Surgical access device with protective element

• US 8,425,410 B2
• Filed: 09/30/2008
• Issued: 04/23/2013
• 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: Murray, Michael A., Widenhouse, Christopher W., Shelton, Frederick E. IV, White, William Jason, Gill, Robert P., Voegele, James Walden, Hess, Christopher J., Weisenburgh, William Bruce II
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US12/242,711
• Publication Number:
  US 20100081881A1
• Time in Patent Office: 1,666 Days
• Field of Search: 600/104, 600/201, 600203-206, 600/208, 600/210, 600/227, 600/235, 600/245, 604/27.34, 604/93.01, 604/99.03, 604/104, 604/164.04, 604/164.08, 604/167.01, 604/167.02, 604/167.03, 604/174, 604/236, 604/264, 604/284, 606/191
• US Class Current: 600/203
• 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 17/3462 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 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• 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 retractor having an opening extending therethrough for forming a pathway through tissue into a body cavity;

a housing coupled to the retractor and having a plurality of sealing ports for receiving surgical instruments; and

a flexible shield disposed within and extending through the retractor and configured to protect tissue from damage caused by the insertion of surgical instruments through the sealing ports and the retractor.

2. The surgical access device of claim 1, wherein the flexible shield has a length at least as long as a length of the retractor.

3. The surgical access device of claim 1, wherein the flexible shield has a length that is greater than a length of the retractor.

4. The surgical access device of claim 1, wherein the flexible shield is coupled to the housing and is configured to extend therefrom into a body cavity of a patient in which surgery is performed.

5. The surgical access device of claim 1, further comprising steering cables coupled to the flexible shield and configured to steer the flexible shield along a tortuous pathway.

6. The surgical access device of claim 1, wherein the flexible shield is removably coupled to the housing.

7. The surgical access device of claim 1, wherein the flexible shield is formed of a material selected from the group consisting of silicone, urethane, thermoplastic elastomer, and rubber.

8. The surgical access device of claim 1, wherein the flexible shield is formed of a material selected from the group consisting of polyolefins, polyesters, nylons, and fluoropolymers.

9. 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.

10. The surgical access device of claim 1, wherein the housing is rotatable relative to the retractor.

11. The surgical access device of claim 1, wherein at least one of the sealing ports is rotatable relative to the housing.

12. The surgical access device of claim 1, wherein each sealing port is freely movable relative to the housing such that the angular orientation of the central axis is adjustable.

13. The surgical access device of claim 1, further comprising flexible connector extending between the housing and the retractor to allow the housing to move polyaxially relative to the retractor.

14. The surgical access device of claim 13, wherein the flexible shield extends through the flexible connector and the retractor.

15. The surgical access device of claim 1, further comprising a release mechanism configured to allow selective engagement and disengagement of the housing with the retractor.

16. A surgical access device, comprising:

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

a retractor positionable in an opening of a patient'"'"'s body and extending distally from the housing for receiving surgical instruments inserted through the sealing ports; and

a collar coupled to and extending proximally from a perimeter of the housing and configured to protect tissue from damage caused by insertion of surgical instruments advanced into the sealing ports of the housing.

17. The surgical access device of claim 16, wherein the collar has a substantially conical shape with a distal opening and a proximal opening, the distal opening receiving a base of the housing.

18. The surgical access device of claim 16, wherein at least a distal portion of the collar is substantially rigid.

19. The surgical access device of claim 18, wherein at least the distal portion of the collar is formed from a material selected from the group consisting of polycarbonate and high density polyethylene.

20. The surgical access device of claim 16, wherein at least a proximal portion of the collar is substantially flexible.

21. The surgical access device of claim 20, wherein at least the proximal portion of the collar is formed from a material selected from the group consisting of silicone, urethane, thermoplastic elastomer, and rubber.

22. The surgical access device of claim 16, wherein the collar includes a releasable securing element on a distal portion thereof for releasably securing the collar to the housing.

23. The surgical access device of claim 22, wherein the securing element comprises at least one cantilevered snap.

24. The surgical access device of claim 16, wherein the collar has a plurality of suture holes disposed around a proximal portion thereof for securing the collar to tissue.

25. The surgical access device of claim 16, wherein the housing is rotatable relative to the retractor and rotation of the collar is effective to rotate the housing.

26. The surgical access device of claim 16, wherein the collar includes guide markings for orienting the housing and for guiding surgical instruments into the sealing ports.

27. A surgical access device, comprising:

a base ring having a proximal facing surface and a distal facing surface;

a retractor extending distally from the distal facing surface of the base ring;

a housing extending proximally from the proximal facing surface of the base ring, the housing having a plurality of sealing ports; and

a shield extending distally from the base ring through an interior of the retractor, the shield being configured to protect the retractor from damage caused by insertion of surgical instruments therethrough.

28. The surgical access device of claim 27, wherein the shield is releasably coupled to the base ring.

29. The surgical access device of claim 27, wherein the shield has a length that is greater than a length of the retractor.

30. The surgical access device of claim 27, further comprising steering cables coupled to the flexible shield and configured to steer the flexible shield along a tortuous pathway.

31. The surgical access device of claim 27, further comprising a release mechanism for removing the collar from the base ring.

32. The surgical access device of claim 27, wherein the shield is formed of a material selected from the group consisting of silicone, urethane, thermoplastic elastomer, and rubber.

33. The surgical access device of claim 27, further comprising a plurality of shields extending distally from each of the plurality of sealing ports.

34. The surgical access device of claim 27, wherein the shield is formed of a material selected from the group consisting of polyolefins, polyesters, nylons, and fluoropolymers.

35. The surgical access device of claim 27, further comprising a flexible connector extending between the housing and the retractor to allow the housing to move polyaxially relative to the retractor.