Skin foundation access portal

Patent metadata

Field	Value
Publication number	US-12089873-B2
Application number	US-202117567088-A
Country	US
Kind code	B2
Filing date	Dec 31, 2021
Priority date	Mar 22, 2019
Publication date	Sep 17, 2024
Grant date	Sep 17, 2024

Abstract

Surgical access stabilization devices, systems, and methods are disclosed herein. For example, the devices, systems, and methods disclosed herein can be used during a surgical procedure to selectively establish, stabilize, and maintain a desired trajectory and/or positioning of a surgical access device. An exemplary surgical access stabilization device can include a pad with an adhesive distal facing surface to adhere to an anchor surface, a surgical access device coupled to the pad, and a locking mechanism to selectively lock a position of the surgical access device relative to the pad. In one embodiment, the anchor surface can be the skin of a patient. An exemplary surgical access device stabilization method can include making an incision in a patient at a surgical site, inserting a surgical access device through the incision, adhering a pad to an anchor surface, e.g., the skin of the patient, coupling the surgical access device to the pad, and selectively locking a position of the surgical access device relative to the pad. Other exemplary devices, systems, and methods are also provided.

First claim

The invention claimed is:

1. A surgical access stabilization system, comprising:
a surgical access device configured to be received in a body of a patient, the surgical access device having a lumen formed therein configured to receive one or more instruments therethrough;
a pad having a proximal surface and a distal surface; and
an arm coupled directly to the pad, the arm having a connector and an attachment component, the attachment component having an opening formed therein for receiving the surgical access device therethrough and the connector being disposed between a first end of the arm and the attachment component,
wherein the connector is a ball joint connector that is configured to receive an extension of the attachment component within a recess of the ball joint connector to secure the attachment component to the arm.

2. The system of claim 1 , wherein the pad is remotely located from the surgical access device such that the surgical access device is positioned at a location a distance away from the pad.

3. The system of claim 1 , wherein the pad further comprises an attachment portion having an opening formed therein, the opening being configured to receive a fastener of the arm to couple the pad to the arm.

4. The system of claim 1 , wherein the surgical access device is configured to translate relative to the attachment component when disposed therein.

5. The system of claim 1 , further comprising a handle associated with the surgical access device, the handle having an opening configured to receive a portion of the surgical access device therethrough.

6. The system of claim 5 , wherein the handle further comprises a grip portion extending radially outward from the opening, the grip portion having one or more surface features configured to facilitate rotational movement of the surgical access device.

7. The system of claim 6 , wherein the one or more surface features include one or more of a slot for an instrument or a tab configured to be grasped by a user.

8. The system of claim 6 , wherein rotational motion of the grip portion translates into accompanying rotational motion of the inserted surgical access device.

9. The system of claim 1 , wherein the distal surface of the pad further comprises an adhesive.

10. The device of claim 1 , wherein a locking mechanism can selectively lock any of rotational movement of the surgical access device and angular movement of the surgical access device.

11. The system of claim 1 , wherein the connector separates the first end of the arm from the attachment component and is configured to engage an outer surface of the arm.

12. A surgical access stabilization system, comprising:
a surgical access device configured to be received in a body of a patient, the surgical access device having a lumen formed therein configured to receive one or more instruments therethrough;
a pad having a proximal surface and a distal surface; and
an arm coupled to the pad, the arm having a connector and an attachment component, the attachment component having an opening formed therein for receiving the surgical access device therethrough and the connector being disposed between a first end of the arm and the attachment component;
wherein the connector is capable of angulating with respect to a central longitudinal axis of the surgical access device.

13. The system of claim 12 , wherein the connector is a ball joint connector that is configured to receive an extension of the attachment component within a recess of the ball joint connector to secure the attachment component to the arm.

14. A surgical access stabilization system, comprising:
a surgical access device configured to be received in a body of a patient, the surgical access device having a lumen formed therein configured to receive one or more instruments therethrough;
a pad having a proximal surface and a distal surface, the pad including an attachment portion having an opening formed therein, the opening being configured to receive a fastener of the arm to couple the pad to the arm; and
an arm coupled to the pad, the arm having a connector and an attachment component, the attachment component having an opening formed therein for receiving the surgical access device therethrough and the connector being disposed between a first end of the arm and the attachment component.

15. A surgical access stabilization system, comprising:
a surgical access device configured to be received in a body of a patient, the surgical access device having a lumen formed therein configured to receive one or more instruments therethrough;
a pad having a proximal surface and a distal surface; and
an arm coupled directly to the pad, the arm having a connector and an attachment component, the attachment component having an opening formed therein for receiving the surgical access device therethrough and the connector being disposed between a first end of the arm and the attachment component,
wherein the pad further comprises an attachment portion having an opening formed therein, the opening being configured to receive a fastener of the arm to couple the pad to the arm.

16. A surgical access stabilization system, comprising:
a surgical access device configured to be received in a body of a patient, the surgical access device having a lumen formed therein configured to receive one or more instruments therethrough;
a pad having a proximal surface and a distal surface;
an arm coupled directly to the pad, the arm having a connector and an attachment component, the attachment component having an opening formed therein for receiving the surgical access device therethrough and the connector being disposed between a first end of the arm and the attachment component; and
a handle associated with the surgical access device, the handle having an opening configured to receive a portion of the surgical access device therethrough.

Assignees

• Medos Int Sarl

Inventors

• Hawkins J Riley
• Ramsay Christopher
• Gamache Thomas
• Buehlmann Eric

Classifications

• A61B2017/348

  Means for supporting the trocar against the body or retaining the trocar inside the body · CPC title

• 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

• A61B17/3415

  for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06) · CPC title

• A61B17/0218

  for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B2090/3966

  Radiopaque markers visible in an X-ray image · CPC title