Trocar seal membrane comprising multi-dimensional pleats
10912584 ยท 2021-02-09
Inventors
Cpc classification
A61B17/3439
HUMAN NECESSITIES
A61B17/3462
HUMAN NECESSITIES
A61M2039/0633
HUMAN NECESSITIES
A61B2017/347
HUMAN NECESSITIES
A61B2017/3464
HUMAN NECESSITIES
International classification
Abstract
A trocar seal membrane with multi-dimensional pleats. The seal membrane includes a proximal opening, a distal aperture, and a sealing wall from the distal aperture ex-tending to the proximal opening, the sealing wall includes a proximal surface and a distal surface. The distal aperture formed by a sealing lip for accommodating the inserted instrument forms a gas-tight seal. In the lip-adjacent area, the sealing wall simultaneously has a plurality of transverse pleats extending laterally outwardly from the sealing lip and a plurality of tangential pleats uniformly distributed around the sealing lip. The pleated sealing wall can enlarge hoop circumference in the lip-adjacent area, and reduce overall deformation when a large-diameter instrument is inserted, thereby reducing friction and improving sealing reliability.
Claims
1. A trocar seal membrane for minimally invasive surgery, comprising: a proximal opening, a distal aperture, and a sealing wall from the distal aperture extending to the proximal opening, wherein the sealing wall comprises a proximal surface and a distal surface; the distal aperture formed by a sealing lip for accommodating an inserted instrument forms a gas-tight seal; the sealing wall simultaneously has a plurality of transverse pleats extending laterally outward from the sealing lip and a plurality of tangential pleats uniformly distributed around the sealing lip; and a superposition of the transverse pleats and the tangential pleats form multi-dimensional pleats; wherein the sealing wall further comprises a plurality of reverse concave-channels extending laterally outward from the sealing lip and recessing from the distal surface of the sealing wall to the proximal surface, the opening of reverse concave-channels towards the distal surface; and from the perspective of the proximal surface, each of the plurality of reverse concave-channels is a hollow convex-rib raised from the proximal surface.
2. The seal membrane according to claim 1, wherein the multi-dimensional pleats increase the degrees of freedom of the sealing wall in a lip-adjacent area which has a benefit of reducing overall deformation.
3. The seal membrane according to claim 1, wherein the number of the reverse concave-channels is four.
4. The seal membrane according to claim 1, wherein the sealing lip is circular or cylindrical.
5. The seal membrane according to claim 1, wherein each of the plurality of reverse concave-channels comprises two plane side-walls without pleats.
6. The seal membrane according to claim 5, wherein the plane side-walls are configured to enlarge hoop circumference in a lip-adjacent area and increase the axial tensile stiffness.
7. The seal membrane according to claim 5, wherein the seal membrane further comprises a flange that intersects the multi-dimensional pleats and the reverse concave-channels simultaneously, and a floating portion with a plurality of transverse pleats extending from the flange to the proximal opening.
8. The seal membrane according to claim 1, wherein the sealing wall further comprises a solid-rib extending laterally outward from the sealing lip; the solid-rib is configured to enhance the axial tensile stiffness of the sealing wall and improve stick-slip.
9. The seal membrane according to claim 8, wherein the seal membrane further comprises a flange that intersects the pleats and the solid-rib simultaneously, and a floating portion with a plurality of transverse pleats extending from the flange to the proximal opening.
10. The seal membrane according to claim 1, wherein the sealing wall is formed in an approximately conical arrangement surrounding the sealing lip, and each of the plurality of transverse pleats includes a pleat-ridge and a pleat-valley, and a pleat-wall extending from the pleat-ridge to the pleat-valley; the pleat-ridge containing peaks and troughs, and the pleat-valley containing peaks and troughs.
11. The seal membrane according to claim 10, wherein each of the plurality of reverse concave-channels comprises two plane side-walls without pleats.
12. The seal membrane of claim 11, wherein, the plane side-walls are configured to enlarge hoop circumference in a lip-adjacent area and increase the axial tensile stiffness.
13. The seal membrane of claim 12, wherein the number of the the reverse concave-channels is four.
Description
DESCRIPTION OF THE DRAWINGS
(1) A more complete appreciation of this invention, and many of the attendant advantages thereof will be readily apparent as the same becomes better understood by reference to the following detailed description, where:
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(27) In all views, the same referred number shows the same element or assembly.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
(28) Embodiments of the invention are disclosed herein, however, it should be understood that the disclosed embodiments are merely examples of the invention, which may be implemented in different ways. Therefore, the invention is not intended to be limited to the detail shown, rather, it is only considered as the basis of the claims and the basis for teaching those skilled in the art how to use the invention.
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(33) Said seal membrane 130 includes a proximal opening 132, a distal end aperture 133, and the sealing wall extending from the distal end to the proximal end, said sealing wall including a proximal surface and a distal surface. Said aperture 133 formed by a sealing lip 134 for accommodating an inserted instrument and forming a gas-tight seal. Said sealing lip 134, in the present embodiment, is approximately cylindrical, but said sealing lip 134 may be not circular. As described in the background of the invention, the circumference of the sealing lip should be short and strong enough to ensure sealing reliability when a 5 mm diameter instrument is inserted. In the present embodiment, the sealing lip 334 is circular, defining its radius as Rlip, so that the circumference of the sealing lip is approximately equal to 2*Rlip*(=3.14159), usually the circumference of the sealing lip is 0.350.5 mm.
(34) Said the seal membrane 130 also including the flange 136; The sealing wall 135 has one end connected to the sealing lip 134 and the other end connected to the flange 136; the floating portion 137 has one end connected to the flange 136 and the other end connected to said proximal end 132. Said flange 136 is for mounting the protector device 160. Said floating portion 137 including one or several plurality of radial (lateral) pleats, so that the entire seal membrane assembly 180 can float in the assembly 200.
(35) Said assembly 180 can be made from a variety of materials with a range of different properties. For instance, said seal membrane 130 is made of a super elastic material such as silicone or polyisoprene; said protector device 160 is made of a semi-rigid thermoplastic elastomer: and said second retainer ring 120 and said first retainer ring 170 are made of a relatively hard rigid material such as polycarbonate.
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(37) Said sealing lip 134 comprising a longitudinal axis 158, and a transverse plane 159 that is generally perpendicular to the longitudinal axis 158. Said sealing wall 135 can be approximately frustum, approximately hemispherical, or an irregularly rotating surface. In this embodiment, said wall 135 is formed in an approximately conical arrangement surrounding the sealing lip 134, said wall 135 including a plurality of approximately V-shaped pleats 140. Said pleats 140 and the sealing lip 134 are externally-tangent and extend laterally away from the axis 158. Said pleats 140 include pleat-ridges 142a, 142b; pleat-valley 143a, 143b; and a pleat-wall 141 extending from the pleat-ridge to the pleat-valley. The pleat-ridges 142a, 142b are not straight lines but wavy lines containing peaks and troughs. And the pleat-valley 143a, 143b are not straight lines but wavy lines containing peaks and troughs. The waves of the wavy lines 142a (142b) and 143a (143b) extend laterally in a direction away from the axis 158, referred to as transverse pleats 240 (or radial pleats). The V-shaped pleats 140 generally distribute approximately uniformly around the sealing lip 134, referred to as circumferential pleats (or tangential pleats). Said V-shaped pleats 140 are multi-dimensional pleats formed by superposition of transverse pleats and tangential pleats. The sealing lip 134 has a cylindrical portion that intersects the V-shaped pleats 140 to form a proximal side pointing to the tip of triangular wall 139, corresponding to each wave peak 142a (142b).
(38) The advantages of seal membrane 130 with V-shaped pleats 140 thereof, lie in that it can enlarge hoop circumference in the lip-adjacent area, and reduce the hoop force when a large diameter instrument is inserted, thereby reducing the frictional resistance. In this embodiment, 8 pleats are included, while more or less which can enlarge the circumference of the lip-adjacent area. Since said V-shaped pleats 140 are formed by superposition of transverse pleats and circumferential pleats, and the pleats of lip-adjacent area have more degrees of freedom (or smaller constraints of freedom). When a large diameter instrument is inserted into said seal membrane, the sealing wall of the lip-adjacent area deformed and unfolded. The sealing wall outside the lip-adjacent area brings less drag or squeeze, thereby contributing to reduce overall deformation. In addition, the V-shaped pleats 140 contribute to produce less transverse force to the instrument as the instrument moves laterally, thereby benefiting of sealing reliability. However, there is defect in the seal membrane 130 that the axial tensile stiffness of the seal membrane 130 along the sealing lip is small, and it is similar function as a spring when the seal membraned deformed by the tensile force, which causes the stick-slip described in the background to be more obvious.
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(40) Said wall 135 including a plurality of V-shaped pleats 140 and a plurality of, reinforcing ribs 250. Said V-shaped pleats 140 and the sealing lip 134 are circumscribed and extend laterally away from the axis 158. Said pleats 140 include pleat-ridges 142a, 142b; pleat-valley 143a, 143b; and a pleat-wall 141 extending from the pleat-ridges to the pleat-valley. The pleat-ridges 142a, 142b are not straight lines but wavy lines containing peaks and troughs. And the pleat-valley 143a, 143b are not straight lines but wavy lines containing peaks and troughs. Said V-shaped pleats 140 are multi-dimensional pleats formed by superposition of transverse pleats and tangential pleats. The sealing lip 134 has a cylindrical portion that intersects the V-shaped pleats 140 to form a proximal side pointing to the tip of triangular wall 139, corresponding to each wave peak 142a (142b).
(41) The reinforcing rib 250 extends laterally from the sealing lip 134 to the sealing wall-portion 138. In the present embodiment, the reinforcing rib 250 extends laterally along the pleat-ridges, or may extend laterally along the pleat-valley or laterally at an angle to the pleat-ridges (the pleat-valley). In the present embodiment, the reinforcing rib 250 is raised from proximal surface of, said pleats 140 and extends laterally outward to the flange, but may also be raised from the distal surface of the pleats 140 or simultaneously raised from the proximal surface and distal surface. The sidewall 252 of said rib 250 in the embodiment is planar and approximately parallel to the axis 158, but may not be parallel to the axis. The width of the rib 250 in the embodiment is less than the minimum width of one V-shaped pleat 140.
(42) The functions of said reinforcing rib 250 is to drag the sealing lip 134 and its adjacent area. This dragging action enhances the axial tensile stiffness of the entire sealing wall 135. The axial displacement of the sealing lip 134 is small when the instrument is inserted. This embodiment contains 4 reinforcing ribs. More or fewer reinforcing ribs can also play a similar role. The seal membrane 230 with said ribs 250 is provided with the approximate functions similar to which of the seal membrane 130, such as enlarging hoop circumference, reducing the frictional resistance, reducing overall deformation, and reducing transverse force and at the same time contribute to the increased axial stiffness, benefiting of reducing the stick-slip.
(43) Another preferred third embodiment of the seal membrane 330 is described in detail in
(44) Said wall 135 includes a plurality of V-shaped pleats 140 and a plurality of reverse concave-channels 350 (or hollow convex-ribs 350).
(45) Said V-shaped pleats 140 and the sealing lip 134 are externally-tangent and extend laterally away from the axis 158. Said pleats 140 include pleat-ridges 142a, 142b; pleat-valley 143a, 143b; and a pleat-wall 141 extending from the pleat-ridges to the pleat-valley. The pleat-ridges 142a, 142b are not straight lines but wavy lines containing peaks and troughs. And the pleat-valley 143a, 143b are not straight lines but wavy lines containing peaks and troughs. Said V-shaped pleats 140 are multi-dimensional pleats formed by superposition of transverse pleats and tangential pleats. The sealing lip 134 has a cylindrical portion that intersects the V-shaped pleats 140 to form a proximal side pointing to the tip of triangular wall (or trapezoidal surface) 139, corresponding to each wave peak 142a (142b).
(46) A plurality of reverse concave-channels 350 extend laterally outward from the sealing lip 134 to the sealing wall-portion 138. Said reverse concave-channels are recessed from the distal surface of said pleats 140 toward the proximal surface and the opening oriented to the distal surface. From the perspective of the distal surface, said reverse concave-channels 350 are recessed, while from the perspective of the proximal surface, the reverse concave-channels 350 are hollow convex-ribs raised from the sealing body. Said reverse concave-channels 350 include an inner-sealing-wall 351, a side-sealing-wall 352. The inner-sealing-wall 351 intersects side-sealing-wall 352 to form an intersection line 355a, 355b; said side-sealing-wall 352 intersects the pleat-wall to form an intersection line 356a, 356b. The inner-sealing-wall 351 and one end of the side-sealing-wall 352 intersects the sealing lip 134 and the other end intersects the sealing wall-portion 138. The seamless sealing wall is formed by a plurality of V-shapes pleats 140 and a plurality of the reverse concave-channels 340. In the present embodiment, there are 8 V-shaped pleats 140 and 4 reverse concave-channels 350, however more or fewer pleats or reverse concave-channels can be used. The side-sealing-wall 352 of said reverse concave-channels is a plane side-wall without pleats and its function equivalent to the reinforcing rib 250 described in the second embodiment. The inner-sealing-wall 351 is also planar in the present embodiment, however the inner-sealing-wall may also be a pleated curved surface.
(47) Said V-shaped pleats 140 and reverse concave-channels 350 together enlarge hoop circumference in the lip-adjacent area; said V-shaped pleats 140 can reduce overall deformation of the sealing lip; while reverse concave-channels 350 can drag the sealing lip 134 and the lip-adjacent area. This dragging action enhances the axial tensile stiffness of the entire sealing wall 135. The axial displacement of the sealing lip 134 is small when the instrument is inserted. Therefore, said seal membrane 330 has the functions of enlarging hoop circumference, reducing overall deformation and transverse force, increasing the axial tensile stiffness, reducing the frictional resistance, and improving stick-slip and sealing reliability.
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(49) Said wall 435 includes a plurality of U-shaped pleats 440 and a plurality of reverse concave-channels 450 (or hollow convex-ribs 450).
(50) Said U-shaped pleats 440 and the sealing lip 434 are externally-tangent and extend laterally outside. Said U-shaped pleats 440 include inner pleat-wall 441, outer pleat-wall 443 and pleated sidewall connecting said inner pleat-wall 441 and outer pleat-wall 443. The inner pleat-wall 441 intersects said pleated side-sealing-wall 442 to form an intersection line 445a, 445b; said outer pleat-wall 443 intersects the pleated side-sealing-wall 442 to form an intersection line 446a, 446b. Said line 445a (445b) and said line 446a (446b) are not straight lines but wavy lines containing peaks and troughs. The waves of the wavy lines 445a (445b) and 446a (446b) extend laterally in a direction away from the axis 458, referred to as transverse pleats 240 (or radial pleats). The U-shaped pleats 440 generally distribute approximately uniformly around the sealing lip 434, referred to as tangential pleats (or circumferential pleats). Said U-shaped pleats 440 are multi-dimensional pleats formed by superposition of transverse pleats and tangential pleats.
(51) A plurality of reverse concave-channels 450 extends from the sealing lip 434 laterally outward to the sealing wall portion 438. Said reverse concave-channels 450 recess from the distal surface of said pleats 440 toward the proximal surface. While from the perspective of the proximal, surface, the reverse concave-channels 450 are hollow convex-ribs raised from the sealing body. Said reverse concave-channels 450 include an inner-sealing-wall 451, a side-sealing-wall 452. The inner-sealing-wall 451 intersects side-sealing-wall 452 to form an intersection line 455a, 455b; said side-sealing-wall 452 intersects the pleat-wall 113 to form an intersection line 456a, 456b. The inner-sealing-wall 451 and one end of the side-sealing-wall 452 intersects the sealing lip 434 and the other end intersects the sealing wall-portion 438. The seamless sealing wall is faulted by a plurality of U-shapes pleats 440 and a plurality of the reverse concave-channels 450. In the present embodiment, there are 8 V-shaped pleats 440 and 4 reverse concave-channels 450, however more or fewer pleats or reverse concave-channels can be used. The side-sealing-wall 452 of said reverse concave-channels 450 is a plane side-wall without pleats and its function is equivalent to the reinforcing rib 250 described in the second embodiment. The inner-sealing-wall 451 is also planar in the present embodiment, however the inner-sealing-wall may also be a pleated curved surface.
(52) Said U-shaped pleats 440 and reverse concave-channels 450 together enlarge hoop circumference in the lip-adjacent area; said U-shaped pleats 440 can reduce overall deformation of the sealing lip; while reverse concave-channels 450 can stretch the sealing lip 434 and its adjacent area. This stretching action enhances the axial tensile stiffness of the entire sealing wall 435. The axial displacement of the sealing lip 434 is small when the instrument is inserted. Therefore, said seal membrane 430 has the functions of enlarging hoop circumference, reducing overall deformation and transverse force, increasing the axial tensile stiffness reducing the frictional resistance, and improving stick-slip and sealing reliability.
(53) Those skilled in the art easily understand that the reasonable fillet transition can avoid stress concentration or make certain areas deformed more easily. Due to the small size of the seal membrane, especially the area near the sealing lip is smaller, with such a small size and different chamfer, the shape of the seal membrane looks different. In order to clearly show the geometric relationship of the elements, the embodiment of the invention is generally the pattern without the fillet.
(54) Many different embodiments and examples of the invention have been shown and described.
(55) One ordinary skilled in the art will be able to make adaptations to the methods and apparatus by appropriate modifications without departing from the scope of the invention. The structure and the fixing manner of the protector assembly disclosed in U.S. Pat. No. 7,788,861 are used in the embodiments of the present invention. While the structure and the fixing manner of the protector assembly disclosed in U.S. Pat. No. 7,988,671 can be used; and in some applications, the protector assembly may not be included. The approximate U-shaped concave-furrows and the approximate V-shaped concave-furrows described in this embodiment cannot be limited to U-shaped or V-shaped. It has been mentioned many times in the invention that the concave-furrow extends laterally outward from the sealing lip, and the so-called extending laterally outward should not be limited to a straight line. Said extending laterally outward can be a spiral, a line segment, a multi-section arc line and so on. In the invention, the positional relationship of the intersecting surfaces composed of said concave-furrow and the intersection line thereof are described with reference to specific embodiments, and the methods of increasing curved surfaces to form a multifaceted mosaic or using of the high-order curved surface to make the intersection line and the concave-furrow shape to look different from said embodiment. However, it can be considered not deviated from the scope of the invention, as long as it conforms to the general idea of the invention. Several modifications have been mentioned, to those skilled in the art, other modifications are also conceivable. Therefore, the scope of the invention should follow the additional claims, and at the same time, it should not be understood that it is limited by the specification of the structure, material or behavior illustrated and documented in the description and drawings.