Surgical access port and laparoscopic surgical method

• US 6,440,063 B1
• Filed: 08/21/2000
• Issued: 08/27/2002
• Est. Priority Date: 04/30/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: University Of Massachusetts
• Inventors: Verdura, Javier, Niemann, Allison C., Hasslinger, Randall J., Carroll, Maureen E., Beane, Richard, Ek, Steve, Stamm, Edward I. Jr.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/642,438
• Time in Patent Office: 736 Days
• Field of Search: 600/201, 600/207, 600/208, 600/235, 600/245, 600/184, 128/850, 128/852, 128/856, 128/887, 606/213
• US Class Current: 600/207
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• 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 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2090/306 using optical fibres
• 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
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment

Abstract

A device for retracting edges of an incision in a surface to form an opening including: a flexible, tubular skirt having an upper end, a lower end, and a channel therebetween; a ring connected to the lower end of the skirt for maintaining the lower end in an open configuration and defining an exit opening to the channel; and an inflatable collar connected to the skirt and surrounding the upper end. The ring is designed to fit through the incision and remain under the surface when it is oriented parallel to surface. The collar, when inflated, maintains the upper end in an open configuration and defines an entry opening to the channel. During use, the ring is inserted through the incision and the collar is inflated while remaining outside of the incision, thereby drawing the skirt against the edges of the incision and retracting the edges of the incision to form the opening. The retracting device can be included in a surgical access port, which further includes a flexible sleeve connected to at least one of the inflatable collar and the skirt, extending the channel from the exit opening of the skirt to an open end of the flexible sleeve distal to the skirt. The device can include a light source in the vicinity of the exit opening.

Claims

1. An apparatus for use during laparoscopic surgery, the apparatus comprising a tubular access port defining a passageway for accessing a patient'"'"'s body cavity through an incision, the access port comprising an inflatable portion encircling the passageway and an iris valve configured to adjustably seal the passageway.

10. The apparatus of claim 1, wherein the access port further comprises an inflation port coupled to the inflatable portion.

2. An apparatus for use during laparoscopic surgery, the apparatus comprising a tubular access port defining a passageway for accessing a patient'"'"'s body cavity through an incision, the access port comprising an inflatable portion encircling the passageway and an iris valve comprising a twistable membrane positioned along at least a portion of the passageway configured to adjustably constrict the passageway.

3. The apparatus of claim 2, wherein the inflatable portion is configured to secure the access port to the patient when one end of the tubular access port is inserted through the incision and the inflatable portion is inflated.

4. The apparatus of claim 2, wherein the twistable membrane is configured to adjustably constrict around a surgeon'"'"'s arm inserted through the passageway.

5. The apparatus of claim 2, wherein the twistable membrane is configured to adjustably constrict around an instrument inserted through the passageway.

6. The apparatus of claim 2, wherein the twistable membrane is configure to adjustably close the passageway in the absence of any object inserted through the passageway.

7. The apparatus of claim 2, wherein the passageway defined by the tubular access port is sized to pass a surgeon'"'"'s hand.

8. The apparatus of claim 2, wherein the inflatable portion encircling the passageway comprises an inflatable collar.

9. The apparatus of claim 2, wherein the access port further comprises a resilient lower ring encircling the passageway and configured to be inserted through the incision.

11. A laparoscopic surgical method comprising:

providing a tubular access port defining a passageway for accessing a patient'"'"'s body cavity, the tubular access port having an inflatable portion encircling the passageway;

inserting one end of the access port through an incision to the patient'"'"'s body cavity; and

twisting a membrane positioned along at least a portion of the passageway to constrict the passageway.

12. The method of claim 11, further comprising inserting a surgeon'"'"'s hand through the passageway to access the patient'"'"'s body cavity.

13. The method of claim 11, further comprising inserting an instrument through the passageway to access the patient'"'"'s body cavity.

14. The method of claim 11, further comprising securing the access port to the patient by inflating the inflatable portion.

15. The method of claim 11, wherein the access port includes an iris valve comprising the twistable membrane.

16. The method of claim 11, wherein the inflatable portion encircling the passageway comprises an inflatable collar.

17. The method of claim 11, wherein the access port further comprises a resilient lower ring encircling the passageway and configured to be inserted through the incision.

18. The method of claim 11, wherein the access port further comprises an inflation port coupled to the inflatable portion.

19. The method of claim 11, further comprising sealing the passageway by twisting the membrane.