System for performing a surgical procedure inside a body

• US 7,041,050 B1
• Filed: 07/19/2004
• Issued: 05/09/2006
• Est. Priority Date: 07/19/2004
• Status: Active Grant

• Current Assignee: Ronald Medical Ltd.
• Original Assignee: Ronald Medical Ltd.
• Inventors: Ronald, Timothy R.
• Primary Examiner(s): Flanagan, Beverly M.
• Assistant Examiner(s): KASZTEJNA, MATTHEW JOHN
• Application Number:
  US10/893,793
• Time in Patent Office: 659 Days
• Field of Search: 600/104, 600/114, 600/121, 600123-125, 600/118, 604/164.11, 604/264
• US Class Current: 600/104
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula

Abstract

A surgical system comprising a cannula for an elongate surgical tool that enables a physician to operate on a surgical site within a body from outside the body is described. The cannula supports a pin that is locked and unlocked from a J-shaped channel provided in the sidewall of a sheath for a surgical tool. The sheath prevents the surgical tool, such as a scalpel, from cutting the cannula as it is moved there through to the surgical site. The surgical tool, in turn, is provided with a second J-shaped channel that engages with a pin supported by the sheath for locking and unlocking the tool there from to enable a physician to perform the surgical procedure. One surgical tool is interchangeable with another for performing different tasks at the surgical site during the procedure.

Claims

1. A medical system for enabling a physician to operate at a surgical site inside a body, which comprises:

a) an elongated cannula providing a cannula bore having a first length extending between a distal cannula end and a spaced apart proximal cannula end, wherein the distal cannula end is adapted to reside inside the body adjacent to the surgical site with the proximal cannula end accessible from outside the body;

b) a sleeve providing a sleeve bore having a second length extending between a distal sleeve end and a spaced apart proximal sleeve end, wherein the sleeve has a first outer surface;

c) a surgical tool comprising a tool rod having a third length extending between a tool rod head and a spaced apart proximal tool rod end, wherein the tool rod head comprises a proximal head end and a distal head end supporting a surgical tool with the third length enabling the surgical tool to be housed inside the sleeve with the sleeve housing the surgical tool residing inside the cannula adjacent to the distal cannula end positioned adjacent to the surgical site and with the proximal tool end being manipulatable from outside the body adjacent to the proximal cannula end; and

d) wherein the tool rod head has a second outer surface including a second J-shaped channel and the sleeve supports a second pin extending into the sleeve bore oriented perpendicular to a longitudinal axis thereof, wherein the second pin is matable with the second J-shaped channel to provide for locking and unlocking the surgical tool inside the sleeve.

2. The medical system of claim 1 wherein the first outer surface of the sleeve includes a first J-shaped channel and the cannula supports a first pin extending into the cannula bore oriented perpendicular to a longitudinal axis thereof, wherein the first pin is matable with the first J-shaped channel to provide for locking and unlocking the sleeve inside the cannula.

3. The medical system of claim 2 wherein the first J-shaped channel comprises a first longitudinal channel portion that begins at the distal sleeve end and extends at least part way along the second length to a first radiused portion delineated from a first terminus portion by a first resilient protrusion.

4. The medical system of claim 1 wherein the second J-shaped channel comprises a second longitudinal channel portion that begins at the proximal head end and extends at least part way toward the distal head end supporting the surgical tool to a second radiused portion delineated from a second terminus portion by a second resilient protrusion and wherein the tool rod is manipulatable to cause the second pin to enter the second J-shaped channel and travel there along as the tool rod is moved in an axial direction with respect to the second pin of the sleeve with the tool rod head moving toward the distal sleeve end until the second pin encounters the second radiused portion at which the entire tool rod is manipulatable in the continued axial direction while being rotated until the second pin passed the second resilient protrusion and resides in the second terminus portion to thereby lock the tool rod inside the sleeve.

5. The medical system of claim 1 wherein the proximal tool rod end detachably supports a handle for gross manipulation of the sleeve housing the tool rod locked thereto along the cannula bore to a position adjacent to the distal cannula end.

6. The medical system of claim 1 wherein the proximal end of the tool rod is connectable to a computer controlled motor for fine movement of the sleeve housing the surgical tool into and out of a locked relationship with the cannula and for fine movement of the surgical tool into and out of a locked relationship with the sleeve.

7. The medical system of claim 1 wherein the surgical tool is selected from the group consisting of a scalpel, a hypodermic needle, and a laser.

8. The medical system of claim 1 wherein the cannula comprises a sidewall surrounding the cannula bore with at least one of the group consisting of an illumination light, air pressure, vacuum, and a camera communicating from the distal cannula end through the sidewall to outside the body for actuation by the physician.

9. A method for performing a surgical operation inside a body, comprising the steps of:

a) providing a medical system, which comprises;

i) an elongated cannula providing a cannula bore having a first length extending between a distal cannula end and a spaced apart proximal cannula end, wherein the distal cannula end is adapted to reside inside the body adjacent to the surgical site with the proximal cannula end accessible from outside the body;

ii) a sleeve providing a sleeve bore having a second length extending between a distal sleeve end and a spaced apart proximal sleeve end, wherein the sleeve has a first outer surface including a first J-shaped channel that is matable with a first pin supported by the cannula and extending into the cannula bore oriented perpendicular to a longitudinal axis thereof to provide for locking and unlocking the sleeve inside the cannula; and

iii) a surgical tool comprising a tool rod having a third length extending between a tool rod head and a spaced apart proximal tool rod end, wherein the tool rod head comprises a proximal head end and a distal head end supporting a surgical tool with the third length enabling the surgical tool to be housed inside the sleeve with the sleeve housing the surgical tool residing inside the cannula adjacent to the distal cannula end positioned adjacent to the surgical site with the proximal tool end being manipulatable from outside the body adjacent to the proximal cannula end, and wherein the tool rod head has a second outer surface including a second J-shaped channel that is mateable with a second pin supported by the sleeve and extending into the sleeve bore oriented perpendicular to a longitudinal axis thereof to provide for locking and unlocking the surgical tool inside the sleeve; and

b) positioning the cannula inside the body such that the distal cannula end resides adjacent to the surgical site and the proximal cannula end is accessible from outside the body;

c) locking the surgical tool inside the sleeve by manipulating the tool rod so that the second pin of the sleeve is in the second J-shaped channel of the tool rod, thereby forming a surgical tool/sleeve assembly;

d) moving the surgical tool/sleeve assembly into the proximal cannula end and along the cannula bore to lock the sleeve inside the cannula with the first pin of the cannula in the first J-shaped channel of the sleeve; and

e) unlocking the tool rod and the surgical tool from the sleeve and then moving the surgical tool out of the distal sleeve end and the distal cannula end to perform a surgical function on the body.

10. The method of claim 9 including providing the first J-shaped channel comprising a first longitudinal channel portion beginning at the distal sleeve end and extending at least part way along the second length to a first radiused portion delineated from a first terminus portion by a first resilient protrusion, wherein with the surgical tool/sleeve assembly locked inside the cannula, the first pin of the cannula is confined in the first terminus portion of the sleeve.

11. The method of claim 9 including providing the second J-shaped channel comprising a second longitudinal channel portion beginning at the proximal head end and extending to a second radiused portion delineated from a second terminus portion by a second resilient protrusion, wherein with the surgical tool locked inside the sleeve, the second pin of the sleeve is confined in the second terminus portion of the tool head.

12. The method of claim 9 including providing a handle detachably connectable to the proximal tool rod end and manipulating the handle to move the sleeve housing the tool rod locked thereto along the cannula bore to a position adjacent to the distal cannula end.

13. The method of claim 9 including connecting the proximal end of the tool rod to a computer controlled motor for fine movement of the sleeve housing the surgical tool into and out of the locked relationship with the cannula and for fine movement of the surgical tool into and out of the locked relationship with the sleeve.

14. The method of claim 9 including the cannula further comprising a sidewall surrounding the cannula bore having at least one of the group consisting of an illumination light, air pressure, vacuum, and a camera communicating from the distal cannula end through the sidewall to the proximal cannula end for use during the surgical operation.

15. The method of claim 9 wherein the second J-shaped channel comprises a second longitudinal channel portion beginning at the proximal head end and extending at least part way toward the distal head end supporting the surgical tool to a second radiused portion delineated from a second terminus portion by a second resilient protrusion.

16. The method of claim 9 wherein with the tool rod head and surgical tool disposed inside the sleeve, the second pin extends into the second J-shaped channel of the tool rod head.

17. The method of claim 9 wherein the cannula comprises a sidewall surrounding the cannula bore with at least one of the group consisting of an illumination light, air pressure, vacuum, and a camera communicating from the distal cannula end through the sidewall to outside the body for actuation by the physician.

18. The method of claim 9 including after the surgical function is completed, the further steps of:

a) moving the tool rod and the surgical tool back into being housed inside the sleeve and locking them therein by manipulating the tool rod so that the second pin of the sleeve is in the second J-shaped channel of the tool rod to once again provide the surgical tool/sleeve assembly with the sleeve locked inside the cannula;

b) unlocking the sleeve from the cannula with the first pin of the cannula releasing from the first J-shaped channel of the sleeve and then removing the surgical tool/sleeve assembly from the proximal cannula end and along the cannula bore; and

c) removing the cannula from the surgical site and the body.

19. A medical system for enabling a physician to operate at a surgical site inside a body, which comprises:

a) an elongated cannula providing a cannula bore having a first length extending between a distal cannula end and a spaced apart proximal cannula end, wherein the distal cannula end is adapted to reside inside the body adjacent to the surgical site with the proximal cannula end accessible from outside the body;

b) a sleeve providing a sleeve bore having a second length extending between a distal sleeve end and a spaced apart proximal sleeve end;

c) a surgical tool comprising a tool rod having a third length extending between a tool rod head and a spaced apart proximal tool rod end, wherein the tool rod head comprises a proximal head end and a distal head end supporting a surgical tool with the third length enabling the surgical tool to be housed inside the sleeve with the sleeve housing the surgical tool residing inside the cannula adjacent to the distal cannula end positioned adjacent to the surgical site and with the proximal tool end being manipulatable from outside the body adjacent to the proximal cannula end;

d) wherein the sleeve has a first outer surface including a first J-shaped channel and the cannula supports a first pin extending into the cannula bore oriented perpendicular to a longitudinal axis thereof, wherein the first pin is matable with the first J-shaped channel to provide for locking and unlocking the sleeve inside the cannula; and

e) wherein the tool rod head has a second outer surface including a second J-shaped channel and the sleeve supports a second pin extending into the sleeve bore oriented perpendicular to a longitudinal axis thereof, wherein the second pin is matable with the second J-shaped channel to provide for locking and unlocking the surgical tool inside the sleeve.