Surgical access device

• US 8,636,686 B2
• Filed: 10/12/2010
• Issued: 01/28/2014
• Est. Priority Date: 04/28/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Minnelli, Patrick J., Montgomery, Kevin M.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): WILSON, LARRY ROSS
• Application Number:
  US12/902,265
• Publication Number:
  US 20110046449A1
• Time in Patent Office: 1,204 Days
• Field of Search: 604 23- 26, 604/158, 604/164.01, 604/164.03, 604/164.04, 60416701-16705, 604/264, 600/101, 600/205, 600/210, 606/191, 606/195
• US Class Current: 604/26
• CPC Class Codes: A61B 1/00128 mechanical, e.g. for tubes or pipes
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/122 using cleaning tools, e.g. brushes
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/3474 Insufflating needles, e.g. Veress needles
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/3437 with means for removing or absorbing fluid, e.g. wicks or absorbent pads
• CPC Class Codes: A61B 2017/3441 with distal sealing means
• CPC Class Codes: A61B 2017/3464 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
• CPC Class Codes: A61B 90/70 Cleaning devices specially adapted for surgical instruments
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

Claims

1. A surgical access device, comprising:

a housing defining a working channel sized and configured to receive a surgical instrument;

an insufflation port formed in the housing and configured to deliver an insufflation gas to the working channel;

a seal disposed within the housing and positioned proximal to the insufflation port, the seal being configured to receive a surgical instrument passed through the working channel; and

a fluid remover disposed within the housing and positioned distal to the insufflation port, the fluid remover having an outer perimeter mounted within the housing and a central opening configured to receive surgical instruments therethrough, and the fluid remover being configured to allow insufflation gas to pass therethrough when an instrument occludes the central opening.

2. The surgical access device of claim 1, wherein the fluid remover comprises a scraper configured to scrape fluid away from surgical instruments inserted through the central opening.

3. The surgical access device of claim 2, wherein the scraper includes a wicking element formed thereon and configured to wick fluid away from the central opening in the scraper.

4. The surgical access device of claim 3, wherein the wicking element comprises a plurality of channels formed in a distal surface of the scraper and extending radially outward from the central opening such that fluid scraped off of a surgical instrument can flow into the channels.

5. The surgical access device of claim 2, wherein the fluid remover includes a sorbent disposed distal to the scraper and configured to receive fluid scraped by the scraper.

6. The surgical access device of claim 1, wherein the fluid remover includes a hole formed therein and positioned a distance away from the central opening and the outer perimeter, the hole being configured to allow insufflation gas to pass therethrough.

7. The surgical access device of claim 1, wherein the housing comprises a proximal housing portion and a distal housing portion having a cannula extending distally therefrom, the proximal and distal housing portions being disposed around an inner retainer, the working channel extending through the inner retainer and the cannula, the outer perimeter of the fluid remover being in sealing engagement with the inner retainer and the distal housing portion.

8. The surgical access device of claim 7, wherein the seal is captured between the inner retainer and the proximal housing portion.

9. The surgical access device of claim 7, wherein the distal cannula includes an angled distal surface having a distal-most point and a proximal-most point, the distal-most point being aligned with the insufflation port.

10. The surgical access device of claim 1, further comprising at least one opening formed on an outside wall of the housing and configured for receiving suture.

11. A surgical access device, comprising:

a housing and a cannula extending distally from the housing, the housing and the cannula having a working channel extending therethrough between a proximal opening formed in a proximal end of the housing and a distal end of the cannula, the working channel being sized and configured to receive a surgical instrument;

an insufflation port coupled to the housing and configured to receive and deliver an insufflation gas to the working channel;

a seal disposed within the housing and configured to substantially prevent passage of an insufflation gas from the insufflation port to the proximal opening when no surgical instrument is disposed therethrough; and

a fluid remover disposed within the housing and positioned distal of the seal, the fluid remover having an outer perimeter mounted within the housing, a central opening formed therethrough and positioned to receive a surgical instrument passed through the working channel, and a hole formed therein between the central opening and the outer perimeter, the hole being configured to allow insufflation gas to pass from the insufflation port to the cannula when an instrument is disposed through and occludes the central opening in the fluid remover.

12. The surgical access device of claim 11, wherein the fluid remover comprises a scraper configured to scrape fluid off of a surgical instrument passed through the opening.

13. The surgical access device of claim 12, further comprising a sorbent disposed within the housing at a location distal to the scraper, the sorbent being configured to sorb fluid removed by the scraper.

14. The surgical access device of claim 13, further comprising a plurality of nubs disposed within the housing and configured to push the sorbent into contact with the scraper.

15. The surgical access device of claim 12, further comprising a wicking element formed on the scraper and configured to wick fluid away from the central opening in the scraper.

16. The surgical access device of claim 13, wherein the sorbent has a central opening formed therethrough and axially aligned with the central opening in the scraper, the central opening in the sorbent having a diameter greater than a diameter of the central opening in the scraper.

17. The surgical access device of claim 11, wherein the insufflation port is positioned proximal to the fluid remover.

18. The surgical access device of claim 11, wherein the housing comprises a proximal housing portion and a distal housing portion disposed around an inner retainer, the working channel extending through the inner retainer, the outer perimeter of the fluid remover being in sealing engagement with the inner retainer, and the proximal opening being formed in the proximal housing.

19. The surgical access device of claim 18, wherein the inner retainer is captured between the proximal and distal housing portions.