Surgical tools and system for safely accessing body cavities and methods of using the same

• US 10,004,533 B2
• Filed: 03/18/2015
• Issued: 06/26/2018
• Est. Priority Date: 09/30/2014
• Status: Active Grant

• Current Assignee: Fateh Entabi
• Original Assignee: Fateh Entabi
• Inventors: Entabi, Fateh
• Primary Examiner(s): Vu, Quynh-Nhu H
• Application Number:
  US14/660,954
• Publication Number:
  US 20160089180A1
• Time in Patent Office: 1,196 Days
• 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 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/3937 Visible markers

Abstract

The application discloses a set of surgical instruments that may be used to access a human or animal body cavity for medical purposes without causing damage to internal tissues or organs therein, and methods of using the same. The instruments include a safety needle and flexible sheath that may be coupled together and used to establish a minimally invasive method to access a targeted body cavity while preventing or reducing damage to organs or tissues within the targeted cavity. Additional instruments are included within the invention that may be used to establish an access port in the wall of the targeted cavity. That port may be used to introduce catheters or other instruments into the body cavity. It may also be used as a drainage tube for draining or injecting gases and/or fluids from or into the targeted cavity.

Claims

1. A medical instrument kit for establishing an access port in a targeted body cavity without damaging the organs or tissues therein, comprising:

a. a safety needle assembly having an outer cannula having an exterior diameter and a distal cutting end, and an inner stylet having a blunt distal end, wherein the stylet is spring biased to extend from said distal cutting end with sufficient pressure to protrude from said distal cutting end when said distal cutting end penetrates into an interior space of said targeted body cavity;

b. a flexible hollow sheath for coupling with said safety needle, wherein said flexible sheath is positioned over said outer cannula and said flexible sheath has an inner diameter that is substantially equal to said outer diameter of said outer cannula and fits snuogly over said outer cannula;

c. a drainage tube; and

d. a drainage tube introducer including a distal head for engaging a distal end of said drainage tube and dilating an access incision to allow said drainage tube to pass into said targeted body cavity, wherein said distal head includes two resilient clips for engaging and holding a distal end of said drainage tube, said clip being stretched from a first resting position to a second radially stretched position to sit over an outer diameter of the drainage tube thereby increasing a diameter of the distal head from an original diameter to a stretched diameter.

2. The kit of claim 1, wherein said kit further includes a guide wire for guiding said drainage tube introducer and said drainage tube into said targeted body cavity, said guide wire having at least one graduation marking thereon.

3. The kit of claim 2, wherein said drainage tube introducer includes a central guide wire canal for receiving said guide wire.

4. The kit of claim 1, wherein said resilient clips resile to their first position when they are disengaged from the drainage tube, thereby returning the distal head to said original diameter.

5. The kit of claims 4, wherein said original diameter of the distal head is less than the smallest diameter of said drainage tube, allowing said drainage tube introducer to pass through said drainage tube.

6. The kit of claim 1, wherein said safety needle assembly further includes a first connector and said flexible sheath comprises a second connector, said first and second connectors being to mechanically couple said safety needle to said flexible sheath.

7. The kit of claim 1, further comprising a tension adjustment system for adjusting the force applied to the inner stylet by a biasing structure.

8. The kit of claim 7, wherein said biasing structure is a spring and said tension adjustment system includes multiple discrete tension settings for changing an amount of force applied by said spring to said inner stylet.

9. The kit of claim 1, wherein said safety needle is operable to be reversibly inserted into said flexible hollow sheath to pair said safety needle and said flexible hollow sheath, and said paired safety needle and said flexible hollow sheath are operable to penetrate through a cavity wall of a patient and establish the flexible hollow sheath in said cavity wall to expose the interior of said cavity.

10. A medical instrument kit for establishing an access port in a targeted body cavity without damaging the organs or tissues therein, comprising:

a. a safety needle assembly having an outer cannula with distal cutting end and an inner stylet having a blunt distal end that retractably protrudes from said distal cutting end, said safety assembly being operable to penetrate through a body cavity wall of a patient;

b. a drainage tube; and

c. a drainage tube introducer including a distal head for engaging a distal end of said drainage tube and dilating said access incision to allow said drainage tube to pass into said targeted body cavity, wherein said drainage tube introducer is operable to be retracted through said drainage tube after said drainage tube is passed into said targeted body cavity, wherein said distal head includes two resilient clips for engaging and holding the distal end of said drainage tube, said clip being stretched from a first resting position to a second radially stretched position to sit over an outer diameter of the drainage tube thereby increasing a diameter of the distal head from an original diameter to a stretched diameter.

11. The kit of claim 10, further comprising a flexible hollow sheath for coupling with said safety needle, wherein said flexible sheath is positioned over said outer cannula and said flexible sheath has an inner diameter that is substantially equal to an outer diameter of said outer cannula and fits snuggly over said outer cannula.

12. The kit of claim 11, wherein said safety needle is operable to be reversibly inserted into said flexible hollow sheath to pair said safety needle and said flexible hollow sheath, and said paired safety needle and said flexible hollow sheath are operable to penetrate through a cavity wall of a patient and establish the flexible hollow sheath in said cavity wall to expose the interior of said cavity.

13. The kit of claim 10, wherein said kit further includes a guide wire for guiding said drainage tube introducer and said drainage tube into said targeted body cavity, said guide wire having at least one graduation marking thereon.

14. The kit of claim 13, wherein said drainage tube introducer includes a central guide wire canal for receiving said guide wire.

15. The kit of claim 10, wherein said resilient clips resile to their first position when they are disengaged from the drainage tube, thereby returning the distal head to said original diameter.

16. The kit of claim 15, wherein said original diameter of the distal head is less than the smallest diameter of said drainage tube, allowing said drainage tube introducer to pass through said drainage tube.

17. The kit of claim 10, wherein said safety needle assembly further includes a first connector and said flexible sheath comprises a second connector, said first and second connectors being to mechanically couple said safety needle to said flexible sheath.

18. The kit of claim 10, further comprising a tension adjustment system for adjusting the force applied to the inner stylet by a biasing structure.

19. The kit of claim 18, wherein said biasing structure is a spring and said tension adjustment system includes multiple discrete tension settings for changing the amount of force applied by said spring to said inner stylet.