[go: up one dir, main page]

CN112137692A - 外科手术进入组件用密封组件 - Google Patents

外科手术进入组件用密封组件 Download PDF

Info

Publication number
CN112137692A
CN112137692A CN202010543022.8A CN202010543022A CN112137692A CN 112137692 A CN112137692 A CN 112137692A CN 202010543022 A CN202010543022 A CN 202010543022A CN 112137692 A CN112137692 A CN 112137692A
Authority
CN
China
Prior art keywords
assembly
seal
seals
surgical access
lower support
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.)
Pending
Application number
CN202010543022.8A
Other languages
English (en)
Inventor
罗伊·皮列特雷
马修·迪尼诺
加勒特·埃伯索尔
凯文·德雅尔丹
贾斯廷·托马斯
雅各布·巴里尔
妮科莱特·拉皮埃尔
埃里克·布朗
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
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 Covidien LP filed Critical Covidien LP
Publication of CN112137692A publication Critical patent/CN112137692A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M39/0606—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof without means for adjusting the seal opening or pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/3419—Sealing means between cannula and body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3464—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0626—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof used with other surgical instruments, e.g. endoscope, trocar

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明涉及一种外科手术进入组件用密封组件。本发明的外科手术进入组件包括器械阀壳和布置在器械阀壳的腔内的阀组件。阀组件包括防护组件，与防护组件相邻布置的密封组件，以及用于将密封组件和防护组件保持在器械阀腔内居中的定心机构。密封组件包括多瓣密封构件以及上支撑构件和下支撑构件。上支撑构件和下支撑构件将多瓣密封构件夹在其间，以减少和/或消除通过多瓣密封构件的泄漏。

Description

外科手术进入组件用密封组件
技术领域
本公开涉及包括密封件的用于微创外科手术的外科手术进入组件。更具体地，本公开涉及用于外科手术进入组件的密封件。
背景技术
为了便于微创外科手术，在手术部位处创建工作空间。将通常为CO2的吹入流体导入患者的腹部，以形成一种称为气腹的充气状态。外科手术进入组件用于允许引入手术器械和内窥镜(或其他可视化工具)。这些外科手术进入组件保持气腹压力，因为它们具有一个或多个适于手术器械的密封件。通常，在外科手术进入组件中不存在手术器械的情况下，外科手术进入组件中的“零密封”将外科手术进入组件密封，并且器械密封件围绕已经通过外科手术进入组件插入的手术器械进行密封。
当今市场上的手术器械广泛要求牢固的密封件，该密封件能够适应多种尺寸并且能承受手术器械的多次插入。某些器械可能会包括锋利的边缘，这些边缘会撕裂或损坏密封件。因此，具有改善的密封耐久性的外科手术进入组件将是有益的。
发明内容
提供了具有改善的密封耐久性的外科手术进入组件。外科手术进入组件包括器械阀壳和阀组件，该器械阀壳包括上壳区段、下壳区段和内壳区段并限定腔，该阀组件布置在器械阀壳的腔内。阀组件包括：包括多个防护部的防护组件；与防护组件相邻布置的密封组件；以及用于将密封组件和防护组件保持在器械阀腔内居中的定心机构。密封组件包括多个密封部以及上支撑构件和下支撑构件。多个密封部可从展开构造移动到折叠构造，在折叠构造中，密封组件形成八边形构件，该八边形构件限定了开口以便于手术器械密封地通过。上支撑构件和下支撑构件分别被接收在多个密封部的近侧和远侧，并围绕多个密封部压缩以将多个密封部夹在其间。
在实施例中，上支撑构件和下支撑构件限定约0.30”至约0.45”的开口。上支撑构件和下支撑构件的厚度可为约0.006英寸至约0.015英寸。多个密封部可以由聚异戊二烯或液态硅橡胶形成。多个密封部中的每个密封部可以通过连接器部分连接到多个密封部中的相邻密封部。连接器部分可以包括活动铰链。上支撑构件可以通过连接器部分连接到多个密封部中的一个密封部，下支撑构件可以通过另一个连接器部分连接到多个密封部中的另一个密封部。
在一些实施例中，多个密封部中的每个密封部的内边缘可以限定为V形。V形可以包括约180度至约275度的角度。多个密封部可包括第一密封部、第二密封部、第三密封部和第四密封部，第一密封部、第二密封部、第三密封部和第四密封部中的每一个与相邻的第二密封部、第三密封部、第四密封部和第一密封部重叠。
外科手术进入组件可进一步包括保持器组件，该保持器组件包括上保持器构件和下保持器构件。上保持器构件或下保持器构件中的至少一个可包括可穿过防护组件和密封组件接收的多个销，以将防护组件和密封组件相对于彼此保持。定心机构可以包括波纹管。上支撑构件和下支撑构件可以包括六边形形状。上支撑构件和下支撑构件可以包括八边形形状。
提供一种阀组件，其包括具有改善的耐久性的密封组件。阀组件包括：包括多个防护部的防护组件；与防护组件相邻设置的密封组件；以及用于将密封组件和防护组件保持在器械阀腔内居中的定心机构。密封组件包括多个密封部以及上支撑构件和下支撑构件。多个密封部可从展开构造移动到折叠构造，在折叠构造中密封组件形成八边形构件，其限定了开口以促进手术器械从中密封地通过。上支撑构件和下支撑构件分别布置在多个密封部的近侧和远侧，并且围绕多个密封部压缩以将多个密封部夹在其间。
在实施例中，阀组件还包括具有上保持器构件和下保持器构件的保持器组件。上保持器构件和下保持器构件中的至少一个可包括可穿过防护组件和密封组件接收的多个销，用于将防护组件和密封组件相对于彼此保持。上支撑构件可以通过连接器部分连接到多个密封部中的密封部，下支撑构件可以通过另一个连接器部分连接到多个密封部中的另一个密封部。
提供了一种具有改善的耐久性的密封组件。密封组件包括多个密封部，多个密封部可从展开构造移动到折叠构造，在折叠构造中，密封组件形成八边形构件，其限定了开口以便于手术器械密封地通过，密封组件还包括布置在多个密封部的近侧的上支撑构件和设置在多个密封部的远侧的下支撑构件。上支撑构件和下支撑构件围绕多个密封部压缩以将多个密封部夹在其间。
附图说明
结合在本说明书中并且构成本说明书的一部分的所附附图例示了本公开的实施例，并且与上文所给出的本公开的一般描述和下文所给出的实施例的详细描述一起用以说明本公开的原理，其中：
图1是根据本公开实施例的外科手术进入组件的侧视立体图；
图2是图1所示外科手术进入组件沿剖面线2-2截取的侧视截面图；
图3是图2所示的阀组件的部件分离的立体图，包括定心机构、防护组件、密封组件和保持器组件。
图4是图3所示的密封组件的俯视立体图；
图5是图3所示的密封组件的仰视立体图；
图6是图3所示的密封组件的支撑构件的立体图；
图7是图4所示的密封组件沿剖面线7-7截取的侧视截面图；
图8是根据本公开的另一实施例的密封组件的立体图；
图9是图8所示的密封组件处于展开状态下的俯视图；
图10-14是图8所示的密封组件在连续的部分折叠状态下的立体图；以及
图15是图8所示的密封组件处于完全折叠状态下的立体图。
具体实施方式
下面参照附图描述本外科手术进入组件的特定实施例；然而，应当理解，所公开的实施例仅仅是本公开的示例性实施例，并且可以以各种形式体现。为了避免以不必要的细节模糊本公开，没有对公知的功能或构造进行详细描述。因此，本文公开的具体结构和功能细节不应被解释为限制性的，而仅仅是作为权利要求的基础和作为用于教导本领域技术人员以实际上任何适当的详细结构不同地使用本发明的代表性基础。在关于附图的整个描述中，相同的附图标记表示相似或相同的元件。
如本文所使用的，术语“远侧”是指器械或其部件的较远离使用者的部分，而术语“近侧”是指器械或其部件的较靠近使用者的部分。如本文所使用的，术语“约”是指该数值是近似的，并且小的变化不会显著影响所公开的实施例的实践。在使用数值限制的情况下，除非上下文另外指出，否则“约”是指该数值可以变化±10％并且保持在所公开的实施例的范围内。
在微创外科手术例如腹腔镜手术期间采用外科手术进入组件，并使手术器械密封地进入吹气的体腔例如腹腔中。本公开的外科手术进入组件包括：安装在套管管体上的器械阀壳，并且包含穿过阀壳和套管插入的闭塞器(未示出)。闭塞器可具有钝的远端，或带刀片或无刀片的穿透远端，并且可用于切开腹壁，以便能将外科手术进入组件引入腹部。闭塞器的手柄可接合或选择性地锁定在外科手术进入组件的器械阀壳上。
通过形成穿过解剖结构(例如腹壁)的新通道，或通过穿过解剖结构的现有开口，外科手术进入组件能用于隧穿解剖结构。一旦套管针组件已经隧穿解剖结构隧穿，就将套管针闭塞器移除，从而将套管组件留在适当位置。套管的器械阀壳包括阀，该阀防止吹入流体从体腔逸出，同时还允许将手术器械插入体腔。
在各种实施例中，可提供无刀片的光学套管针闭塞器，其允许在外科手术过程中分离组织平面，并且在体组织纤维分离时可视化体组织纤维，从而允许控制体组织纤维在体壁上的穿行。在其他实施例中，套管针闭塞器可以是无刀片的但不是光学的，例如，不通过闭塞器的远侧尖端同时提供其可视化。可提供无刀片的闭塞器，以在外科手术过程中对腹壁进行钝性解剖。
适用于本公开的套管的各种套管针闭塞器是已知的，并且包含例如带刀片的、无刀片的、钝的、光学的和非光学的套管针闭塞器。对于包含示范性套管针闭塞器和示范性套管的示例性套管针组件的结构和功能的详细描述，请参见公有的第WO 2016/186905号PCT公开案(“’905公开”)，其内容在此以全文引用的方式并入本文。
现在首先参照图1，根据本公开的方面的外科手术进入组件整体以套管组件100示出。套管组件100包括套管102和固定至套管102的器械阀壳110。对于示例性套管组件的详细论述，请参考‘905公开。
参照图2，套管组件100的器械阀壳110包含上壳区段112、下壳区段114和内壳区段116。上壳区段112、下壳区段114和内壳区段116配置成在套管102的近端支撑阀组件120。更具体地，内壳区段116被固定在上壳区段112和下壳区段114之间，并且阀组件120被接收在内壳区段116和下壳区段114之间。器械阀壳110的上壳区段112和下壳区段114可选择性地附接到内壳区段116以及可从内壳区段116拆卸。下壳区段114可以可释放或永久地附接到套管组件102的套管管体104。在实施例中，器械阀壳110的上壳区段112和下壳区段114中的一个或两个可以包括滚花、凹痕、突片，或以其它方式被配置成方便由临床医生进行接合。
套管组件100还可包括用于稳定外科手术进入组件的特征。例如，套管管体104的远侧可以携带从内侧接合腹部的球囊锚或另一种可膨胀构件。例如，参见美国专利第7,300,448号，其全部公开内容在此以引用的方式并入本文中。腹壁的相对侧上的特征可以用于进一步使外科手术进入组件稳定，例如粘合突片或可调节的泡沫套环。
器械阀壳110的上壳区段112、下壳区段114和内壳区段116限定用于接收手术器械(未示出)的纵向通道111。阀组件120被支撑在器械阀壳110内，以使手术器械密封通过套管组件100。
具体参照图2和3，支撑在器械阀壳110(图2)中的阀组件120包含定心机构130、防护组件140、密封组件160和保持器组件180。当手术器械穿过阀组件120被接收时，阀组件120的定心机构130准许阀组件120相对于器械阀壳110径向地移动，并且另外将阀组件120保持在器械阀壳110内大体上居中的位置。防护组件140在手术器械通过密封组件160插入和抽出的期间保护密封组件160。密封组件160使手术器械密封地通过器械阀壳110。保持器组件180将定心机构130、防护组件140和密封组件160彼此保持在对准关系。
继续参考图2和图3，如上文所提到的，阀组件120的定心机构130被配置成将阀组件120保持为在器械阀壳110(图2)内居中。在实施例中，并且如所示出，定心机构130包括外部环圈132、内部环圈134以及布置在外部环圈132和内部环圈134之间的波纹管136。如图2所示，外部环圈132接收在内壳区段116和下壳区段114之间，以将定心机构130保持在器械阀壳110内。内部环圈134支撑密封组件160。对于示例性定心机构的结构和功能的详细描述，请参看美国专利第6,702,787号，其内容的全文以引用的方式并入本文中。
尽管定心机构130显示为具有波纹管136，但是阀组件120可包括替代的定心机构。例如，定心机构可以包括环形基座和从基座延伸的多个辐条，如公有的美国专利申请第2015/0025477号(’477公开)所述，其内容通过引用全文并入本文。据设想，定心机构可以包括多组辐条，如'477公开中所公开的。
仍参考图2和图3，阀组件120的防护组件140包括环部分142以及第一瓣144、第二瓣146、第三瓣148和第四瓣150。防护组件140可以由塑料/聚合材料片通过用形成环部分142和瓣144、146、148、150的工具冲压而形成。可替代地，防护组件140可以通过模制或其他技术形成。据设想，防护组件可以包括任何数量的瓣，并且瓣可以包括任何尺寸或构造的翼片部分。对于示例性防护组件以及外科手术进入组件的其他方面，请参考美国专利号第5,895,377和6,569,120号，其全部公开内容通过引用并入本文。对于其他示例性防护组件的结构和功能的详细描述，请参考公有的美国专利第16/394,043号、第16/238,823和第##/###,####(Atty.案卷号C00019509.USU1(203-12169)、A0000135US01(203-12267)和C00017498US01(203-12319))，其全部内容通过引用并入本文。
现在继续参考图2和图3，阀组件120的密封组件160构造成在穿过器械阀壳110(图2)的手术器械(未示出)的外表面周围提供密封。
密封组件160包括多瓣或多区段密封构件162，以及上支撑构件164和下支撑构件166。如图所示，多瓣密封构件162包括形成六边形主体并限定开口161的六个瓣或六个区段。尽管示出为包括六(6)个区段，但是据设想，密封组件160可以包括任何合适数量的区段，例如，少至四(4)个区段，或者多至八(8)个区段。通过从多个瓣片中形成多瓣密封构件162的开口161，而不是形成为穿过单个密封构件的连续实心开口，极大地降低了多瓣密封构件162在通过其插入、移除和使用时会撕裂的可能性。尽管示出具有重叠的翼形瓣162a，但是据设想，本公开的方面可以修改为以与具有备选构造和布置的瓣的密封构件一起使用。示例性的多瓣密封构件在2019年2月11日提交的美国专利第16/272,068号中示出和描述，其全部内容并入本文。
特别参考图6，密封组件160的上支撑构件164和下支撑构件166分别包括与多瓣密封构件162的形状相对应的六边形形状，并分别具有开口163、165。尽管示出为具有六边形主体，但是上支撑构件164和下支撑构件166可具有在尺寸和形状上与任何多瓣密封构件(例如，多瓣密封构件162)相对应的主体。开口163、165的尺寸被设置成允许适当地覆盖多瓣密封构件162，同时仍允许在对力的影响最小的情况下通过密封组件160接收较大的手术器械(未示出)。在实施例中，开口163、165的直径可在约0.300至约0.450”的范围内。
上支撑构件164和下支撑构件166可以由聚丁二烯、液态硅橡胶或具有足够拉伸特性的任何其他材料形成。在实施例中，上支撑构件164和下支撑构件166的厚度在0.006英寸至0.015英寸之间。如将在下面进一步详细描述的，上支撑构件164和下支撑构件166围绕多瓣密封构件162形成夹层结构，以减轻多瓣密封构件162内的泄漏路径的影响。
特别参考图7，密封组件160的多瓣密封构件162的多个瓣的重叠层可提供用于吹入流体通过阀组件120泄漏的路径。密封组件160的上支撑构件164和下支撑构件166被构造成减小吹入流体通过多瓣密封构件162泄漏的可能性。更具体地，上支撑构件164和下支撑构件166分别布置在多瓣密封构件162的近侧和远侧，并且被构造成围绕多瓣密封构件162被压缩。通过在上支撑构件164和下支撑构件166之间压缩多瓣密封构件162，可以大大减少和/或消除多瓣密封构件162的层之间的泄漏。上支撑构件164和下支撑构件166还可在通过其插入、操作和移除手术器械期间帮助防止或减少对多瓣密封构件162的损坏。
多瓣密封构件162、上支撑构件164和下支撑构件166中的每一个分别限定了多个开口161a、163a、165a，用于接收从保持器组件180的上保持器构件182延伸的支腿186。
继续参考图7，密封组件160的上支撑构件164布置在防护组件140和定心机构130的内部环圈134之间。多瓣密封构件162布置在内部环圈134的相对侧，并且密封组件160的下支撑构件164邻近多瓣密封构件162设置。保持器组件180的多个支腿186通过定心机构130、防护组件140和密封组件160中的每一个接收，密封组件包括多瓣密封件162、上支撑构件164和下支撑构件166。
保持器组件180的上保持器构件182和下保持器构件184构造成挤压上支撑构件164和下支撑构件166，并且密封组件160夹在其间。以这种方式，在多瓣密封构件162的瓣162a之间存在的任何泄漏都被尺寸上减小或被消除。
阀组件120的保持器组件180(图3)构造成相对于密封组件160固定防护组件140，并将防护组件140和密封组件160固定到定心机构130。保持器组件180包括上保持器构件182和下保持器构件184。如上所述，上保持器构件182包括多个销186。多个销186从上保持器构件182的底表面延伸。多个销186中的每个销被构造成被锁定地接收在下保持器构件184的多个开口185(图3)的一个开口内。在实施例中，多个销186焊接、胶合、粘合、粘结或以其它方式紧固在下保持器构件184中的多个开口185内，以将上保持器构件182和下保持器构件184紧固在一起。替代地，下保持器构件184可以代替地或另外包括多个销(未示出)，其中上保持器构件182限定多个对应的开口(未示出)。上保持器构件182和下保持器构件184中的任一个或两个可以包括用于接合多个销并将上保持器构件182紧固到下保持器构件184的锁定特征(未示出)。
上保持器构件182的多个销186延伸穿过防护组件140的环部分142，穿过各个多瓣密封构件162中的开口163a、165a、167a以及密封组件160的上支撑构件164和下支撑构件166，通过定心机构130的内部环圈134，并进入下保持器构件184中的开口185。
在利用套管组件100的外科手术过程中，手术器械(未示出)通过上壳区段112、下壳区段114、内壳区段116中的纵向通道113被引入器械阀壳110中。如上所述，手术器械的远端与防护组件140接合，从而使防护组件140的翼片部分向下弯曲以与密封组件160的多瓣密封构件162接触，从而引起多瓣密封构件162的中央开口163打开以容纳手术器械通过密封组件160的通道。通过以夹层方式围绕多瓣密封构件162压缩密封组件160的上支撑构件164和下支撑构件166，减少和/或消除了通过多瓣密封构件162的泄漏。
现在参考图8至图15，根据本发明的另一实施例的密封组件被总体上示出为密封组件260。密封组件260可与本文以上描述的密封组件160互换，并且将仅关于其之间的差异进行详细描述。
特别参考图9，密封组件260包括多个密封部262、上支撑构件264和下支撑构件266。多个密封部262以及上支撑构件264和下支撑构件266彼此固定。在实施例中，并且如图所示，密封组件260整体形成，即一件式或整体式。密封组件260可以被冲压、模制或以其他方式形成。
密封组件260的多个密封部262包括第一部分262a、第二部分262b、第三部分262c和第四部分262d。尽管仅示出了四(4)个部分，但是据设想，密封组件260可以包括多达八(8)个部分。密封组件260的多个密封部262以及上支撑构件264和下支撑构件266可以由相同或不同的材料形成。在实施例中，至少多个密封部262由弹性材料形成，例如橡胶、聚异戊二烯或硅酮弹性体。在实施例中，第一部分262a、第二部分262b、第三部分262c和第四部分262d可包括一个或多个织物层。
密封组件260的多瓣密封构件262的第一部分262a、第二部分262b、第三部分262c和第四部分262d以及上支撑构件264和下支撑构件266中的每一个均包括八边形形状，尽管预期其他形状也可以。密封组件260的相应的第一部分262a、第二部分262b、第三部分262c和第四部分262d的内边缘268a、268b、268c、268d可以是直的(未示出)，或者如图所示可以限定为V形或燕尾形(cut-away)。在实施例中，V形限定在四十五度(45°)和一百八十度(180°)之间的角度。在实施例中，V形限定九十度(90°)的角度。密封组件260的相应的第一部分262a、第二部分262b、第三部分262c和第四部分262d的内边缘268a、268b、268c、268d的V形便于通过密封组件260接收手术器械(未示出)。多瓣密封构件262的第一部分262a、第二部分262b、第三部分262c和第四部分262d可以形成平坦的密封(如图所示)，或者可以形成圆锥形的密封。
继续参考图9所示，密封组件260的上支撑构件264和第一部分262a通过连接器部分263a彼此连接，密封组件260的第一部分262a和第二部分262b通过连接器部分263b彼此连接，密封组件260的第二部分262b和第三部分262c通过连接器部分263c彼此连接，密封组件260的第三部分262c和第四部分通过连接器部分263d彼此连接，密封组件260的第四部分262d和下支撑构件266通过连接器部分263e彼此连接。在实施例中，密封组件260的连接器部分263a、263b、263c、263d、263e包括活动铰链，或者以其他方式形成以便于各部分和支撑构件的折叠。
第一部分262a、第二部分262b、第三部分262c和第四部分262d中的每一个以及上支撑构件264和下支撑构件266沿着每个部分262a、262b、262c、262d的外周分别限定多个开口265a、265b、265c、265d，并且沿上支撑构件244和下支撑构件246的外周限定多个开口265e、265f。多个开口265a、265b、265c、265d、265e、265f被构造成接收保持器组件180的销186(图7)，以将密封组件260保持在折叠状态并且将密封组件260相对于防护组件140和定心机构130固定。
现在将参考图10至图15描述折叠密封组件260的方法。首先参考图10，在上支撑构件264和第一部分262a之间的连接器部分263a处，上支撑构件264相对于多个密封部262的第一部分262a折叠，如箭头“A”所示，使得上支撑构件264与第一部分262a重叠。以这种方式，多个开口265e在密封组件260的第一部分262a的重叠部分中与多个开口265a对准。
转到图11，密封组件260的第一部分262a在第一部分262a和第二部分262b之间的连接器部分263b处相对于密封组件260的第二部分262a折叠，如箭头“B”所示，使得第一部分262a与密封组件260的第二部分262b重叠。以这种方式，第一部分262a的多个开口265a在密封组件260的第二部分262b的重叠部分中与多个开口265b对准。
参考图12所示，密封组件260的第二部分262a在第二部分262a和第三部分262b之间的连接器部分263c处相对于第三部分262b折叠，如箭头“C”所示，使得第二部分262b与密封组件260的第三部分262c重叠。以这种方式，第二部分262b的多个开口265b在密封组件260的第三部分262c的重叠部分中与多个开口265c对准。
参考图13所示，密封组件260的第三部分262c在第三部分262c和第四部分262d之间的连接器部分263d处相对于密封组件260的第四部分262d折叠，如箭头“D”所示，使得第三部分262c与密封组件260的第四部分262d重叠。以这种方式，第三部分262c的多个开口265c在密封组件160的第四部分168的重叠部分中与多个开口265d对准。
参考图14，密封组件260的第四部分262d在第四部分262d与下支撑构件266之间的连接器部分163e处相对于密封组件260的下支撑构件266折叠，如箭头“E”所示，使得第四部分262d与下支撑构件266重叠。以这种方式，第四部分262d的多个开口265d在下支撑构件266的重叠部分中与多个开口265f对准。
密封组件260以与上述密封组件160类似的方式固定在器械阀壳110(图2)内。密封组件260以类似于密封组件160的方式操作。
尽管本文中已示出和描述本公开的各种实施例，但是对于所属领域的技术人员来说将显而易见，这些实施例仅是通过示例的方式提供的。在不脱离本公开的情况下，所属领域的技术人员现在将想到许多变化、改变和取代。因此，本公开仅由所附权利要求书的精神和范围限制。

Claims (19)

1.外科手术进入组件，包括：
器械阀壳，所述器械阀壳包含上壳区段、下壳区段和内壳区段，并限定腔；以及
阀组件，布置在所述器械阀壳的所述腔内，所述阀组件包含：
防护组件，其包括多个防护部，
密封组件，布置成与所述防护组件相邻，所述密封组件包括多个密封部以及上支撑构件和下支撑构件，所述多个密封部可从展开构造移动到折叠构造，在所述折叠构造中，所述密封组件形成八边形构件，其限定开口，以便于手术器械密封地通过，所述上支撑构件和所述下支撑构件分别布置在所述多个密封部的近侧和远侧，并围绕所述多个密封部压缩以将所述多个密封部夹在其间；和
定心机构，其用于将所述密封组件和所述防护组件保持在所述器械阀的所述腔内居中。
2.根据权利要求1所述的外科手术进入组件，其中，所述上支撑构件和所述下支撑构件限定约0.30”至约0.45”的开口。
3.根据权利要求1所述的外科手术进入组件，其中，所述上支撑构件和下支撑构件的厚度为约0.006英寸至约0.015英寸。
4.根据权利要求1所述的外科手术进入组件，其中，所述多个密封部由聚异戊二烯或液态硅橡胶形成。
5.根据权利要求1所述的外科手术进入组件，其中，所述多个密封部中的每个密封部通过连接器部分连接到所述多个密封部中的相邻密封部。
6.根据权利要求1所述的外科手术进入组件，其中，所述连接器部分包括活动铰链。
7.根据权利要求1所述的外科手术进入组件，其中，所述上支撑构件通过连接器部分连接至所述多个密封部中的一个密封部，并且所述下支撑构件通过另一连接器部分连接至所述多个密封部中的另一密封部。
8.根据权利要求1所述的外科手术进入组件，其中，所述多个密封部中的每个密封部的内边缘限定为V形。
9.根据权利要求8所述的外科手术进入组件，其中，所述V形包括约180度至约275度的角度。
10.根据权利要求1所述的外科手术进入组件，其中，所述多个密封部包括第一密封部、第二密封部、第三密封部和第四密封部，所述第一密封部、第二密封部、第三密封部和第四密封部中的每一个与相邻的第二密封部、第三密封部、第四密封部和第一密封部重叠。
11.根据权利要求1所述的外科手术进入组件，还包括保持器组件，所述保持器组件包括上保持器构件和下保持器构件。
12.根据权利要求11所述的外科手术进入组件，其中，所述上保持器构件和所述下保持器构件中的至少一个包括可穿过所述防护组件和所述密封组件接收的多个销，以将所述防护组件和所述密封组件相对于彼此保持。
13.根据权利要求1所述的外科手术进入组件，其中，所述定心机构包括波纹管。
14.根据权利要求1所述的外科手术进入组件，其中，所述上支撑构件和下支撑构件包括六边形形状。
15.根据权利要求1所述的外科手术进入组件，其中，所述上支撑构件和下支撑构件包括八边形形状。
16.一种阀组件，其包含：
防护组件，包括多个防护部，
密封组件，布置成与所述防护组件相邻，所述密封组件包括多个密封部以及上支撑构件和下支撑构件，所述多个密封部可从展开构造移动到折叠构造，在所述折叠构造中，所述密封组件形成八边形构件，其限定了开口，以便于手术器械密封地通过，所述上支撑构件和所述下支撑构件分别布置在所述多个密封部的近侧和远侧，并围绕所述多个密封部压缩以将所述多个密封部夹在其间；和
定心机构，其用于将所述密封组件和所述防护组件保持在外科手术进入组件的腔内居中。
17.根据权利要求16所述的阀进入组件，还包括保持器组件，所述保持器组件具有上保持器构件和下保持器构件，其中，所述上保持器构件和所述下保持器构件中的至少一个包括可穿过所述防护组件和所述密封组件接收的多个销，以将所述防护组件和所述密封组件相对于彼此保持。
18.根据权利要求16所述的阀进入组件，其中，所述上支撑构件通过连接器部分连接至所述多个密封部中的一个密封部，并且所述下支撑构件通过另一连接器部分连接至所述多个密封部中的另一密封部。
19.一种密封组件，包括：
多个密封部，其可从展开构造移动到折叠构造，在所述折叠构造中，所述密封组件形成八边形构件，其限定开口，以便于手术器械密封地通过；
上支撑构件，布置在所述多个密封部的近侧；和
下支撑构件，布置在所述多个密封部的远侧，所述上支撑构件和所述下支撑构件围绕所述多个密封部压缩以将所述多个密封部夹在其间。
CN202010543022.8A 2019-06-28 2020-06-15 外科手术进入组件用密封组件 Pending CN112137692A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16/455,838 2019-06-28
US16/455,838 US11413065B2 (en) 2019-06-28 2019-06-28 Seal assemblies for surgical access assemblies

Publications (1)

Publication Number Publication Date
CN112137692A true CN112137692A (zh) 2020-12-29

Family

ID=71170421

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010543022.8A Pending CN112137692A (zh) 2019-06-28 2020-06-15 外科手术进入组件用密封组件

Country Status (6)

Country Link
US (1) US11413065B2 (zh)
EP (1) EP3756594B1 (zh)
JP (1) JP7527842B2 (zh)
CN (1) CN112137692A (zh)
AU (1) AU2020203125A1 (zh)
CA (1) CA3079787A1 (zh)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11642153B2 (en) * 2020-03-19 2023-05-09 Covidien Lp Instrument seal for surgical access assembly

Family Cites Families (429)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1466889B1 (de) 1965-07-28 1970-04-23 Eberhard Dr Regenbogen Rektoskop zur Endoskopie des als Sigma bezeichneten Bereichs des menschlichen Darmes
US3402710A (en) 1966-06-27 1968-09-24 Hydra Power Corp Self-closing valve device for implantation in the human body
US4016884A (en) 1975-07-02 1977-04-12 Kwan Gett Clifford S Atriotomy access device
US4183357A (en) 1976-08-02 1980-01-15 Bentley Laboratories, Inc. Chronic transcutaneous implant assembly for enterostomies
US4112932A (en) 1977-02-24 1978-09-12 Chiulli Robert D Laparoscopic cannula
US4356826A (en) 1979-05-09 1982-11-02 Olympus Optical Co., Ltd. Stabbing apparatus for diagnosis of living body
US4402683A (en) 1981-12-28 1983-09-06 Kopman Ercument A Cannula introducer
US4698489A (en) 1982-09-30 1987-10-06 General Electric Company Aircraft automatic boresight correction
DK447982A (da) 1982-10-11 1984-04-12 Richard Bent Nissen Fremgangsmaade til indfoering af et kateter eller en slange i en blodaare og instrumenter til udoevelse af fremgangsmaaden
GB2161389B (en) 1984-07-05 1988-06-08 Wolf Gmbh Richard Instrument insert for a uretero-renoscope
US4863438A (en) 1985-11-29 1989-09-05 Applied Medical Technology, Inc. Low profile gastrostomy device
US4737148A (en) 1986-05-14 1988-04-12 Allergan Surgical Filtered T coupling
US4863430A (en) 1987-08-26 1989-09-05 Surgical Dynamics, Inc. Introduction set with flexible trocar with curved cannula
US5514091A (en) 1988-07-22 1996-05-07 Yoon; Inbae Expandable multifunctional manipulating instruments for various medical procedures
FR2641692A1 (fr) 1989-01-17 1990-07-20 Nippon Zeon Co Bouchon de fermeture d'une breche pour application medicale et dispositif pour bouchon de fermeture l'utilisant
US5176697A (en) 1989-04-06 1993-01-05 Hasson Harrith M Laparoscopic cannula
US5002557A (en) 1989-04-06 1991-03-26 Hasson Harrith M Laparoscopic cannula
US4984564A (en) 1989-09-27 1991-01-15 Frank Yuen Surgical retractor device
US5122122A (en) 1989-11-22 1992-06-16 Dexide, Incorporated Locking trocar sleeve
US5345927A (en) 1990-03-02 1994-09-13 Bonutti Peter M Arthroscopic retractors
US5514153A (en) 1990-03-02 1996-05-07 General Surgical Innovations, Inc. Method of dissecting tissue layers
US5318516A (en) 1990-05-23 1994-06-07 Ioan Cosmescu Radio frequency sensor for automatic smoke evacuator system for a surgical laser and/or electrical apparatus and method therefor
US5990382A (en) 1990-08-29 1999-11-23 Biomedical Enterprises, Inc. Method and implant for surgical manipulation of bone
US5073169A (en) 1990-10-02 1991-12-17 Steve Raiken Trocar support
CA2052310A1 (en) 1990-10-09 1992-04-10 Thomas L. Foster Surgical access sheath
DE4034705A1 (de) 1990-10-31 1992-05-07 Martin Neumann Wundverschluss
US5159921A (en) 1990-11-27 1992-11-03 Hoover Rocklin L Surgical retractor
US5082005A (en) 1990-12-18 1992-01-21 New England Deaconess Hospital Surgical access device
US5217466A (en) 1991-04-19 1993-06-08 Hasson Harrith M Guide for facilitating the performance of internal surgery
US5242409A (en) 1991-05-16 1993-09-07 Applied Medical Resources Corporation Flexible access device
US5836871A (en) 1991-05-29 1998-11-17 Origin Medsystems, Inc. Method for lifting a body wall using an inflatable lifting apparatus
US5209741A (en) 1991-07-08 1993-05-11 Endomedix Corporation Surgical access device having variable post-insertion cross-sectional geometry
US6569120B1 (en) 1991-10-18 2003-05-27 United States Surgical Corporation Seal assembly
CA2079058A1 (en) 1991-10-18 1993-04-19 Stanley H. Remiszewski Surgical stapling apparatus
US5197955A (en) 1991-10-18 1993-03-30 Ethicon, Inc. Universal seal for trocar assembly
DE69228257T2 (de) 1991-11-06 1999-07-08 Inbae M.D. Phoenix Yoon, Md. Halter für chirurgische instrumente
US5183471A (en) 1992-01-24 1993-02-02 Wilk Peter J Laparoscopic cannula
US5269772A (en) 1992-01-24 1993-12-14 Wilk Peter J Laparoscopic cannula assembly and associated method
US5257973A (en) 1992-02-05 1993-11-02 Raul Villasuso Sealing sleeve and method for laparoscopy
US5209754A (en) 1992-04-02 1993-05-11 Ahluwalia Prabhat K Vaginal cervical retractor elevator
US5334143A (en) 1992-04-17 1994-08-02 Carroll Brendon J Method to remove common bile duct stones
CA2093748C (en) 1992-04-24 1996-11-12 Roy D. Gravener Valve assembly for introducing instruments into body cavities
CA2095064A1 (en) 1992-05-01 1993-11-02 Stephen J. Failla Sealing mechanism for surgical trocar
US5540711A (en) 1992-06-02 1996-07-30 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US5407427A (en) 1992-06-16 1995-04-18 Loma Linda University Medical Center Trocar facilitator for endoscopic surgery
GR930100244A (el) 1992-06-30 1994-02-28 Ethicon Inc Εύκαμπτο ενδοσκοπικό χειρουργικό στόμιο εισόδου.
JPH0643604A (ja) 1992-07-25 1994-02-18 Konica Corp ハロゲン化銀写真感光材料の処理方法
US5312391A (en) 1992-07-29 1994-05-17 Wilk Peter J Laparoscopic instrument assembly
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5312417A (en) 1992-07-29 1994-05-17 Wilk Peter J Laparoscopic cannula assembly and associated method
US5395367A (en) 1992-07-29 1995-03-07 Wilk; Peter J. Laparoscopic instrument with bendable shaft and removable actuator
US5511564A (en) 1992-07-29 1996-04-30 Valleylab Inc. Laparoscopic stretching instrument and associated method
US5242415A (en) 1992-08-14 1993-09-07 L-Vad Technology, Inc. Percutaneous access device
US5257975A (en) 1992-08-14 1993-11-02 Edward Weck Incorporated Cannula retention device
US5375588A (en) 1992-08-17 1994-12-27 Yoon; Inbae Method and apparatus for use in endoscopic procedures
US5540648A (en) 1992-08-17 1996-07-30 Yoon; Inbae Medical instrument stabilizer with anchoring system and methods
US5314417A (en) 1992-12-22 1994-05-24 Ethicon, Inc. Safety trocar
US5394863A (en) 1993-01-12 1995-03-07 Sanford; Theodore H. Vaginal fornix illuminator
US5797960A (en) 1993-02-22 1998-08-25 Stevens; John H. Method and apparatus for thoracoscopic intracardiac procedures
US5336169A (en) 1993-03-02 1994-08-09 Divilio Robert J Attachment for removal of smoke in laparoscopic surgery
US5336203A (en) 1993-05-28 1994-08-09 Abbott Laboratories Low profile gastrostomy device with dome
US5492304A (en) 1993-06-16 1996-02-20 United States Surgical Corporation Seal assembly for accommodating introduction of surgical instruments
US5795290A (en) 1993-07-09 1998-08-18 Bioplexus Corporation Apparatus for holding intestines out of an operative field
US5366478A (en) 1993-07-27 1994-11-22 Ethicon, Inc. Endoscopic surgical sealing device
US5507758A (en) 1993-08-25 1996-04-16 Inlet Medical, Inc. Insertable suture grasping probe guide, and methodology for using same
US6572631B1 (en) 1993-10-22 2003-06-03 Gynetech Pty Ltd. Transvaginal tube as an aid to laparoscopic surgery
US5464409A (en) 1993-12-09 1995-11-07 Mohajer; Reza S. Uterine manipulator and protector
ZA951378B (en) 1994-02-18 1995-10-24 Gaya Ltd Surgical apparatus
US5480410A (en) 1994-03-14 1996-01-02 Advanced Surgical, Inc. Extracorporeal pneumoperitoneum access bubble
US5451222A (en) 1994-03-16 1995-09-19 Desentech, Inc. Smoke evacuation system
US5813409A (en) 1994-09-02 1998-09-29 Medical Creative Technologies, Inc. Surgical apparatus
US5545150A (en) 1994-05-06 1996-08-13 Endoscopic Concepts, Inc. Trocar
US5569205A (en) 1994-07-14 1996-10-29 Hart; Charles C. Multiport trocar
US6162196A (en) 1994-07-14 2000-12-19 Applied Medical Resources Corporation Multiport access device
US5603702A (en) 1994-08-08 1997-02-18 United States Surgical Corporation Valve system for cannula assembly
US5460170A (en) 1994-08-23 1995-10-24 Hammerslag; Julius G. Adjustable surgical retractor
US5514133A (en) 1994-08-26 1996-05-07 Golub; Robert Access device for endoscopic surgery
US5522791A (en) 1994-08-31 1996-06-04 Leyva; Horacio A. Apparatus for retracting an incision and inflating an abdominal cavity
US5653705A (en) 1994-10-07 1997-08-05 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
US5697946A (en) 1994-10-07 1997-12-16 Origin Medsystems, Inc. Method and apparatus for anchoring laparoscopic instruments
US5672168A (en) 1994-10-07 1997-09-30 De La Torre; Roger A. Laparoscopic access port for surgical instruments or the hand
US5643285A (en) 1994-10-18 1997-07-01 Blairden Precision Instruments, Inc. Vaginal extender for colpotomy surgery
US5840077A (en) 1994-10-18 1998-11-24 Blairden Precision Instruments, Inc. Uterine manipulating assembly for laparoscopic hysterectomy
US5520698A (en) 1994-10-19 1996-05-28 Blairden Precision Instruments, Inc. Simplified total laparoscopic hysterectomy method employing colpotomy incisions
US5651771A (en) 1994-11-07 1997-07-29 Applied Medical Resources Corporation Adjustable surgical clamp
US5556385A (en) 1994-12-06 1996-09-17 Corpak, Inc. Improved percutaneous access device
US5569159A (en) 1994-12-16 1996-10-29 Anderson; Keven C. Endoscopic sleeve
AU4763296A (en) 1995-02-03 1996-08-21 Inbae Yoon Cannula with distal end valve
US5713869A (en) 1995-03-08 1998-02-03 Morejon; Orlando Trocar assembly
US5741298A (en) 1995-04-28 1998-04-21 Macleod; Cathel Method and devices for video-assisted surgical techniques
US5713858A (en) 1995-04-28 1998-02-03 Medtronic, Inc. Permanently implantable guiding catheter
US5899208A (en) 1995-05-08 1999-05-04 Gaya Limited Hand access port
US5601581A (en) 1995-05-19 1997-02-11 General Surgical Innovations, Inc. Methods and devices for blood vessel harvesting
US5634911A (en) 1995-05-19 1997-06-03 General Surgical Innovations, Inc. Screw-type skin seal with inflatable membrane
US5964781A (en) 1995-05-19 1999-10-12 General Surgical Innovations, Inc. Skin seal with inflatable membrane
US5997515A (en) 1995-05-19 1999-12-07 General Surgical Innovations, Inc. Screw-type skin seal with inflatable membrane
US5634937A (en) 1995-05-19 1997-06-03 General Surgical Innovations, Inc. Skin seal with inflatable membrane
US5524644A (en) 1995-06-09 1996-06-11 Medical Creative Technologies, Inc. Incrementally adjustable incision liner and retractor
US5683378A (en) 1995-06-27 1997-11-04 Christy; William J. Endoscopic wound access and anchoring device method
US6605063B2 (en) 1998-09-21 2003-08-12 Gerald G. Bousquet Transcutaneous access device
US5545179A (en) 1995-07-21 1996-08-13 Ethicon Endo-Surgery, Inc. Endoscopic access assembly
US5624399A (en) 1995-09-29 1997-04-29 Ackrad Laboratories, Inc. Catheter having an intracervical/intrauterine balloon made from polyurethane
US5782817A (en) 1995-11-06 1998-07-21 Cordis Corporation Catheter introducer having toroidal valve
US5722962A (en) 1995-12-29 1998-03-03 Garcia; Joxel Trocar port filter
US5894843A (en) 1996-02-20 1999-04-20 Cardiothoracic Systems, Inc. Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery
US5649550A (en) 1996-02-26 1997-07-22 Medical Creative Technologies, Inc. Surgical retractor liner and integral drape assembly
US5951588A (en) 1996-02-29 1999-09-14 Moenning; Stephen P. Apparatus and method for protecting a port site opening in the wall of a body cavity
US5941898A (en) 1996-02-29 1999-08-24 Stephen P. Moenning Apparatus and method for moving sealing members of a medical apparatus between a first orientation and a second orientation
US6048309A (en) 1996-03-04 2000-04-11 Heartport, Inc. Soft tissue retractor and delivery device therefor
US6814700B1 (en) 1996-03-04 2004-11-09 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5817062A (en) 1996-03-12 1998-10-06 Heartport, Inc. Trocar
US5685857A (en) 1996-03-22 1997-11-11 Plc Medical Systems, Inc. Thoracoscopic cannula system
US5709675A (en) 1996-04-24 1998-01-20 Medtronic, Inc. Smoke reducing device for minimally invasive surgery
AU3186897A (en) 1996-05-08 1997-11-26 Salviac Limited An occluder device
EP1340467B1 (en) 1996-05-09 2006-01-25 Olympus Corporation A cavity retaining tool for general surgery
EP0848598B1 (en) 1996-05-10 2005-02-23 Emmanuil Giannadakis System of laparoscopic-endoscopic surgery
US5842971A (en) 1996-05-22 1998-12-01 Yoon; Inbae Optical endoscopic portals and methods of using the same to establish passages through cavity walls
US5741234A (en) 1996-07-16 1998-04-21 Aboul-Hosn; Walid Nagib Anatomical cavity access sealing condit
US5728103A (en) 1996-08-23 1998-03-17 Applied Medical Technology, Inc. Implantable subcutaneous access device and method of using same
IL119131A (en) 1996-08-26 2002-04-21 Oridion Medical Ltd Multiple channel sample port for airway adaptor
US6488692B1 (en) 1996-09-16 2002-12-03 Origin Medsystems, Inc. Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery
JP3219700B2 (ja) 1996-09-18 2001-10-15 日東電工株式会社 ベントフィルタ部材
US5810712A (en) 1996-09-27 1998-09-22 Ohio Medical Instrument Company, Inc. Surgical endoscope support and pivot
JP2957134B2 (ja) 1996-10-08 1999-10-04 株式会社八光電機製作所 弁および弁付トラカール外套管
US6276661B1 (en) 1996-11-06 2001-08-21 Medtronic, Inc. Pressure actuated introducer valve
US5735791A (en) 1997-01-31 1998-04-07 Research Medical, Inc. Inflatable heart elevation apparatus and method
US5848992A (en) 1997-03-07 1998-12-15 Hart; Charles C. Superfascial surgical access device
US5865817A (en) 1997-04-29 1999-02-02 Moenning; Stephen P. Apparatus and method for securing a medical instrument to a cannula of a trocar assembly
US6440063B1 (en) 1997-04-30 2002-08-27 University Of Massachusetts Surgical access port and laparoscopic surgical method
US5906577A (en) 1997-04-30 1999-05-25 University Of Massachusetts Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision
US5836913A (en) 1997-05-02 1998-11-17 Innerdyne, Inc. Device and method for accessing a body cavity
DE69838231T2 (de) 1997-05-02 2008-05-08 United States Surgical Corp., Norwalk Kanülenanordnung
JP4202432B2 (ja) 1997-06-25 2008-12-24 ビオタップ アー／エス 皮膚用インプラントデバイス
US6382211B1 (en) 1997-07-21 2002-05-07 Medical Creative Technologies, Inc. Surgical retractor liner appliance
JPH1199156A (ja) 1997-07-29 1999-04-13 Olympus Optical Co Ltd 外科処置用アクセスデバイス
US6293952B1 (en) 1997-07-31 2001-09-25 Circon Corporation Medical instrument system for piercing through tissue
US5916198A (en) 1997-08-05 1999-06-29 Femrx, Inc. Non-binding surgical valve
US6241768B1 (en) 1997-08-27 2001-06-05 Ethicon, Inc. Prosthetic device for the repair of a hernia
US6099506A (en) 1997-09-26 2000-08-08 Macoviak; John A. Introducer and perfusion cannula
US6589167B1 (en) 1997-10-08 2003-07-08 Hakko Electric Machine Works Co., Ltd. Valve and valved trocar jacket tube
JP3342021B2 (ja) 1997-10-17 2002-11-05 サーコン コーポレーション 組織を貫通する医療機器システム
US5951518A (en) 1997-10-31 1999-09-14 Teleflex, Incorporated Introducing device with flared sheath end
US6110259A (en) 1997-11-21 2000-08-29 Jlj International, Inc. Smoke evacuation system
US6197002B1 (en) 1997-12-10 2001-03-06 Phillips Plastics Corporation Laparoscopic tool and method
US6042573A (en) 1997-12-11 2000-03-28 Smith & Nephew, Inc. Surgical valve
US5976174A (en) 1997-12-15 1999-11-02 Ruiz; Carlos E. Medical hole closure device and methods of use
US6464686B1 (en) 1998-01-21 2002-10-15 Abbott Laboratories Polyurethane feeding tube and associated adaptors
JP3019150B2 (ja) 1998-04-07 2000-03-13 株式会社八光メディカル 弁付トラカール外套管
US5951466A (en) 1998-04-13 1999-09-14 Viamedics, Llc Self-seating surgical access device and method of gaining surgical access to a body cavity
US6030402A (en) 1998-04-23 2000-02-29 Thompson; Ronald J. Apparatus and methods for the penetration of tissue, and the creation of an opening therein
US6251119B1 (en) 1998-08-07 2001-06-26 Embol-X, Inc. Direct stick tear-away introducer and methods of use
US6187000B1 (en) 1998-08-20 2001-02-13 Endius Incorporated Cannula for receiving surgical instruments
US6121576A (en) 1998-09-02 2000-09-19 Micron Technology, Inc. Method and process of contact to a heat softened solder ball array
US6454783B1 (en) 1998-09-15 2002-09-24 Gregory Piskun Laparoscopic instruments and trocar systems for trans-umbilical laproscopic surgery
US7344547B2 (en) 1998-09-15 2008-03-18 Phavel Systems, Inc. Laparoscopic instruments and trocar systems and related surgical method
US6544210B1 (en) 1998-10-22 2003-04-08 Gregory J. Trudel Disposable laparoscopic smoke evacuation system
US6485410B1 (en) 1998-11-04 2002-11-26 Synergyn Technologies, Inc. Hysteroscope port and methods
US6234958B1 (en) 1998-11-30 2001-05-22 Medical Access Systems, Llc Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same
US7537564B2 (en) 1998-12-01 2009-05-26 Atropos Limited Wound retractor device
ES2251262T3 (es) 1998-12-01 2006-04-16 Atropos Limited Dispositivo quirurgico utilizado para realizar la retraccion y/o el cierre de una incision.
US7559893B2 (en) 1998-12-01 2009-07-14 Atropos Limited Wound retractor device
JP4528956B2 (ja) 1998-12-01 2010-08-25 アトロポス・リミテッド 腹腔鏡検査用密封式アクセスデバイス
US7195590B2 (en) 1998-12-01 2007-03-27 Atropos Limited Surgical device
US20040154624A1 (en) 2002-12-16 2004-08-12 Frank Bonadio Surgical device
US6024755A (en) 1998-12-11 2000-02-15 Embol-X, Inc. Suture-free clamp and sealing port and methods of use
US6086603A (en) 1998-12-14 2000-07-11 Syntheon, Llc Luminal port device having internal and external sealing mechanisms
DE19902036C1 (de) 1999-01-20 2000-03-16 Storz Karl Gmbh & Co Kg Vorrichtung zum Halten einer Trokarkülse in unterschiedlichen räumlichen Ausrichtungen
US6033428A (en) 1999-01-26 2000-03-07 Sardella; William V. Laparoscopic surgery device
SE9900454D0 (sv) 1999-02-10 1999-02-10 Safe Conduct Ab Troakar
IES990218A2 (en) 1999-03-18 2000-11-15 Gaya Ltd A surgical device
IES990220A2 (en) 1999-03-18 2000-11-15 Gaya Ltd A surgical device
IES990219A2 (en) 1999-03-18 2000-11-15 Gaya Ltd A surgical device
US20020055714A1 (en) 1999-05-18 2002-05-09 Rothschild Richard B. Method and apparatus for the non-surgical placement of a subcutaneously tunnelled catheter through the skin into a central vein
US6423036B1 (en) 1999-06-07 2002-07-23 Gibbons Surgical Corporation Cannula anchoring port
WO2000078387A1 (en) 1999-06-22 2000-12-28 Blanco Ernesto E Safety trocar with progressive cutting tip guards and gas jet tissue deflector
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US6171282B1 (en) 1999-07-23 2001-01-09 Edgar K. Ragsdale Soft cannula and methods for use
IE990795A1 (en) 1999-07-30 2001-03-07 Gaya Ltd Hand Access Port Device
US20040102804A1 (en) 1999-08-10 2004-05-27 Chin Albert K. Apparatus and methods for endoscopic surgical procedures
US20050203346A1 (en) 1999-10-14 2005-09-15 Frank Bonadio Wound retractor device
US7540839B2 (en) 1999-10-14 2009-06-02 Atropos Limited Wound retractor
AU7813200A (en) 1999-10-14 2001-04-23 Atropos Limited A retractor
US20030093104A1 (en) 1999-10-29 2003-05-15 Bonner Matthew D. Methods and apparatus for providing intra-pericardial access
US8021296B2 (en) 1999-12-01 2011-09-20 Atropos Limited Wound retractor
US7101353B2 (en) 1999-12-30 2006-09-05 Cook Vascular Incorporated Splittable medical valve
AU2741801A (en) 1999-12-30 2001-07-16 Cook Vascular Incorporated Splittable medical valve
US6447489B1 (en) 2000-01-18 2002-09-10 Ethicon Endo-Surgey, Inc. Laparoscopic access tool with gas seal
US6328720B1 (en) 2000-02-18 2001-12-11 Zevex, Inc. Low-profile enterostomy device
WO2001064124A1 (en) 2000-03-01 2001-09-07 Surgical Navigation Technologies, Inc. Multiple cannula image guided tool for image guided procedures
WO2001074260A1 (en) 2000-03-24 2001-10-11 Johns Hopkins University Peritoneal cavity device and method
US6440061B1 (en) 2000-03-24 2002-08-27 Donald E. Wenner Laparoscopic instrument system for real-time biliary exploration and stone removal
US7660621B2 (en) 2000-04-07 2010-02-09 Medtronic, Inc. Medical device introducer
US6884253B1 (en) 2000-05-16 2005-04-26 Taut, Inc. Penetrating tip for trocar assembly
EP1303221A2 (en) 2000-07-21 2003-04-23 Atropos Limited A surgical instrument
US7056321B2 (en) 2000-08-01 2006-06-06 Endius, Incorporated Method of securing vertebrae
US6811546B1 (en) 2000-08-25 2004-11-02 Origin Medsystems, Inc. Endoscopic surgical access port and method
US6551270B1 (en) 2000-08-30 2003-04-22 Snowden Pencer, Inc. Dual lumen access port
AU2001292563A1 (en) 2000-09-01 2002-03-13 Advanced Vascular Technologies, Llc Multi-fastener surgical apparatus and method
CA2357209A1 (en) 2000-09-08 2002-03-08 Pall Corporation Cannula assembly
US7201725B1 (en) 2000-09-25 2007-04-10 Sub-Q, Inc. Device and method for determining a depth of an incision
JP5190169B2 (ja) 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 外科用接近器具及び方法
US6562022B2 (en) 2000-12-13 2003-05-13 Advanced Cardiovascular Systems, Inc. Catheter with enhanced reinforcement
US7011645B2 (en) 2001-01-09 2006-03-14 Rex Medical, L.P. Dialysis catheter
US6986752B2 (en) 2001-01-09 2006-01-17 Rex Medical, Lp Peritoneal dialysis catheter and insertion method
US6858019B2 (en) 2001-01-09 2005-02-22 Rex Medical, L.P. Dialysis catheter and methods of insertion
US6890295B2 (en) 2002-10-31 2005-05-10 Medtronic, Inc. Anatomical space access tools and methods
US6684405B2 (en) 2001-06-05 2004-02-03 John Lezdey Surgical and examination gloves
JP4885388B2 (ja) 2001-09-25 2012-02-29 オリンパス株式会社 内視鏡挿入方向検出方法
US6913609B2 (en) 2001-09-28 2005-07-05 Cardica, Inc. Access port system for anastomosis
US6450983B1 (en) 2001-10-03 2002-09-17 Robert D. Rambo O-ring for incrementally adjustable incision liner and retractor
US6939296B2 (en) 2001-10-17 2005-09-06 Applied Medical Resources Corp. Laparoscopic illumination apparatus and method
EP1441636B1 (en) 2001-10-20 2012-01-11 Applied Medical Resources Corporation Sealed surgical access device
US6958037B2 (en) 2001-10-20 2005-10-25 Applied Medical Resources Corporation Wound retraction apparatus and method
US7052454B2 (en) 2001-10-20 2006-05-30 Applied Medical Resources Corporation Sealed surgical access device
US7192436B2 (en) 2001-11-08 2007-03-20 Sub-Q, Inc. Pledget-handling system and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US6830578B2 (en) 2001-11-26 2004-12-14 Neosurg Technologies, Inc. Trocar
US6723088B2 (en) 2001-12-20 2004-04-20 Board Of Regents, The University Of Texas Laparoscopic porting
JP2003199755A (ja) 2001-12-28 2003-07-15 Olympus Optical Co Ltd 内視鏡下手術用トロッカー
JP2003204920A (ja) 2002-01-11 2003-07-22 Olympus Optical Co Ltd 挿入補助具
US6878110B2 (en) 2002-01-14 2005-04-12 Seung Choul Yang Surgical instruments and method for creating anatomic working space in minilaparotomy procedure
MXPA04007575A (es) 2002-02-08 2004-11-10 Taut Inc Montaje introductor para instrumentos medicos.
US20030216770A1 (en) 2002-02-21 2003-11-20 Persidsky Maxim D. Apparatus and method for making a percutaneous access port of variable size
US6929637B2 (en) 2002-02-21 2005-08-16 Spiration, Inc. Device and method for intra-bronchial provision of a therapeutic agent
US7412977B2 (en) 2002-03-08 2008-08-19 Emphasys Medical, Inc. Methods and devices for inducing collapse in lung regions fed by collateral pathways
US6723044B2 (en) 2002-03-14 2004-04-20 Apple Medical Corporation Abdominal retractor
US6942633B2 (en) 2002-03-22 2005-09-13 Twin Star Medical, Inc. System for treating tissue swelling
US6592543B1 (en) 2002-04-03 2003-07-15 Surgin Inc. Fluid flow regulator for a smoke evacuation system and method of using same
US6997909B2 (en) 2002-04-22 2006-02-14 The Children's Hospital Of Philadelphia Low profile combination device for gastrostomy or jejunostomy applications having anti-granuloma formation characteristics
DE60327067D1 (de) 2002-04-25 2009-05-20 Univ R Expandierbare führungshülse
CA2488118C (en) 2002-06-05 2012-01-10 Applied Medical Resources Corporation Wound retractor
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
EP1542578B1 (en) 2002-09-06 2012-03-21 C.R. Bard, Inc. External endoscopic accessory control system
ES2287516T3 (es) 2002-09-19 2007-12-16 Atropos Limited Sistema retractor de herida.
AU2003300779A1 (en) 2002-09-20 2004-05-04 Flowmedica, Inc. Catheter system for renal therapy
US7217277B2 (en) 2002-09-30 2007-05-15 Ethicon, Inc. Device for providing intracardiac access in an open chest
US7300448B2 (en) 2002-10-04 2007-11-27 Tyco Healthcare Group Lp Balloon dissector with cannula
US7083626B2 (en) 2002-10-04 2006-08-01 Applied Medical Resources Corporation Surgical access device with pendent valve
FR2846298A1 (fr) 2002-10-29 2004-04-30 Cit Alcatel Ensemble articule de panneaux de generateur solaire et vehicule spatial
JP4777655B2 (ja) 2002-11-08 2011-09-21 タイコ ヘルスケア グループ エルピー 自己シール性カニューレ
US20040111061A1 (en) 2002-11-12 2004-06-10 Diana Curran Trocar having an inflatable cuff for maintaining an insufflated abdominal cavity during an open laparaoscopy procedure
US7390317B2 (en) 2002-12-02 2008-06-24 Applied Medical Resources Corporation Universal access seal
US7160309B2 (en) 2002-12-31 2007-01-09 Laveille Kao Voss Systems for anchoring a medical device in a body lumen
US7896889B2 (en) 2003-02-20 2011-03-01 Medtronic, Inc. Trajectory guide with angled or patterned lumens or height adjustment
WO2004075930A2 (en) 2003-02-25 2004-09-10 Applied Medical Resources Corporation Apparatus and method for illuminating a peritoneal cavity during laparoscopic surgery
WO2004075741A2 (en) 2003-02-25 2004-09-10 Applied Medical Resources Corporation Wound retractor for use in hand assisted laparoscopic surgery
US20050020884A1 (en) 2003-02-25 2005-01-27 Hart Charles C. Surgical access system
US9486241B2 (en) * 2003-03-21 2016-11-08 Ethicon Endo-Surgery, Llc Trocar seal assembly
US20040204734A1 (en) 2003-04-11 2004-10-14 Wagner Darrell Orvin Tunneling tool with subcutaneous transdermal illumination
EP1617755A4 (en) 2003-04-25 2012-10-24 Tyco Healthcare SURGICAL HANDSET
WO2004096115A1 (ja) 2003-04-28 2004-11-11 Sumitomo Bakelite Company Limited 瘻孔用カテーテルキット
US7645232B2 (en) 2003-05-16 2010-01-12 Zimmer Spine, Inc. Access device for minimally invasive surgery
US6916310B2 (en) 2003-05-30 2005-07-12 Codman & Shurtleff, Inc. Percutaneous access device
EP1656073A2 (en) 2003-07-30 2006-05-17 Atropos Limited Cannula with instrument seal
US7163510B2 (en) 2003-09-17 2007-01-16 Applied Medical Resources Corporation Surgical instrument access device
US7753901B2 (en) 2004-07-21 2010-07-13 Tyco Healthcare Group Lp Laparoscopic instrument and cannula assembly and related surgical method
US7850600B1 (en) 2003-09-23 2010-12-14 Tyco Healthcare Group Lp Laparoscopic instrument and trocar system and related surgical method
US20050070935A1 (en) 2003-09-30 2005-03-31 Ortiz Mark S. Single lumen access deployable ring for intralumenal anastomosis
US7452363B2 (en) 2003-09-30 2008-11-18 Ethicon Endo-Surgery, Inc. Applier for fastener for single lumen access anastomosis
US20060161050A1 (en) 2003-10-15 2006-07-20 John Butler A surgical sealing device
WO2005034766A2 (en) 2003-10-15 2005-04-21 Atropos Limited A surgical sealing device
US20050096695A1 (en) 2003-11-03 2005-05-05 Olich Jack M. Flexible foam seal assembly
US7294103B2 (en) 2003-11-12 2007-11-13 Endoscopic Technologies, Inc. Retractor with inflatable blades
JP4594612B2 (ja) 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
WO2005058409A1 (en) 2003-12-11 2005-06-30 Cook Incorporated Hemostatic valve assembly
US20050137459A1 (en) 2003-12-17 2005-06-23 Scimed Life Systems, Inc. Medical device with OLED illumination light source
US20050137609A1 (en) 2003-12-17 2005-06-23 Gerald Guiraudon Universal cardiac introducer
US7955313B2 (en) 2003-12-17 2011-06-07 Boston Scientific Scimed, Inc. Composite catheter braid
US20050245876A1 (en) 2003-12-24 2005-11-03 Accessclosure, Inc. Apparatus and methods for facilitating access through a puncture including sealing compound therein
US20050209608A1 (en) 2004-03-22 2005-09-22 O'heeron Peter T Trocar seal
AU2005231843B2 (en) 2004-04-05 2010-09-16 Covidien Lp Surgical hand access apparatus
EP2407091B1 (en) 2004-04-05 2013-08-28 Covidien LP Surgical hand access apparatus
US7452351B2 (en) 2004-04-16 2008-11-18 Kyphon Sarl Spinal diagnostic methods and apparatus
US20050251092A1 (en) 2004-05-10 2005-11-10 Becton, Dickinson And Company Needle assembly with tether
US20050277946A1 (en) 2004-06-15 2005-12-15 Secant Medical, Llc Access port for laparoscopic surgery
US8961407B2 (en) 2004-07-21 2015-02-24 Covidien Lp Surgical port assembly
US8888695B2 (en) 2007-03-30 2014-11-18 Covidien Lp Laparoscopic port assembly
US7223257B2 (en) 2004-08-31 2007-05-29 Igor Shubayev Percutaneous vascular access device
US20060071432A1 (en) 2004-09-29 2006-04-06 Staudner Rupert A Seal for trocar
CA2583285A1 (en) 2004-10-11 2006-04-20 Atropos Limited An instrument access device
US20060211992A1 (en) * 2004-11-18 2006-09-21 Laparoscopic Partners Llc Surgical instrument seal assembly and triple lead thread
US20060129165A1 (en) 2004-11-24 2006-06-15 Edrich Health Technologies, Inc. Gel based laparoscopic trocar
US20060149137A1 (en) 2005-01-05 2006-07-06 Applied Medical Resources Corporation Easily placeable and removable wound retractor
US7608082B2 (en) 2005-01-06 2009-10-27 Tyco Healthcare Group Lp Surgical seal for use in a surgical access apparatus
JP5239029B2 (ja) 2005-02-04 2013-07-17 アトロポス・リミテッド 外科用器具を少なくとも部分的に創傷開口を通して挿入するための装置
US7165336B2 (en) 2005-03-16 2007-01-23 Eidosmed Llc Surgical depth instrument
WO2006101719A2 (en) 2005-03-18 2006-09-28 Wilk Patent, Llc Surgical device and associated trans-organ surgical method
JP2008534045A (ja) 2005-03-22 2008-08-28 アトロポス・リミテッド 手術器具
US7766824B2 (en) 2005-03-31 2010-08-03 Tyco Healthcare Group Lp Surgical hand access apparatus
US20060224161A1 (en) 2005-04-01 2006-10-05 The General Hospital Corporation Depth gauge apparatus and methods
US20060247678A1 (en) 2005-04-08 2006-11-02 Weisenburgh William B Ii Surgical instrument system
US20060241651A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Surgical port device and associated method
DE102005026467A1 (de) 2005-06-09 2006-12-14 University Of Dundee Vorrichtung zum Schaffen eines transkutanen Zuganges zu einem endoskopischen Operationsgebiet
SE528848C2 (sv) 2005-08-05 2007-02-27 Ortoma Ab Anordning för operativt ingrepp eller sårbildning
US8954134B2 (en) 2005-09-13 2015-02-10 Children's Medical Center Corporation Light-guided transluminal catheter
US7811251B2 (en) 2005-10-13 2010-10-12 Tyco Healthcare Group Lp Trocar anchor
US7909760B2 (en) 2005-10-14 2011-03-22 Applied Medical Resources Corporation Split hoop wound retractor with gel pad
JP4714570B2 (ja) 2005-11-24 2011-06-29 Ｈｏｙａ株式会社 内視鏡形状検出プローブ
US7955257B2 (en) 2006-01-05 2011-06-07 Depuy Spine, Inc. Non-rigid surgical retractor
WO2007095703A2 (en) 2006-02-22 2007-08-30 Michels Paulo Junior Alberton Light guided liposuction apparatus
US9820771B2 (en) 2006-03-03 2017-11-21 Axcess Instruments Inc. Apparatus and method for minimally invasive surgery
US9011319B2 (en) 2006-03-03 2015-04-21 Axcess Instruments, Inc. Conical laparoscopic apparatus for minimally invasive surgery
US8066673B2 (en) 2006-03-21 2011-11-29 Applied Medical Resources Corporation Cannula stabilization seal
US8357085B2 (en) 2009-03-31 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for providing access into a body cavity
US9005116B2 (en) 2006-04-05 2015-04-14 Ethicon Endo-Surgery, Inc. Access device
US8961406B2 (en) 2009-03-06 2015-02-24 Ethicon Endo-Surgery, Inc. Surgical access devices and methods providing seal movement in predefined movement regions
US8821391B2 (en) 2009-03-06 2014-09-02 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US7789861B2 (en) 2006-04-18 2010-09-07 Ethicon Endo-Surgery, Inc. Pleated trocar seal
US7520876B2 (en) 2006-04-21 2009-04-21 Entellus Medical, Inc. Device and method for treatment of sinusitis
US20070270882A1 (en) 2006-05-19 2007-11-22 Acorn Cardiovascular, Inc. Pericardium management method for intra-pericardial surgical procedures
US9596994B2 (en) 2006-06-02 2017-03-21 J. William J. Futrell System and methods for illuminating materials
DE102006032583A1 (de) 2006-07-13 2008-01-17 Biotronik Crm Patent Ag Einführvorrichtung
US20080021360A1 (en) 2006-07-18 2008-01-24 Fihe Carrie I Roll-up wound protector
US20090326330A1 (en) 2006-07-27 2009-12-31 Frank Bonadio Apparatus for inserting a surgical device at least partially through a wound opening
CA3099231A1 (en) 2006-08-04 2008-02-07 Northgate Technologies Inc. In-dwelling port for access into a body
US20080048011A1 (en) 2006-08-24 2008-02-28 Weller Kip D Shrink tubing jacket construction, and method
US7798998B2 (en) 2006-10-06 2010-09-21 Surgiquest, Inc. Elastically deformable surgical access device
US20080097332A1 (en) 2006-10-18 2008-04-24 Stout Medical Group L.P. Surgical access port
CN101553196B (zh) 2006-11-06 2011-04-06 学校法人久留米大学 带手术布的开睑器
US8025670B2 (en) 2006-11-22 2011-09-27 Minos Medical Methods and apparatus for natural orifice vaginal hysterectomy
US9289266B2 (en) 2006-12-01 2016-03-22 Boston Scientific Scimed, Inc. On-axis drive systems and methods
EP1932485B1 (en) 2006-12-14 2010-05-19 Ethicon Endo-Surgery, Inc. Laparoscopic stapling device
US8197404B2 (en) * 2006-12-15 2012-06-12 Ethicon Endo-Surgery, Inc. Handoscopy interwoven layered seal laparoscopic disk
WO2008077080A2 (en) 2006-12-18 2008-06-26 Surgiquest, Incorporated System for surgical insufflation and gas recirculation
WO2008093313A1 (en) 2007-02-01 2008-08-07 Atropos Limited An instrument insertion device
US7513361B1 (en) 2007-03-16 2009-04-07 Mills Jr James Powered grooming unit
US7846123B2 (en) 2007-04-24 2010-12-07 Emory University Conduit device and system for implanting a conduit device in a tissue wall
EP2146643A4 (en) 2007-05-11 2012-05-30 Applied Med Resources SURGICAL RETRACTOR WITH PADDED
US20080300467A1 (en) 2007-05-29 2008-12-04 Schaefer Robert W Surgical wound retractor with reusable rings
ES2557882T3 (es) 2007-06-05 2016-01-29 Atropos Limited Dispositivo de acceso a instrumento
ITMI20071230A1 (it) 2007-06-20 2008-12-21 Lucini Surgical Concept S R L Dispositivo a cannula per operazioni chirurgiche in endoscopia
WO2009035663A2 (en) 2007-09-12 2009-03-19 Synecor, Llc Multi-instrument access devices and systems
WO2009036343A1 (en) 2007-09-12 2009-03-19 Synecor, Llc Multi-lumen cannula
US8795326B2 (en) 2007-10-05 2014-08-05 Covidien Lp Expanding seal anchor for single incision surgery
WO2009046164A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Seal anchor for use in surgical procedures
US20100100043A1 (en) 2007-10-05 2010-04-22 Racenet Danyel J Flexible Access Device For Use In Surgical Procedure
US20090105635A1 (en) 2007-10-17 2009-04-23 Tyco Healthcare Group Lp Access assembly with seal lubricant mechanism
US20090131751A1 (en) 2007-11-20 2009-05-21 Spivey James T Anal surgical instrument guides
US20090182288A1 (en) 2008-01-04 2009-07-16 Spenciner David B Flexible Medical Cannula
JP5646343B2 (ja) 2008-01-22 2014-12-24 アプライド メディカル リソーシーズ コーポレイション 手術器具アクセスデバイス
US20090204067A1 (en) 2008-02-07 2009-08-13 Mohamed Saad Abu-Halawa Two-part percutaneous endoscopic intragastric surgery cannula
EP3569168B1 (en) 2008-02-29 2020-12-16 Arthrex Inc Button cannula
US8092430B2 (en) 2008-03-03 2012-01-10 Tyco Healthcare Group Lp Single port device with multi-lumen cap
US8403889B2 (en) 2008-06-25 2013-03-26 Covidien Lp Access assembly
US8795161B2 (en) 2008-06-25 2014-08-05 Covidien Lp Button port
US7850667B2 (en) 2008-06-27 2010-12-14 Tyco Healthcare Group Lp Low profile instrument access device
BRPI0802874A2 (pt) 2008-06-30 2010-03-09 Imbros Administracao E Partici aperfeiçoamento em trocarter
US8628539B2 (en) 2008-09-05 2014-01-14 Innovia, Llc Flexible disposable surgical port
WO2010045253A1 (en) 2008-10-13 2010-04-22 Applied Medical Resources Corporation Single port access system
US20100113883A1 (en) 2008-10-30 2010-05-06 Widenhouse Christopher W Surgical access port with adjustable ring geometry
WO2010081105A1 (en) 2009-01-09 2010-07-15 Applied Medical Resources Corporation Pleated trocar shield
US8574153B2 (en) 2009-03-20 2013-11-05 Covidien Lp Flexible port seal
US8323184B2 (en) 2009-03-31 2012-12-04 Covidien Lp Surgical access port and associated introducer mechanism
US8353824B2 (en) 2009-03-31 2013-01-15 Ethicon Endo-Surgery, Inc. Access method with insert
US8317690B2 (en) 2009-03-31 2012-11-27 Covidien Lp Foam port and introducer assembly
GB2469083A (en) 2009-04-01 2010-10-06 Surgical Innovations Ltd Laparoscopic surgical apparatus with ball joint ports
US8257251B2 (en) 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8419635B2 (en) 2009-04-08 2013-04-16 Ethicon Endo-Surgery, Inc. Surgical access device having removable and replaceable components
US20100280326A1 (en) 2009-05-04 2010-11-04 Hess Christopher J Surgical devices for internal access through tissue
US20100286506A1 (en) 2009-05-06 2010-11-11 Tyco Healthcare Group Lp Method for determining a position of an instrument within a body cavity
US8968189B2 (en) 2009-05-07 2015-03-03 Covidien Lp Flexible access assembly with multiple ports
US20100298646A1 (en) 2009-05-19 2010-11-25 Tyco Healthcare Group Lp Flexible access assembly with reinforced lumen
US8241209B2 (en) 2009-06-05 2012-08-14 Ethicon Endo-Surgery, Inc. Active seal components
US9078695B2 (en) 2009-06-05 2015-07-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity using a surgical access device with modular seal components
US8033995B2 (en) 2009-06-05 2011-10-11 Ethicon Endo-Surgery, Inc. Inflatable retractor with insufflation and method
US9173677B2 (en) 2009-07-08 2015-11-03 Covidien Lp Apparatus and method for transvaginal surgery
US20110021877A1 (en) 2009-07-24 2011-01-27 Tyco Healthcare Group Lp Surgical port and frangible introducer assembly
US8585632B2 (en) 2009-07-31 2013-11-19 Covidien LLP Single port device having integral filter/vent
US8257252B2 (en) 2009-08-06 2012-09-04 Tyco Healthcare Group Lp Elongated seal anchor for use in surgical procedures
US8968190B2 (en) 2009-08-25 2015-03-03 Covidien Lp Single incision surgical portal apparatus including inner member
US20110054258A1 (en) 2009-08-31 2011-03-03 O'keefe Jonathan B Foam port introducer
ES2776949T3 (es) 2009-08-31 2020-08-03 Applied Med Resources Sistema de acceso quirúrgico multifuncional
US8932212B2 (en) 2009-10-01 2015-01-13 Covidien Lp Seal anchor with non-parallel lumens
US8684918B2 (en) 2009-10-02 2014-04-01 Covidien Lp Single port device including selectively closeable openings
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
US8740904B2 (en) 2009-11-24 2014-06-03 Covidien Lp Seal anchor introducer including biasing member
US20110124968A1 (en) 2009-11-24 2011-05-26 Tyco Healthcare Group Lp Surgical portal and introducer assembly
US8480683B2 (en) 2009-11-24 2013-07-09 Covidien Lp Foam introduction system including modified port geometry
US8764647B2 (en) 2009-11-24 2014-07-01 Covidien Lp Foam port device having closed-end lumens
US20110166423A1 (en) 2010-01-07 2011-07-07 Tyco Healthcare Group Lp Foam port introduction system including dilator
US8821390B2 (en) 2010-04-12 2014-09-02 Covidien Lp Surgical access method and assembly including sleeve and port
US9017252B2 (en) 2010-04-12 2015-04-28 Covidien Lp Access assembly with flexible cannulas
US20110251463A1 (en) 2010-04-12 2011-10-13 Tyco Healthcare Group Lp Bariatric foam port
US20110251465A1 (en) 2010-04-12 2011-10-13 Tyco Healthcare Group Lp Hollow multi-lumen access port
US9421032B2 (en) 2010-06-16 2016-08-23 Covidien Lp Seal port with blood collector
CA2810212A1 (en) 2010-09-02 2012-03-08 Schlumberger Canada Limited Thermodynamic modeling for optimized recovery in sagd
US8727973B2 (en) 2010-11-23 2014-05-20 Covidien Lp Seal port with adjustable height
US9022926B2 (en) 2010-11-23 2015-05-05 Covidien Lp Reinforced flexible access assembly
US20120130186A1 (en) 2010-11-23 2012-05-24 Tyco Healthcare Group Lp Adjustable surgical portal
US20120130177A1 (en) 2010-11-23 2012-05-24 Michael Davis Portal assembly with adjustable height
US8864659B2 (en) 2010-11-23 2014-10-21 Covidien Lp Seal anchor for use in surgical procedures
US20120130184A1 (en) 2010-11-23 2012-05-24 Tyco Healthcare Group Lp Access assembly with anti-collapsing structure
US9011324B2 (en) 2010-11-24 2015-04-21 Covidien Lp Access assembly including one or more foldable caps
US20120130185A1 (en) 2010-11-24 2012-05-24 Tyco Healthcare Group Lp Access device including expandable distal flange
US8727974B2 (en) 2010-11-24 2014-05-20 Covidien Lp Access assembly including one or more compressible vents
US8968191B2 (en) 2010-11-24 2015-03-03 Covidien Lp Expandable access assembly including an internal thread mechanism
US8679151B2 (en) 2010-11-24 2014-03-25 Covidien Lp Access device including shape memory deployment mechanism
US8641610B2 (en) 2010-12-20 2014-02-04 Covidien Lp Access assembly with translating lumens
US8550992B2 (en) 2010-12-20 2013-10-08 Covidien Lp Two-part access assembly
US20120157777A1 (en) 2010-12-20 2012-06-21 Greg Okoniewski Adjustable height multiple instrument access seal anchor member
US8602983B2 (en) 2010-12-20 2013-12-10 Covidien Lp Access assembly having undercut structure
US20120157783A1 (en) 2010-12-20 2012-06-21 Greg Okoniewski Self deploying bodily opening protector
US9119664B2 (en) 2010-12-20 2015-09-01 Covidien Lp Integral foam port
US20120157782A1 (en) 2010-12-20 2012-06-21 Francesco Alfieri Hand access device
US20120157786A1 (en) 2010-12-21 2012-06-21 Russell Pribanic Surgical retractor having ring of variable durometer
US8696557B2 (en) 2010-12-21 2014-04-15 Covidien Lp Access assembly including inflatable seal member
US8335783B2 (en) 2010-12-28 2012-12-18 Teradata Us, Inc. Collection of statistics for spatial columns or R-tree indexes
US8888691B2 (en) 2011-01-24 2014-11-18 Covidien Lp Expanding surgical access port
US8753267B2 (en) 2011-01-24 2014-06-17 Covidien Lp Access assembly insertion device
US20120190933A1 (en) 2011-01-24 2012-07-26 Tyco Healthcare Group Lp Inflatable access assembly
US20120209078A1 (en) 2011-02-15 2012-08-16 Tyco Healthcare Group Lp Compliance access device including proximal adhesive patch
US9033873B2 (en) 2011-03-23 2015-05-19 Covidien Lp Surgical retractor including rotatable knobs
US20120245429A1 (en) 2011-03-23 2012-09-27 Tyco Healthcare Group Lp Wound protector including pocket for reusable distal ring
US9119666B2 (en) 2011-03-25 2015-09-01 Covidien Lp Access port with integrated flexible sleeve
ITRM20110169A1 (it) 2011-04-01 2012-10-02 Mysui S R L Dispositivo di tenuta per trocar e relativo trocar.
US9078696B2 (en) 2011-05-02 2015-07-14 Covidien Lp Surgical retractor including polygonal rolling structure
US9357910B2 (en) 2012-02-23 2016-06-07 Covidien Lp Wound retractor including rigid ring
US9271639B2 (en) 2012-02-29 2016-03-01 Covidien Lp Surgical introducer and access port assembly
KR20150063037A (ko) 2012-09-28 2015-06-08 코비디엔 엘피 광 투관침 가시화 시스템 및 장치
WO2014116889A1 (en) 2013-01-24 2014-07-31 Covidien Lp Surgical seal assembly including an overlapping guard structure for a seal
US20150025477A1 (en) 2013-07-22 2015-01-22 Covidien Lp Surgical seal assembly including centering mechanism
US20150223833A1 (en) 2014-02-13 2015-08-13 Jared COFFEEN Trocar seal assembly
CN105662545B (zh) 2014-11-16 2019-04-26 广州迪克医疗器械有限公司 径向密封组件、端密封件及穿刺器
GB201500328D0 (en) 2015-01-09 2015-02-25 Cannula sealing
JP6758322B2 (ja) 2015-05-15 2020-09-23 コヴィディエン リミテッド パートナーシップ 外科用アクセス装置
CN106137339B (zh) * 2016-08-02 2018-06-29 成都五义医疗科技有限公司 一种改进的褶皱型的穿刺器密封膜
US20190059938A1 (en) 2017-08-28 2019-02-28 Covidien Lp Access apparatus including seal component with protective guards
US10828065B2 (en) 2017-08-28 2020-11-10 Covidien Lp Surgical access system
US11259841B2 (en) * 2019-06-21 2022-03-01 Covidien Lp Seal assemblies for surgical access assemblies

Also Published As

Publication number Publication date
EP3756594A1 (en) 2020-12-30
US11413065B2 (en) 2022-08-16
EP3756594B1 (en) 2022-12-28
JP7527842B2 (ja) 2024-08-05
US20200405349A1 (en) 2020-12-31
AU2020203125A1 (en) 2021-01-21
CA3079787A1 (en) 2020-12-28
JP2021007737A (ja) 2021-01-28

Similar Documents

Publication Publication Date Title
US12029449B2 (en) Seals for surgical access assemblies
US20210259734A1 (en) Seals for surgical access devices
US12035940B2 (en) Centering mechanisms for a surgical access assembly
CA3090941A1 (en) Two point contact flange for instrument seals
EP3756594B1 (en) Seal assemblies for surgical access assemblies
CN113243976A (zh) 用于外科手术进入组合件的密封组合件
US11751910B2 (en) Seal assemblies for surgical access assemblies
EP3831321B1 (en) Seal assemblies for surgical access assemblies
US11812991B2 (en) Seal assemblies for surgical access assemblies
EP3735923B1 (en) Seal assemblies for surgical access assemblies
US11259841B2 (en) Seal assemblies for surgical access assemblies
US11541218B2 (en) Seal assembly for a surgical access assembly and method of manufacturing the same
CN112107351A (zh) 用于手术进入组件的密封件

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination