Trocar entry incorporating an airbag

• US 8,535,270 B2
• Filed: 07/03/2012
• Issued: 09/17/2013
• Est. Priority Date: 12/11/2008
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Davis, Michael, Marczyk, Stanislaw, Hathaway, Peter, Creston, Brian, Okoniewski, Gregory G.
• Primary Examiner(s): BERDICHEVSKY, AARTI
• Application Number:
  US13/540,936
• Publication Number:
  US 20120271234A1
• Time in Patent Office: 441 Days
• Field of Search: 604/164.03
• US Class Current: 604/164.03
• 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 disposed within the housing and baying a sensor member extending therefrom, the sensor member being formed through the elongate tubular member and having an end portion disposed adjacent to the distal end of the elongate tubular member distal of the expandable member; and

a trigger mechanism operatively associated with the sensor and the expandable member such that a change of condition sensed at the end portion of the sensor member operates to transition the expandable member from the collapsed to the expanded position;

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, wherein a distal end of the airbag is longitudinally movable along an outer surface of the elongate tubular member.

2. The airbag cannula as recited in claim 1, wherein the sensor is an it pressure sensor configured to detect changes in air pressure at the end portion of the sensor member.

3. The airbag cannula as recited in claim 1, wherein the sensor is an optical sensor including an optical fiber extending through the sensor member and terminating adjacent the end portion of the sensor member.

4. The airbag cannula as recited in claim 1, wherein the sensor is an electrical sensor configured to detect changes in resistance at the end portion of the sensor member.

5. The airbag cannula as recited in claim 1, wherein the sensor is an ultrasound sensor.

6. The airbag cannula as recited in claim 1, wherein the sensor is a sonar sensor.

7. The airbag cannula as recited in claim 1, wherein the airbag includes a plurality of circumferentially spaced airbags.

8. The airbag cannula as recited in claim 1, further comprising a source of fluid pressure operatively associated with the valve.

9. 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 to distal end of the elongate tubular member, the expandable member movable from a collapsed position to an expanded position;

an inflation lumen extending at least partially through the elongate tubular member and being disposed in fluid communication with the expandable member;

a sensor disposed within the housing and having a sensor member extending therefrom, the sensor member being formed through the elongate tubular member and haying an end portion disposed 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 at the said portion of the sensor member operates to transition the expandable member from the collapsed to the expanded position, the trigger mechanism being disposed in fluid communication with the inflation lumen, wherein the trigger mechanism is fluidly connected to the inflation lumen by a tube external to the enlongate tubular member.

10. The airbag cananula as recited in claim 9, wherein the inflation lumen defines an opening can an exterior surface the elongate tubular member for receiving the tube.

11. The airbag cannula as recited in claim 9, wherein the trigger mechanism includes a valve in fluid communication with the inflation lumen, the valve adapted to provide fluid to the inflation lumen upon a change of condition sensed at the end portion of the sensor member.

12. The airbag cannula as recited in claim 11, wherein the trigger mechanism includes a trigger operatively associated with the sensor and the valve, the trigger adapted to actuate the valve upon a change in pressure detected by the sensor.

13. An airbag cannula comprising:

a cannula having a housing and an enlongate 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 disposed within the housing and having a sensor member extending therefrom, the sensor member being formed through the elongate tubular member and having an end portion disposed adjacent to the distal end of the elongate tubular member, the end portion of the sensor member being positionable against tissue, wherein the sensor is an air pressure sensor configured to detect changes in air pressure at the end portion of the sensor member and within the sensor member; and

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

14. The airbag cannula as recited in claim 13, wherein the sensor is adapted to pressurize the sensor member upon positioning of the end portion of the sensor member against tissue, the change of condition sensed by the sensor being the pressurization of the sensor member.

15. 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 disposed within the housing and having a sensor member extending therefrom, the sensor member being formed through the elongate tubular member and having an end portion disposed adjacent to the distal end of the elongate tubular member distal of the expandable member;

a trigger mechanism operatively associated with the sensor and the expandable member such that a change of condition sensed at the end portion of the sensor member operates to transition the expandable member from the collapsed to the expanded position, 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; and

an outer sheath overlying the airbag to restrain the airbag in the collapsed position, the outer sheath including a perforation line which is separable upon inflation of the airbag from the collapsed to the expanded position.

16. 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 proximail of a distal end of the elongate tubular member, the expandable member movable from a collapsed position to an expanded position;

a sensor disposed within the housing and haying a sensor member extending therefrom, the sensor member being formed through the elongate tubular member and having an end portion disposed adjacent to the elongate tubular member, the end portion of the sensor member being positionable against tissue, wherein the sensor is an electrical sensor configured to detect changes in resistance at the end portion of the sensor member; and

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