Elastically deformable surgical access device having telescoping guide tube

• US 7,806,870 B2
• Filed: 04/13/2007
• Issued: 10/05/2010
• Est. Priority Date: 10/06/2006
• Status: Active Grant

• Current Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Original Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Inventors: Mastri, Dominick, Azarbarzin, Kurt
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US11/786,832
• Publication Number:
  US 20080086080A1
• Time in Patent Office: 1,271 Days
• Field of Search: 600/184, 600/188, 604/164.04, 604/164.07, 604/164.08, 604/164.11, 604/164.13, 604/167.01, 604/167.03, 604/174
• US Class Current: 604/164.04
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• 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 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/00991 Telescopic means
• CPC Class Codes: A61B 2017/3443 with means for adjusting the length of a cannula
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61M 2039/0279 for introducing medical instruments into the body, e.g. endoscope, surgical tools
• CPC Class Codes: A61M 2039/0291 method or device for implanting it in the body
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 39/045 pre-slit to be pierced by blunt instrument

Abstract

A surgical access device is disclosed that includes an access port having an elongated body with opposed proximal and distal end portions and defining a longitudinal axis, the body having a central lumen extending there through and having a resilient bulb portion formed between the proximal and distal end portions thereof, wherein the resilient bulb portion is adapted and configured to transition between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter that is less than the first diameter and a second length that is greater than the first length, and wherein a telescoping guide tube assembly is disposed within the central lumen of the access port body for accommodating an elongated insertion device, wherein the guide tube assembly is adapted and configured to transition between a first length corresponding to the first condition of the bulb portion and a second length corresponding to the second condition of the bulb portion.

Claims

1. A surgical access device comprising:

a) an access port having an elongated body with opposed proximal and distal end portions, the body having a central lumen extending therethrough and having a resilient bulb portion formed between the proximal and distal end portions thereof, wherein the resilient bulb portion is adapted and configured to transition between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter that is less than the first diameter and a second length that is greater than the first length; and

b) a telescoping guide tube assembly disposed within the central lumen of the access port body, wherein the guide tube assembly is adapted and configured to transition between a first length corresponding to the first condition of the bulb portion and a second length corresponding to the second condition of the bulb portion, wherein;

i) the telescoping guide tube assembly includes proximal and distal tube sections that cooperate together to define a passage within the central lumen of the access port body for an insertion device;

ii) each of the proximal and distal tube sections each has a proximal end and a distal end;

iii) the proximal ends and distal ends of the proximal and distal tube sections are co-located when the bulb portion is in the first condition; and

iv) the proximal end of the distal tube section and the distal end of the proximal tube section are co-located when the bulb portion is in the second condition.

2. A surgical access device as recited in claim 1, further comprising an insertion device adapted to extend into the central lumen of the access port body, through the passage defined by the proximal and distal tube sections of the telescoping guide tube assembly, and configured to releasably engage the guide tube assembly so as to facilitate the transition of the bulb portion from the first condition to the second condition.

3. A surgical access device as recited in claim 2, wherein the guide tube assembly has an engagement ring therein for mating with a corresponding engagement ring provided on the insertion device.

4. A surgical access device as recited in claim 3, wherein a proximal end portion of the distal section of the guide tube assembly includes the engagement ring.

5. A surgical access device as recited in claim 3, wherein an elongated trocar shaft of the insertion device includes the corresponding engagement ring.

6. A surgical access device as recited in claim 5, wherein the corresponding engagement ring is associated with a medial portion of the trocar shaft.

7. A surgical access device as recited in claim 2, wherein the insertion device includes a handle assembly and an elongated trocar shaft extending distally from the handle assembly.

8. A surgical access device as recited in claim 7, wherein the access port includes a housing portion associated with the proximal end portion of the access port body, and the housing portion includes a proximal engagement flange.

9. A surgical access device as recited in claim 8, wherein the handle assembly of the insertion device includes means for releasably engaging the engagement flange of the housing portion.

10. A surgical access device as recited in claim 9, wherein the means for releasably engaging the engagement flange of the housing portion includes a pair of opposed pivoting latching arms for releasably engaging the flange of the access port.

11. A surgical access device as recited in claim 10, wherein the pivoting latching arms of the handle assembly are normally biased into a latching position.

12. A surgical access device as recited in claim 7, wherein the trocar shaft has a distal tissue-penetrating tip that includes at least one optical window.

13. A surgical access device as recited in claim 12, wherein the at least one optical window includes at least two facets, and each of the facets defines an optical lens area.

14. A surgical access device as recited in claim 13, wherein the handle assembly includes means for receiving a laparoscope for communicating with the optical lens areas of the distal tissue-penetrating tip of the insertion device.

15. A surgical access device as recited in claim 14, wherein the handle assembly of the insertion device includes means for securing the position of a laparoscope relative to the insertion device.

16. A surgical access device as recited in claim 15, wherein the means for securing the position of a laparoscope relative to the insertion device includes a rotatable barrel cam for compressing an elastomeric washer about an outer periphery of a laparoscope.

17. A surgical access device as recited in claim 1, wherein the proximal tube section has a fixed position relative to the access port body and the distal tube section is adapted to translate relative to the proximal tube section.

18. A surgical access device as recited in claim 17, wherein the distal tube section of the guide tube assembly includes a nosepiece extending from the distal end portion of the access port body and having a tapered outer surface.

19. A surgical access device as recited in claim 18, wherein the tapered outer surface of the nosepiece merges into the outer surface of the bulb portion of the access port body.

20. A surgical access device as recited in claim 3, wherein the access port body includes a plurality of axially spaced apart annular retaining ribs.

21. A surgical access device as recited in claim 20, wherein the plurality of axially spaced apart annular retaining ribs includes two different rib structures, including a first rib structure having a horizontal ledge and an angularly inclined riser and a second rib structure having a generally V-shaped cross-section.

22. A surgical access device as recited in claim 21, wherein the access port body includes alternating axially spaced first and second rib structures.

23. A surgical access device as recited in claim 1, wherein the access port includes a housing portion associated with the proximal end portion of the access port body, the housing portion containing a seal member for interacting with the insertion device.

24. A surgical access device as recited in claim 23, wherein the seal member includes a duckbill seal portion and an annular wiper seal portion.

25. A surgical access device as recited in claim 23, wherein the proximal housing portion of the access port includes an insufflation port.

26. A surgical access device as recited in claim 25, wherein the insufflation port includes a removable cap.

27. A method of performing surgery comprising:

a) providing an access port having an elongated body with opposed proximal and distal end portions, the body having a central lumen extending therethrough and having a resilient bulb portion formed between the proximal and distal end portions thereof, wherein the resilient bulb portion is adapted and configured to transition between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter that is less than the first diameter and a second length that is greater than the first length, and a telescoping guide tube assembly disposed within the central lumen of the access port body, wherein the guide tube assembly includes proximal and distal tube sections that are adapted and configured to transition between a first length corresponding to the first condition of the bulb portion and a second length corresponding to the second condition of the bulb portion, wherein the proximal and distal tube sections of the guide tube assembly cooperate together to define a passage for a trocar and wherein;

i) each of the proximal and distal tube sections each has a proximal end and a distal end;

ii) the proximal ends and distal ends of the proximal and distal tube sections are co-located when the bulb portion is in the first condition; and

iii) the proximal end of the distal tube section and the distal end of the proximal tube section are co-located when the bulb portion is in the second condition;

b) inserting a trocar shaft into the central lumen, through the passage defined by the proximal and distal tube sections of the guide tube assembly, to extend the body and transition the bulb portion from the first diameter to the second diameter and to transition the guide tube assembly from the first length to the second length and to cause the proximal end of the distal tube section and the distal end of the proximal tube section to be co-located; and

c) inserting the access device through tissue with the bulb portion in the condition of the second diameter and the guide tube assembly in the condition of the second length.

28. A method according to claim 27, further comprising releasing the body from the trocar shaft, thereby permitting the bulb portion to return to the first diameter to anchor the access device in tissue.