Trocar assembly with pneumatic sealing

• US 8,795,223 B2
• Filed: 03/07/2012
• Issued: 08/05/2014
• Est. Priority Date: 03/08/2011
• Status: Active Grant

• Current Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Original Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Inventors: Stearns, Ralph, Tang, Raymond Yue-Sing, Mastri, Dominick
• Primary Examiner(s): BOUCHELLE, LAURA A
• Application Number:
  US13/414,186
• Publication Number:
  US 20120245511A1
• Time in Patent Office: 881 Days
• Field of Search: 604/167.01, 604/23, 604/26, 604/164.01, 604/167.03, 604/167.06
• US Class Current: 604/26
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2217/007 with irrigation system

Abstract

A trocar assembly for creating a pneumatic seal during a minimally-invasive surgical procedure. The trocar assembly including an elongated body having a lumen extending therethrough. The proximal end portion of the body defining a housing. A fluid supply plenum is defined in the housing configured to deliver pressurized insufflation fluid to a nozzle. The nozzle configured for directing pressurized fluid into the lumen and creating a pneumatic seal. A fluid return plenum is defined in the housing configured to collect spent insufflation fluid from as patient'"'"'s abdominal cavity. The fluid return plenum including a plurality of axially and radially oriented elongate vanes configured to permit spent insufflation fluid to proceed between the vanes and direct spent insufflation fluid back to the fluid return plenum.

Claims

1. A trocar for creating a pneumatic seal during a minimally-invasive surgical procedure, comprising:

an elongated body having a lumen extending therethrough, the proximal end portion of the body defining a housing;

a fluid supply plenum defined in the housing, adapted and configured to deliver pressurized insufflation fluid to a nozzle in fluid communication therewith, the nozzle configured and adapted for directing pressurized fluid into the lumen and creating a pneumatic seal relative to a patient having a portion of the lumen inserted therewithin; and

a fluid return plenum defined in the housing, spaced from the fluid supply plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid, the fluid return plenum including a plurality of axially and radially oriented elongate vanes configured and adapted to permit spent insufflation fluid to proceed between the vanes and direct spent insufflation fluid back to the fluid return plenum.

2. The trocar of claim 1, wherein the radially oriented elongate vanes are configured and adapted to provide sound attenuation in the fluid return plenum.

3. The trocar of claim 1, wherein the fluid return plenum is defined by an annular cannula member fitted within a portion of the housing, the annular cannula member defined by a conical sleeve member having a concave hyperbolic shape wherein the plurality of axially and radially oriented vanes extend axially along a longitudinal axis defined by the conical sleeve member.

4. The trocar of claim 3, wherein each said vane has a thickness t₁ in proximity to a distal portion of the conical sleeve member and a thickness t₂ in proximity to a proximal portion of the conical sleeve member wherein t₁>

t₂.

5. The trocar of claim 3, wherein the conical sleeve member is defined by an upper periphery portion having at least one notch defined therein for permitting spent insufflation fluid to proceed through the fluid return plenum.

6. The trocar of claim 1, wherein each said elongate vane is defined by a hyperbolic shaped edge portion.

7. The trocar of claim 1, wherein the nozzle of the fluid supply plenum is defined by an annular tube component nested with an annular ring jet member to form one or more fluid conduits.

8. The trocar of claim 7, wherein the annular tube component is provided with one or more detents along an outer surface portion of a tubular member extending from the annular tube component, and when the tubular member is nested with an inner annular surface portion defined by the annular ring jet member, the one or more detents form the one or more of fluid conduits each in fluid communication with the fluid supply plenum.

9. The trocar of claim 8, wherein each fluid conduit formed by the nested annular tube member and annular ring jet member is configured to provide a flow of pressurized fluid which is off-axis relative to the longitudinal axis defined by the lumen to which pressurized fluid is supplied thereinto.

10. The trocar of claim 8, further including a locking assembly for nesting, and temporarily locking, the annular tube component at a spaced distance from the annular ring jet member.

11. The trocar of claim 10, wherein the locking assembly includes at least one lug member extending from a distal surface portion of the annular tube component adapted and configured to temporarily interlock with a cooperating lug member extending from a proximal surface portion of the annular ring jet member.

12. The trocar of claim 1, further comprising a pressure sensing chamber defined in a distal end portion of the housing, distal the fluid return plenum, adapted and configured to be placed in fluid communication with a patient'"'"'s abdominal cavity.

13. A trocar for creating a pneumatic seal during a minimally-invasive surgical procedure, comprising:

an elongated body having a lumen extending therethrough, the proximal end portion of the body defining a housing;

a fluid supply plenum defined in the housing, adapted and configured to deliver pressurized insufflation fluid to a nozzle in fluid communication therewith, the nozzle configured and adapted for directing pressurized fluid into the lumen and creating a pneumatic seal relative to a patient having a portion of the lumen inserted therewithin the nozzle of the fluid supply plenum is defined by an annular tube component nested with an annular ring jet member to form one or more fluid conduits wherein a locking assembly is provided for nesting, and temporarily locking, the annular tube component at a spaced distance from the annular ring jet member;

a fluid return plenum defined in the housing, spaced from the fluid supply plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid; and

a pressure sensing chamber defined in a distal end portion of the housing, distal to the fluid return plenum, adapted and configured to be placed in fluid communication with a patient'"'"'s abdominal cavity.

14. The trocar of claim 13, wherein the annular tube component is provided with one or more detents along an outer surface portion of a tubular member extending from the annular tube component, and when the tubular member is nested with an inner annular surface portion defined by the annular ring jet member, the one or more detents form the one or more fluid conduits each in fluid communication with the fluid supply plenum.

15. The trocar of claim 14, wherein each fluid conduit formed by the nested annular tube member and annular ring jet member is configured to provide a flow of pressurized fluid which is off-axis relative to the longitudinal axis defined by the lumen to which pressurized fluid is supplied thereinto.

16. The trocar of claim 13, wherein the locking assembly includes at least one lug member extending from a distal surface portion of the annular tube component adapted and configured to temporarily interlock with a cooperating lug member extending from a proximal surface portion of the annular ring jet member.

17. The trocar of claim 13, wherein the fluid return plenum includes a plurality of axially and radially oriented elongate vanes configured and adapted to permit spent insufflation fluid to proceed between the vanes and direct spent insufflation fluid back to the fluid return plenum and to prevent interference with delivery of pressurized insufflation fluid from the fluid supply plenum.

18. The trocar of claim 17, wherein the radially oriented elongate vanes are configured and adapted to provide sound attenuation in the fluid return plenum.

19. The trocar of claim 17, wherein the fluid return plenum is defined by an annular cannula member fitted within a portion of the housing, the annular cannula member defined by a conical sleeve member having a concave hyperbolic shape wherein the plurality of axially and radially oriented vanes extend axially along a longitudinal axis defined by the conical sleeve member.

20. The trocar of claim 19, wherein each said vane has a thickness t₁ in proximity to a distal portion of the conical sleeve member and a thickness t₂ in proximity to a proximal portion of the conical sleeve member wherein t₁>

t₂.

21. The trocar of claim 19, wherein the conical sleeve member is defined by an upper periphery portion having at least one notch defined therein for permitting spent insufflation fluid to proceed through the fluid return plenum.

22. The trocar of claim 17, wherein each said elongate vane is defined by a hyperbolic shaped edge portion.

23. A trocar for creating a pneumatic seal during a minimally-invasive surgical procedure, comprising:

an elongated body having a lumen extending therethrough, the proximal end portion of the body defining a housing;

a fluid supply plenum defined in the housing, adapted and configured to deliver pressurized insufflation fluid to a nozzle in fluid communication therewith, the nozzle configured and adapted for directing pressurized fluid into the lumen and creating a pneumatic seal relative to a patient having a portion of the lumen inserted therewithin, the nozzle of the fluid supply plenum is defined by an annular tube component nested with an annular ring jet member to form one or more fluid conduits wherein a locking assembly is provided for nesting, and temporarily locking, the annular tube component at a spaced distance from the annular ring jet member; and

a fluid return plenum defined in the housing, spaced from the fluid supply plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid, the fluid return plenum including a plurality of axially and radially oriented elongate vanes configured and adapted to permit spent insufflation fluid to proceed between the vanes and direct spent insufflation fluid back to the fluid return plenum.

24. A trocar for use in a minimally-invasive surgical procedure, comprising:

an elongated body, the proximal end portion of the body defining a housing;

a first insert having a substantially tubular configuration extending through the body;

a second insert arranged in the housing proximal the first insert, and having a substantially annular configuration and a plurality of axially and radially oriented elongate vanes permitting spent insufflation fluid to proceed between the vanes for allowing passage of spent insufflation fluid to pass therethrough;

a third insert arranged in the housing proximal the second insert, and having a substantially annular configuration, the housing, first, second and third inserts defining respective walls of a fluid return plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid; and

a fourth insert arranged in the housing proximal the third insert, having a substantially annular configuration and substantially tubular member extending distally therefrom, a nozzle being defined between the substantially tubular member and an central portion of the third insert, the housing and third and fourth inserts defining a fluid supply plenum in fluid communication with the nozzle.

25. A trocar for use in a minimally-invasive surgical procedure, comprising:

an elongated body, the proximal end portion of the body defining a housing;

a first insert having a substantially tubular configuration extending through the body;

a second insert arranged in the housing proximal the first insert, and having a substantially annular configuration and configured to permit spent insufflation fluid to proceed therethrough;

a third insert arranged in the housing proximal the second insert, and having a substantially annular configuration, the housing, first, second and third inserts defining respective walls of a fluid return plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid; and

a fourth insert arranged in the housing proximal the third insert, having a substantially annular configuration and substantially tubular member extending distally therefrom, a nozzle being defined between the substantially tubular member and an central portion of the third insert wherein a locking assembly is provided for nesting, and temporarily locking, the third insert at a spaced distance from the fourth insert whereby the housing and third and fourth inserts define a fluid supply plenum in fluid communication with the nozzle.

26. A trocar for use in a minimally-invasive surgical procedure, comprising:

an elongated body, the proximal end portion of the body defining a housing;

a first insert having a substantially tubular configuration extending through the body;

a second insert arranged in the housing proximal the first insert, and having a substantially annular configuration and a plurality of axially and radially oriented elongate vanes permitting spent insufflation fluid to proceed between the vanes for allowing passage of spent insufflation fluid to pass therethrough;

a third insert arranged in the housing proximal the second insert, and having a substantially annular configuration, the housing, first, second and third inserts defining respective walls of a fluid return plenum, the fluid return plenum being adapted and configured to collect spent insufflation fluid; and

a fourth insert arranged in the housing proximal the third insert, having a substantially annular configuration and substantially tubular member extending distally therefrom, a nozzle being defined between the substantially tubular member and an central portion of the third insert wherein a locking assembly is provided for nesting, and temporarily locking, the third insert at a spaced distance from the fourth insert whereby the housing and third and fourth inserts define a fluid supply plenum in fluid communication with the nozzle.