Pneumatic system for deployment of articulating arms for an access port
A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to articulate instruments inserted therein. The surgical apparatus includes an anchor member configured to form a sealing relation with a tissue, a balloon member and a plurality of articulating arms extending distally from the anchor member. Inflating and/or deflating the balloon member effectuate articulation of the articulating arms.
1. A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity, which comprises:
an anchor member defining a longitudinal axis and having a proximal end and a distal end, the distal end having a distal end surface;
a balloon member extending distally through the distal end surface of the anchor member;
the balloon member is configured to inflate and deflate, and
an articulating arm extending distally through the distal end surface of the anchor member defining a longitudinal lumen, the articulating arm having a linear position and a fully articulated position, wherein in any articulated position of the articulating arm between the linear position and the fully articulated position the lumen is configured to guide a surgical instrument through the entire lumen, wherein the articulating arm is configured to transition between the linear position and the full articulated position in response to inflation and deflation of the balloon member.
2. The surgical apparatus according to claim 1 , wherein the balloon member is configured to expand in a radial dimension upon inflation.
3. The surgical apparatus according to claim 1 , wherein the balloon member has a deflated configuration and an inflated configuration, and wherein the articulating arm is configured to transition towards the fully articulated position as the balloon member is inflated towards the inflated configuration.
4. The surgical apparatus according to claim 1 , wherein the balloon member has a deflated configuration and inflated configuration, and wherein the articulating arm is biased towards the linear position such that the articulating arm transitions towards the linear position as the balloon member is deflated towards the deflated configuration.
5. The surgical apparatus according to claim 1 , wherein the articulating arm includes at least one rigid member and at least one flexible member.
6. The surgical apparatus according to claim 1 , wherein the articulating arm includes three rigid members and two flexible members, each flexible member intermittently disposed between a pair of adjacent rigid members.
7. The surgical apparatus according to claim 6 , wherein the two flexible members include a proximal flexible member defining a first rotational limit, and a distal flexible member defining a second rotational limit.
8. The surgical apparatus according to claim 7 , wherein the second rotational limit is greater than the first rotational limit.
9. The surgical apparatus according to claim 1 further including a plurality of articulating arms circumferentially arranged with respect to the balloon member.
10. The surgical apparatus according to claim 1 including an inflation system to inflate and deflate the balloon member.
11. The surgical apparatus according to claim 10 , wherein the inflation system includes a piston therein configured to move in a proximal direction.
12. The surgical apparatus according to claim 11 , wherein proximal movement of the piston articulates the articulating arm.
13. The surgical apparatus according to claim 1 including a flexible cable disposed within the articulating arm.
14. A method of articulating a surgical instrument positioned within a tissue tract accessing an underlying body cavity, the method comprising:
positioning a surgical apparatus within the tissue tract, the surgical apparatus including:
an anchor member defining a longitudinal axis and having a proximal end and a distal end, the distal end having a distal end surface; a balloon member extending distally through the distal end surface of the anchor member; and
an articulating arm extending distally through the distal end surface of the anchor member;
inserting the surgical instrument into the articulating arm; inflating the balloon member to articulate the articulating arm; and
guiding the surgical instrument through the entire articulating arm when the articulating arm is in any articulated position between linear position and a fully articulated position.
15. The method of articulating a surgical instrument according to claim 14 including introducing an inflation medium to the balloon member to transition the articulating arm from a linear configuration towards a fully articulated configuration.
16. The method of articulating a surgical instrument according to claim 14 including withdrawing an inflation medium from the balloon member to transition the articulating arm towards a linear configuration.
17. The method of articulating a surgical instrument according to claim 14 including introducing an inflation medium to the balloon member to expand the balloon member in a radial dimension.
18. The method of articulating a surgical instrument according to claim 14 , wherein the surgical apparatus includes a piston configured to articulate the articulating arm.
19. The method of articulating a surgical instrument according to claim 18 including introducing an inflation medium to drive the piston in a proximal movement to articulate the articulating arm.
20. The surgical apparatus according to claim 1 , wherein the anchor member defines a first longitudinal passage and a second longitudinal passage, the first and second longitudinal passages extending between the proximal and distal ends of the anchor member parallel to the longitudinal axis, the balloon member releasably connected to the first longitudinal passage and the articulating arm releasably connected to the second longitudinal passage.