Method for providing access for a surgical procedure

Patent metadata

Field	Value
Publication number	US-11045219-B2
Application number	US-201916531534-A
Country	US
Kind code	B2
Filing date	Aug 5, 2019
Priority date	Feb 26, 2015
Publication date	Jun 29, 2021
Grant date	Jun 29, 2021

Abstract

An apparatus and method for providing surgical access to a body cavity of a living animal through an access port inserted in a wall of the body cavity is disclosed. The apparatus includes a collapsible volume having an opening for sealingly receiving a surgical apparatus. The apparatus also includes an access coupler disposed at a distal end of the collapsible volume, the access coupler being operably configured to sealingly couple to an opening in the access port placing the collapsible volume in fluid communication with the body cavity. The collapsible volume is operably configured to collapse to permit the surgical apparatus to be inserted through the access coupler into the body cavity.

First claim

What is claimed is:

1. A method for providing surgical access to a body cavity of a patient through an access port, the method comprising:
engaging an access port to an entry point into a body cavity of a patient;
receiving a surgical apparatus through an opening in a collapsible volume;
after engaging the access port and after receiving the surgical apparatus through the opening in the collapsible volume, coupling an access coupler of the collapsible volume to an opening in the access port such that the collapsible volume is placed in fluid communication with the body cavity; and
after coupling the access coupler to the opening in the access port, causing the collapsible volume to collapse such that at least a portion of the surgical apparatus is configured to be inserted through the access coupler and into the body cavity.

2. The method of claim 1 further comprising:
receiving fluid through an inlet of the access port and into the body cavity to insufflate at least a portion of the body cavity; and
subjecting the collapsible volume to insufflation pressure in the body cavity.

3. The method of claim 2 further comprising opening an access valve of the access port to initiate fluid communication between the body cavity and the collapsible volume.

4. The method of claim 3 , wherein opening the access valve comprises displacing a sealing element of the access valve, and wherein the sealing element is configured to be displaced when the access coupler is coupled to the opening in the access port.

5. The method of claim 1 further comprising expelling fluid out of the body cavity through an outlet of the access port.

6. The method of claim 1 , wherein coupling the access coupler to the opening in the access port comprises engaging the access coupler to the access port such that the access coupler is configured to be at least partially retained within the opening in the access port.

7. The method of claim 1 , wherein the collapsible volume comprises a flexible sleeve configured to receive the surgical apparatus.

8. The method of claim 7 , wherein the flexible sleeve comprises a transparent portion configured to permit at least the portion of the surgical apparatus to be viewed when the portion is inserted through the access coupler and through the opening in the access port.

9. The method of claim 1 , wherein the collapsible volume comprises a bellowed conduit.

10. The method of claim 1 , wherein receiving the surgical apparatus through the opening of the collapsible volume comprises receiving the surgical apparatus through a collar of the collapsible volume.

11. The method of claim 10 , wherein the collar comprises a non-circular cross section configured to correspond to a non-circular cross section of the surgical apparatus.

12. The method of claim 1 , wherein the surgical apparatus comprises at least one of:
a camera configured to view the body cavity;
an illumination source configured to illuminate the body cavity;
a wash tube configured to deliver a wash fluid for cleaning a lens of the surgical apparatus; or
a bore configured to receive a laparoscopic surgery instrument.

13. The method of claim 1 , wherein the collapsible volume is configured to permit lateral movement of the surgical apparatus with respect to the access coupler to facilitate alignment of the surgical apparatus for insertion through the access port.

14. The method of claim 1 further comprising receiving at least one line through the collapsible volume, through the access port, and into the body cavity, wherein the at least one line comprises one or more of:
an electrical signal line;
an optical signal line;
a power line; or
a wash tube configured to clean a lens of a camera disposed on a distal end of the surgical apparatus.

15. A method for providing surgical access to a body cavity of a patient through an access port, the method comprising:
receiving a surgical apparatus through an opening in a collapsible volume;
coupling an access coupler of the collapsible volume to an opening in the access port such that the collapsible volume is placed in fluid communication with the body cavity; and
causing the collapsible volume to collapse such that at least a portion of the surgical apparatus is configured to be inserted through the access coupler and into the body cavity,
wherein the access port comprises:
an access valve configured to close the opening in the access port when the access coupler is not coupled to the opening;
an inlet being separate from the opening, the inlet being configured to receive fluid to insufflate at least a portion of the body cavity; and
an outlet being separate from the opening, the outlet being configured to receive fluid to expel fluid out of the body cavity.

16. The method of claim 15 further comprising:
receiving fluid through the inlet of the access port and into the body cavity to insufflate at least the portion of the body cavity; and
subjecting the collapsible volume to insufflation pressure in the body cavity.

17. The method of claim 15 further comprising opening the access valve of the access port to initiate fluid communication between the body cavity and the collapsible volume, wherein opening the access valve comprises displacing a sealing element of the access valve, and wherein the sealing element is configured to be displaced when the access coupler is coupled to the opening in the access port.

18. The method of claim 15 further comprising expelling fluid out of the body cavity through the outlet of the access port.

19. The method of claim 15 , wherein the collapsible volume comprises a flexible sleeve configured to receive the surgical apparatus, and wherein the flexible sleeve comprises a transparent portion configured to permit at least the portion of the surgical apparatus to be viewed when the portion is inserted through the access coupler and through the opening in the access port.

20. The method of claim 15 , wherein receiving the surgical apparatus through the opening of the collapsible volume comprises receiving the surgical apparatus through a collar of the collapsible volume, and wherein the collar comprises a non-circular cross section configured to correspond to a non-circular cross section of the surgical apparatus.

Assignees

• Titan Med Inc

Inventors

• Zitnick David Allen
• Faria Leonard
• Gaidos Dustin

Classifications

• A61B17/3462

  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 (expandable cannulas A61B17/3417) · CPC title

• A61B17/3423 Primary

  Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247) · CPC title

• A61B17/3417

  Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating (syringe needles A61M5/32; dilators A61M29/00) · CPC title

• A61B90/40

  Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment · CPC title

• A61B2017/3492

  against the outside of the body · CPC title