Surgical tool stabilization devices for trocar assemblies

Patent metadata

Field	Value
Publication number	US-10758270-B2
Application number	US-201715727107-A
Country	US
Kind code	B2
Filing date	Oct 6, 2017
Priority date	Oct 6, 2017
Publication date	Sep 1, 2020
Grant date	Sep 1, 2020

Abstract

A trocar assembly includes a trocar housing that defines a working chamber, and a cannula coupled to the trocar housing at a proximal end to facilitate communication between the cannula and the working chamber. A tool stabilizing device is coupled to at least one of the trocar housing and the cannula and is actuatable to stabilize and center a surgical tool within the cannula.

First claim

What is claimed is:

1. A trocar assembly, comprising:
a trocar housing that defines a working chamber;
a cannula coupled to the trocar housing at a proximal end to facilitate communication between the cannula and the working chamber; and
a tool stabilizing device including an annular body receivable within the working chamber and a plurality of fingers extending distally from the body and radially inward toward a centerline of the body when the plurality of fingers are in a relaxed state,
wherein the body is rotatable relative to the trocar housing to engage the plurality of fingers against an inner surface of the working chamber and thereby flex the plurality of fingers radially inward from the relaxed state to stabilize and center a surgical tool within the cannula, and
wherein disengaging the plurality of fingers from the inner surface allows the plurality of fingers to elastically return to the relaxed state.

2. The trocar assembly of claim 1 , wherein the plurality of fingers define an inner diameter that is adjustable upon rotation of the body.

3. The trocar assembly of claim 2 , wherein the inner surface of the working chamber is frustoconical.

4. The trocar assembly of claim 2 , wherein a diameter of the surgical tool is smaller than an inner diameter of the cannula, and wherein the inner diameter of the plurality of fingers is adjustable to support and center the surgical tool within the cannula.

5. The trocar assembly of claim 2 , wherein the body is coupled to the trocar housing at a threaded interface, and the tool stabilizing device is actuated by rotating the body relative to the trocar housing via the threaded interface.

6. The trocar assembly of claim 5 , wherein a pitch of the threaded interface corresponds to a predetermined amount of rotation of the body to adjust the inner diameter to a predetermined magnitude.

7. The trocar assembly of claim 5 , wherein the tool stabilizing device further comprises a gripping interface that provides a location to engage and rotate the body relative to the trocar housing.

8. The trocar assembly of claim 1 , further comprising a lubricious material coated on the plurality of fingers to mitigate drag against an outer surface of the surgical tool.

9. The trocar assembly of claim 1 , further comprising:
a first marking provided on the trocar housing;
a second marking provided on the body and alignable with the first marking by rotating the body, wherein aligning the first and second markings alters an inner diameter of the plurality of fingers to a predetermined magnitude.

10. The trocar assembly of claim 1 , wherein an inner diameter of the plurality of fingers is the same as an inner diameter of the cannula when the plurality of fingers are in the relaxed state.

11. A method of using a trocar assembly, comprising:
introducing a surgical tool into a working chamber defined by a trocar housing, wherein the working chamber communicates with a cannula coupled to the trocar housing, and wherein a tool stabilizing device is coupled to the trocar housing and includes an annular body received within the working chamber and a plurality of fingers extending distally from the body and radially inward toward a centerline of the body in a relaxed state;
extending the surgical tool through the tool stabilizing device and into the cannula;
rotating the body relative to the trocar housing in a first direction to engage the plurality of fingers against an inner surface of the working chamber and thereby flexing the plurality of fingers radially inward from the relaxed state;
stabilizing and centering the surgical tool within the cannula with the plurality of fingers; and
rotating the body relative to the trocar housing in a second direction opposite the first direction and thereby disengaging the plurality of fingers from the inner surface and allowing the plurality of fingers to elastically return to the relaxed state.

12. The method of claim 11 , wherein the trocar housing defines a frustoconical inner surface within the working chamber, and wherein adjusting the inner diameter of the plurality of fingers comprises:
engaging the plurality of fingers against the frustoconical inner surface; and
radially collapsing the plurality of fingers to decrease the inner diameter of the plurality of fingers.

13. The method of claim 11 , wherein the body is coupled to the trocar housing at a threaded interface and actuating the tool stabilizing device comprises rotating the body relative to the trocar housing via the threaded interface.

14. The method of claim 13 , wherein the tool stabilizing device further comprises a gripping interface and actuating the tool stabilizing device further comprises:
engaging the gripping interface; and
rotating the body relative to the trocar housing at the gripping interface.

15. A trocar assembly, comprising:
a trocar housing that defines a working chamber;
a cannula extending from the trocar housing at a proximal end to facilitate communication between the cannula and the working chamber, the cannula defining a plurality of fingers and each finger provides a tapered outer portion; and
a tool stabilizing device coupled to at least one of the trocar housing and the cannula and actuatable by rotation to stabilize and center a surgical tool within the cannula, the tool stabilizing device including:
a body arranged about an exterior of one or both of the trocar housing and the cannula; and
a ring arranged at and integral to a distal end of the body and having an annular shoulder engageable with the tapered outer portion of each finger to adjust the plurality of fingers radially inward when the tool stabilizing device is actuated;

wherein the plurality of fingers define an inner diameter that is adjustable upon actuation of the tool stabilizing device.

16. The trocar assembly of claim 15 , wherein the body is coupled to the exterior of the trocar housing or to the cannula at a threaded interface, and the tool stabilizing device is actuated by rotating at least a portion of the body relative to the trocar housing or the cannula via the threaded interface and thereby moving the ring relative to the tapered outer portion of each finger.

17. The trocar assembly of claim 16 , wherein a pitch of the threaded interface corresponds to a predetermined amount of rotation of the portion of the body to adjust the inner diameter to a predetermined magnitude.

18. The trocar assembly of claim 16 , wherein the portion of the body comprises a gripping interface coupled to the body at an annular groove.

19. The trocar assembly of claim 15 , wherein the annular shoulder biases the plurality of fingers radially inward to reduce the inner diameter of the cannula when the tool stabilizing device is actuated.

Assignees

• Ethicon Llc

Inventors

• Harris Jason
• Young Joshua
• Toy Stephanie
• Morgan Jerry

Classifications

• A61B2017/347

  Locking means, e.g. for locking instrument in cannula · CPC title

• A61B2017/3464

  with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers · CPC title

• A61B17/3417

  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 title

• A61B2017/3441

  with distal sealing means · CPC title

• A61B17/3462 Primary

  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 title