Surgical access devices with anvil introduction and specimen retrieval structures

• US 9,211,122 B2
• Filed: 07/13/2011
• Issued: 12/15/2015
• Est. Priority Date: 03/14/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hagerty, Karen N., Shelton, Frederick E. IV, Baxter, Chester O. III
• Primary Examiner(s): LAWSON, MATTHEW JAMES
• Application Number:
  US13/181,836
• Publication Number:
  US 20120238823A1
• Time in Patent Office: 1,616 Days
• Field of Search: 600201-246, 606/142, 606151-153, 606/219
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/0287 with elastic retracting members connectable to a frame, e.g. hooked elastic wires
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: F04C 2270/0421 Controlled or regulated

Abstract

In various forms, the access devices form at least one passageway through which various surgical instruments and tools may be admitted into the body cavity. Various embodiments may be configured to support an anvil for a circular stapling device therein. Various forms employ a flexible bag for retrieval of specimen from the body cavity.

Claims

1. A surgical access system, comprising:

a surgical access device, comprising;

a base portion; and

a first flexible bag protruding from said base portion and defining an access passage therethrough and wherein said surgical access system further comprises;

a support member comprising;

a releasable strap assembly comprising;

a retention portion coupled to said surgical access device;

a strap portion protruding from the retention portion;

an anvil support portion protruding from the strap portion and being selectively movable from a latched position wherein the anvil support portion is releasably coupled to the retention portion and an unlatched position; and

a flexible second bag defining an opening and being coupled to the anvil support portion.

2. The surgical access system of claim 1 wherein said first flexible bag comprises a cinchable opening in a distal end thereof and wherein said support member further comprises a drawstring extending around said cinchable opening, said drawstring having a proximal end extending through said surgical access device to be accessible outside of said base portion.

3. The surgical access system of claim 1 wherein said anvil support portion has a hole therethrough sized to receive an anvil stem therethrough.

4. The surgical access system of claim 1 further comprising an elastic collar on the flexible bag that defines a proximal bag opening.

5. A surgical access system, comprising:

a surgical access device, comprising a base portion including a device body portion protruding therefrom and defining a first access passage therethrough, said base portion comprising a flanged end portion including a cavity therein;

a tool introducer having a tubular body portion configured to releasably support a surgical tool therein, said tubular body portion sized to be slidably inserted through said first access passage in said device body portion; and

a specimen retrieval member coupled to said access device and being selectively deployable from a storage position within said cavity in said base portion wherein said specimen retrieval member does not obstruct said first access passage in said device body portion to a retrieval position.

6. The surgical access system of claim 5 wherein said specimen retrieval member comprises:

a flexible bag defining a cinchable opening; and

a drawstring extending around said cinchable opening, said drawstring having a proximal end extending through said access device to be accessible outside of said base portion.

7. The surgical access system of claim 6 wherein said flexible bag has a first open end coupled to said base portion and wherein a remaining portion of said flexible bag having said cinchable opening therein extends through said tool introducer.

8. The surgical access system of claim 6 further comprising an elastic collar on the flexible bag that defines a proximal bag opening.

9. The surgical access system of claim 5 wherein said device body portion includes a substantially frusto-conical shaped distal end.

10. The surgical access system of claim 9 wherein said frusto-conical shaped distal end of said device body portion is formed from a plurality of flexible arms that centrally converge toward each other to define a reduced portion of said access passage therebetween.

11. The surgical access system of claim 9 further including at least one tissue engagement protrusion on an exterior portion of said device body portion.

12. The surgical access system of claim 5 wherein said tool introducer comprises a retention structure configured to releasably engage a portion of a surgical tool.

13. A surgical system, comprising:

an anvil of a circular stapler;

a tool introducer having a first elongate tubular portion defining a first elongate access passage extending therethrough that is sized to releasably retain at least a portion of the anvil therein; and

an access port comprising a port body having a second elongate tubular portion protruding therefrom that is sized to extend into an opening into a body cavity and defining a second elongate access passage therethrough that is sized to movably support said first elongate tubular portion of said tool introducer therein; and

a retention structure on said first elongate tubular portion of said tool introducer for releasably attaching the anvil thereto such that said first elongate tubular portion and the anvil may be inserted through the opening in the body cavity as a unit and a second position wherein the anvil is detachable from the first elongate tubular portion of said tool introducer.

14. The surgical system of claim 13 further comprising a flexible specimen bag coupled to said access port and being selectively deployable from a storage position wherein said flexible specimen bag does not obstruct said second elongate access passage in said second elongate tubular portion of said access port such that said tool introducer may slide axially within said second elongate access passage therein and a deployed position wherein a distal end portion of said flexible specimen bag may pass through said first elongate access passage in said tool introducer into the body cavity.

15. The surgical system of claim 14 wherein said distal end of said flexible specimen bag has a selectively cinchable distal opening therethrough.

16. The surgical system of claim 14 wherein said port body further comprises an annular cavity therein configured to removably support the flexible bag specimen therein without obstructing the second elongate access passage.

17. The surgical system of claim 14 further comprising an elastic collar on the flexible bag that defines a proximal bag opening.

18. The surgical system of claim 13 wherein the anvil includes an anvil head that includes an anvil stem that protrudes therefrom and wherein said retention structure comprises means for releasably retaining the anvil head within the first elongate tubular portion such that a distal end of the anvil stem protrudes out of an open end of the first elongate tubular portion.

19. The surgical system of claim 18 wherein the anvil head includes a retention lug thereon and wherein said means for releasably retaining comprises a radial slot segment in said first elongate tubular portion, the radial slot segment sized to releasably receive the retention lug therein.

20. An access system for introducing an anvil of a circular stapler into a body cavity and for removing a specimen therefrom, said access system comprising:

a tool introducer having a first elongate tubular portion defining a first elongate access passage extending therethrough that is sized to releasably retain at least a portion of the anvil therein;

an access port comprising a port body having a second elongate tubular portion protruding therefrom that is sized to extend into an opening into the body cavity and defines a second elongate access passage therethrough that is sized to movably support said first elongate tubular portion of said tool introducer therein;

a retention structure on said first elongate tubular portion of said tool introducer for releasably attaching the anvil thereto such that said first elongate tubular portion and the anvil may be inserted through the opening in the body cavity as a unit and a second position wherein the anvil is detachable from the first elongate tubular portion of said tool introducer; and

a flexible specimen bag coupled to said access port and being selectively deployable from a storage position wherein said flexible bag specimen does not obstruct said second elongate access passage in said second elongate tubular portion of said access port such that said tool introducer may slide axially within said second elongate access passage therein and a deployed position wherein a distal end portion of said flexible specimen bag may pass through said first elongate access passage in said tool introducer into the body cavity and wherein said port body comprising an annular cavity therein configured to removably support said flexible bag specimen therein without obstructing the second elongate access passage.