Access port for laparoscopic surgery

• US 20050277946A1
• Filed: 06/14/2005
• Published: 12/15/2005
• Est. Priority Date: 06/15/2004
• Status: Abandoned Application

• Current Assignee: Stout Medical Group, L.P. (Alphatec Holdings Incorporated)
• Original Assignee: SECANT MEDICAL, LLC (Compagnie Generale DES Etablissements Michelin SCA)
• Inventors: Greenhalgh, E. Skott
• Application Number:
  US11/152,434
• Publication Number:
  US 20050277946A1
• Time in Patent Office: Days
• US Class Current: 606/108
• CPC Class Codes: 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
• 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 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• 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 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24

Abstract

An access port for use in laparoscopic surgery is disclosed. The port includes a duct having a one-way valve and a tubular seal. The one-way valve has opposed surfaces that co-apt in response to internal pressure within the duct. The tubular seal has an inner layer with a low friction coefficient surrounded by an outer elastic layer that biases the inner layer into sealing engagement with a surgical tool inserted through the duct. The one-way valve seals the duct in the absence of a tool extending through the duct. The low friction coefficient of the inner layer facilitates insertion and removal of the tool through the duct. The port has a distal end insertable into a pressurized cavity, and a proximal end that extends from the cavity and provides access thereto.

Claims

1. An access port useable for laparoscopic surgery within a pressurized body cavity surrounded by living tissue, said access port permitting insertion of a surgical tool into said cavity while maintaining pressure therein, said access port comprising:

an elongated duct having a distal end insertable through an opening in said tissue into said cavity, and a proximal end extending outwardly therefrom, said duct having an outer surface forming a seal with said living tissue;

a plurality of flexible, resilient opposed surfaces positioned within said duct, said opposed surfaces cooperating with one another when subjected to internal pressure within said duct to form a substantially fluid-tight one-way valve, said opposed surfaces being flexibly deformable to permit said tool to be inserted through said duct and into said cavity; and

a flexible, resilient tube positioned within said duct, said tube being radially inwardly biased so as to be engageable with said tool and form a substantially fluid-tight seal therearound when said tool is inserted through said duct.

2. An access port according to claim 1, wherein said tube has a predetermined engagement length over which it engages said tool.

3. An access port according to claim 1, wherein said opposed surfaces are positioned at said proximal end of said duct.

4. An access port according to claim 1, wherein said tube comprises an inner layer having a low coefficient of friction, said inner layer interfacing with said tool and facilitating insertion of said tool therethrough, an outer elastic layer surrounding said inner layer, said outer elastic layer providing said radially inward biasing.

5. An access port according to claim 4, wherein said inner layer comprises a material selected from the group consisting of expanded polytetrafluoroethylene, polypropylene, polyester and nylon.

6. An access port according to claim 4, wherein said outer elastic layer comprises an elastic membrane selected from the group consisting of rubber, polyurethane and silicone.

7. An access port according to claim 4, wherein said outer layer comprises a plurality of interlaced elastic filamentary members.

8. An access port according to claim 7, wherein said filamentary members are interlaced by a technique selected from the group consisting of braiding, weaving and knitting.

9. An access port according to claim 4, wherein said inner layer comprises a lattice of interconnected elongated members, and said outer elastic layer comprises an elastic membrane surrounding said inner layer.

10. An access port according to claim 1, wherein said tube has a substantially cylindrical profile.

11. An access port according to claim 1, wherein said tube has a substantially hourglass-shaped profile.

12. An access port according to claim 1, wherein said tube has a tapered profile.

13. An access port useable for procedures within a vascular vessel, said access port permitting insertion of a tool into said vessel while maintaining pressure therein, said access port comprising:

an elongated duct;

a plurality of flexible, resilient opposed surfaces positioned within said duct, said opposed surfaces cooperating with one another when subjected to internal pressure within said duct to form a substantially fluid-tight one-way valve, said opposed surfaces being flexibly deformable to permit said tool to be inserted through said duct and into said vessel; and

a flexible, resilient tube extending from an end of said duct, said tube being radially inwardly biased so as to be engageable with said tool and form a substantially fluid-tight seal therearound when said tool is inserted through said duct and into said vessel.

14. An access port according to claim 13, wherein said tube has a predetermined engagement length over which it engages said tool.

15. An access port according to claim 13, wherein said tube comprises an inner layer having a low coefficient of friction, said inner layer interfacing with said tool and facilitating insertion of said tool therethrough, an outer elastic layer surrounding said inner layer, said outer elastic layer providing said radially inward biasing.

16. An access port according to claim 15, wherein said inner layer comprises a material selected from the group consisting of expanded polytetrafluoroethylene, polypropylene, polyester and nylon.

17. An access port according to claim 15, wherein said outer elastic layer comprises an elastic membrane selected from the group consisting of rubber, polyurethane, and silicone.

18. An access port according to claim 15, wherein said outer elastic layer comprises a plurality of interlaced elastic filamentary members.

19. An access port according to claim 18, wherein said filamentary members are interlaced by a technique selected from the group consisting of braiding, weaving and knitting.

20. An access port according to claim 15, wherein said inner layer comprises a lattice of interconnected elongated members.

21. An access port according to claim 20, wherein said outer elastic layer comprises an elastic membrane surrounding said inner layer.

22. An access port according to claim 13, wherein said tube has a substantially cylindrical profile.

23. An access port according to claim 13, wherein said tube has a tapered profile.

24. An access port useable to perform procedures within a pressurized environment, said access port permitting insertion of a tool into said environment while maintaining pressure therein, said access port comprising:

an elongated duct;

a plurality of flexible, resilient opposed surfaces positioned within said duct, said opposed surfaces cooperating with one another when subjected to internal pressure within said duct to form a substantially fluid-tight one-way valve, said opposed surfaces being flexibly deformable to permit said tool to be inserted through said duct and into said environment; and

a flexible, resilient tube in fluid communication with said duct, said tube being radially inwardly biased so as to be engageable with said tool and form a substantially fluid-tight seal therearound when said tool is inserted through said duct and said tube.

25. An access port according to claim 24, wherein said tube is positioned within said duct.

26. An access port according to claim 25, wherein said tube has a predetermined engagement length over which it engages said tool.

27. An access port according to claim 24, wherein said tube is attached to said duct in end-to-end relationship.

28. An access port according to claim 24, wherein said tube comprises an inner layer having a low coefficient of friction, said inner layer interfacing with said tool and facilitating insertion of said tool therethrough, an outer elastic layer surrounding said inner layer, said outer elastic layer providing said radially inward biasing.