System and method for delivering expanding trocar through a sheath

• US 9,364,259 B2
• Filed: 04/09/2010
• Issued: 06/14/2016
• Est. Priority Date: 04/21/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Xlumena, Inc. (Boston Scientific Corporation)
• Inventors: Sander, Fiona, Lunsford, John, Phan, Hoang
• Primary Examiner(s): Nguyen, Tuan V
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US12/757,408
• Publication Number:
  US 20100268175A1
• Time in Patent Office: 2,258 Days
• Field of Search: 606/185, 606/41, 606/167, 606/170, 606/171, 606/181, 604/96.01, 604/272, 604/164.01, 604/164.03, 600/115, 600/106, 27/241
• US Class Current: 1/1
• 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/3209 Incision instruments
• 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 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2017/346 with wings

Abstract

A trocar has an elongate body and a tissue-penetrating tip. One or more radially extending blade(s) are provided near the tissue-penetrating tip of the trocar body so that they automatically open as the trocar is advanced through tissue. The blades will enlarge the penetration which was formed by the tip of the trocar.

Claims

1. A method for accessing an internal body organ, said method comprising:

introducing an endoscope to a location adjacent to a wall of the organ; and

advancing a trocar from a lumen in the endoscope, wherein the trocar penetrates the wall of the organ to access a cyst, pseudocyst, abscess, gall bladder, urinary bladder, bile duct, or pancreatic duct;

wherein advancing the trocar releases a blade having a sharpened distal edge from constraint within the lumen so that the blade opens radially to an angle greater than 90 degrees from an elongate body of the trocar as the trocar exits the lumen such that the sharpened distal edge of the blade enlarges the penetration made by a distal tip of the trocar.

2. The method as in claim 1, wherein the endoscope is introduced through a natural body orifice, wherein the endoscope is flexible.

3. The method as in claim 2, wherein the endoscope is introduced transorally or transnasally into a GI tract to access the cyst, pseudocyst, or abscess.

4. The method as in claim 2, wherein the endoscope is introduced transorally or transnasally into a GI tract to access the gall bladder or the urinary bladder.

5. The method as in claim 1, wherein the lumen comprises a working channel of the endoscope.

6. The method as in claim 1, wherein the trocar has a tissue-penetrating tip and forms the penetration as it is advanced through the organ wall.

7. The method as in claim 1, wherein the blade is biased to spring open as the constraint is removed.

8. The method as in claim 1, wherein a single blade opens.

9. The method as in claim 2, wherein the endoscope is introduced transorally or transnasally into a GI tract to access the bile duct or pancreatic duct.

10. The method as in claim 2, wherein the endoscope is introduced transorally or transnasally into a GI tract to access an organ or structure in an abdominal, pelvic or thoracic cavity adjacent to the GI tract.

11. The method as in claim 1, wherein the endoscope comprises a catheter with a length from 20 cm to 500 cm and a diameter from 1 mm to 5 mm.

12. The method as in claim 1, wherein the blade is contained within the elongate body of the trocar in a closed position.

13. The method as in claim 1, wherein the blade opening radially comprises rotating the blade about a pivot point relative to the elongate body of the trocar.