Trocar entry incorporating an airbag

• US 8,048,027 B2
• Filed: 11/18/2009
• Issued: 11/01/2011
• Est. Priority Date: 12/11/2008
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Davis, Michael, Creston, Brian, Marczyk, Stanislaw, Okoniewski, Gregory G., Hathaway, Peter
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): STOHR, LEAH C
• Application Number:
  US12/620,829
• Publication Number:
  US 20100152664A1
• Time in Patent Office: 713 Days
• Field of Search: 604 9601-10314, 604/540, 604/264, 604/117, 606/129, 606/185
• US Class Current: 604/99.01
• CPC Class Codes: A61B 17/3494 with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors for the peridural space A61B17/3401
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

A safety trocar assembly incorporating an airbag is provided to prevent overpenetration of the safety trocar assembly through an abdominal wall and into a body cavity. The safety trocar assembly includes an airbag cannula having an expandable airbag proximal of the distal end of the cannula. A sensing device is located at a distal end of the cannula for detecting changes in conditions at the distal end of the cannula. A trigger mechanism is provided on the cannula and operates to inflate the airbag in response to a change in condition detected by the sensing device.

Claims

1. An airbag cannula comprising:

a cannula having a housing and an elongate tubular member extending distally from the housing;

an expandable member positioned on the elongate tubular member proximal of a distal end of the elongate tubular member, the expandable member movable from a collapsed position to an expanded position;

a sensor including a pair of sensor wires extending through the elongate tubular member and terminating in a pair of spaced apart sensor tips adjacent to the distal end of the elongate tubular member; and

a trigger mechanism operatively associated with the sensor and the expandable member such that a change of condition sensed between the sensor tips operates to move the expandable member from the collapsed to the expanded position.

2. The airbag cannula as recited in claim 1, wherein the sensor is an electrical sensor and the change in condition sensed between the sensor tips is a change in electrical resistance existing between the sensor tips.

3. The airbag cannula as recited in claim 2, wherein the expandable member is an airbag positioned on the elongate tubular member, the elongate tubular member including an inflation lumen in fluid communication with the airbag wherein, the trigger mechanism includes a valve to inflate the airbag in response to a change in conditions detected by the sensor.

4. The airbag cannula as recited in claim 3, wherein a distal end of the airbag is longitudinally movable along and outer surface of the elongate tubular member.

5. The airbag cannula as recited in claim 3, wherein the airbag includes a plurality of circumferentially spaced airbags.

6. The airbag cannula as recited in claim 3, further comprising an outer sheath overlying the airbag to restrain the airbag in the collapsed position.

7. The airbag cannula as recited in claim 3, wherein the outer sheath includes a perforation line which is separable upon inflation of the airbag from the collapsed to the expanded position.

8. The airbag cannula as recited in claim 1, wherein the pair of sensor wires are embedded in a wall of the elongate tubular member.

9. A method of preventing overpenetration of the distal end of a cannula into an abdominal cavity comprising:

providing a cannula having a housing and an elongate tubular member extending distally from the housing;

an airbag positioned on the elongate tubular member, the elongate tubular member including an inflation lumen in fluid communication with the airbag, the airbag positioned on the elongate tubular member proximal of a distal end of the elongate tubular member, the airbag movable from a collapsed position to an expanded position;

a sensor including a sensor lumen formed through the elongate tubular member and having a sensor opening adjacent to the distal end of the elongate tubular member; and

a trigger mechanism operatively associated with the sensor and the airbag, the trigger mechanism including a valve to inflate the airbag in response to a change in conditions detected by the sensor such that a change of condition sensed at the sensor opening operates to move the airbag from the collapsed to the expanded position;

positioning the distal end of the elongate tubular member adjacent and abdominal wall such that the sensor opening is sealed against the abdominal wall;

sensing a first condition at the sensor opening;

advancing the distal end of the elongate tubular member through the abdominal wall and into an abdominal cavity;

sensing a second condition at the sensor opening; and

inflating the airbag from the collapsed position to the expanded position in response to a change in condition between the first condition and the second condition sensed at the sensor opening.