is disposed within each mounting slot and connected to the sleeve member to mount the first and second cutting blades to the sleeve member.

6. The obturator assembly according to claim 1 wherein the sleeve member includes a blunt distal end portion, the blunt distal end portion configured to facilitate blunt dissection of tissue.

7. The obturator assembly according to claim 6 wherein the blunt distal end portion of the sleeve member has a slot to permit movement of the first and second blade members between the first non-deployed and the second deployed positions.

8. The obturator assembly according to claim 1 wherein the blade members overlap each other and wherein the cutting edges cross over the longitudinal axis to reach the second deployed position.

9. A surgical trocar, which comprises:

a cannula;

an obturator configured for insertion into the cannula, the obturator including proximal and distal end portions;

at least two overlapping blade members for cutting tissue, the blade members sharing a common pivot point and supported at the distal end portion of the obturator for movement away from the obturator;

an actuating mechanism associated with the obturator and operatively connected to the blade members, the actuating mechanism including a trigger member movable to cause movement of the blade members to a deployed position at least partially exposed beyond the cannula.

10. The surgical trocar according to claim 9, wherein the obturator includes:

an obturator sleeve having proximal and distal end portions; and

an obturator shaft at least partially disposed within the obturator sleeve and reciprocally axially movable therewithin.

11. The surgical trocar according to claim 10, wherein the blade members are operatively connected to the obturator shaft.

12. The surgical trocar according to claim 11, wherein the obturator shaft is operatively connected to the trigger member such that movement of the trigger member in one direction causes distal movement of the obturator shaft to move the blade members to the deployed position thereof at least partially exposed beyond a distal end portion of the obturator sleeve.

13. The surgical trocar according to claim 12, wherein the actuating mechanism includes a camming mechanism, the camming mechanism actuable to move the blade members from an initial closed position to an open cutting position wherein cutting edges of each blade are displaced from the longitudinal axis of the obturator sleeve, the camming mechanism including at least one camming pin and at least one cam slot formed in each cutting blade.

14. The obturator assembly according to claim 10 wherein the distal end portion of the obturator sleeve is rounded and is provided with a slot to permit the blade members to move from a non-deployed position within the obturator sleeve to the deployed position outside the obturator sleeve.

15. The surgical trocar according to claim 9, wherein the cannula includes a cannula housing and a cannula sleeve extending from the cannula housing.

16. The surgical trocar according to claim 15, including means for detachably mounting the obturator to the cannula housing of the cannula.

17. A surgical trocar, which comprises:

a cannula; and

an obturator configured for at least partial insertion into the cannula and defining a longitudinal axis, the obturator including;

an obturator shaft having proximal and distal end portions, the obturator shaft reciprocally axially movable within the cannula;

at least two blade members supported at a distal end portion of the obturator and moveable between at least a non-deployed position and a fully deployed position in response to movement of the obturator shaft;

a handle operatively connected to the obturator shaft, the handle having a trigger selectively movable to cause reciprocal axial movement of the obturator shaft and movement of the blade members between the non-deployed and fully deployed position; and

a manually operable member mounted to the handle and operatively engageable with the trigger, the manually operable member selectively movable between two positions, wherein in a first position of the manually operable member the trigger is capable of moving to a first position thereof corresponding to the fully deployed position of the blade members and wherein in a second position of the manually operable member the trigger is capable of moving to a second position thereof corresponding to a partial deployed position of the blade members, wherein the manually operable member is normally biased to the second position thereof.

18. The surgical trocar according to claim 17 wherein the trigger is pivotally mounted to the handle.

19. The surgical trocar according to claim 18 including a spring member for biasing the manually operable member to the second position thereof.

20. The surgical trocar according to claim 19 including means for retaining the manually operable member in the first position.

21. The surgical trocar according to claim 20 wherein the means for retaining is released upon movement of the trigger to the first position thereof to thereby permit movement of the manually operable member to the second position thereof under the influence of the spring member.

22. The surgical trocar according to claim 21 wherein the means for retaining the manually operable member includes a leaf spring mounted to the manually operable member and engageable with an inner shelf of the handle to retain the manually operable member in the first position.

23. The surgical trocar according to claim 22 wherein the trigger is adapted to engage the leaf spring upon movement of the trigger to the first position thereof to thereby release the leaf spring from its engagement with the inner shelf of the handle to permit movement of the manually operable member to the second position thereof.

24. The surgical trocar according to claim 17 wherein the cannula includes a cannula housing and a cannula sleeve extending from the cannula housing.

25. The surgical trocar according to claim 24 including means for detachably mounting the obturator to the cannula housing of the cannula.

26. The surgical trocar according to claim 17 wherein the cannula has an outer diameter and wherein the blade members in the fully deployed position extend outside the outer diameter of the cannula.

27. The surgical trocar according to claim 26 wherein the blade members in the partial deployed position possess a dimension no greater than the outer diameter of the cannula.

28. A handle system to be connected to a trocar of the type including a cannula having a cannula housing and a cannula sleeve, an obturator configured for at least partial insertion into the cannula and having an obturator shaft and a cutting mechanism associated with a distal end of the obturator shaft, the handle system including:

a frame;

a trigger mechanism associated with the frame for axially moving the obturator shaft to deploy the cutting mechanism beyond the cannula, the trigger mechanism including a trigger pivotally mounted to the frame, the trigger operatively engageable with the obturator shaft and pivotally movable between a first non-pivoted position corresponding to an unarmed position of the cutting mechanism and a second fully pivoted position corresponding to a fully armed position of the cutting mechanism;

a release mechanism for detachably mounting the frame to the cannula housing; and

a manually operable member mounted to the frame and engageable with the trigger, the manually operable member selectively moveable between first and second positions thereof and provided with mechanical means for retaining the manually operable member in the first and second positions, wherein in a first position of the manually operable member the trigger is capable of moving to a fully pivoted position corresponding to a fully advanced position of the obturator shaft and fully armed position of the cutting mechanism, wherein in the second position of the manually operable member the trigger is capable of pivoting to an intermediate position thereof corresponding to an intermediate advance position of the obturator shaft and an intermediate armed position of the cutting mechanism, wherein the manually operable member is normally biased to the second position.

29. The handle system according to claim 28 wherein the mechanical means for retaining the manually operable member in the first position includes a lever spring and the mechanical means for retaining the manually operable member in the second position includes a compression spring.

30. A method for forming an incision in body tissue of a patient, comprising the steps of:

positioning an obturator against the body tissue of a patient, the obturator including at least two overlapping blade members at a distal end thereof and sharing a common pivot point;

actuating the obturator such that the blade members are deployed to incise the body tissue, and

forming a generally linear incision in the abdominal wall with the deployed blade members.

31. The method of claim 30 wherein the step of actuating includes the step of initially moving the blade members distally such that cutting edges thereof penetrate the body tissue.

32. The method of claim 31 wherein the step of initially moving the blade members distally is succeeded by the step of moving the cutting edges of the blade members outwardly such that the cutting edges are displaced relative to a longitudinal axis of the obturator.

33. The method of claim 32 wherein the step of initially moving the blade members distally includes moving the blade members such that a pointed end of a first blade member and pointed end of second blade member are on opposed sides of an intervening plane and wherein the step of moving the cutting edges of the blade members outwardly includes moving the pointed ends of the first and second blade members to the opposed side.

34. The method of claim 30 wherein the step of forming a generally linear incision includes using only the blade members which together are used to form a single incision which is generally linear.

35. An obturator assembly for penetrating body tissue, which comprises:

a handle assembly including a finger-actuated trigger member;

an obturator sleeve having a proximal end connected to the handle assembly and a rounded distal end having a slot;

an obturator shaft positioned within the sleeve member and engageable with the finger-actuated trigger member of the handle assembly, the obturator shaft defining a longitudinal axis and having proximal and distal portions; and

at least two blade members disposed at the distal portion of the obturator shaft and within the rounded distal end of the obturator sleeve in a non-deployed position, wherein initial movement of the trigger member moves the blade members in a distal direction through the slot in the obturator sleeve and wherein further movement of the trigger member causes each of the blade members to move in a different direction in a common plane with respect to each other.