SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR

• US 20130253279A1
• Filed: 03/01/2013
• Published: 09/26/2013
• Est. Priority Date: 03/26/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Smith, Robert C.
• Granted Patent: US 9,017,249 B2
• Time in Patent Office: Days
• US Class Current: 600/204
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3429 having a unitary compressible body, e.g. made of silicone or foam
• CPC Class Codes: A61B 2017/3433 with different outer diameters of the cannula
• CPC Class Codes: A61B 2017/3443 with means for adjusting the length of a cannula
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
• CPC Class Codes: A61M 2039/0261 Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
• CPC Class Codes: A61M 2202/0225 Carbon oxides, e.g. Carbon dioxide
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A surgical access assembly includes an access port and a seal anchor. The access port includes a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough. In particular, the proximal, intermediate and distal rings are concentrically arranged with the passage of the sleeve, and the sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port, and defines a lumen therethrough. At least one of the proximal, intermediate, and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith.

Claims

1. A surgical access assembly comprising:

an access port including a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough, the proximal, intermediate and distal rings concentrically arranged with the passage of the sleeve, the sleeve extending between the proximal and distal rings; and

a seal anchor adapted to be at least partially disposed in the access port, the seal anchor defining a lumen therethrough, wherein at least one of the proximal, intermediate and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith.

2. The surgical access assembly according to claim 1, wherein the seal anchor defines a circumferential groove dimensioned and configured to receive one of the proximal ring, the intermediate ring or the distal ring.

3. The surgical access assembly according to claim 1, wherein the proximal ring has a kidney-shaped cross-section.

4. The surgical access assembly according to claim 3, wherein the sleeve is rollable about the proximal ring.

5. The surgical access assembly according to claim 3, wherein the distal ring has a diameter smaller than that of the seal anchor.

6. The surgical access assembly according to claim 5, wherein the distal ring is adapted to engage the seal anchor in a sealing relation therewith.

7. The surgical access assembly according to claim 6, wherein the distal ring is an O-ring.

8. The surgical access assembly according to claim 7, wherein the O-ring is an inflatable balloon.

9. The surgical access assembly according to claim 1, wherein the intermediate ring has a kidney-shaped cross-section.

10. The surgical access assembly according to claim 9, wherein the proximal ring is adapted to engage the seal anchor in a sealing relation therewith.

11. The surgical access assembly according to claim 9, wherein the proximal ring is an O-ring.

12. The surgical access assembly according to claim 1, wherein the proximal, distal, and intermediate rings are elastic.

13. The surgical access assembly according to claim 1, wherein the intermediate ring is slidably disposed on an outer surface of the sleeve.

14. The surgical access assembly according to claim 13, wherein the diameters of the proximal and distal rings are larger than that of the intermediate ring.

15. The surgical access assembly according to claim 13, wherein the intermediate ring is adapted to engage the seal anchor in a sealing relation therewith.

16. The surgical access assembly according to claim 13, wherein the proximal member has a kidney-shaped cross-section.

17. The surgical access assembly according to claim 13, wherein the sleeve is rollable about the proximal ring.

18. The surgical access assembly according to claim 13, wherein the sleeve is made of an elastic material.

19. The surgical access assembly according to claim 1, wherein the seal anchor is a compressible material.

20. The surgical access assembly according to claim 1, wherein the lumen defined in the seal anchor is dimensioned to receive surgical instruments therethrough.

21. The surgical access assembly according to claim 1, wherein at least one of the proximal, distal, or intermediate ring is an inflatable balloon.

22. A method of accessing an internal body cavity, comprising:

providing a surgical access assembly including;

an access port having a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough, the proximal, intermediate and distal rings concentrically arranged with the passage of the sleeve, the sleeve extending between the proximal and distal rings; and

a seal anchor adapted to be at least partially disposed in the access port, the seal anchor defining a lumen therethrough;

positioning at least one of the proximal, intermediate, and distal rings of the access port into the body cavity;

rolling the sleeve of the access port such that at least two of the proximal, distal and intermediate rings engage an internal peritoneal wall of tissue and an outer epidermal tissue;

positioning the seal anchor within the access port; and

introducing a surgical instrument to the body cavity through the seal anchor.

23. The method of accessing the internal body cavity according to claim 22, wherein the sleeve is rollable about the proximal ring.

24. The method of accessing the internal body cavity according to claim 23, wherein the proximal ring has a kidney-shaped cross-section.

25. The method of accessing the internal body cavity according to claim 24, wherein the distal ring is adapted to engage the seal anchor in a sealing relation therewith.

26. The method of accessing the internal body cavity according to claim 22, wherein the sleeve is rollable about the intermediate ring.

27. The method of accessing the internal body cavity according to claim 26, wherein the proximal ring is adapted to engage the seal anchor in a sealing relation therewith.

28. The method of accessing the internal body cavity according to claim 22, wherein positioning the seal anchor within the access port includes engaging at least one of the proximal, intermediate, and distal rings with the seal anchor in a sealing relation therewith.

29. The method of accessing the internal body cavity according to claim 22, further comprising insufflating the body cavity.