WO2021184288A1

WO2021184288A1 - Trocar for cleaning medical devices therein

Info

Publication number: WO2021184288A1
Application number: PCT/CN2020/080152
Authority: WO
Inventors: Syed AHAMED; Kai Huang; Kaizhi ZHANG
Original assignee: Covidien Lp; Ding, Weijiang
Priority date: 2020-03-19
Filing date: 2020-03-19
Publication date: 2021-09-23
Also published as: US20230172632A1; CN115279288A; EP4120934A4; EP4120934A1

Abstract

A trocar (10) is provided which permits cleaning of a medical device herein. In aspects, the trocar (10) has a seal (50) at a distal portion of the trocar (10). In use, a medical device, such as a laparoscope (200), passes through the seal (50) at the distal portion of the trocar (10). To clean a lens (210) at the end of the laparoscope (200), a vacuum is applied to the interior of the trocar (10), the laparoscope (200) is partially withdrawn so that it is proximal to the seal (50), and liquids and/or gases are introduced into the trocar (10) to clean the lens (210) while the laparoscope (200) remains within the trocar (10).

Description

TROCAR FOR CLEANING MEDICAL DEVICES THEREIN

TECHNICAL FIELD

The disclosure relates to a surgical apparatus for use in minimally invasive surgical procedures, such as endoscopic and/or laparoscopic procedures and, more particularly, to a trocar that includes mechanisms for cleaning devices therein.

BACKGROUND

Minimally invasive surgery, such as endoscopic surgery, reduces the invasiveness of surgical procedures. Endoscopic surgery involves surgery through body walls, for example, viewing and/or operating on the ovaries, uterus, gall bladder, bowels, kidneys, appendix, etc. There are many common endoscopic surgical procedures, including arthroscopy, laparoscopy, gastroentroscopy and laryngobronchoscopy, just to name a few. In these procedures, trocars are utilized for creating incisions through which the endoscopic surgery is performed. Trocar tubes or cannula devices are extended into and left in place in the abdominal wall to provide access for endoscopic surgical tools. A camera or laparoscope is inserted through a trocar tube to permit the visual inspection and magnification of the body cavity. The surgeon can then perform diagnostic and/or therapeutic procedures at the surgical site with the aid of specialized instrumentation, such as forceps, graspers, cutters, applicators, and the like, which are designed to fit through additional cannulas.

In use, a lens of a laparoscope can become covered by condensation, tissue, blood, other body fluids, etc. Keeping the lens of a laparoscope clean during a procedure is thus difficult, and the time needed to clean the laparoscope during the procedure can increase both the overall time of the procedure and the amount of time a patient needs to remain under anesthesia, both of which can lead to increased risk of infection and increased recovery time.

SUMMARY

Trocars for use in minimally invasive surgery are provided. In aspects, a trocar of the disclosure includes an elongate body defining a lumen, the elongate body having a proximal portion and a distal portion, a seal assembly at the proximal portion of the elongate body, an inlet port at the proximal portion of the elongate body, and a vacuum port at the proximal portion of the elongate body. The trocar also has an inlet tube affixed to the inlet port, the inlet tube terminating at an entry opening within the distal portion of the elongate body, and an outlet tube affixed to the vacuum port, the outlet tube terminating at an exit opening within the distal portion of the elongate body. The trocar has a vacuum seal at the distal portion of the elongate body.

In some aspects, the vacuum seal is formed of multiple leaflets. In aspects the vacuum seal is distal to the entry opening of the inlet tube and the exit opening of the vacuum tube.

Kits including the disclosed trocars are also provided. In aspects, the kit includes a cannula, a laparoscope, and the disclosed trocar. The trocar fits within a lumen of the cannula. The laparoscope fits within a lumen of the trocar.

Methods for using the disclosed trocars/kits to clean a medical device during a surgical procedure are also provided. A method for cleaning a medical device includes introducing the disclosed trocar into a patient’s body, and introducing a laparoscope through the trocar into the patient’s body. When the end of the laparoscope, including the lens, needs to be cleaned, a vacuum is drawn on the vacuum port, and the laparoscope is partially withdrawn so that the lens at a distal portion of the laparoscope is proximal the vacuum seal within a lumen of the trocar. The method includes introducing a liquid through the inlet port, the inlet tube, and entry opening into the lumen of the trocar at a distal portion of the elongate body, where it contacts the lens of the laparoscope, and then removing the liquid out the exit opening, the vacuum tube and the vacuum port.

The liquid used to clean the medical device includes water, saline, and combinations thereof.

Drawing the vacuum and partially withdrawing the laparoscope causes the vacuum seal in the trocar to close.

In aspects, the method further includes introducing a gas through the inlet port, the inlet tube, and entry opening into the lumen of the trocar at the distal portion of the elongate body, where it contacts the lens of the laparoscope, and then removing the gas out the exit opening, the vacuum tube and the vacuum port.

In some aspects, the gas is introduced after the liquid. Suitable gases include air, carbon dioxide, or combinations thereof.

Once cleaned, the method includes distally passing the laparoscope through the vacuum seal and back into the patient’s body for further use.

BRIEF DESCRIPTION OF THE DRAWINGS

Various aspects of the disclosed trocar are described herein below with reference to the drawings, wherein:

FIG. 1 is a side perspective view of a trocar of the disclosure placed within a cannula;

FIG. 2 is a side view of the trocar and the cannula of FIG. 1 in a disassembled state;

FIG. 3 is a side perspective view of the trocar of the disclosure;

FIG. 4 is a side perspective view of a seal of the trocar shown in FIG. 1 located at a distal portion of the trocar of the disclosure;

FIG. 5 is a side cross-sectional view of the trocar shown along line 5-5 in FIG. 1;

FIG. 6 is a side view of the trocar of FIG. 5, showing movement of a laparoscope within the trocar; and

FIG. 7 is an enlarged view of the indicated area of detail shown in FIG. 6.

DETAILED DESCRIPTION

The disclosed trocars are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein the term “distal” refers to that portion of the trocar, or component thereof, farther from the user, while the term “proximal” refers to that portion of the trocar, or component thereof, closer to the user.

FIGS. 1-4 depict a trocar in accordance with an aspect of the disclosure. As shown in FIG. 1, trocar 10 is for use with a cannula 100. As shown in FIG. 2, cannula 100 has a lumen 112 through which trocar 10 may pass. Trocar 10 has a lumen 12 through which a medical device may pass. The trocar 10 includes a seal assembly 20, an elongate body 14, a distal portion 16, and a proximal portion 18. As shown in FIG. 2, the seal assembly 20 includes a seal 22 for placement therein and a securing collar 24 for maintaining the seal 22 within the seal assembly 20. The trocar 10 also has an inlet port 30 and a vacuum port 40. A liquid, such as water or saline, and/or a gas, such as air or carbon dioxide, may be introduced into the trocar 10 through the inlet port 30, and the liquid and/or gas may be removed from the trocar 10 through the vacuum port 40.

The trocar 10 also has a vacuum seal 50 at the distal portion 16 of the trocar 10 (FIGS. 3-4) . As shown in greater detail in FIG. 4, the vacuum seal 50 may be formed of multiple leaflets 52 which permit passage of a medical device therethrough, but the multiple leaflets 52 will close the vacuum seal 50 when a medical device is removed therefrom. Moreover, a vacuum drawn on the vacuum port 40, will maintain the vacuum seal 50 in a closed position.

FIG. 5 shows a laparoscope 200 deployed from the trocar 10 through the cannula 100. The vacuum seal 50 is opens when the laparoscope 200 passes therethrough. As shown in FIG. 5, the inlet port 30 is connected to inlet tube 32, which terminates at entry opening 34 at the distal portion 16 of the trocar 10. The inlet port 30, inlet tube 32 and entry opening 34 permit the introduction of liquids and/or gases into the distal portion 16 of the trocar 10. Similarly, the vacuum port 40 is connected to outlet tube 42, which terminates at exit opening 44 at the distal portion 16 of the trocar. The vacuum port 40, outlet tube 42 and exit opening 44 permit the removal of liquids and/or gases from the distal portion 16 of the trocar 10.

In use, as shown in greater detail in FIGS. 6-7, the laparoscope 200 in need of cleaning is partially withdrawn proximally within the trocar 10 (indicated by arrows “A1” and “A2” in FIG. 6) so that the lens 210 of the laparoscope 200 is proximal to the vacuum seal 50. A vacuum is drawn by connecting a vacuum source (not shown) to the vacuum port 40. Drawing of the vacuum causes the vacuum seal 50 to form a tight seal.

Liquids and/or gases are then introduced through the inlet port 30. Drawing the vacuum causes the liquids and/or gases to travel through the inlet tube 32, shown as arrow “LG1” , and pass through the entry opening 34 into the distal portion 16 of the trocar 10, shown as arrow “LG2” , where liquids and/or gases contact the lens 210 of the laparoscope 200, to remove any condensation, tissue, blood, other body fluids, etc. from the lens 210.

Continued drawing of the vacuum causes the liquids, gases, and any other material (s) removed from the laparoscope lens 210 to exit the distal portion 16 of the trocar 10, shown as arrow “V1” , by passing through exit opening 44 and through the outlet tube 42, shown as arrow “V2” , and out of the trocar 10 through the vacuum port 40.

For example, in aspects, a laparoscope to be cleaned may first be subjected to a liquid, such as water and/or saline, to clean the lens of the laparoscope. After the lens has been cleaned, it may then be dried by introducing air, carbon dioxide, or the like, in the same manner as the liquid was introduced to quickly dry the lens.

In aspects, the liquid used to clean the end of the medical device, such as the lens of a laparoscope, may be water combined with saline, in aspects about 0.9%saline. To minimize fogging issues, the liquid can be at a temperature of about 37℃. The temperature of the gas used for drying, such as carbon dioxide, can also be at 37℃ to prevent lens fogging.

The cleaning cycle can be manually operated, or automated. For example, for an automated system, starting the vacuum will start the automatic cycle, where the vacuum is drawn, fluids introduced and removed, gases introduced and removed, and the cycle is concluded. In general a cleaning cycle will take about 20 seconds.

After cleaning, the lens may then be moved distally (not shown) , where it passes through the vacuum seal 50 and back into the patient’s body for further use.

The trocar of the disclosure and its associated methods of use have several advantages including, for example:

· enhance surgical efficiency, and maintain image quality.

· reduce cleaning lens time.

· reduce surgical operation and anesthesia time.

· avoid the risk of infection.

Any of the components described herein may be fabricated from either metals, plastics, resins, composites or the like taking into consideration strength, durability, wearability, weight, resistance to corrosion, ease of manufacturing, cost of manufacturing, and the like. In aspects, the elongate body of the trocar may be made of metals, such as stainless steel, while the seals may be formed of an elastomeric plastic or rubber.

It will be understood that various modifications may be made to the disclosed trocars. Therefore, the above description should not be construed as limiting, but merely as exemplifications of aspects of the disclosure. Those skilled in the art will envision other modifications within the scope and spirit of the disclosure. For example, any and all features of one described aspect may be suitably incorporated into another aspect.

Claims

A trocar, comprising:

an elongate body defining a lumen, the elongate body having a proximal portion and a distal portion;

a seal assembly at the proximal portion of the elongate body;

an inlet port at the proximal portion of the elongate body;

a vacuum port at the proximal portion of the elongate body;

an inlet tube affixed to the inlet port, the inlet tube terminating at an entry opening within the distal portion of the elongate body;

an outlet tube affixed to the vacuum port, the outlet tube terminating at an exit opening within the distal portion of the elongate body; and

a vacuum seal at the distal portion of the elongate body.
The trocar of claim 1, wherein the vacuum seal is formed of multiple leaflets.
The trocar of claim 1, wherein the vacuum seal is distal to the entry opening of the inlet tube and the exit opening of the vacuum tube.
A kit comprising;

a cannula;

a laparoscope; and

a trocar including:

an elongate body defining a lumen, the elongate body having a proximal portion and a distal portion;

a seal assembly at the proximal portion of the elongate body;

an inlet port at the proximal portion of the elongate body;

a vacuum port at the proximal portion of the elongate body;

an inlet tube affixed to the inlet port, the inlet tube terminating at an entry opening within the distal portion of the elongate body;

an outlet tube affixed to the vacuum port, the outlet tube terminating at an exit opening within the distal portion of the elongate body; and

a vacuum seal at the distal portion of the elongate body.
The kit of claim 1, wherein the trocar fits within a lumen of the cannula.
The kit of claim 1, wherein the laparoscope fits within the lumen of the trocar.
The kit of claim 4, wherein the vacuum seal is formed of multiple leaflets.
The kit of claim 4, wherein the vacuum seal is distal to the entry opening of the inlet tube and the exit opening of the vacuum tube.
A method for cleaning a medical device comprising:

introducing a trocar into a patient’s body, the trocar including

an elongate body defining a lumen, the elongate body having a proximal portion and a distal portion;

a seal assembly at the proximal portion of the elongate body;

an inlet port at the proximal portion of the elongate body;

a vacuum port at the proximal portion of the elongate body;

an inlet tube affixed to the inlet port, the inlet tube terminating at an entry opening within the distal portion of the elongate body;

an outlet tube affixed to the vacuum port, the outlet tube terminating at an exit opening within the distal portion of the elongate body; and

a vacuum seal at the distal portion of the elongate body;

introducing a laparoscope through the trocar into the patient’s body;

drawing a vacuum on the vacuum port;

partially withdrawing the laparoscope so that a lens at a distal portion of the laparoscope is proximal the vacuum seal within the lumen of the trocar;

introducing a liquid through the inlet port, the inlet tube, and entry opening into the lumen of the trocar at the distal portion of the elongate body, where it contacts the lens of the laparoscope, and then removing the liquid out the exit opening, the vacuum tube and the vacuum port.
The method of claim 9, wherein the liquid includes water, saline, and combinations thereof.
The method of claim 9, wherein drawing the vacuum and partially withdrawing the laparoscope causes the vacuum seal to close.
The method of claim 9, further comprising introducing a gas through the inlet port, the inlet tube, and entry opening into the lumen of the trocar at the distal portion of the elongate body, where it contacts the lens of the laparoscope, and then removing the gas out the exit opening, the vacuum tube and the vacuum port.
The method of claim 12, wherein the gas is introduced after the liquid.
The method of claim 12, wherein the gas is air, carbon dioxide, or combinations thereof.
The method of claim 12, further comprising distally passing the laparoscope through the vacuum seal and back into the patient’s body for further use.