Multiple port surgical access device

• US 8,430,811 B2
• Filed: 09/30/2008
• Issued: 04/30/2013
• 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: Hess, Christopher J., Widenhouse, Christopher W., Shelton, Frederick E. IV, Gill, Robert P., Voegele, James Walden, Murray, Michael A., Weisenburgh, William Bruce II
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US12/242,721
• Publication Number:
  US 20100081882A1
• Time in Patent Office: 1,673 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 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 plurality of access ports, each access port including a seal element having a slit adapted for selectively opening and closing to seal the access port when no instrument is passed therethrough, each slit extending substantially tangential to a circumference of the housing and at an angle with respect to one another.

2. The surgical access device of claim 1, wherein at least one of the seal elements has a maximum diameter when opened that is different than a maximum diameter of another one of the seal elements when opened.

3. The surgical access device of claim 1, wherein a proximal most portion of at least one of the seal elements is flush with a proximal most portion of the housing.

4. The surgical access device of claim 1, wherein a proximal most portion of at least one of the seal elements is at a position proximal to a proximal most portion of the housing.

5. The surgical access device of claim 1, wherein a proximal most portion of at least one of the seal elements is at a position distal to a proximal most portion of the housing.

6. The surgical access device of claim 1, wherein each access port has a central axis that differs from one another.

7. The surgical access device of claim 1, wherein at least one of the seal elements is rotatable relative to the housing.

8. The surgical access device of claim 1, further comprising an adapter removably matable to at least one of the access ports to change an effective diameter of the access port.

9. The surgical access device of claim 1, wherein at least one of the access ports includes a second seal element having an opening with a non-circular shape for forming a seal around a surgical instrument with a non-circular cross-section.

10. The surgical access device of claim 1, further comprising a retractor extending from the housing and having an opening for receiving surgical instruments inserted through the access ports.

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

12. The surgical access device of claim 10, further comprising a flexible connector extending between the housing and the retractor to allow the housing to move polyaxially relative to the retractor.

13. The surgical access device of claim 12, wherein the flexible connector is a bellows.

14. The surgical access device of claim 10, wherein the housing is hingedly connected to the retractor by a flexible connector.

15. The surgical access device of claim 10, further comprising a release mechanism that selectively engages and disengages the housing and the retractor.

16. The surgical access device of claim 10, 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 access ports and the retractor.

17. The surgical access device of claim 10, wherein the retractor includes a lighting element disposed thereon to allow illumination of a body cavity.

18. A surgical access device, comprising:

a retractor having an opening extending therethrough for forming a pathway through tissue into a body cavity;

a housing having a plurality of sealing ports; and

an actuator configured to lock and unlock an engagement mechanism to releasably mate the housing to the retractor.

19. The surgical access device of claim 18, wherein the housing includes a base ring and the retractor includes a proximal flange, the release mechanism engaging the base ring and the proximal flange to mate the housing to the retractor.

20. The surgical access device of claim 19, wherein the release mechanism comprises a C-clamp selectively positionable around the base ring and the proximal flange to mate the housing with the retractor.

21. The surgical access device of claim 19, wherein the release mechanism comprises a latch formed on the proximal flange and configured to selectively engage and disengage the base ring.

22. The surgical access device of claim 18, wherein each sealing port comprises an opening formed through the housing and having at least one of an instrument seal for forming a seal around a surgical instrument inserted therethrough and a channel seal for forming a seal in the opening when no instrument is inserted therethrough.

23. The surgical access device of claim 18, wherein the release mechanism is selected from the group consisting of a push button, a switch, and a trigger.

24. The surgical access device of claim 18, wherein each sealing port has a central axis that differs from one another.

25. The surgical access device of claim 18, wherein at least one of the sealing ports is rotatable relative to the housing.

26. The surgical access device of claim 18, wherein the housing is rotatable relative to the retractor.

27. The surgical access device of claim 26, wherein the release mechanism is effective to lock the housing in a desired rotational position.

28. The surgical access device of claim 18, 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.

29. The surgical access device of claim 18, further comprising a plurality of housings having a plurality of sealing ports, each housing being interchangeable with the others.

30. A surgical access device, comprising:

a housing having a plurality of access ports with duckbill seals extending distally therefrom; and

a retractor extending distally from the housing and having a mid-portion with a diameter that is less than a diameter of the housing,

wherein the duckbill seals extend into the retractor and are oriented to minimize unintentional contact by the retractor with the seals that would cause the seals to open.

31. The surgical access device of claim 30, wherein each duckbill seal includes a slit configured to selectively open and close, and wherein the slits are oriented tangentially to a circumference of the housing.

32. The surgical access device of claim 30, wherein at least one of the access ports has an opening with a diameter different than a diameter of an opening in the other access ports.

33. The surgical access device of claim 30, wherein at least one of the duckbill seals is positioned distally to the other duckbill seals.

34. The surgical access device of claim 30, wherein at least one of the duckbill seals extends into the mid-portion of the retractor.

35. The surgical access device of claim 30, wherein each access port has a central axis that differs from one another.

36. The surgical access device of claim 30, wherein at least one of the duckbill seals is rotatable relative to the housing.

37. The surgical access device of claim 30, further comprising an adapter removably matable to at least one of the access ports to change an effective diameter of the access port.

38. The surgical access device of claim 30, wherein at least one of the access ports includes an instrument seal having an opening with a non-circular shape configured to form a seal around a surgical instrument with a non-circular cross-section.

39. The surgical access device of claim 30, wherein the housing is rotatable relative to the retractor.

40. The surgical access device of claim 30, further comprising a connector extending between the housing and the retractor to allow the housing to move relative to the retractor.

41. The surgical access device of claim 30, further comprising a release mechanism configured to allow selective engagement and disengagement of the housing with the retractor.

42. The surgical access device of claim 30, 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 access ports and the retractor.