Trocar assembly

• US 5,817,061 A
• Filed: 05/16/1997
• Issued: 10/06/1998
• Est. Priority Date: 05/16/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Goodwin, Matthew S., Murray, Michael A.
• Primary Examiner(s): Stright, Ronald
• Assistant Examiner(s): Finkel, Sharon
• Application Number:
  US08/857,433
• Time in Patent Office: 508 Days
• Field of Search: 604/158, 604/164, 604/166, 604/168, 604/264, 604/272, 606/15-16, 606/14, 607/93, 600/101, 600/114, 600/121, 600/129, 600/136
• US Class Current: 604/164.03
• 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 2017/0023 disposable
• CPC Class Codes: A61B 2017/00362 Packages or dispensers for MIS instruments A61B2017/0479 takes precedence
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/3456 blunt
• CPC Class Codes: A61B 2017/346 with wings
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras

Abstract

A multi-patient use trocar assembly is disclosed. The trocar assembly has obturator and cannula subassemblies. The obturator subassembly has an elongated obturator shaft which can receive an endoscope at its distal end. The obturator shaft is reusable for multi-patient use. A transparent obturator tip is detachably mounted onto the end of the obturator shaft. The obturator tip is transparent and disposable. Because it is transparent, illuminated images provided by the endoscope within the body cavity can be transmitted through the obturator tip. Once the trocar assembly is used on a first patient, the obturator tip is detached and disposed of, and replaced with another obturator tip. Hospital costs are reduced because the trocar assembly can be reused multiple times, and only the obturator tip needs to be disposed of after each patient use.

Claims

1. A multi-patient use trocar assembly for providing access to surgical sites within body cavity of multiple patients during minimally invasive surgical procedures, said assembly comprising:

an obturator subassembly having (i) an elongated obturator shaft with proximal and distal ends and an opening therein adjacent said shaft distal end for receiving an endoscope, said obturator shaft being reusable and adapted for use on said multiple patients, (ii) a first obturator tip detachably mounted onto said shaft distal end and extending distally therefrom, said first obturator tip being transparent for transmitting illuminated images provided by said endoscope from the body cavity through said transparent tip, said first obturator tip shaped to enlarge an opening through a body wall as said trocar assembly is advanced toward any of said surgical sites, and said first obturator tip being disposable following use on a first patient, (iii) an obturator grip attached to said obturator shaft proximal end for facilitating manipulation of said obturator subassembly, and (iv) a seal mounted adjacent said shaft distal end for facilitating attachment and detachment of said first obturator tip; and

a cannula subassembly for removably receiving said obturator subassembly, said cannula subassembly having (i) a cannula housing, and (ii) an elongated cannula tube attached to said cannula housing, said cannula tube surrounding said obturator shaft when said obturator shaft is received in said cannula subassembly.

2. The trocar assembly of claim 1 wherein said elongated obturator shaft has a longitudinal axis and an outside diameter, and each of said first and second obturator tips has a tip base adjacent said shaft distal end, said tip base having a base diameter about equal to said outside diameter of said obturator shaft.

3. The trocar assembly of claim 2 wherein each of said first and second obturator tips is symmetrical about the longitudinal axis of said obturator shaft.

4. The trocar assembly of claim 3 wherein each of said first and second obturator tips has an apex spaced from said tip base.

5. The trocar assembly of claim 4 wherein each of said first and second obturator tips is a conical tip.

6. The trocar assembly of claim 2 wherein each of said first and second obturator tips has an annulus descending from said tip base of each of said tips, and when each of said tips is attached to said shaft distal end, said annulus is located interiorly of said shaft distal end.

7. The trocar assembly of claim 6 wherein said annulus has a pair of attachment pins extending therefrom.

8. The trocar assembly of claim 7 wherein said obturator shaft has an inner wall, and said inner wall has a pair of receiving slots for receiving said attachment pins extending from said annulus of each of said obturator tips so as to detachably mount each of said tips to said shaft distal end.

9. The trocar of claim 8 wherein said shaft distal end has a distal edge surface, and each of said receiving slots has a longitudinal channel section descending proximally from said distal edge surface, and a circumferential slot section spaced from said distal edge surface.

10. The trocar assembly of claim 2 wherein said seal is fitted between said shaft distal end and said tip base of each said first and second obturator tips.

11. The trocar assembly of claim 10 wherein said seal is an "O" ring elastomeric seal.

12. The trocar assembly of claim 11 wherein said shaft distal end has a distal edge surface, said tip base has a seal stop located on an underside surface of said tip base, and said "O" ring seal is fitted between said distal edge surface and said seal stop.

13. The trocar assembly of claim 6 wherein said annulus descending from said tip base and said shaft distal end have mating threads for detachably threading each of said obturator tips to said shaft distal end.

14. The trocar assembly of claim 13 wherein said seal is integrally attached to said threaded annulus descending from said tip base.

15. The trocar assembly of claim 14 wherein said seal has a deformable ring apex thereon.

16. A method for providing access to surgical sites within body cavities of multiple patients during minimally invasive surgical procedures, said method comprising:

a) providing a multi-patient use trocar assembly which includes;

an obturator subassembly having (i) an elongated obturator shaft with proximal and distal ends and an opening therein adjacent said shaft distal end for receiving an endoscope, said obturator shaft being reusable and adapted for use on said multiple patients, (ii) a first obturator tip detachably mounted onto said shaft distal end and extending distally therefrom, said first obturator tip being transparent for transmitting illuminated images provided by said endoscope from the body cavity through said transparent tip, said first obturator tip shaped to enlarge an opening through a body wall as said trocar assembly is advanced toward any of said surgical sites, and said first obturator tip being disposable following use on a first patient, and (iii) an obturator grip attached to said obturator shaft proximal end for facilitating manipulation of said obturator subassembly; and

a cannula subassembly for removably receiving said obturator subassembly, said cannula subassembly having (i) a cannula housing, and (ii) an elongated cannula tube attached to said cannula housing, said cannula tube surrounding said obturator shaft when said obturator shaft is received in said cannula subassembly;

b) using said trocar assembly to provide access for said first patient;

c) removing said first obturator tip from said shaft distal end for disposal thereof following use of said trocar assembly to provide access for said first patient;

d) mounting a second obturator tip on said shaft distal end; and

e) using said trocar assembly with said second obturator tip mounted on said shaft distal end to provide access for said second patient.