Insufflation stabilization system
Pressure conditioning systems for supplying insufflation gas to an open-ended body conduit such as a rectal cavity during a transanal minimally invasive surgery (TAMIS) procedure can reduce billowing of walls of the body conduit. A pressure conditioning system can include a pressure storage component, an accumulator, and a flow restrictor. The pressure storage component can include a variable volume reservoir that is biased to a relatively low volume state. The flow restrictor can include insufflation tubing with a restrictor plate having a relatively low diameter orifice. The pressure storage component, accumulator, and flow restrictor can be fluidly connected in various orders in series or as side branches from a gas flow conduit. Despite a pulsed or otherwise discontinuous insufflation gas flow and leakage and absorption from the body conduit, the pressure conditioning system can maintain a constant pressure within the body conduit.
1. A gas flow pressure conditioning apparatus for use with a pulsing insufflation pump, the apparatus comprising:
an inlet fluid port configured to receive a flow of gas from the pulsing insufflation pump;
an outlet fluid conduit configured to provide a flow of insufflation gas to a surgical site;
a reservoir fluidly coupled to the inlet fluid port and the outlet fluid conduit, the reservoir comprising an elastomeric pouch formed of a film material configured to expand and contract responsive to the flow of gas at the inlet fluid port and the flow of insufflation gas at the outlet fluid conduit; and
wherein the inlet fluid port has a first inner diameter and the outlet fluid conduit has a second inner diameter larger than the first inner diameter.
2. The gas flow pressure conditioning apparatus of claim 1 , further comprising an inlet fluid conduit fluidly coupled to the inlet fluid port.
3. The gas flow pressure conditioning apparatus of claim 1 , wherein the elastomeric pouch comprises an outlet port fluidly coupled to the outlet fluid conduit.
4. The gas flow pressure conditioning apparatus of claim 1 , wherein the elastomeric pouch has a volume of at least about 6.5 liters.
5. The gas flow pressure conditioning apparatus of claim 1 , wherein the second inner diameter is at least twice the first inner diameter.
6. The gas flow pressure conditioning apparatus of claim 1 , further comprising an outer envelope positioned around the reservoir.
7. The gas flow pressure conditioning apparatus of claim 6 , wherein the outer envelope comprises an elastomeric film material.
8. The gas flow pressure conditioning apparatus of claim 1 , further comprising an outer sleeve positioned around the reservoir.
9. The gas flow pressure conditioning apparatus of claim 8 , wherein the outer sleeve is heat welded to the reservoir at a seam.
10. An insufflation system comprising:
a surgical site access port comprising:
a port surface;
an access port insufflation port having a first insufflation diameter;
a first trocar positionable through the port surface, the first trocar having a first instrument channel extending therethrough; and
a second trocar positionable through the port surface, the second trocar having a second instrument channel extending therethrough and a trocar insufflation port having a second insufflation diameter greater than the first insufflation diameter of the access port insufflation port; and
a gas flow pressure conditioning apparatus for use with a pulsing insufflation pump, the apparatus comprising:
an inlet fluid conduit configured to receive a flow of gas from the pulsing insufflation pump;
an outlet fluid conduit configured to provide a flow of insufflation gas to the surgical site access port; and
a reservoir fluidly coupled to the inlet fluid conduit and the outlet fluid conduit; and
wherein the inlet fluid conduit has a first inner diameter and the outlet fluid conduit has a second inner diameter larger than the first inner diameter.
11. The insufflation system of claim 10 , wherein the trocar insufflation port of the second trocar is sized to receive the outlet fluid conduit.
12. The insufflation system of claim 10 , wherein the reservoir comprises an elastomeric film pouch.
13. The insufflation system of claim 10 , wherein the reservoir has a volume of at least 6.5 liters.
14. The insufflation system of claim 10 , wherein the second inner diameter is greater than at least about 0.25 inches.
15. The insufflation system of claim 10 , wherein the second inner diameter is approximately 0.5 inches.