# US 12,178,469 B2 · Surgical introducer with guidance system receptacle > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,469 B2 - Document ID: US12178469B2 - Status: Granted - Kind: B2 - Application number: 17/473,282 - Filed: 2021-09-13 - Published: 2021-12-30 - Granted: 2024-12-31 - Earliest claimed: 2016-11-07 - Assignees: Vycor Medical, Inc. - Applicants: Vycor Medical, Inc. - Inventors: David Cantor - Web page: https://patentgrep.com/patent/US12178469B2 ## CPC - A61B 17/3421: {Cannulas} - A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)} - A61B 17/3462: {with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals (expandable cannulas A61B17/3417)} - A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis - A61B 90/10: for stereotaxic surgery, e.g. frame-based stereotaxis - A61B 90/11: with guides for needles or instruments, e.g. arcuate slides or ball joints - A61B 90/57: Accessory clamps - A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 2017/00907: {for light} - A61B 2017/3429: {having a unitary compressible body, e.g. made of silicone or foam} - A61B 2017/347: {Locking means, e.g. for locking instrument in cannula} - A61B 2034/2051: {Electromagnetic tracking systems} - A61B 2034/2055: {Optical tracking systems} - A61B 2034/2068: {using pointers, e.g. pointers having reference marks for determining coordinates of body points} - A61B 2090/103: {Cranial plugs for access to brain} - A61B 2090/3937: {Visible markers} - A61B 2090/3983: {Reference marker arrangements for use with image guided surgery} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical introducer system having an outer introducer sidewall extending along a longitudinal axis from a proximal introducer end to a distal introducer end, an inner introducer sidewall extending within the outer introducer sidewall along the longitudinal axis and forming an introducer passage extending in a distal direction from a proximal passage opening at the proximal introducer end to an introducer passage end wall located proximal to the distal introducer end, and an end wall passage extending from the introducer passage end wall towards the distal introducer end. The introducer end wall passage joins the introducer end wall at one or more end wall edges defining an axial stop ring configured to contact the distal tip of a navigation probe between the probe shaft and a terminal end of the distal probe tip at a line of contact to thereby prevent movement of the navigation probe in the distal direction. ## Claims ### Claim 1 A surgical navigation probe assembly comprising: a receiver having: a receiver channel extending in a longitudinal direction and configured to receive a navigation probe shaft in a proximal open end of the receiver channel, and limit movement of the navigation probe shaft in a lateral direction that is perpendicular to the longitudinal direction, and a first threaded surface; a lock having: a central passage extending in the longitudinal direction, and a second threaded surface; and an introducer extending from the receiver along the longitudinal direction to a tapered distal introducer end wherein the lock and receiver are movable between a first configuration in which the lock and receiver allow the navigation probe shaft to move relative to the lock and receiver along the longitudinal direction, and a second configuration in which the lock and receiver prevent the navigation probe from moving relative to the lock and receiver along the longitudinal direction; and wherein the lock is rotatable relative to the receiver to engage the first threaded surface with the second threaded surface to thereby move the lock and receiver between the first configuration and the second configuration. ### Claim 2 (depends on 1) The surgical navigation probe assembly of claim 1, wherein the tapered distal introducer end is aligned with a central axis of the receiver channel. ### Claim 3 (depends on 1) The surgical navigation probe assembly of claim 1, wherein the receiver is removably attached to the introducer. ### Claim 4 (depends on 3) The surgical navigation probe assembly of claim 3, wherein the receiver is removably connected to the introducer by one or more releasable clamps. ### Claim 5 (depends on 1) The surgical navigation probe assembly of claim 1, further comprising a retractor comprising a hollow passage extending from a proximal retractor end to a distal retractor end, wherein the retractor is configured to selectively secure to the remainder of the surgical navigation probe assembly with the tapered distal introducer end extending in the longitudinal direction beyond the distal retractor end. ### Claim 6 (depends on 1) The surgical navigation probe assembly of claim 1, further comprising a retainer positioned to prevent the lock from separating from the receiver. ### Claim 7 (depends on 1) The surgical navigation probe assembly of claim 1, wherein the receiver channel comprises one or more slots extending along the longitudinal direction from the proximal open end of the receiver channel. ### Claim 8 (depends on 7) The surgical navigation probe assembly of claim 7, wherein the first threaded surface is formed on an outer surface of the receiver, and the second threaded surface is formed on an inner surface of the lock configured to surround the outer surface of the receiver, and the one or more slots intersect the first threaded surface. ### Claim 9 (depends on 1) The surgical navigation probe assembly of claim 1, wherein the first threaded surface is formed on an outer surface of the receiver, and the second threaded surface is formed on an inner surface of the lock configured to surround the outer surface of the receiver. ### Claim 10 (depends on 9) The surgical navigation probe assembly of claim 9, wherein: at least one of the receiver and the lock comprises a tapered surface; and when the lock and receiver are in the second configuration, the tapered surface is configured to compress an inner surface of the receiver channel against the navigation probe shaft. ### Claim 11 (depends on 1) The surgical navigation probe assembly of claim 1, wherein; the first threaded surface is formed on a first portion of an inner surface of the receiver channel; and the second threaded surface is formed on a first portion of an external surface of the lock. ### Claim 12 (depends on 11) The surgical navigation probe assembly of claim 11, wherein; the inner surface of the receiver channel comprises a second portion located adjacent to the first portion of the inner surface of the receiver channel; the external surface of the lock comprises a second portion located adjacent to the first portion of the external surface of the lock; and at least one of the second portion of the inner surface of the receiver channel and the second portion of the external surface of the lock is tapered. ### Claim 13 (depends on 12) The surgical navigation probe assembly of claim 12, wherein the second portion of the second member comprises one or more slots extending along the longitudinal direction. ### Claim 14 (depends on 1) The surgical navigation probe assembly of claim 1, wherein: the receiver channel comprises: a first inner surface portion extending from the proximal open end, wherein the first threaded surface is located in the first inner surface portion, and a second inner surface portion extending from the first inner surface portion; and the lock comprises: a first outer surface portion surrounding the central passage, wherein the second threaded surface is located on the first outer surface portion, and a second outer surface portion extending from the first outer surface portion; wherein the second inner surface portion is configured to compress the second outer surface portion against the navigation probe shaft when the lock and receiver are in the second configuration. ### Claim 15 (depends on 14) The surgical navigation probe assembly of claim 14, wherein at least one of the second inner surface portion and the second outer surface portion comprise a taper facing the other of the second inner surface portion and the second outer surface portion. ### Claim 16 (depends on 14) The surgical navigation probe assembly of claim 14, wherein the second inner surface portion and the second outer surface portion comprise a respective facing tapers. ### Claim 17 (depends on 14) The surgical navigation probe assembly of claim 14, wherein the lock further comprises one or more slots extending in the longitudinal direction and into the second outer surface portion. ### Claim 18 (depends on 14) The surgical navigation probe assembly of claim 14, wherein the lock comprises a knob portion, wherein the first outer surface portion is located between the knob portion and the second outer surface portion. ### Claim 19 (depends on 14) The surgical navigation probe assembly of claim 14, wherein the receiver comprises at least one hook positioned to abut a corresponding surface of the lock when the lock and the receiver are in the second configuration, to thereby prevent the lock from separating from the receiver. ### Claim 20 (depends on 1) The surgical navigation probe assembly of claim 1, wherein the receiver channel extends from the proximal open end to a distal open end. ### Claim 21 (depends on 20) The surgical navigation probe assembly of claim 20, wherein the receiver comprises or more slots extending along the longitudinal direction from the distal open end. ### Claim 22 A surgical navigation probe assembly comprising: a receiver having: a receiver channel extending in a longitudinal direction and configured to receive a navigation probe shaft in a proximal open end of the receiver channel, and limit movement of the navigation probe shaft in a lateral direction that is perpendicular to the longitudinal direction, and a first threaded surface; a lock having: a central passage extending in the longitudinal direction, and a second threaded surface; and a retainer positioned to prevent the lock from separating from the receiver; wherein the lock and receiver are movable between a first configuration in which the lock and receiver allow the navigation probe shaft to move relative to the lock and receiver along the longitudinal direction, and a second configuration in which the lock and receiver prevent the navigation probe from moving relative to the lock and receiver along the longitudinal direction; and wherein the lock is rotatable relative to the receiver to engage the first threaded surface with the second threaded surface to thereby move the lock and receiver between the first configuration and the second configuration.