# US 9,039,611 B2 · Laparoscopic instrument and trocar system and related surgical method

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- Number: US 9,039,611 B2
- Document ID: US9039611B2
- Status: Granted
- Kind: B2
- Application number: 14/266,880
- Filed: 2014-05-01
- Published: 2014-08-21
- Granted: 2015-05-26
- Earliest claimed: 2003-09-23
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: Gregory Piskun
- Web page: https://patentgrep.com/patent/US9039611B2

## CPC

- A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)}
- A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B 1/3132: {for laparoscopy}
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/282: {Jaws}
- A61B 17/2841: {Handles}
- A61B 2017/00738: {part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon}
- A61B 2017/2908: {Multiple segments connected by articulations}
- A61B 2017/3447: {Linked multiple cannulas}
- A61B 2017/3466: {for simultaneous sealing of multiple instruments}
- A61B 2017/3486: {Balloon}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Laparoscopic instruments and cannulas are provided for performing laparoscopic procedures entirely through the umbilicus. Generally S-shaped laparoscopic instruments placed through the C-shaped trocar sleeves or through the cannula and instrument holder unit provide markedly improved degrees of instruments' freedom during trans-umbilical laparoscopic procedures.

## Claims

### Claim 1

A method of laparoscopic surgery comprising the steps of:
grasping an instrument holder assembly having an insertion configuration for at least partial insertion of said holder assembly through an incision in a patient for at least partial insertion of said holder assembly into a patient cavity, and an in use configuration for use of said instrument holder assembly for access to said patient cavity, said instrument holder assembly radially compressed into a compact configuration for the insertion of said holder assembly at least partially through the incision in a patient, the radially compressed compacted instrument holder assembly defining an outer peripheral surface; and
inserting said radially compressed compacted instrument holder assembly at least partially through said incision,
wherein grasping said radially compressed compacted instrument holder assembly includes retaining the outer peripheral surface of the radially compressed compacted instrument holder assembly via a grasping instrument that includes a pair of tongs having:
a pair of handles pivotably joined to each other, the handles defining proximal and distal ends; and
a pair of cylindrically shaped jaw elements disposed one on each of the distal ends of the handles and configured to enable retention of said radially compressed compacted instrument holder assembly,
wherein retaining the radially compressed compacted instrument holder assembly via the pair of tongs includes grasping the radially compressed compacted instrument holder assembly between the cylindrically shaped jaw elements.

### Claim 2 (depends on 1)

The method of laparoscopic surgery as defined in claim 1, further comprising the steps of:
maintaining the compacted instrument holder assembly in place in the incision; and
opening the grasping instrument slightly to enable movement of the grasping instrument from the compacted instrument holder assembly.

### Claim 3 (depends on 2)

The method of laparoscopic surgery as defined in claim 2, further comprising the steps of:
approximating the grasping instrument in a direction proximal to a user; and
separating the grasping instrument from the compacted instrument holder assembly.

### Claim 4 (depends on 1)

The method of laparoscopic surgery as defined in claim 1, further comprising the steps of:
maintaining the compacted instrument holder assembly in place in the incision; and
opening the pair of tongs slightly to enable movement of the jaw elements from the compacted instrument holder assembly.

### Claim 5 (depends on 4)

The method of laparoscopic surgery as defined in claim 4, further comprising the steps of:
approximating the pair of tongs in a direction proximal to a user; and
separating the pair of tongs from the compacted instrument holder assembly.