[54] FLEXIBLE ENDOSCOPIC SURGICAL PORT
[75] Inventors: Roger L. Hildwein; Robert C.
Uschold, both of Cincinnati; J. D.
Staley, Jr., Loveland; Paul
Riestenberg, Cincinnati; Laura
Gallagher, Maineville; Rex Nagao,
Cincinnati, all of Ohio
[73] Assignee: Ethicon, Inc., Somerville, N.J.
[21] Appl. No.: 179,419
[22] Filed: Jan. 10, 1994
Related U.S. Application Data
[62] Division of Ser. No. 906,774, Jun. 30, 1992, abandoned.
[51] Int. CI. A61M 39/02
[52] U.S. CI 604/175; 604/264; 411/502
[58] Field of Search 606/185, 108,
606/117, 151, 198; 604/174, 175, 177, 178, 264, 164; 24/703.1, 713.6, 713.7; 411/503, 180, 181, 173, 174, 338, 57, 502
[56] References Cited
U.S. PATENT DOCUMENTS
1,074,077 9/1913 Wismer 24/713.7 X
3,856,021 12/1974 Mcintosh 604/175
4,423,740 1/1984 Castle et al 128/748
4,452,244 6/1984 Chin 128/321
4,535,773 8/1985 Yoon 604/51
4,545,374 10/1985 lacobson 128/303 R
4,601,710 7/1986 Moll 604/165
4,631,051 12/1986 Harris 604/9
4,645,492 2/1987 Weeks 604/174
4,654,030 3/1987 Moll et al 604/165
4,655,752 4/1987 Honkanen et al 604/167 X
4,676,782 6/1987 Yamamoto et al 604/175
4,678,463 7/1987 Millar 604/285
4,874,378 10/1989 Hillstead 604/167
4,931,042 6/1990 Holmes et al 604/164
4,950,257 8/1990 Hibbs et al 604/265
4,978,334 12/1990 Toye et al 604/51
5,030,206 7/1991 Lander 604/164
5,066,288 11/1991 Deniega et al 604/274
5,073,169 12/1991 Raiken 604/174 X
5,078,689 1/1992 Keller 604/167
5,176,649 1/1993 Wakabayashi 604/164
5,226,426 7/1993 Yoon 128/753
5,281,204 1/1994 Horie et al 604/174 X
FOREIGN PATENT DOCUMENTS
0 480 653 4/1992 European Pat. Off A61B 17/34
743519 4/1933 France .
30 17 065 11/1981 Germany A61M 27/00
35 07 086 11/1990 Germany A61D 7/00
1618-397A 1/1991 U.S.S.R. .
Primary Examiner—Michael H. Thaler
Attorney, Agent, or Firm—Paul A. Coletti
[57] ABSTRACT
A flexible endoscopic surgical port comprises a trocar tube or cannula made partially or entirely of flexible material which can be inserted into a body wall at an intercostal location to allow the insertion and manipulation of endoscopic surgical instruments within the thoracic cavity. The surgical port includes a hollow tubular body which is inserted through an intercostal opening in the body wall extending into the thoracic cavity with an annular flange at one end of the tubular body projecting radially outward and engaging the body wall adjacent to the opening. The flange is able to flex relative to the tubular body whereby the surgical instrument inserted in the tubular body can be manipulated over a wide range of motion inside the thoracic cavity. A retainer ring can be installed at the end of the tubular body opposite to the flange to secure the surgical port in the body wall. Improved obturators are provided for installation of the flexible surgical port.
14 Claims, 18 Drawing Sheets