Hip access portal saver
A portal saver device for installing a flexible cannulated tube at a surgical site. A portal saver device includes an obturator. The obturator has an obturator body having a cannulated outer obturator tube extending therethrough. The outer obturator tube has a distal tip with a dilating assembly movable between a collapsed, first configuration and an expanded, second configuration. A shaft expander has a cannulated inner obturator tube, which is movable between a first position and a second position within the outer obturator tube. In the first position, the inner obturator tube is retracted from the distal tip of the outer obturator tube and the dilating assembly is in the first configuration. In the second position, the inner obturator tube is advanced within the distal tip of the outer obturator tube and the dilating assembly is in the second configuration.
1. An obturator comprising:
an obturator body extending along a central longitudinal axis and having a cannulated outer obturator tube extending therethrough, the outer obturator tube having a distal tip with a dilating assembly movable between a collapsed, first configuration and an expanded, second configuration;
a shaft expander comprising a cannulated inner obturator tube which is movable between a first position and a second position within the outer obturator tube;
a second cannulated tube having a central longitudinal axis which extends around the cannulated outer obturator tube distal the obturator body;
a pair of stirrups comprising a first stirrup and a second stirrup, each of which comprises a first portion extending proximally from the second cannulated tube at an angle to the central longitudinal axis and a second portion extending proximally from the respective first portion along an axis parallel to the central longitudinal axis;
a rigid body connected around the second cannulated tube and moveable along a length of the second cannulated tube;
wherein in the first position, the inner obturator tube is retracted from the distal tip of the outer obturator tube and the dilating assembly is in the first configuration;
wherein in the second position, the inner obturator tube is advanced within the distal tip of the outer obturator tube and the dilating assembly is in the second configuration; and
wherein the rigid body comprises a proximal telescoping assembly, the proximal telescoping assembly comprising one or more blades structured and configured to form an elongated slit in the second cannulated tube parallel to the central longitudinal axis when the rigid body is advanced distally along the length of the second cannulated tube.
2. The obturator of claim 1 , wherein the dilating assembly is a duck bill portion at the distal tip of the outer obturator tube, the duck bill portion having at least two arms composed of the outer obturator tube.
3. The obturator of claim 2 , further comprising a post on the inner obturator tube which forces the at least two arms radially outward from the collapsed, first configuration to the expanded, second configuration.
4. The obturator of claim 1 , wherein the outer obturator tube extends past a distal end of the obturator body.
5. The obturator of claim 4 , wherein the second cannulated tube is composed of a flat sheet material with a pair of seams extending along a length of the second cannulated tube.
6. The obturator of claim 4 , wherein the second cannulated tube has a flattened section between two rounded sections.
7. The obturator of claim 1 , wherein the pair of stirrups is removably attached to the obturator body via one or more connectors.
8. The obturator of claim 7 , further comprising a stirrup release actuator on the obturator body configured to release the pair of stirrups from the one or more connectors.
9. The obturator of claim 1 , wherein the rigid body comprises distal exterior barbs extending in a direction orthogonal to the central longitudinal axis.