AU593003B2 - Pneumoneedle - Google Patents

Description

_~Lzz__ S S %UTALA9300,3 COMMONWEALTH PATENTS ACT '195269 COMPLETE SPECIFICATION (OR CGiNAL) Class Int. Class Application Number: Lodged; 4~\O 1 1 8( Complete Specification Lodged: Accepted: Published: Priority: This docment contains tjhe aenet'o s made under Se tin 49 and is cc for Printing. scrLtfo Related Art: Name of Applicant: *Aadress of Applicant ActualIr'ventor: Address for Service:

ENDOTI-ERAPEUTICS

654 flair Island Road, Suite 209, Redwood City, California 94063, United States of America JESSICA A. WARRING EDWD. WATE1;S SONS, 50 QUEEN STREET, MELBOURNE, AUSTRALIA, 3000.

Complete Specification for the Invention t' ititled:

PNEUMONEEDLE

The following statement Is a full description of this Invention, including the best method of performing It known to -US

PNEUMONEEDLE

Description Technical Field This invention is in the field of surgical instruments. More particularly, it relates to a s 15 single-use Veress-type pneumoneedle that is particularly useful in abdominal endoscopy.

Background Art t 'C Pneumoneedles were introduced by Veress in the 20 late 1930s to insufflate the abdominal cavity to facilitate endoscopic examination. The Veress-type pneumoneedle has a spring-loaded blunt stylet in a larger diameter hollow needle. Once the pneumoneedle t Ct penetrates the abdominal wall and enters the cavity the resistance against the end of the pneumoneedle ceases and the spring pushes the blunt end of the stylet forward so that it extends beyond the sharp tip of the needle. This helps to prevent puncture or laceration of i the intraabdominal structures by the sharp tip of the needle.

Prior Veress-type pneumoneedles have used a hollow stylet with a side hole to carry the insufflating gas into the cavity and a longitudinally slidable valve assembly connected to the stylet. Both the stylet and 2 l ei

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-2valve assembly are pushed rearward by resistance on the rDedle end and are biased forward by the spring when the resistance is removed. Because of this design, the body of the needle must be grasped forwardly of the movable valve subassembly like a dart. Current Veress-type pneumoneedles are usually made from precision machined stainless steel parts and are expensive. They are, accordingly, intended for multiple reuse and must be cleaned and sterilized between uses and sharpened regularly.

Disclosure of the Invention The invention is directed to a Veress-type pneumoneedle that has a simpler design and is easier to r 15 hold and manipulate than prior pneumoneedles. Because of its simple design, it may be made for single-use, thereby obviating the need for repeated cleaning and sterilization, and resharpening.

The Veress-type pneumoneedle of the invention comprises in combination: t an elongated handle having a longitudinal bore and flanges at one of its ends to permit the handle to be grasped like a syringe; a hollow needle for penetrating a body cavity and providing a conduit through which fluid may be passed to or from the cavity, the needle being fixed in the end of the bore at the flanged end of the handle; a nonremovable stylet having a solid j rodlike body that extends through the lumen of the needle and into the bore and has a blunt tip at its forward end and a base member at its other end within the bore; a spring housed within the bore with one of its ends seated against the stylet base meGmbei for rv -3biasing the stylet forwardly so that the blunt tip extends outwardly of the needle tip in the absence of resistance: and a valve connected fixedly to the bore at the end opposite the flanges for regulating fluid flow through the needle.

Brier Description of the Drawings In the drawings, which are not to scale: Figure 1 is a perspective view of an embodiment of the invention pneumoneedle being held like a syringe; Figure 2 is an exploded, perspective view of the pneumoneedle of Figure 1; Figure 3 is an enlarged, schematic, cross-sectional view of the leading end of the pneumoneedle of Figure 1; Figure 4 is an enlarged cross-sectional 'view of a portion of the pneumoneedle of Figure 1 taken along 20 line 4-4;

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Figure 5 is an enlarged cross-sectional view of V It I an alternative, preferred embodiment of the pneumoneedle stylet: and r Figure 6 is a sectional view of the stylet of Figure 5 taken along line 6-6.

Modes for Carrying Out the Invention Figures 1 and 2 depict an embodiment, generally designated 11, of the invention. The leading or forward end of the pneumoneedle is on the left-hand side of Figures 1 and 2. Its elements are best seen in Figure 2 and are: a two-way stopcock type valve 12, a coil spring 13, a stylot 14, a handle 15, and a hollow needle 16.

l r~-s r'7ii c I- Oe** 4 a t t I 4r *1r I. I a ft ar 44 I 44 IfE Handle 15 functions as the main body of the device with the other elements being housed or attached to it. The handle is generally T-shaped with a generally flat sided stem 17 and a pair of integral flanges 18, 19. As shown in phantom in Figure 1, this configuration allows the pneumoneedle to be gripped like a syringe with the thumb against the rear of the stopcock and the first and middle fingers against the front edges of the flanges on either side of the needle 16. The opposed sidewalls 22 of the handle stem are equipped with ridges 23 in the event that it is necessary or desirable to hold the pneumoneedle between the thumb and first finger by the stem in conventional dartlike fashion. As seen in Figure 4, the handle has a 15 central longitudinal bore 24 in which the other elements of the device fit or are housed.

End 25 of the hollow needle is fixed in the leading end of bore 24. As shown in Figure 4, the bore has an internal shoulder at 26 that acts as a stop. The 20 stylet 14 has a solid rod-shaped body 27 that is slidably received axially through the lumen of the needle. The stylet body carries a blunt tip 28 at its leading end and a radially extending base member 29 on its other end. Bore 24 has an enlarged diameter section 32 to accommodate the stylet base. The base extends from side-to-side across section 32 with its ends received in a pair of diametrically opposed axial slots or grooves 21 in the sidewall of section 32. This arrangement prevents the stylet from rotating. Nozzle 33 of the stopcock is fixed in the rearward end of bore 24. The coil spring 13 is housed within section 32 of the bore with one end seated against the stylet base and the other end seated against the leading end of the stopcock nozzle.

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In the normal extended position of the stylet (seen in Figure 3 in solid lines and in Figure 4) the spring biases the stylet forward so that the stylet base rests across the opening to the forward section of the bore with its edges seated against the shoulder formed by the transition between the smaller diameter forward bore section and the larger diameter rearward section 32. The base is configured so that is does not block the opening entirely when it is so positioned. Such configuration permits fluid to pass unrestricted through the bore. In the retracted position (seen in Figure 3 in phantom), force against the blunt end 28 forces the stylet rearwardly so that the base is spaced from the opening to the forward section of the bore.

t, 15 In the pneumoneedle depicted in Figures 1-4, the insufflating gas flows through the lumen of the needle rather than through the stylet. In order to facilitate the flow of gas from the end of the needle, the stylet tip has a cut-away section 34 (Fig Also, the stylet body 27 has a step 35 in it that prevents radial (transverse to the longitudinal axis) displacement of the stylet tip and possible jamming of the tip in the needle opening.

An alternative and preferred stylet, generally designated 36, is shown in Figures 5 and 6. Stylet 36 has an axially elongated, hollow, tubelike body 37. The diameter of body 37 is slightly smaller than the diameter of the lumen of the needle. The leading end 38 of the lumen 39 of the stylet is plugged with a blunt tip 40. A slot 42 is located in the wall of the body immediately rearwardly of the tip and opens into the lumen 39. The rear end of the lumen opens into the bore of the handle of the pneumoneedle. The rear end of the stylet body carries a generally cylindrical base or hub 'i 42 A' r -6member 43 that functions in the same manner as the base 29 of the stylet of Figure 1-4. The base 43 has a pair of flange members 44 that function as the ends of base 29.

Stylet 36 operates similarly to stylet 14 except that the fluid (insufflating gas) is carried through the lumen of the stylet and into the body cavity via slot 42 rather than directly via the lumen of the needle. In operation, when the stylet is retracted, the slot 42 is generally masked by the needle. When the resistance is removed from the end of the stylet, the stylet is advanced by the spring to fully expose the S* slot 42, thereby allowing fluid to flow freely through the lumen of the stylet into the body cavity. Because t 15 of the snug fit of the stylet 36 in the needle lumen, there is no possibility of radial displacement of the Sstylet and jamming of the tip in the needle opening.

tt The needle and stylet body may be made of rigid, biocompatible materials such as stainless steel.

The handle and stopcock may be made of molded plastic for economy. The section of the handle that houses the coil spring is preferably transparent so that the position of the stylet base can be seen to determine whether the stylet is extended or retracted.

When the pneumoneedle is being inserted through the abdominal wall, the stopcock is in the closed position to prevent the internal abdominal pressure from Sequilibrating with ambient pressure after penetration.

The pneumoneedle is inserted into the cavity in the conventional manner except that it may be held like a syringe if desired. During penetration, resistance from the abdominal wall causes the stylet to retract and expose the sharp tip of the needle. Once the wall has been penetrated, there is no resistance and the stylet S.i

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r i; i---i -7automatically advances under the influence of the coil spring to blunt the end of the device. Insufflating apparatus (not shown) is then connected to the stopcock inlet. The inlet is conveniently adapted to receive a luer lock connector for this purpose.

In addition to being used to inflate body cavities with gas, the pneumoneedle may be used to withdraw fluid from body cavities. In such use, the needle is insertid into the desired location and suction is applied to the valve inlet.

Modifications of the above-described embodiments that are obvious to those of skill in the fields of medical instruments, mechanical design, or related fields in view of the foregoing disclosure are intended to be within the scope of the invention.

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Claims (8)

1. A Veress-type pneumoneedle comprising: an elongated handle having a longitudinal bore and flanges at one of its ends to permit the handle to be grasped like a syringe; a hollow needle for penetrating a body cavity andjproviding a conduit through which fluid my be passed to or from the cavity, the needle being -f itin the end of the bore at the flanged end of the handle; a nonremovable stylet having an elongated body that extends through the lumen of the needle and into the bore and has a blunt tip at its forward end and c a base member at its other end within the handle bore; 15 a spring housed within the bore with one of its ends seated against the stylet base member for biasing the stylet forwardly so that the blunt tip oo extends outwardly of the needle tip in the absence of resistance; and a valve connected fixedly to the bore at :i S'the end opposite the flanges for regulating fluid flow through the needle. J

2. The pneumoneedle of claim 1 wherein the stylet body is hollow and provides said conduit, the lumen of the stylet is closed at its forward end by said tip and opens at its other end into the bore, and the stylet body has a slot proximate its forward end that opens into the lumen of the stylet.

3. the pneumoneedle of claim 1 wherein the stylet body is a solid rod having a substantially Ssmaller diameter than the needle lumen so that fluid may 4 ~iLI 4 -WE -9- pass through the needle lumen when the stylet body is within the lumen.

4. The pneumoneedle of claim 3 wherein the stylet body has a radially displaced step segment in it to prevent radial displacement of the stylet body in the lumen of the needle.

The pneumoneedle of claim 1 wherein the bore has a pair of opposed axial slots in its sidewall into which the base member is received to prevent the stylet from rotating.

6. The pneumoneedle of claim 1 wherein the 15 valve is a stopcock having a nozzle that is fixed in the end of the bore opposite the flanged end of the handle, and the other end of the spring is seated on the end of the nozzle.

7. The pneumoneedle of claim 3 wherein the ,stylet body has a radially displaced step segment in it S 1 to prevent radial displacement of the stylet body in the lumen of the needle, and the bore has a pair of opposed axial slots in its sidewall into which the ends of the base member are received to prevent the stylet from rotating.

8. The pneumoneedle of claim 2 wherein the base member has a pair of opposed flange members and the bore has a pair ofAopposed axial slots in its sidewall into which the flange members are received to prevent the stylet from rotating within the needle lumen. DATED this 7th day of August 1986. ENDOTHERAPEUTICS EDWD. WATERS SONS PATENT ATTORNEYS XIq 50 QUEEN STREET MELBOURNE. VIC. 3000.