Trocar with expandable members for retaining the trocar

• US 5,971,960 A
• Filed: 03/12/1996
• Issued: 10/26/1999
• Est. Priority Date: 03/12/1996
• Status: Expired due to Term

• Current Assignee: Heartport, Inc. (Johnson & Johnson)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Hoekendijk, Jens E., Gifford, Hanson S. III, Flom, James R.
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): Sadula, Jennifer R.
• Application Number:
  US08/615,151
• Time in Patent Office: 1,323 Days
• Field of Search: 604/174, 604/175, 604/178, 604/164, 604/165, 604/167
• US Class Current: 604/174
• 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 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3482 inside
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

A trocar which is particularly suited for use as a thoracic trocar. The trocar includes a number of arms at the distal end which are movable from a closed position, which is used for inserting the trocar into the patient, to a second position, which is used for locking the trocar to the patient. The arms may be naturally biased to the open position or may be moved by mechanical actuation.

Claims

1. A trocar adapted for introduction of medical instruments into a patient, comprising:

a body having a distal end and a through hole defining a longitudinal axis, the body also having at least two arms movable between a closed position and an open position, the at least two arms being configured to secure the body to a body wall of a patient when in the open position, the body including a cylindrical portion having an outer surface which defines a cylinder, the body having a portion distal to the cylindrical portion, the portion including the at least two arms and being positioned substantially within the cylinder when in the closed position; and

an actuator at least partially positioned within the body and being movable with respect to the body in the direction of the longitudinal axis, the actuator slidingly engaging the at least two arms for moving said at least two arms from the closed position to the open position.

2. The trocar of claim 1, wherein:

the at least two arms are integrally formed with the cylindrical portion.

3. The trocar of claim 1, wherein:

the at least two arms are biased toward the closed position.

4. The trocar of claim 1, wherein:

the actuator is rotatably coupled to the body, the actuator being rotatable with respect to the body between a first position and a second position, the actuator moving the at least two arms from the closed position to the open position when the actuator moves from the first position to the second position, the actuator also displacing toward the distal end when moving from the first position to the second position.

7. The trocar of claim 1, further comprising:

an obturator received within the through hole, the obturator having a distal end extending beyond a distal end of the body.

5. A trocar adapted for introduction of medical instruments into a patient, comprising:

a body having a distal end and a through hole defining a longitudinal axis, the body also having at least two arms movable between a closed position and an open position, the at least two arms being configured to secure the body to a body wall of a patient when in the open position, the body including a cylindrical portion having an outer surface which defines a cylinder, the body having a portion distal to the cylindrical portion, the portion including the at least two arms and being positioned substantially within the cylinder when in the closed position;

an actuator at least partially positioned within the body and being movable with respect to the body in the direction of the longitudinal axis, the actuator slidingly engaging the at least two arms for moving said at least two arms from the closed position to the open position; and

an adhesive strip coupled to the body, a portion of the adhesive strip being removable from the body for adhering the strip to a patient.

6. The trocar of claim 5, further comprising:

a number of adhesive strips positioned circumferentially around the body, the adhesive strips being oriented longitudinally.

8. A trocar adapted for introduction of medical instruments into a patient, comprising:

a body having a through hole defining a longitudinal axis, the body also having at least two arms movable between a closed position and an open position; and

an actuator at least partially positioned within the body, the actuator engaging the at least two arms for moving said at least two arms from the closed position to the open position, the actuator being rotatably coupled to the body, the actuator displacing along the longitudinal axis when the actuator is rotated with respect to the body;

wherein at least one of the body and actuator includes a slot and an other of the body and the actuator includes a pin received in the slot.

9. The trocar of claim 8, further comprising:

a resilient member coupled to the body, the resilient member being configured to provide a clamping force on a body wall positioned between the at least two arms and the resilient member when the at least two arms are in the open position.

10. The trocar of claim 8, further comprising:

an obturator having a distal tip extending beyond a distal end of the body and the actuator, the obturator extending through the through hole in the body and being removable from said through hole.

12. The trocar of claim 8, wherein:

the at least two arms are biased toward the closed position.

13. The trocar of claim 12, further comprising:

an elastomeric member extending circumferentially around the at least two arms for biasing the at least two arms toward the closed position.

11. A trocar adapted for introduction of medical instruments into a patient, comprising:

a body having a through hole defining a longitudinal axis, the body also having at least two arms movable between a closed position and an open position; and

an actuator at least partially positioned within the body, the actuator engaging the at least two arms for moving said at least two arms from the closed position to the open position, the actuator being rotatably coupled to the body, the actuator displacing along the longitudinal axis when the actuator is rotated with respect to the body;

the at least two arms each including a slide surface;

the actuator slidingly engaging the slide surfaces of the at least two arms for moving the at least two arms from the closed position to the open position.

14. A trocar adapted for introduction of medical instruments into a patient, comprising:

a body having a through hole defining a longitudinal axis, the body also having at least two arms movable between a closed position and an open position;

an actuator at least partially positioned within the body, the actuator engaging the at least two arms for moving said at least two arms from the closed position to the open position, the actuator being rotatably coupled to the body, the actuator displacing along the longitudinal axis when the actuator is rotated with respect to the body; and

an adhesive strip coupled to the body, at least a portion of the adhesive strip being removable from the body for adhering the strip to a patient.

15. A trocar adapted for introduction of medical instruments into a patient, comprising:

an outer member;

an arm coupled to the outer member, the arm having a first end and a second end, the first end being movable between a closed position and an open position, the arm being configured to secure the trocar to a body wall of a patient when the first end is in the open position, the first end traveling along a path when moving between the closed and open positions, the path traveled by the first end when moving between the open and closed positions is entirely arcuate; and

an inner member at least partially positioned within the outer member, the inner member being connected to the first end of the arm, the inner member being movably coupled to the outer member between a first position and a second position, the first end being in the closed position when the inner member is in the first position and the arms being in the open position when the inner member is in the second position, the inner member being rotatably coupled to the outer member.

16. The trocar of claim 15 wherein:

the path lies in a place which is substantially perpendicular to the longitudinal axis.

17. The trocar of claim 15 wherein:

the second end of the arm is integrally formed with the outer member.

18. The trocar of claim 15 wherein:

the arm form a substantially cylindrical outer surface when in the closed position.

19. A trocar adapted for introduction of medical instruments into a patient, comprising:

a first member having arms at a distal end, the arms being movable between a closed position and an open position, the arms being biased toward the open position, the arms being configured to secure the trocar to a body wall of a patient when in the open position; and

a second member surrounding at least a portion of the first member, the second member being movably coupled to the first member between a first position and a second position, the second member engaging the outer surface of the arms for restraining said arms in the closed position when the second member is in the first position, the second member being spaced apart from the outer surface of the arms when in the second position so that the arms are free to move to the open position.

20. The trocar of claim 19, wherein:

the second member has a substantially cylindrical distal end, the second member having an inner surface which engages the arms when the second member is in the first position.

21. The trocar of claim 19, wherein:

the second member slidingly engages the first member when moving the arms to the closed position.

22. A trocar adapted for introduction of medical instruments into a patient, comprising:

a hollow tube; and

a plurality of members coupled to the hollow tube and forming a tip, the plurality of members being connected to one another via interlocking elements to secure the plurality of members in a closed position, the plurality of members being movable to an open position when the interlocking elements do not engage one another, the plurality of members being biased toward the open position.

23. The trocar of claim 22, wherein:

the interlocking elements are hook-shaped.