System for surgical insufflation and gas recirculation

• US 8,961,451 B2
• Filed: 12/20/2007
• Issued: 02/24/2015
• Est. Priority Date: 12/18/2006
• Status: Active Grant

• Current Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Original Assignee: Surgiquest, Inc. (Jefferies Financial Group, Inc.)
• Inventors: Stearns, Ralph, Azarbarzin, Kurt, Nolan, Timothy J.
• Primary Examiner(s): Bosworth, Kami A
• Assistant Examiner(s): HAYMAN, IMANI N
• Application Number:
  US11/960,701
• Publication Number:
  US 20090137943A1
• Time in Patent Office: 2,623 Days
• Field of Search: 600/560, 604/131, 604/140, 604/147, 604/151, 604/23, 604/26, 604/264, 604/27, 604/30, 604/31, 604/48, 604/93.01, 604/33, 604/65, 604/67, 604/164.01
• US Class Current: 604/26
• CPC Class Codes: A61B 17/3421 Cannulas
• 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: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
• CPC Class Codes: A61M 13/006 with gas recirculation
• CPC Class Codes: A61M 2202/02 Gases
• CPC Class Codes: A61M 2205/3337 Controlling, regulating pressure or flow by means of a valve by-passing a pump
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site

Abstract

A system for insufflation and recirculation of insufflation fluid in a surgical procedure. The system includes a control unit having a fluid pump, a supply conduit, a return fluid conduit and a pressure-controlled valve. The fluid pump is adapted and configured to circulate insufflation fluid through the system. The supply conduit is in fluid communication with an output of the fluid pump and configured and adapted for delivering pressurized insufflation fluid to an output port of the control unit. The return conduit is in fluid communication with an input of the fluid pump for delivering insufflation fluid to the fluid pump and is configured and adapted for returning insufflation fluid from an input port of the control unit. The pressure-controlled valve is in fluid communication with the supply conduit and the return conduit, and is adapted and configured to receive a control signal and respond to the control signal by opening, thereby fluidly connecting the supply conduit and the return conduit with one another.

Claims

1. A system for insufflation and recirculation of pressurized fluid in a surgical procedure, the system comprising:

a control unit having;

a) a fluid pump adapted and configured to circulate pressurized fluid during the surgical procedure;

b) a supply conduit in fluid communication with an output of the fluid pump for delivering pressurized fluid to an output port of the control unit;

c) a return conduit in fluid communication with an input of the fluid pump for returning fluid from an input port of the control unit;

d) a valve assembly in fluid communication with the supply conduit and the return conduit, the valve assembly remaining in a closed state in the absence of a control signal corresponding to a change in abdominal pressure and being adapted and configured to respond to a sensed overpressure condition by opening an internal flow path, thereby fluidly connecting the supply conduit and the return conduit with one another;

e) a pressure sensing conduit in fluid communication with the valve assembly for communicating a pressure value thereto;

f) a safety pressure release valve in fluid communication with the pressure sensing conduit for releasing pressurized fluid into the atmosphere in addition to the opening of the internal flow path of the valve assembly; and

a surgical insufflator configured to receive, through an input port thereof, a supply of insufflation gas from a source, wherein an output port of the insufflator is in fluid communication with a patient'"'"'s abdominal cavity, and the insufflator is further configured to sense pressure within the abdominal cavity by way of the pressure sensing conduit and provide insufflation gas to the abdominal cavity through the pressure sensing conduit.

2. The system as recited in claim 1, wherein the control unit and the surgical insufflator are contained in a single housing.

3. The system as recited in claim 1, further comprising a trocar coupled to the control unit and including:

a) a body having a lumen extending therethrough;

b) a nozzle within the body for directing pressurized fluid into the lumen;

c) a fluid return plenum configured to collect spent insufflation fluid;

d) a fluid supply port in fluid communication with the nozzle for delivering a pressurized flow of fluid to the nozzle and configured to receive pressurized fluid from the output port of the control unit; and

e) a fluid return port in fluid communication with the fluid return plenum and configured to return spent insufflation fluid from the trocar to the input port of the control unit.

4. The system as recited in claim 3, wherein the trocar further comprises a pressure sensing chamber in fluid communication with the patient'"'"'s abdominal cavity and with the valve assembly of the control unit through the pressure sensing conduit.

5. The system as recited in claim 1, wherein the safety pressure release valve is configured to release pressurized fluid into the atmosphere at a sensed pressure that is higher than the sensed pressure at which the internal flow path of the valve assembly opens to fluidly connect the supply conduit and the return conduit with one another.

6. A system for insufflation and recirculation of pressurized fluid in a surgical procedure, the system comprising:

a control unit having;

a) a fluid pump adapted and configured to circulate pressurized fluid and maintain a fluid seal within a trocar coupled to the control unit;

b) a supply conduit in fluid communication with an output of the fluid pump and configured and adapted for delivering pressurized fluid to an output port of the control unit;

c) a return conduit in fluid communication with an input of the fluid pump for returning fluid from an input port of the control unit;

d) a valve assembly in fluid communication with the supply conduit and the return conduit, the valve assembly remaining in a closed state in the absence of a control signal corresponding to a change in abdominal pressure and being adapted and configured to respond to a sensed overpressure condition by opening an internal flow path, thereby fluidly connecting the supply conduit and the return conduit with one another through a bypass conduit, to reduce the supply of fluid to the fluid seal within the trocar;

e) a pressure sensing conduit in fluid communication with the valve assembly to communicate a pressure value thereto;

f) a safety pressure release valve in fluid communication with the pressure sense conduit for releasing pressurized fluid into the atmosphere in addition to the opening of the internal flow path of the valve assembly; and

a surgical insufflator configured to receive, through an input port thereof, a supply of insufflation gas from a source, wherein an output port of the insufflator is in fluid communication with a patient'"'"'s abdominal cavity by way of the trocar, and the insufflator is further configured to sense pressure within the abdominal cavity by way of the pressure sensing conduit and provide insufflation gas to the abdominal cavity through the pressure sense conduit.

7. The system as recited in claim 6, wherein the control unit and the surgical insufflator are contained in a single housing.

8. The system as recited in claim 6, wherein the trocar includes:

a) a body having a lumen extending therethrough;

b) a nozzle within the body for directing pressurized fluid into the lumen;

c) a fluid return plenum configured to collect spent insufflation fluid;

d) a supply port in fluid communication with the nozzle for delivering a pressurized flow of fluid to the nozzle and configured to receive pressurized fluid from the output port of the control unit; and

e) a fluid return port in fluid communication with the fluid return plenum and configured to return spent insufflation fluid from the trocar to the input port of the control unit.

9. The system as recited in claim 8, wherein the trocar further comprises a pressure sensing chamber in fluid communication with the patient'"'"'s abdominal cavity and with the valve assembly of the control unit through the pressure sensing conduit.

10. The system as recited in claim 6, wherein the safety pressure release valve is configured to release pressurized fluid into the atmosphere at a sensed pressure that is higher than the sensed pressure at which the internal flow path of the valve assembly opens to fluidly connect

the supply conduit and the return conduit with one another through the bypass conduit.