Apparatus for inserting a surgical device at least partially through a wound opening

• US 9,301,808 B2
• Filed: 05/14/2013
• Issued: 04/05/2016
• Est. Priority Date: 12/01/1998
• Status: Expired due to Fees

• Current Assignee: Atropos Limited
• Original Assignee: Atropos Limited
• Inventors: Butler, John, Vaugh, Trevor, Bonadio, Frank, MacNally, Shane J., Deegan, Catherine
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US13/894,172
• Publication Number:
  US 20130338646A1
• Time in Patent Office: 1,057 Days
• Field of Search: 606/99, 606/104, 606/916, 600/208
• US Class Current: 1/1
• 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 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/32093 for skin incisions
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• 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 17/3421 Cannulas
• 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 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/1487 Trocar-like, i.e. devices producing an enlarged transcutaneous opening
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/06042 located close to needle tip
• CPC Class Codes: A61B 2017/320044 Blunt dissectors
• CPC Class Codes: A61B 2017/3443 : with means for adjusting the length of a cannula
• CPC Class Codes: A61B 2017/3484 : Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/3492 : against the outside of the body
• CPC Class Codes: A61B 2090/036 : abutting on tissue or skin
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs
• CPC Class Codes: A61B 34/70 : Manipulators specially adapted for use in surgery

Abstract

An apparatus (650) for inserting a distal ring (9) of a wound retractor device (2) through a wound opening comprises a bladeless tip (641) for creating the wound opening by forcing tissue apart, and a conveying device (5) for conveying the distal ring (9) through the wound opening. The conveying device (5) comprises a hook element (6) for engaging the distal ring (9) to convey the distal ring (9) through the wound opening, and a receiver housing (651) for receiving a seal (652) and a proximal ring (653) of the wound retractor device (2) to hold the seal (652) and the proximal ring (653) externally of the wound opening, and thus maintain a sleeve portion of the wound retractor device (2) in tension, during conveying of the distal ring (9) through the wound opening.

Claims

1. An apparatus for inserting a surgical device at least partially through a wound opening, the apparatus comprising:

a holder including;

a proximal portion having a proximal opening,

a side portion having a slot,

a distal portion having a distal opening, and

a passage configured to receive at least a portion of the surgical device; and

a movable member coupled to the holder and movable relative to the holder, the movable member including;

a proximal portion,

a shaft extending from the proximal portion of the movable member, the shaft entering the holder through the proximal opening and being received in the passage of the holder,

a protrusion formed on an outer surface of the shaft, the protrusion extending into the slot of the holder, wherein the protrusion and the slot selectively limit relative motion between the movable member and the holder, and

a distal portion configured to engage the surgical device.

2. The apparatus of claim 1, wherein the slot extends longitudinally along the side portion of the holder.

3. The apparatus of claim 1, wherein a proximal portion of the slot limits proximal movement of the shaft relative to the holder.

4. The apparatus of claim 1, wherein edges of the side portion that form the slot engage side portions of the protrusion.

5. The apparatus of claim 1, wherein the shaft is selectively slidable into and out of the proximal opening of the holder.

6. The apparatus of claim 1, wherein the distal portion of the movable member is selectively slidable into and out of the distal opening.

7. The apparatus of claim 1, wherein the movable member is movable to a distalmost position relative to the holder, and at least a portion of the protrusion extends into the slot when the movable member is in the distalmost position.

8. An apparatus for inserting a surgical device at least partially through a wound opening, the apparatus comprising:

a holder including;

a proximal portion having a proximal opening,

a distal portion having a distal opening,

a side portion having a slot connected to the distal opening, wherein edges of the slot adjacent the distal opening diverge, and

a passage configured to receive at least a portion of the surgical device; and

a movable member coupled to the holder and movable relative to the holder, the movable member including;

a proximal portion including a protrusion forming a proximal end,

a shaft extending from the protrusion, the shaft entering the holder through the proximal opening and being slidably received in the passage of the holder, the shaft including a longitudinal axis, wherein the protrusion is aligned with the longitudinal axis, and

a distal portion configured to engage the surgical device, wherein the distal portion is selectively extendable out of and retractable into the distal opening.

9. The apparatus of claim 8, wherein a width of the slot increases as the slot approaches the distal opening.

10. The apparatus of claim 8, wherein a portion of the slot has edges that are substantially parallel.

11. The apparatus of claim 8, wherein the shaft includes a protrusion extending into the slot, the shaft protrusion being formed on an outer surface of the shaft.

12. The apparatus of claim 8, wherein the proximal end protrusion is wider than the shaft.

13. An apparatus for inserting a surgical device at least partially through a wound opening, the surgical device including at least a distal ring and a sleeve, the apparatus comprising:

a holder including;

a proximal portion having a proximal opening and at least one gripping protrusion extending from an outer surface of the proximal portion of the holder,

a passage configured to receive at least a portion of the distal ring of the surgical device,

a distal portion having a distal opening configured to allow at least a portion of the distal ring to enter into and exit from the passage, and

a side portion having a slot connected to the distal opening, wherein edges of the slot adjacent the distal opening diverge, and the slot is configured to receive at least a portion of the sleeve of the surgical device; and

a movable member coupled to the holder and movable relative to the holder, the movable member being movable relative to the holder between a first position allowing at least a portion of the distal ring of the surgical device to enter into the passage of the holder, and a second position for deploying at least a portion of the distal ring from the holder, the movable member including;

a proximal portion including a protrusion forming a proximal end, and

a shaft extending from the protrusion, the shaft entering the holder though the proximal opening and being slidably received in the passage of the holder, the shaft including a longitudinal axis, and the protrusion being aligned with the longitudinal axis of the shaft.

14. The apparatus of claim 13, wherein a width of the slot increases as the slot approaches the distal opening.

15. The apparatus of claim 13, wherein a distal portion of the movable member is selectively extendable out of and retractable into the distal opening.

16. The apparatus of claim 13, wherein the movable member includes a shaft protrusion extending into the slot, the shaft protrusion being formed on an outer surface of the shaft.

17. The apparatus of claim 13, wherein the movable member includes a distally facing surface configured to push the distal ring out of the passage as the movable member moves to the second position.

18. The apparatus of claim 13, wherein the at least one gripping protrusion includes a first gripping protrusion extending from a first side of the outer surface of the holder, and a second gripping protrusion extending from a second side of the outer surface of the holder, the second side being opposite the first side.

19. The apparatus of claim 13, wherein the at least one gripping protrusion extends substantially perpendicular to a longitudinal axis of the holder.