Coaxial blunt dilator and endoscopic cannula insertion system

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

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604164, A61M 518

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active

056858566

ABSTRACT:
A coaxial blunt dilator insertion system for insertion of laparoscopic cannulas which uses a coaxial needle guide and blunt dilator instead of a sharp trocar to insert primary and secondary laparoscopic cannulas. A single blunt dilator allows the insertion path to be expanded from the diameter of a needle to a size capable of accepting a digital cannula. Alternative embodiments allow multiple dilators to be used in sequence to expand the opening in the body cavity for a larger sized cannula. The size of the insertion path can thus accommodate both narrow devices such as suture graspers and optical devices up to and including objects as large as a surgeons finger. Open laparoscopy insertion of the first cannula may be performed under improved visual guidance utilizing a Laparoscopic Optically Directed Insertion System ("LODIS"). A blunt optical sleeve guide of appropriate length is fitted over the micro laparoscope and bluntly opens the peritoneum. The sleeve guide is backloaded with a blunt dilator and a laparoscopic cannula. Alternatively, the micro laparoscope may be used to visually control a sharpened double action grasper to enter the peritoneal cavity. When using a primary closed laparoscopy technique, the micro laparoscope allows verification of the correct position of the needle and the outer sleeve prior to creating the pneumoperitoneum, thus enhancing safety.

REFERENCES:
patent: 2705949 (1955-08-01), Silverman
patent: 5232442 (1993-08-01), Johnson
patent: 5250036 (1993-10-01), Farivar
patent: 5273545 (1993-12-01), Hunt
patent: 5370623 (1994-12-01), Kreamer

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