WO2004075741A3 - Wound retractor for use in hand assisted laparoscopic surgery - Google Patents

Wound retractor for use in hand assisted laparoscopic surgery Download PDF

Info

Publication number
WO2004075741A3
WO2004075741A3 PCT/US2004/005487 US2004005487W WO2004075741A3 WO 2004075741 A3 WO2004075741 A3 WO 2004075741A3 US 2004005487 W US2004005487 W US 2004005487W WO 2004075741 A3 WO2004075741 A3 WO 2004075741A3
Authority
WO
WIPO (PCT)
Prior art keywords
tension element
incision
laparoscopic surgery
tensioning device
wound retractor
Prior art date
Application number
PCT/US2004/005487
Other languages
French (fr)
Other versions
WO2004075741A2 (en
Inventor
John Brustad
Richard Ewers
Edward D Pingleton
Nabil Hilal
Payam Adlparvar
Scott V Taylor
Gary R Dulak
Michael J Dunn
Norman L Morales
Charles C Hart
Robert R Ii Bowes
Original Assignee
Applied Med Resources
John Brustad
Richard Ewers
Edward D Pingleton
Nabil Hilal
Payam Adlparvar
Scott V Taylor
Gary R Dulak
Michael J Dunn
Norman L Morales
Charles C Hart
Robert R Ii Bowes
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, John Brustad, Richard Ewers, Edward D Pingleton, Nabil Hilal, Payam Adlparvar, Scott V Taylor, Gary R Dulak, Michael J Dunn, Norman L Morales, Charles C Hart, Robert R Ii Bowes filed Critical Applied Med Resources
Priority to PCT/US2004/005487 priority Critical patent/WO2004075741A2/en
Priority to US10/927,551 priority patent/US20050020884A1/en
Publication of WO2004075741A2 publication Critical patent/WO2004075741A2/en
Publication of WO2004075741A3 publication Critical patent/WO2004075741A3/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
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
    • 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 retractor (10) is adapted for use in opening an incision (12) in a body wall (14) to facilitate access into a body cavity. The retractor includes an interior anchor (16) that is disposed interiorly of the body wall and an exterior tensioning device (56) that is disposed exteriorly of the body wall. At least one tension element (21) is coupled to the interior anchor and adapted to pass through the incision to engage the exterior tensioning device. Engaging elements (59, 62) are provided on the exterior tensioning device to engage the tension element and to maintain a tensile force on the tension element as it passes through the incision. Multiple concentric rings can also be used to maintain a tensile force on the tension element.
PCT/US2004/005487 2003-02-25 2004-02-25 Wound retractor for use in hand assisted laparoscopic surgery WO2004075741A2 (en)

Priority Applications (5)

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

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/005361 Continuation WO2004075930A2 (en) 2003-02-25 2004-02-24 Apparatus and method for illuminating a peritoneal cavity during laparoscopic surgery

Related Child Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2004/005484 Continuation WO2004075730A2 (en) 2003-02-25 2004-02-25 Sealed surgical access device
US10/927,551 Continuation US20050020884A1 (en) 2003-02-25 2004-08-25 Surgical access system

Publications (2)

Publication Number Publication Date
WO2004075741A2 WO2004075741A2 (en) 2004-09-10
WO2004075741A3 true WO2004075741A3 (en) 2004-10-14

Family

ID=32927579

Family Applications (1)

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

Country Status (1)

Country Link
WO (1) WO2004075741A2 (en)

Cited By (17)

* 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
US8961409B2 (en) 2011-12-07 2015-02-24 Covidien Lp Thoracic access assembly
US9017254B2 (en) 2005-10-14 2015-04-28 Applied Medical Resources Corporation Hand access laparoscopic device
USD736921S1 (en) 2007-10-05 2015-08-18 Covidien Lp Seal anchor for use in surgical procedures
USD738500S1 (en) 2008-10-02 2015-09-08 Covidien Lp Seal anchor for use in surgical procedures
US9192366B2 (en) 2011-05-10 2015-11-24 Applied Medical Resources Corporation Wound retractor
US9271639B2 (en) 2012-02-29 2016-03-01 Covidien Lp Surgical introducer and access port assembly
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9289200B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9486197B2 (en) 2010-12-20 2016-11-08 Covidien Lp Two-part access assembly

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WO2005013803A2 (en) 2003-08-06 2005-02-17 Applied Medical Resources Corporation Surgical device with tack-free gel and method of manufacture
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
US8465515B2 (en) 2007-08-29 2013-06-18 Ethicon Endo-Surgery, Inc. Tissue retractors
US8128559B2 (en) 2007-11-26 2012-03-06 Ethicon Endo-Surgery, Inc. Tissue retractors
US8517931B2 (en) 2007-11-26 2013-08-27 Ethicon Endo-Surgery, Inc. Tissue retractors
MX2011004209A (en) * 2008-03-27 2011-05-24 Wom Ind Srl Laparoscopic port assembly.
EP4248881A3 (en) * 2009-08-31 2023-11-08 Applied Medical Resources Corporation Multifunctional surgical access system
US8920314B2 (en) 2009-10-07 2014-12-30 Covidien Lp Universal height foam port
US20110118553A1 (en) * 2009-11-19 2011-05-19 Tyco Healthcare Group Lp Access device including an integrated light source
US20110251463A1 (en) * 2010-04-12 2011-10-13 Tyco Healthcare Group Lp Bariatric foam port
US8821390B2 (en) 2010-04-12 2014-09-02 Covidien Lp Surgical access method and assembly including sleeve and port
US9022926B2 (en) * 2010-11-23 2015-05-05 Covidien Lp Reinforced flexible access assembly
US8864659B2 (en) 2010-11-23 2014-10-21 Covidien Lp Seal anchor for use in surgical procedures
US8679151B2 (en) 2010-11-24 2014-03-25 Covidien Lp Access device including shape memory deployment mechanism
US20120157782A1 (en) 2010-12-20 2012-06-21 Francesco Alfieri Hand access device
US8753267B2 (en) 2011-01-24 2014-06-17 Covidien Lp Access assembly insertion device
US9022928B2 (en) 2011-03-18 2015-05-05 Covidien Lp Wound protector including balloon within incision
US9033873B2 (en) 2011-03-23 2015-05-19 Covidien Lp Surgical retractor including rotatable knobs
US9119666B2 (en) 2011-03-25 2015-09-01 Covidien Lp Access port with integrated flexible sleeve
US8668641B2 (en) 2011-03-30 2014-03-11 Covidien, LP Surgical access assembly with sleeve and adjustable fastener
US9078696B2 (en) 2011-05-02 2015-07-14 Covidien Lp Surgical retractor including polygonal rolling structure
US9017249B2 (en) 2012-03-26 2015-04-28 Covidien Lp Surgical access assembly and method of use therefor
US8764645B2 (en) 2012-03-26 2014-07-01 Covidien Lp Surgical access device and wound protector
US9149178B2 (en) 2012-03-26 2015-10-06 Covidien Lp Surgical access assembly and method of use therefor
JP2016512725A (en) 2013-03-15 2016-05-09 アプライド メディカル リソーシーズ コーポレイション Mechanical gel surgical access instrument
CN103989527B (en) * 2014-05-27 2017-01-18 金仕生物科技（常熟）有限公司 Incision protecting and dragging-off device
US10064649B2 (en) 2014-07-07 2018-09-04 Covidien Lp Pleated seal for surgical hand or instrument access
CA2952640C (en) 2014-07-18 2023-04-04 Applied Medical Resources Corporation Gels having permanent tack free coatings and method of manufacture
KR102380957B1 (en) 2014-08-15 2022-03-31 어플라이드 메디컬 리소시스 코포레이션 Natural orifice surgery system
US9707011B2 (en) 2014-11-12 2017-07-18 Covidien Lp Attachments for use with a surgical access device
EP3223718A2 (en) 2014-11-25 2017-10-04 Applied Medical Resources Corporation Circumferential wound retraction with support and guidance structures
EP3349675B1 (en) 2015-09-15 2020-10-21 Applied Medical Resources Corporation 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
US10674896B2 (en) 2016-09-12 2020-06-09 Applied Medical Resources Corporation Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments
US11160682B2 (en) 2017-06-19 2021-11-02 Covidien Lp Method and apparatus for accessing matter disposed within an internal body vessel
US10828065B2 (en) 2017-08-28 2020-11-10 Covidien Lp Surgical access system
US10675056B2 (en) 2017-09-07 2020-06-09 Covidien Lp Access apparatus with integrated fluid connector and control valve
CN108354641A (en) * 2018-02-13 2018-08-03 赵婷 A kind of abdominal cavity struts protective device
US11389193B2 (en) 2018-10-02 2022-07-19 Covidien Lp Surgical access device with fascial closure system
US11457949B2 (en) 2018-10-12 2022-10-04 Covidien Lp Surgical access device and seal guard for use therewith
US10932767B2 (en) 2018-12-07 2021-03-02 Covidien Lp Surgical access assembly and method of use therefor
US11166748B2 (en) 2019-02-11 2021-11-09 Covidien Lp Seal assemblies for surgical access assemblies
US10792071B2 (en) 2019-02-11 2020-10-06 Covidien Lp Seals for surgical access assemblies
US11000313B2 (en) 2019-04-25 2021-05-11 Covidien Lp Seals for surgical access devices
US11413068B2 (en) 2019-05-09 2022-08-16 Covidien Lp Seal assemblies for surgical access assemblies
US11357542B2 (en) 2019-06-21 2022-06-14 Covidien Lp Valve assembly and retainer for surgical access assembly
US11259841B2 (en) 2019-06-21 2022-03-01 Covidien Lp Seal assemblies for surgical access assemblies
US11259840B2 (en) 2019-06-21 2022-03-01 Covidien Lp Valve assemblies for surgical access assemblies
US11413065B2 (en) 2019-06-28 2022-08-16 Covidien Lp Seal assemblies for surgical access assemblies
US11399865B2 (en) 2019-08-02 2022-08-02 Covidien Lp Seal assemblies for surgical access assemblies
US11523842B2 (en) 2019-09-09 2022-12-13 Covidien Lp Reusable surgical port with disposable seal assembly
US11432843B2 (en) 2019-09-09 2022-09-06 Covidien Lp Centering mechanisms for a surgical access assembly
US11812991B2 (en) 2019-10-18 2023-11-14 Covidien Lp Seal assemblies for surgical access assemblies
US11464540B2 (en) 2020-01-17 2022-10-11 Covidien Lp Surgical access device with fixation mechanism
US11576701B2 (en) 2020-03-05 2023-02-14 Covidien Lp Surgical access assembly having a pump
US11446058B2 (en) 2020-03-27 2022-09-20 Covidien Lp Fixture device for folding a seal member
US11717321B2 (en) 2020-04-24 2023-08-08 Covidien Lp Access assembly with retention mechanism
US11529170B2 (en) 2020-04-29 2022-12-20 Covidien Lp Expandable surgical access port
US11622790B2 (en) 2020-05-21 2023-04-11 Covidien Lp Obturators for surgical access assemblies and methods of assembly thereof
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Cited By (28)

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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
US8235054B2 (en) 2002-06-05 2012-08-07 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
US7913697B2 (en) 2002-06-05 2011-03-29 Applied Medical Resources Corporation Wound retractor
US9561024B2 (en) 2002-06-05 2017-02-07 Applied Medical Resources Corporation Wound retractor
US7951076B2 (en) 2003-02-25 2011-05-31 Applied Medical Resources Corporation Surgical access system
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
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
USD736921S1 (en) 2007-10-05 2015-08-18 Covidien Lp Seal anchor for use in surgical procedures
US9113951B2 (en) 2007-10-05 2015-08-25 Covidien Lp Seal anchor for use in surgical procedures
USD738500S1 (en) 2008-10-02 2015-09-08 Covidien Lp Seal anchor for use in surgical procedures
US8894571B2 (en) 2008-10-13 2014-11-25 Applied Medical Resources Corporation Single port access system
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9289200B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9486197B2 (en) 2010-12-20 2016-11-08 Covidien Lp Two-part access assembly
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
US8961409B2 (en) 2011-12-07 2015-02-24 Covidien Lp Thoracic access assembly
US9271639B2 (en) 2012-02-29 2016-03-01 Covidien Lp Surgical introducer and access port assembly

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