Multi-port laparoscopic access device

• US 8,545,450 B2
• Filed: 04/05/2006
• Issued: 10/01/2013
• Est. Priority Date: 04/08/2005
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Voegele, James W., Gill, Robert P., Voegele, Aaron C., Weisenburgh, William B. II, Hess, Christopher J., Geis, William P.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US11/398,985
• Publication Number:
  US 20060247673A1
• Time in Patent Office: 2,736 Days
• Field of Search: 604/93.01, 604/99.03, 604/264, 604/27, 604/34, 604/167.02, 604/167.03, 604/236, 604/247, 604/284, 604/174, 604/175, 606/167, 606/170, 606/1
• US Class Current: 604/175
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• 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 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• 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 17/3423 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 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 17/4241 Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
• 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 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00362 Packages or dispensers for MIS instruments A61B2017/0479 takes precedence
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00893 : pharmaceutically effective
• CPC Class Codes: A61B 2017/0419 : H-fasteners
• CPC Class Codes: A61B 2017/0461 : with features cooperating with special features on the suture, e.g. protrusions on the suture
• CPC Class Codes: A61B 2017/0462 : One way system, i.e. also tensioning the suture
• CPC Class Codes: A61B 2017/0464 : for soft tissue
• CPC Class Codes: A61B 2017/0647 : having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/2825 : Inserts of different material in jaws
• CPC Class Codes: A61B 2017/2829 : with a removable cover
• CPC Class Codes: A61B 2017/2931 : with releasable head
• CPC Class Codes: A61B 2017/306 : holding by means of suction
• CPC Class Codes: A61B 2017/3405 : using mechanical guide means
• CPC Class Codes: A61B 2017/3437 : with means for removing or absorbing fluid, e.g. wicks or absorbent pads
• CPC Class Codes: A61B 2017/3445 : used as instrument channel for multiple instruments catheters A61B2017/22072
• 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 2090/3908 : Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/3925 : ultrasonic
• CPC Class Codes: A61B 2090/3937 : Visible markers
• CPC Class Codes: A61B 2090/3954 : magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 2090/3987 : Applicators for implanting markers
• CPC Class Codes: A61B 90/30 : Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/39 : Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61B 90/50 : Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61F 2/0063 : Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 : Delivery tools therefor

Abstract

A surgical access device includes a base having two or more ports or apertures that provide for the insertion of surgical instruments. The multi-port insert may be used with a laparoscopic access device. The multi-port insert may also include one or more instrument supports that are attached to the base to fix the position of one or more surgical instruments inserted through the multi-port insert.

Claims

1. A surgical access device for providing surgical access through an incision in the body wall to the inside of a body cavity of a patient, the surgical access device having a center axis and comprising:

an assembly having a proximal end and a distal end and having an opening around the center axis, the assembly comprising a ring, and a sleeve coupled to and extending generally axially from the ring and positionable in the incision, the sleeve defining a passageway through the body wall between the opening in the assembly and the body cavity;

a subassembly releasably positionable at the proximal end of the assembly and defining at least two apertures sized for accepting surgical instruments; and

a member disposed radially outwardly and distally with respect to the at least two apertures, the member positioned with respect to the sleeve to protect the sleeve from instruments inserted through the apertures.

2. The surgical access device of claim 1, wherein the apertures are sized from between about five and twelve millimeters.

3. The surgical access device of claim 1, wherein at least one aperture comprises a seal assembly.

4. The surgical access device of claim 3, wherein the seal assembly is an iris seal.

5. The surgical access device of claim 3, wherein the seal assembly is a duck bill valve.

6. The surgical access device of claim 1, wherein the assembly comprises at least one instrument support.

7. The access device of claim 1 comprising a latch mechanism for releasably attaching the subassembly to the proximal end of the assembly.

8. A surgical access device for providing surgical access through an incision in the body wall to the inside of a body cavity of a patient, the surgical access device having a center axis and comprising:

an assembly having a proximal end and a distal end and having an opening around the center axis, the assembly comprising an upper ring, a lower ring, and a sleeve extending generally axially from the upper ring to the lower ring, the sleeve and the lower ring positionable in the incision, the sleeve defining a passageway through the body wall between the opening in the assembly and the body cavity;

a subassembly releasably positionable on the assembly and defining at least three apertures sized for accepting surgical instruments; and

a member extending at least partially into the passageway defined by the sleeve, the member disposed radially outwardly and distally with respect to the at least three apertures and positioned with respect to the sleeve to protect the sleeve from instruments inserted through the apertures.

9. The device of claim 8 wherein the member comprises a distal end, and wherein the distal end of the member is disposed distally of the upper ring.

10. The device of claim 8 wherein the member positioned with respect to the sleeve is generally circumferentially continuous.

11. The device of claim 8 wherein the member comprises a collar.

12. The device of claim 8 further comprising a seal assembly associated with at least two of the apertures.

13. The device of claim 12 wherein the member positioned with respect to the sleeve extends distally below the seal assembly of at least one aperture.

14. The device of claim 8 comprising a plurality of seal assemblies operatively associated with the subassembly, and wherein at least a portion of the seal assemblies are positioned within the passageway defined by the sleeve.

15. A surgical access device comprising:

a flexible sleeve adapted for insertion in an incision, the sleeve extending from a sleeve proximal end to a sleeve distal end, the sleeve providing a passageway intermediate the proximal and distal sleeve ends, the passageway having a minimum width at a position spaced from the proximal and distal sleeve ends;

a plurality of instrument openings supported with respect to the proximal end of the sleeve;

at least one valve associated with at least one instrument opening;

a generally circumferentially continuous member disposed radially outwardly and distally relative to of the plurality of instrument openings; and

wherein at least one valve is disposed distal of the proximal end of the sleeve.

16. The device of claim 15 further comprising a member disposed distally of at least one of the instrument openings, the member positioned with respect to the sleeve to protect the sleeve from instruments inserted through at least one instrument opening.

17. The device of claim 16 wherein the member comprises a generally circumferentially extending collar.