Apparatus for introducing an object into a patient

• US 10,206,709 B2
• Filed: 08/02/2016
• Issued: 02/19/2019
• Est. Priority Date: 05/14/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Griffith, David B., Conlon, Sean P., Weisenburgh, II, William B., Hess, Christopher J., Carroll, II, Kempton K.
• Primary Examiner(s): Mendez, Manuel A
• Application Number:
  US15/226,588
• Publication Number:
  US 20160338731A1
• Time in Patent Office: 931 Days
• Field of Search: 600114, 600118, 600153-159, 600138, 60416701-16706
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/00158 using magnetic field
• CPC Class Codes: A61B 1/041 Capsule endoscopes for imaging
• CPC Class Codes: A61B 1/3132 for laparoscopy
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: 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
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 2017/00283 with a device releasably connected to an inner wall of the abdomen during surgery, e.g. an illumination source
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments

Abstract

A cannula assembly including a housing, a rotatable member, a first plurality of membranes, and a second plurality of membranes is disclosed. The housing may include a distal end defining a distal opening, wherein the distal end is configured to couple to a cannula tube aligned with the distal opening, and a proximal end defining a proximal opening. The rotatable member may be positioned within the housing and may define a passage in fluid communication with the distal opening, a first opening in fluid communication with the passage, and a second opening in fluid communication with the passage. The first plurality of membranes may be arranged as a stack at the first opening, wherein each of the first plurality of membranes defines an aperture. The second plurality of membranes may be arranged as a stack at the second opening, wherein each of the second plurality of membranes defines an aperture. The rotatable member may be configured to rotate within the housing between a first position and a second position, wherein in the first position, the first opening aligns with the distal opening of the housing, and wherein in the second position, the second opening aligns with the distal opening of the housing.

Claims

1. A cannula assembly, comprising:

a housing, comprising;

a distal end defining a distal opening, wherein the distal end is configured to couple to a cannula tube aligned with the distal opening; and

a proximal end defining a proximal opening;

a rotatable member positioned within the housing, wherein the rotatable member defines a passage in fluid communication with the distal opening, a first opening in fluid communication with the passage, and a second opening in fluid communication with the passage;

a first plurality of membranes arranged as a stack at the first opening, wherein each of the first plurality of membranes defines an aperture; and

a second plurality of membranes arranged as a stack at the second opening, wherein each of the second plurality of membranes defines an aperture;

wherein the rotatable member is configured to rotate within the housing between a first position and a second position, wherein in the first position, the first opening aligns with the distal opening of the housing, and wherein in the second position, the second opening aligns with the distal opening of the housing.

2. The cannula assembly of claim 1, further comprising a hollow cannula tube coupled to the distal end of the housing, wherein the hollow cannula tube is in fluid communication with the distal opening.

3. The cannula assembly of claim 2, wherein the hollow cannula tube defines a longitudinal slot.

4. The cannula assembly of claim 1, further comprising a housing seal positioned intermediate the rotatable member and the housing, wherein the housing seal defines a seal passage in fluid communication with the passage defined by the rotatable member and the distal opening.

5. The cannula assembly of claim 4, wherein the housing seal is configured to supplementally seal the second opening in the first position and the first opening in the second position.

6. The cannula assembly of claim 5, wherein the housing seal is further configured to seal at least a portion of the passage defined by the rotatable member.

7. The cannula assembly of claim 1, wherein the respective apertures at the first opening and the respective apertures at the second opening are each configured for at least one surgical tool to pass therethrough.

8. The cannula assembly of claim 7, wherein the at least one surgical tool comprises at least one of an obturator or a tethered camera.

9. The cannula assembly of claim 7, wherein the first plurality of membranes are arranged to substantially seal the first opening irrespective of the at least one surgical tool passing therethrough, and wherein the second plurality of membranes are arranged to substantially seal the second opening irrespective of the at least one surgical tool passing therethrough.

10. The cannula assembly of claim 9, wherein the respective apertures of the first plurality of membranes do not overlap.

11. The cannula assembly of claim 10, wherein the respective apertures of the second plurality of membranes do not overlap.

12. A cannula assembly, comprising:

a bracket that defines a distal opening;

a cannula tube coupled to the bracket, wherein the cannula tube defines a longitudinal axis, and wherein the distal opening defined by the bracket is aligned with the longitudinal axis;

a first seal component rotatably coupled to the bracket, wherein the first seal component defines a first passage fluidically coupleable with the distal opening defined by the bracket, wherein a first opening is fluidically coupled to the first passage, and wherein a second opening is fluidically coupled to the first passage;

a first plurality of compliant membranes arranged at the first opening, wherein each of the first plurality of compliant membranes defines an aperture;

a second plurality of compliant membranes arranged at the second opening, wherein each of the second plurality of compliant membranes defines an aperture; and

a second seal component rotatably interfaced with the first seal component and coupled to the bracket, wherein the second seal component defines a second passage fluidically coupleable with the first passage, and wherein the second passage is fluidically coupled to the distal opening defined by the bracket;

wherein the first seal component is configured to rotate within the bracket between a first position and a second position, wherein in the first position, the first opening is aligned with the longitudinal axis of the cannula tube, and wherein in the second position, the second opening is aligned with the longitudinal axis of the cannula tube.

13. The cannula assembly of claim 12, wherein:

in the first position, a first fluid flow path is defined from a distal end of the cannula tube to the respective apertures at the first opening; and

in the second position, a second fluid flow path is defined from the distal end of the cannula tube to the respective apertures at the second opening.

14. The cannula assembly of claim 13, wherein the first plurality of compliant membranes and the second plurality of compliant membranes are arranged to substantially seal the first fluid flow path and the second fluid flow path respectively.

15. The cannula assembly of claim 13, wherein the first fluid flow path is configured for a tethered camera to be removably inserted therethrough, and wherein the second fluid flow path is configured for a surgical instrument to be removably inserted therethrough.

16. The cannula assembly of claim 15, wherein the first seal component is configured to rotate from the first position to the second position with the tethered camera inserted through the first fluid flow path, and wherein the second seal component is configured to supplementally seal the first opening in the second position.

17. The cannula assembly of claim 16, wherein the second seal component defines a slit for a tether of the tethered camera to pass therethrough.

18. The cannula assembly of claim 16, wherein the cannula tube defines a longitudinal slot parallel to the longitudinal axis, and wherein the longitudinal slot is configured for a tether of the tethered camera to pass therethrough.

19. A cannula system, comprising:

a cannula assembly, comprising;

a housing that defines a distal opening;

a tube coupled to and extending distally from the housing, wherein the tube is aligned with the distal opening;

a rotatable cylinder positioned within the housing, wherein the rotatable cylinder defines a first passage fluidically coupled to the distal opening and a first opening fluidically coupled to the first passage;

a plurality of seal membranes arranged at the first opening, wherein each of the plurality of seal membranes defines an aperture; and

a cylinder seal component interfaced with the rotatable cylinder and coupled to the housing, wherein the cylinder seal component defines a second passage fluidically coupled to the first passage and the distal opening;

wherein, in a first rotated position of the rotatable cylinder, the first opening aligns with the distal opening to define a first fluid path from a distal end of the tube to the first opening; and

a surgical instrument removably positioned within the first fluid path.

20. The cannula system of claim 19, wherein the plurality of seal membranes are arranged to substantially seal the first opening with the surgical instrument positioned therein, and wherein the cylinder seal component is configured to seal at least a portion of the first passage.