Variable surgical access device

• US 8,328,761 B2
• Filed: 09/30/2008
• Issued: 12/11/2012
• Est. Priority Date: 09/30/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Widenhouse, Christopher W., Shelton, Frederick E. IV, Cropper, Michael S., Tsonton, Mark, Gill, Robert P., Voegele, James W., Murray, Michael A., Hess, Christopher J., Weisenburgh, William Bruce II
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): MATNEY, BROOKE MARIE
• Application Number:
  US12/242,726
• Publication Number:
  US 20100081995A1
• Time in Patent Office: 1,533 Days
• Field of Search: 604/164.08, 604/167.06, 604/173, 604/164.09, 600/206
• US Class Current: 604/164.08
• 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 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments

Abstract

Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient'"'"'s body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Claims

1. A surgical access device, comprising:

a housing having a flexible base with a plurality of rigid sealing ports extending therethrough, each sealing port having a sealing element therein, the flexible base being movable to allow each sealing port to selectively position instruments extending through the sealing element at converging and diverging positions relative to one another, wherein the base has a resting position in which the base has a non-planar substantially convex configuration extending across the housing such that a proximal-most end of each sealing port is distal to a proximal-most end of the housing.

2. The surgical access device of claim 1, wherein the flexible base is movable between the substantially convex configuration and a substantially concave configuration.

3. The surgical access device of claim 1, wherein each sealing port within the housing is selectively movable between a proximal position within the housing and a distal position within the housing.

4. The surgical access device of claim 1, further comprising a retractor extending distally from the housing and configured to form an opening through tissue for receiving instruments inserted through the sealing ports.

5. The surgical access device of claim 4, wherein the housing includes a distal annulus that releasably couples to a proximal flange on the retractor.

6. The surgical access device of claim 4, wherein the housing is rotatable relative to the retractor.

7. The surgical access device of claim 4, further comprising a flexible connector extending between the housing and the retractor to allow the housing to move relative to the retractor.

8. The surgical access device of claim 4, wherein the housing is hingedly connected to the retractor.

9. The surgical access device of claim 4, further comprising a release mechanism configured to allow selective engagement and disengagement of the housing with the retractor.

10. The surgical access device of claim 4, further comprising a flexible shield disposed within the retractor and configured to protect the retractor from damage caused by insertion of surgical instruments through the sealing ports and the retractor.

11. The surgical access device of claim 4, wherein the retractor includes a lighting element disposed thereon to allow illumination of a body cavity.

12. The surgical access device of claim 1, wherein each sealing port has a central axis that differs from one another and that differs from a central longitudinal axis of the housing.

13. The surgical access device of claim 1, wherein at least one of the sealing ports has an opening with a diameter different than a diameter of an opening in the other sealing ports.

14. The surgical access device of claim 1, wherein at least one of the sealing ports has a non-circular opening and is rotatable relative to the flexible base.

15. The surgical access device of claim 1, wherein each sealing port includes at least one of an instrument seal configured to form a seal around an instrument inserted therethrough, and a channel seal configured to seal the access port when no instrument is inserted therethrough.

16. A surgical access device, comprising:

a housing having a retractor extending therefrom and configured to form a pathway through tissue and a plurality of rigid sealing ports having sealing elements therein for receiving surgical instruments therethrough, each sealing port being freely movable relative to one another, relative to the housing, and relative to tissue when the retractor is positioned in tissue such that a proximal-most end of each sealing port is movable between a position outside of the housing and a position within the housing.

17. The surgical access device of claim 16, wherein each sealing port is disposed in a flexible base coupled to the housing.

18. The surgical access device of claim 17, wherein the flexible base is movable between convex and concave positions to move the sealing ports.

19. The surgical access device of claim 16, wherein each sealing port freely moves laterally, vertically, rotationally, and combinations thereof.

20. The surgical access device of claim 16, wherein the housing is rotatable relative to the retractor.

21. The surgical access device of claim 16, wherein each sealing port has a central axis that differs from one another and that differs from a central longitudinal axis of the housing.

22. The surgical access device of claim 16, further comprising a connector extending between the housing and the retractor to allow the housing to move relative to the retractor.

23. The surgical access device of claim 16, further comprising a release mechanism configured to allow selective engagement and disengagement of the housing with the retractor.

24. The surgical access device of claim 16, further comprising a flexible shield disposed within the retractor and configured to protect the retractor from damage caused by insertion of surgical instruments through the sealing ports and the retractor.

25. A surgical access device, comprising:

a housing having a plurality of sealing ports for receiving surgical instruments;

a retractor having an opening formed therethrough for providing a pathway through tissue for surgical instruments inserted through the plurality of sealing ports; and

a flexible connector configured to extend and compress in length, the connector being coupled between a distal end of the housing and a proximal end of the retractor that allows the housing to have a full range of lateral and vertical motion relative to the retractor.

26. The surgical access device of claim 25, wherein the connector allows rotational motion of the housing relative to the retractor.

27. The surgical access device of claim 25, wherein the connector has a proximal flange and a distal flange and a flexible cylindrical portion extending therebetween.

28. The surgical access device of claim 25, wherein the connector is formed from an elastomeric material.

29. The surgical access device of claim 25, wherein the housing is rotatable relative to the connector.

30. The surgical access device of claim 25, wherein at least one sealing port is rotatable relative to the housing.

31. The surgical access device of claim 25, wherein each sealing port has a central axis that differs from one another and that differs from a central longitudinal axis of the housing.

32. The surgical access device of claim 25, further comprising a flexible shield disposed within the retractor and configured to protect the retractor from damage caused by insertion of surgical instruments through the sealing ports and the retractor.