Trocar adapter seal and method of use

• US 5,104,383 A
• Filed: 03/20/1991
• Issued: 04/14/1992
• Est. Priority Date: 10/17/1989
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Shichman, Daniel
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US07/673,848
• Time in Patent Office: 391 Days
• Field of Search: 604/164, 604/165, 604/167, 604/264, 604/268, 604/49, 604/51, 604/256, 606/184-185
• US Class Current: 604/167.06
• 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: A61M 2039/062 used with a catheter
• CPC Class Codes: A61M 2039/0626 used with other surgical instruments, e.g. endoscope, trocar
• CPC Class Codes: A61M 2039/0686 comprising more than one seal
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Abstract

An adapter seal for use with a cannula assembly is provided. The adapter seal gives a surgeon increased flexibility in performing endoscopic procedures by allowing the use of variously sized instruments through a single cannula. The adapter seal is preferably provided with a stabilizer plate to limit the eccentric movement of an instrument relative to the seal, which may inadvertently release the gaseous seal.

Claims

1. A method for performing an endoscopic procedure comprising:

a) inserting a cannula assembly into a body cavity;

b) placing an adapter seal in said cannula assembly, said adapter seal comprising an adapter plate having an adapter plate sealing aperture and a stabilizer plate, said adapter seal removably engaging and cooperating with said cannula assembly to provide a gaseous seal along the periphery of said adapter seal;

c) inserting a first surgical instrument having a first diameter through said aperture into said cannula assembly;

d) removing said adapter seal from said cannula assembly and continuing said endoscopic procedure with a second instrument of larger size.

2. The method of claim 1, wherein said adapter seal provides a gaseous seal with an elongate portion of said surgical instrument.

3. The method of claim 1, wherein said adapter plate sealing aperture is of reduced cross section relative to the inner diameter of the cannula assembly.

4. The method of claim 1, wherein said cannula assembly comprises a cannula having an inner diameter of about 10 mm and said adapter plate sealing aperture has a diameter of about 5 mm.

5. The method of claim 1, wherein said adapter plate is fabricated from a flexible plastic material.

6. The method of claim 1, wherein said stabilizer plate has an orifice for receiving said first and second surgical instruments.

7. The method of claim 6, wherein said adapter plate has a slot which extends around its periphery and said stabilizer plate is received therein.

8. The method of claim 6, wherein said stabilizer plate orifice is from 10 to 50% larger than said adapter plate sealing aperture.

9. The method of claim 1, wherein said stabilizer plate is fabricated from a rigid plastic material.

10. The method of claim 1, wherein said adapter seal is placed in frictional engagement with said cannula assembly.