Surgical access device

• US 9,687,272 B2
• Filed: 08/06/2015
• Issued: 06/27/2017
• Est. Priority Date: 09/30/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Widenhouse, Christopher W., Weisenburgh, II, William B., Shelton, IV, Frederick E., Norvell, David K., Gill, Robert P., Voegele, James W., Murray, Michael A., Hess, Christopher J., Cropper, Michael S.
• Primary Examiner(s): Philogene, Pedro
• Assistant Examiner(s): Comstock, David C
• Application Number:
  US14/819,716
• Publication Number:
  US 20150335353A1
• Time in Patent Office: 691 Days
• Field of Search: 600104, 600201, 600203-206, 600208, 600210, 600227, 600235, 600245, 604 2734, 604 9301, 604 9903, 604104, 60416404, 60416408, 60416701, 60416702, 60416703, 604174, 604236, 604264, 604284, 606191
• CPC Class Codes: A61B 1/018 for receiving instruments
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• 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 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments
• CPC Class Codes: A61B 2505/05 Surgical care

Abstract

Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient'"'"'s body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Claims

1. A surgical device, comprising:

a housing including a port housing having a sealing element disposed therein, the sealing element being configured to form a seal around a surgical instrument disposed therethrough; and

a retractor mated to the housing such that the retractor is below the housing in a vertical direction, the retractor being configured to be positioned within a tissue opening, and the retractor having a lumen extending therethrough, the lumen being configured to receive therein the surgical instrument disposed through the sealing element;

wherein the sealing element is configured to move in first, second, and third ranges of motion, the first range of motion including horizontal movement of the sealing element relative to the housing, the port housing and the retractor, the second range of motion including horizontal movement of the sealing element and the port housing as a unit relative to the retractor and the housing, and the third range of motion including vertical movement of the sealing element and the port housing as a unit relative to the retractor and the housing.

2. The device of claim 1, further comprising a connector disposed between the retractor and the housing, the connector being configured to flex in the vertical direction to allow the vertical movement of the sealing element and the port housing as a unit relative to the retractor, and the connector being configured to flex in a horizontal direction to allow the horizontal movement of the sealing element and the port housing as a unit relative to the retractor and the housing.

3. The device of claim 2, wherein the sealing element is configured to move in a fourth range of motion in which the sealing element and the port housing rotate as a unit in a horizontal plane relative to the retractor, and the connector is configured to rotate relative to the retractor to allow the fourth range of motion.

4. The device of claim 2, wherein the sealing element is configured to move in a fifth range of motion in which the sealing element and the port housing angularly adjust as a unit relative to a horizontal plane, and the connector is configured to flex relative to the retractor to allow the fifth range of motion.

5. The device of claim 2, wherein the connector is configured to allow the port housing and the sealing element to move in a full range of motion relative to the retractor.

6. The device of claim 2, wherein the housing is rotatable relative to the connector.

7. The device of claim 2, further comprising a flexible membrane attached to the sealing element, the flexible membrane being configured to flex to allow the horizontal movement of the sealing element relative to the housing, the port housing, and the retractor.

8. The device of claim 1, wherein the sealing element is configured to move in at least one of fourth and fifth ranges of motion, the fourth range of motion including the sealing element and the port housing rotating in a horizontal plane as a unit relative to the retractor, and the fifth range of motion including the sealing element and the port housing angularly adjusting as a unit relative to the horizontal plane.

9. The device of claim 1, further comprising a flexible membrane attached to the sealing element, the flexible membrane being configured to flex to allow the horizontal movement of the sealing element relative to the housing, the port housing, and the retractor.

10. A surgical device, comprising:

a housing including a port having a sealing element disposed therein, the sealing element being configured to form a seal around a surgical instrument disposed therethrough;

a retractor having a lumen extending therethrough, the lumen having a longitudinal axis, and the retractor being configured to be positioned within a tissue opening;

a flexible membrane attached to the sealing element; and

a connector mated to a distal portion of the housing and a proximal portion of the retractor, the connector being configured to flex to change a distance between the sealing element and the retractor and to flex to laterally move the sealing element relative to the longitudinal axis of the lumen;

wherein the sealing element is configured to float laterally within the housing relative to the housing, the connector, and the retractor, the flexible membrane being configured to flex to provide the lateral floating of the sealing element.

11. The device of claim 10, wherein the connector is configured to flex in a first vertical direction away from the retractor to increase the distance between the sealing element and the retractor and is configured to flex in a second vertical direction toward the retractor to decrease the distance between the sealing element and the retractor.

12. The device of claim 10, wherein the housing is configured to rotate relative to the connector about the longitudinal axis of the lumen.

13. The device of claim 10, wherein the flexible membrane is located entirely vertically above the connector.

14. A surgical device, comprising:

a housing including a port housing having a sealing element disposed therein, the sealing element being configured to form a seal around a surgical instrument disposed therethrough; and

a retractor mated to the housing, the retractor being configured to be positioned within a tissue opening, and the retractor having a lumen extending therethrough, the lumen being configured to receive therein the surgical instrument disposed through the sealing element;

wherein the sealing element is configured to move in first, second, and third ranges of motion, the first range of motion including angular adjustment of the sealing element relative to a horizontal plane and relative to the port housing and the retractor, the second range of motion including horizontal movement of the sealing element and the port housing as a unit in the horizontal plane relative to the retractor, and the third range of motion including vertical movement of the sealing element and the port housing as a unit relative to the retractor.

15. The device of claim 14, further comprising a connector disposed between the retractor and the proximal housing, the connector being configured to flex in the vertical direction to allow the vertical movement of the sealing element and the port housing as a unit relative to the retractor, and the connector being configured to flex in a horizontal direction to allow the horizontal movement of the sealing element and the port housing as a unit in the horizontal plane relative to the retractor.

16. The device of claim 15, wherein the sealing element is configured to move in a fourth range of motion in which the sealing element and the port housing rotate in the horizontal plane as a unit relative to the retractor, and the connector is configured to rotate relative to the retractor to allow the fourth range of motion.

17. The device of claim 15, wherein the sealing element is configured to move in a fifth range of motion in which the sealing element and the port housing angularly adjust as a unit relative to the horizontal plane, and the connector is configured to flex relative to the retractor to allow the fifth range of motion.

18. The device of claim 15, wherein the connector is configured to allow the port housing and the sealing element to move in a full range of motion relative to the retractor.

19. The device of claim 15, wherein the housing is rotatable relative to the connector.

20. The device of claim 14, further comprising a gimbal attached to the sealing element, the gimbal being configured to move relative to the port housing to allow the angular adjustment of the sealing element relative to the horizontal plane and relative to the port housing and the retractor.