US2015190170A1PendingUtilityA1

Methods, Systems and Devices for Surgical Access and Insertion

Assignee: FREDERICK TOMPriority: Jan 10, 2012Filed: Mar 18, 2015Published: Jul 9, 2015
Est. expiryJan 10, 2032(~5.5 yrs left)· nominal 20-yr term from priority
A61B 2017/3441A61B 2017/3466A61B 2017/3464A61B 17/0218A61B 17/3423A61B 2017/3447A61B 2017/00283A61B 17/3498A61B 90/40A61B 90/50A61B 2090/062A61B 2034/302
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Claims

Abstract

The various embodiments herein relate to systems, devices, and/or methods relating to surgical procedures, and more specifically for accessing an insufflated cavity of a patient and/or positioning surgical systems or devices into the cavity.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . A surgical insertion device comprising:
 (a) a base ring defining a base ring opening, the base ring configured to be operably coupleable to a standard sleeve device;   (b) a first top ring defining a first top ring opening, the first top ring configured to be operably coupled to the base ring; and   (c) at least one first seal disposed between the base ring and the first top ring, the at least one first seal defining at least first and second seal openings,   wherein the top ring opening, the base ring opening and the first and second seal openings are configured to receive a medical device positioned therethrough,   wherein the base ring, the first top ring, and the at least one first seal are configured to maintain a fluidic seal at an incision when the medical device is positioned therethrough.   
     
     
         2 . The surgical insertion device of  claim 1 , wherein the first seal opening is a first slit and the second seal opening is a second slit. 
     
     
         3 . The surgical insertion device of  claim 2 , wherein the first slit is larger than the second slit. 
     
     
         4 . The surgical insertion device of  claim 1 , wherein the at least one first seal comprises three seals. 
     
     
         5 . The surgical insertion device of  claim 1 , wherein the at least one first seal comprises:
 (a) a first seal positioned adjacent to the base ring;   (b) a second seal positioned adjacent to the first seal; and   (c) a third seal positioned between the second seal and the first top ring.   
     
     
         6 . The surgical insertion device of  claim 5 , wherein the first seal opening comprises:
 (a) a first seal first slit defined in the first seal;   (b) a second seal first slit defined in the second seal, wherein the second seal first slit is substantially perpendicular to the first seal first slit; and   (c) a third seal first opening defined in the third seal,   wherein the first seal first slit, the second seal first slit, and the third seal first opening are positioned in relation to each other to define the first seal opening.   
     
     
         7 . The surgical insertion device of  claim 5 , wherein the second seal opening comprises:
 (a) a first seal second slit defined in the first seal;   (b) a second seal second slit defined in the second seal, wherein the second seal second slit is substantially perpendicular to the first seal second slit; and   (c) a third seal second opening defined in the third seal,   wherein the first seal second slit, the second seal second slit, and the third seal second opening are positioned in relation to each other to define the second seal opening.   
     
     
         8 . The surgical insertion device of  claim 1 , the device further comprising:
 (a) a second top ring defining a second top ring opening, the second top ring configured to be operably coupled to the first top ring; and   (b) at least one second seal disposed between the first top ring and the second top ring, the at least one second seal further defining the at least first and second seal openings,   wherein the second top ring opening, the first top ring opening, the base ring opening and the first and second seal openings are configured to receive a medical device positioned therethrough,   wherein the base ring, the first top ring, the second top ring, and the at least one first and second seals are configured to maintain a fluidic seal at an incision when the medical device is positioned therethrough.   
     
     
         9 . The surgical insertion device of  claim 8 , the device further comprising a cavity defined between the at least one first seal and the at least one second seal, wherein the cavity is configured to minimize pressure loss from any loss of the fluidic seal. 
     
     
         10 . The surgical insertion device of  claim 8 , wherein the at least one second seal comprises three seals. 
     
     
         11 . The surgical insertion device of  claim 8 , wherein the at least one second seal comprises:
 (a) a fourth seal positioned adjacent to the first top ring;   (b) a fifth seal positioned adjacent to the fourth seal; and   (c) a sixth seal positioned between the fifth seal and the second top ring.   
     
     
         12 . The surgical insertion device of  claim 11 , wherein the first seal opening further comprises:
 (a) a fourth seal first slit defined in the fourth seal;   (b) a fifth seal first slit defined in the fifth seal, wherein the fifth seal first slit is substantially perpendicular to the fourth seal first slit; and   (c) a sixth seal first opening defined in the sixth seal,   wherein the fourth seal first slit, the fifth seal first slit, and the sixth seal first opening are positioned in relation to each other to further define the first seal opening.   
     
     
         13 . The surgical insertion device of  claim 11 , wherein the second seal opening further comprises:
 (a) a fourth seal second slit defined in the fourth seal;   (b) a fifth seal second slit defined in the fifth seal, wherein the fifth seal second slit is substantially perpendicular to the fourth seal second slit; and   (c) a sixth seal second opening defined in the sixth seal,   wherein the fourth seal second slit, the fifth seal second slit, and the sixth seal second opening are positioned in relation to each other to further define the second seal opening.   
     
     
         14 . A surgical insertion device comprising:
 (a) a base ring defining a base ring opening, the base ring configured to be operably coupleable to a standard sleeve device;   (b) a first top ring defining a first top ring opening, the first top ring configured to be operably coupled to the base ring;   (c) at least one first seal disposed between the base ring and the first top ring, the at least one first seal defining at least first and second seal openings, wherein the at least one first seal comprises:
 (i) a first seal positioned adjacent to the base ring; 
 (ii) a second seal positioned adjacent to the first seal; and 
 (iii) a third seal positioned between the second seal and the first top ring; 
   (d) a second top ring defining a second top ring opening, the second top ring configured to be operably coupled to the first top ring; and   (e) at least one second seal disposed between the first top ring and the second top ring, the at least one second seal further defining the at least first and second seal openings, wherein the at least one second seal comprises:
 (i) a fourth seal positioned adjacent to the first top ring; 
 (ii) a fifth seal positioned adjacent to the fourth seal; and 
 (iii) a sixth seal positioned between the fifth seal and the second top ring, 
   wherein the second top ring opening, the first top ring opening, the base ring opening and the first and second seal openings are configured to receive a medical device positioned therethrough, and   wherein the base ring, the first top ring, the second top ring, and the at least one first and second seals are configured to maintain a fluidic seal at an incision when the medical device is positioned therethrough.   
     
     
         15 . The surgical insertion device of  claim 14 , wherein the first seal opening comprises:
 (a) a first seal first slit defined in the first seal;   (b) a second seal first slit defined in the second seal, wherein the second seal first slit is substantially perpendicular to the first seal first slit;   (c) a third seal first opening defined in the third seal;   (d) a fourth seal first slit defined in the fourth seal;   (e) a fifth seal first slit defined in the fifth seal, wherein the fifth seal first slit is substantially perpendicular to the fourth seal first slit; and   (f) a sixth seal first opening defined in the sixth seal,   wherein the first seal first slit, the second seal first slit, the third seal first opening, the fourth seal first slit, the fifth seal first slit, and the sixth seal first opening are positioned in relation to each other to define the first seal opening.   
     
     
         16 . The surgical insertion device of  claim 14 , wherein the second seal opening comprises:
 (a) a first seal second slit defined in the first seal;   (b) a second seal second slit defined in the second seal, wherein the second seal second slit is substantially perpendicular to the first seal second slit;   (c) a third seal second opening defined in the third seal;   (d) a fourth seal second slit defined in the fourth seal;   (e) a fifth seal second slit defined in the fifth seal, wherein the fifth seal second slit is substantially perpendicular to the fourth seal second slit; and   (f) a sixth seal second opening defined in the sixth seal,   wherein the first seal second slit, the second seal second slit, the third seal second opening, the fourth seal second slit, the fifth seal second slit, and the sixth seal second opening are positioned in relation to each other to define the second seal opening.   
     
     
         17 . A method of providing medical device access to a cavity of a patient while maintaining insufflation of the cavity, the method comprising:
 positioning a standard sleeve device in an incision in the patient;   coupling a surgical insertion device to the standard sleeve device, the surgical insertion device comprising:
 (a) a base ring defining a base ring opening; 
 (b) a first top ring defining a first top ring opening, the first top ring configured to be operably coupled to the base ring; and 
 (c) at least one first seal disposed between the base ring and the first top ring, the at least one first seal defining at least first and second seal openings; and 
   positioning at least a portion of a medical device into the cavity of the patient through the top ring opening, the first and second seal openings, and the base ring opening while maintaining a fluidic seal.   
     
     
         18 . The method of  claim 17 , wherein the coupling the surgical insertion device to the standard sleeve device comprises coupling the base ring to the standard sleeve device. 
     
     
         19 . The method of  claim 17 , wherein the base ring comprises a circular notch defined in the base ring, wherein the coupling the surgical insertion device to the standard sleeve device comprises positioning an upper ring of the standard sleeve device into the circular notch. 
     
     
         20 . The method of  claim 17 , wherein the maintaining the fluidic seal is accomplished via the base ring, the first top ring, and the at least one first seal.

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