Flapper valve for an insufflation cannula assembly

• US 5,127,909 A
• Filed: 04/05/1990
• Issued: 07/07/1992
• Est. Priority Date: 04/05/1990
• 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): Pellegrino, Stephen C.
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/505,035
• Time in Patent Office: 824 Days
• Field of Search: 251/298, 604/158, 604/164, 604/165, 604/169, 604/171, 604/272-274
• US Class Current: 604/256
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

A cannula assembly for use in conjunction with insufflatory surgical techniques includes a cannula, a housing mounted on one end of the cannula, and a flapper valve mounted in the housing. The flapper valve includes a valve seat which is situated at an opening formed in the housing, a valve plug which is adapted to engage the valve seat to form a substantially gas tight seal with the valve seat, and a support plate on which the valve plug is mounted and which is biased to pivot the plug into and out of engagement with the valve seat. The valve plug is movable on the support plate so as to be self-aligning with the valve seat when the plug and valve are in engagement. The valve plug is uniquely configured to include a recessed reservoir at the proximal side and surrounded by a circular ridge. The reservoir collects blood or other body fluids while the ridge is engageable by an instrument such as an endoscope which is inserted into the cannula, thus preventing the blood from covering the face of the endoscope lens.

Claims

1. A flapper valve for an insufflation cannula assembly, the cannula assembly including a cannula defining a cannula passage and a housing mounted on one end of the cannula and having an opening formed therein, the flapper valve being mounted in the housing of the assembly, the flapper valve comprising:

a valve seat situated at the housing opening, said valve seat having an opening formed therein and being in communication with said cannula passage and being adapted to allow a surgical instrument to pass therethrough and into the cannula passage;

a valve plug adapted to engage the valve seat at the opening thereof and to form therewith a substantially gas tight seal, the proximal side of said valve plug being engageable by a surgical instrument passing through said valve seat and into the cannula passage when the valve plug is seated in engagement with the valve seat, said valve plug having means on the proximal side to prevent collection of body fluids in a manner which would transfer body fluid to the distal face of the instrument when the instrument engages said valve plug;

means for mounting said valve plug in said housing and for pivoting said plug into and out of engagement with said valve seat; and

biasing means for biasing said valve plug into engagement with said valve seat.

2. A flapper valve as defined in claim 1, wherein said valve plug has a frusto-conically shaped front face which engages said valve seat.

3. A flapper valve as defined by claim 1, wherein said valve plug includes a front face which engages the valve seat, and a rear face opposite the front face, and further includes a stem portion extending outwardly distally from the rear face thereof;

and wherein the plug mounting means includes a support plate, the support plate having an opening formed therein, said opening being adapted to receive the stem portion of said valve plug to allow said plug to be mounted on the surface of said plate, the diameter of said support plate opening being greater than the diameter of said plug stem portion; and

wherein said flapper valve further includes means for securing the stem portion within said support plate opening, and an annular ridge on the proximal side of said valve plug surrounding a recessed reservoir portion dimensioned to receive and accumulate body fluids such that when the surgical instrument is inserted through said valve seat opening so as to engage said valve plug, the distal surface portion of the instrument engages said annular ridge and transfer of body fluid from the proximal side of said plug to the distal surface of the instrument is thereby avoided.

4. A flapper valve as defined by claim 3, wherein said stem portion of said valve plug includes a free end;

and wherein said plug further includes a retaining head, said retaining head being mounted on the free end of said plug stem portion, said retaining head having a greater diameter than that of said support plate opening.

5. A flapper valve as defined in claim 1, wherein said valve plug includes a front face which engages said valve seat, and a rear face opposite said front face, and further includes a stem portion extending outwardly from the rear face thereof, the stem portion having a free end, and a retaining head mounted on the free end of said plug stem portion;

and wherein said support plate has two opposite sides and defines an opening therethrough, said opening receiving said valve plug stem portion such that said retaining head and said front face are disposed on opposite sides of said support plate, the diameter of said support plate opening being greater than that of said stem portion and being less than that of the retaining head.

6. A flapper valve as defined by claim 1, wherein the front face of said valve plug is formed of a substantially inelastic material.

7. A flapper valve as defined by claim 1, wherein said valve seat is formed of an elastic material.

8. A flapper valve as defined by claim 1, wherein said valve plug includes a front face having a conically-shaped portion and a flange surrounding said conically-shaped portion, and further includes a rear face opposite the front face, the front face being configured, dimensioned and adapted to engage the valve seat.

9. A flapper valve as defined by claim 8, wherein the rear face of said valve plug includes a peripheral annular recessed portion surrounding a central portion extending distally of said recessed portion.

10. A flapper valve as defined by claim 8, wherein the rear face of said valve plug includes an annular raised portion surrounding a central raised portion.

11. A flapper valve as defined by claim 1, wherein said plug mounting means includes a support plate, said support plate being pivotally mounted in said housing and having said valve plug mounted thereon, and being biased to pivot said valve plug into engagement with said valve seat.

12. A flapper valve as defined by claim 1, wherein said valve plug includes a stem portion extending from a surface thereof, said stem portion being loosely received in an opening formed in said plug mounting means.

13. A flapper valve as defined by claim 1, wherein the valve seat is situated in the housing such that said valve seat opening is co-axial with the cannula.

14. A flapper valve as defined by claim 1, wherein the proximal side of said valve plug includes a conically or frusto-conically shaped surface which terminates at the proximal end with a circular raised ridge, said circular ridge surrounding and defining a recessed reservoir dimensioned and configured to collect body fluids, whereby said circular ridge is engaged by any instrument inserted into said valve seat opening and the cannula.

15. A flapper valve as defined by claim 1, wherein said valve plug is movable on said plug mounting means so as to be self-aligning with said valve seat opening when said plug and said seat are in engagement.

16. A flapper valve for an insufflation cannula assembly, the cannula assembly including a cannula defining a cannula passage and a housing mounted on one end of the cannula and having an opening formed therein, the flapper valve being mounted in the housing of the assembly, the flapper valve comprising:

a valve seat formed of a resilient material and situated at the housing opening, said valve seat having an opening formed therein said valve seat opening being in communication with the cannula passage and being adapted to allow a surgical instrument to pass therethrough and into the cannula passage, said valve seat having an annular portion of reduced thickness defining said opening, said annular portion thereby being of greater flexibility than adjacent portions thereof;

a valve plug having a conically or frusto-conically shaped front face which engages said valve seat, said valve plug being adapted to engage said valve seat at said opening thereof and to form a seal therewith, said plug further having a circular endless ridge at the proximal end defining a recessed reservoir for collection of blood or other body fluids, said ridge being engageable by an instrument inserted into said valve seat opening and the cannula when the valve plug is seated against said valve seat;

means for mounting said valve plug in the housing and for pivoting said valve plug into and out of engagement with said annular portion of said valve seat; and

biasing means for biasing said valve plug into engagement with said valve seat.

17. A flapper valve as defined by claim 16, wherein said valve plug is movable on said plug mounting means sufficient to provide said valve plug with self-seating capability to thereby allow said valve plug to align itself with said valve seat when said valve plug and said valve seat are in engagement, whereby said self-seating capability of said valve plug combines with said resilient annular flexible portion of said valve seat to provide a substantially gas tight seal.

18. An insufflation cannula assembly which comprises:

a cannula having opposite end portions;

a housing mounted on one end of the cannula, said housing having an opening formed therein; and

flapper valve means mounted in the housing, said flapper valve means including a valve seat disposed at the housing opening and having an opening formed therein to allow a surgical instrument to pass therethrough and into the cannula, said valve seat formed of a resilient material and having an annular portion of reduced thickness defining said opening, said annular portion being of greater flexibility than adjacent portions thereof due to said reduced thickness, a valve plug adapted to engage said valve seat at the opening thereof and to form a seal with said valve seat, and means for mounting said valve plug and for pivoting said valve plug into and out of engagement with said valve seat, said valve plug including a circular ridge at the proximal side and defining a recessed reservoir in said valve plug dimensioned and configured for collecting blood or other body fluids, whereby said resilient annular flexible portion of said valve seat provides a substantially gas tight seal and insertion of an endoscope or other instrument into said valve opening and said cannula causes the endoscope to engage said circular ridge at the proximal side of said valve plug.

19. An insufflation cannula assembly as defined by claim 18, wherein said valve plug is movable on said plug mounting means so as to provide said valve plug with self-seating capability to allow said valve plug to be automatically self-aligning with said valve seat opening when said plug and said valve seat are in engagement.

20. An insufflation cannula assembly as defined by claim 19, wherein said plug mounting means includes a support plate having an opening formed therein and said plug includes a stem portion of diameter less than said plate opening to permit lateral movement of said plug on said plate when said stem portion is positioned within said plate opening.

21. A flapper valve for an insufflation cannula assembly wherein the cannula assembly includes a cannula defining a cannula passage and a housing mounted at one end of the cannula and having an opening formed therein, the flapper valve being mounted in the housing of the assembly, comprising:

a valve seat situated at the housing opening, said valve seat having an opening formed therein and being in communication with the cannula passage and being adapted to allow a surgical instrument therethrough and into the cannula passage;

a valve plate pivotally mounted in said housing, said valve plate including means for obstructing said opening of said valve seat when said valve plate is pivoted to a first position immediately adjacent said valve seat and oriented therewith, said valve opening obstructing means having means on the proximal side thereof to prevent collection of body fluids in a manner which would transfer the body fluid to the distal face of an instrument when the instrument engages said valve opening obstructing means;

biasing means for biasing said valve plate into said first position immediately adjacent said valve seat.

22. An insufflation cannula assembly as defined by claim 21, wherein said first position of said valve plate is generally parallel to said valve seat and generally perpendicular to the longitudinal axis of the cannula.

23. An insufflation cannula assembly as defined by claim 22, wherein said valve plate is pivotable to a position generally toward a direction in alignment with the longitudinal axis of the cannula when the instrument is passed through the housing.

24. An insufflation cannula assembly, which comprises:

a cannula, the cannula having opposite ends;

a housing mounted on one end of the cannula, the housing having an opening formed therein; and

a flapper valve mounted in the housing, said

flapper valve comprising a valve seat disposed at the housing opening and having an opening formed therein to allow a surgical instrument to pass therethrough and into the cannula, a valve plug adapted to engage the valve seat at the opening thereof and to form with the valve seat a substantially fluidtight seal, said valve plug being having means on the proximal side to prevent collection of body fluids in a manner which would transfer the body fluid to the distal face of an instrument when an instrument engages said valve plug, and means for mounting the valve plug and for pivoting the plug into and out of engagement with the valve seat, the valve plug being movable on the plug mounting means so as to be self-aligning with the valve seat opening when the plug and valve seat are in engagement.

25. A flapper valve for an insufflation cannula assembly, the cannula assembly including a cannula defining a cannula passage and a housing mounted at one end of the cannula and having an opening formed therein, the flapper valve being mounted in the housing of the assembly, comprising:

a valve seat situated at the housing opening, said valve seat having an opening formed therein and being in communication with said cannula passage and being adapted to allow a surgical instrument to pass therethrough and into the cannula passage;

a valve plug adapted to engage the valve seat at the opening thereof and to form therewith a substantially gas tight seal, the proximal side of said valve plug being engageable by a surgical instrument passing through said valve seat and into the cannula passage when the valve plug is seated in engagement with the valve seat;

means for mounting said valve plug in said housing an for pivoting said plug into and out of engagement with said valve seat;

means for biasing said valve plug into engagement with said valve seat; and

means on the proximal side of said valve plug for collecting body fluids which accumulate on said proximal side and to prevent transfer of fluid to a distal surface of the instrument when the instrument engages said valve plug.

26. A flapper valve as defined by claim 25 wherein said body fluid collectively means comprises an annular ridge defining a recessed reservoir portion dimensioned and configured to receive and accumulate body fluids such that upon insertion of the instrument into said cannula assembly the distal surface of the instrument engages said annular ridge and transfer of body fluid from said recessed reservoir portion to the distal surface of the instrument is thereby avoided.