Trocar system having a drive

• US 8,702,742 B2
• Filed: 10/19/2012
• Issued: 04/22/2014
• Est. Priority Date: 10/21/2011
• Status: Active Grant

• Current Assignee: Synergetics Incorporated
• Original Assignee: Synergetics Incorporated
• Inventors: Hanlon, Matthew A., LaConte, Matthew
• Primary Examiner(s): Stigell, Theodore
• Assistant Examiner(s): Koo, Benjamin
• Application Number:
  US13/656,314
• Publication Number:
  US 20130102966A1
• Time in Patent Office: 550 Days
• Field of Search: 604 7- 8, 604/57, 604 59- 63, 606/108, 606/140, 606/141, 606/157, 606/185
• US Class Current: 606/185
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• 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 17/3421 Cannulas
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00362 Packages or dispensers for MIS instruments A61B2017/0479 takes precedence
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence

Abstract

Systems and methods for using a trocar system are disclosed. The system generally includes a handle having a first end a second end, a trocar disposed adjacent the first end of the handle, cannulas disposed on the trocar, and a drive system. The drive system is disposed for forward movement of the cannulas in a longitudinal direction away from the second end of the handle.

Claims

1. A trocar system comprising:

a handle having a hollow interior section and a first end and a second end;

a drive member positioned within the hollow interior section having a first end a second end, the drive member having teeth and configured for movement in a longitudinal direction;

a pawl positioned within the hollow interior section, the pawl disposed to selectively engage one of the teeth and prevent rearward movement of the drive member in the longitudinal direction;

a plunger having a first end and a second end, the second end of the plunger disposed to selectively engage one of the teeth to move the drive member forward in the longitudinal direction;

a trocar disposed adjacent the second end of the handle;

a cannula having a central opening for receiving the trocar; and

wherein the first end of the drive member is disposed relative to the cannula such that forward movement of the drive member by the plunger results in forward movement of the cannula in the longitudinal direction.

2. The system of claim 1 wherein multiple cannulas are disposed on the trocar.

3. The system of claim 1 wherein the teeth have a sloped portion.

4. The system of claim 3 wherein the pawl has a sloped portion that is complementary to the sloped portion of the teeth, and wherein the pawl is formed from a resilient material and deflects away from the drive member upon contact with the sloped portion of one of the teeth to permit the tooth to move through the pawl as the plunger moves the drive member forward in the longitudinal direction.

5. The system of claim 4 wherein the pawl is disposed to return to its undeflected position after the tooth has moved far enough forward in the longitudinal direction such that sloped portion of the tooth is not in contact with the sloped portion of the pawl.

6. The system of claim 5 wherein the pawl is disposed to engage a backside of the tooth upon attempted rearward movement of the drive member and wherein the pawl and backside of the tooth are in locking engagement such that when engaged the pawl cannot be deflected by the backside of the tooth to permit rearward movement of the drive member.

7. The system of claim 3 wherein a portion of the plunger adjacent the second end is formed from a resilient material and deflects away from the teeth upon contact with the sloped portion of the teeth to permit rearward movement of the plunger with respect to the drive member.

8. The system of claim 1 wherein the second end of plunger is disposed to engage a backside of the tooth upon forward movement of the plunger in the longitudinal direction to move the drive member forward in the longitudinal direction.

9. The system of claim 1 further comprising a first spring positioned within the hollow interior section of the handle and connected to the plunger to bias the plunger against forward movement in the longitudinal direction.

10. The system of claim 1 further comprising a second spring positioned within the hollow interior section and connected to the drive member, the second spring biasing the drive member against forward movement in the longitudinal direction.

11. The system of claim 1 further comprising a tube connecting the drive member to the cannula, the tube having a first end and a second end, the first end connected to the cannula and the second end connected to the first end of the drive member.

12. The system of claim 11 wherein the second end of the tube is received within a recess formed in the drive member adjacent the first end of the drive member.