Safety penetrating instrument with triggered penetrating member retraction and safety member protrusion

• US 5,645,557 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:
  US08/279,172
• 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 includes a penetrating member having a sharp distal end, a safety member movable relative to the penetrating member to protect the sharp distal end of the penetrating member, a safety member extending mechanism, a penetrating member retracting mechanism, a locking mechanism, a biasing mechanism and a releasing mechanism. The extending mechanism moves the safety member distally to a safety member extended position where the safety member distal end is disposed distally of the penetrating member distal end while permitting the safety member to move proximally to a safety member retracted position. The retracting mechanism moves the penetrating member proximally to a retracted position where the penetrating member distal end is disposed proximally of the safety member distal end while permitting the penetrating member to move distally to a penetrating member extended position. The locking mechanism locks the safety member in the safety member retracted position to prevent movement of the safety member to the safety member extended position and locks the penetrating member in the penetrating member extended position. The bias mechanism biases one or both of the safety member and penetrating member distally upon introduction in the anatomical cavity while permitting proximal movement of the members during penetration of the anatomical cavity wall. The releasing mechanism is responsive to distal movement of one or both of the safety member and penetrating member for triggering release of the locking mechanism.

Claims

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

a hub;

a penetrating member mounted by said hub and movable relative thereto between a penetrating member extended position and a penetrating member retracted position, said penetrating member having a sharp distal end for penetrating the anatomical cavity wall;

a safety member movable relative to said hub between a safety member retracted position exposing said sharp distal end of said penetrating member when said penetrating member is in said penetrating member extended position and a safety member extended position protecting said sharp distal end of said penetrating member;

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

extending means for moving said safety member distally relative to said hub from said safety member retracted position to said safety member extended position;

locking means for locking said penetrating member in said penetrating member extended position and said safety member in said safety member retracted position to prevent distal movement of said safety member relative to said hub beyond said safety member 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 hub from said penetrating member extended position to said penetrating member retracted position and to permit said extending means to move said safety member distally relative to said hub from said safety member retracted position to said safety member extended position to protect said sharp 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 and further comprising a housing mounting said proximal end of said safety member and wherein said hub mounts said proximal end of said penetrating 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 relative to said hub while permitting a predetermined amount of proximal movement thereof relative to said hub during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of said safety member relative to said hub caused by said bias means upon entry of said safety member into the anatomical cavity.

5. 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.

6. A safety penetrating instrument as recited in claim 5 and further comprising bias means for biasing said penetrating member distally relative to said hub while permitting a predetermined amount of proximal movement thereof relative to said hub during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement of said penetrating member relative to said hub caused by said bias means upon entry of said penetrating member into the anatomical cavity.

7. A safety penetrating instrument as recited in claim 6 wherein said safety member terminates proximally in a flange, said penetrating member terminates proximally in a flange, and said locking means includes a first latch for engaging said penetrating member flange and a second latch for engaging said safety member flange.

8. A safety penetrating instrument as recited in claim 7 and further comprising a protrusion carried by said penetrating member intermediate said penetrating member proximal and distal ends, wherein said releasing means includes a first trigger lever mounted on said first latch proximal said penetrating member flange and a second trigger lever mounted on said second latch proximal said protrusion.

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

10. A safety penetrating instrument as recited in claim 9 and further comprising bias means for biasing said safety member and said penetrating member distally relative to said hub while permitting a predetermined amount of proximal movement of each member relative to said hub during penetration of the anatomical cavity wall and wherein said releasing means is responsive to distal movement 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.

11. A safety penetrating instrument as recited in claim 10 wherein said safety member terminates proximally in a flange, said penetrating member terminates proximally in a flange, and said locking means includes a first latch for engaging said penetrating member flange and a second latch for engaging said safety member flange.

12. A safety penetrating instrument as recited in claim 11 and further comprising a protrusion carried by said penetrating member intermediate said penetrating member proximal and distal ends, wherein said releasing means includes a first trigger lever mounted on said first latch proximal said penetrating member flange, a second trigger lever mounted on said second latch proximal said protrusion and a third trigger lever mounted on said second latch proximal said portal sleeve flange.

13. A safety penetrating instrument for penetrating anatomical tissue to gain access to an anatomical cavity comprising

a hub;

a penetrating member mounted by said hub and movable relative thereto between a penetrating member extended position and a penetrating member retracted position, said penetrating member having a sharp distal end for penetrating anatomical tissue;

a safety member having a distal end and being movable relative to said hub between a safety member extended position where said safety member distal end is disposed distally of said sharp penetrating member distal end and a safety member retracted position where said safety member distal end is disposed proximally of said penetrating member distal end;

extending means for moving said safety member distally relative to said hub from said safety member retracted position to said safety member extended position;

safety member bias means for biasing said safety member distally relative to said hub in said safety member retracted position and for permitting said safety member to move proximally relative to said hub from said safety member retracted position during penetration of the anatomical tissue and distally relative to said hub toward said safety member retracted position upon introduction of said safety penetrating instrument in the anatomical cavity;

retracting means for moving said penetrating member proximally relative to said hub from said penetrating member extended position where said sharp penetrating member distal end is disposed distally of said safety member distal end and said penetrating member retracted position where said sharp penetrating member distal end is disposed proximally of said safety member distal end;

locking means for locking said safety member in said safety member retracted position to prevent distal movement of said safety member relative to said hub beyond said safety member retracted position while permitting proximal movement of said safety member relative to said hub from said safety member retracted position during penetration of the anatomical tissue and for locking said penetrating member in said penetrating member extended position during penetration of the anatomical tissue; and

releasing means responsive to movement of said safety member distally toward said safety member retracted position upon introduction of said safety penetrating instrument in the anatomical cavity for triggering release of said locking means to permit said extending means to move said safety member distally relative to said hub from said safety member retracted position to said safety member extended position and to permit said retracting means to move said penetrating member proximally relative to said hub from said penetrating member extended position to said penetrating member retracted position.

14. A safety penetrating instrument as recited in claim 13 wherein said locking means includes safety member locking means for preventing movement of said safety member to said safety member extended position and penetrating member locking means for preventing movement of said penetrating member to said penetrating member retracted position during penetration of the anatomical tissue.

15. A safety penetrating instrument as recited in claim 14 wherein said releasing means includes safety member trigger means for triggering release of said safety member locking means and penetrating member trigger means for triggering release of said penetrating member locking means.

16. A safety penetrating instrument as recited in claim 15 and further including operating means coupled with said safety member and movable therewith for engaging said safety member trigger means and said penetrating member trigger means to trigger release of said safety member locking means and said penetrating member locking means in response to movement of said safety member distally toward said safety member retracted position.

17. A safety penetrating instrument as recited in claim 16 wherein said safety member includes a proximal end and further comprising a housing mounting said proximal end of said safety member and wherein said operating means is disposed in said housing.

18. A safety penetrating instrument as recited in claim 17 wherein said extending means is disposed in said housing and includes a pair of legs pivotally connected to one another, one of said legs being secured to said housing and the other of said legs being coupled with said safety member, said other of said legs being biased toward said one leg to move said safety member distally to said safety member extended position.

19. A safety penetrating instrument as recited in claim 17 wherein said penetrating member locking means is disposed in said penetrating member.

20. A safety penetrating instrument for penetrating anatomical tissue to gain access to an anatomical cavity comprising

a penetrating member having a distal end for penetrating anatomical tissue;

a safety member having a distal end and being movable relative to said penetrating member from a safety member extended position where said safety member distal end is disposed distally of said sharp penetrating member distal end to a safety member retracted position where said safety member distal end is disposed proximally of said sharp penetrating member distal end;

extending means for moving said safety member to said safety member extended position and for permitting movement of said safety member to said safety member retracted position;

retracting means for moving said penetrating member proximally relative to said safety member from a penetrating member extended position where said sharp penetrating member distal end is disposed distally of said safety member distal end with said safety member in said safety member retracted position and a penetrating member retracted position where said sharp penetrating member distal end is disposed proximally of said safety member distal end with said safety member in said safety member retracted position;

safety member locking means for locking said safety member in said safety member retracted position to prevent movement of said safety member to said safety member extended position during penetration of the anatomical tissue;

penetrating member locking means for locking said penetrating member in said penetrating member extended position during penetration of the anatomical tissue; and

operating means movable proximally during penetration of the anatomical tissue by said safety penetrating instrument and movable distally upon introduction of said safety penetrating instrument in the anatomical cavity for triggering release of said safety member locking means and said penetrating member locking means to permit said extending means to move said safety member distally to said safety member extended position and said retracting means to move said penetrating member proximally to said penetrating member retracted position.

21. A safety penetrating instrument as recited in claim 20 and further including means for manually moving said safety member from said safety member extended position to said safety member retracted position.

22. A safety penetrating instrument as recited in claim 21 and further including means for manually moving said penetrating member from said penetrating member retracted position to said penetrating member extended position.

23. A safety penetrating instrument as recited in claim 20 wherein said operating means is coupled with said safety member and said safety member is movable with said operating means proximally from said safety member retracted position during penetration of the anatomical tissue by said retractable penetrating instrument and distally toward said safety member retracted position upon introduction of said safety penetrating instrument in the anatomical cavity.

24. A safety penetrating instrument as recited in claim 23 and further including trigger means for being engaged by said operating means when said operating means is moved distally upon introduction of said safety penetrating instrument in the anatomical cavity.

25. A safety penetrating instrument as recited in claim 24 wherein said trigger means includes a safety member trigger for releasing said safety member locking means and a penetrating member trigger for releasing said penetrating member locking means.

26. A safety penetrating instrument as recited in claim 20 wherein said penetrating member includes an end part and a distal part mounted for telescoping, sliding movement relative to said end part and said retracting means biases said distal part proximally relative to said end part to said penetrating member retracted position.

27. A safety penetrating instrument as recited in claim 26 wherein said retracting means is disposed in said distal part.

28. A safety penetrating instrument as recited in claim 27 wherein said penetrating member locking means is disposed in said end part to engage said distal part to prevent proximal movement of said distal part relative to said end part.

29. A safety penetrating instrument for penetrating anatomical tissue to gain access to an anatomical cavity comprising

a portal sleeve having a distal end for positioning in the anatomical cavity, a proximal end and a lumen extending between said distal and proximal portal sleeve ends;

a penetrating member disposed in said lumen of said portal sleeve and having a distal end for penetrating anatomical tissue and a proximal end;

extending means for biasing said portal sleeve distally to a portal sleeve extended position where said portal sleeve distal end is disposed distally of said sharp penetrating member distal end and for permitting said portal sleeve to move proximally to a portal sleeve retracted position where said portal sleeve distal end is disposed proximally of said sharp penetrating member distal end;

portal sleeve bias means for biasing said portal sleeve distally in said portal sleeve retracted position and for permitting said portal sleeve to move proximally from said portal sleeve retracted position during penetration of the anatomical tissue and distally toward said portal sleeve retracted position upon introduction of said safety penetrating instrument in the anatomical cavity;

retracting means for biasing said penetrating member proximally to a penetrating member retracted position where said sharp penetrating member distal end is disposed proximally of said portal sleeve distal end with said portal sleeve in said portal sleeve retracted position and for permitting said penetrating member to move distally to a penetrating member extended position where said sharp penetrating member distal end is disposed distally of said portal sleeve distal end with said portal sleeve in said portal sleeve retracted position;

penetrating member bias means for biasing said penetrating member distally in said penetrating member extended position and for permitting said penetrating member to move proximally from said penetrating member extended position during penetration of the anatomical tissue and distally toward said penetrating member extended position upon introduction of said safety penetrating instrument in the anatomical cavity;

portal sleeve locking means for locking said portal sleeve in said portal sleeve retracted position to prevent movement of said portal sleeve to said portal sleeve extended position during penetration of the anatomical tissue;

penetrating member locking means for locking said penetrating member in said penetrating member extended position to prevent movement of said penetrating member to said penetrating member retracted position during penetration of the anatomical tissue;

portal sleeve releasing means responsive to movement of said portal sleeve distally toward said portal sleeve retracted position for triggering release of said portal sleeve locking means to permit said extending means to move said portal sleeve to said portal sleeve extended position; and

penetrating member releasing means responsive to movement of said penetrating member distally toward said penetrating member extended position for triggering release of said penetrating member locking means to permit said retracting means to move said penetrating member to said penetrating member retracted position.

30. A safety penetrating instrument as recited in claim 29 and further including a housing mounting said portal sleeve proximal end and a hub mounting said penetrating member proximal end.

31. A safety penetrating instrument as recited in claim 30 wherein said portal sleeve locking means and said portal sleeve releasing means are disposed in said housing and said penetrating member locking means and said penetrating member releasing means are disposed in said hub.

32. A safety penetrating instrument as recited in claim 31 wherein said portal sleeve releasing means includes a trigger in said housing for releasing said portal sleeve locking means and said penetrating member releasing means includes a trigger in said hub for releasing said penetrating member locking means.

33. 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 hub of the safety penetrating instrument from a penetrating member retracted position to a penetrating member extended position;

moving a safety member of the safety penetrating instrument proximally relative to the hub from a safety member extended position to a safety member retracted position;

mechanically locking the penetrating member in the penetrating member extended position and the safety member in the safety member retracted position;

penetrating the anatomical cavity wall with the penetrating member locked in the penetrating member extended position and the safety member locked in the safety member retracted position;

mechanically unlocking the penetrating member and the safety member when the safety penetrating instrument enters the anatomical cavity;

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

moving the safety member distally relative to the hub from the safety member retracted position to the safety member extended position.

34. A method as recited in claim 33 and further comprising, after said locking step and prior to said penetrating step, biasing at least one of the penetrating member and the safety member in a distal direction relative to the hub while permitting a predetermined amount of proximal movement relative to the hub during said penetrating step.

35. A method as recited in claim 34 wherein unlocking of the penetrating member and the safety member occurs upon entry of the safety member into the anatomical cavity.

36. A method as recited in claim 34 wherein unlocking of the penetrating member and the safety member occurs upon entry of the penetrating member into the anatomical cavity.

37. A method as recited in claim 34 wherein unlocking of the penetrating member and the safety member occurs upon entry of the penetrating member and the safety member into the anatomical cavity.