Surgical access apparatus and method
7 Assignments
0 Petitions
Accused Products
Abstract
A laparoscopic insufflation device is provided in the configuration of a coil with a blunt tip. The device is capable of passing through the abdominal wall without cutting tissue, and exiting the abdominal wall substantially parallel to the inner surface. While rotation of the coiled device results in forward movement through the abdominal wall, a counter force can be applied to the device to create a safety space between the wall and the interior organs. With the blunt distal tip, parallel exit angle, and safety space, there is substantially no threat to the interior organs during placement of the device. Further space can be generated with the use of pressured gas to produce an abdominal cavity for the subsequent placement of trocars. By rotatably attaching the coiled insufflation device to a trocar, the advantage of a counter force can be used not only to establish the safety space but also to pull the trocar into the abdominal wall with a counterforce which resists tenting.
110 Citations
57 Claims
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1-5. -5. (canceled)
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6. An insufflation needle adapted for movement across an abdominal wall and into an abdominal region of a patient, the Veress needle comprising:
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an elongate tube having an inflation channel extending between a proximal end and a distal end, the elongate tube being adapted at the proximal end for connection to a source of fluid under pressure, and being adapted at the distal end to expel the fluid under pressure to insufflate the abdominal region; and
the tube being configured to provide a mechanical advantage when moved across the abdominal wall. - View Dependent Claims (7, 8, 9, 10)
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11. An insufflation needle adapted for penetrating an abdominal wall, having an inner service, defining an abdominal region containing interior organs of the patient, the needle comprising:
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an elongate tube having an inflation channel extending between a proximal end and a distal end The elongate tube being adapted at the proximal end for connection to a source of fluid under pressure, and being adapted at the distal end to expel the fluid under pressure to insufflate the abdominal region;
the elongate tube at its distal end being angled relative to the proximal end of the tube to produce an exit angle with the interior surface upon penetration of the abdominal wall; and
the exit angle being in a range of less than about 40 degrees in order to inhibit penetration of the interior organs of the patient. - View Dependent Claims (12, 13, 14, 15, 16)
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17-23. -23. (canceled)
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24. A method for accessing an abdominal region of a patient by crossing an abdominal wall of the patient, comprising the steps of:
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providing a Veress needle having the configuration of a tube extending between a proximal end and a distal end; and
turning the tube to facilitate the crossing of the abdominal wall with the Veress needle. - View Dependent Claims (25, 26, 27, 28)
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29-36. -36. (canceled)
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37. A surgical device adapted to provide access across an abdominal wall and into an abdominal region of a patient, comprising:
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a trocar including a cannula, a shaft having a proximal end and a distal end;
the shaft having the configuration of a coil with a coil axis, the coil facilitating rotational movement of the shaft across the abdominal wall; and
the proximal end of the shaft being coupled to the trocar so that movement by the shaft across the abdominal wall is accompanied by movement of the trocar into the abdominal wall. - View Dependent Claims (39, 40, 41, 42, 43, 44, 45, 46)
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38. The surgical device recited in 37, wherein the shaft is rotationally coupled to the trocar so that the coil is free to rotate relative to the trocar.
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47. A method for placing a trocar across an abdominal wall of a patient, comprising the steps of:
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providing a shaft in the form of a coil, the shaft having a proximal end and a distal end;
coupling the proximal end of the shaft to the trocar;
screwing the coil into the abdominal wall; and
moving the trocar with the shaft into the abdominal wall with a mechanical advantage dependent on the coil. - View Dependent Claims (48, 49, 50)
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51. An anchor adapted for use with a trocar having a cannula and being adapted for placement in an operative position across an abdominal wall, the anchor comprising:
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a structural element adapted to be coupled to the trocar and to extend outwardly of the cannula, the structural element having characteristics for engaging the abdominal wall at a location spaced from the cannula; and
the structural element having properties for inhibiting withdrawal of the cannula from the operative position of the cannula. - View Dependent Claims (52, 53, 54, 55, 56, 57)
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Specification