Lever actuated septum seal

• US 5,209,737 A
• Filed: 07/18/1991
• Issued: 05/11/1993
• Est. Priority Date: 07/18/1991
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Gadberry, Donald L., Ritchart, Mark A., Hart, Charles C., Cooper, Robert P.
• Primary Examiner(s): WEHNER, CARY ELLEN
• Application Number:
  US07/732,141
• Time in Patent Office: 663 Days
• Field of Search: 604/167, 604/169, 604/160, 604/161, 604/256, 604/164, 604/236, 604/200, 604/201, 604/202, 604/205, 604/264, 604/165, 604/166, 604/905, 251/149.1, 137/843, 137/844, 137/845, 137/849
• US Class Current: 604/167.03
• 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 2017/3464 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
• CPC Class Codes: A61M 2039/0633 the seal being a passive seal made of a resilient material with or without an opening
• CPC Class Codes: A61M 2039/066 Septum-like element
• CPC Class Codes: A61M 2039/0666 Flap-valve
• 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

A septum valve in a trocar assembly has a variable orifice that is responsive to a cross-sectional dimension of the surgical instrument being inserted into the trocar channel, thereby minimizing leakage of inflation gas from the body cavity, such as the abdomen, being operated on. An elastomeric septum is disposed in the channel and includes portions which define an orifice having in a relaxed state a first cross-sectional area. An actuation assembly provided with levers which pivot radially outwardly to expand the seal and thereby expand the orifice to the second cross-sectional area in response to entry of the instrument into the channel. The actuation assembly is free to float in an annular recess to accommodate an instrument which is misaligned with the trocar channel.

Claims

1. A trocar assembly having a channel defined along an elongate axis, the trocar assembly being adapted to receive an instrument having a particular cross-sectional dimension, said trocar assembly comprising:

an elastomeric septum disposed in said channel and including portions defining an orifice having in a relaxed state a first cross-sectional area and in an expanded state a second cross-sectional area; and

means responsive to the particular dimension of the instrument for expanding said orifice to the second cross-sectional area.

2. The trocar assembly as recited in claim 1 wherein said first cross-sectional area is substantially zero.

3. The trocar assembly as recited in claim 1 wherein said first cross-sectional area is greater than zero.

4. The trocar assembly as recited in claim 1 wherein said second cross-sectional area is smaller than the particular cross-sectional area of said instrument.

5. The trocar assembly as recited in claim 1 wherein said elastomeric septum further comprises a lip positioned radially outwardly of the portions defining the orifice, said orifice expanding means engaging said lip and expanding it radially outwardly, thereby expanding said orifice.

6. The trocar assembly as recited in claim 1, and further comprising a seal housing adapted to receive the elastomeric septum, the septum having seating portions positioned radially outwardly of the orifice-defining portions and contiguous therewith, said seating portions being attached to said housing for seating the septum therein, wherein the seating portions are disposed in a first plane and said orifice-defining portions are disposed in a second plane, said first and second planes being spaced along said elongate axis.

7. The trocar assembly as recited in claim 6, wherein portions of said seal housing define an open space positioned radially outwardly of both the septum lip and the orifice expanding means such that when said orifice expanding means expands said lip, the lip expands into said open space.

8. A trocar assembly having a channel defined along an elongate axis, the trocar assembly being adapted to receive an instrument having a particular cross-sectional area, said trocar assembly comprising:

an elastomeric septum disposed in said channel and including portions defining an orifice having in a relaxed state a first cross-sectional area and in an expanded state a second cross-sectional area;

a lever having a distal end, and a proximal end pivotal on an axis transverse to the elongate axis of the trocar assembly;

means carried by the lever at said distal end for engaging the septum radially of the portions defining the orifice; and

means disposed between the proximal end and the distal end of the lever for sensing the particular cross-sectional area of said instrument upon entry of said instrument into said channel, and moving the lever distal end a radial distance sufficient to expand the orifice to the second cross-sectional area.

9. The trocar assembly as recited in claim 8 wherein said elastomeric septum is comprised of a low durometer polymer.

10. The trocar assembly as recited in claim 9, wherein said low durometer polymer is C-flex®

.

11. The trocar assembly as recited in claim 8 wherein said elastomeric septum further comprises a lip positioned radially outwardly of the portions defining the orifice.

12. The trocar assembly as recited in claim 11 wherein said engaging means comprises a tooth at the distal end of said lever, said tooth being adapted to interlock with said septum lip, thereby engaging said septum.

13. The trocar assembly as recited in claim 12 wherein said orifice expanding means includes a plurality of said levers being substantially identical and being radially disposed about said elongate axis, with said channel being defined therebetween, and the tooth on each said lever being adapted to engage said lip on radially opposing ends of said septum.

14. The trocar assembly as recited in claim 13 wherein said septum lip comprises a substantially circular ridge circumscribing said septum, said lever teeth engaging said circular ridge.

15. The trocar assembly as recited in claim 14 wherein said lever teeth in aggregate comprise a substantially circular tooth member, said tooth member engaging said circular lip along its inner surface.

16. The trocar assembly as recited in claim 13 wherein each said lever has a predetermined radial width at the distal end and a predetermined radial width at the proximal end, said levers having an elbow-like configuration and being contoured radially inwardly from each end to a convergence point between said distal and proximal ends, such that the radial width of said channel narrows between said distal and proximal ends and is at a minimum width at said convergence point, said convergence point on said levers comprising said instrument diameter sensing means.

17. The trocar assembly as recited in claim 16 wherein said channel width at the convergence point is narrower than the particular cross-sectional area of said instrument, whereby when said instrument enters the channel and approaches the convergence point, it pushes said levers in a radially outward direction, thereby pivoting the levers about their proximal end pivot axes and pushing the distal ends of the levers radially outwardly, the engaging relationship between said distal end lever teeth and said septum lip thus pushing said lip radially outwardly and expanding said orifice.

18. A valve assembly adapted to receive an instrument having an outer surface and a cross-sectional dimension, comprising:

a housing defining a channel extending therethrough along an elongate axis;

a septum disposed in said housing and adapted to extend across said channel, portions of the septum defining an orifice communicating with the channel through the septum;

at least said portions of the septum being formed of an elastomeric material and being expandable radially outwardly to enlarge the orifice; and

means pivotal on said housing and engaging the septum outwardly of the orifice for enlarging the orifice, said enlarging means being responsive to the instrument for enlarging the orifice in proportion to the cross-sectional dimension of said instrument.

19. The valve assembly recited in claim 18, wherein said orifice enlarging means includes:

a lever having a distal end, and a proximal end pivotal on an axis transverse to the elongate axis of said housing;

means carried by the lever at said distal end for engaging the septum radially of the portions defining the orifice;

wherein

said lever and said housing are integrally molded of a resilient elastomeric material, said lever pivoting on a living hinge at its proximal end.

20. The valve assembly as recited in claim 19, wherein said lever and said housing are integrally molded of nylon.

21. A seal assembly adapted to receive an elongate object and to form a seal around the object, the assembly comprising:

a housing defining a channel configured to receive the object moving generally axially through the channel;

a septum extending across the channel of the housing and forming an outer seal with the housing;

portions of the septum defining a hole communication with the channel on both sides of the septum, the hole having a size sufficient to receive the object with the hole portions forming an inner seal with the object;

the septum being formed of an elastomeric material having properties for producing a friction force which resists movement of the object through the septum; and

means responsive to insertion of the object into the channel for reducing the friction force on the object.

22. The assembly recited in claim 21 wherein the friction reducing means comprises:

means responsive to insertion of the object into the channel for measuring a particular dimension of the object; and

means for stretching the septum in proportion to the particular dimension to enlarge the hole and thereby reduce the friction forces between the septum portions and the object.

23. The assembly recited in claim 22 wherein:

the hole portions of the septum form an annular lip around the hole; and

the stretching means further comprises actuation means responsive to insertion of the object into the channel to move the annular lip a particular distance to enlarge the hole.

24. The assembly recited in claim 23 wherein the particular distance is a radial distance proportional to the particular dimension of the object.

25. The assembly recited in claim 22 wherein the friction reducing means further comprises:

a frame;

a plurality of levers each pivotal on the frame and engaging the septum to move the hole portions radially.

26. The assembly recited in claim 25 wherein the frame is annular and the friction reducing means is disposed transverse to the channel in the housing.

27. The assembly recited in claim 21 wherein:

the channel of the housing has a first axis;

the hole of the septum has a second axis; and

the septum is movable from a first position wherein the second axis is aligned with the first axis, to a second position wherein the second axis is not aligned with the first axis.

28. The assembly recited in claim 27 wherein:

the annular means of a third axis; and

the friction reducing means is movable from a third position wherein the third axis is aligned with the first axis, to a fourth position wherein the third axis is not aligned with the first axis.

29. A seal assembly adapted to receive an elongate object and to form a seal around the object, the assembly comprising:

a housing including first portions defining a channel extending through the housing, and second portions defining a peripheral recess in the housing;

a septum extending across the channel of the housing;

portions of the septum defining a hole adapted to receive the object with the septum portions forming a seal around the object;

the septum portions engaging the object through the channel;

actuation means movable within the peripheral recess of the housing for enlarging the hole in response to insertion of the object into the channel;

whereby

the friction forces are reduced to facilitate further movement of the object through the channel of the housing.

30. The assembly recited in claim 29 wherein the actuation means includes a frame and means pivotal on the frame for moving the septum portions to enlarge the hole.

31. The assembly recited in claim 30 wherein:

the peripheral recess is an annular recess having a first diameter;

the frame of the actuation means has a second diameter; and

the first diameter is greater than the second diameter;

whereby

that the actuation means is free to float in the peripheral recess.

32. The assembly recited in claim 30 wherein the moving means includes a plurality of levers each pivotal on the frame and positioned to engage the object and to move the hole portions of the septum a distance proportional to the size of the object.