US20060264998A1 - Access device maintenance apparatus and method - Google Patents
Access device maintenance apparatus and method Download PDFInfo
- Publication number
- US20060264998A1 US20060264998A1 US11/460,942 US46094206A US2006264998A1 US 20060264998 A1 US20060264998 A1 US 20060264998A1 US 46094206 A US46094206 A US 46094206A US 2006264998 A1 US2006264998 A1 US 2006264998A1
- Authority
- US
- United States
- Prior art keywords
- strip
- seal
- instrument
- working channel
- trocar
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
Definitions
- This invention relates generally to access devices which include compliant seal material, and more specifically to surgical access devices and methods facilitating maintenance of gel valves during periods of non-use.
- Access devices in general are disposed relative to a conduit and are adapted to provide input to a flow of fluid through the conduit.
- the device will typically include a valve assembly which controls passage of the fluid in either a liquid state or a gas state.
- Such access devices may be adapted for use with fluids such as foods, oils, and grease, for example.
- Devices of particular interest include surgical access devices which are commonly used to form a passageway across a body wall and into a body cavity or other body conduit.
- This passageway enables a surgeon operating exteriorly of the body to perform surgical operations within the body conduit by manipulating instruments through the passageway.
- instruments might include, for example, scopes, needles, graspers, clamps, staplers, sutures and cutters.
- the passageway also provides a path for fluids to exit the body from the body conduit.
- some access devices are provided with valves which can seal the working channel both in the absence of the instrument and in the presence of the instrument.
- the sealing of the working channel is of particular importance in the case of laparoscopic surgeries where the abdominal cavity is inflated with an insufflation gas in order to distend the abdominal wall and thereby increase the size of the work environment.
- Trocars are commonly used as access devices for this type of surgery.
- the trocars include a cannula and a seal housing containing one or more valves which facilitate instrument access while inhibiting leakage of the insufflation gas.
- trocar valves have been formed of highly compliant gel materials such as those disclosed and claimed by applicant in co-pending PCT Application Serial No PCT/US01/29682 filed on Sep. 21, 2001 and entitled “Surgical Access Apparatus and Method”, which designates the United States and claims priority from U.S. patent application Ser. No. 60/241,958 filed on Oct. 19, 2000, both of which are incorporated herein by reference.
- the specific use of these materials as trocar valves is disclosed in PCT Application Serial No. PCT/US02/15696, which designates the United States and claims priority from U.S. Provisional Application Ser. No. 60/312,683 filed on Aug. 14, 2001.
- This application, which is entitled “Access Sealing Apparatus and Method”, is also incorporated herein by reference and discloses many embodiments of trocar gel valves which are all applicable to the present invention.
- the gel material included in these valves may have a slight degree of cohesion which tends to degrade the function of the valve over long periods of time, such as during storage and prior to use.
- a chemical or mechanical bond can tend to form across the slit over an extended period of contact.
- a strip is inserted between the mating gel components so that they are not in contact across the slit for extended periods of time. This inhibits formation of any chemical or mechanical bonds between the gel components, particularly during long periods when the trocar is stored prior to use.
- the strip can be mounted in the slit using a grasper after the trocar is fully constructed.
- the strip can be coated so that a lubricant can be deposited on the distal side of the valve as the strip is removed from the trocar prior to use.
- An inserted instrument can also be coated to deposit a lubricant on the proximal side of the valve upon insertion of the instrument.
- a medical access device has a stored state and an active state and is formed with a working channel that is adapted to provide access through the device into a body conduit.
- An access valve is disposed along the working channel and includes a first compliant material as well as a second material disposed in a opposing relationship with the first material.
- a slit is defined between the two materials, through the access valve and along the working channel. The slit, in the active state of the device, is normally closed with the first material contacting the second material. A strip disposed in the slit inhibits this contacting relationship in the stored state of the device. This strip is removable to initiate the active state.
- the access valve is disposed along the working channel and adapted to form an instrument seal when the instrument is in the working channel.
- a pair of mating seal components which define the working channel through the access valve, have a tendency to form a bond when left in contact for extended periods of time.
- Means is provided to separate the seal components and inhibit formation of the bond when the device is not in use.
- a method for facilitating formation of the instrument seal includes the steps of providing the access valve with a first element and a second element disposed in a normally contacting relationship. An opening between the elements extends from the proximal side to the distal side of the access valve. The first and second elements are separated to inhibit the normal contacting relationship during a period of non-use. This separation step is inhibited in order to prepare the access device for receipt of the instrument.
- a lubrication strip is provided with a lubricant disposed in proximity to a distal end of the strip.
- the strip is positioned to extend between the seal components with the distal end of the strip extending distally of the distal side of the access valve. Removing the strip from between the seal components deposits the lubricant on the access valve.
- the separation strip can be inserted between the seal components after the access device is fully constructed.
- a grasper is inserted into the working channel proximally between the seal components where it engages the distal end of the strip. Then the grasper is withdrawn from the working channel pulling the strip through the working channel and between the seal components of the access device.
- FIG. 1 is a perspective view showing a laparoscopic surgery with the surgical instrument in the form of a grasper inserted through a working channel of a trocar;
- FIG. 2 is a side elevation view of the trocar illustrated in FIG. 1 ;
- FIG. 3 is an axial cross-section view taken along lines 3 - 3 of FIG. 2 ; and illustrating interior valve components of the trocar;
- FIG. 4A is a radial cross-section view taken along lines 4 - 4 of FIG. 3 and illustrating the valve components in the absence of the instrument;
- FIG. 4B is a radial cross-section view similar to FIG. 4A and illustrating the valve components in the presence of the instrument;
- FIG. 5 is an axial-cross section view taken along lines 5 - 5 of FIG. 3 ;
- FIG. 6 is an axial cross-section view similar to FIG. 3 , illustrating a preferred method of mounting a strip in a slit formed between access valve components;
- FIG. 7 is an axial cross-section view similar to FIG. 6 and illustrating the strip operatively disposed in a stored state of the device;
- FIG. 8 is a cross-section view taken along lines 8 - 8 of FIG. 7
- FIG. 9 is an axial cross-section view similar to FIG. 7 and illustrating removal of the strip to deposit a lubricant on the access valve;
- FIG. 10 is an axial cross-section view similar to FIG. 9 and illustrating a lubricated instrument inserted distally to deposit a lubricant on a proximal side of the access valve;
- FIG. 11 is an axial cross-section view similar to FIG. 10 and illustrating an instrument operatively disposed between gel components with lubricant deposit on both the proximal and distal sides of the access valve.
- a trocar is illustrated in FIG. 1 and designated generally by the reference numeral 10 .
- the trocar 10 exists generally in two states, a storage state prior to use, and an active state during use.
- the trocar 10 is illustrated in its active state, operatively disposed to provide access across a body wall, such as the abdominal wall 12 , and into a cavity or other body conduit 14 , such as an abdominal cavity 15 .
- the trocar 10 is representative of any access device which extends across a body wall to provide access into a body conduit.
- the access device may facilitate a flow of fluids, either gas or liquid, into or out of the conduit 14 ; or it may accommodate a surgical instrument, such as a needle, which can be inserted through the access device and into the body conduit.
- the trocar 10 includes a cannula 16 which extends along an axis 18 between a proximal end 21 and a distal end 23 .
- a seal housing 25 is disposed at the proximal end 21 of the cannula 16 , and forms with the cannula 16 , an access or working channel 27 .
- This working channel 27 is sized and configured to receive a surgical instrument 30 , such as a grasper, which will typically include an elongate tube or shaft 32 having a maximum dimension or diameter, shown by arrows 34 .
- the grasper or instrument 30 is representative of any surgical instrument or device which might be inserted through the working channel 27 of the access device on trocar 10 and into the body conduit 14 .
- Other instruments may be as small as a suture (not shown), which might have a diameter less than one millimeter, or as large as a scope, cutter, clip applier, clamp or even a stapler, which might have a diameter more than 12 millimeters.
- the access device such as the trocar 10
- the access device have properties for inhibiting the egress of fluids outwardly through the working channel 27 .
- This is particularly important in the case of laparoscopic surgeries where the abdominal cavity 15 is typically inflated with a gas in order to elevate the abdominal wall 12 and thereby increase the volume of the working environment.
- the sealing of the working channel 27 is of course complicated by the desire to introduce instruments, such as the grasper, along the working channel 27 . Not only is sealing of the working channel 27 desired in the absence of the instrument 30 , but it is also desired when the instrument 30 is operatively disposed as illustrated in FIG. 1 .
- a seal assembly 36 of the present invention is illustrated in the axial cross-section view of FIG. 3 .
- This seal assembly 36 includes two mating seal components in the form of rollers 38 and 41 , having axles 43 and 45 , respectively.
- the rollers 38 and 41 are rotatable on their respective axes and relative to an inner surface 47 of the seal housing 25 .
- the axles 43 and 45 may be rotatable with the respective rollers 38 and 41 relative to the housing 25 , or may be fixed to the seal housing 25 in which case the rollers 38 and 41 also rotate relative to their respective axles 43 and 45 .
- the rollers 38 and 41 each have a cylindrical outer surface as well as a pair of end surfaces.
- the roller 38 has a cylindrical outer surface 50 best illustrated in FIG. 3 , as well as a pair of end surfaces 52 and 54 , best illustrated in FIG. 4A .
- the roller 41 is similarly constructed with a cylindrical outer surface 56 and a pair of end surfaces 58 and 61 .
- lateral seals 63 and 65 are formed between the seal housing 25 and the respective cylindrical surfaces 50 and 56 .
- end seals are formed between the seal housing 25 and the end surfaces of each of the rollers 38 and 41 .
- end seals 67 and 70 can be formed between the seal housing 25 and the end surfaces 52 and 54 of the roller 38 .
- Similar end seals 72 and 74 can be formed between the seal housing 25 and the end surfaces 58 and 61 of the roller 41 .
- the lateral seals 63 , 65 and the end seals 67 - 74 form a continuous seal between the seal assembly 36 and the seal housing 25 .
- a slit 75 which is defined between the mating seal components such as the rollers 38 and 41 . It is this slit 75 which is normally closed, but is openable by insertion of the surgical instrument 30 to access the body conduit 14 .
- the rollers 38 and 41 form a zero seal 76 which cooperates with the lateral seals 63 - 65 , and the end seals 67 - 74 to seal the working channel 27 in the absence of the surgical instrument 30 .
- the instrument 30 is present in the working channel, at least portions of the slit separate to receive the instrument 30 , which then forms an instrument seal 78 with the rollers 38 and 41 .
- the instrument seal 78 cooperates with the lateral seal 63 - 65 , and the end seal 67 - 74 , to seal the working channel.
- rollers 38 and 41 A material of particular interest is that disclosed by applicant in co-pending application PCT/US01/29682, filed on Sep. 21, 2001, entitled “Surgical Access Apparatus and Method”, and U.S. patent application Ser. No. 60/241,958 filed on Oct. 19, 2000, entitled “Hand-Assisted Laparoscopy Apparatus and Method, and its counterpart which are incorporated herein by reference.
- This particular material is a gel material 80 which has properties including a low durometer hardness and a high tear strength.
- the gel material 80 tends to have flow characteristics similar to a fluid in that it is easily displaced, for example, by insertion of an instrument, without affecting the instrument seal.
- the gel has characteristics of a fluid, it also has characteristics of a solid in that it can be formed, for example, molded to a desired shape.
- the trocar 10 is representative of many types of access devices which will include a seal assembly 36 with gel components. Other embodiments of such trocars in the U.S. patent applications previously mentioned and incorporated herein by reference.
- the seal assembly 36 will typically include at least two mating seal components. At least one of these components will be formed of a gel-type material as previously discussed.
- the other mating component may include the same material or may be formed from a different material such as plastic. In either case, the slit 75 is formed between these mating seal components.
- the pull strip 85 can be manufactured from several different types of materials provided in many different forms.
- the strip 85 may include fabric, felt, paper, waxpaper, open-cell foam, closed-cell foam, Mylar, Tyvek, (a registered trademark of Dupont) polytetrafluorethylene, and/or nylon.
- the strip 85 may include an elongate distal portion functioning as a separator 87 , and a proximal portion forming a finger tab 90 .
- the strip 85 can be loaded into the trocar as illustrated in FIG. 6 .
- a grasper 92 is introduced retrograde progressively through the cannula 16 , and the seal assembly 36 and the seal housing 25 .
- the distal end or separator 87 of the strip 85 can be engaged by the grasper 92 .
- the separator 87 of the strip 85 is moved into the slit 75 between the mating seal components, such as the roller 38 and 41 .
- This operative disposition of the strip 85 is illustrated in FIGS. 7 and 8 , and characterizes the stored state of the trocar 10 .
- the trocar 10 can be stored indefinitely awaiting removal of the strip 85 to activate the trocar 10 .
- the strip 85 With the strip 85 operatively disposed, it also provides a vehicle for lubricating the mating seal components, such as the rollers 38 and 41 , immediately prior to use of the trocar 10 . If a lubricant 94 is disposed on the distal end of the separator 87 , this lubricant will be deposited on the mating seal components, such as the rollers 38 and 41 , when the strip 85 is withdrawn proximally from the trocar 10 .
- the strip 85 can be provided with lubricant on its distal end as illustrated in FIG. 8 . If the strip 85 is loaded, has not yet been moved into the slit 85 , as illustrated in FIG. 6 , it would appear that any lubricant on the strip 85 would be deposited on the rollers 38 and 41 as the strip 85 is moved distally through the slit 75 . To inhibit this premature disposition of lubricant, it may be desirable to encase the distal end of the strip 85 and its lubricant in a sleeve 95 which maintains the lubricant 94 on the separator 87 as it passes between the rollers 38 and 41 .
- the sleeve 95 can be removed, leaving the strip 85 operatively disposed and lubricated as illustrated in FIG. 8 .
- the strip 85 can be subsequently lubricated, for example with a syringe inserted proximally through the cannula 16 or distally through the seal assembly 36 .
- any lubrication on its distal end will remain on the separator 87 distally of the rollers 38 and 41 .
- Another method for removably carrying the lubricant on the strip 85 would be to provide the distal end or separator 87 of the strip 85 with recesses or pockets 98 as illustrated in FIG. 6 . These pockets 98 could then be filled with the lubricant 94 .
- lubricants 94 and 96 including silicone oil, silicone grease, mineral oil, glycerin, water, Astroglide (a registered trademark of BioFilm, Inc.), petrolatum, and/or propylene glycol.
- the finger tab 90 can be engaged and the strip 85 moved proximally through the seal housing 25 . With this proximal movement, the lubrication 94 on the distal end of the strip 85 will be drawn off on the distal side of the rollers 38 and 41 , as illustrated in FIG. 9 .
- the instrument 30 prior to insertion, can be coated with a lubricant 96 and inserted distally as illustrated in FIG. 10 . This will cause the lubricant 96 to be removed from the instrument 30 on the proximal side of the rollers 38 , 41 as illustrated in FIG. 11 .
- the gel-material will rotate, spreading the lubricants 94 and 96 along the surface of the rollers 38 and 41 .
- the strip 85 can be used to activate the trocar 10 and facilitate its impending use.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
A trocar includes a valve housing and cannula which define a working channel. A valve disposed in the valve housing along the working channel includes a gel material which defines a slit that functions as a zero seal in the absence of an instrument, and an instrument seal in the presence of an instrument. The slit is formed by mating gel components which are preferably separated during storage of the device. This separation can be facilitated by a pull strip which can be pre-lubricated and inserted into the slit for ultimate removal prior to activation of the trocar.
Description
- 1. Field of the Invention
- This invention relates generally to access devices which include compliant seal material, and more specifically to surgical access devices and methods facilitating maintenance of gel valves during periods of non-use.
- 2. Discussion of the Relevant Art
- Access devices in general are disposed relative to a conduit and are adapted to provide input to a flow of fluid through the conduit. The device will typically include a valve assembly which controls passage of the fluid in either a liquid state or a gas state. Such access devices may be adapted for use with fluids such as foods, oils, and grease, for example.
- Devices of particular interest include surgical access devices which are commonly used to form a passageway across a body wall and into a body cavity or other body conduit. This passageway enables a surgeon operating exteriorly of the body to perform surgical operations within the body conduit by manipulating instruments through the passageway. These instruments might include, for example, scopes, needles, graspers, clamps, staplers, sutures and cutters.
- Of course, the passageway, more commonly referred to as a working channel, also provides a path for fluids to exit the body from the body conduit. In order to inhibit this leakage of fluids, some access devices are provided with valves which can seal the working channel both in the absence of the instrument and in the presence of the instrument.
- The sealing of the working channel is of particular importance in the case of laparoscopic surgeries where the abdominal cavity is inflated with an insufflation gas in order to distend the abdominal wall and thereby increase the size of the work environment. Trocars are commonly used as access devices for this type of surgery. The trocars include a cannula and a seal housing containing one or more valves which facilitate instrument access while inhibiting leakage of the insufflation gas.
- Recently, trocar valves have been formed of highly compliant gel materials such as those disclosed and claimed by applicant in co-pending PCT Application Serial No PCT/US01/29682 filed on Sep. 21, 2001 and entitled “Surgical Access Apparatus and Method”, which designates the United States and claims priority from U.S. patent application Ser. No. 60/241,958 filed on Oct. 19, 2000, both of which are incorporated herein by reference. The specific use of these materials as trocar valves is disclosed in PCT Application Serial No. PCT/US02/15696, which designates the United States and claims priority from U.S. Provisional Application Ser. No. 60/312,683 filed on Aug. 14, 2001. This application, which is entitled “Access Sealing Apparatus and Method”, is also incorporated herein by reference and discloses many embodiments of trocar gel valves which are all applicable to the present invention.
- The gel material included in these valves may have a slight degree of cohesion which tends to degrade the function of the valve over long periods of time, such as during storage and prior to use. For example, in an embodiment including a slit formed between mating gel components, a chemical or mechanical bond can tend to form across the slit over an extended period of contact. Of course, it is desirable to inhibit this formation of bonds or otherwise to maintain or recreate the slit prior to use of the trocar.
- In accordance with the present invention, a strip is inserted between the mating gel components so that they are not in contact across the slit for extended periods of time. This inhibits formation of any chemical or mechanical bonds between the gel components, particularly during long periods when the trocar is stored prior to use. The strip can be mounted in the slit using a grasper after the trocar is fully constructed. The strip can be coated so that a lubricant can be deposited on the distal side of the valve as the strip is removed from the trocar prior to use. An inserted instrument can also be coated to deposit a lubricant on the proximal side of the valve upon insertion of the instrument.
- In one aspect, a medical access device has a stored state and an active state and is formed with a working channel that is adapted to provide access through the device into a body conduit. An access valve is disposed along the working channel and includes a first compliant material as well as a second material disposed in a opposing relationship with the first material. A slit is defined between the two materials, through the access valve and along the working channel. The slit, in the active state of the device, is normally closed with the first material contacting the second material. A strip disposed in the slit inhibits this contacting relationship in the stored state of the device. This strip is removable to initiate the active state.
- In another aspect, the access valve is disposed along the working channel and adapted to form an instrument seal when the instrument is in the working channel. A pair of mating seal components which define the working channel through the access valve, have a tendency to form a bond when left in contact for extended periods of time. Means is provided to separate the seal components and inhibit formation of the bond when the device is not in use.
- In another aspect, a method for facilitating formation of the instrument seal includes the steps of providing the access valve with a first element and a second element disposed in a normally contacting relationship. An opening between the elements extends from the proximal side to the distal side of the access valve. The first and second elements are separated to inhibit the normal contacting relationship during a period of non-use. This separation step is inhibited in order to prepare the access device for receipt of the instrument.
- In another method for facilitating formation of the instrument seal, a lubrication strip is provided with a lubricant disposed in proximity to a distal end of the strip. The strip is positioned to extend between the seal components with the distal end of the strip extending distally of the distal side of the access valve. Removing the strip from between the seal components deposits the lubricant on the access valve.
- In a further aspect, the separation strip can be inserted between the seal components after the access device is fully constructed. A grasper is inserted into the working channel proximally between the seal components where it engages the distal end of the strip. Then the grasper is withdrawn from the working channel pulling the strip through the working channel and between the seal components of the access device.
- These and other features and advantages of the invention will become more apparent with a description of preferred embodiments and reference to the associated drawings.
-
FIG. 1 is a perspective view showing a laparoscopic surgery with the surgical instrument in the form of a grasper inserted through a working channel of a trocar; -
FIG. 2 is a side elevation view of the trocar illustrated inFIG. 1 ; -
FIG. 3 is an axial cross-section view taken along lines 3-3 ofFIG. 2 ; and illustrating interior valve components of the trocar; -
FIG. 4A is a radial cross-section view taken along lines 4-4 ofFIG. 3 and illustrating the valve components in the absence of the instrument; -
FIG. 4B is a radial cross-section view similar toFIG. 4A and illustrating the valve components in the presence of the instrument; -
FIG. 5 is an axial-cross section view taken along lines 5-5 ofFIG. 3 ; -
FIG. 6 is an axial cross-section view similar toFIG. 3 , illustrating a preferred method of mounting a strip in a slit formed between access valve components; -
FIG. 7 is an axial cross-section view similar toFIG. 6 and illustrating the strip operatively disposed in a stored state of the device; -
FIG. 8 is a cross-section view taken along lines 8-8 ofFIG. 7 -
FIG. 9 is an axial cross-section view similar toFIG. 7 and illustrating removal of the strip to deposit a lubricant on the access valve; -
FIG. 10 is an axial cross-section view similar toFIG. 9 and illustrating a lubricated instrument inserted distally to deposit a lubricant on a proximal side of the access valve; and -
FIG. 11 is an axial cross-section view similar toFIG. 10 and illustrating an instrument operatively disposed between gel components with lubricant deposit on both the proximal and distal sides of the access valve. - A trocar is illustrated in
FIG. 1 and designated generally by thereference numeral 10. Thetrocar 10 exists generally in two states, a storage state prior to use, and an active state during use. InFIG. 1 , thetrocar 10 is illustrated in its active state, operatively disposed to provide access across a body wall, such as theabdominal wall 12, and into a cavity orother body conduit 14, such as an abdominal cavity 15. In this case, thetrocar 10 is representative of any access device which extends across a body wall to provide access into a body conduit. The access device may facilitate a flow of fluids, either gas or liquid, into or out of theconduit 14; or it may accommodate a surgical instrument, such as a needle, which can be inserted through the access device and into the body conduit. - In the illustrated embodiment, the
trocar 10 includes acannula 16 which extends along anaxis 18 between a proximal end 21 and a distal end 23. Aseal housing 25 is disposed at the proximal end 21 of thecannula 16, and forms with thecannula 16, an access or workingchannel 27. This workingchannel 27 is sized and configured to receive asurgical instrument 30, such as a grasper, which will typically include an elongate tube orshaft 32 having a maximum dimension or diameter, shown byarrows 34. - In this case, the grasper or
instrument 30 is representative of any surgical instrument or device which might be inserted through the workingchannel 27 of the access device ontrocar 10 and into thebody conduit 14. Other instruments may be as small as a suture (not shown), which might have a diameter less than one millimeter, or as large as a scope, cutter, clip applier, clamp or even a stapler, which might have a diameter more than 12 millimeters. - In general, it may be desirable that the access device, such as the
trocar 10, have properties for inhibiting the egress of fluids outwardly through the workingchannel 27. This is particularly important in the case of laparoscopic surgeries where the abdominal cavity 15 is typically inflated with a gas in order to elevate theabdominal wall 12 and thereby increase the volume of the working environment. The sealing of the workingchannel 27 is of course complicated by the desire to introduce instruments, such as the grasper, along the workingchannel 27. Not only is sealing of the workingchannel 27 desired in the absence of theinstrument 30, but it is also desired when theinstrument 30 is operatively disposed as illustrated inFIG. 1 . - A
seal assembly 36 of the present invention is illustrated in the axial cross-section view ofFIG. 3 . Thisseal assembly 36 includes two mating seal components in the form ofrollers axles rollers inner surface 47 of theseal housing 25. Theaxles respective rollers housing 25, or may be fixed to theseal housing 25 in which case therollers respective axles - In the embodiment of
FIG. 3 , therollers roller 38 has a cylindricalouter surface 50 best illustrated inFIG. 3 , as well as a pair of end surfaces 52 and 54, best illustrated inFIG. 4A . Theroller 41 is similarly constructed with a cylindricalouter surface 56 and a pair of end surfaces 58 and 61. - In order to form the desired seals across the working
channel 27, it is important that therollers inner surface 47 ofhousing 25. Thus, in a preferred embodiment, lateral seals 63 and 65 are formed between theseal housing 25 and the respectivecylindrical surfaces seal housing 25 and the end surfaces of each of therollers seal housing 25 and the end surfaces 52 and 54 of theroller 38. Similar end seals 72 and 74 can be formed between theseal housing 25 and the end surfaces 58 and 61 of theroller 41. In combination, the lateral seals 63, 65 and the end seals 67-74 form a continuous seal between theseal assembly 36 and theseal housing 25. - Of particular importance in this embodiment is a
slit 75 which is defined between the mating seal components such as therollers slit 75 which is normally closed, but is openable by insertion of thesurgical instrument 30 to access thebody conduit 14. When theslit 75 is closed, therollers seal 76 which cooperates with the lateral seals 63-65, and the end seals 67-74 to seal the workingchannel 27 in the absence of thesurgical instrument 30. When theinstrument 30 is present in the working channel, at least portions of the slit separate to receive theinstrument 30, which then forms aninstrument seal 78 with therollers instrument 30, theinstrument seal 78 cooperates with the lateral seal 63-65, and the end seal 67-74, to seal the working channel. - Given the desire to form the various seals including the lateral seals, the end seals, the zero seal, and the instrument seal, it can be appreciated that a special material is required for the
rollers - The
trocar 10 is representative of many types of access devices which will include aseal assembly 36 with gel components. Other embodiments of such trocars in the U.S. patent applications previously mentioned and incorporated herein by reference. - Given the foregoing description of the
trocar 10 in its active, in-use state, it can be appreciated that theseal assembly 36 will typically include at least two mating seal components. At least one of these components will be formed of a gel-type material as previously discussed. The other mating component may include the same material or may be formed from a different material such as plastic. In either case, theslit 75 is formed between these mating seal components. - It is certainly one of the aspects of the present invention to facilitate operation of the
seal assembly 36 and particularly theslit 75 in the active state of the trocar. Notwithstanding the many advantages associated with the properties of the gel-type material, it may be desirable to separate the mating seal components of theseal assembly 36, particularly when thetrocar 10 is being stored prior to use. In this stored state, apull strip 85 can be provided for disposition between the mating seal components, such as therollers strip 85 in theslit 75, the material associated with the mating seal components can be maintained in a separate spaced relationship to inhibit any possible chemical or mechanical degradation of theslit 75. - The
pull strip 85 can be manufactured from several different types of materials provided in many different forms. For example, thestrip 85 may include fabric, felt, paper, waxpaper, open-cell foam, closed-cell foam, Mylar, Tyvek, (a registered trademark of Dupont) polytetrafluorethylene, and/or nylon. - As illustrated in
FIG. 6 , thestrip 85 may include an elongate distal portion functioning as aseparator 87, and a proximal portion forming afinger tab 90. Given this configuration, thestrip 85 can be loaded into the trocar as illustrated inFIG. 6 . In this particular method, agrasper 92 is introduced retrograde progressively through thecannula 16, and theseal assembly 36 and theseal housing 25. At this point, the distal end orseparator 87 of thestrip 85 can be engaged by thegrasper 92. As thegrasper 92 is then progressively withdrawn from theseal housing 25 and thecannula 16, theseparator 87 of thestrip 85 is moved into theslit 75 between the mating seal components, such as theroller strip 85 is illustrated inFIGS. 7 and 8 , and characterizes the stored state of thetrocar 10. With the mating seal components, such as therollers strip 85, thetrocar 10 can be stored indefinitely awaiting removal of thestrip 85 to activate thetrocar 10. - With the
strip 85 operatively disposed, it also provides a vehicle for lubricating the mating seal components, such as therollers trocar 10. If alubricant 94 is disposed on the distal end of theseparator 87, this lubricant will be deposited on the mating seal components, such as therollers strip 85 is withdrawn proximally from thetrocar 10. - There are several ways that the
strip 85 can be provided with lubricant on its distal end as illustrated inFIG. 8 . If thestrip 85 is loaded, has not yet been moved into theslit 85, as illustrated inFIG. 6 , it would appear that any lubricant on thestrip 85 would be deposited on therollers strip 85 is moved distally through theslit 75. To inhibit this premature disposition of lubricant, it may be desirable to encase the distal end of thestrip 85 and its lubricant in asleeve 95 which maintains thelubricant 94 on theseparator 87 as it passes between therollers sleeve 95 can be removed, leaving thestrip 85 operatively disposed and lubricated as illustrated inFIG. 8 . If thestrip 85 is not pre-lubricated, or thesleeve 95 is not used, thestrip 85 can be subsequently lubricated, for example with a syringe inserted proximally through thecannula 16 or distally through theseal assembly 36. And, of course, if thestrip 85 is loaded proximally through thecannula 16, any lubrication on its distal end will remain on theseparator 87 distally of therollers - Another method for removably carrying the lubricant on the
strip 85 would be to provide the distal end orseparator 87 of thestrip 85 with recesses orpockets 98 as illustrated inFIG. 6 . Thesepockets 98 could then be filled with thelubricant 94. Several different types of materials are contemplated for thelubricants - In order to place the trocar in its active state, the
finger tab 90 can be engaged and thestrip 85 moved proximally through theseal housing 25. With this proximal movement, thelubrication 94 on the distal end of thestrip 85 will be drawn off on the distal side of therollers FIG. 9 . In order to further lubricate therollers instrument 30, prior to insertion, can be coated with alubricant 96 and inserted distally as illustrated inFIG. 10 . This will cause thelubricant 96 to be removed from theinstrument 30 on the proximal side of therollers FIG. 11 . Of course in an embodiment wherein the mating seal components include one or more rollers, the gel-material will rotate, spreading thelubricants rollers trocar 10, thestrip 85 can be used to activate thetrocar 10 and facilitate its impending use. - It will be understood that many other modifications can be made to the various disclosed embodiments without departing from the spirit and scope of the concept. For example, various sizes of the surgical device are contemplated as well as various types of constructions and materials. It will also be apparent that many modifications can be made to the configuration of parts as well as their interaction. For these reasons, the above description should not be construed as limiting the invention, but should be interpreted as merely exemplary of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the present invention as defined by the following claims.
Claims (5)
1-24. (canceled)
25. A method for inserting a flexible separation strip between seal components in a medical access device having a working channel extending between a proximal end and a distal end, including the steps of:
forming the strip with a narrow distal end and an enlarged proximal end;
inserting a grasper into the working channel and between the seal components;
grasping the strip with the grasper;
withdrawing the grasper from the working channel; and
during the withdrawing step, pulling the strip in through the working channel and between the seal components of the access device.
26. The method recited in claim 25 , wherein the grasping step includes the step of:
grasping the distal end of the strip.
27. The method recited in claim 26 , wherein the inserting step includes the step of:
inserting the grasper from the distal end of the access device toward the proximal end of the access device.
28. The method recited in claim 25 , further comprising the steps of:
prior to the pulling step, lubricating the distal end of the strip.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/460,942 US20060264998A1 (en) | 2002-10-16 | 2006-07-28 | Access device maintenance apparatus and method |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/272,568 US7105009B2 (en) | 2002-10-16 | 2002-10-16 | Access device maintenance apparatus and method |
US11/460,942 US20060264998A1 (en) | 2002-10-16 | 2006-07-28 | Access device maintenance apparatus and method |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/272,568 Division US7105009B2 (en) | 2002-10-16 | 2002-10-16 | Access device maintenance apparatus and method |
Publications (1)
Publication Number | Publication Date |
---|---|
US20060264998A1 true US20060264998A1 (en) | 2006-11-23 |
Family
ID=32106442
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/272,568 Expired - Fee Related US7105009B2 (en) | 2002-10-16 | 2002-10-16 | Access device maintenance apparatus and method |
US11/460,942 Abandoned US20060264998A1 (en) | 2002-10-16 | 2006-07-28 | Access device maintenance apparatus and method |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/272,568 Expired - Fee Related US7105009B2 (en) | 2002-10-16 | 2002-10-16 | Access device maintenance apparatus and method |
Country Status (5)
Country | Link |
---|---|
US (2) | US7105009B2 (en) |
EP (1) | EP1551318A4 (en) |
JP (1) | JP2006507045A (en) |
CA (1) | CA2499173A1 (en) |
WO (1) | WO2004035108A2 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10028731B2 (en) | 2013-11-12 | 2018-07-24 | Genzyme Corporation | Barrier application device |
WO2020023046A1 (en) * | 2018-07-27 | 2020-01-30 | Vitalchains Corporation | Surgical access port and trocar device thereof |
Families Citing this family (75)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7537564B2 (en) | 1998-12-01 | 2009-05-26 | Atropos Limited | Wound retractor device |
US7559893B2 (en) | 1998-12-01 | 2009-07-14 | Atropos Limited | Wound retractor device |
AU7813200A (en) | 1999-10-14 | 2001-04-23 | Atropos Limited | A retractor |
US8021296B2 (en) | 1999-12-01 | 2011-09-20 | Atropos Limited | Wound retractor |
JP5190169B2 (en) | 2000-10-19 | 2013-04-24 | アプライド メディカル リソーシーズ コーポレイション | Surgical access instruments and methods |
EP2422829B1 (en) | 2001-08-14 | 2013-03-06 | Applied Medical Resources Corporation | Surgical access sealing apparatus |
EP2428171B1 (en) | 2001-09-24 | 2014-02-19 | Applied Medical Resources Corporation | Bladeless Obturator |
US6958037B2 (en) | 2001-10-20 | 2005-10-25 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
EP1503677B1 (en) | 2002-05-16 | 2011-05-04 | Applied Medical Resources Corporation | Cone tip obturator |
EP2363105B1 (en) | 2002-06-05 | 2014-01-08 | Applied Medical Resources Corporation | Wound retractor |
US9271753B2 (en) | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
WO2004026153A1 (en) | 2002-09-19 | 2004-04-01 | Atropos Limited | A wound retractor system |
US20050020884A1 (en) | 2003-02-25 | 2005-01-27 | Hart Charles C. | Surgical access system |
AU2004263142A1 (en) | 2003-08-06 | 2005-02-17 | Applied Medical Resources Corporation | Surgical device with tack-free gel and method of manufacture |
US7163510B2 (en) | 2003-09-17 | 2007-01-16 | Applied Medical Resources Corporation | Surgical instrument access device |
EP2545861B1 (en) | 2003-10-03 | 2014-02-12 | Applied Medical Resources Corporation | Bladeless optical obturator |
JP3864344B2 (en) * | 2003-12-05 | 2006-12-27 | フジノン株式会社 | Endoscope insertion aid |
JP5004793B2 (en) | 2004-06-29 | 2012-08-22 | アプライド メディカル リソーシーズ コーポレイション | Optical surgical instrument for ventilation |
US8241251B2 (en) * | 2004-08-25 | 2012-08-14 | Tyco Healthcare Group Lp | Gel seal for a surgical trocar apparatus |
EP1804695A1 (en) | 2004-10-11 | 2007-07-11 | Atropos Limited | An instrument access device |
US8382663B2 (en) * | 2005-10-14 | 2013-02-26 | Applied Medical Resources Corporation | Surgical devices, systems and methods thereof having gel material, gel coatings, or gel lubricants |
US7704207B2 (en) | 2005-10-14 | 2010-04-27 | Applied Medical Resources Corporation | Circular surgical retractor |
US8579807B2 (en) | 2008-04-28 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Absorbing fluids in a surgical access device |
US8690831B2 (en) | 2008-04-25 | 2014-04-08 | Ethicon Endo-Surgery, Inc. | Gas jet fluid removal in a trocar |
WO2008043100A2 (en) | 2006-10-06 | 2008-04-10 | Applied Medical Resources Corporation | Visual insufflation port |
US20080171988A1 (en) * | 2007-01-17 | 2008-07-17 | Erblan Surgical, Inc. | Double-cone sphincter introducer assembly and integrated valve assembly |
WO2008141302A1 (en) | 2007-05-11 | 2008-11-20 | Applied Medical Resources Corporation | Surgical retractor |
WO2008141291A1 (en) | 2007-05-11 | 2008-11-20 | Applied Medical Resources Corporation | Surgical retractor with gel pad |
US8657740B2 (en) * | 2007-06-05 | 2014-02-25 | Atropos Limited | Instrument access device |
ES2557882T3 (en) | 2007-06-05 | 2016-01-29 | Atropos Limited | Instrument Access Device |
US8100929B2 (en) | 2007-06-29 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Duckbill seal with fluid drainage feature |
US20090069837A1 (en) * | 2007-08-20 | 2009-03-12 | Atropos Limited | Hand and instrument access device |
US20090076465A1 (en) * | 2007-09-17 | 2009-03-19 | Tyco Healthcare Group Lp | Composite seal and method for manufacturing |
US8357123B2 (en) * | 2007-09-17 | 2013-01-22 | Covidien Lp | Surgical portal with gel and fabric seal assembly |
US20090093682A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Surgical portal with foam and fabric composite seal assembly |
US7976501B2 (en) | 2007-12-07 | 2011-07-12 | Ethicon Endo-Surgery, Inc. | Trocar seal with reduced contact area |
US8940017B2 (en) * | 2008-07-31 | 2015-01-27 | Insightra Medical, Inc. | Implant for hernia repair |
AU2009206407B2 (en) | 2008-01-22 | 2014-04-24 | Applied Medical Resources Corporation | Surgical instrument access device |
JP5432924B2 (en) | 2008-01-25 | 2014-03-05 | アプライド メディカル リソーシーズ コーポレイション | Insufflation access system |
US8636686B2 (en) | 2008-04-28 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US9358041B2 (en) | 2008-04-28 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Wicking fluid management in a surgical access device |
US8870747B2 (en) | 2008-04-28 | 2014-10-28 | Ethicon Endo-Surgery, Inc. | Scraping fluid removal in a surgical access device |
US11235111B2 (en) | 2008-04-28 | 2022-02-01 | Ethicon Llc | Surgical access device |
US8568362B2 (en) | 2008-04-28 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Surgical access device with sorbents |
US8273060B2 (en) | 2008-04-28 | 2012-09-25 | Ethicon Endo-Surgery, Inc. | Fluid removal in a surgical access device |
USD700326S1 (en) | 2008-04-28 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Trocar housing |
US7981092B2 (en) | 2008-05-08 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | Vibratory trocar |
US8025640B2 (en) | 2008-06-27 | 2011-09-27 | Tyco Healthcare Group Lp | Pressurized surgical valve |
US8021339B2 (en) * | 2008-07-01 | 2011-09-20 | Tyco Healthcare Group Lp | Surgical portal apparatus with centering mechanism |
EP2331015A1 (en) * | 2008-09-12 | 2011-06-15 | ValveXchange Inc. | Valve assembly with exchangeable valve member and a tool set for exchanging the valve member |
US8506520B2 (en) | 2008-09-29 | 2013-08-13 | Applied Medical Resources Corporation | Trocar system with laparoscope gas channel |
ES2659871T3 (en) | 2008-10-13 | 2018-03-19 | Applied Medical Resources Corporation | Single track access system |
US20100194060A1 (en) * | 2008-11-03 | 2010-08-05 | Erblan Surgical, Inc. | Universal closure and method of lubrication |
US8375955B2 (en) | 2009-02-06 | 2013-02-19 | Atropos Limited | Surgical procedure |
US20100240957A1 (en) * | 2009-03-17 | 2010-09-23 | Abrams Michael E | Access port including centering feature |
US8206358B2 (en) * | 2009-05-06 | 2012-06-26 | Tyco Healthcare Group Lp | Ring and seal for trocar |
WO2011033495A1 (en) | 2009-09-17 | 2011-03-24 | Atropos Limited | An instrument access device |
US20110152622A1 (en) * | 2009-12-18 | 2011-06-23 | Oivind Brockmeier | Surgical access apparatus with constraining mechanism |
US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
WO2012044959A1 (en) | 2010-10-01 | 2012-04-05 | Applied Medical Resources Corporation | Natural orifice surgery system |
KR20140018324A (en) | 2011-05-02 | 2014-02-12 | 어플라이드 메디컬 리소시스 코포레이션 | Low-profile surgical universal access port |
JP6005143B2 (en) | 2011-05-10 | 2016-10-12 | アプライド メディカル リソーシーズ コーポレイション | Retractor |
CN104349734B (en) * | 2012-05-25 | 2016-09-28 | 富士胶片株式会社 | Endoscopic operation device and trocar sheath |
US8905973B2 (en) * | 2013-01-23 | 2014-12-09 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Hemostasis valve with roller seal |
WO2014143656A1 (en) | 2013-03-15 | 2014-09-18 | Applied Medical Resources Corporation | Mechanical gel surgical access device |
WO2014157477A1 (en) * | 2013-03-29 | 2014-10-02 | 富士フイルム株式会社 | Endoscopic surgery device |
JP6728129B2 (en) | 2014-07-18 | 2020-07-22 | アプライド メディカル リソーシーズ コーポレイション | Method for producing gel with permanent non-stick coating and surgical access device using the same |
AU2015301532B2 (en) | 2014-08-15 | 2020-04-16 | Applied Medical Resources Corporation | Natural orifice surgery system |
WO2016085930A2 (en) | 2014-11-25 | 2016-06-02 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
WO2016152626A1 (en) * | 2015-03-23 | 2016-09-29 | 富士フイルム株式会社 | Endoscopic surgical device, and mantle tube |
EP4151165B1 (en) | 2015-09-15 | 2024-06-26 | Applied Medical Resources Corporation | Surgical robotic access system |
EP3359057B1 (en) | 2015-10-07 | 2023-07-05 | Applied Medical Resources Corporation | Wound retractor with multi-segment outer ring |
EP3509524A1 (en) | 2016-09-12 | 2019-07-17 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
US10874426B2 (en) | 2017-02-10 | 2020-12-29 | Covidien Lp | Seal assembly with integral filter and evacuation port |
US11357542B2 (en) | 2019-06-21 | 2022-06-14 | Covidien Lp | Valve assembly and retainer for surgical access assembly |
Citations (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2876775A (en) * | 1955-10-03 | 1959-03-10 | Sr Courtland H Barr | Blood sample collection apparatus |
US3994412A (en) * | 1976-03-11 | 1976-11-30 | Abbott Laboratories | Tamperproof breakaway port |
US4475548A (en) * | 1982-06-01 | 1984-10-09 | Rudolph Muto | Fitting for endotracheal tube apparatus and method of making the fitting |
US4863453A (en) * | 1987-12-22 | 1989-09-05 | Sherwood Medical Company | Sterile closure device |
US5147305A (en) * | 1989-04-03 | 1992-09-15 | Olympus Optical Co., Ltd. | Medical instrument and valve to be mounted on a mount piece of that instrument |
US5197493A (en) * | 1989-12-14 | 1993-03-30 | Kimberly-Clark Corporation | Incise system |
US5429609A (en) * | 1990-07-26 | 1995-07-04 | Yoon; Inbae | Endoscopic portal for use in endoscopic procedures and methods therefor |
US5460616A (en) * | 1994-04-19 | 1995-10-24 | Cordis Corporation | Catheter introducer with fluid chamber valve |
US5599348A (en) * | 1992-03-17 | 1997-02-04 | Conmed Corporation | Electrosurgical trocar assembly |
US5611792A (en) * | 1992-04-12 | 1997-03-18 | Dicamed Ab | Value device for aseptic injection and removal of a medical fluid into/from a container |
US5720730A (en) * | 1995-09-01 | 1998-02-24 | Blake, Iii; Joseph W. | Lubricated trocar valve |
US5752938A (en) * | 1994-09-12 | 1998-05-19 | Richard-Allan Medical Industries, Inc. | Seal for surgical instruments |
US5989233A (en) * | 1996-03-19 | 1999-11-23 | Yoon; Inbae | Endoscopic portal having a universal seal and methods for introducing instruments therethrough |
US6238373B1 (en) * | 1995-05-19 | 2001-05-29 | General Electric Innovations, Inc. | Screw-type skin seal with inflatable membrane |
US20010049499A1 (en) * | 1999-12-30 | 2001-12-06 | Lui Chun Kee | Splittable medical valve |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2879775A (en) | 1958-08-18 | 1959-03-31 | Wire O Corp | Binder with individually operable binder rings |
JP5190169B2 (en) * | 2000-10-19 | 2013-04-24 | アプライド メディカル リソーシーズ コーポレイション | Surgical access instruments and methods |
EP2422829B1 (en) * | 2001-08-14 | 2013-03-06 | Applied Medical Resources Corporation | Surgical access sealing apparatus |
-
2002
- 2002-10-16 US US10/272,568 patent/US7105009B2/en not_active Expired - Fee Related
-
2003
- 2003-09-24 JP JP2004544767A patent/JP2006507045A/en active Pending
- 2003-09-24 CA CA002499173A patent/CA2499173A1/en not_active Abandoned
- 2003-09-24 WO PCT/US2003/030153 patent/WO2004035108A2/en active Application Filing
- 2003-09-24 EP EP03756862A patent/EP1551318A4/en not_active Withdrawn
-
2006
- 2006-07-28 US US11/460,942 patent/US20060264998A1/en not_active Abandoned
Patent Citations (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2876775A (en) * | 1955-10-03 | 1959-03-10 | Sr Courtland H Barr | Blood sample collection apparatus |
US3994412A (en) * | 1976-03-11 | 1976-11-30 | Abbott Laboratories | Tamperproof breakaway port |
US4475548A (en) * | 1982-06-01 | 1984-10-09 | Rudolph Muto | Fitting for endotracheal tube apparatus and method of making the fitting |
US4863453A (en) * | 1987-12-22 | 1989-09-05 | Sherwood Medical Company | Sterile closure device |
US5147305A (en) * | 1989-04-03 | 1992-09-15 | Olympus Optical Co., Ltd. | Medical instrument and valve to be mounted on a mount piece of that instrument |
US5197493A (en) * | 1989-12-14 | 1993-03-30 | Kimberly-Clark Corporation | Incise system |
US5429609A (en) * | 1990-07-26 | 1995-07-04 | Yoon; Inbae | Endoscopic portal for use in endoscopic procedures and methods therefor |
US5599348A (en) * | 1992-03-17 | 1997-02-04 | Conmed Corporation | Electrosurgical trocar assembly |
US5611792A (en) * | 1992-04-12 | 1997-03-18 | Dicamed Ab | Value device for aseptic injection and removal of a medical fluid into/from a container |
US5460616A (en) * | 1994-04-19 | 1995-10-24 | Cordis Corporation | Catheter introducer with fluid chamber valve |
US5752938A (en) * | 1994-09-12 | 1998-05-19 | Richard-Allan Medical Industries, Inc. | Seal for surgical instruments |
US6238373B1 (en) * | 1995-05-19 | 2001-05-29 | General Electric Innovations, Inc. | Screw-type skin seal with inflatable membrane |
US5720730A (en) * | 1995-09-01 | 1998-02-24 | Blake, Iii; Joseph W. | Lubricated trocar valve |
US5989233A (en) * | 1996-03-19 | 1999-11-23 | Yoon; Inbae | Endoscopic portal having a universal seal and methods for introducing instruments therethrough |
US20010049499A1 (en) * | 1999-12-30 | 2001-12-06 | Lui Chun Kee | Splittable medical valve |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10028731B2 (en) | 2013-11-12 | 2018-07-24 | Genzyme Corporation | Barrier application device |
WO2020023046A1 (en) * | 2018-07-27 | 2020-01-30 | Vitalchains Corporation | Surgical access port and trocar device thereof |
Also Published As
Publication number | Publication date |
---|---|
CA2499173A1 (en) | 2004-04-29 |
US7105009B2 (en) | 2006-09-12 |
EP1551318A2 (en) | 2005-07-13 |
US20040093018A1 (en) | 2004-05-13 |
EP1551318A4 (en) | 2009-05-20 |
WO2004035108A3 (en) | 2004-10-28 |
JP2006507045A (en) | 2006-03-02 |
WO2004035108A2 (en) | 2004-04-29 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7105009B2 (en) | Access device maintenance apparatus and method | |
EP2422829B1 (en) | Surgical access sealing apparatus | |
US8079986B2 (en) | Universal access seal | |
AU2010241420B2 (en) | Foam port device having closed-end lumens | |
US20150150596A1 (en) | Single incision surgical portal apparatus including inner member | |
AU2014229033B2 (en) | Trocar surgical seal | |
MXPA05014059A (en) | Trocar seal assembly. | |
WO1996004946A1 (en) | Combination introducer cannula and reducer and reducer for use therein | |
WO2010048542A1 (en) | Cannula seal | |
EP2184020A2 (en) | Surgical access device | |
EP2769691A1 (en) | Flexible access assembly | |
US8430812B2 (en) | Surgical access assembly | |
AU2005202133B2 (en) | Universal access seal | |
US7850653B2 (en) | Access port including rotatable seals | |
EP2060235A1 (en) | Surgical Trocar with separate access channel | |
EP3703580B1 (en) | Endoscopic stitching device comprising a sealing pack assembly | |
AU2014203162A1 (en) | Foam port device having closed-end lumens |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: APPLIED MEDICAL RESOURCES CORPORATION, CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:JOHNSON, GARY M.;AHLBERG, RUSSELL E.;REEL/FRAME:018021/0460;SIGNING DATES FROM 20021016 TO 20021018 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |