Surgical instrument ports configured for use with wound retractors, and related devices and methods

Patent metadata

Field	Value
Publication number	US-11235133-B2
Application number	US-201815877867-A
Country	US
Kind code	B2
Filing date	Jan 23, 2018
Priority date	Jan 24, 2017
Publication date	Feb 1, 2022
Grant date	Feb 1, 2022

Abstract

A surgical port includes an end face with a channel extending through the end face. The channel has a cross section shaped to receive a surgical instrument cannula. A lateral wall extends around a perimeter of the end face. The lateral wall and end face enclose an open volume. A rim extends radially inward from the lateral wall and projects into the open volume. An apron portion extends radially outward from the lateral wall and in a direction axially away from the end face. Surgical systems may include surgical ports. Methods relate to using surgical ports.

First claim

What is claimed is:

1. A surgical port, comprising:
an end face having a perimeter and defining a radial orientation of the surgical port along the end face and an axial orientation of the surgical port normal to the end face;
a channel extending through the end face, the channel having a cross section shaped to receive a surgical instrument cannula;
a lateral wall extending around the perimeter of the end face, the lateral wall having a perimeter, and the lateral wall and the end face together enclosing an open volume;
a rim extending from the lateral wall radially inward into the open volume; and
an apron portion extending around an entirety or substantially an entirety of the perimeter of the lateral wall, the apron portion being deflectable from a first position in which the apron portion extends radially outward relative to the lateral wall and axially away from the end face to a second position in which the apron portion is deflected in a direction axially toward the end face and radially outward relative to the first position.

2. The surgical port of claim 1 , wherein:
the rim is shaped to engage with a wound retractor device received in the open volume.

3. The surgical port of claim 1 , wherein:
the surgical port further comprises a wound retractor device received in the open volume and engaged with the rim.

4. The surgical port of claim 1 , wherein:
the surgical port further comprises a sleeve extending from the end face into the open volume; and
the channel extends through the sleeve.

5. The surgical port of claim 4 , wherein:
the sleeve extends axially beyond the rim.

6. The surgical port of claim 4 , wherein:
the sleeve is tapered in a direction extending away from the end face into the open volume.

7. The surgical port of claim 1 , wherein:
the surgical port further comprises a bellows portion defining a portion of the channel.

8. The surgical port of claim 1 , wherein:
the apron portion comprises an outer perimeter and a relief extending radially inward from the outer perimeter.

9. The surgical port of claim 8 , wherein:
the apron portion comprises a perimeter;
the relief is one relief of a plurality of reliefs spaced around the perimeter of the apron portion; and
the plurality of reliefs divides the apron portion into a plurality of arc segments.

10. The surgical port of claim 1 , wherein:
the lateral wall comprises a free end and extends from the end face to the free end of the lateral wall; and
the apron portion extends from the free end of the lateral wall.

11. The surgical port of claim 1 , wherein:
the surgical port further comprises a second channel extending through the end face;
the second channel has a cross section shaped to receive a cannula associated with an endoscopic imaging device; and
the cross section of the second channel is different from the cross section of the channel.

12. The surgical port of claim 1 , wherein:
the surgical port comprises electrically conductive material.

13. The surgical port of claim 1 , wherein:
the surgical port comprises electrically conductive particles dispersed in silicone rubber.

14. The surgical port of claim 1 , wherein:
the surgical port comprises rod-shaped particles of carbon-fiber dispersed in silicone rubber.

15. The surgical port of claim 1 , wherein:
the surgical port comprises electrically insulating material.

16. The surgical port of claim 15 , wherein:
the surgical port further comprises an electrically conductive material path on the electrically insulating material;
the channel is defined by a surface; and
the electrically conductive material path extends between the apron portion and the surface defining the channel.

17. The surgical port of claim 15 , wherein:
the surgical port comprises a first surface defining the channel, a second surface defining a second channel extending through the end face, and an electrically conductive material path;
the second channel has a cross section shaped to receive a second cannula associated with a second surgical instrument or an endoscopic imaging device; and
the electrically conductive material path extends between the first surface, the second surface, and the apron portion.

18. The surgical port of claim 15 , wherein:
the surgical port comprises a first surface defining the channel, a second surface defining a second channel extending through the end face, a first electrically conductive material path, and a second electrically conductive material path;
the second channel has a cross section shaped to receive a second cannula associated with a second surgical instrument or an endoscopic imaging device;
the first electrically conductive material path extends between the first surface and the apron portion;
the second electrically conductive material path extends between the second surface and the apron portion; and
the second electrically conductive material path is separate from the first electrically conductive material path.

19. The surgical port of claim 1 , wherein:
the apron portion comprises a free end that moves radially outwardly in response to radial outward deflection of the apron portion relative to the lateral wall.

20. The surgical port of claim 1 , wherein:
the apron portion extends from the lateral wall radially away from the end face.

21. A surgical port comprising:
an end face having a first perimeter and defining a radial orientation of the surgical port along the end face and an axial orientation of the surgical port normal to the end face;
a lateral wall having a second perimeter and extending axially from the first perimeter of the end face;
a flexible apron portion extending around an entirety or substantially an entirety of the second perimeter of the lateral wall, extending radially outward from the lateral wall, and extending axially away from the end face;
first and second channels through the end face;
an electrically conductive path from the first channel to the apron portion; and
an electrically conductive path from the second channel to the apron portion.

22. The surgical port of claim 21 , wherein:
the electrically conductive path from the first channel to the apron portion and the electrically conductive path from the second channel to the apron portion are separate paths electrically insulated from one another.

23. The surgical port of claim 22 , wherein:
the end face, the lateral wall, and the flexible apron portion each comprise an electrically insulating material; and
the electrically conductive path from the first channel to the apron portion and the electrically conductive path from the second channel to the apron portion each comprise carbon fiber rods without sizing and having an average length in a range of 6-12 mm range mixed with silicone rubber at a range of 1-10 percent by volume.

24. A medical device comprising:
an end face;
a channel through the end face; and
an electrically conductive path extending from the channel and comprising carbon fiber rods without sizing and having an average length in a range of 6-12 mm range mixed with silicone rubber at a range of 1-10 percent by volume.

25. The medical device of claim 24 , wherein:
the medical device further comprises an apron portion surrounding the end face; and
the electrically conductive path extends from the channel to the apron portion.

Assignees

• Intuitive Surgical Operations

Inventors

• Crews Brian M
• Crews Sam T
• Gerbi Craig R
• Hurst Michael
• Adhya Sumona

Classifications

• A61B17/3423 Primary

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

• A61B18/1482

  having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy · CPC title

• A61B2034/302

  specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities · CPC title

• A61B2017/3492

  against the outside of the body · CPC title

• A61B2018/0063

  Sealing · CPC title