WO2008088623A2 - Trocar cannula system - Google Patents
Trocar cannula system Download PDFInfo
- Publication number
- WO2008088623A2 WO2008088623A2 PCT/US2007/086983 US2007086983W WO2008088623A2 WO 2008088623 A2 WO2008088623 A2 WO 2008088623A2 US 2007086983 W US2007086983 W US 2007086983W WO 2008088623 A2 WO2008088623 A2 WO 2008088623A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- instrument
- trocar
- cannula
- trocar cannula
- tubing
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00345—Micromachines, nanomachines, microsystems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
Definitions
- the present invention generally pertains to microsurgical instruments. More particularly, but not by way of limitation, the present invention pertains to microsurgical instruments used in posterior segment ophthalmic surgery.
- vitreoretinal surgery often requires the cutting, removal, dissection, delamination, coagulation, or other manipulation of delicate tissues such as the vitreous humor, traction bands, membranes, or the retina.
- the vitreous humor, or vitreous is composed of numerous microscopic fibers that are often attached to the retina. Therefore, cutting, removal, or other manipulation of the vitreous must be done with great care to avoid traction on the retina, the separation of the retina from the choroid, a retinal tear, or, in the worst case, cutting and removal of the retina itself.
- Microsurgical instruments such as vitrectomy probes, fiber optic illuminators, infusion cannulas, aspiration probes, scissors, forceps, and lasers are typically utilized during vitreoretinal surgery. These devices are generally inserted through one or more surgical incisions in the sclera near the pars plana, which are called sclerotomies. The repeated insertion and removal of these devices can allow vitreous and other fluids to escape the eye through the sclerotomies, increasing the potential for softening of the globe, bleeding, traction on the retina, or introduction of bacteria into the eye. Therefore, an infusion cannula is used to infuse an irrigating solution into the eye to maintain a suitable intraocular pressure.
- Trocar cannulas and plugs are often used in connection with infusion cannulas.
- the trocar cannula establishes an entry through the sclera into the posterior segment of the eye.
- the infusion cannula is placed within the trocar cannula so as to provide irrigating solution to the eye.
- a trocar plug is placed within the trocar cannula to prevent leakage when the infusion cannula is removed. It is important to establish a reliable connection between the trocar cannula and the infusion cannula or trocar plug to prevent an unwanted loss of intraocular pressure during surgery.
- such connection is accomplished via an interference fit between the inner diameter of the trocar cannula and the outer diameter of the infusion cannula or trocar plug.
- interferences may develop inelastic deformation of, and create static friction between, the trocar cannula and the infusion cannula or trocar plug. Such interferences are also difficult to control with small gage instruments and conventional manufacturing tolerances.
- a conventional method of creating such an interference is by crimping the infusion cannula. However, such crimping often creates a flow restriction within the infusion cannula, which is particularly undesirable during the high vacuum settings of some surgeries. Therefore, a need remains for an improved trocar cannula system.
- the present invention is a trocar cannula system that generally includes a trocar cannula and a microsurgical instrument.
- the trocar cannula has a hub and a tubing coupled to the hub.
- the tubing has an internal surface with a protrusion disposed thereon.
- the microsurgical instrument is removably and partially .
- the instrument has an external surface with a well disposed thereon for mating with the protrusion. The mating of the protrusion and the well place the instrument in three point bending to secure the instrument within the trocar cannula.
- Figure 1 is schematic, side, sectional view of the trocar cannula system according to the present invention.
- Figure 2 is an enlarged, side, sectional view of a portion of the infusion cannula of the trocar cannula system shown in detail 2 of Figure 1.
- FIG. 1 shows a trocar cannula system 10 generally including a trocar cannula 12 and an infusion cannula or trocar plug 14.
- a trocar cannula system 10 generally including a trocar cannula 12 and an infusion cannula or trocar plug 14.
- the present invention will be described below in reference to an infusion cannula with the understanding that it is equally applicable to a trocar plug or other microsurgical instrument.
- Trocar cannula 12 generally includes a proximal hub 16 and a tubing 18.
- Hub 16 includes an opening 20 for receiving infusion cannula 14, an annular surface 22 for contacting an interior surface of the sclera, and an annular surface 24 for contacting an exterior surface of the sclera.
- Tubing 18 has a hollow bore 25, an internal surface 26, an opening 28 for receiving infusion cannula 14, and an opening 30 for allowing the passage of infusion cannula 14 into the posterior segment of the eye.
- Tubing 18 has a first portion disposed within hub 16 having a first internal diameter and a second, distal portion with a second internal diameter smaller than its first internal diameter.
- Internal surface 26 has a convex protrusion 32, which is preferably disposed within hub 16.
- Trocar cannula 12 is preferably formed from surgical stainless steel.
- Infusion cannula 14 generally includes a hollow bore 34, an opening 36 for allowing irrigating fluid to enter the posterior segment of the eye, a first portion disposed within hub 16 having a first internal diameter, and a second, distal portion with a second internal diameter smaller than its first internal diameter.
- infusion cannula 14 has a concave well or dimple 36 on its external surface for mating with protrusion 32 of trocar cannula 12.
- Infusion cannula 14 is preferably formed from surgical stainless steel.
- a surgeon creates a sclerotomy and inserts trocar cannula 12 therein so that the sclera is disposed between surfaces 22 and 24 of hub 16; opening 30 is disposed within the posterior segment, and preferably the vitreous chamber, of the eye; and opening 20 is disposed outside the sclera.
- the surgeon inserts infusion cannula 14 into tubing 18 so that opening 36 is disposed within the posterior segment, and preferably the vitreous chamber, of the eye.
- Protrusion 32 of trocar cannula 12 mates with well 36 of infusion cannula 14.
- protrusion 32 and well 36 places infusion cannula 14 in elastic, three point bending, safely securing infusion cannula 14 within trocar cannula 12 with a reasonable retention force.
- the mating of protrusion 32 and well 36 creates no flow restricting features within bore 34 of infusion cannula 14.
- the mating of protrusion 32 and well 36 can be disengaged with a reasonable amount of force to allow for the removal of infusion cannula 14.
- a trocar plug 14, or other microsurgical instrument, may then be inserted into the sclerotomy.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
MX2009006143A MX2009006143A (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system. |
JP2009546380A JP2010516331A (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
BRPI0720948-7A2A BRPI0720948A2 (en) | 2007-01-18 | 2007-12-10 | TROCARTS CANNULA SYSTEM, E, METHOD FOR HOLDING A MICROSURGENIC INSTRUMENT INSIDE A TROCARTS CANNULA. |
AU2007343640A AU2007343640A1 (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
KR1020097017216A KR20090111845A (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
EP07865472A EP2121081A2 (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
CA002671013A CA2671013A1 (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/624,485 | 2007-01-18 | ||
US11/624,485 US20080177239A1 (en) | 2007-01-18 | 2007-01-18 | Trocar cannula system |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2008088623A2 true WO2008088623A2 (en) | 2008-07-24 |
WO2008088623A3 WO2008088623A3 (en) | 2009-01-15 |
Family
ID=39636541
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2007/086983 WO2008088623A2 (en) | 2007-01-18 | 2007-12-10 | Trocar cannula system |
Country Status (13)
Country | Link |
---|---|
US (1) | US20080177239A1 (en) |
EP (1) | EP2121081A2 (en) |
JP (1) | JP2010516331A (en) |
KR (1) | KR20090111845A (en) |
CN (1) | CN101616703A (en) |
AR (1) | AR064909A1 (en) |
AU (1) | AU2007343640A1 (en) |
BR (1) | BRPI0720948A2 (en) |
CA (1) | CA2671013A1 (en) |
MX (1) | MX2009006143A (en) |
RU (1) | RU2009131315A (en) |
TW (1) | TW200835471A (en) |
WO (1) | WO2008088623A2 (en) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2012517323A (en) * | 2009-02-10 | 2012-08-02 | シヴィダ・ユーエス・インコーポレイテッド | Ophthalmic trocar assembly |
US8377001B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Feeding set for a peristaltic pump system |
US8377000B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Enteral feeding apparatus having a feeding set |
US8689439B2 (en) | 2010-08-06 | 2014-04-08 | Abbott Laboratories | Method for forming a tube for use with a pump delivery system |
USD851755S1 (en) | 2015-10-22 | 2019-06-18 | Eyepoint Pharmaceuticals Us, Inc. | Ocular inserter |
DE102017223006A1 (en) * | 2017-12-18 | 2019-06-19 | Geuder Ag | Device for introducing a medium into the human or animal eye |
US10363163B2 (en) | 2014-09-11 | 2019-07-30 | EyePoint Pharmaceuticals, Inc. | Injector apparatus |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070202186A1 (en) | 2006-02-22 | 2007-08-30 | Iscience Interventional Corporation | Apparatus and formulations for suprachoroidal drug delivery |
US8932249B2 (en) | 2009-10-08 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Trocar assembly |
US8491533B2 (en) * | 2009-10-08 | 2013-07-23 | Ethicon Endo-Surgery, Inc. | Trocar assembly |
US20110087159A1 (en) * | 2009-10-08 | 2011-04-14 | Parihar Shailendra K | Trocar Assembly |
US8062260B2 (en) * | 2009-12-22 | 2011-11-22 | Alcon Research, Ltd. | Trocar cannula device with retention feature |
US8343106B2 (en) | 2009-12-23 | 2013-01-01 | Alcon Research, Ltd. | Ophthalmic valved trocar vent |
PL2515774T3 (en) | 2009-12-23 | 2014-08-29 | Alcon Res Ltd | Ophthalmic valved trocar cannula |
JP5996544B2 (en) | 2010-10-15 | 2016-09-21 | クリアサイド・バイオメディカル・インコーポレーテッドClearside Biomedical Incorporated | Eye access device |
FR2970412B1 (en) * | 2011-01-18 | 2013-12-20 | France Chirurgie Instr | SELF-LOCKING CANNULA |
CN104884049A (en) | 2012-11-08 | 2015-09-02 | 克莱尔塞德生物医学股份有限公司 | Methods and devices for the treatment of ocular diseases in human subjects |
MX2015015282A (en) | 2013-05-03 | 2016-02-26 | Clearside Biomedical Inc | Apparatus and methods for ocular injection. |
US10188550B2 (en) | 2013-06-03 | 2019-01-29 | Clearside Biomedical, Inc. | Apparatus and methods for drug delivery using multiple reservoirs |
MX2016017028A (en) | 2014-06-20 | 2017-08-07 | Clearside Biomedical Inc | Variable diameter cannula and methods for controlling insertion depth for medicament delivery. |
US10390901B2 (en) | 2016-02-10 | 2019-08-27 | Clearside Biomedical, Inc. | Ocular injection kit, packaging, and methods of use |
EP3452165A1 (en) | 2016-05-02 | 2019-03-13 | Clearside Biomedical, Inc. | Systems and methods for ocular drug delivery |
CN110177527B (en) | 2016-08-12 | 2022-02-01 | 科尼尔赛德生物医学公司 | Device and method for adjusting insertion depth of needle for medicament delivery |
JP6930874B2 (en) * | 2017-07-31 | 2021-09-01 | マニー株式会社 | Cannula holder |
JP6902966B2 (en) * | 2017-08-30 | 2021-07-14 | マニー株式会社 | Back flush needle |
JP7128614B2 (en) * | 2017-08-30 | 2022-08-31 | マニー株式会社 | infusion pipe |
US11696851B2 (en) | 2019-04-25 | 2023-07-11 | Alcon Inc. | Cannula system with retention feature |
US11564711B2 (en) | 2019-04-25 | 2023-01-31 | Alcon Inc. | Adjustable length infusion cannula |
EP4373416A1 (en) | 2021-07-20 | 2024-05-29 | Alcon Inc. | Infusion cannula |
WO2023002265A1 (en) * | 2021-07-20 | 2023-01-26 | Alcon Inc. | Cannulas for ophthalmic procedures |
Citations (2)
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US20060089526A1 (en) * | 2004-10-21 | 2006-04-27 | Medical Instrument Development Laboratories, Inc. | Self-sealing closure for an ophthalmic cannula |
US20060217655A1 (en) * | 2000-03-13 | 2006-09-28 | Vitullo Jeffrey M | Pre-loaded lockable stimulating catheter for delivery of anaesthetic drugs |
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US5232450A (en) * | 1990-02-13 | 1993-08-03 | United States Surgical Corporation | Safety device for trocars and surgical instruments thereof |
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US5387196A (en) * | 1992-05-19 | 1995-02-07 | United States Surgical Corporation | Cannula assembly having conductive cannula |
AT824U1 (en) * | 1995-08-23 | 1996-06-25 | Golser Karl Dr | WORKING CANNULAS FOR ARTHROSCOPY |
US5957888A (en) * | 1995-10-10 | 1999-09-28 | United States Surgical Corporation | Surgical cannula having a variable length |
US6551291B1 (en) * | 1999-08-04 | 2003-04-22 | Johns Hopkins University | Non-traumatic infusion cannula and treatment methods using same |
US7077848B1 (en) * | 2000-03-11 | 2006-07-18 | John Hopkins University | Sutureless occular surgical methods and instruments for use in such methods |
US6989003B2 (en) * | 2001-08-31 | 2006-01-24 | Conmed Corporation | Obturator and cannula for a trocar adapted for ease of insertion and removal |
JP4137622B2 (en) * | 2002-12-16 | 2008-08-20 | オリンパス株式会社 | Ultrasonic trocar system |
US8012128B2 (en) * | 2003-09-30 | 2011-09-06 | Ethicon Endo-Surgery Inc. | Button latching system for a trocar |
-
2007
- 2007-01-18 US US11/624,485 patent/US20080177239A1/en not_active Abandoned
- 2007-12-10 RU RU2009131315/14A patent/RU2009131315A/en unknown
- 2007-12-10 JP JP2009546380A patent/JP2010516331A/en active Pending
- 2007-12-10 BR BRPI0720948-7A2A patent/BRPI0720948A2/en not_active Application Discontinuation
- 2007-12-10 EP EP07865472A patent/EP2121081A2/en not_active Withdrawn
- 2007-12-10 MX MX2009006143A patent/MX2009006143A/en not_active Application Discontinuation
- 2007-12-10 CN CN200780050037A patent/CN101616703A/en active Pending
- 2007-12-10 KR KR1020097017216A patent/KR20090111845A/en not_active Application Discontinuation
- 2007-12-10 CA CA002671013A patent/CA2671013A1/en not_active Abandoned
- 2007-12-10 WO PCT/US2007/086983 patent/WO2008088623A2/en active Application Filing
- 2007-12-10 AU AU2007343640A patent/AU2007343640A1/en not_active Abandoned
- 2007-12-31 TW TW096151430A patent/TW200835471A/en unknown
-
2008
- 2008-01-15 AR ARP080100176A patent/AR064909A1/en unknown
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060217655A1 (en) * | 2000-03-13 | 2006-09-28 | Vitullo Jeffrey M | Pre-loaded lockable stimulating catheter for delivery of anaesthetic drugs |
US20060089526A1 (en) * | 2004-10-21 | 2006-04-27 | Medical Instrument Development Laboratories, Inc. | Self-sealing closure for an ophthalmic cannula |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2012517323A (en) * | 2009-02-10 | 2012-08-02 | シヴィダ・ユーエス・インコーポレイテッド | Ophthalmic trocar assembly |
JP2015144863A (en) * | 2009-02-10 | 2015-08-13 | シヴィダ・ユーエス・インコーポレイテッドPsivida Us, Inc. | Ocular trocar assembly |
US8689439B2 (en) | 2010-08-06 | 2014-04-08 | Abbott Laboratories | Method for forming a tube for use with a pump delivery system |
US8377001B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Feeding set for a peristaltic pump system |
US8377000B2 (en) | 2010-10-01 | 2013-02-19 | Abbott Laboratories | Enteral feeding apparatus having a feeding set |
US10363163B2 (en) | 2014-09-11 | 2019-07-30 | EyePoint Pharmaceuticals, Inc. | Injector apparatus |
USD851755S1 (en) | 2015-10-22 | 2019-06-18 | Eyepoint Pharmaceuticals Us, Inc. | Ocular inserter |
DE102017223006A1 (en) * | 2017-12-18 | 2019-06-19 | Geuder Ag | Device for introducing a medium into the human or animal eye |
Also Published As
Publication number | Publication date |
---|---|
AR064909A1 (en) | 2009-05-06 |
AU2007343640A1 (en) | 2008-07-24 |
TW200835471A (en) | 2008-09-01 |
MX2009006143A (en) | 2009-06-30 |
JP2010516331A (en) | 2010-05-20 |
US20080177239A1 (en) | 2008-07-24 |
CN101616703A (en) | 2009-12-30 |
KR20090111845A (en) | 2009-10-27 |
RU2009131315A (en) | 2011-02-27 |
BRPI0720948A2 (en) | 2014-03-18 |
WO2008088623A3 (en) | 2009-01-15 |
CA2671013A1 (en) | 2008-07-24 |
EP2121081A2 (en) | 2009-11-25 |
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