Sealing cannula device

• US 6,210,397 B1
• Filed: 01/13/1999
• Issued: 04/03/2001
• Est. Priority Date: 01/13/1999
• Status: Expired due to Term

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: A-Med Systems, Inc.
• Inventors: Ziegler, Roland W., Kanz, William Russell, Aboul-Hosn, Walid Najib
• Primary Examiner(s): Kennedy, Sharon
• Assistant Examiner(s): Sirmons, Kevin C.
• Application Number:
  US09/229,806
• Time in Patent Office: 811 Days
• Field of Search: 604/533, 604/174, 604/164, 604/264, 604/175, 604/166.01, 604/164.09, 604/164.1, 604/164.11, 604/164.04, 411/411
• US Class Current: 604/533
• 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 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61M 2025/0079 Separate user-activated means, e.g. guidewires, guide tubes, balloon catheters or sheaths, for sealing off an orifice, e.g. a lumen or side holes, of a catheter
• 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
• CPC Class Codes: A61M 2025/028 having a mainly rigid support structure
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

This invention relates to a sealing cannula device which can be easily and properly inserted while effectively sealing an incision made during a surgical or non-surgical process. The sealing cannula device includes a cannula sleeve having an external flange and tissue engaging threads. The screw threads on the external surface of the cannula sleeve allows the device to be easily screwed through an incision made in a body cavity wall or blood vessel until the tissue abuts against the flange. The vessel or body cavity wall is compressed between the flange and a flat surface formed by the helical thread. An effective compression seal is formed between the device and cavity or vessel wall which protects the puncture site from environmental contaminants. An axial through hole in the device provides vascular or body cavity access during surgical or non-surgical procedures.

Claims

1. A sealing cannula for inserting through body tissue and forming a passageway through the body tissue for inserting medical instruments, the sealing cannula comprising:

a hollow cylindrical member having an exterior surface;

a flange extending from said exterior surface and having an upper surface and a lower surface; and

a thread on the exterior surface of said cylindrical member which terminates at a thread end spaced a distance from the lower surface of the flange sufficient to accommodate a layer of body tissue, the thread end having a planar surface substantially parallel to the lower surface of said flange such that the planar surface of the thread end and the lower surface of the flange cooperate to compress upon the layer of body tissue when the hollow cylindrical member is threaded into an aperture formed in the layer of body tissue to thereby automatically seal the aperture against leakage along the exterior surface of the cylindrical member.

2. The sealing cannula of claim 1, wherein an angle between the substantially parallel first surface of said flange and the planar surface of said thread is in the range of about 0°

to about 15°

.

3. The sealing cannula of claim 1, wherein the flange includes a concave surface which faces the body tissue when the hollow cylindrical member has been inserted into the body tissue.

4. The sealing cannula of claim 1, wherein the flange includes a lipped surface which faces the body tissue when the hollow cylindrical member has been inserted into the body tissue.

5. The sealing cannula of claim 1, further comprising a second thread on the exterior surface of said cylindrical member for receiving another cannula or other device.

6. The sealing cannula of claim 1, further comprising means for moving the flange in an axially movable manner.

7. The sealing cannula of claim 6, wherein the means for moving the flange in an axially movable manner comprises a second thread on the exterior surface of said cylindrical member which threadedly receives a threaded inner surface of the flange in an axially movable manner.

8. The sealing cannula of claim 1, further comprising means for biasing the flange against the body tissue.

9. The sealing cannula of claim 1, further comprising a second flange on the exterior surface of said cylindrical member, wherein a spring is positioned between the flange and the second flange, said spring biasing the flange against the body tissue.

10. The sealing cannula of claim 1, wherein the thread is made of temperature sensitive material and moves from a first insertion position to a second sealing position due to a change in temperature, the thread in said second sealing position forms a substantially continuous ring substantially parallel to the first surface of said flange to create a seal with the body tissue.

11. The sealing cannula of claim 1, further comprising a slidable member which engages a positioning lever, whereby said slidable member moves the thread from a first insertion position to a second sealing position, the thread in said second sealing position forms a substantially continuous ring substantially parallel to the first surface of said flange to create a seal with the body tissue.

12. A sealing cannula for inserting through body tissue and forming a passageway through the body tissue for inserting medical instruments, the sealing cannula comprising:

a hollow cylindrical member having an exterior surface;

a flange extending from said exterior surface and having a first surface;

a thread on the exterior surface of said cylindrical member which terminates at a thread end spaced a distance from the first surface of the flange sufficient to accommodate tissue, the thread end having a planar surface substantially parallel to the first surface of said flange to create a seal with the body tissue; and

a hemostasis valve such that an inner lumen of said cylindrical member can be at least partially sealed.

13. A sealing cannula coupled with a surgical instrument for inserting through body tissue and forming a passageway through the body tissue thereby eliminating a separate attachment means between the surgical instrument and cannula, the sealing cannula comprising:

a hollow cylindrical member having an exterior surface;

a surgical instrument having a lower surface; and

a thread on the exterior surface of said cylindrical member which terminates at a thread end spaced a distance from the lower surface of the surgical instrument sufficient to accommodate a layer of body tissue, said thread end having a substantially planar surface substantially parallel to the lower surface of said surgical instrument such that the planar surface of the thread end and the lower surface of the surgical instrument cooperate to compress upon the layer of body tissue when the hollow cylindrical member is threaded into an aperture formed in the layer of body tissue to thereby automatically seal the aperture against leakage along the exterior surface of the cylindrical member.

14. The sealing cannula of claim 13, wherein the hollow cylindrical member is made of a flexible material.

15. The sealing cannula of claim 13, wherein the surgical instrument is a pump.