摘要:
A trocar is provided with a cannula and a housing and valve assembly disposed in the housing which forms a housing seal, and instrument seal, and in some cases a zero seal. A gel material is included in the valve and provides the valve with superior flotation properties for maintaining the instrument seal even when the instrument is moved off-axis. In order to accommodate movement of the gel material, voids can be formed within the valve housing and even within the gel material.
摘要:
A surgical access assembly includes a cannula, a housing mounted to the cannula, and a seal disposed within the cannula. The cannula is adapted for insertion through tissue to permit access to an underlying tissue site. The cannula defines a longitudinal axis and has a longitudinal passageway for passage of a surgical object for positioning with respect to the tissue site. The housing is adapted for movement relative to the cannula in a direction transverse to the longitudinal axis. The seal has a passage for reception of the surgical object in substantial sealed relation therewith. The access assembly may further include a support member mounted to the cannula. The support member adapted to maintain a predetermined distance between the housing and the tissue. The support member may be securely affixed to, or selectively positionable along, the cannula with respect to the longitudinal axis.
摘要:
A device and method for accessing the interior of a cavity of a patient is described. The transmural access system includes an overtube for use with an endoscope, a safety trocar, suture anchors, and a suture exchanger. The overtube is deployed in conjunction with an endoscope through a selected body passageway of a patient to locate a sight for an access portal. The distal end of the multi-lumen overtube is secured to an interior body wall of the selected access portal. A safety trocar is advanced through the main lumen of the overtube to form the access portal to the body cavity. Upon completion of the desired medical procedure, the access portal can be closed by deploying a suture exchanger.
摘要:
A sealing means for sealing an introduction facility for a medical instrument includes a first sealing membrane of an elastic material with a first slit and a second sealing membrane of an elastic material with a second slit. The first sealing membrane and the second sealing membrane abut laminarily on each other. The first sealing membrane and the second sealing membrane are arranged such that the first slit and the second slit are not parallel with each other. Each of the first slit and the second slit is unbranched.
摘要:
Cannula devices and related methods are provided. In accordance with one embodiment, a cannula ring includes a body portion having a substantially cylindrical member defining an opening therethrough. A plurality of anchor arms coupled with the body portion and configured to be positioned in a first, collapsed state and a second, deployed state, wherein the anchor arms each include a free end that is radially displaced from the body portion while in the second, deployed state relative to their positions while in the first, collapsed state. Suture rings and other associated structures and devices are also described.
摘要:
A trocar and cannula assembly with improved conical valve that incorporates a plurality of ribs to restrict and/or otherwise influence valve movement, and a plurality of improved convolutes and bumps to enhance performance characteristics.
摘要:
A medical assembly includes a cannula and a sealing cap releasably coupled to the cannula. The cap includes a body and a sealing member integrally molded with the body to form a fluid-tight seal between the cap and cannula. The cap includes a member defining an opening for passage of a medical instrument therethrough in a fluid-tight manner. The member includes a first portion surrounding the opening and being thickened to limit tearing of the first portion, and a second portion surrounding the first portion being tapered down in thickness toward the first portion to increase flexibility of the member. The assembly includes a shaft receivable in a lumen defined by an inner surface of the cannula. The shaft includes a protrusion and the inner surface further defines a protrusion receiving formation.
摘要:
Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.
摘要:
A surgical system includes a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument defines a second channel. A valve coupled to the first instrument controls fluid flow through the first channel, such that impedance of fluid flow through the first channel is substantially the same without the second instrument received in the first channel and with the first channel partially blocked by the second instrument. In another aspect, a surgical apparatus includes an outer member and an inner member received within the outer member to define a first channel therebetween. The inner member houses an optical lens and defines a second channel for receiving a surgical instrument. The first and second channels are configured such that a pump having an inflow rate of up to about 0.7 L/min connected to the second channel can maintain fluid pressure inside an organ.
摘要:
A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.