# US 2014/0194683 A1 · Trocar, and surgery assistance system

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- Number: US 2014/0194683 A1
- Document ID: US20140194683A1
- Status: Published application
- Kind: A1
- Application number: 13/974,889
- Filed: 2013-08-23
- Published: 2014-07-10
- Earliest claimed: 2013-01-10
- Assignees: National University Corporation Chiba University; Advanced Healthcare Co., Ltd.
- Applicants: National University Corporation Chiba University; Advanced Healthcare Co., Ltd.
- Inventors: Toshiya NAKAGUCHI
- Web page: https://patentgrep.com/patent/US20140194683A1

## CPC

- A61B 17/3415: {for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06)}
- A61B 1/00183: {for variable viewing angles}
- A61B 1/045: Control thereof
- A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B 1/3132: {for laparoscopy}
- A61B 17/29: Forceps for use in minimally invasive surgery
- A61B 17/3421: {Cannulas}
- A61B 90/361: {Image-producing devices, e.g. surgical cameras}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Problem: To provide a trocar equipped with a retractable camera, with which the security is enhanced as compared with the related art. Means for Solution: An opening portion 13 is provided at a position of a pipe portion 11. The position of opening portion 13 is reliably within the body of the patient. A shaft 14 is arranged along the interior of the trocar, along an edge of the opening portion 13. Several bearings 15 are fixed to the inter wall of the pipe portion 11, with the shaft 14 being rotatably mounted in the bearings 15. The end portion of the shaft 14 extends to the exterior of the trocar, outside the body of the patient. A selection lever 16 is provided at the outer end portion of the shaft 14. The selection lever 16 can be changed over between a stored position and a deployed position, and can be fixed in each of these positions. A camera 17 is rigidly and integrally attached to the shaft 14 at a position that corresponds to the opening portion 13. A cable 18 is connected to the camera 17, extends through the interior of the trocar 1, and is connected to an external image processing device 6.

## Claims

### Claim 1

A trocar comprising:
a pipe portion that inserts a surgical instrument into an interior of a body of a patient;
an opening portion that is at a position of the pipe portion that, during surgery, is within the body of the patient;
a shaft that is rotatably mounted in the pipe portion and extends in an axial direction of the pipe portion, along an edge of the opening portion thereof, wherein one end portion of the shaft is external to the trocar; and
a camera that is rigidly attached to the shaft;
wherein
when the end portion of the shaft is rotated, the camera is changed over between a stored position in which it is stored within the trocar and a deployed position in which it is deployed to an exterior of the trocar and is capable of photography.

### Claim 2 (depends on 1)

The trocar according to claim 1, wherein the surgical instrument is a forcep.

### Claim 3 (depends on 1)

A surgery assistance system, comprising:
a trocar according to claim 1;
a laparoscope; and
an image processing device that performs processing to combine an image obtained from the laparoscope and an image obtained from the camera, which is retractable.

### Claim 4 (depends on 1)

A surgery assistance system, comprising:
a plurality of trocars according to claim 1; and
an image processing device that performs processing to combine images obtained from a plurality of the cameras, which are retractable.

### Claim 5 (depends on 3)

The surgery assistance system according to claim 3, further comprising a projector above the operating table, which projects a combined image onto an abdomen of the patient.

### Claim 6

A port comprising:
a pipe portion that inserts a surgical instrument into an interior of a chest of a patient;
an opening portion that is at a position of the pipe portion that, during surgery, is within a body of the patient;
a shaft that is rotatably mounted in the pipe portion and extends in an axial direction of the pipe portion, along an edge of the opening portion thereof, wherein one end portion of the shaft is external to the port; and
a camera that is rigidly attached to the shaft;
wherein
when the end portion of the shaft is rotated, the camera is changed over between a stored position in which it is stored within the port and a deployed position in which it is deployed to an exterior of the port and is capable of photography.