Trocar device

• US 9,192,410 B2
• Filed: 02/22/2011
• Issued: 11/24/2015
• Est. Priority Date: 03/14/2001
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitman, Michael P., Burbank, John E., Hill, Jeremy, Guy, Thomas
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US13/031,632
• Publication Number:
  US 20110144681A1
• Time in Patent Office: 1,736 Days
• Field of Search: 606/184, 606/185, 606167-173, 409/138, 600566-568
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 2017/32006 with a cutting strip, band or chain, e.g. like a chainsaw
• CPC Class Codes: A61B 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2017/3458 threaded

Abstract

A surgical device is described. The surgical device may comprise a rotatable cutter configured to cut tissue for insertion of a cannula, and a first driver configured to be driven by a motor arrangement and to rotate the cutter. The surgical device may further include, for example, the cannula, at least one of the rotatable cutter and the first driver being disposed in a bore of the cannula. In one embodiment, the rotatable cutter may include an auger having a cutting thread. In another embodiment, the rotatable cutter may include a disk-shaped blade.

Claims

1. A surgical device, comprising:

a cannula defining a longitudinal axis;

a rotatable cutter supported within the cannula and being configured to cut tissue for passage of the cannula through the tissue, the rotatable cutter including a distal edge;

at least one driver drivable by a motor arrangement, the at least one driver configured to rotate and translate the rotatable cutter along the longitudinal axis;

at least one sensor assembly configured to sense at least one surgical characteristic of the surgical device during a surgical procedure, the at least one sensor assembly including a movable sensing tip offset radially from the rotatable cutter, the movable sensing tip including a distal edge and a proximal edge, the proximal edge of the movable sensing tip being connected to a biasing member, the biasing member urging the movable sensing tip distally with respect to the rotatable cutter, wherein in a first position, the distal edge of the movable sensing tip extends beyond the distal edge of the rotatable cutter and wherein in a second position, the distal edge of the movable sensing tip and the distal edge of the cutter are aligned along a plane which is perpendicular to the longitudinal axis of the surgical device, the second position being configured to signal the at least one driver to rotate and translate the rotatable cutter; and

a controller configured to logically communicate the at least one surgical characteristic between the at least one driver and the at least one sensor assembly.

2. The surgical device according to claim 1, wherein the movable sensing tip is movable from a first position to a second position in a proximal direction relative to the rotatable cutter to actuate a switch that is connected to the controller, such that, actuation of the switch results in communication of the controller with the at least one driver to commence a rotation of the rotatable cutter.

3. The surgical device according to claim 1, wherein the at least one sensor assembly includes a torque sensor configured to sense a torque value of the rotatable cutter, and wherein the controller interprets the torque value received from the torque sensor to thereby control the at least one driver.

4. The surgical device according to claim 3, wherein the controller controls the rotation and translation of the rotatable cutter, via the at least one driver, depending on the torque value.

5. The surgical device according to claim 1, wherein the at least one sensor assembly includes a contact sensor configured to sense contact with the tissue, and wherein the at least one driver rotates the rotatable cutter as a function of the contact sensed by the contact sensor.

6. The surgical device according to claim 1, wherein the at least one sensor assembly includes a gas sensor configured to sense a gas type, and wherein the controller interprets the gas type received from the gas sensor to thereby control the at least one driver.

7. The surgical device according to claim 6, wherein the gas type is CO₂, and wherein when CO₂ is sensed by the gas sensor, the at least one driver is deactivated via the controller.

8. The surgical device according to claim 6, wherein the gas sensor is disposed about a distal portion of the rotatable cutter.

9. The surgical device according to claim 1, wherein the rotatable cutter is configured to move along a length of the cannula and within an internal bore of the cannula.

10. The surgical device according to claim 1, further comprising:

a second driver configured to at least one of extend and retract the rotatable cutter relative to the cannula.

11. A surgical device, comprising:

a cannula defining a longitudinal axis;

a rotatable cutter supported within the cannula and being configured to cut tissue for passage of the cannula through the tissue, the rotatable cutter including a distal edge;

at least one driver drivable by a motor arrangement, the at least one driver configured to rotate and translate the rotatable cutter along the longitudinal axis;

a movable sensing tip offset radially from the rotatable cutter, the movable sensing tip including a distal edge and a proximal edge, the proximal edge of the movable sensing tip being connected to a biasing member, the biasing member urging the movable sensing tip distally with respect to the rotatable cutter, wherein in a first position, the distal edge of the movable sensing tip extends beyond the distal edge of the rotatable cutter and wherein in a second position, the distal edge of the movable sensing tip and the distal edge of the cutter are aligned along a plane which is perpendicular to the longitudinal axis of the surgical device, the second position being configured to signal the driver to rotate and translate the rotatable cutter; and

a controller configured to provide logical communication between the at least one driver and the movable sensing tip.

12. A surgical device, comprising:

a cannula defining a longitudinal axis, the cannula including a bore therethrough;

an external auger disposed within the bore of the cannula, the external auger including a bore therethrough;

an internal auger disposed within the bore of the external auger, the internal auger including a bore therethrough, the internal auger including a distal edge;

at least one driver drivable by a motor arrangement, the at least one driver configured to rotate and translate at least one of the cannula, the external auger, or the internal auger along the longitudinal axis;

a movable sensing tip disposed concentrically within the bore of the internal auger, the movable sensing tip including a distal edge and a proximal edge, the proximal edge of the movable sensing tip being connected to a biasing member, the biasing member urging the movable sensing tip distally with respect to the internal auger, wherein in a first position, the distal edge of the movable sensing tip extends beyond the distal edge of the internal auger and wherein in a second position, the distal edge of the movable sensing tip and the distal edge of the internal auger are aligned along a plane which is perpendicular to the longitudinal axis of the surgical device, the second position being configured to signal the driver to rotate and translate at least one of the cannula, the external auger, or the internal auger along the longitudinal axis;

a first torque sensor operatively coupled to the external auger, the first torque sensor configured to sense a first torque value of the external auger;

a second torque sensor operatively coupled to the internal auger, the second torque sensor configured to sense a second torque value of the internal auger;

a gas sensor configured to sense a gas type, and

a controller configured to provide logical communication between the at least one driver, the movable sensing tip, the first and second torque sensors, and the gas sensor, wherein the controller interprets the first and second torque values received from the first and second torque sensors and the gas type from the gas sensor to thereby control the at least one driver.

13. The surgical device according to claim 12, wherein the internal auger is configured to move axially along a length of the external auger and the external auger is configured to move axially along a length of the cannula.

14. The surgical device according to claim 12, wherein the movable sensing tip is movable in a proximal direction relative to the internal auger to actuate a switch that is connected to the controller;

and wherein actuation of the switch, upon proximal movement of the movable sensing tip, results in communication of the controller with the at least one driver to commence a rotation of the at least one of the cannula, the external auger, or the internal auger.