# US 10,245,069 B2 · Surgical port feature

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- Number: US 10,245,069 B2
- Document ID: US10245069B2
- Status: Granted
- Kind: B2
- Application number: 14/073,485
- Filed: 2013-11-06
- Published: 2014-03-06
- Granted: 2019-04-02
- Earliest claimed: 2009-09-23
- Assignees: Intuitive Surgical Operations, Inc.
- Applicants: Intuitive Surgical Operations, Inc.
- Inventors: Theodore W. Rogers; Craig R. Gerbi; John Ryan Steger; Charles E. Swinehart
- Web page: https://patentgrep.com/patent/US10245069B2

## CPC

- A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)}
- A61B 1/313: for introducing through surgical openings, e.g. laparoscopes
- A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61M 39/02: Access sites
- A61B 1/00149: {using articulated arms}
- A61B 1/00193: {adapted for stereoscopic vision}
- A61B 17/3421: {Cannulas}
- A61B 17/3431: {being collapsible, e.g. made of thin flexible material (A61B17/3423 takes precedence)}
- A61B 17/3439: {with means for changing the inner diameter of the cannula, e.g. expandable (A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662)}
- A61B 17/3462: {with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals (expandable cannulas A61B17/3417)}
- A61B 17/3474: {Insufflating needles, e.g. Veress needles}
- A61B 17/3498: {Valves therefor, e.g. flapper valves, slide valves (haemostasis valves A61M39/06; check valves A61M39/24)}
- A61B 34/30: Surgical robots
- A61B 34/37: Leader-follower robots (A61B34/35 takes precedence)
- A61B 34/71: {Manipulators operated by drive cable mechanisms}
- A61B 34/73: {Manipulators for magnetic surgery}
- A61B 34/76: {Manipulators having means for providing feel, e.g. force or tactile feedback}
- A61B 90/50: Supports for surgical instruments, e.g. articulated arms
- A61B 90/90: Identification means for patients or instruments, e.g. tags
- A61B 90/92: coded with colour
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/00526: {Methods of manufacturing}
- A61B 2017/00845: {of moving parts with respect to each other}
- A61B 2017/0419: {H-fasteners}
- A61B 2017/2904: {curved, but rigid}
- A61B 2017/2905: {flexible}
- A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft}
- A61B 2017/2936: {Pins in guiding slots}
- A61B 2017/2948: {Sealing means, e.g. for sealing the interior from fluid entry}
- A61B 2017/3419: {Sealing means between cannula and body}
- A61B 2017/3429: {having a unitary compressible body, e.g. made of silicone or foam}
- A61B 2017/3445: {used as instrument channel for multiple instruments}
- A61B 2017/3447: {Linked multiple cannulas}
- A61B 2017/3454: {Details of tips}
- A61B 2017/3466: {for simultaneous sealing of multiple instruments}
- A61B 2034/2061: {using shape-sensors, e.g. fiber shape sensors with Bragg gratings}
- A61B 2034/301: {for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes}
- A61B 2034/305: {Details of wrist mechanisms at distal ends of robotic arms}
- A61M 25/0041: {pre-formed, e.g. specially adapted to fit with the anatomy of body channels (urethral catheters A61F2/04)}
- A61M 25/0105: {Steering means as part of the catheter or advancing means; Markers for positioning (systems for detection of markers A61B)}
- Y10T 29/49826: Assembling or joining
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- Y10T: TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION

## Abstract

A surgical port feature may include a funnel portion, a tongue, a waist portion, and surgical instrument channels. The waist portion may be located between the funnel portion and the tongue. The surgical instrument channels may extend from the funnel portion through the waist portion. The surgical port feature may further include a second tongue, with the wait portion being located between the funnel portion, the tongue, and the second tongue.

## Claims

### Claim 1

A surgical port feature for insertion into an incision site, the surgical port feature comprising:
a hollow funnel portion at a proximal end portion of the surgical port feature, wherein the hollow funnel portion comprises a wide opening at a first end of the hollow funnel portion and a narrow opening at an end opposite the first end;
a waist portion proximate the narrow opening of the funnel portion, wherein the waist portion has a central longitudinal axis and an outer surface radially spaced from and extending around the central longitudinal axis;
a first tongue member at a distal end portion of the surgical port feature, wherein the first tongue member extends distally from the waist portion in a direction away from the funnel portion, and wherein the first tongue member extends in a radial direction, relative to the central longitudinal axis, beyond the outer surface of the waist portion;
a second tongue member extending distally from the waist portion in a direction away from the funnel portion, wherein the second tongue member extends in a radial direction, relative to the central longitudinal axis, beyond the outer surface of the waist portion;
a rotatable portion positioned within the waist portion, wherein the rotatable portion is coupled to the second tongue member, and wherein the rotatable portion is rotatable about the central longitudinal axis relative to the funnel portion from a first orientation in which the first and second tongue members are positioned diametrically opposite one another across the central longitudinal axis to a second orientation in which the first and second tongue members are aligned at a same angular position about the central longitudinal axis; and
at least two channels extending through the waist portion and opening into the hollow funnel portion, wherein the channels are configured to receive surgical instruments.

### Claim 2 (depends on 1)

The surgical port feature of claim 1:
wherein the funnel portion has an oblique cone shape.

### Claim 3 (depends on 2)

The surgical port feature of claim 2:
wherein the oblique cone shape is one of an oblique circular or elliptical cone shape.

### Claim 4 (depends on 1)

The surgical port feature of claim 1:
wherein a first one of the channels comprises a socket positioned in the waist portion and configured to receive a ball joint.

### Claim 5 (depends on 4)

The surgical port feature of claim 4 further comprising:
a ball joint positioned in the socket;
wherein the ball joint comprises an opening contiguous with the first one of the channels.

### Claim 6 (depends on 1)

The surgical port feature of claim 1, wherein the rotatable portion further comprises an indicator arranged to indicate a rotational position of the second tongue member.

### Claim 7 (depends on 1)

The surgical port feature of claim 1, wherein the channels extend through the rotatable portion.

### Claim 8 (depends on 1)

The surgical port feature of claim 1, wherein the first tongue member is longer than the second tongue member.

### Claim 9 (depends on 1)

The surgical port feature of claim 1, wherein, in a position of the surgical port feature inserted into an incision site, the incision is reoriented in response to moving an edge surrounding the wide opening of the funnel portion toward a plane of the incision.

### Claim 10 (depends on 1)

The surgical port feature of claim 1, wherein the funnel portion has a longitudinal axis that is angled relative to the central longitudinal axis of the waist portion.

### Claim 11 (depends on 10)

The surgical port feature of claim 10, wherein the tongue member is angled relative to the central longitudinal axis of the waist portion.

### Claim 12 (depends on 1)

The surgical port feature of claim 1, wherein the second tongue member extends in a different direction than the direction in which the first tongue member extends.

### Claim 13 (depends on 1)

The surgical port feature of claim 1, wherein the funnel portion and the first tongue member are integrally molded.

### Claim 14 (depends on 1)

The surgical port feature of claim 1, wherein the first tongue member comprises a material chosen from polyether ether ketone (PEEK), polyetherimide, polyethylene, and polypropylene.
