Endoscopic surgical sealing device

• US 5,366,478 A
• Filed: 07/27/1993
• Issued: 11/22/1994
• Est. Priority Date: 07/27/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Candadai, Ramesh S., Stubbs, Jack B., Brinkerhoff, Ronald J., Cartmill, John A.
• Primary Examiner(s): ASCHENBRENNER, PETER
• Application Number:
  US08/098,011
• Time in Patent Office: 483 Days
• Field of Search: 606/213, 606/215, 606/93-96, 606/201-203, 604/167, 604/174, 604/178, 604/256, 604/237, 128/DIG. 26, 248/56, 49/477.1, 49/475.1, 277/34, 277/34.3
• US Class Current: 606/213
• 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 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• 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 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61M 2025/0233 specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall

Abstract

A sealing device for endoscopic surgical procedures is disclosed. In one embodiment, the device has two inflatable toroidal sections connected by a transition section. The device is partially inserted into an abdominal opening in a deflated state, and then inflated to provide a seal for obstructing the passage of gas from the abdominal cavity during endoscopic surgery. Endoscopic instruments, or alternatively, the surgeon'"'"'s hand, can penetrate through the lumen of the toroidal sections of the device. The lumen then conforms to the shape of the instrument or hand passed through it to maintain an adequate seal.

In another embodiment, a sealing device to seal a trocar is disclosed. The device is an inflatable toroid shaped to fit securely within the housing of the trocar. Means are provided to selectively inflate or deflate the device to perform its intended sealing function, and instruments can be passed through the lumen of the toroid to access the surgical site without destroying the integrity of the seal.

Claims

1. An endoscopic surgical sealing device for maintaining gas pressure within an inflated abdominal cavity during endoscopic surgery;

said device comprising;

a first inflatable toroidal section for positioning outside the abdominal cavity;

a second inflatable toroidal section for positioning inside the abdominal cavity;

a transitional section communicating with said first and second inflatable sections;

said first and second inflatable toroidal sections and said transitional section defining a continuous lumen providing a passageway from the outside of the abdominal cavity to the inside of the abdominal cavity; and

,

inflation means attached to said first inflatable section for selectively;

a) inflating said first and second inflatable sections so as to close said lumen and prevent pressurized gas from escaping the abdominal cavity, or

b) deflating said first and second inflatable sections.

2. A surgical sealing device according to claim 1, wherein said device further comprises stiffening means mounted within said first and second sections for facilitating the handling of said device.

3. A surgical sealing device according to claim 2, wherein said stiffening means are flexible rings.

4. A surgical sealing device according to claim 2, wherein said device is composed of a material selected from the group consisting of a biocompatible latex and a polymer.

5. A surgical sealing device according to claim 4, wherein said polymer is selected from the group consisting of polyethylene, polypropylene, and polyamide.