WO1998048724B1 - Surgical access port - Google Patents
Surgical access portInfo
- Publication number
- WO1998048724B1 WO1998048724B1 PCT/US1998/008837 US9808837W WO9848724B1 WO 1998048724 B1 WO1998048724 B1 WO 1998048724B1 US 9808837 W US9808837 W US 9808837W WO 9848724 B1 WO9848724 B1 WO 9848724B1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- sleeve
- channel
- access port
- skirt
- incision
- Prior art date
Links
- 238000007789 sealing Methods 0.000 claims 26
- 208000002847 Surgical Wound Diseases 0.000 claims 3
- 210000003932 Urinary Bladder Anatomy 0.000 claims 2
- 230000002708 enhancing Effects 0.000 claims 2
- 210000001519 tissues Anatomy 0.000 claims 2
- 210000000554 Iris Anatomy 0.000 claims 1
- 239000000835 fiber Substances 0.000 claims 1
- 239000000463 material Substances 0.000 claims 1
- 230000003014 reinforcing Effects 0.000 claims 1
Abstract
A device for retracting edges of an incision in a surface to form an opening including: a flexible, tubular skirt having an upper end, a lower end, and a channel therebetween; a ring connected to the lower end of the skirt for maintaining the lower end in an open configuration and defining an exit opening to the channel; and an inflatable collar connected to the skirt and surrounding the upper end. The ring is designed to fit through the incision and remain under the surface when it is oriented parallel to the surface. The collar, when inflated, maintains the upper end in an open configuration and defines an entry opening to the channel. During use, the ring is inserted through the incision and the collar is inflated while remaining outside of the incision, thereby drawing the skirt against the edges of the incision and retracting the edges of the incision to form the opening. The retracting device can be included in a surgical access port, which further includes a flexible sleeve connected to at least one of the inflatable collar and the skirt, extending the channel from the exit opening of the skirt to an open end of the flexible sleeve distal to the skirt. The device can include a light source in the vicinity of the exit opening.
Claims
1. A device for retracting edges of an incision in a surface to form an opening, the device comprising: a flexible, tubular skirt having an upper end, a lower end, and a channel therebetween; a non-inflatable ring connected to the lower end of the skirt for maintaining the lower end in an open configuration and defining an exit opening to the channel, wherein the ring is designed to fit through the incision and remain under the surface when it is oriented parallel to surface and is configured to contact an underside of the surface; and an inflatable collar connected to the skirt and surrounding the upper end, wherein the collar, when fully inflated, maintains the upper end in an open configuration and defines an entry opening to the channel .
2. The device of claim 1, wherein the collar when fully inflated has an inner aperture having a diameter greater than the length of the incision.
3. The device of claim 1, further comprising a light source connected to the lower end of the skirt.
4. The device of claim 3, wherein the light source is a fiber optic cable.
5. The device of claim 1, wherein the skirt includes a hem-shaped pocket that encloses the ring.
6. The device of claim 1, wherein the skirt comprises rubber.
7. The device of claim 1 , wherein the ring has a substantially elliptical shape.
8. The device of claim 1, further comprising a second ring adjacent to an outer perimeter of the inflatable collar for reinforcing the entry opening.
9. The device of claim 8, further comprising a detachable cap for sealing the entry opening, wherein the detachable cap is adapted to be received by the second ring.
10. The device of claim 1, further comprising an inflatable cuff connected to an inner wall of the skirt and surrounding the entry opening for sealing around a surgeon's arm inserted into the channel.
11. The device of claim 10, further comprising a detachable plug covering the entry opening, wherein the detachable plug is adapted to be received by the inflatable cuff.
12. A surgical access port comprising: the device of claim 1; and a flexible sleeve connected to at least one of the inflatable collar and the skirt, extending the channel from the exit opening of the skirt to an open end of the flexible sleeve distal to the skirt.
13. The access port of claim 12, wherein the flexible sleeve can be removed and reattached to the device of claim 1.
.
14. The access port of claim 12 , wherein the flexible sleeve includes an inner sleeve and an outer sleeve forming a chamber therebetween, and an inlet port for inflating the chamber, whereby inflating the chamber compresses together a central portion of the inner sleeve, thereby sealing the channel.
44
15. The access port of claim 14, further comprising a pair of drawstrings attached to opposite sides of the central portion of the inner sleeve and pulling the sides in opposite directions toward the outer sleeve, thereby collapsing the central portion of the inner sleeve into two flattened portions contacting each other to form a seal.
16. The access port of claim 14, wherein the central portion of the inner sleeve includes two sealed regions opposite one another in which immediately adjacent portions of the inner sleeve are welded together, thereby dividing the central portion into two substantially flattened portions extending along the length of the channel adjacent to one another.
17. The access port of claim 12, further comprising a flap valve that connects to the open end of the flexible sleeve and extends into the channel, wherein the flap valve seals the channel when there is a positive pressure differential between the channel and the surroundings.
18. The access port of claim 17, further comprising a pair of drawstrings attached to opposite ends of the flap valve and pulling the ends in opposite directions to enhance the sealing ability of the flap valve.
19. The access port of claim 12, further comprising a light source connected to the skirt in the vicinity of the exit opening.
20. The access port of claim 12, wherein the flexible sleeve comprises an iris valve.
21. The access port of claim 12, further comprising an inflatable cuff attached to an inner surface of the sleeve for sealing around a surgeon's arm.
45
22. The access port of claim 21, wherein the inflatable cuff is surrounded by a backing of a substantially non-expandable material.
23. The access port of claim 22, further comprising a second ring connected to the sleeve and surrounding the open end of the sleeve.
24. The access port of claim 23, further comprising a detachable cap for sealing the open end of the sleeve, wherein the detachable cap is adapted to be received by the second ring.
25. The access port of claim 12, further comprising : a sealing collar attached to the sleeve and surrounding the open end, said sealing collar having a groove along its inner perimeter; and a glove comprising a flange at the open end of the glove that mates with the groove and seals the channel when inserted into the groove.
26. The access port of claim 12, further comprising: a sealing collar attached to the sleeve and surrounding the open end, said sealing collar including an inwardly expanding inflatable bladder; and a glove having an enlarged cuff, wherein when the glove is inserted into the sleeve, the enlarged cuff mates with the inflated bladder and seals the opening.
46
27. The access port of claim 12, further comprising: a sealing collar attached to the sleeve and surrounding the open end, said sealing collar having a groove along its inner perimeter; a bracelet having a fixed diameter that mates with the groove; and a glove, wherein during use the bracelet is worn by a surgeon underneath the glove and is mated to the sealing collar, a portion of the glove being held within the groove by the bracelet, thereby sealing the channel.
28. A surgical access port, for use with a surgical glove, comprising: a device for retracting the edges of a surgical incision to form an opening into a patient's body cavity; a sealing sleeve attached to the device external to the body cavity, wherein the sealing sleeve comprises, a flexible sleeve providing a channel from its open end distal to the retracting device through to the opening, and a sealing collar attached to the sleeve and surrounding the open end; and a semi-rigid bracelet separable from the glove and having a fixed diameter that releasably mates with the sealing collar, the bracelet being configured to fasten a portion of the glove to the sealing collar when worn beneath the glove and mated to the sealing collar.
.
29. The access port of claim 28, further comprising the glove.
30. A surgical access port comprising: a device for retracting the edges of a surgical incision to form an opening into a patient's body cavity, the retracting device comprising an upper inflatable portion for overlying tissue surrounding the incision, a lower portion for
47 underlying the tissue surrounding the incision, and a skirt connecting the upper and lower portion, all of which permit the retracting device to form a gas-tight seal with the edges of the incision; and a sealing sleeve attached to the device external to the body cavity, wherein the sealing sleeve comprises: a flexible sleeve providing a channel from its open end distal to the retracting device through to the opening; and drawstrings connected to the flexible sleeve for sealing the channel.
31. The access port of claim 30, wherein the sealing sleeve further comprises an outer sleeve surrounding the flexible sleeve and forming a chamber therebetween, and an inlet port for inflating the chamber, whereby inflating the chamber compresses together a central portion of the flexible sleeve, thereby sealing the channel, and wherein the drawstrings attach to opposite sides of the central portion of the flexible sleeve.
32. The access port of claim 30, further comprising a flap valve that connects to the open end of the flexible sleeve and extends into the channel, wherein the flap valve seals the channel when there is a positive pressure differential between the channel and the surroundings, and wherein the drawstrings attach to opposite ends of the flap valve to enhance the sealing ability of the flap valve.
.
33. A surgical wound retractor for providing access to a patient's body cavity through an incision, the retractor comprising: a gas-tight, tubular skirt having an upper end, a lower end, and a channel therebetween, wherein the skirt is made from rubber; a ring connected to the lower end of the skirt, the ring maintaining the lower end in an open configuration
48 and defining an exit opening to the channel, wherein the ring is designed to fit through the incision and remain under the surface when it is oriented substantially parallel to surface; and an upper member connected to the upper end of the skirt, the upper member maintaining the upper end in an open configuration and defining an entry opening to the channel.
34. A device for retracting edges of an incision in a surface to form an open channel, the device comprising: an upper toroidal portion for positioning above the surface around the incision, the upper toroidal portion defining and enclosing an inflatable, sealed interior; a lower portion insertable through the incision and orientable to underlie the surface beneath the incision; and a flexible, gas-tight tubular skirt having an upper end connected to the upper toroidal portion and a lower end connected to the lower portion, the upper toroidal portion, lower portion, and skirt defining an open channel extending through the incision, the channel having side-walls that are gas impermeable.
35. The device of claim 34, wherein the upper toroidal portion includes an inflation port for inflating the sealed interior.
36. The device of claim 34, wherein the lower portion is non-inflatable.
37. The device of claim 34, wherein the upper toroidal portion comprises two superimposed, inflatable collars .
38. A surgical access port comprising: the device of claim 34; and
49 a flexible, gas-tight sleeve connected to the device and extending the channel away from the incision.
39. The access port of claim 38, wherein the sleeve is releasably connected to the device.
40. A surgical access port comprising: the device of claim 37; and a flexible, gas-tight sleeve connected to the device and extending the channel away from the incision, wherein the sleeve comprises a resilient ring configured to releasably attached to a groove formed between the two superimposed collars.
Priority Applications (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP54743298A JP3181299B2 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
| EP98920100A EP0981302B1 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
| AT98920100T ATE245392T1 (en) | 1997-04-30 | 1998-04-30 | SURGICAL ACCESS OPENING |
| CA002288023A CA2288023C (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
| DE69816613T DE69816613T2 (en) | 1997-04-30 | 1998-04-30 | SURGICAL ACCESS OPENING |
| AU72746/98A AU745359B2 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/847,155 | 1997-04-30 | ||
| US08/847,155 US5906577A (en) | 1997-04-30 | 1997-04-30 | Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision |
| EP03075195A EP1312318B1 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
| EP98920100A EP0981302B1 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| WO1998048724A1 WO1998048724A1 (en) | 1998-11-05 |
| WO1998048724B1 true WO1998048724B1 (en) | 1998-12-30 |
Family
ID=36581431
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/US1998/008837 WO1998048724A1 (en) | 1997-04-30 | 1998-04-30 | Surgical access port |
Country Status (8)
| Country | Link |
|---|---|
| US (2) | US5906577A (en) |
| EP (3) | EP0981302B1 (en) |
| JP (2) | JP3181299B2 (en) |
| AT (3) | ATE478624T1 (en) |
| AU (1) | AU745359B2 (en) |
| CA (1) | CA2288023C (en) |
| DE (3) | DE69841865D1 (en) |
| WO (1) | WO1998048724A1 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9307976B2 (en) | 2002-10-04 | 2016-04-12 | Atropos Limited | Wound retractor |
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