Surgical access system

• US 8,932,214 B2
• Filed: 05/11/2011
• Issued: 01/13/2015
• Est. Priority Date: 02/25/2003
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Hart, Charles C., Pingleton, Edward D.
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US13/105,179
• Publication Number:
  US 20110282157A1
• Time in Patent Office: 1,343 Days
• Field of Search: 600/184, 600/201, 600/204, 600/205, 600/206, 600/208
• US Class Current: 600/206
• 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 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/00265 Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body

Abstract

The invention is directed to a surgical access system that provides access to a surgical area while maintaining pneumoperitoneum during laparoscopic surgery. The access system comprises a sheath retractor adapted to dilate a wound stretchable to a desired diameter and a detachable seal adapted to be removable from the sheath retractor. In another aspect, the detachable seal comprising a valve including a plurality of overlapping sheets defining an access channel that extends into communication with the incision in the patient. Each of the overlapping sheets includes a portion of the perimeter that is not fixed to the inner diameter of the ring, which provide open edges defining the access channel.

Claims

1. A surgical access system, comprising:

a sheath retractor adapted to dilate a wound stretchable to a desired diameter, the sheath retractor disposed in a generally cylindrical form and operable to exert a radial retraction force on the wound; and

an iris seal removably coupled to the sheath retractor, the iris seal comprises;

a first iris ring;

a second iris ring coaxially attached to the first iris ring; and

a spring connected to and biasing the first and second iris rings;

an elastic member connected to the first and second iris rings and defining an opening,

wherein the first and second iris rings operate to rotate relative to one another in either direction to open or close the opening of the elastic member, each of the iris rings comprises a plurality of interlocking tracks to allow the iris rings to be relatively rotated at predetermined angles.

2. The surgical access system in claim 1 wherein the spring automatically pulls and rotates the iris rings after de-rotation.

3. The surgical access system in claim 1 wherein the spring is formed from an elastomeric material.

4. The surgical access system in claim 1 wherein as an object is withdrawn from the iris seal, the spring contracts and causes the elastic member to tighten automatically and wherein an amount the spring stretches and contracts is determined by the length of the spring.

5. The surgical access system in claim 1 wherein each of the iris rings comprises a hollow frame and the plurality of interlocking tracks encases the spring to prevent the spring from crossing into an instrument or hand passage area within the iris rings.

6. The surgical access system in claim 1 wherein each of the iris rings comprises a hollow frame and the plurality of interlocking tracks operate to open and close the cylindrical elastic member at predetermined angles.

7. The surgical access system of claim 1 wherein the plurality of interlocking tracks on the first iris ring comprises a first track disposed near an outer periphery of the first iris ring and a second track disposed near an inner periphery of the first iris ring.

8. The surgical access system of claim 7 wherein the plurality of interlocking tracks on the second iris ring are disposed in a middle portion of the second iris ring.

9. The surgical access system of claim 1 wherein the plurality of interlocking tracks on the second iris ring are disposed between the plurality of interlocking tracks on the first iris ring.

10. The surgical access system of claim 1 wherein the plurality of interlocking tracks of at least one of the first iris ring and the second iris ring includes a first track encircled by a second track.

11. The surgical access system of claim 1 wherein the plurality of interlocking tracks of the first iris ring includes a first track and a second track, the second track having an opening between first and second ends of the second track.

12. The surgical access system of claim 1 wherein the spring is contained within the first and second iris rings.

13. The surgical access system of claim 1 wherein the iris seal has an airtight constriction state in which the spring is contracted.

14. The surgical access system of claim 13 wherein the iris seal has an open state in which the spring is expanded and the elastic member has a cylindrical form when the iris seal is completely open.

15. The surgical access system of claim 1 wherein the iris seal is hands-free adjustable and self-closing.

16. The surgical access system of claim 1 wherein the iris seal and the sheath retractor form a sealing relationship with a robotic device or an arm of surgeon extending therethrough and into a patient.

17. The surgical access system of claim 1 wherein the sheath retractor comprises:

a first ring being adapted for disposition interiorly of the wound;

a second ring being adapted for disposition exteriorly of the wound; and

a sheath being disposed in a generally cylindrical form between the first ring and the second ring.

18. The surgical access system of claim 17 wherein at least one of the first ring, the second ring and the sheath is formed from an elastomeric material.