Hand assisted laparoscopic seal assembly with a ratchet mechansim

• US 20080221483A1
• Filed: 03/06/2007
• Published: 09/11/2008
• Est. Priority Date: 03/06/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Beckman, Andrew T., White, William J.
• Granted Patent: US 7,678,046 B2
• Time in Patent Office: Days
• US Class Current: 600/585
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• 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 2017/00265 Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: G01M 11/00 Testing of optical apparatus; Testing structures by optical methods not otherwise provided for
• CPC Class Codes: G01M 11/0207 Details of measuring devices

Abstract

A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. The track includes an inner upstanding annular wall and an outer upstanding annular wall connected by a base member. A ratchet mechanism controls motion of the upper seal ring relative to the lower seal ring. The ratchet mechanism includes a ratchet arm oriented to engage a ratchet surface and the ratchet surface is positioned between the inner upstanding annular wall and the outer upstanding annular wall.

Claims

1. A seal assembly for permitting hand assisted laparoscopic procedures, comprising:

a seal cap including a seal positioned within a housing, the housing including a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation;

the track includes an inner upstanding annular wall and an outer upstanding annular wall connected by a base member; and

a ratchet mechanism controlling motion of the upper seal ring relative to the lower seal ring, the ratchet mechanism including a ratchet arm oriented to engage a ratchet surface, the ratchet surface being positioned between the inner upstanding annular wall and the outer upstanding annular wall.

2. The seal assembly according to claim 1, wherein the ratchet arm is coupled to the upper seal ring and the ratchet surface is coupled to the lower seal ring.

3. The seal assembly according to claim 2, wherein the ratchet arm is shaped and dimensioned to engage the ratchet surface when the upper seal ring is rotated relative to the lower seal ring in a first direction and rides under the ratchet surface when the upper seal ring is rotated relative to the lower seal ring in a second direction.

4. The seal assembly according to claim 3, wherein the ratchet arm includes a tapered distal end shaped and dimensioned to ride under the ratchet surface as the upper seal ring is rotated relative to the lower seal ring in the second direction.

5. The seal assembly according to claim 4, further including first and second ratchet surfaces on the lower seal ring.

6. The seal assembly according to claim 2, wherein the seal is an iris seal.

7. The seal assembly according to claim 1, further including first and second ratchet surfaces on the lower seal ring.

8. The seal assembly according to claim 1, further including a spring biasing the upper seal ring relative to the lower seal ring.

9. The seal assembly according to claim 1, further including a retractor extending from the seal cap.

10. The seal assembly according to claim 9, wherein the housing further includes an attachment ring detachably secured to the lower seal ring for permitting selective attachment of the retractor by positioning it between the attachment ring and the lower seal ring.

11. The seal assembly according to claim 10, wherein the lower seal ring includes at least one outwardly extending flange shaped and dimensioned for seating within at least one inwardly facing recess formed along the attachment ring.

12. The seal assembly according to claim 1, wherein an upper end of the seal is connected to the upper seal ring and a lower end of the seal is connected to the lower seal ring.

13. The seal assembly according to claim 1, further including an ergonomic cover member secured to the upper seal ring, wherein the ergonomic cover member includes a contoured outer surface providing for improved handling and twisting of the upper seal ring for opening and closing the seal.

14. The seal assembly according to claim 1, wherein the seal is an iris seal.

15. The seal assembly according to claim 14, wherein the iris seal is constructed in a folded configuration spanning the upper seal ring and the lower seal ring.

16. The seal assembly according to claim 14, wherein the iris seal is composed of a rubber like member.

17. The seal assembly according to claim 1, further including a contoured ring secured to the upper seal ring, the contoured ring including an inner circumference formed with a series of recesses shaped and dimensioned for receiving fingers of a user.

18. The seal assembly according to claim 1, wherein the ratchet arm is shaped and dimensioned to engage the ratchet surface when the upper seal ring is rotated relative to the lower seal ring in a first direction and rides under the ratchet surface when the upper seal ring is rotated relative to the lower seal ring in a second direction.

19. The seal assembly according to claim 18, wherein the ratchet arm includes a tapered distal end shaped and dimensioned to ride under the ratchet surface as the upper seal ring is rotated relative to the lower seal ring in the second direction.

20. The seal assembly according to claim 19, further including first and second ratchet surfaces on the lower seal ring.