Articulating surgical access system for laparoscopic surgery

• US 9,707,046 B2
• Filed: 01/25/2016
• Issued: 07/18/2017
• Est. Priority Date: 03/29/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Taylor, Eric, Malkowski, Jaroslaw T., Kleyman, Gennady
• Primary Examiner(s): Hammond, Ellen C
• Application Number:
  US15/005,048
• Publication Number:
  US 20160135912A1
• Time in Patent Office: 540 Days
• 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 17/3421 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 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/3429 having a unitary compressible body, e.g. made of silicone or foam
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2034/306 Wrists with multiple vertebrae
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient'"'"'s body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration.

Claims

1. A method of providing access to an internal surgical site, comprising:

positioning an access port within an opening in tissue, the access port including at least one lumen extending therethrough;

inserting a first arm through one of the lumens of the access port such that a proximal portion of the first arm is positioned externally of the internal surgical site and such that a distal portion of the first arm is positioned within the internal surgical site, the first arm including a passageway extending therethrough, first and second articulation assemblies coupled to the proximal portion thereof, and first and second articulatable segments positioned along the distal portion thereof;

inserting a first surgical instrument through the passageway of the first arm such that an end effector assembly thereof extends distally from the first arm and such that a handle of the first surgical instrument extends proximally from the first arm; and

manipulating a lever of the first articulation assembly of the first arm to articulate the first articulatable segment of the first arm independent of the second articulation assembly of the first arm to position the end effector assembly of the first surgical instrument for performing a surgical task within the internal surgical site.

2. The method according to claim 1, further comprising:

inserting a second arm through one of the lumens of the access port such that a proximal portion of the second arm is positioned externally of the internal surgical site and such that a distal portion of the second arm is positioned within the internal surgical site, the second arm including a passageway extending therethrough, first and second articulation assemblies coupled to the proximal portion thereof and first and second articulatable segments positioned along the distal portion thereof;

inserting a second surgical instrument through the passageway of the second arm such that an end effector assembly thereof extends distally from the second arm and such that a handle of the second surgical instrument extends proximally from the second arm; and

independently manipulating at least one of the first articulation assembly of the second arm to articulate the first articulatable segment of the second arm and the second articulation assembly of the second arm to articulate the second articulatable segment of the second arm to position the end effector assembly of the second surgical instrument for performing a surgical task within the internal surgical site.

3. The method according to claim 2, wherein the first and second articulatable segments of each of the first and second arms are independently articulatable between a substantially straight configuration and an articulated configuration.

4. The method according to claim 3, wherein, when each of the first and second articulatable segments of each of the first and second arms are disposed in the articulated configuration, the end effector assemblies of the surgical instruments oppose one another to facilitate performing a surgical task within the internal surgical site.

5. The method according to claim 1, wherein the lever is selectively moveable between a spaced-apart position and an approximated position for articulating the first articulatable segment of the first arm.

6. The method according to claim 1, wherein the second articulation assembly of the first arm includes a rotatable member disposed within a base and movable relative to the base for articulating the second articulatable segment of the first arm, the rotatable member configured to receive the first surgical instrument therein such that manipulation of the handle of the first surgical instrument moves the rotatable member within the base to articulate the second articulatable segment of the first arm.

7. The method according to claim 1, further comprising locking the position of at least one of the first articulatable segment and the second articulatable segment of the first arm.