Trocar system

• US 9,486,130 B2
• Filed: 06/04/2012
• Issued: 11/08/2016
• Est. Priority Date: 06/30/2011
• Status: Active Grant

• Current Assignee: Karl-Heinz Bachmann, Siegfried Riek, Thomas Gaiselmann
• Original Assignee: Karl-Heinz Bachmann, Siegfried Riek, Thomas Gaiselmann
• Inventors: Riek, Siegfried, Bachmann, Karl-Heinz, Gaiselmann, Thomas
• Primary Examiner(s): Hammond, Ellen C
• Assistant Examiner(s): BRAY, STUART SAMUEL
• Application Number:
  US14/129,897
• Publication Number:
  US 20140148655A1
• Time in Patent Office: 1,618 Days
• Field of Search: 600/249, 600/106, 600/129, 600/156, 600/160, 600/171, 600/176
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• 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 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00907 for light
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2017/3454 Details of tips
• CPC Class Codes: A61B 2090/3614 using optical fibre
• CPC Class Codes: F04C 2270/0421 Controlled or regulated

Abstract

A trocar system, comprising a trocar having an optical channel extending coaxially in the trocar for receiving an optical unit, and a hollow transparent distal tip of the trocar, which can be observed from the interior. The distal working end of an instrument having two working parts movable relative to one another is formed on the distal tip, wherein a first working part is an integral component of the tip and the second working part is mounted movably on the tip, wherein an actuating channel is constructed in the wall of the trocar surrounding the optical channel, which channel extends axially parallel from the proximal end of the trocar into the distal tip thereof, and wherein an actuating element is received in the actuating channel such as to be axially displaceable.

Claims

1. A trocar system, comprising:

a rigid trocar, having an optical channel that extends coaxially inside the trocar for receiving an optical unit, the trocar having a hollow transparent distal tip in the shape of a cone and through which an area outside of the distal tip can be observed from an interior by the optical unit,

wherein a distal working end of an instrument is configured at the distal tip,

wherein the instrument includes at least two working parts that can be moved relative to each other,

wherein a first of the at least two working parts is an integral component of the distal tip and the second of the at least two working parts is separate from the distal tip and disposed on the exterior of the distal tip and is movably supported on the distal tip,

wherein the hollow transparent distal tip remains closed when the second of the at least two working parts is moved,

wherein an actuating channel is configured on the trocar and leads from a proximal end of the trocar to the distal tip, and

wherein an actuating element is received in an axially displaceable manner inside the actuating channel, and a proximal end of the actuating element is guided out from a proximal end of the actuating channel, and the distal end of the actuating element engages on the second working part in order to move the second working part, and

wherein a working channel is provided in a wall of the trocar and the working channel opens at the distal tip and exterior to the distal tip.

2. The trocar system according to claim 1,

wherein the first working part is integrated in a wall of the distal tip of the trocar.

3. The trocar system according to claim 1,

wherein the second working part is pivotably supported at the distal tip of the trocar between an open position and a closed position.

4. The trocar system according to claim 3,

wherein the first working part is a depression in an exterior surface of the distal tip, and wherein, in the closed position, the second working part inserts itself in a complementary manner into the depression.

5. The trocar system according to claim 1,

wherein the second working part is supported in a linearly displaceable manner in a jacket line of the distal tip, and wherein the second working part interacts with a stop edge that is configured as a first working part in the distal tip.

6. The trocar system according to claim 1,

wherein the actuating element is longitudinally rigid.

7. The trocar system according to claim 6,

wherein the actuating channel comprises an axially parallel bore inside a wall of the trocar or as an axially parallel groove in an exterior jacket surface of the trocar, and wherein the actuating element is rod-like and guided as axially displaceable in the actuating channel.

8. The trocar system according to claim 1,

wherein the actuating element engages by the distal end thereof in a sliding block guide of the second working part, which is disposed as inclined relative to an axis of the trocar.

9. The trocar system according to claim 1,

wherein the actuating element is rotatably articulated in a point arrangement by the distal end thereof to the second working part.

10. The trocar system according to claim 1, further comprising an axially continuous working channel for passing a miniature instrument, an optical unit, a fiber-optic light guide or an illumination system there through.

11. The trocar system according to claim 1, wherein the distal working end of the instrument is configured as a clamp, as a pair of forceps, as a pair of scissors, as a dissector or as a coagulation forceps.

12. The trocar system according to claim 1, further comprising an axially continuous working channel that functions as a rinsing channel.

13. A trocar system, comprising:

a rigid trocar with a hollow transparent distal tip;

an optical channel that extends inside the rigid trocar for receiving an optical unit and terminates inside the hollow transparent distal tip;

a working channel in a wall of the rigid trocar that opens proximate to the hollow transparent distal tip and exterior to the hollow transparent distal tip;

an instrument located at the hollow transparent distal tip, the instrument including a plurality of working parts that can be moved relative to each other, wherein a first working part of the plurality of working parts is an integral component of the hollow transparent distal tip and a second working part of the plurality of working parts is located exterior to the hollow transparent distal tip, separate from the hollow transparent distal tip, and movably supported on the hollow transparent distal tip such that the hollow transparent distal tip remains closed when the second working part of the plurality of working parts is moved;

an actuating channel leading from a proximal end of the rigid trocar to the hollow transparent distal tip; and

an axially displaceable actuating element inside the actuating channel that engages the second working part of the plurality of working parts to move the second working part of the plurality of working parts.

14. The trocar system according to claim 13,

wherein the first working part of the plurality of working parts is integrated in a wall of the hollow transparent distal tip of the rigid trocar.

15. The trocar system according to claim 14,

wherein the first working part of the plurality of working parts is transparent.

16. The trocar system according to claim 15,

wherein the second working part of the plurality of working parts is transparent.

17. The trocar system according to claim 13,

wherein the first working part of the plurality of working parts is a depression in an exterior surface of the hollow transparent distal tip, and in a closed position, the second working part of the plurality of working parts fits in the depression.

18. The trocar system according to claim 13,

wherein the first working part of the plurality of working parts is a stop edge on the exterior of the hollow transparent distal tip and the second working part of the plurality of working parts is located in a jacket line of the distal tip and linearly displaceable therefrom to interact with the stop edge as a punch.