초록 ▼

A surgical access apparatus includes an access member dimensioned for insertion within tissue and having a longitudinal opening to permit introduction of a surgical object through the access member to perform a procedure on underlying tissue. A seal member is mounted across the longitudinal opening

A surgical access apparatus includes an access member dimensioned for insertion within tissue and having a longitudinal opening to permit introduction of a surgical object through the access member to perform a procedure on underlying tissue. A seal member is mounted across the longitudinal opening of the access member and has an internal portion defining an aperture for forming a substantial seal about the surgical object introduced through the longitudinal opening of the access member. The seal member includes a first seal portion extending from the internal portion and being mounted in suspended relation to the access member, and a second seal portion extending from the internal portion and disposed radially outward of the first seal portion, and being attached to the access member.

대표청구항 ▼

What is claimed is: 1. A surgical access apparatus, which comprises: an access member dimensioned for insertion within tissue, the access member having proximal and distal ends and defining a longitudinal axis, and having a longitudinal opening to permit introduction of a surgical object through th

What is claimed is: 1. A surgical access apparatus, which comprises: an access member dimensioned for insertion within tissue, the access member having proximal and distal ends and defining a longitudinal axis, and having a longitudinal opening to permit introduction of a surgical object through the access member to perform a procedure on underlying tissue; and a seal member mounted across the longitudinal opening of the access member and having an internal portion defining an aperture for forming a substantial seal about the surgical object introduced through the longitudinal opening of the access member, the seal member including a first seal portion extending from the internal portion in a general proximal longitudinal direction and being mounted in suspended relation to the access member, and a second seal portion connected to the first seal portion by the internal portion such that the second seal portion extends from the internal portion in a general proximal longitudinal direction and is disposed radially outward of the first seal portion, and wherein a proximal end of the first seal portion is configured to move distally in response to distal advancement of the surgical object inserted therethrough. 2. The surgical access apparatus according to claim 1, further comprising a washer disposed adjacent the proximal end of the first seal portion, the washer being dimensioned to help prevent inversion of the seal member during proximal translation of the surgical instrument. 3. A surgical access apparatus, which comprises: an access member dimensioned for insertion within tissue, the access member having proximal and distal ends and defining a longitudinal axis, and having a longitudinal opening to permit introduction of a surgical instrument through the access member to perform a procedure on underlying tissue; and a seal member comprising an elastomeric material and being mounted across the longitudinal opening of the access member, the seal member including a first outer seal portion having an outer periphery secured relative to the access member, the first outer seal portion extending in at least a distal longitudinal direction to a central seal area, the central seal area defining a seal passage and being configured to engage the surgical instrument such that a substantially fluid tight seal is formed therewith, and a second inner seal portion extending in at least a proximal longitudinal direction from the central seal area such that the central area interconnects the first outer seal portion and the second inner seal portion, the second inner seal portion being at least partially disposed within the first outer seal portion, the second inner seal portion defining an inner seal end suspended relative to the access member whereby a proximal end of the inner seal portion is adapted for longitudinal movement within the longitudinal opening of the access member upon passage or the surgical instrument. 4. The surgical access apparatus according to claim 3, wherein the central seal area is adapted to be radially displaced to expand the seal passage as the surgical instrument is introduced. 5. The surgical access apparatus according to claim 4, wherein the inner seal end of the second inner seal portion is disposed radially inwardly of the outer periphery of the first outer seal portion. 6. The surgical access apparatus according to claim 3 wherein the inner seal end has an annular member mounted thereto. 7. The surgical access apparatus according to claim 6 wherein the annular member defines a dimension greater than a corresponding dimension of the longitudinal opening of the access member to minimize inversion of the seal member upon withdrawal of the surgical instrument from the seal member. 8. The surgical access apparatus according to claim 3 wherein the second inner seal portion defines a general frusto-conical shape. 9. The surgical access apparatus according to claim 3 wherein the second inner seal portion includes an undulating portion dimensioned to facilitate passage and/or manipulation of the surgical instrument. 10. The surgical access apparatus according to claim 3 wherein the first outer seal portion defines a general hemispherical shape. 11. The surgical access apparatus according to claim 3 wherein the seal member is monolithically formed. 12. The surgical access apparatus according to claim 3 wherein the seal member comprises a cylindrical member folded so that the second inner seal portion is disposed within the first outer seal portion. 13. The surgical access apparatus according to claim 3, further comprising a washer disposed adjacent the proximal end of the inner seal portion, the washer being configured to help prevent inversion of the seal member during withdrawal of the surgical instrument. 14. A surgical cannula apparatus, which comprises: a cannula housing; a cannula sleeve extending from the cannula housing, the cannula sleeve defining a longitudinal axis and having a longitudinal opening to permit introduction of a surgical instrument; and a seal member mounted relative to the cannula housing, the seal member including an elongated outer seal portion, an elongated inner seal portion, and an inner fold area interconnecting the outer seal portion and the inner seal portion whereby the seal member is at least partially inverted such that the inner seal portion is at least partially disposed within the outer seal portion, the inner fold area defining an aperture for reception of the surgical instrument in substantial sealed relation therewith, the inner seal portion including a proximal end displaced from the fold area, the proximal end of the inner seal portion being adapted for movement relative to the longitudinal axis, the outer seal portion defining an outer periphery connected to the cannula housing. 15. The surgical cannula apparatus according to claim 14 wherein the inner seal portion defines a general tapered configuration. 16. The surgical cannula apparatus according to claim 14 wherein the inner seal portion includes at least one undulation adapted to facilitate movement of the surgical instrument relative to the longitudinal axis. 17. The surgical cannula apparatus according to claim 14 wherein the inner seal portion defines a general frusto-conical configuration. 18. The surgical cannula apparatus according to claim 14 wherein the outer seal portion is dimensioned to extend in a general proximal direction from the inner area. 19. The surgical cannula apparatus according to claim 18 wherein the outer seal portion is dimensioned to extend in a general proximal direction having longitudinal and radial components of direction. 20. The surgical cannula apparatus according to claim 14 wherein the outer seal portion is generally hemispherical in shape. 21. The surgical cannula apparatus according to claim 14 wherein the inner seal portion includes an annular element associated with the outer periphery thereof the annular element being less compliant than remaining portions of the inner area. 22. The surgical cannula apparatus according to claim 21 wherein the cannula housing includes a transverse wall defining an aperture in general alignment with the axis of the cannula sleeve and being disposed proximal of the seal member. 23. The surgical cannula apparatus according to claim 21 wherein the annular element defines a transverse dimension greater than a corresponding transverse dimension of the aperture of the cannula housing such that the annular element is retained distal of the transverse wall during insertion and withdrawal of the surgical instrument thereby minimizing inversion of the seal member. 24. The surgical cannula apparatus according to claim 14 wherein the seal member comprises an elastomeric material. 25. The surgical cannula apparatus according to claim 14 wherein the seal end of the inner seal portion is suspended relative to the access member. 26. The surgical cannula apparatus according to claim 14, further comprising a washer disposed adjacent the proximal end of the inner seal portion, the washer being dimensioned to help prevent inversion of the seal member during proximal translation of the surgical instrument.