# US 10,368,908 B2 · Surgical robotic access system > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,908 B2 - Document ID: US10368908B2 - Status: Granted - Kind: B2 - Application number: 15/253,455 - Filed: 2016-08-31 - Published: 2017-03-16 - Granted: 2019-08-06 - Earliest claimed: 2015-09-15 - Assignees: Applied Medical Resources Corporation - Applicants: Applied Medical Resources Corporation - Inventors: Atal C. Patel; Jeremy J. Albrecht - Web page: https://patentgrep.com/patent/US10368908B2 ## CPC - A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)} - A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take 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 34/30: Surgical robots - 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 34/70: {Manipulators specially adapted for use in surgery} - A61B 46/10: specially adapted for instruments{, e.g. microscopes} - A61B 90/40: Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/3441: {with distal sealing means} - A61B 2017/3464: {with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers} - A61B 2017/3466: {for simultaneous sealing of multiple instruments} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract The surgical robotic access system provides access for robotic instruments and/or actuators including the introduction, operation and withdrawal of such robotic manipulators into a body cavity without permitting the escape of pressurized fluid or gas. The surgical robotic access system also provides a multi-faceted range of movement without touching or effecting pressure on the opening in the patient's body cavity. ## Claims ### Claim 1 A surgical robotic access system providing robotic manipulator access into a patient's body, the surgical robotic access system comprising: a sealing cap arranged to be disposed externally to a patient's body, the sealing cap including a flexible seal; a retractor comprising an outer ring removably connected to the sealing cap and an inner ring arranged to be positioned within a patient's body; and a robotic insertion tube comprising an outer access connector and an inner access connector, the outer access connector removably coupled to a robotic sleeve and the inner access connector embedded in the flexible seal of the sealing cap, the robotic insertion tube having a lumen extending through the outer access connector and the inner access connector and the flexible seal covering a portion of the lumen extending through the inner access connector and through which a surgical robotic manipulator insertable through the lumen is insertable through the flexible seal covering the portion of the lumen; wherein the retractor further comprises a sheath connecting the outer ring of the retractor to the inner ring of the retractor, the sheath having an adjustable length. ### Claim 2 (depends on 1) The system of claim 1 wherein the inner access connector of the robotic insertion tube is embedded in the flexible seal to permanently affixed the inner access connector of the robotic insertion tube to the flexible seal. ### Claim 3 (depends on 2) The system of claim 2 wherein the outer access connector of the robotic insertion tube is removably connected to the inner access connector of the robotic insertion tube. ### Claim 4 (depends on 2) The system of claim 2 wherein the outer access connector of the robotic insertion tube includes a robotic coupling interface to sealingly engage a corresponding robotic coupling interface of the robotic sleeve. ### Claim 5 (depends on 2) The system of claim 2 wherein the outer access connector of the robotic insertion tube includes a plurality of pins extending from an outer surface of the outer access connector of the robotic insertion tube and the robotic sleeve having at least one slot to engage at least one pin of the plurality of pins of the outer access connector to removably couple and sealingly engage the outer access connector of the robotic insertion tube to the robotic sleeve. ### Claim 6 (depends on 5) The system of claim 5 wherein the outer access connector of the robotic insertion tube has a compressible seal disposed within a groove in an outer surface of the outer access connector of the robotic insertion tube, the compressible seal and the groove in the outer surface of the outer access connector are disposed above the plurality of pins of the outer access connector and the first robotic sleeve is arranged to be disposed externally to the patient's body. ### Claim 7 (depends on 2) The system of claim 2 wherein the flexible seal surrounds the inner access connector of the robotic insertion tube and is disposed under the inner access connector of the robotic insertion tube. ### Claim 8 (depends on 2) The system of claim 2 wherein the flexible seal has a first region with a first thickness surrounding the robotic insertion tube and a second region having a second thickness disposed under the inner access connector of the robotic insertion tube, the first thickness of the flexible seal being greater than the second thickness of the flexible seal to provide a predetermined insertion force. ### Claim 9 (depends on 8) The system of claim 8 wherein the outer access connector of the robotic insertion tube has a seal on an outer surface of the outer access connector of the robotic insertion tube. ### Claim 10 (depends on 9) The system of claim 9 wherein the outer access connector of the robotic insertion tube is removably coupled to the inner access connector of the robotic insertion tube. ### Claim 11 (depends on 2) The system of claim 2 wherein the flexible seal is disposed along and around an outer surface of the inner access connector, the outer surface of the inner access connector extending between a proximal end of the inner access connector and a distal end of the inner access connector and the flexible seal having a resiliency allowing the inner access connector to pivot relative to the sealing cap. ### Claim 12 (depends on 11) The system of claim 11 wherein the flexible seal has a cavity and a raised portion disposed around and surrounding the cavity, the inner access connector being disposed in the cavity of the flexible seal and the raised portion of the flexible seal being disposed surrounding the outer surface of the inner access connector. ### Claim 13 (depends on 2) The system of claim 2 wherein the inner access connector has an outer diameter equal to an outer diameter of the outer access connector and the inner access connector comprises a distal base at a distal end of the inner access connector, the distal base having an outer diameter greater than the outer diameter of the outer access connector and the sealing cap further comprising a ring connected to the flexible seal and a distance between the ring and the inner access connector being greater than the outer diameter of the inner access connector. ### Claim 14 (depends on 2) The system of claim 2 wherein the flexible seal is disposed above and below the distal end of the inner access connector, the flexible seal disposed above the distal end of the inner access connector having a thickness greater than a thickness of the flexible seal disposed below the distal end of the inner access connector. ### Claim 15 A surgical robotic access system providing robotic instrument access into a patient's body, the surgical robotic access system comprising: a sealing cap arranged to be disposed externally to a patient's body, the sealing cap including a flexible seal; a robotic insertion tube comprising: a first outer access connector and an inner access connector, the first outer access connector removably coupled to a first robotic sleeve through which a first robotic manipulator is insertable therethrough and the inner access connector is embedded in the flexible seal of the sealing cap to permanently affix the inner access connector to the flexible seal, and a second outer access connector removably coupled to a second robotic sleeve through which a second robotic manipulator is insertable therethrough, the first and second outer access connectors arranged to be removably coupled to the inner access connector of the robotic insertion tube in that the first and second outer access connectors are interchangeable with the inner access connector; wherein the first outer access connector includes a first robotic coupling interface to sealingly mate with a corresponding first robotic coupling interface of the first robotic sleeve and the second outer access connector includes a second robotic coupling interface to sealingly mate with a corresponding second robotic coupling interface of the second robotic sleeve, the first robotic coupling interface of the first outer access connector being different from the second robotic coupling interface of the second outer access connector. ### Claim 16 A surgical robotic access providing robotic instrument access into a patient's body, the surgical robotic access system comprising: a sealing cap arranged to be disposed externally to a patient's body, the sealing cap including a flexible seal; a robotic insertion tube comprising: a first outer access connector and an inner access connector, the first outer access connector removably coupled to a first robotic sleeve through which a first robotic manipulator is insertable therethrough and the inner access connector is embedded in the flexible seal of the sealing cap to permanently affix the inner access connector to the flexible seal, and a second outer access connector removably coupled to a second robotic sleeve through which a second robotic manipulator is insertable therethrough, the first and second outer access connectors arranged to be removably coupled to the inner access connector of the robotic insertion tube in that the first and second outer access connectors are interchangeable with the inner access connector; wherein the second outer access connector comprises a plurality of apertures disposed around a periphery of the second outer access connector, the plurality of apertures not extending into a lumen of the second outer access connector and the first robotic sleeve is arranged to be disposed externally to the patient's body. ### Claim 17 A surgical robotic access system providing robotic manipulator access into a patient's body, the surgical robotic access system comprising: a sealing cap arranged to be disposed externally to a patient's body, the sealing cap including a flexible seal; a retractor comprising an outer ring removably connected to the sealing cap and an inner ring arranged to be positioned within a patient's body; and a robotic insertion tube comprising an outer access connector and an inner access connector, the outer access connector removably coupled to a robotic sleeve and the inner access connector embedded in the flexible seal of the sealing cap, the robotic insertion tube having a lumen extending through the outer access connector and the inner access connector and the flexible seal covering a portion of the lumen extending through the inner access connector and through which a surgical robotic manipulator insertable through the lumen is insertable through the flexible seal covering the portion of the lumen; wherein the inner access connector comprises a plurality of apertures disposed around a periphery of the inner access connector at a distal portion of the inner access connector through which the flexible seal extends there through to hold the distal portion of the inner access connector in place and permanently affixed in the flexible seal. ### Claim 18 A surgical robotic access system providing robotic manipulator access into a patient's body, the surgical robotic access system comprising: a sealing cap arranged to be disposed externally to a patient's body, the sealing cap including a flexible seal; a retractor comprising an outer ring removably connected to the sealing cap and an inner ring arranged to be positioned within a patient's body; and a robotic insertion tube comprising an outer access connector and an inner access connector, the outer access connector removably coupled to a robotic sleeve and the inner access connector embedded in the flexible seal of the sealing cap, the robotic insertion tube having a lumen extending through the outer access connector and the inner access connector and the flexible seal covering a portion of the lumen extending through the inner access connector and through which a surgical robotic manipulator insertable through the lumen is insertable through the flexible seal covering the portion of the lumen; wherein the sealing cap further comprises a ring surrounding and connected to the flexible seal; a insufflation port disposed through the flexible seal and the ring, the insufflation port having an inlet disposed at a periphery of the ring and an outlet disposed below the flexible seal and arranged to supply insufflation gas into a patient; and an evacuation port disposed through the flexible seal and the ring, the evacuation port having an inlet disposed below the flexible seal and an outlet disposed at the periphery of the ring and arranged to extract smoke from a patient.