Methods and devices for providing surgical access through tissue to a surgical site

• US 8,500,633 B2
• Filed: 12/11/2009
• Issued: 08/06/2013
• Est. Priority Date: 12/11/2009
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Livingston, Brandon L., Patil, Dhananjay V., Morgan, Jerome R., Farrell, Theodore R., Shelton, Frederick E. IV
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US12/636,174
• Publication Number:
  US 20110144437A1
• Time in Patent Office: 1,334 Days
• Field of Search: 222/527, 138/120, 285/146.1, 285/267, 606/110, 606/167, 606/170, 606184-185, 60428801-28803, 604/506, 604/513, 604/164.11, 604/264, 604106-108, 604/174, 600/104, 600/115, 600/121, 600/123, 600/129, 600/136, 600139-142, 600/149, 600/153, 600/154
• US Class Current: 600/205
• CPC Class Codes: A61B 17/3421 Cannulas
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/3443 with means for adjusting the length of a cannula
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside

Abstract

Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.

Claims

1. A modular access device, comprising:

a housing having a cannula extending distally therefrom, the housing and the cannula defining a working channel extending therethrough for receiving an instrument;

at least one seal element disposed within the working channel and configured to form at least one of a seal around an instrument disposed through the working channel and a seal across the working channel when no instrument is disposed therethrough; and

an anchor segment removably coupled to a distal end of the cannula, the anchor segment having a plurality of flexible wires extending between a proximal portion of the anchor segment and a distal portion of the anchor segment, the plurality of flexible wires being spaced longitudinally apart from one another and extending along a spiral between the proximal portion and the distal portion.

2. The modular access device of claim 1, wherein the anchor segment has a maximum outer diameter that is greater than a maximum outer diameter of the cannula.

3. The modular access device of claim 1, wherein the anchor segment is movable between a first configuration in which the anchor segment has a first outer diameter and a second configuration in which the anchor segment has a second outer diameter that is greater than the first outer diameter.

4. The modular access device of claim 3, wherein the anchor segment is configured to move between the first configuration and the second configuration upon rotation of the distal portion of the anchor segment.

5. The modular access system of claim 4, wherein rotation of the distal portion of the anchor segment comprises rotation of the distal portion relative to the proximal portion in a plane substantially perpendicular to a longitudinal axis of the cannula.

6. The modular access device of claim 3, further comprising an engagement feature formed within the anchor segment and configured to couple to a complementary engagement feature on an obturator.

7. The modular access device of claim 3, wherein at least a portion of the anchor segment is configured to collapse when the anchor segment moves from the first configuration to the second configuration.

8. The modular access device of claim 3, wherein the plurality of flexible wires are configured to collapse when the anchor segment moves from the first configuration to the second configuration.

9. The modular access device of claim 1, further comprising a sleeve disposed over the plurality of flexible wires.

10. The modular access device of claim 1, wherein the cannula is formed from a plurality of segments.

11. The modular access device of claim 10, wherein the plurality of segments are polyaxially coupled to one another.

12. A modular access system, comprising:

a housing configured to be positioned above an outer surface of a tissue;

a cannula extending distally from the housing and configured to extend through an opening in the tissue;

a plurality of anchors of differing configurations, each anchor being removably matable to a distal end of the cannula, and each anchor being movable between a first configuration in which the anchor has a first outer diameter and a second configuration in which the anchor has a second outer diameter that is greater than the first outer diameter; and

an obturator that is disposable through the housing and the cannula, the obturator having a first engagement feature formed on an outer sidewall thereof that is configured to engage a second engagement feature formed on an inner surface of one of the plurality of anchors such that when the first engagement feature engages the second engagement feature and the obturator is rotated about a longitudinal axis of the obturator, the rotation causes the anchor to move from the first configuration to the second configuration.

13. The modular access system of claim 12, further comprising at least one seal disposed within at least one of the housing and the cannula, the at least one seal being configured to form at least one of a seal around an instrument disposed through the access device and a seal within the access device when no instrument is disposed therethrough.

14. The modular access system of claim 12, wherein the obturator has a transparent distal tip.

15. The modular access system of claim 12, wherein the cannula is formed from a plurality of segments.

16. The modular access system of claim 12, wherein one of the first and second engagement features comprises a pin and another one of the first and second engagement features comprises a slot, the pin being configured to travel within the slot when the obturator ir rotated about the longitudinal axis.