Safety penetrating instrument with triggered penetrating member retraction and single or multiple safety member protrusion

• US 5,645,556 A
• Filed: 07/22/1994
• Issued: 07/08/1997
• Est. Priority Date: 12/18/1990
• Status: Expired due to Fees

• Current Assignee: Inbae Yoon
• Original Assignee: Inbae Yoon
• Inventors: Yoon, InBae
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/279,170
• Time in Patent Office: 1,082 Days
• Field of Search: 128/751, 128/752, 128/753, 128/754, 604/95, 604/158, 604/162, 604/163, 604/164, 604/165, 604/170, 604/272, 604/274, 604/280, 604/169, 606/167, 606/171, 606/185
• US Class Current: 606/185
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• 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 17/3474 Insufflating needles, e.g. Veress needles
• 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 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A safety penetrating instrument for establishing a portal in a wall of an anatomical cavity includes a cannula, a penetrating member disposed within the lumen of the cannula, a safety member movable relative to the penetrating member to place the tip of the penetrating member in a protected, non-exposed state, and various mechanisms for simultaneously retracting the penetrating member while extending one or both of the cannula and safety member from locked positions wherein the penetrating member is in an extended position and the cannula and safety member are in retracted positions. Retraction of the penetrating member and extension or protrusion of either or both of the safety member and portal sleeve is triggered individually or in combination by movement of one or more of the three members upon entering the anatomical cavity. Additionally, a probe can be carried by the safety penetrating instrument for triggering retraction and/or extension of the members in a similar manner or upon moving a predetermined proximal distance during penetration of the anatomical cavity wall.

Claims

1. A safety penetrating instrument for establishing a portal in a wall of an anatomical cavity comprising

a housing;

a cannula mounted by said housing and having a distal end for positioning within the anatomical cavity, a proximal end for positioning externally of the anatomical cavity wall and a lumen extending between said distal and proximal ends of said cannula;

a penetrating member disposed in said cannula and having a distal end for penetrating the anatomical cavity wall;

a safety member movable relative to said housing between a safety member retracted position exposing said distal end of said penetrating member and a safety member extended position placing said distal end of said penetrating member in a protected, non-exposed state;

retracting means for moving said penetrating member proximally relative to said housing from a penetrating member extended position to a penetrating member retracted position;

extending means for moving at least one of said cannula and said safety member distally relative to said housing from a retracted position to an extended position;

locking means for locking said penetrating member in said penetrating member extended position and at least one of said cannula and said safety member in said retracted position to prevent distal movement thereof relative to said housing beyond said retracted position; and

releasing means responsive to entry of said safety penetrating instrument into the anatomical cavity for triggering release of said locking means to permit said retracting means to move said penetrating member proximally relative to said housing from said penetrating member extended position to said penetrating member retracted position and to permit said extending means to move at least one of said cannula and said safety member distally relative to said housing from said retracted position to said extended position to protect said distal end of said penetrating member.

2. A safety penetrating instrument as recited in claim 1 wherein said penetrating member includes a proximal end and said safety member includes a proximal end, wherein said housing mounts said proximal end of said cannula and further comprising a hub mounting said proximal ends of said penetrating member and said safety member.

3. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said safety member into the anatomical cavity.

4. A safety penetrating instrument as recited in claim 3 and further comprising bias means for biasing said safety member distally while permitting a predetermined amount of proximal movement thereof during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of said safety member caused by said bias means upon entry of said safety member into the anatomical cavity.

5. A safety penetrating instrument as recited in claim 4 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

6. A safety penetrating instrument as recited in claim 4 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

7. A safety penetrating instrument as recited in claim 4 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

8. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said penetrating member into the anatomical cavity.

9. A safety penetrating instrument as recited in claim 8 and further comprising bias means for biasing said penetrating member distally while permitting a predetermined amount of proximal movement thereof during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of said penetrating member caused by said bias means upon entry of said penetrating member into the anatomical cavity.

10. A safety penetrating instrument as recited in claim 9 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

11. A safety penetrating instrument as recited in claim 9 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

12. A safety penetrating instrument as recited in claim 9 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

13. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said cannula into the anatomical cavity.

14. A safety penetrating instrument as recited in claim 13 and further comprising bias means for biasing said cannula distally while permitting a predetermined amount of proximal movement thereof during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of said cannula caused by said bias means upon entry of said cannula into the anatomical cavity.

15. A safety penetrating instrument as recited in claim 14 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

16. A safety penetrating instrument as recited in claim 14 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

17. A safety penetrating instrument as recited in claim 14 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

18. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said safety member and said penetrating member into the anatomical cavity.

19. A safety penetrating instrument as recited in claim 18 and further comprising bias means for biasing said safety member and said penetrating member distally while permitting a predetermined amount of proximal movement of said safety member and said penetrating member during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of at least one of said safety member and said penetrating member caused by said bias means upon entry of said at least one of said safety member and said penetrating member into the anatomical cavity.

20. A safety penetrating instrument as recited in claim 19 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

21. A safety penetrating instrument as recited in claim 19 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

22. A safety penetrating instrument as recited in claim 19 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

23. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said safety member and said cannula into the anatomical cavity.

24. A safety penetrating instrument as recited in claim 23 and further comprising bias means for biasing said safety member and said cannula distally while permitting a predetermined amount of proximal movement of said safety member and said cannula during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of at least one of said safety member and said cannula caused by said bias means upon entry of said at least one of said safety member and said cannula into the anatomical cavity.

25. A safety penetrating instrument as recited in claim 24 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

26. A safety penetrating instrument as recited in claim 24 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

27. A safety penetrating instrument as recited in claim 24 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

28. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said penetrating member and said cannula into the anatomical cavity.

29. A safety penetrating instrument as recited in claim 28 and further comprising bias means for biasing said penetrating member and said cannula distally while permitting a predetermined amount of proximal movement of said penetrating member and said cannula during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of at least one of said penetrating member and said cannula caused by said bias means upon entry of said at least one of said penetrating member and said cannula into the anatomical cavity.

30. A safety penetrating instrument as recited in claim 29 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

31. A safety penetrating instrument as recited in claim 29 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

32. A safety penetrating instrument as recited in claim 29 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

33. A safety penetrating instrument as recited in claim 1 wherein said releasing means is responsive to entry of said safety member, said penetrating member and said cannula into the anatomical cavity.

34. A safety penetrating instrument as recited in claim 33 and further comprising bias means for biasing said safety member, said penetrating member and said cannula distally while permitting a predetermined amount of proximal movement of said safety member, said penetrating member and said cannula during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of at least one of said safety member, said penetrating member and said cannula caused by said bias means upon entry of said at least one of said safety member, said penetrating member and said cannula into the anatomical cavity.

35. A safety penetrating instrument as recited in claim 34 wherein said extending means is operable to move said safety member distally toward said extended position and said locking means includes a latching member that engages said safety member in said retracted position to prevent distal movement of said safety member beyond a predetermined position.

36. A safety penetrating instrument as recited in claim 34 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

37. A safety penetrating instrument as recited in claim 34 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

38. A safety penetrating instrument as recited in claim 1 and further comprising a trigger member movable a predetermined proximal distance during penetration of the anatomical cavity wall for triggering release of said locking means to permit said retracting means to move said penetrating member from said extended position to said retracted position and to permit said extending means to move at least one of said safety member and said cannula from said retracted position to said extended position, said predetermined distance corresponding approximately to the thickness of the anatomical cavity wall.

39. A safety penetrating instrument as recited in claim 38 and further comprising a hub mounting a proximal end of said penetrating member, wherein said trigger member has a proximal end mounted on said hub.

40. A safety penetrating instrument as recited in claim 39 wherein said housing mounts said proximal end of said cannula and wherein said trigger member extends through said housing to be disposed alongside said cannula.

41. A safety penetrating instrument as recited in claim 39 wherein said trigger member extends between said cannula and said safety member.

42. A safety penetrating instrument as recited in claim 39 wherein said trigger member extends between said safety member and said penetrating member.

43. A safety penetrating instrument as recited in claim 39 wherein said trigger member extends through a bore formed lengthwise in said penetrating member.

44. A safety penetrating instrument as recited in claim 38 wherein said extending means is operable to move said cannula distally toward said extended position and said locking means includes a latching member that engages said cannula in said retracted position to prevent distal movement of said cannula beyond a predetermined position.

45. A safety penetrating instrument as recited in claim 38 wherein said extending means is operable to move said cannula and said safety member distally toward said extended positions and said locking means engages said cannula and said safety member in said retracted positions to prevent distal movement of said cannula beyond a predetermined position and said safety member beyond a predetermined position.

46. A safety penetrating instrument as recited in claim 1 wherein said locking means includes a first latch engaging said cannula and a second latch engaging said penetrating member and said safety member, and wherein said releasing means includes first trigger means responsive to entry of said portal sleeve into the anatomical cavity for releasing said first latch and second trigger means responsive to entry of at least one of said penetrating member and said safety member into the anatomical cavity for releasing said second latch.

47. A safety penetrating instrument as recited in claim 1 wherein said safety member is a tubular safety shield disposed between said penetrating member and said portal sleeve.

48. A safety penetrating instrument as recited in claim 1 wherein said penetrating member is a hollow tubular member defining one or more apertures adjacent said distal end and said safety member is a safety probe disposed within said hollow tubular member and having a distal end configured to pass through said apertures when in said extended position and to be flush with said apertures when in said retracted position.

49. A safety penetrating instrument as recited in claim 1 wherein said penetrating member includes a tapered portion defining said distal end and, when said penetrating member is in an extended position, distal ends of said safety member and said cannula are aligned with a proximal end of said tapered portion and chamfered to provide a smooth transition.

50. A safety penetrating instrument as recited in claim 1 wherein said penetrating member includes a tapered portion defining said distal end, and, when said penetrating member is in an extended position, a distal end of said cannula is aligned with a proximal end of said tapered portion and chamfered to provide a smooth transition, and a distal end of said safety member is spaced proximally from said distal end of said cannula.

51. A safety penetrating instrument as recited in claim 1 wherein said penetrating member includes a tapered portion defining said distal end, and, when said penetrating member is in an extended position, a distal end of said safety member is aligned with a proximal end of said tapered portion and chamfered to provide a smooth transition, and a distal end of said cannula is spaced proximally from said distal end of said safety member.

52. A safety penetrating instrument as recited in claim 1 wherein said penetrating member includes a tapered portion defining said distal end, and, when said penetrating member is in an extended position, a distal end of said safety member is aligned with a proximal end of said tapered portion and chamfered to provide a smooth transition, and a distal end of said cannula is spaced distally from said distal end of said penetrating member.

53. A method of forming a portal in the wall of an anatomical cavity comprising the steps of

moving a penetrating member of a safety penetrating instrument distally relative to a housing of the safety penetrating instrument from a penetrating member retracted position to a penetrating member extended position;

moving at least one of a cannula and a safety member of the safety penetrating instrument proximally relative to the housing from an extended position to a retracted position to expose the distal end of the penetrating member;

mechanically locking the penetrating member in the penetrating member extended position and at least one of the cannula and the safety member in the retracted position;

penetrating the anatomical cavity wall with the penetrating member locked in the penetrating member extended position and at least one of the cannula and the safety member in the retracted position;

mechanically unlocking the penetrating member and at least one of the cannula and the safety member when the safety penetrating instrument enters the anatomical cavity;

moving the penetrating member proximally relative to the housing from the penetrating member extended position to the penetrating member retracted position; and

moving at least one of the cannula and the safety member distally relative to the housing from the retracted position to the extended position.

54. A method as recited in claim 53 and further comprising, after said locking step and prior to said penetrating step, biasing at least one of said penetrating member, safety member and said cannula in a distal direction while permitting a predetermined amount of proximal movement of said at least one of said penetrating member, safety member and cannula during penetration.

55. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said cannula into the anatomical cavity.

56. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said safety member into the anatomical cavity.

57. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said penetrating member into the anatomical cavity.

58. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said cannula and said safety member into the anatomical cavity.

59. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said cannula and penetrating member into the anatomical cavity.

60. A method as recited in claim 54 wherein unlocking includes unlocking said penetrating member and at least one of said portal sleeve and said safety member upon entry of said safety member and penetrating member into the anatomical cavity.

61. A method as recited in claim 54 and further comprising contacting the anatomical cavity with a probe during said penetrating step and triggering unlocking of said penetrating member and at least one of said cannula and said safety member when the probe has moved a predetermined proximal distance.