Expanding seal anchor for single incision surgery

• US 8,795,326 B2
• Filed: 10/02/2008
• Issued: 08/05/2014
• Est. Priority Date: 10/05/2007
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Richard, Paul D.
• Primary Examiner(s): SEVILLA, CHRISTIAN ANTHONY
• Application Number:
  US12/244,127
• Publication Number:
  US 20090093850A1
• Time in Patent Office: 2,133 Days
• Field of Search: 606/213, 604105-108, 604/164.01, 604/164.03, 604/164.06, 604/164.08, 604/164.09, 604/164.1, 604/164.11, 604/164.12, 604/174, 604/176, 604/256, 604/268, 600/206, 600/208, 600/210
• US Class Current: 606/206
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• 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 17/0293 with ring member to support retractor elements
• 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 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3429 having a unitary compressible body, e.g. made of silicone or foam
• 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
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

The present disclosure relates to a surgical anchoring apparatus for use during a minimally invasive surgical procedure. The surgical anchoring apparatus includes a body member and a dilator element at least partially positionable therein. The body member includes a grip segment adapted for manual engagement by a user and an expandable section having a plurality of expandable segments and a plurality of cam surfaces. The grip segment resiliently transitions between a first or normal state and a second state in which the grip segment is at least partially inverted. The expandable section'"'"'s cam surfaces are configured to engage a distal end of the dilator element upon its insertion such that the expandable section may transition from an initial condition to an expanded condition in which the body member is secured or anchored within an incision in tissue.

Claims

1. A surgical anchoring apparatus configured and dimensioned for positioning within tissue, which comprises:

a body member having proximal and distal ends, and defining a longitudinal body passage extending along a longitudinal axis of the body member, the body member including an expandable section adapted to transition between a first initial condition and a second expanded condition, wherein the body member includes a grip segment adapted for manual engagement by a user depending radially outwardly relative to the longitudinal axis of the body member, the grip segment being adapted to transition between a normal state and an at least partially inverted state, the grip segment being secured to the proximal end of the body member such that the grip segment extends proximally from the body member;

a dilator element at least partially positionable within the longitudinal passage of the body member, and being dimensioned to cause the expandable section to transition to the second expanded condition during insertion of the dilator element in the longitudinal passage, to thereby facilitate securement of the body member relative to tissue, the dilator element defining a longitudinal dilator passage for reception and passage of a surgical object; and

a seal secured to the dilator element, the seal adapted to establish a substantial sealing relation with the surgical object received within the dilator element.

2. The surgical anchoring apparatus according to claim 1 wherein the expandable section of the body member includes a plurality of expandable segments.

3. The surgical anchoring apparatus according to claim 2 wherein the expandable section includes a plurality of internal cam surfaces extending inwardly from an internal surface of the expandable section and obliquely arranged with respect to the longitudinal axis, the dilator element being dimensioned to contact the cam surfaces during insertion of the dilator element within the longitudinal passage of the body member to move the expandable segments at least radially outwardly relative to the longitudinal axis and cause the transition of the expandable section to the second expanded condition.

4. The surgical anchoring apparatus according to claim 3 wherein each expandable segment includes an internal cam surface.

5. The surgical anchoring apparatus according to claim 4 wherein adjacent expandable segments of the expandable section of the body member are separated by slots.

6. The surgical anchoring apparatus according to claim 5 wherein adjacent expandable segments are separated by substantially longitudinal slots.

7. The surgical anchoring apparatus according to claim 3 wherein the expandable section includes an outer helical thread adapted to facilitate advancement of the body member within the tissue when the body member is in the first initial condition.

8. The surgical anchoring apparatus according to claim 1 wherein the grip segment comprises an elastomeric material.

9. The surgical anchoring apparatus according to claim 8 wherein the grip segment includes a peripheral flange oriented towards the tissue in the normal state such that the peripheral flange is positioned to contact the tissue, and oriented away from the tissue in the at least partially inverted state.

10. The surgical anchoring apparatus according to claim 9 wherein the peripheral flange is adapted to establish a vacuum seal with the tissue during transition of the grip segment from the at least partially inverted state to the normal state.

11. The surgical anchoring apparatus according to claim 1 wherein the seal includes a gel material.

12. The surgical anchoring apparatus according to claim 1 wherein the seal includes a self healing foam material.

13. The surgical anchoring apparatus according to claim 1 wherein the expandable section includes a first portion defining a transverse cross-sectional dimension that decreases in a proximal direction, whereby the first portion of the expandable section is tapered in configuration, and a second portion positioned adjacent a distal end of the first portion, the second portion having a substantially constant transverse cross-sectional dimension.

28. The surgical anchoring apparatus according to claim 9 wherein the grip segment is positioned in a convex orientation in the normal state, wherein an outer surface of the grip segment extends towards the tissue such that the grip segment defines a cross-sectional dimension increasing in a distal direction, and the grip segment is positioned in a concave orientation in the at least partially inverted state, wherein an outer surface of the grip segment extends away from the tissue such that the grip segment defines a cross-sectional dimension decreasing in a distal direction.

14. A surgical anchoring apparatus configured and dimensioned for positioning within tissue, which comprises:

a grip segment configured and dimensioned for engagement with an outer surface of the tissue, the grip segment being adapted to transition between a normal state, wherein a peripheral portion of the grip segment is oriented towards the tissue, and an at least partially inverted state, wherein the peripheral portion of the grip segment is oriented away from the tissue;

an expandable section having a proximal end secured to the grip segment such that the expandable section extends distally from the grip segment, and a distal end opposite the proximal end, the expandable section defining a longitudinal axis, and being configured and dimensioned for movement between an initial condition and an expanded condition; and

a dilator element configured and dimensioned for insertion into the expandable section to cause the expandable section to transition to the second expanded condition during advancement of the dilator element through the expandable section to thereby facilitate securement of the expandable section relative to the tissue.

15. The surgical anchoring apparatus according to claim 14 wherein the dilator element defines a longitudinal passage configured and dimensioned to receive a surgical object.

16. The surgical anchoring apparatus according to claim 15 further including a seal secured to the dilator element, the seal being configured and dimensioned to receive the surgical object in substantially sealed relation upon insertion of the surgical object into the longitudinal passage of the dilator element.

17. The surgical anchoring apparatus according to claim 14 wherein the expandable section includes a plurality of expandable segments.

18. The surgical anchoring apparatus according to claim 17 wherein the expandable section includes a plurality of internal cam surfaces extending inwardly from an internal surface of the expandable section, the internal cam surfaces being obliquely arranged with respect to the longitudinal axis, the dilator element being configured and dimensioned to contact the cam surfaces to move the expandable segments radially outwardly relative to the longitudinal axis, and thereby move the expandable section into the expanded condition.

19. The surgical anchoring apparatus according to claim 18 wherein each expandable segment includes an internal cam surface.

20. The surgical anchoring apparatus according to claim 17 wherein adjacent expandable segments of the expandable section are separated by slots.

21. The surgical anchoring apparatus according to claim 20 wherein the slots are substantially linear in configuration.

22. The surgical anchoring apparatus according to claim 14 wherein the expandable section includes an outer helical thread configured and dimensioned to facilitate advancement of the expandable section through the tissue when the expandable section is in the initial condition.

23. The surgical anchoring apparatus according to claim 14 wherein the grip segment is configured and dimensioned for manual engagement by a user.

24. The surgical anchoring apparatus according to claim 14 wherein the grip segment depends radially outwardly relative to the longitudinal axis.

25. The surgical anchoring apparatus according to claim 14 wherein the grip segment comprises an elastomeric material.

26. The surgical anchoring apparatus according to claim 14 wherein the grip segment includes a peripheral flange configured and dimensioned to contact the tissue when the grip segment is in the normal state.

27. The surgical anchoring apparatus according to claim 26 wherein the peripheral flange is configured and dimensioned to form a vacuum seal with the tissue as the grip segment transitions from the at least partially inverted state to the normal state.

29. The surgical anchoring apparatus of claim 14 wherein the grip segment is positioned in a convex orientation in the normal state, wherein an outer surface of the grip segment extends towards the tissue such that the grip segment defines a cross-sectional dimension increasing in a distal direction, and the grip segment is positioned in a concave orientation in the at least partially inverted state, wherein an outer surface of the grip segment extends away from the tissue such that the grip segment defines a cross-sectional dimension decreasing in a distal direction.