Luminal port device having internal and external sealing mechanisms

• US 6,086,603 A
• Filed: 12/14/1998
• Issued: 07/11/2000
• Est. Priority Date: 12/14/1998
• Status: Expired due to Term

• Current Assignee: Syntheon LLC
• Original Assignee: Syntheon LLC
• Inventors: Termin, Charles S., Slater, Charles R., Smith, Kevin W., Gottlieb, Saul
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US09/211,175
• Time in Patent Office: 575 Days
• Field of Search: 606/1, 606/184, 606/185, 606/191, 606/192, 606/193, 604/164, 604/167, 604/174, 604/264
• US Class Current: 606/191
• 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 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments
• CPC Class Codes: A61B 2017/3486 Balloon

Abstract

A luminal port assembly insertable into an anatomical passageway includes a housing having a seal which creates a fluid-tight seal between the housing and the tissue of the anatomical passageway. At least one port is provided in the housing. Each port is preferably angularly movable relative to the housing and includes a substantially fluid-tight valved passageway and an insufflation conduit. A mechanism for retaining the luminal port assembly within the anatomical passageway is also provided.

Claims

1. A luminal port assembly for insertion into an anatomical passageway having tissue adjacent thereto, comprising:

a) a housing with a port having a valve therein;

b) sealing means for creating a substantially fluid tight seal between at least a portion of said housing and the anatomical passageway; and

c) retention means adapted to be coupled to the tissue for retaining the luminal port assembly within the anatomical passageway.

2. A luminal port assembly according to claim 1, wherein:

said port is comprised of a tubular member which includes said valve, and said tubular member is angularly movable relative to said housing.

3. A luminal port assembly according to claim 2, wherein:

said tubular member is articulable in at least two dimensions relative to said housing.

4. A luminal port assembly according to claim 1, wherein:

said sealing means defines a substantially toroidal shape.

5. A luminal port assembly according to claim 1, wherein:

said sealing means includes an inflatable member.

6. A luminal port assembly according to claim 1, wherein:

said housing is provided with a hollow, a periphery, and at least one opening between said periphery and said hollow, and

said sealing means includes an inflatable member about said periphery and in fluid communication with said at least one opening such that providing a pressurized fluid into said hollow causes said inflatable member to inflate.

7. A luminal port assembly according to claim 6, wherein:

said sealing means comprising at least two inflatable members about said periphery and in fluid communication with said at least one opening such that providing a pressurized fluid into said hollow causes said at least two inflatable members to inflate.

8. A luminal port assembly according to claim 1, wherein:

said sealing means includes a pressure-differential means for creating a pressure differential, and said sealing means applies said pressure differential between a periphery of said housing and the anatomical passageway.

9. A luminal port assembly according to claim 8, wherein:

said pressure-differential means creates a negative pressure.

10. A luminal port assembly according to claim 9, wherein:

said means for retaining said housing is said negative pressure.

11. A luminal port assembly according to claim 1, wherein:

said housing has a length and a diameter greater than said length.

12. A luminal port assembly according to claim 1, wherein:

said housing has a periphery, and

said means for retaining said housing in said anatomical passageway is a means for creating a negative pressure about said periphery of said housing.

13. A luminal port assembly according to claim 1, wherein:

said means for retaining said housing in said anatomical passageway is removably securely couplable to a distal portion of said housing.

14. A luminal port assembly according to claim 1, wherein:

said at least one port is at least two ports.

15. A luminal port assembly according to claim 14, wherein:

each of said at least two ports is independently angularly movable relative to said housing.

16. A luminal port assembly according to claim 1, wherein:

said port is further provided with at least one resilient diaphragm having a instrument-receiving hole therein.

17. A luminal port assembly according to claim 16, wherein:

said port is adapted to substantially fluid-tightly receive instruments having a diameter size range from about 3 mm to about 12 mm.

18. A luminal port assembly according to claim 1, wherein:

said port is adapted to substantially fluid-tightly individually receive various instruments which have a 5 mm variance in size.

19. A luminal port assembly according to claim 1, wherein:

said valve is one of a duckbill valve, flapper valve and a tricuspid valve.

20. A luminal port assembly according to claim 1, further comprising:

e) a handle means for maneuvering said luminal port assembly within anatomical passageway, said handle means couplable to and uncouplable from said housing.

21. A luminal port assembly according to claim 20, wherein:

said handle means includes a longitudinal axis, a first member provided with a throughbore parallel to said longitudinal axis, and a second member at least partially received within said throughbore and biased proximally within said throughbore by a spring means,

said second member including distal engaging means for releasably engaging said housing and being disengaged from said housing upon distal movement of said second member relative to said first member.

22. A luminal port assembly according to claim 20, wherein:

said handle means is provided with an insufflation conduit for providing an insufflation fluid through said valve.

23. A seal and retention assembly for receiving a port having a valve, said assembly and the port for insertion into an anatomical passageway having tissue adjacent thereto, said seal and retention assembly comprising:

a) a housing defining an opening in which the port is couplable;

b) sealing means for creating a substantially fluid tight seal between at least a portion of said housing and the anatomical passageway; and

c) retention means adapted to be coupled to the tissue for retaining the luminal port assembly within the anatomical passageway.

24. A seal and retention assembly according to claim 23, wherein:

said opening defines walls which are substantially spherically curved.

25. A seal and retention assembly according to claim 23, wherein:

said housing has a substantially toroidal shape.

26. A seal and retention assembly according to claim 23, wherein:

said sealing means includes an inflatable member.

27. A seal and retention assembly according to claim 23, wherein:

said housing is provided with a hollow, a periphery, and at least one opening between said periphery and said hollow, and

said sealing means includes an inflatable member about said periphery and in fluid communication with said at least one opening such that providing a pressurized fluid into said hollow causes said inflatable member to inflate.

28. A seal and retention assembly according to claim 27, wherein:

said sealing means comprising at least two inflatable members about said periphery and in fluid communication with said at least one opening such that providing a pressurized fluid into said hollow causes said at least two inflatable members to inflate.

29. A seal and retention assembly according to claim 23, wherein:

said sealing means includes a pressure-differential means for creating a pressure differential between said periphery of said housing and the anatomical passageway.

30. A seal and retention assembly according to claim 23, wherein:

said pressure-differential means creates a negative pressure at a periphery of said housing relative to said anatomical passageway.

31. A seal and retention assembly according to claim 23, wherein:

said housing has a length and a diameter greater than said length.

32. A seal and retention assembly according to claim 23, wherein:

said housing has a periphery, and

said means for retaining said housing in said anatomical passageway is a means for creating a negative pressure about said periphery of said housing.

33. A seal and retention assembly according to claim 23, wherein:

said means for retaining said housing in said anatomical passageway is removably securely couplable to a distal portion of said housing.

34. A seal and retention assembly according to claim 23, wherein:

said port is adapted to substantially fluid-tightly receive instruments having a diameter size range from about 3 mm to about 12 mm.

35. A seal and retention assembly according to claim 23, wherein:

said port is adapted to substantially fluid-tightly individually receive various instruments which have up to a 5 mm variance in size.

36. A luminal port assembly for insertion into an anatomical passageway having tissue adjacent thereto, comprising:

a) a housing with a port having a valve therein an entirety of, said valve being angularly movable relative to said housing; and

b) sealing means for creating a substantially fluid tight seal between at least a portion of said housing and the anatomical passageway.

37. A luminal port assembly according to claim 36, wherein:

said entirety of said is articulable relative to said housing.

38. A luminal port assembly according to claim 36, wherein:

said housing includes a plurality of ports, each having a valve therein entireties, said valves being independently angularly movable relative to said housing.

39. A luminal port assembly according to claim 36, further comprising:

c) retention means adapted to be coupled to the tissue for retaining the luminal port assembly within the anatomical passageway.

40. A luminal port assembly for insertion into an anatomical passageway having tissue adjacent thereto, comprising:

a) housing with a port having a valve therein, said port adapted to substantially fluid-tightly individually receive various instruments which have a 5 mm variance in size; and

b) sealing means for creating a substantially fluid tight seal between at least a portion of said housing and the anatomical passageway.

41. A luminal port assembly according to claim 40, wherein:

said port is adapted to substantially fluid-tightly receive instruments having a diameter size range from about 3 mm to about 12 mm.