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US5746720A Expired / Lapsed US ⏱️ 0.0 years remaining

Method and apparatus for insertion of a cannula and trocar

Assignee: Individual
•
Filing: 1995-12-18
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Granted: 1998-05-05
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Expires: 2015-12-18
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Abstract

Abstract An adjustable length cannula which may be longitudinally extended or retracted in order to accommodate a range of body cavity wall thicknesses. A method for inserting the cannula is disclosed, in which a guiding cannula is placed into the peritoneal cavity using the insufflation needle as a guidewire, and a screw dilator and cannula are then placed into the peritoneal cavity using the guiding cannula as a guidewire. The guiding cannula also allows visual inspection of the peritoneal cavity with an endoscope prior to insertion of the dilator/cannula in order to verify proper clearance.

Inventors

  • 👤 Albert E. Stouder, Jr.

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 06:50
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/34; A61B17/3417; A61B17/3421; A61B17/3474; A61B17/3494; A61B2017/3443; A61B2017/3454; A61B2017/3458; A61B2017/348; A61B2017/3482; A61B2017/349; A61B2017/3492

Claims Analysis

Total Claims: 27
Claim 1
Independent Claim 171 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle: (b) providing a guiding cannula; (c) providing a hollow dilator; (d providing a second cannula; (e) inserting the insufflation needle through the body cavity wall such that a distal end of the insufflation needle extends into the body cavity; flowing gas through the insufflation needle and into the body cavity in order to insufflate the body cavity; (g) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula extends into the body cavity wherein inserting the guiding cannula causes the guiding cannula to block the flow of gas through the insufflation needle; and (h) inserting the hollow dilator sleeved within the second cannula through the body cavity wall over the guiding cannula, such that a distal end of the dilator and a distal end of the second cannula extend into the body cavity.
Claim 2
Independent Claim 171 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle: (b) providing a guiding cannula; (c) providing a hollow dilator; (d providing a second cannula; (e) inserting the insufflation needle through the body cavity wall such that a distal end of the insufflation needle extends into the body cavity; flowing gas through the insufflation needle and into the body cavity in order to insufflate the body cavity; (g) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula extends into the body cavity wherein inserting the guiding cannula causes the guiding cannula to block the flow of gas through the insufflation needle; and (h) inserting the hollow dilator sleeved within the second cannula through the body cavity wall over the guiding cannula, such that a distal end of the dilator and a distal end of the second cannula extend into the body cavity.
Claim 3
Dependent Claim 28 words
The method of claim 1, further comprising the steps of: (i) withdrawing the guiding cannula from the body cavity; and (j) withdrawing the dilator from the body cavity.
Claim 4
Dependent Claim 23 words
The method of claim 1, further comprising the step of: (i) withdrawing the insufflation needle from the body cavity after performing step (g).
Claim 5
Dependent Claim 55 words
The method of claim 1, wherein step (c) further comprises providing a hollow dilator having a thread on a distal end thereof and wherein step (h) is performed by rotating the dilator such that a thread on the distal end of the dilator interacts with the body cavity wall in order to advance the dilator.
Claim 6
Dependent Claim 28 words
The method of claim 1, further comprising the step of: (i) inserting an endoscope through the guiding cannula and into the body cavity prior to performing step (h).
Claim 7
Dependent Claim 45 words
The method of claim 5, further comprising the step of: (j) viewing the body cavity through the endoscope prior to performing step (h) in order to ensure that insertion of the dilator and the second cannula will not harm any structures within the body cavity.
Claim 8
Independent Claim 195 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle; (b) providing a guiding cannula; (c) providing a hollow dilator; (d) providing a second cannula; (e) inserting the insufflation needle through the body cavity wall such that an opening near a distal end of the insufflation needle is within the body cavity; (f) flowing gas through the opening and into the body cavity in order to insufflate the body cavity; (g) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula is within the body cavity wherein inserting the guiding cannula substantially blocks further flow of gas through the insufflation needle; (h) withdrawing the insufflation needle from the body cavity; (i) inserting the dilator sleeved within the second cannula through the body cavity wall over the guiding cannula, such that a distal end of the dilator and a distal end of the second cannula extend into the body cavity; (j) withdrawing the guiding cannula from the body cavity; and (k) withdrawing the dilator from the body cavity.
Claim 9
Independent Claim 195 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle; (b) providing a guiding cannula; (c) providing a hollow dilator; (d) providing a second cannula; (e) inserting the insufflation needle through the body cavity wall such that an opening near a distal end of the insufflation needle is within the body cavity; (f) flowing gas through the opening and into the body cavity in order to insufflate the body cavity; (g) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula is within the body cavity wherein inserting the guiding cannula substantially blocks further flow of gas through the insufflation needle; (h) withdrawing the insufflation needle from the body cavity; (i) inserting the dilator sleeved within the second cannula through the body cavity wall over the guiding cannula, such that a distal end of the dilator and a distal end of the second cannula extend into the body cavity; (j) withdrawing the guiding cannula from the body cavity; and (k) withdrawing the dilator from the body cavity.
Claim 10
Dependent Claim 55 words
The method of claim 7, wherein step (c) further comprises providing a hollow dilator having a thread on a distal end thereof and wherein step (i) is performed by rotating the dilator such that a thread on the distal end of the dilator interacts with the body cavity wall in order to advance the dilator.
Claim 11
Dependent Claim 28 words
The method of claim 7, further comprising the step of: (l) inserting an endoscope through the guiding cannula and into the body cavity prior to performing step (i).
Claim 12
Dependent Claim 45 words
The method of claim 9, further comprising the step of: (m) viewing the body cavity through the endoscope prior to performing step (i) in order to ensure that insertion of the dilator and the second cannula will not harm any structures within the body cavity.
Claim 13
Independent Claim 148 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the step of: (a) sleeving a guiding cannula over an insufflation needle; (b) sleeving a dilator over the guiding cannula; (c) sleeving a second cannula over the dilator; (d) inserting the insufflation needle through the body cavity wall such that an opening near a distal end of the insufflation needle is within the body cavity; (e) flowing gas through the opening and into the body cavity in order to insufflate the body cavity; (f) advancing the guiding cannula over the insufflation needle and through the body cavity wall, wherein advancing the guiding cannula substantially blocks further flow of gas through the insufflation needle; (g) withdrawing the insufflation needle from the body cavity; and (h) advancing the dilator and the second cannula over the guiding cannula and through the body cavity wall.
Claim 14
Independent Claim 148 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the step of: (a) sleeving a guiding cannula over an insufflation needle; (b) sleeving a dilator over the guiding cannula; (c) sleeving a second cannula over the dilator; (d) inserting the insufflation needle through the body cavity wall such that an opening near a distal end of the insufflation needle is within the body cavity; (e) flowing gas through the opening and into the body cavity in order to insufflate the body cavity; (f) advancing the guiding cannula over the insufflation needle and through the body cavity wall, wherein advancing the guiding cannula substantially blocks further flow of gas through the insufflation needle; (g) withdrawing the insufflation needle from the body cavity; and (h) advancing the dilator and the second cannula over the guiding cannula and through the body cavity wall.
Claim 15
Dependent Claim 28 words
The method of claim 11, further comprising the steps of: (i) withdrawing the guiding cannula from the body cavity; and (j) withdrawing the dilator from the body cavity.
Claim 16
Dependent Claim 22 words
The method of claim 11, wherein step (f) is performed until there is a substantial increase in a pressure of the gas.
Claim 17
Dependent Claim 55 words
The method of claim 11 wherein step (c) further comprises providing a hollow dilator having a thread on a distal end thereof and wherein step (h) is performed by rotating the dilator such that a thread on a distal end of the dilator interacts with the body cavity wall in order to advance the dilator.
Claim 18
Dependent Claim 28 words
The method of claim 11, further comprising the step of: (i) inserting an endoscope through the guiding cannula and into the body cavity prior to performing step (h).
Claim 19
Dependent Claim 45 words
The method of claim 15, further comprising the step of: (j) viewing the body cavity through the endoscope prior to performing step (h) in order to ensure that insertion of the dilator and the second cannula will not harm any structures within the body cavity.
Claim 20
Independent Claim 122 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle; (b) providing a guiding cannula; (c) inserting the insufflation needle through the body cavity wall such that a distal end of the insufflation needle extends into the body cavity; (d) flowing gas through the insufflation needle and into the body cavity in order to insufflate the body cavity; and (e) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula extends into the body cavity, wherein inserting the guiding cannula causes the guiding cannula to block the flow of gas through the insufflation needle.
Claim 21
Independent Claim 122 words
A method for inserting a cannula through a body cavity wall and into a body cavity, comprising the steps of: (a) providing an insufflation needle; (b) providing a guiding cannula; (c) inserting the insufflation needle through the body cavity wall such that a distal end of the insufflation needle extends into the body cavity; (d) flowing gas through the insufflation needle and into the body cavity in order to insufflate the body cavity; and (e) inserting the guiding cannula over the insufflation needle and through the body cavity wall such that a distal end of the guiding cannula extends into the body cavity, wherein inserting the guiding cannula causes the guiding cannula to block the flow of gas through the insufflation needle.
Claim 22
Dependent Claim 22 words
The method of claim 17, wherein step (e) is performed until there is a substantial increase in a pressure of the gas.
Claim 23
Dependent Claim 61 words
The method of claim 17, further comprising the steps of: (f) providing a hollow dilator; (g) providing a second cannula; and (h) inserting the hollow dilator sleeved within the second cannula through the body cavity wall over the guiding cannula, such that a distal end of the dilator and a distal end of the second cannula extend into the body cavity.
Claim 24
Dependent Claim 28 words
The method of claim 19, further comprising the steps of: (i) withdrawing the guiding cannula from the body cavity; and (j) withdrawing the dilator from the body cavity.
Claim 25
Dependent Claim 55 words
The method of claim 19, wherein step (f) further comprises providing a hollow dilator having a thread on a distal end thereof and wherein step (h) is performed by rotating the dilator such that a thread on a distal end of the dilator interacts with the body cavity wall in order to advance the dilator.
Claim 26
Dependent Claim 28 words
The method of claim 19, further comprising the step of: (i) inserting an endoscope through the guiding cannula and into the body cavity prior to performing step (h).
Claim 27
Dependent Claim 45 words
The method of claim 22, further comprising the step of: (j) viewing the body cavity through the endoscope prior to performing step (h) in order to ensure that insertion of the dilator and the second cannula will not harm any structures within the body cavity.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2001-05-04 2001-11-03 2002-05-05 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2005-05-04 2005-11-03 2006-05-05 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2009-05-04 2009-11-03 2010-05-05 $7700.00 Window Closed / Lapsed

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