Access device for surgical treatment

• US 6,033,426 A
• Filed: 07/24/1998
• Issued: 03/07/2000
• Est. Priority Date: 07/29/1997
• Status: Expired due to Term

• Current Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Original Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Inventors: Kaji, Kunihide
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Bui, Vy Q.
• Application Number:
  US09/122,523
• Time in Patent Office: 592 Days
• Field of Search: 606/1, 606/213, 604/174, 604/256, 600/207
• US Class Current: 606/213
• CPC Class Codes: A61B 17/3421 Cannulas
• 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 17/3462 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 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 42/00 Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof
• CPC Class Codes: A61B 42/10 Surgical gloves

Abstract

The access device according to the present invention is an access device for connecting an interior of a living body to the exterior thereof and for inserting an object into the living body in a sealed state, the device comprising a communication body to be set in tight contact with an incised part of a wall of the living body, for pushing open the incised part, thereby to allow an interior of the living body to communicate with the exterior of the living body, a first valve attached and sealed to communication body, and a second valve attached and sealed to the communication body and adapted to be placed inside or outside the living body, the second valve being located closer to the living body than the first valve while placed outside the living body, wherein the first valve has a valve main body made of an elastic material and an insertion part provided on the valve main body, capable of elastically deforming when the object is inserted into the insertion part, thereby to allow the object to be inserted into the living body in the sealed state, and the second valve has a plurality of film bodes formed of an elastic material and attached on an inside surface of the communication body, each of the film bodies has a contact surface, is bent toward the interior of the living body approximately in the axial direction of the communication body and is adapted to contact the adjacent film bodies at the contact surface.

Claims

1. An access device for connecting an interior of a living body to the exterior thereof and for inserting an object into the living body in a sealed state, said device comprising:

a communication body to be set in tight contact with an incised part of a wall of the living body, for pushing open the incised part, thereby to allow an interior of the living body to communicate with the exterior of the living body;

a first valve attached and sealed to communication body; and

a second valve attached and sealed to the communication body and adapted to be placed inside or outside the living body, said second valve being located closer to the living body than the first valve while placed outside the living body;

wherein the first valve has a valve main body made of an elastic material and an insertion part provided on the valve main body, capable of elastically deforming when the object is inserted into the insertion part, thereby to allow the object to be inserted into the living body in the sealed state, and the second valve has a plurality of film bodies formed of an elastic material and attached on an inside surface of the communication body, each of the film bodies has a contact surface, is bent toward the interior of the living body approximately in the axial direction of the communication body and is adapted to contact the adjacent film bodies at the contact surface.

2. The access device according to claim 1, wherein the contact surfaces of each film body of the second valve adheres to each other with the action of the pressure in the abdominal cavity.

3. The access device according to claim 1, wherein the communication body comprises a thin-film-like sleeve which is formed of an elastic material.

4. The access device according to claim 1, further comprising a connection tube for connecting the first valve and the communication body to separate the first valve from the communication body.

5. The access device according to claim 4, wherein the connection tube is formed in a bellows-like configuration.

6. The access device according to claim 1, wherein a thick part which is thicker than the thickness of the film body is formed at a bent end part of the film body which forms a second valve.

7. The access device according to claim 1, wherein the first and the second valve are separated from each other in a predetermined distance so that the second valve is opened with the object after the object is inserted into the insertion part of the first valve and the insertion part is closed in the sealed state.

8. The access device according to claim 1, wherein the communication body has a first support part which closely adheres to an outside surface of the wall of the living body and a second support part which closely adheres to an inside surface of the wall of the living body and which sandwiches the wall of the living body with the first support part.

9. The access device according to claim 8, wherein the first valve is attached on the first support part.

10. The access device according to claim 9, wherein the first valve can be detached from the first support part.

11. The access device according to claim 8, wherein at least one of the first and the second support part is formed of a material which can be elastically deformed.

12. The access device according to claim 11, wherein at least one of the first and the second support part is formed in an oblong configuration.

13. The access device according to claim 8, wherein the first support part has a balloon which contacts the outside surface of the wall of the living body and can be swollen and shrunken, and the balloon is swollen to be pressed against the wall of the living body in a sealed state.

14. The access device according to claim 13, wherein the balloon is swollen by the infiltration of a fluid into the inside thereof.

15. The access device according to claim 8, wherein the first valve is formed of a ring-like balloon which can be swollen and shrunken.

16. The access device according to claim 15, wherein the first support part has a balloon part which contacts the outside surface of the wall of the living body and can be swollen and shrunken, and the balloon part is swollen to be pressed against the wall of the living body in a sealed state.

17. The access device according to claim 16, wherein the inside of the balloon and the inside of the balloon part are communicated to each other through a plurality of holes.

18. The access device according to claim 1, wherein the communication body comprises a sleeve which is formed of an elastic material, a first support part which is attached on one end side of the sleeve and closely adheres to the outside surface of the wall of the living body, and a second support part which is attached on the other end side of the sleeve, closely adheres to the inside surface of the wall of the living body and sandwiches the wall of the living body with the first support part, and the sleeve. is detachably attached on the first support part.

19. The access device according to claim 1, wherein the communication body has a removal prevention ring which closely adheres to the inside surface of the wall of the living body and prevents the removal from the incised part.

20. The access device according to claim 1, further comprising means for forcibly bringing film bodies which forms a second valve into contact with each other.

21. The access device according to claim 20, wherein means for forcibly bringing the film bodies which form the second valve into contact with each other is formed of a magnet which is provided on a contact surface of each of the film bodies.

22. The access device according to claim 1, wherein a plurality of ribs are provided on a rear surface of the film bodies which form the second valve, including a rear side part of the contact surface.

23. The access device according to claim 1, wherein the first valve is formed of a ring-like balloon which can be swollen and shrunken.

24. The access device according to claim 1, wherein the main body of the first valve is formed of a plurality of thin films, and each of the thin films is arranged in such a manner that the films are overlapped with each other in an approximately central part of the first valve.

25. The access device according to claim 1, wherein the first valve has a sticking surface and is stuck to and fixed on the outside surface of the wall of the living body through the use of the sticking surface.

26. The access device according to claim 1, further comprising connection means for connecting a treatment tool which is introduced into the living body to a device outside of the living body.

27. The access device according to claim 1, wherein the object to be inserted comprises at least one glove for operation, and the glove has a main body to which the hand is inserted and an arm insertion part to which the arm is inserted, a treatment part for treating the living body is attached at a portion of the main body to which a fingers of the hand are inserted, and either an electric cord or a tube which is connected to the treatment part is integrally attached on the arm insertion part, either the electric cord or the tube is extended to the outside from an open part at the hand of the arm insertion part.

28. The access device according to claim 27, wherein the treatment part is formed of at least one of a high frequency electrode, a swab, a suction and irrigation tube, a catheter, an injection needle, and a CCD.

29. The access device according to claim 27, wherein either the electric cord or the tube which is extended to the outside from the open part at the hand of the arm insertion part is connected to one connector.