Trocar with linear movement seal

• US 5,391,153 A
• Filed: 04/09/1993
• Issued: 02/21/1995
• Est. Priority Date: 04/09/1993
• Status: Expired due to Fees

• Current Assignee: Habley Medical Technology Corporation
• Original Assignee: Habley Medical Technology Corporation
• Inventors: Foster, Clark B., Smedley, William H., Haber, Terry M.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): VANOVER, PERRY
• Application Number:
  US08/045,857
• Time in Patent Office: 683 Days
• Field of Search: 251/176, 251/321, 251/337, 604/122, 604/164, 604/166, 604/167, 604/169, 604/170, 604/171, 604/185, 604/264, 137/249
• US Class Current: 604/167.01
• 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

Abstract

A trocar (2) includes a hollow body (4) defining a path between its proximal and distal ends with an obturator assembly (6) positioned along the path. The tip (34, 36) of the obturator assembly has a cutting element (38). A novel gas sealing assembly (114) seals the path along the trocar body and includes first and second sealing elements (122) each movable laterally, typically radially, along a linear path between a sealing position, to seal the path when an object, such as an obturator barrel (14), is not positioned along the path, and an object passing position, when an object is positioned along the path. The gas sealing assembly also includes a flexible, elastic, conical element (144) with a hole (158) at its tip and raised ridges or rings (164) along its inner surface (154), for sealing the path when an object is positioned along the path.

Claims

1. A medical device, designed for minimally invasive surgical procedures, comprising:

a body having proximal and distal ends and a hollow interior defining a path between the proximal and distal ends;

an object sized to pass along the path; and

a seal mounted within the body and fluidly sealing the path with and without the object directed along the path and into the hollow interior, the seal including;

first and second sealing elements positioned along the path, each sealing element movable laterally along a linear path from a sealing position to an object passing position;

means for biasing the sealing elements towards the sealing position;

said first and second sealing elements having confronting sealing surfaces which sealingly engage one another when the sealing elements are in the sealing position so to seal the path when an object is not positioned along the path, said sealing elements configured to permit the object to pass therethrough; and

an object seal, positioned along the path, configured to sealably engage the object when the object is directed along the path to provide a fluid seal between the object and the hollow interior.

2. The medical device or claim 1 wherein the object seal includes a flexible, elastic, conical element, positioned along the path, tapering inwardly from a first end in a direction from the proximal end of the body towards the distal end of the body, the conical element including a central opening at a second end thereof, the central opening, when the conical element is in a relaxed, contracted position, having a diameter which is at least slightly smaller than the diameter of the object to provide a fluid seal between the object and the hollow interior being movable from the relaxed, contracted position to an open position so that the conical element is adapted to engage objects having an outside diameter of x to at least 2x.

3. The medical device of claim 2 wherein the conical element has an inner surface and the inner surface has a series of raised elements thereon.

4. The medical device of claim 1 wherein the object is an obturator.

5. The medical device of claim 1 wherein the medical device is a trocar.

6. The medical device of claim 1 wherein the sealing elements are each made of a block of an elastomeric material.

7. The medical device of claim 1 wherein the biasing means include spring means for biasing the sealing elements towards the sealing position.

8. The medical device of claim 1 wherein the sealing surfaces are elastomeric sealing surfaces.

9. The medical device of claim 8 wherein the sealing elements each include an elastomeric body to which the elastomeric sealing surfaces are secured.

10. The medical device of claim 1 wherein the sealing elements each includes a proximal surface tapering radially inwardly towards the distal end of the body when the sealing elements are in the sealing position.

11. The medical device of claim 1 wherein the sealing surfaces are straight.

12. The medical device of claim 1 further comprising:

a resilient vent ring, having an interior surface and an exterior surface, mounted along the path within the hollow interior of the body between the object seal and the distal end of the body;

a passageway formed from the interior surface, through the body and to a port exterior of the body;

a check valve positioned along the passageway to permit fluid flow through the port, along the passageway and into the hollow interior but to prevent fluid flow from the hollow interior, through the passageway and through the port; and

a vent ring deflector extending from the vent ring through a vent in the body to a user-accessible position exterior of the body, the vent ring deflector movable from a normally sealed position, at which the vent ring and vent ring deflector seal the vent to prevent fluid flow from the hollow interior and through the vent, to a vent position, at which the vent ring is deflected inwardly into the hollow interior to permit fluid flow from the hollow interior, through the vent and into a region exterior of the body.

13. The medical device of claim 12 wherein the vent ring is made of an elastomeric material.

14. The medical device of claim 12 wherein the check valve is a one-piece element with the vent ring.

15. The medical device of claim 12 wherein the port is part of a Luer lock fitting.

16. The medical device of claim 12 wherein the vent ring deflector extends radially from the vent ring and is a one-piece extension of the vent ring.

17. A trocar comprising:

a body having proximal and distal ends and a hollow interior defining a path between the proximal and distal ends;

an object sized to pass along the path; and

a seal mounted within the body and fluidly sealing the path with and without the object directed along the path and into the hollow interior, the seal including;

first and second sealing elements positioned along the path, each sealing element movable radially along a linear path from a sealing position to an object passing position;

means for biasing the sealing elements towards the sealing position;

said first and second sealing elements having confronting sealing surfaces which sealingly engage one another when the sealing elements are in the sealing position so to seal the path when an object is not positioned along the path, said sealing elements configured to permit the object to pass therethrough;

a flexible, elastic, conical element, positioned along the path, tapering inwardly from a first end in a direction from the proximal end of the body towards the distal end of the body, the conical element including a central opening at a second end thereof, the central opening, when the conical element is in a relaxed, contracted position, having a diameter which is at least slightly smaller than the diameter of the object to provide a fluid seal between the object and the hollow interior;

the conical element having an inner surface and the inner surface having a series of raised ring-like elements thereon; and

the conical element being movable from the relaxed, contracted position to an open position so that the conical element is adapted to engage objects having an outside diameter of x to at least 2x.

18. A seal for use with a surgical object and hollow body defining a path, the surgical object and the body being used in a minimally invasive surgical procedure, the body having proximal and distal ends, comprising:

first and second sealing elements positioned along the path, each sealing element movable laterally along a linear path from a sealing position to an object passing position;

first and second spring biasing the sealing elements towards the sealing position;

said first and second sealing elements having confronting sealing surfaces which sealingly engage one another when the sealing elements are in the sealing position so to seal the path when an object is not positioned along the path, said sealing elements configured to permit the object to pass therethrough.

19. The seal of claim 18 wherein the sealing elements are each made of a block of elastomeric material.

20. The seal of claim 18 wherein the sealing surfaces are elastomeric sealing surfaces.

21. The seal of claim 18 wherein the sealing elements each includes an elastomeric body to which the elastomeric sealing surfaces are secured.

22. The seal of claim 18 wherein the sealing elements each includes a proximal surface tapering radially inwardly towards the distal end of the body when the sealing elements are in the sealing position.

23. The seal of claim 18 wherein the sealing surfaces are straight.

24. The seal of claim 18 further comprising an object seal, positioned along the path, configured to sealably engage the object when the object is directed along the path to provide a fluid seal between the object and the hollow interior.

25. The seal of claim 24 wherein the object seal includes:

a flexible, elastic, conical element, positioned along the path, tapering inwardly from a first end in a direction from the proximal end of the body towards the distal end of the body, the conical element including a central opening at a second end thereof, the central opening, when the conical element is in a relaxed, contracted state, having a diameter which is at least slightly smaller than the diameter of the object to provide a fluid seal between the object and the hollow body.

26. The seal of claim 25 wherein the conical element has an inner surface and the inner surface has a series of raised ring-like elements thereon.

27. The seal of claim 25 wherein the conical element is adapted to engage surgical objects having outside diameter of x to at least 2x.

28. A medical device designed for minimally invasive surgical procedures comprising:

a body having proximal and distal ends and a hollow interior defining a path between the proximal and distal ends;

an object sized to pass along the path;

a seal mounted within the body and fluidly sealing the path with and without the object directed along the path and into the hollow interior, the seal including;

first and second sealing elements positioned along the path, each sealing element movable laterally along a linear path from the sealing position to an object passing position;

means for biasing the sealing elements towards the sealing position;

said first and second sealing elements having confronting sealing surfaces which sealingly engage one another when the sealing elements are in the sealing position so to seal the path when an object is not positioned along the path, said sealing elements configured to permit the object to pass therethrough; and

a resilient vent ring, having an interior surface and an exterior surface, mounted along the path within the hollow interior of the body between the seal and the distal end of the body, the vent ring adapted to permit fluid flow from the exterior of the body into the hollow interior, but to prevent fluid flow from the hollow interior to the exterior of the body.