Insertion device with floating housing and method of use

• US 7,803,135 B2
• Filed: 06/29/2007
• Issued: 09/28/2010
• Est. Priority Date: 06/29/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Franer, Paul T.
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): LANDRY II, GERALD ERNEST
• Application Number:
  US11/771,635
• Publication Number:
  US 20090005738A1
• Time in Patent Office: 1,187 Days
• Field of Search: 604/164.01, 604/264
• US Class Current: 604/164.01
• 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
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 39/0606 without means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

An insertion device configured for providing access to a treatment site within a body cavity is provided herein. In general, the device includes an elongate cannula configured to receive and allow passage therethrough of a surgical instrument to a treatment site. Additionally, a proximal end of the cannula is movably coupled to a housing thereby facilitating delivery of the instrument therethrough. Additionally, various embodiments of a method for delivering (e.g., laprascopically, endoscopically, etc.) various surgical instruments to various treatment sites via an elongate cannula wherein the cannula includes a proximal end movably coupled to a housing are provided herein.

Claims

1. An insertion device, comprising:

a cannula having a proximal end, a distal end, and a lumen extending therebetween, the lumen configured to allow for passage of a surgical device to a treatment site; and

a housing having a proximal end and a distal end located proximal to the proximal end of the cannula, wherein the distal end of the housing is movably coupled to the proximal end of the cannula by a flexible member, the housing having a lumen therethrough in alignment with the lumen in the cannula.

2. The insertion device of claim 1, further comprising at least one seal disposed in the housing and extending across the lumen in the housing.

3. The insertion device of claim 2, wherein the seal is fixedly disposed within the housing.

4. The insertion device of claim 2, wherein the at least one seal comprises a first seal and a second seal.

5. The insertion device of claim 1, wherein the flexible member comprises a bellows.

6. The insertion device of claim 1, wherein the flexible member comprises a spring.

7. A trocar assembly, comprising:

an obturator; and

a trocar cannula having

a housing with proximal and distal ends,

a hollow shaft having a proximal end located distal to the distal end of the housing and movably coupled to the distal end of the housing by a flexible member, and

a lumen extending through the housing and the hollow shaft for receiving and guiding the obturator through the trocar cannula.

8. The assembly of claim 7, wherein the flexible member extends between the proximal end of the hollow shaft and an opening formed in the distal end of the housing.

9. The assembly of claim 8, wherein the flexible member comprises a bellows.

10. The assembly of claim 8, wherein the flexible member comprises a spring.

11. The assembly of claim 7, further comprising at least one seal disposed in the housing and extending across the lumen in the housing.

12. The assembly of claim 11, wherein the seal is fixedly disposed within the housing.

13. The assembly of claim 11, wherein the at least one seal comprises a first seal and a second seal.

14. A method for processing the assembly of claim 7 for surgery, comprising:

a) obtaining the assembly of claim 7;

b) sterilizing the assembly; and

c) storing the assembly in a sterile container.

15. A method for delivering a surgical instrument to a treatment site, comprising:

inserting a cannula through tissue such that the cannula provides a working channel extending to a treatment site;

inserting an instrument through the cannula;

positioning the instrument offset from an axis of the cannula such that a housing having a distal end located proximal to the proximal end of the cannula and movably coupled to the proximal end of the cannula pivots relative to the cannula so as to move with the instrument.

16. The method of claim 15, wherein the cannula includes an obturator disposed therein, and inserting the cannula comprises penetrating obturator with cannula disposed therearound through tissue.

17. The method of claim 15, wherein the housing includes a seal, and the seal maintains a sealed relationship with the instrument as the housing pivots relative to the cannula.

18. The method of claim 15, further including sterilizing the insertion device after at least one use.