Source: https://patents.google.com/patent/US5853399?oq=6%2C455%2C937
Timestamp: 2018-02-21 17:40:09
Document Index: 454071492

Matched Legal Cases: ['art 1', 'art 3', 'art 1', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 1', 'art 31', 'art 32', 'art 31', 'art 33', 'art 31', 'art 32', 'art 33', 'art 31', 'art 31', 'art 32', 'art 32', 'art 33', 'art 33', 'art 32', 'art 1', 'art 3', 'art 31', 'art 3', 'art 1', 'art 3', 'art 1', 'art 3', 'art 1', 'art 3', 'art 2', 'art 2', 'art 2', 'art 1']

US5853399A - Medical instruments and systems for puncturing an organ - Google Patents
US5853399A
US5853399A US08574379 US57437995A US5853399A US 5853399 A US5853399 A US 5853399A US 08574379 US08574379 US 08574379 US 57437995 A US57437995 A US 57437995A US 5853399 A US5853399 A US 5853399A
US08574379
In accordance with the present invention, a medical instrument for use in puncturing an organ of interest within a body cavity is disclosed having a first tubular body with a first end for being inserted into a body cavity and a second end. The first tubular body has a severable portion proximate the first end. A seal is provided within the severable portion. A resilient parasol with a normally opened and a closed position extends from the first end, as well. A second tubular body contains the first tubular body and parasol, compressing the parasol and maintaining the parasol in the closed condition when the parasol is within the second tubular body. When the parasol is advanced out of the second tubular body, the parasol deploys into its normally opened condition. The severable portion is preferably defined by a circumferential groove around the tubular body. A reservoir within the first tubular body sealed with a removable plug, or a cuttable bag which depends from the first end of the tubular body, may be provided for delivering adhesive to between the parasol and the organ of interest.
A system is also disclosed including the medical instrument described above and adhesive for connecting the opened parasol to the organ, a needle for puncturing the organ after the parasol is connected to the organ and cutting means for cutting the severable portion of the first tubular body. A kit of parts is disclosed, as well.
By the puncture method and the puncture system in accordance with the present invention, the puncture system is inserted through an opening formed on the wall of a human body or an animal body to push in only the first tubular body. The parasol part and the reservoir are then sprung out from the second tubular body, whereby the parasol part is opened from the compact folded shape into the original parasol shape. The surface of a site to be punctured is dried by a drying means inserted from another direction and thereafter adhesive is fed by cutting of the bag part, removal of the plug or other adhesive feeding jigs onto the site to be punctured or the parasol part to a final film thickness of about 0.1 to 0.2 mm.
Inserting the needle body into the first tubular body then punctures the sealing part and passes through the site to be punctured. Drawing out only the bar-like needle part from the tubular needle part and inserting the aspirator into the head of the tubular needle part for aspiration, the fluid and the like in the site to be punctured can be aspirated and drawn out. Cutting the tubular body immediately after completion of such aspiration, the parasol part and a part of the tubular body remain on the site to be punctured, along with the compaction of the sealing part to recover the original shape, so that the opening made during puncturing with the needle body disappears and the opening formed on the site to be punctured is completely occluded with the sealing part, whereby the outward leak of the inner fluid can be prevented. Thus, the metastasis of a malignant cancer via such leak to other organs can be prevented.
FIG. 11 depicts the compositional view of the women's abdomen after insertion of the trocar;
FIG. 12 depicts a next step in the puncture method, wherein the puncture system is inserted into the trocar;
FIG. 13 depicts the longitudinal sectional view of the abdomen after insertion of the puncture system;
FIG. 15 depicts the longitudinal sectional view of the abdomen after deployment of the parasol;
FIG. 17 depicts the longitudinal sectional view of the abdomen during hooking of the bag part;
FIG. 18 depicts the transverse sectional view of FIG. 17, further illustrating the hooking means;
FIG. 23 depicts the longitudinal sectional view of the abdomen, wherein the site of the cancer is punctured;
FIG. 26 depicts the transverse sectional view of FIG. 25;
FIG. 27 depicts the longitudinal sectional view of the abdomen after aspiration when the needle body is removed;
FIG. 33 depicts the transverse sectional view of the abdomen showing an embodiment using a sample collector,
FIG. 36 is a sectional view of a further embodiment;
FIG. 37 is a sectional view of a still further embodiment; and
FIG. 1 shows the principal part of the puncture system of the first embodiment; "1" represents a parasol part in a parasol shape composed of urethane rubber; a tubular body 3 containing an adhesive reservoir 2 is integrally formed (may be also formed separately) at the position of the axial center of the parasol part 1; and the reservoir 2 is composed of stopper 1A and sealing part 3A, arranged in a sealing fashion on the tubular body 3. Herein, the tubular body 3, the parasol part 1 and the sealing part 3A may be integrally molded, or they may be composed of separate parts and then integrally connected together. The stopper 1A is composed of rubber and the like, arranged in a removable manner on the tubular body 3. By pulling wire 1Aa connected with the stopper 1A, the stopper 1A can be removed from the tubular body 3. As shown in FIG. 2, the sealing part 3A is composed of first and third films 3Aa and 3Ac arranged at the both ends in the axial direction and second film 3Ab positioned intermediately between them, and a cross-cut 3B is formed on the second film 3Ab so that the needle and the like described below might readily pass through the sealing part 3A. Furthermore, the structure of the sealing part 3A comprises not only such three layers but also a single layer or two layers. Further, there may be provided the sealing part 3A as shown in FIGS. 3 and 4.
On the tubular body 3, there is arranged screw body 5 of a tubular form comprising corrosion-resistant aluminium and the like. Adhesive 7 such as surgical Allon-alfa and the like (other adhesives may be used as well) is injected into the reservoir 2 by means of injector 6, immediately prior to use. Without using the injector 6, adhesive 7 may be fed into the reservoir 2 after removing the stopper 1A. Incidentally, it is preferable to set an amount of this adhesive to 0.1 cc through 2.0 cc.
As shown in FIG. 6, the tubular body 9 connected with the screw body 5 has a second holder 10, and is inserted along the coaxial direction into a second tubular body 11 comprising corrosion-resistant aluminium and the like. Thus, the puncture system 20 in accordance with the present invention is depicted in the state of completion in FIG. 6. In this state, the parasol part 1 is closed into a more compact shape and is contained in the second tubular body 11. As shown in FIG. 1, the parasol body 1 is composed of urethane rubber and the like; and the tubular body 3 is composed of silicone rubber, a resin and the like.
FIGS. 7 to 9 depict the structure of a needle body 30 to be used in the puncture system 20 shown in FIG. 6 described above; FIG. 7 depicts a tubular needle part 31; and FIG. 8 depicts a bar-like needle part 32 to be inserted into the tubular needle part 31. Taper-like insertion part 33 is formed on the rear end of the tubular needle part 31, and by inserting the bar-like needle part 32 through the insertion part 33 into the tubular needle part 31, a guide hole 30a inside the tubular needle part 31 is occluded. By forming a diameter D1 of a expanded part 32a formed on the rear part of the bar-like needle part 32 far larger than the bore diameter of the insertion part 33, the insertion part 33 can be occluded structurally by means of the expanded part 32a. Furthermore, the needle body 30 is entirely coated with silicone coating.
Description of puncturing a human organ or an animal organ by means of the structure described above, follows human ovarian cancer.
As shown in FIG. 16, using drying means 44 for supplying dry air or gas through second trocar 43 inserted into the wall body 40 from the other direction, the surface of an ovarian cancer site to be punctured 45, for example, is dried. Subsequently, the drying means 44 is withdrawn from the second trocar 43 and a hooking means 46 is inserted through the second trocar 43 and the wall body 40, for pulling wire 1Aa, as shown in FIGS. 17 and 18. Stopper 1A is removed by the hooking means to supply adhesive 7 onto the site to be punctured 45. Additionally, the adhesive 7 should be injected primarily into the reservoir 2, immediately prior to surgery.
As shown in FIGS. 19 and 20, pushing the puncture system 20 through the wall body 40, the parasol part 1 is fixed through the adhesive 7 onto the surface 45a of the site to be punctured 45. As shown in FIGS. 21 and 22, needle body 30 is then inserted into the puncture system 20. As shown in FIGS. 23 and 24, then, the needle body 30 is passed through sealing part 3A, so that the tip of the needle body 30 can be inserted into the site to be punctured 45.
After completion of the aspiration and drawing out the tubular needle part 31, a cutting means 46A composed of a scissor is inserted into the wall body 40, as shown in FIGS. 28 and 29, to cut recessed groove part 3c of the tubular body 3 while the parasol part/is fixed to the site to be punctured 45. Only a part of the tubular body 3 and the parasol part 1 are left fixed to the site to be punctured 45. In such case, the shape of the site to be punctured 45 is in the compact shape compared with the original shape. Furthermore, because the opening left on the sealing part 3A after drawing out the needle body 30 is occluded by means of the shrinking action of the elastic body, the leak of the fluid and the like in the site to be punctured 45 to the outside (namely, endoabdominal region) can be prevented.
Then, it should be determined whether or not the fluid and the like in the site to be punctured 45 is malignant and which operative technique should be adopted. When it is diagnosed that the sample is benign, the site to be punctured 45 should be resected. Concurrently with the resection of the site 45, the remaining parasol part 1 and the like should be removed from the body, as shown in FIGS. 30 and 31. When the fluid and the like are malignant, alternatively, the site to be punctured 45 is resected while being enclosed by a bag (not shown) to prevent the spread of the fluid and the like into the endoabdominal region. Thus, the metastasis of a malignant cancer, if any, to other organs can be prevented. Furthermore, coating the tip of the needle body 30 with silicone coating so as to avoid the adhesion of an adhesive, the needle body 30 is advantageously passed through the sealing part 3A.
In another example, by inserting camera 60 instead of the aspirator 50 into the site to be punctured 45, as shown in FIG. 32, the inside can be examined by means of monitor TV 61 for establishing the diagnosis.
The above example describes the surgery of a human body. It is needless to say that the above example may be applied also to animals, with no specific limitation to humans. The above example describes the surgery by means of laparascope 41. If such laparascope 41 is not used, however, the system does not require the second tubular body 11 but requires the tubular body 3 and the first tubular body 9, as shown in FIG. 5. The present invention is not limited to the foregoing embodiment, but may be applicable to the following embodiments, as well.
Instead of the reservoir 2 employing the plug 1A in the above-mentioned first embodiment, as shown in FIG. 34 illustrating a second embodiment, an adhesive feeding jig 100 containing the adhesive may be inserted into the peritoneal cavity to feed the adhesive 7 onto the puncture site or the parasol part 1, without use of the reservoir 2 and the plug 1A. In the embodiment of FIG. 34, the sealing part 3A of the tubular body 3 includes a pair of sealing plates 101. Ethyl alcohol can be contained within the region 102 between the sealing plates 101. Further, in a third embodiment illustrated in FIG. 35, a tubular body 4 made of corrosion-resisting aluminum or the like is fitted to an outer periphery of the elastic holder body 3b, so that pressure is applied to the elastic holder body 3b from its outer peripheral side by the tubular body 4 to squeeze and shrink a port 3a formed after the puncture by the needle body or the like for restoration to its original state. A tubular threaded body 5a made of corrosion-resisting aluminum or the like is disposed at the lower end of the elastic holder body. Incidentally, the adhesive, such as surgical Allon-alfa is injected into the bag part 2a, which may be substituted for the reservoir 2, by an injection appliance 6 immediately prior to usage. Accordingly, the bag part 2a is constructed as shown in FIG. 36 and 37. For practical surgery, as shown in FIG. 38, the bag part 2a is broken within the peritoneal cavity by using cutting means 46a to feed the adhesive 7 for bonding the parasol part 1 to the site to be punctured, so that the procedure similar to that of the first embodiment can be performed.
a first tubular body having a first end for being inserted into a body cavity and a second end, the first tubular body having a severable portion proximate the first end;
a resilient parasol extending from the first end of the first tubular body, the parasol having a normally opened and a closed position;
a seal within the severable portion of the first tubular body; and
a second tubular body containing the first tubular body and parasol, the second tubular body having first and second ends corresponding to the first and second ends of the first tubular body, respectively, the second tubular body compressing the parasol and maintaining the parasol in the closed condition when the parasol is within the second tubular body, the first tubular body being movable with respect to the second tubular body such that when the first end of the first tubular body is advanced out of the first end of the second tubular body, the parasol deploys into the normally opened condition.
2. A medical instrument according to claim 1, further comprising a reservoir within the first tubular body, the reservoir having a removable plug, and an adhesive within the reservoir.
3. A medical instrument according to claim 2, wherein a wire is connected to the plug, the wire extending out from the first end of the first tubular body, whereby the plug is removed from the reservoir by pulling the wire.
4. A medical instrument according to claim 1, further comprising a bag containing an adhesive, the bag extending from the first end of the first tubular body, within the parasol, the bag being cuttable to release the adhesive to between the parasol and the organ.
5. A medical instrument according to claim 1, wherein the seal comprises a pair of sealing plates and ethyl alcohol therebetween.
6. A medical instrument according to claim 1, wherein the severable portion is defined by a circumferential groove around the tubular body.
7. A medical instrument according to claim 1, further comprising a third tubular body connected to and extending from the second end of the first tubular body, extending out of the second end of the second tubular body, for moving the first tubular body within the second tubular body and for advancing the first end of the first tubular body out of the first end of the second tubular body to deploy the parasol.
8. A medical instrument according to claim 1, wherein the seal is an elastic body.
9. A medical instrument according to claim 1, wherein the seal comprises at least one sealing plate.
a first tubular body having a longitudinal axis and a first and a second end, the tubular body having an external surface with a groove therein transverse to the longitudinal axis, wherein the groove and the first end define a severable portion of the first tubular body;
a resilient parasol for being connected to a viscous internal organ within a body cavity, the parasol extending from the first end of the first tubular body and having a normally opened condition and a closed condition; and
a second tubular body containing the first tubular body and the parasol, the second tubular body having a first and a second end corresponding to the first and the second end of the first tubular body, respectively, the second tubular body compressing the parasol and maintaining the parasol in the closed condition when the parasol is within the second tubular body, the first tubular body being movable with respect to the second tubular body such that when the first end of the first tubular body is advanced out of the first end of the second tubular body, the parasol deploys into the normally opened condition.
11. A medical instrument according to claim 10, further comprising a seal within the severable portion of the first tubular body.
12. A medical instrument according to claim 11, further comprising a bag containing an adhesive, the bag extending from the first end of the first tubular body, within the parasol, the bag being readily cuttable to release the adhesive to between the parasol and the organ.
13. A medical instrument according to claim 11, further comprising a reservoir within the first tubular body, the reservoir having a removable plug, and an adhesive within the reservoir.
14. A medical instrument according to claim 10, wherein the groove is proximate the first end.
15. A puncture system for puncturing a viscous organ within a human or animal body cavity comprising:
a resilient parasol extending from the first end of the first tubular body, the parasol having a closed condition and a normally opened condition, the parasol being connectable to the viscous organ when in the opened condition;
a seal within the severable portion of the first tubular body;
a second tubular body containing the first tubular body and parasol, the second tubular body having first and second ends corresponding to the first and second ends of the first tubular body, respectively, the first tubular body being movable within the second tubular body such that when the parasol is within the second tubular body, the second tubular body compresses the parasol into the closed condition and when the first end of the first tubular body is advanced out of the second tubular body, the parasol returns to the normally opened condition;
a third tubular body connected to the second end of the first tubular body and extending out of the second end of the second tubular body, for moving the first tubular body within the second tubular body and for advancing the first end of the first tubular body out of the first end of the second tubular body to open the parasol;
adhesive means for connecting the opened parasol to the organ;
a needle for puncturing the organ after the parasol is connected to the organ, the needle being insertable through the first tubular body and seal, into the organ;
cutting means for cutting the severable portion of the first tubular body;
wherein, after puncturing the organ with the needle and removal of the needle, the severable portion of the first tubular body is cuttable by the cutting means so that the parasol and severable portion of the tubular body are left connected to the organ after the first tubular body is removed.
16. A puncture system according to claim 15, wherein the seal comprises an elastic body and the needle comprises a needle body for being inserted through the elastic body into the organ, the needle body having a silicone coating, a tubular needle and a bar-like needle for being inserted into the tubular needle along a longitudinal axis of the tubular needle.
17. A puncture system according to claim 15, further comprising means for containing the adhesive means within the first tubular body.
18. A puncture system according to claim 15, further comprising an adhesive feeding jig for being inserted into the body cavity for delivering the adhesive means to between the parasol and the organ.
19. A puncture system according to claim 15, further comprising an aspirator for connection to the needle and for aspirating fluid from the organ through the needle.
20. A puncture system according to claim 15, wherein the severable portion of the first tubular body is defined by a circumferential groove around the first tubular body.
21. A puncture system according to claim 15, further comprising drying means for drying the site of the organ to be punctured prior to adhesively connecting the parasol and the organ.
22. A puncture system according to claim 15, further comprising a camera for insertion into the organ through the needle.
23. A puncture system according to claim 15, further comprising a sample collector for insertion into the organ through the needle.
24. A puncture system according to claim 15, further comprising:
a first trocar, through which the first and second tubular bodies are inserted into the body cavity; and
a second trocar, through which the cutting means is inserted into the body cavity.
25. A kit of parts to provide a medical system, said kit comprising:
a flexible parasol extending from the first end of the tubular body, for being connected to a viscous internal organ within the body cavity, the parasol having a closed condition and a normally opened condition, the parasol being connectable to the organ when in the opened condition;
a second tubular body for receiving the first tubular body and parasol, the second tubular body having first and second ends corresponding to the first and second ends of the first tubular body, respectively, the first tubular body being movable within the second tubular body such that when the parasol is within the second tubular body, the second tubular body closes the parasol and when the first end of the first tubular body is advanced out of the second tubular body, the parasol returns to the normally opened condition; and
cutting means for cutting the severable portion of the first tubular body.
26. The kit according to claim 25, further comprising an adhesive for connecting the flexible parasol to the organ.
27. The kit according to claim 25, further comprising:
a second trocar through the cutting means into the body cavity.
28. The kit according to claim 25, further comprising a third tubular body connected to the second end of the first tubular body for moving the first tubular body within the second tubular body and advancing the first end of the first tubular body out of the first end of the second tubular body.
29. The kit according to claim 25, further comprising a needle for puncturing the organ after the parasol is connected to the organ, the needle being insertable through the tubular body and seal, into the organ.
30. The kit according to claim 25, further comprising means for containing the adhesive and delivering the adhesive between the parasol and the organ.
US08574379 1995-05-26 1995-12-18 Medical instruments and systems for puncturing an organ Expired - Lifetime US5853399A (en)
JP12843995A JP3633032B2 (en) 1995-05-26 1995-05-26 Lancing device
JP7-128439 1995-05-26
US08882897 US5882331A (en) 1995-05-26 1997-06-26 Methods for puncturing an organ within a body cavity
US08882897 Division US5882331A (en) 1995-05-26 1997-06-26 Methods for puncturing an organ within a body cavity
US5853399A true US5853399A (en) 1998-12-29
ID=14984769
US08574379 Expired - Lifetime US5853399A (en) 1995-05-26 1995-12-18 Medical instruments and systems for puncturing an organ
US08882897 Expired - Lifetime US5882331A (en) 1995-05-26 1997-06-26 Methods for puncturing an organ within a body cavity
US (2) US5853399A (en)
JP (1) JP3633032B2 (en)
KR (1) KR0172643B1 (en)
CN (1) CN1112164C (en)
EP (1) EP0745350A1 (en)
US20160220766A1 (en) * 2014-07-02 2016-08-04 Terumo Kabushiki Kaisha Safety needle assembly
CN105726100B (en) * 2016-02-04 2017-11-28 高俊东 Cyst excision one kind of use of the puncture and puncture sheath sheath cyst removal device
JP3563767B2 (en) * 1994-05-30 2004-09-08 佐々木 寛 Lancing device
US5882331A (en) 1999-03-16 grant
CN1136965A (en) 1996-12-04 application
KR0172643B1 (en) 1999-03-20 grant
JP3633032B2 (en) 2005-03-30 grant
JPH08317927A (en) 1996-12-03 application
CN1112164C (en) 2003-06-25 grant
EP0745350A1 (en) 1996-12-04 application