Instrument seal
View Patent ↗A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder. Some embodiments of the instrument contact element have an hourglass configuration with a first end proximal of the opening of the compression element and a second end distal of the opening of the compression element. Other embodiments of the instrument contact element “wrap around” the opening in the compression element, with the first end and the second end secured to the same side of the opening, for example, proximal of the opening. Embodiments of the compression element comprise an elastomeric seal, for example, a septum seal and/or a gel seal.
1. A surgical access device comprising an instrument seal, the instrument seal comprising:
a longitudinal axis extending from a proximal end to a distal end;
an instrument access channel extending along the longitudinal axis;
a seal housing;
an elastic compression element disposed in the seal housing, comprising an opening aligned with the access channel; and
a non-distensible instrument contact element disposed on or around the compression element and extending through the opening in the compression element, thereby defining an instrument orifice,
wherein
the instrument seal has a first state in the absence of an instrument extending through the orifice, and
the instrument seal has a second state in the presence of an instrument extending through the orifice in which the instrument contact element seals against the instrument;
wherein the instrument contact element has a first terminal end and a second terminal end, both first and second terminal ends are positioned above the instrument orifice defined by the compression element and the instrument contact element to wrap the instrument contact element around the compression element.
2. The surgical access device of claim 1 , wherein the elastic compression element comprises a septum seal.
3. The surgical access device of claim 1 , wherein the elastic compression element comprises polyisoprene.
4. The surgical access device of claim 1 , wherein an elongation of the elastic compression element is at least about 600%.
5. The surgical access device of claim 1 , wherein the instrument contact element comprises a polyolefin film.
6. The surgical access device of claim 1 , wherein the instrument contact element is substantially cylindrical in an unconstrained state.
7. The surgical access device of claim 1 , wherein a smallest constrained diameter of the instrument contact element is at least at large as a diameter of a largest instrument that the instrument seal is designed to accommodate.
8. The surgical access device of claim 1 , wherein the surgical access device is a trocar comprising a seal assembly comprising the instrument seal; and a cannula extending from the seal assembly, wherein the access channel extends through the seal assembly and the cannula.
9. The surgical access device of claim 1 , further comprising a zero seal aligned with the access channel.
10. The surgical access device of claim 1 , wherein the instrument contact element comprises at least one slit.
11. The surgical access device of claim 1 , further comprising a lubricant disposed on at least a portion of the instrument contact element.
12. The surgical access device of claim 1 , wherein in the first state, the instrument contact element at the orifice comprises a plurality of folds.
13. The surgical access device of claim 1 , wherein the instrument seal has a leak rate of less than about 500 mL/min at 2 kPa in the second state.
14. The surgical access device of claim 1 , wherein in the second state, the instrument contact element spaces the instrument from the compression element.
15. The surgical access device of claim 1 , wherein the instrument contact element comprises an elastomeric material.