Intercostal lockable directable port device

• US 20020042605A1
• Filed: 06/27/2001
• Published: 04/11/2002
• Est. Priority Date: 10/11/2000
• Status: Active Grant

• Current Assignee: Medici Life Sciences Licensing Company LLC (The Medici Portfolio LLC)
• Original Assignee: Popcab, LLC
• Inventors: Castaneda, Javier E., Palmer, Matthew A., Torre, Ralph de la
• Granted Patent: US 6,582,420 B2
• Time in Patent Office: Days
• US Class Current: 606/1
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• 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 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00703 correcting for movement of heart, e.g. ECG-triggered
• CPC Class Codes: A61B 2017/0243 for immobilizing local areas of the heart, e.g. while it beats trocars attached to inner organs or inner body tissue A61B2017/3488
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

A port device includes a tubular body sized to be inserted through a pair of ribs in a chest wall of a patient, a ball provided about the body, and a base defining a socket in which the ball is provided. Detent structure permits but limits longitudinal movement of the body relative to the ball. The base includes a clamping system which compresses the ball to lock the ball at a selected orientation within the socket and also immobilizes the port body relative to the ball. The distal end of the body includes a pair of swivels rotatably attached thereto. An obturator is extendable within the body maneuvers the swivels between a closed position (in which the swivels are oriented substantially parallel to the axis of the body), and an open position (in which the swivels are directed outward from the port).

Claims

1. A port assembly for insertion through a hole in a chest wall and for receiving medical instruments, comprising:

a) a port body having a proximal end and a distal end and defining an opening sized to receive a distal portion of a medical instrument therethrough;

b) a mechanical clamp which clamps about portions of the chest wall;

c) a means for angling said port body relative to said clamp; and

d) a means for locking said port body relative to said clamp.

2. A port assembly according to claim 1, wherein:

said port body is longitudinally movable relative to said clamp.

3. A port assembly according to claim 1, wherein:

said clamp clamps exterior and interior portions of the chest wall.

4. A port assembly according to claim 1, wherein:

said clamp comprises swivels coupled to a distal portion of said port body and rotatable relative thereto and a base member.

5. A port assembly according to claim 1, wherein:

said means for angling includes a ball about said port body and a socket element.

6. A port assembly according to claim 5, wherein:

said port body is longitudinally movable relative to said ball.

7. A port assembly according to claim 5, further comprising:

e) detent means for limiting movement of said port body relative to said ball.

8. A port assembly according to claim 5, wherein:

said ball includes two oblate portions and a plurality of slits extending into each of said oblate portions.

9. A port assembly according to claim 8, wherein:

said means for clamping compresses said ball to substantially prevent movement of said port body relative to said ball.

10. A port assembly according to claim 1, further comprising:

e) means for coupling said port assembly to a medical instrument having a distal end extending through said port body.

11. A port assembly for insertion through a hole in a chest wall and for receiving medical instruments, comprising:

a) a port body having a proximal end and a distal end and defining an opening sized to receive a distal end of a medical instrument therethrough;

b) at least one swivel at or adjacent said distal end of said port body and rotatable relative to said port body;

c) a base longitudinally movable over a portion of said port body proximal of said at least one swivel; and

d) means for locking said base relative to said port body.

12. A port assembly according to claim 11, wherein:

said port body and said base are angularly movable relative to each other.

13. A port assembly according to claim 12, further comprising:

e) a ball element about said port body,

wherein said base includes a socket in which said ball element is rotatable.

14. A port assembly according to claim 11, further comprising:

e) a means for introducing said port body into the hole in the chest wall and rotating said at least one swivel.

15. A port assembly according to claim 11, wherein:

said at least one swivel is two swivels, and each said swivel comprises first and second elements which are coupled together to define a pivot axis, said first element including a hole aligned with said pivot axis and said second element including an outer axle aligned with said pivot axis and an inner elongate ear portion.

17. A port assembly according to claim 16, further comprising:

d) detent means for limiting movement of said port body relative to said ball when said means for locking is in an unlocked state.

19. A port assembly according to claim 18, wherein:

one of said first and second elements defines a channel curved along a radius of curvature, and the other of said first and second elements includes key portion curved along said radius of curvature and sized to fit within the channel.

20. A port assembly according to claim 19, wherein:

said first and second elements each include a bore, and a pin is inserted through said bores in said first and second elements.

21. A port assembly according to claim 18, wherein:

each said swivel is provided with an elastomeric sleeve over portions of said first and second elements.

16. A port assembly for insertion through a hole in a chest wall and for receiving medical instruments, comprising:

a) a port body having a proximal end and a distal end and defining an opening sized to receive a distal portion of a medical instrument therethrough;

b) a clamping means for clamping interior and exterior portions of the chest wall; and

c) a means for locking, wherein said port body is longitudinally movable relative to said clamping means and said means for locking locks said port body relative to said clamping means.

18. A port assembly for insertion through a hole in a chest wall and for receiving medical instruments, comprising:

a) a port body having a proximal end and a distal end and defining an opening sized to receive a distal end of a medical instrument therethrough; and

b) two swivels at or adjacent said distal end of said port body and rotatable relative to said port body, each said swivel comprising first and second elements which are coupled together to define a pivot axis, said first element including a hole aligned with said pivot axis and said second element including an outer axle aligned with said pivot axis and an inner elongate ear portion.