Instrument access device
An instrument access device 1 comprises a proximal member 25 for location externally of an opening into a body cavity. A first connector 20 extends between the proximal member 25 and a first instrument receiver 2 . A second connector 21 extends between the proximal member and a second instrument receiver 3 . Instrument seals can be housed in relatively rigid housings for added strength.
1. An instrument access device, comprising:
a wound retractor, including:
a longitudinal axis,
a proximal ring-shaped member for location externally of a wound opening,
a distal ring-shaped member for location within a wound interior, the distal ring-shaped member defining a central opening extending therethrough,
a sleeve extending at least from the distal ring-shaped member to the proximal ring-shaped member; and
a seal assembly including a plurality of instrument seals and a plurality of cannulae, wherein:
each of the instrument seals is located proximal to the proximal ring-shaped member,
each of the instrument seals is movable with respect to the proximal ring-shaped member, and
each of the cannulae is coupled to one of the instrument seals and extends distally from the one of the instrument seals into the wound retractor, each of the cannulae is freely movable throughout the central opening of the distal ring-shaped member, and at least one cannula is configured to bend to have a curved configuration and extends distal to the distal ring-shaped member of the wound retractor.
2. The instrument access device of claim 1 , wherein the plurality of seals includes three instrument seals, the three instrument seals being bisected by a longitudinally-extending plane through the seal assembly.
3. The instrument access device of claim 1 , wherein two instrument seals are substantially equally-spaced from a longitudinally-extending plane.
4. An instrument access device, comprising:
a wound retractor, including:
a longitudinal axis,
a proximal ring-shaped member for location externally of a wound opening,
a distal ring-shaped member for location within a wound interior,
a sleeve extending at least from the distal ring-shaped member to the proximal ring-shaped member, and
a central passage extending through the proximal ring-shaped member, the distal ring-shaped member, and the sleeve; and
a seal assembly including a plurality of instrument seals, a plurality of connectors, and a plurality of cannulae, wherein:
each of the instrument seals is located proximal the proximal ring-shaped member,
each of the instrument seals is movable with respect to the proximal ring-shaped member,
each of the instrument seals includes a longitudinal axis, with distances between longitudinal axes of the instrument seals increasing in a direction extending proximally from a proximal side of the proximal ring-shaped member,
each of the instrument seals is supported by one of the connectors, and
each of the cannulae extends through one of the connectors and the central passage, with at least one connector and at least one cannula being configured to flex between straight and bent configurations.
5. The instrument access device of claim 4 , wherein the longitudinal axes of the instrument seals are each angled relative to the longitudinal axis of the wound retractor.
6. The instrument access device of claim 4 , wherein the plurality of instrument seals includes three instrument seals, longitudinal axes of the three of the instrument seals being substantially coplanar.
7. The instrument access device of claim 4 , wherein each of the instrument seals is coupled to one of the connectors and to one of the cannulae.
8. An instrument access device, comprising:
a wound retractor, including:
a longitudinal axis,
a proximal ring-shaped portion for location externally of a wound opening,
a distal ring-shaped portion for location within a wound interior, and
a retraction sleeve extending at least proximally from the distal ring-shaped portion to the proximal ring-shaped portion; and
a seal assembly, including:
at least one instrument seal spaced proximal to the proximal ring-shaped portion and laterally movable with respect to the proximal ring-shaped portion,
a base member,
at least one tubular seal connector having a distal end at the base member, the at least one tubular seal connector connecting the at least one instrument seal to the base member, and
at least one cannula, a proximal end of the at least one cannula being coupled to a distal end of the at least one instrument seal, the at least one cannula extending through the at least one tubular seal connector and distal to the distal end of the at least one tubular seal connector and the base member, the at least one cannula having a passage configured to receive an instrument inserted through the at least one instrument seal.
9. The instrument access device of claim 8 , wherein the at least one instrument seal includes a plurality of instrument seals, the at least one tubular seal connector includes a plurality of tubular seal connectors, and the at least one cannula includes a plurality of cannulae.
10. The instrument access device of claim 9 , wherein each of the instrument seals is spaced proximal to the proximal ring-shaped portion by one of the tubular seal connectors.
11. The instrument access device of claim 8 , wherein the at least one cannula is slidable relative to the at least one tubular seal connector.
12. The instrument access device of claim 8 , further including a spacer member coupled to a distal surface of the proximal ring-shaped portion.
13. The instrument access device of claim 12 , wherein the spacer member includes a pad made of foam or rubber.
14. The instrument access device of claim 8 , wherein the at least one tubular seal is coupled to the proximal ring-shaped portion by the base member.
15. The instrument access device of claim 14 , wherein the seal assembly further includes a port configured to provide fluid communication between proximal and distal sides of the base member.
16. The instrument access device of claim 15 , wherein the seal assembly further includes a closure cap configured to close the port.
17. The instrument access device of claim 8 , wherein the proximal end of the at least one cannula is received within the at least one tubular seal connector.