Compression expanded cannula

Abstract

Various methods and devices are provided for accessing an interior surgical site using an access portal which can be inserted and removed with minimal tissue damage and which can form a seal with tissue while inserted. Generally, a device is provided having a rigid elongate surgical access member with a lumen extending therethrough that is configured to receive a surgical tool. The device can also include a flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. A substantially rigid collar is provided disposed adjacent to a proximal end of the flexible sleeve and having a lumen extending therethrough that is configured to receive the elongate surgical access member. In an exemplary embodiment, the collar is movable relative to the elongate surgical access member to selectively configure the flexible sleeve in a relaxed condition in which the flexible sleeve has a relatively smooth outer tissue-contacting surface and a compressed condition in which the flexible sleeve has a plurality of protrusions formed on the outer tissue-contacting surface that are configured to create a seal between the outer tissue-contacting surface and tissue.

Description

FIELD[0001]The present invention generally relates to methods and devices for providing access portals through which surgical instruments can be inserted. More particularly, the invention relates to devices which can be inserted into and removed from a patient with minimal tissue damage.BACKGROUND[0002]Arthroscopic, or more generally, minimally invasive surgical procedures rely on obtaining percutaneous access to an internal surgical site using small-diameter openings to gain access to the desired surgical site. In many cases, access tubes are placed through the opening to allow a variety of elongated instruments to be passed through the access tubes to gain access to an internal surgical work site without the need for large incisions. As a result, patient trauma and recovery time are typically reduced.[0003]Very often, these access tubes, which are often called cannulas, must be left in an incision for an extended period of time, without significant movement, as instruments are ins...

AI Technical Summary

Benefits of technology

[0005]The present invention generally provides access portals through which surgical procedures can be performed and that can be inserted and removed with minimal tissue damage to form a seal with tissue while inserted. In one embodiment, a surgical access device is provided having an elongate surgical access member with a lumen extending therethrough that is configured to receive a surgical tool. The surgical access device can also include a flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. A substantially rigid collar member can be disposed adjacent to a proximal end of the flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. In an exemplary embodiment, the collar member is movable relative to the elongate surgical access member to selectively configure the flexible sleeve in a relaxed condition in which the flexible sleeve has a relatively smooth outer tissue-contacting surface and a compressed condition in which the flexible sleeve has a plurality of protrusions formed on the outer tissue-contacting surface that are configured to create a seal between the outer tissue-contacting surface and tissue. The flexible sleeve is normally in the relaxed condition and is configured to receive a compressive force to be configured in the compressed condition.

Problems solved by technology

These rigid surface features, however, can cause tissue damage as the cannula is inserted and usually do not result in the most secure fit once in place due to tissue trauma surrounding the cannula.

The cannula can also be difficult to remove once inserted due to the rigid surface features, possibly leading to further tissue damage during removal.

Images