Self-conforming surgical seal

• US 7,981,132 B2
• Filed: 11/08/2007
• Issued: 07/19/2011
• Est. Priority Date: 03/05/1993
• Status: Expired due to Fees

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Carlson, John E., Tsuji, Craig K., Dubrul, William R.
• Primary Examiner(s): Bui; Vy Q
• Application Number:
  US11/936,893
• Publication Number:
  US 20080058716A1
• Time in Patent Office: 1,349 Days
• Field of Search: 606/185, 606/190, 606/191, 604/64.1
• US Class Current: 606/185
• 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 17/3431 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 17/3474 Insufflating needles, e.g. Veress needles
• 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 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2090/0815 Implantable devices for insertion in between organs or other soft tissues
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61M 2025/0025 having a collapsible lumen
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

The present disclosure relates to surgical seal, or valve, of the type adapted to releasably receive a surgical object. The seal disclosed herein defines an aperture that is configured to maintain a substantially fluid-tight seal with the surgical object upon its insertion, and includes at least one cable member connected to the seal that facilitates maintenance of the substantially fluid-tight seal during subsequent lateral manipulation of the surgical object.

Claims

1. An apparatus for enlarging an anatomical space, the apparatus comprising:

a dilation member having a radially expandable portion at least partially fabricated from a series of filaments, the dilation member defining a lumen and having at least a first cross-sectional area; and

an expansion member operatively associated with the dilation member for effectuating expansion of the radially expandable portion from the first cross-sectional area to at least one additional cross-sectional area which is greater than the first cross-sectional area, the expansion member including;

a handle assembly; and

a tubular element extending distally from the handle assembly, the tubular element including a proximal end, a distal end, and an anchoring portion positioned adjacent the distal end, the handle assembly being repositionable to selectively reconfigure the anchoring portion from a first relatively smaller diameter to a second relatively larger diameter to anchor the expansion member within the anatomical space.

2. The apparatus according to claim 1, wherein the filaments are interlaced so as to form a mesh.

3. The apparatus according to claim 1, wherein the series of filaments are non-elastic.

4. The apparatus according to claim 1, wherein the series of filaments define a cross-sectional area that is non-round.

5. The apparatus according to claim 4, wherein the dilation member defines a length that is decreased as the radially expandable portion expands from the first cross-sectional area to the second cross-sectional area.

6. The apparatus according to claim 1, further comprising a sheath disposed about at least a portion of the dilation member.

7. The apparatus according to claim 6, wherein the sheath is removable.

8. The apparatus according to claim 1, wherein the tubular element includes a longitudinal passageway extending therethrough, and the expansion member further includes an inner member positionable within the longitudinal passageway of the tubular element, the inner member being secured to the tubular element at the distal end thereof.

9. The apparatus according to claim 8, wherein the handle assembly includes a proximal handle portion secured to the tubular element, and a distal handle portion secured to the inner member, wherein relative movement between the proximal and distal handle portions causes corresponding relative movement between the tubular element and the inner member.

10. The apparatus according to claim 9, wherein the proximal and distal handle portions are respectively secured to the tubular element and the inner member such that movement of the proximal handle portion relative to the distal handle portion in a proximal direction causes expansion of the anchoring portion from the first relatively smaller diameter to the second relatively larger diameter.

11. An apparatus for enlarging an anatomical space, the apparatus comprising:

a dilation member defining a lumen, the dilation member having a first condition, in which at least a portion thereof is configured for percutaneous introduction into the anatomical space, and at least a second condition, in which the portion configured for percutaneous introduction is radially larger than when in the first condition, the portion of the dilation member configured for percutaneous introduction being fabricated from a series of inter-laced filaments; and

an expansion member operatively associated with the dilation member for transitioning the dilation member between the first and second conditions, the expansion member including;

a handle assembly; and

a tubular element extending distally from the handle assembly, the tubular element including a proximal end, a distal end, and an anchoring portion positioned adjacent the distal end, the handle assembly being repositionable to selectively reconfigure the anchoring portion from a first relatively smaller diameter to a second relatively larger diameter to anchor the expansion member within the anatomical space.

12. The apparatus according to claim 11, wherein the series of filaments are non-elastic.

13. The apparatus according to claim 12, wherein the dilation member defines a length that is decreased as the dilation member transitions from the first condition to the second condition.

14. The apparatus according to claim 13, wherein the dilation member is at least partially surrounded by a removable sheath.

15. An apparatus for enlarging an anatomical space, the apparatus comprising:

a dilation member having a proximal end, a distal end, and defining a lumen, at least a portion of the dilation member being fabricated from a plurality of filaments, the dilation member having a first configuration, in which the dilation member defines a substantially uniform cross-sectional area along its entire length, and a second configuration, in which the dilation member has an enlarged cross-sectional area along at least a portion of its length; and

an expansion member operatively associated with the dilation member for reconfiguring the dilation member from the first configuration to the second configuration, the expansion member including;

a handle assembly; and

a tubular element extending distally from the handle assembly, the tubular element including a proximal end, a distal end, and an anchoring portion positioned adjacent the distal end, the handle assembly being repositionable to selectively reconfigure the anchoring portion from a first relatively smaller diameter to a second relatively larger diameter to anchor the expansion member within the anatomical space.

16. The apparatus according to claim 15, wherein the plurality of filaments are non-elastic.

17. The apparatus according to claim 16, wherein the dilation member defines a length that is shortened as the dilation member is reconfigured from the first configuration to the second configuration.

18. The apparatus according to claim 17, wherein the dilation member is at least partially surrounded by a removable sheath.