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.
1. A surgical access device comprising:
a seal housing;
a compression element disposed in the seal housing; and
a non-distensible instrument contact element extending through an opening in the compression element and a distal end of the instrument contact element disposed below the opening being secured to a ring, the ring being a separate component from the instrument contact element and the ring arranged to move freely within the seal housing;
wherein the entire instrument contact element is cylindrical in an unconstrained state, is made of a polyolefin film and has a thickness not greater than 250 μm.
2. The surgical access device of claim 1 wherein the instrument contact element comprises at least one slit.
3. The surgical access device of claim 1 wherein the compression element is a zero seal in an absence of an instrument extending through the instrument contact element.
4. The surgical access device of claim 1 wherein the compression element is disc-shaped.
5. The surgical access device of claim 1 wherein in an absence of an instrument extending through the instrument contact element, the instrument contact element at the opening in the compression element comprises a plurality of folds.
6. The surgical access device of claim 5 wherein in a presence of an instrument extending through the instrument contact element and the opening of the compression element, the instrument contact element seals against the instrument and spaces the instrument from the compression element.
7. The surgical access device of claim 1 further comprising a cannula extending from the seal housing.
8. The surgical access device of claim 1 further comprising a stop limiting proximal movement of the ring.
9. The surgical access device of claim 1 further comprising a tensioning element urging the ring distally.
10. The surgical access device of claim 1 further comprising a zero seal.
11. The surgical access device of claim 10 wherein the zero seal is elastomeric and defines a cavity wherein the compression element is disposed entirely within the cavity of the zero seal and spaced from an inner wall of the zero seal.
12. The surgical access device of claim 1 wherein the ring is a circular structure.
13. The surgical access device of claim 12 wherein the ring has an inner diameter before an instrument is inserted through the instrument contact element and the ring, and
the ring has an inner diameter after the instrument is inserted through the instrument contact element and the ring;
wherein the inner diameter of the ring before an instrument is inserted through the instrument contact element and the ring is equal to the inner diameter of the ring after the instrument is inserted through the instrument contact element and the ring.
14. A surgical access device comprising:
a seal housing;
a compression element disposed in the seal housing;
a non-distensible instrument contact element extending through an opening in the compression element and a distal end of the instrument contact element disposed below the opening, the distal end of the instrument contact element and the compression element arranged to move freely within the seal housing; and
a cap closing a proximal end of the seal housing, wherein the cap includes an alignment channel and a proximal end of the instrument contact element is secured to a distal end of the alignment channel of the cap;
wherein the cap is adhesively secured to a proximal end of the seal housing.
15. The surgical access device of claim 14 wherein the instrument contact element comprises a polyolefin film.
16. The surgical access device of claim 14 wherein the seal housing, compression element and instrument contact element are arranged to accommodate instruments with diameters from about 4.5 mm to about 15.4 mm.
17. The surgical access device of claim 14 wherein the seal housing, compression element and instrument contact element are arranged to accommodate a surgeon's hand.
18. The surgical access device of claim 14 wherein the distal end of the instrument contact element is coupled to a ring having an inner diameter, the inner diameter of the ring being the same size as an inner diameter of the instrument contact element and the ring being a separate component from the instrument contact element.
19. The surgical access device of claim 14 wherein the compression element comprises gel material having an elongation of at least about 1000%.
20. The surgical access device of claim 14 wherein the cap comprises a funneled entry at a proximal end of the cap and a distal end of the funneled entry is coupled to a proximal end of the alignment channel.
21. The surgical access device of claim 20 wherein the funnel entry and the alignment channel are disposed entirely within the cap.
22. The surgical access device of claim 14 wherein a proximal most end of the cap is spaced from a proximal most end of the seal housing.
23. The surgical access device of claim 14 wherein the instrument contact element comprises a low friction surface layer and a high strength layer and the cap, the alignment channel and the housing are made of polycarbonate.
24. The surgical access device of claim 14 wherein the instrument contact element has a high strength in a longitudinal direction and high foldability in a transverse direction.
25. A surgical access device comprising:
a seal housing;
a compression element disposed in the seal housing;
a non-distensible instrument contact element extending through an opening in the compression element and a distal end of the instrument contact element disposed below the opening, the distal end of the instrument contact element and the compression element arranged to move freely within the seal housing; and
a cap closing a proximal end of the seal housing, wherein the cap includes an alignment channel and a proximal end of the instrument contact element is secured to a distal end of the alignment channel of the cap;
wherein the entire instrument contact element is cylindrical in an unconstrained state, is made of a polyolefin film and has a thickness not greater than 250 μm.
26. The surgical access device of claim 25 wherein the cap is secured to a proximal end of the seal housing.