Surgical access device

• US 9,827,383 B2
• Filed: 01/08/2014
• Issued: 11/28/2017
• Est. Priority Date: 04/28/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Minnelli, Patrick J., Montgomery, Kevin M.
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): WILSON, LARRY ROSS
• Application Number:
  US14/150,256
• Publication Number:
  US 20140121465A1
• Time in Patent Office: 1,420 Days
• Field of Search: 600101, 600205, 600210, 604 23- 26, 604158, 60416401, 60416403, 60416404, 60416701-16705, 604264, 606191, 606195
• CPC Class Codes: A61B 1/00128 mechanical, e.g. for tubes or pipes
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/122 using cleaning tools, e.g. brushes
• 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 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/3437 with means for removing or absorbing fluid, e.g. wicks or absorbent pads
• CPC Class Codes: A61B 2017/3441 with distal sealing means
• CPC Class Codes: A61B 2017/3464 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
• CPC Class Codes: A61B 90/70 Cleaning devices specially adapted for surgical instruments
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

Claims

1. A surgical access device, comprising:

a proximal housing, a distal cannula, and a working channel extending through the proximal housing and the distal cannula that is sized and configured to receive a surgical instrument;

a seal disposed within the proximal housing configured to seal the working channel when no surgical instrument is disposed therethrough, the seal having an opening extending therethrough and positioned to receive a surgical instrument passed through the working channel; and

a fluid remover positioned distal of the seal, the fluid remover having an opening extending therethrough and positioned to receive a surgical instrument passed through the working channel, and the fluid remover being configured such that, when an instrument occludes the opening in the fluid remover, the fluid remover allows insufflation gas to pass between a proximal side of the fluid remover and the distal cannula to thereby equalize a pressure on proximal and distal sides of the fluid remover.

2. The surgical access device of claim 1, wherein the fluid remover is positioned such that it is configured to be in a pathway of an insufflation gas flowing from an insufflation port formed in the proximal housing.

3. The surgical access device of claim 1, wherein the fluid remover includes a cut-out formed in at least a portion thereof and configured to allow an insufflation gas to pass from an insufflation port, through the cut-out, and into the distal cannula when an instrument occludes the opening.

4. The surgical access device of claim 1, wherein the fluid remover includes a scraper configured to scrape fluid off of a surgical instrument passed through the opening.

5. The surgical access device of claim 4, wherein the fluid remover includes a sorbent positioned to sorb fluid removed by the scraper.

6. The surgical access device of claim 5, wherein the sorbent is positioned distal to an insufflation port.

7. The surgical access device of claim 5, wherein the sorbent is disposed around a substantially cylindrical member.

8. The surgical access device of claim 4, wherein an insufflation port has a lumen extending therethrough and defining a longitudinal axis, and wherein the scraper is positioned distal to the longitudinal axis.

9. The surgical access device of claim 1, wherein at least a portion of the fluid remover is positioned distal to an insufflation port.

10. A surgical access device, comprising:

a housing defining a working channel sized and configured to receive a surgical instrument;

a seal disposed within the housing, the seal having an opening positioned to receive a surgical instrument passed through the working channel;

a sorbent disposed in the housing and configured to sorb fluid to prevent fluid from being redeposited on surgical instruments passed through the working channel; and

a scraper disposed in the housing and configured to scrape fluid off of surgical instruments passed through the working channel, the scraper being in contact with a proximal surface of the sorbent.

11. The surgical access device of claim 10, wherein the sorbent is positioned to sorb fluid away from the opening in the seal.

12. The surgical access device of claim 10, wherein the sorbent comprises an absorbent.

13. The surgical access device of claim 10, wherein the sorbent comprises an adsorbent.

14. The surgical access device of claim 10, wherein the housing includes a proximal portion containing the seal and a distal cannula extending distally from the proximal portion and configured to be inserted into a body cavity.

15. The surgical access device of claim 14, wherein the seal comprises a first seal, and the access device further comprises a second seal disposed within the housing, and wherein the sorbent is positioned distal of the first and second seals.

16. The surgical access device of claim 10, wherein the sorbent is configured to sorb fluid scraped by the scraper.

17. The surgical access device of claim 10, further comprising a wicking element disposed in the housing and configured to wick fluid away from a surgical instrument passing through the working channel.

18. An assembly for use in a surgical access device, comprising:

a seal having an opening configured to receive a surgical instrument therethrough;

a sorbent associated with the seal and configured to sorb fluid away from at least one of the opening and a surgical instrument passed through the opening; and

a scraper element configured to scrape fluid off of a surgical instrument extending through the opening of the seal, the scraper element being in contact with a proximal surface of the sorbent.

19. The assembly of claim 18, wherein the sorbent is an adsorbent element.

20. The assembly of claim 18, wherein the sorbent is an absorbent element.

21. The assembly of claim 18, wherein at least a portion of the scraper element is hydrophilic.

22. The assembly of claim 18, further comprising a wicking element associated with the scraper and configured to wick away fluid collected near the opening of the seal when a surgical instrument is passed through the opening.

23. The assembly of claim 18, further comprising a wicking element associated with the seal and configured to wick away fluid collected near the opening when a surgical instrument is passed through the opening.

24. The assembly of claim 18, wherein the seal comprises an instrument seal configured to form a seal when an instrument is inserted therethrough.

25. The assembly of claim 18, wherein the seal comprises a first seal, and the assembly further comprises a second seal.

26. The assembly of claim 25, wherein the sorbent is positioned distal of the first and second seals.