Surgical instrument guide with insufflation channels

Patent metadata

Field	Value
Publication number	US-12178472-B2
Application number	US-202318196815-A
Country	US
Kind code	B2
Filing date	May 12, 2023
Priority date	Jul 13, 2016
Publication date	Dec 31, 2024
Grant date	Dec 31, 2024

Abstract

A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels.

First claim

What is claimed is:

1. A medical device comprising:
an instrument guide including an outer wall defining an outer surface, a distal end, an interior passageway, and an insufflation gas channel defined in the outer surface of the outer wall and including a proximal section and a flared distal section;
wherein the proximal section extends from adjacent a proximal end of the insufflation gas channel to the flared distal section and has an approximately constant first cross-sectional area; and
wherein the flared distal section extends to the distal end of the instrument guide and has a cross-sectional area that increases from the first cross-sectional area to a second cross-sectional area at the distal end of the instrument guide.

2. The medical device of claim 1 , wherein the distal flared section is approximately 1 inch (25 millimeters) long.

3. The medical device of claim 1 , wherein the first cross-sectional area is approximately 0.0023 in 2 (1.5 mm 2 ) and the second cross-sectional area is approximately 0.0050 in 2 (3.0 mm 2 ).

4. The medical device of claim 1 , wherein a cross-sectional area of the insufflation gas channel is largest at the distal end of the instrument guide.

5. The medical device of claim 1 , wherein the proximal section including the first cross-sectional area extends along a majority of a length of the insufflation gas channel.

6. The medical device of claim 1 , wherein:
the proximal section of the insufflation gas channel is located relative to the interior passageway to provide a first wall thickness for the outer wall of the instrument guide where the insufflation gas channel has the first cross-sectional area;
the flared distal section of the insufflation gas channel is located relative to the interior passageway to provide a second wall thickness for the outer wall of the instrument guide where the insufflation gas channel has the second cross-sectional area; and
the second wall thickness is less than the first wall thickness.

7. The medical device of claim 1 , wherein the second cross-sectional area of the insufflation gas channel is at least twice the first cross-sectional area.

8. The medical device of claim 1 , wherein the insufflation gas channel extends toward, but does not reach, the proximal end of the instrument guide.

9. The medical device of claim 1 , wherein:
the medical device further comprises a cannula;
the cannula includes a proximal portion and a tube;
the tube includes a proximal end and a distal end opposite the proximal end;
the proximal end of the tube is coupled to the proximal portion of the cannula; and
the instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to the distal end of the tube.

10. The medical device of claim 9 , wherein:
the outer wall of the instrument guide includes a gas introduction location on the outer surface at which insufflation gas is introduced into the insufflation gas channel;
the cannula includes an insufflation port adjacent the gas introduction location;
the tube of the cannula includes an interior surface; and
a passage for insufflation gas from the insufflation port of the cannula to the distal end of the instrument guide is formed by the insufflation gas channel adjacent the interior surface of the tube of the cannula.

11. The medical device of claim 1 , wherein:
the instrument guide further includes a funnel assembly coupled to the proximal end of the instrument guide;
the funnel assembly is configured to:
guide insertion of a shaft of a surgical instrument into and through the interior passageway of the instrument guide; and
reduce insufflation gas leakage from the proximal end of the instrument guide.

12. The medical device of claim 1 , wherein:
the instrument guide further includes a plurality of interior passageways; and
the interior passageway is one of the plurality of interior passageways.

13. The medical device of claim 12 , wherein:
the instrument guide further includes a plurality of radial walls; and
each individual one of the plurality of radial walls is between two individual ones of the plurality of interior passageways.

14. The medical device of claim 13 , wherein:
each individual one of the plurality of radial walls joins the outer wall of the instrument guide;
the instrument guide further includes a plurality of insufflation gas channels;
the insufflation gas channel is one of the plurality of insufflation gas channels; and
each individual one of the plurality of insufflation gas channels is in the outer surface of the outer wall opposite a location where a corresponding individual one of the plurality of radial walls joins the outer wall.

15. A medical device comprising:
an instrument guide including an outer wall, a distal end, an interior passageway, and an insufflation gas channel;
wherein the outer wall of the instrument guide includes an outer surface and a gas introduction location on the outer surface at which insufflation gas is introduced into the insufflation gas channel;
wherein the insufflation gas channel is defined in the outer surface of the outer wall and extends from the gas introduction location to the distal end of the instrument guide; and
wherein the insufflation gas channel has a first cross-sectional area at the gas introduction location and along a majority of a length of the insufflation gas channel;
wherein the insufflation gas channel has a second cross-sectional area at the distal end of the instrument guide; and
wherein the second cross-sectional area is larger than the first cross-sectional area.

16. The medical device of claim 15 , wherein a section of the insufflation gas channel having the second cross-sectional area is approximately 1 inch (25 millimeters) long.

17. The medical device of claim 16 , wherein the first cross-sectional area is approximately 0.0023 in 2 (1.5 mm 2 ) and the second cross-sectional area is approximately 0.0050 in 2 (3.0 mm 2 ).

18. The medical device of claim 17 , wherein the second cross-sectional area of the insufflation gas channel is at least twice the first cross-sectional area.

19. The medical device of claim 15 , wherein the insufflation gas channel extends toward, but does not reach, a proximal end of the instrument guide.

20. The medical device of claim 15 , wherein:
the instrument guide further includes a funnel assembly coupled to a proximal end of the instrument guide;
the funnel assembly is configured to:
guide insertion of a shaft of a surgical instrument into and through the interior passageway of the instrument guide; and
reduce insufflation gas leakage from the proximal end of the instrument guide.

Assignees

• Intuitive Surgical Operations

Inventors

• Morrissette Tyler J
• Ikeda Michael

Classifications

• A61M13/003

  Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing · CPC title

• A61B17/0218

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

• A61B34/35

  for telesurgery · CPC title

• A61B1/04

  combined with photographic or television appliances · CPC title

• A61B34/37

  Leader-follower robots (A61B34/35 takes precedence) · CPC title