Trocar having an improved cutting tip configuration

• US 5,624,459 A
• Filed: 01/26/1995
• Issued: 04/29/1997
• Est. Priority Date: 01/26/1995
• Status: Expired due to Term

• Current Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Original Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Inventors: Erwin, Philip O., Kortenbach, Juergen A.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/378,741
• Time in Patent Office: 824 Days
• Field of Search: 606/167, 606/184, 606/185, 604/158, 604/164, 604/165, 604/264
• 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 2017/346 with wings

Abstract

A surgical trocar has three integral single beveled blades having cutting edges which, when viewed head on, resemble a Y configuration. The distal end of each blade is formed with a leading cutting edge and a single trailing edge which define a single beveled face. The blades are arranged so that their leading edges converge to form a sharp point at the distal end of the trocar with the leading cutting edges extending proximally and radially from the point. The trocar is preferably extruded with three fins which are shifted relative to the longitudinal axis of the extrusion such that at most a first side of each fin lies along a ray from the longitudinal axis of the extrusion. Alternatively, both sides are shifted to one side of the longitudinal axis. The distal end of each fin is then ground to form a single bevel with at least a portion of the cutting edge of the beveled fin lying in a plane which includes the longitudinal axis of the extrusion and being angled proximally. The fins are preferably spaced at 120° intervals from one another about the longitudinal axis of the extrusion. The extrusion is preferably stepped proximal of the cutting edges to form a descending step for stopping the distal movement of a spring biased safety shield. The fins may be ground using the same machine used to grind a pyramidal trocar tip and will result in cutting edges with half the angle of the cutting edges of the pyramidal tip.

Claims

1. A surgical trocar comprising:

a) a proximal handle;

b) a distal cutting tip; and

c) a central shaft extending from said proximal handle to said distal cutting tip, wherein

said distal cutting tip has a longitudinal axis and a plurality of fins arranged about said longitudinal axis, each of said plurality of fins having first and second non-intersecting sides which are substantially parallel to each other and a distal bevel defining a cutting edge, said first side lying in a plane which substantially includes said longitudinal axis and said cutting edge.

2. A surgical trocar according to claim 1, wherein:

said central shaft has a longitudinal axis which is collinear with said longitudinal axis of said cutting tip.

3. A surgical trocar according to claim 2, wherein:

said central shaft and said distal cutting tip are an integral extruded member.

4. A surgical trocar according to claim 1, wherein:

said plurality of fins is three fins.

5. A surgical trocar according to claim 4, wherein:

said three fins are arranged about said longitudinal axis of said distal cutting tip at 120°

intervals.

6. A surgical trocar according to claim 1, wherein:

each of said cutting edges forms an acute angle with said longitudinal axis of said distal cutting tip.

7. A surgical trocar according to claim 1, wherein:

said bevel forms an acute angle with said first side.

8. A surgical trocar according to claim 1, wherein:

a proximal portion of each of said fins is turned down to form a step.

9. A surgical trocar according to claim 8, further comprising:

d) a safety shield slideably mounted on said central shaft; and

e) biasing means for biasing said safety shield in a distal direction, wherein

said safety shield has a substantially cylindrical proximal portion and a tapered distal portion, said tapered distal portion having a plurality of slots corresponding to said plurality of fins and said substantially cylindrical proximal portion having an annular stop which prevents it from moving distally beyond said steps.

10. A surgical trocar according to claim 1, wherein:

each of said cutting edges forms an angle of approximately 17°

with said longitudinal axis of said distal cutting tip.

11. A surgical trocar according to claim 10, wherein:

each of said bevels forms an angle of approximately 17°

with said longitudinal axis of said distal cutting tip.

12. A surgical trocar according to claim 10, wherein:

each of said bevels forms an angle less than approximately 17°

with said longitudinal axis of said distal cutting tip.

13. In a surgical trocar having a proximal handle, a central shaft with a distal end, and a distal cutting tip having a longitudinal axis, the improvement comprising:

said distal cutting tip comprising a plurality of fins, each fin having a first side, a second side, and a distal bevel, said first and second sides being non-intersecting and substantially parallel to each other, and said first side and said distal bevel defining a cutting edge,

said first side and said cutting edge lying in a plane which substantially includes the longitudinal axis of said cutting tip.

14. An improved cutting tip according to claim 13, wherein:

said cutting edge forms an acute angle with the longitudinal axis.

15. An improved cutting tip according to claim 13, wherein:

said bevel forms an acute angle with said first side.

16. An improved cutting tip according to claim 13, wherein:

said plurality of fins is three fins.

17. An improved cutting tip according to claim 16, wherein:

said three fins are arranged about said longitudinal axis of said distal cutting tip at 120°

intervals.

18. An improved cutting tip according to claim 13, wherein:

a proximal portion of each of said fins is turned down to form a step.

19. An improved cutting tip according to claim 13, wherein:

said plurality of fins are a single extruded piece.

20. An improved cutting tip according to claim 13, wherein:

each of said cutting edges forms an angle of approximately 17°

with said longitudinal axis of said distal cutting tip.

21. An improved cutting tip according to claim 20, wherein:

each of said bevels forms an angle of approximately 17°

with said longitudinal axis of said distal cutting tip.

22. A surgical trocar according to claim 20, wherein:

each of said bevels forms an angle less than approximately 17°

with said longitudinal axis of said distal cutting tip.

23. A surgical trocar comprising:

a) a proximal handle;

b) a distal cutting tip having a longitudinal axis and a plurality of fins arranged about said longitudinal axis, with each of said plurality of fins having first and second non-intersecting sides and a distal bevel defining a cutting edge; and

c) a central shaft extending from said proximal handle to said distal cutting tip, wherein

said first and second sides of each of said fins lie in planes which do not include said longitudinal axis, and a portion of each said cutting edge lies in a plane which substantially includes said longitudinal axis while another portion of said cutting edge lies in a plane which does not include said longitudinal axis.

24. A surgical trocar according to claim 23, wherein:

said central shaft has a longitudinal axis which is collinear with said longitudinal axis of said cutting tip.

25. A surgical trocar according to claim 24, wherein:

said central shaft and said distal cutting tip are an integral extruded member.

26. A surgical trocar according to claim 23, wherein:

said plurality of fins is three fins.

27. A surgical trocar according to claim 26, wherein:

said three fins are arranged about said longitudinal axis of said distal cutting tip at substantially 120°

intervals.

28. A surgical trocar according to claim 23, wherein:

said bevel forms an acute angle with said first side.

29. A surgical trocar according to claim 23, further comprising:

d) a safety shield slideably mounted on said central shaft; and

e) biasing means for biasing said safety shield in a distal direction, wherein

said safety shield has a substantially cylindrical proximal portion and a tapered distal portion, and said tapered distal portion has a plurality of slots corresponding to said plurality of fins.

30. A surgical trocar comprising:

a) a proximal handle;

b) a distal cutting tip having a longitudinal axis and a plurality of fins arranged about said longitudinal axis; and

c) a central shaft extending from said proximal handle to said distal cutting tip, wherein

each of said plurality of fins has first and second non-intersecting sides which are substantially parallel to each other and a distal bevel defining a cutting edge having an angle substantially less than 68°

.

31. A surgical trocar according to claim 30, wherein:

at least a portion of each said cutting edge forms an angle of approximately 17°

with said longitudinal axis.

32. A surgical trocar according to claim 31, wherein:

said bevel forms an angle of approximately 17°

with said longitudinal axis.