WO2004075730A3 - Sealed surgical access device - Google Patents

Sealed surgical access device Download PDF

Info

Publication number
WO2004075730A3
WO2004075730A3 PCT/US2004/005484 US2004005484W WO2004075730A3 WO 2004075730 A3 WO2004075730 A3 WO 2004075730A3 US 2004005484 W US2004005484 W US 2004005484W WO 2004075730 A3 WO2004075730 A3 WO 2004075730A3
Authority
WO
WIPO (PCT)
Prior art keywords
surgeon
access device
hand
surgical access
retention member
Prior art date
Application number
PCT/US2004/005484
Other languages
French (fr)
Other versions
WO2004075730A2 (en
Inventor
Charles C Hart
John Brustad
Original Assignee
Applied Med Resources
Charles C Hart
John Brustad
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Applied Med Resources, Charles C Hart, John Brustad filed Critical Applied Med Resources
Priority to PCT/US2004/005484 priority Critical patent/WO2004075730A2/en
Priority to US10/927,551 priority patent/US20050020884A1/en
Publication of WO2004075730A2 publication Critical patent/WO2004075730A2/en
Publication of WO2004075730A3 publication Critical patent/WO2004075730A3/en
Priority to US11/245,709 priority patent/US7951076B2/en
Priority to US13/105,179 priority patent/US8932214B2/en
Priority to US14/574,987 priority patent/US9295459B2/en

Links

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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
    • 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
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486—Balloon
    • 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
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms

Abstract

A surgical access device (50) facilitates passage of a surgeon's hand through an incision in a body wall and into a body cavity. The device includes a first retention member (55) disposed exteriorly of the body wall, a second retention member (52) disposed interiorly of the body wall, and an elastomeric sleeve (75). This sleeve has a central section (53) stretchable radially to form an instrument seal around the surgeon's hand, and stretchable axially to form a zero seal in the absence of the surgeon's hand. Stretching of the sleeve (86) is facilitated by varying the size of the first retention member (55).
PCT/US2004/005484 2003-02-25 2004-02-25 Sealed surgical access device WO2004075730A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
PCT/US2004/005484 WO2004075730A2 (en) 2003-02-25 2004-02-25 Sealed surgical access device
US10/927,551 US20050020884A1 (en) 2003-02-25 2004-08-25 Surgical access system
US11/245,709 US7951076B2 (en) 2003-02-25 2005-10-07 Surgical access system
US13/105,179 US8932214B2 (en) 2003-02-25 2011-05-11 Surgical access system
US14/574,987 US9295459B2 (en) 2003-02-25 2014-12-18 Surgical access system

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US44985703P 2003-02-25 2003-02-25
US60/449,857 2003-02-25
PCT/US2004/005484 WO2004075730A2 (en) 2003-02-25 2004-02-25 Sealed surgical access device

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/005487 Continuation WO2004075741A2 (en) 2003-02-25 2004-02-25 Wound retractor for use in hand assisted laparoscopic surgery

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/927,551 Continuation US20050020884A1 (en) 2003-02-25 2004-08-25 Surgical access system

Publications (2)

Publication Number Publication Date
WO2004075730A2 WO2004075730A2 (en) 2004-09-10
WO2004075730A3 true WO2004075730A3 (en) 2004-12-23

Family

ID=42352029

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/005484 WO2004075730A2 (en) 2003-02-25 2004-02-25 Sealed surgical access device

Country Status (1)

Country Link
WO (1) WO2004075730A2 (en)

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7650887B2 (en) 2002-06-05 2010-01-26 Applied Medical Resources Corporation Wound retractor
US7951076B2 (en) 2003-02-25 2011-05-31 Applied Medical Resources Corporation Surgical access system
US8187177B2 (en) 2003-09-17 2012-05-29 Applied Medical Resources Corporation Surgical instrument access device
US8388526B2 (en) 2001-10-20 2013-03-05 Applied Medical Resources Corporation Wound retraction apparatus and method
US8870904B2 (en) 2001-08-14 2014-10-28 Applied Medical Resources Corporation Access sealing apparatus and method
US8894571B2 (en) 2008-10-13 2014-11-25 Applied Medical Resources Corporation Single port access system
US8911366B2 (en) 2000-10-19 2014-12-16 Applied Medical Resources Corporation Surgical access apparatus and method
US8961410B2 (en) 2007-05-11 2015-02-24 Applied Medical Resources Corporation Surgical retractor with gel pad
US9017254B2 (en) 2005-10-14 2015-04-28 Applied Medical Resources Corporation Hand access laparoscopic device
US9192366B2 (en) 2011-05-10 2015-11-24 Applied Medical Resources Corporation Wound retractor
US9289200B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050033246A1 (en) 2002-05-14 2005-02-10 Ahlberg Russell E. Surgical device with tack-free gel and method of manufacture
US8206294B2 (en) 2008-09-30 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical access device with flexible seal channel
US8231527B2 (en) 2006-07-18 2012-07-31 Ethicon Endo-Surgery, Inc. Roll-up wound protector with asymmetric ring
US7922656B2 (en) 2007-04-04 2011-04-12 Ethicon Endo-Surgery, Inc. Hand assisted laparoscopic seal assembly with detachable attachment ring
ITMI20071230A1 (en) * 2007-06-20 2008-12-21 Lucini Surgical Concept S R L CANNULA DEVICE FOR SURGICAL OPERATIONS IN ENDOSCOPY
EP3569168B1 (en) 2008-02-29 2020-12-16 Arthrex Inc Button cannula
US8403889B2 (en) * 2008-06-25 2013-03-26 Covidien Lp Access assembly
CA2771337C (en) * 2009-08-31 2018-05-01 Jeremy J. Albrecht Multifunctional surgical access system
US8968188B2 (en) 2010-11-24 2015-03-03 Covidien Lp Expandable segmented and sectioned access assembly
US9622775B2 (en) * 2012-10-24 2017-04-18 Arthrex, Inc. Methods and instruments for forming a posterior knee portal and for inserting a cannula
EP2967512B1 (en) 2013-03-15 2019-11-06 Applied Medical Resources Corporation Mechanical gel surgical access device
AU2015249652B2 (en) 2014-04-23 2020-02-20 Applied Medical Resources Corporation Systems and methods for tissue removal
CA2952640C (en) 2014-07-18 2023-04-04 Applied Medical Resources Corporation Gels having permanent tack free coatings and method of manufacture
ES2731049T3 (en) 2014-08-15 2019-11-13 Applied Med Resources Natural hole surgery system
EP4122402A1 (en) 2014-08-18 2023-01-25 Applied Medical Resources Corporation Systems and methods for tissue containment and retrieval
KR102602619B1 (en) * 2014-11-13 2023-11-16 어플라이드 메디컬 리소시스 코포레이션 Systems and methods for tissue removal
CA2968846A1 (en) 2014-11-25 2016-06-02 Applied Medical Resources Corporation Circumferential wound retraction with support and guidance structures
AU2016253021B2 (en) 2015-04-23 2021-02-11 Applied Medical Resources Corporation Systems and methods for tissue removal
ES2836282T3 (en) 2015-09-15 2021-06-24 Applied Med Resources Surgical robotic access system
JP6953402B2 (en) 2015-10-07 2021-10-27 アプライド メディカル リソーシーズ コーポレイション Wound retractor with multi-segment outer ring
CA3012178A1 (en) 2016-01-22 2017-07-27 Applied Medical Resources Corporation Systems and methods for tissue removal
WO2018007244A1 (en) 2016-07-04 2018-01-11 Atropos Limited An access device
AU2017324450B2 (en) 2016-09-12 2022-09-29 Applied Medical Resources Corporation Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4875482A (en) * 1988-06-21 1989-10-24 Neurodynamics, Inc. Flexible grasping device
US5207687A (en) * 1988-05-26 1993-05-04 Gilles Bernon Apparatus for extracting a fetus through the natural genital tract of the mother
US5674280A (en) * 1989-12-21 1997-10-07 Smith & Nephew, Inc. Valvular annuloplasty rings of a biocompatible low elastic modulus titanium-niobium-zirconium alloy
US20010037053A1 (en) * 1998-12-01 2001-11-01 Frank Bonadio Surgical device for retracting and/or sealing an incision
US6391054B2 (en) * 1994-07-29 2002-05-21 Edwards Lifesciences Corporation Expandable annuloplasty ring
US20020072762A1 (en) * 1998-12-01 2002-06-13 Atropos Limited Laparoscopic sealed access device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5207687A (en) * 1988-05-26 1993-05-04 Gilles Bernon Apparatus for extracting a fetus through the natural genital tract of the mother
US4875482A (en) * 1988-06-21 1989-10-24 Neurodynamics, Inc. Flexible grasping device
US5674280A (en) * 1989-12-21 1997-10-07 Smith & Nephew, Inc. Valvular annuloplasty rings of a biocompatible low elastic modulus titanium-niobium-zirconium alloy
US6391054B2 (en) * 1994-07-29 2002-05-21 Edwards Lifesciences Corporation Expandable annuloplasty ring
US20010037053A1 (en) * 1998-12-01 2001-11-01 Frank Bonadio Surgical device for retracting and/or sealing an incision
US20020072762A1 (en) * 1998-12-01 2002-06-13 Atropos Limited Laparoscopic sealed access device

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8911366B2 (en) 2000-10-19 2014-12-16 Applied Medical Resources Corporation Surgical access apparatus and method
US8870904B2 (en) 2001-08-14 2014-10-28 Applied Medical Resources Corporation Access sealing apparatus and method
US8388526B2 (en) 2001-10-20 2013-03-05 Applied Medical Resources Corporation Wound retraction apparatus and method
US7913697B2 (en) 2002-06-05 2011-03-29 Applied Medical Resources Corporation Wound retractor
US8973583B2 (en) 2002-06-05 2015-03-10 Applied Medical Resources Corporation Wound retractor
US7650887B2 (en) 2002-06-05 2010-01-26 Applied Medical Resources Corporation Wound retractor
US8235054B2 (en) 2002-06-05 2012-08-07 Applied Medical Resources Corporation Wound retractor
US9561024B2 (en) 2002-06-05 2017-02-07 Applied Medical Resources Corporation Wound retractor
US8932214B2 (en) 2003-02-25 2015-01-13 Applied Medical Resources Corporation Surgical access system
US9295459B2 (en) 2003-02-25 2016-03-29 Applied Medical Resources Corporation Surgical access system
US7951076B2 (en) 2003-02-25 2011-05-31 Applied Medical Resources Corporation Surgical access system
US8187177B2 (en) 2003-09-17 2012-05-29 Applied Medical Resources Corporation Surgical instrument access device
US9017254B2 (en) 2005-10-14 2015-04-28 Applied Medical Resources Corporation Hand access laparoscopic device
US9101354B2 (en) 2005-10-14 2015-08-11 Applied Medical Resources Corporation Wound retractor with gel cap
US9474519B2 (en) 2005-10-14 2016-10-25 Applied Medical Resources Corporation Hand access laparoscopic device
US8961410B2 (en) 2007-05-11 2015-02-24 Applied Medical Resources Corporation Surgical retractor with gel pad
US8894571B2 (en) 2008-10-13 2014-11-25 Applied Medical Resources Corporation Single port access system
US9289200B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9241697B2 (en) 2011-05-10 2016-01-26 Applied Medical Resources Corporation Wound retractor
US9307975B2 (en) 2011-05-10 2016-04-12 Applied Medical Resources Corporation Wound retractor
US9192366B2 (en) 2011-05-10 2015-11-24 Applied Medical Resources Corporation Wound retractor

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