Device

• US 9,737,335 B2
• Filed: 01/12/2016
• Issued: 08/22/2017
• Est. Priority Date: 08/08/2002
• Status: Active Grant

• Current Assignee: Atropos Limited
• Original Assignee: Atropos Limited
• Inventors: Butler, John, Bonadio, Frank, Vaugh, Trevor, McManus, Ronan Bernard, MacNally, Shane Joseph, Deegan, Catherine
• Primary Examiner(s): Yang, Andrew
• Application Number:
  US14/993,781
• Publication Number:
  US 20160199095A1
• Time in Patent Office: 588 Days
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• 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 2017/00265 Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/3429 having a unitary compressible body, e.g. made of silicone or foam
• CPC Class Codes: A61B 2017/3441 with distal sealing means
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment

Abstract

A seal comprises a first sealing member and a second sealing member. The sealing members each have an accessway to facilitate access from one side of the sealing member to the other side of the sealing member. The accessways are offset to facilitate sealed access of an object through the sealing members.

Claims

1. A medical device, comprising:

a wound protector, including;

a proximal ring assembly having a proximal ring member including a central longitudinal axis,

a distal ring,

a wound-engaging sleeve extending between the proximal ring member and the distal ring, and

the proximal ring assembly further including a sealing member having a plurality of access portions that provide access through the sealing member, wherein a first access portion of the plurality of access portions is closer to the central longitudinal axis of the proximal ring member than a second access portion of the plurality of access portions, and wherein the sealing member is rotatable relative to the proximal ring member to facilitate rotation of the plurality of access portions relative to the proximal ring member about the central longitudinal axis of the proximal ring member.

2. The medical device of claim 1, wherein the plurality of access portions include a plurality of passages through the sealing member.

3. The medical device of claim 2, wherein the sealing member further includes one or more instrument seals for providing sealed access through the plurality of passages.

4. The medical device of claim 3, wherein an instrument seal of the one or more instrument seals includes a valve movable between an open configuration and a closed configuration.

5. The medical device of claim 1, wherein at least two of the access portions are offset from the central longitudinal axis of the proximal ring member.

6. The medical device of claim 1, wherein the first access portion and the second access portion have different widths.

7. A medical device, comprising:

a wound protector, including;

a proximal ring assembly having a proximal ring member including a central longitudinal axis,

a distal ring,

a wound-engaging sleeve extending between the proximal ring member and the distal ring, and

the proximal ring assembly further including a sealing member having access portions that provide access through the sealing member, wherein the access portions include a first access portion and a second access portion, the first access portion and the second access portion have different widths, and the sealing member is rotatable relative to the proximal ring member to facilitate rotation of the first access portion and the second access portion relative to the proximal ring member.

8. The medical device of claim 7, wherein an axis of rotation of the sealing member is coaxial with a central longitudinal axis of the proximal ring member.

9. The medical device of claim 7, wherein one of the first and second access portions is closer to a center of the sealing member than the other of the first and second access portions.

10. The medical device of claim 7, wherein the sealing member further includes an instrument seal for providing sealed access through one of the first and second access portions.

11. The medical device of claim 7, wherein a central longitudinal axis of the first access portion is offset from a central longitudinal axis of the proximal ring member.

12. The medical device of claim 11, wherein a central longitudinal axis of the second access portion is offset from the central longitudinal axis of the proximal ring member.

13. The medical device of claim 7, wherein each of the first access portion and the second access portion includes an opening in the sealing member.

14. A medical device, comprising:

a wound protector, including;

a proximal ring assembly having a proximal ring member,

a distal ring,

a wound-engaging sleeve extending between the proximal ring member and the distal ring, and the proximal ring assembly further including a sealing member having one or more instrument seals and a plurality of access portions that provide sealed access through the sealing member, wherein a first access portion of the plurality of access portions is more central on the sealing member than a second access portion of the plurality of access portions, and wherein the sealing member is rotatable relative to the proximal ring member to facilitate rotation of the one or more instrument seals and the plurality of access portions relative to the proximal ring member.

15. The medical device of claim 14, wherein an axis of rotation of the sealing member is coaxial with a central longitudinal axis of the proximal ring member.

16. The medical device of claim 14, wherein the sealing member includes a plurality of said instrument seals.

17. The medical device of claim 16, wherein central longitudinal axes of two instrument seals of the plurality of said instrument seals are offset from a central longitudinal axis of the proximal ring member.

18. The medical device of claim 14, wherein the sealing member is rotatably supported by the proximal ring member.

19. The medical device of claim 14, wherein the first access portion of the plurality of access portions and the second access portion of the plurality of access portions have different widths.

20. The medical device of claim 14, wherein the first access portion of the plurality of access portions is more central on the sealing member than a third access portion of the plurality of access portions.