# US 11,432,844 B2 · Cannulas having body wall retention features, and related systems and methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,432,844 B2 - Document ID: US11432844B2 - Status: Granted - Kind: B2 - Application number: 16/673,172 - Filed: 2019-11-04 - Published: 2020-05-07 - Granted: 2022-09-06 - Earliest claimed: 2016-07-22 - Assignees: Intuitive Surgical Operations, Inc. - Applicants: Intuitive Surgical Operations, Inc. - Inventors: Robert C. Reid - Web page: https://patentgrep.com/patent/US11432844B2 ## CPC - A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)} - A61B 17/3421: {Cannulas} - A61B 2017/00526: {Methods of manufacturing} - A61B 2017/3484: {Anchoring means, e.g. spreading-out umbrella-like structure} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A cannula may include a cannula bowl having an opening to receive an instrument configured to be advanced through the cannula, and a cannula tube extending distally from the cannula bowl. The cannula tube may have a proximal end opening, a distal end opening disposed at an opposite end of the cannula from the proximal end opening, and lateral wall defining a passage extending from the proximal end opening to the distal end opening. The lateral wall can have outer dimensions defining a waisted portion with smaller outer dimensions than a region disposed proximally or distally to the waisted portion along a length of the cannula tube. ## Claims ### Claim 1 A cannula comprising: a cannula tube defining a passage configured to receive an instrument configured to be advanced through the cannula, the cannula tube comprising a proximal end opening and a distal end opening, the cannula tube having a first, tapered outer profile that narrows in a proximal-to-distal direction along a first length portion of the cannula tube, the cannula tube having a second, flared outer profile that widens in a proximal-to-distal direction along a second length portion of the cannula tube, the cannula tube having a third, tapered outer profile that narrows in a proximal-to-distal direction along a third length portion of the cannula tube; and a series of axially-spaced ribs extending radially from an outer lateral wall of the cannula tube at least partially along one or more of the first, tapered outer profile, the second, flared outer profile, or the third, tapered outer profile; wherein the second length portion is distal to the first length portion; and wherein the third length portion is distal to the second length portion. ### Claim 2 (depends on 1) The cannula of claim 1, wherein the third length portion extends from a widest portion of the second length portion and terminates at the distal end opening of the cannula tube. ### Claim 3 (depends on 1) The cannula of claim 1, wherein a junction of the first length portion of the cannula tube and the second length portion of the cannula tube defines a waist portion of the cannula tube. ### Claim 4 (depends on 1) The cannula of claim 1, wherein one or more of the first, second, or third outer profiles of the cannula tube are defined by the series of axially-spaced ribs. ### Claim 5 (depends on 4) The cannula of claim 4, wherein the series of axially-spaced ribs are located at the first length portion, the second length portion, and the third length portion of the cannula tube. ### Claim 6 (depends on 4) The cannula of claim 4, wherein the series of axially-spaced ribs have a generally triangular cross-sectional shape along a longitudinal cross section of the cannula tube. ### Claim 7 (depends on 4) The cannula of claim 4, wherein: each rib of the series of axially-spaced ribs terminates at an apex defining a radially outermost portion of each of the ribs; and apexes of each rib of the series of axially-spaced ribs define one or more of the first, tapered outer profile, the second, flared outer profile, and the third, tapered outer profile of the cannula tube. ### Claim 8 (depends on 7) The cannula of claim 7, wherein the series of axially-spaced ribs comprises at least a first rib extending a first radial distance from the outer lateral wall of the cannula tube and a second rib extending a second radial distance, different from the first radial distance, from the outer lateral wall of the cannula tube. ### Claim 9 (depends on 4) The cannula of claim 4, wherein: each of the ribs of the series of axially-spaced ribs comprises an apex defining a radially outermost portion of each of the ribs; and the apex comprises a rounded profile. ### Claim 10 (depends on 4) The cannula of claim 4, wherein each of the ribs of the series of axially-spaced ribs comprises an apex, and wherein the apex comprises a flattened profile. ### Claim 11 A cannula comprising: a cannula tube defining a passage configured to receive an instrument configured to be advanced through the cannula, the cannula tube having a proximal end opening and a distal end opening, the cannula tube having a first, tapered outer profile along a first length portion of the cannula tube that narrows in a proximal-to-distal direction along the first length portion of the cannula tube, the cannula tube having a second, flared outer portion along a second length portion of the cannula tube, the second length portion of the cannula tube being distal the first length portion of the cannula tube, and the cannula tube having a series of axially-spaced ribs extending radially from an outer lateral wall of the cannula tube at least partially along the first length portion of the cannula tube. ### Claim 12 (depends on 11) The cannula of claim 11, wherein each individual rib of the series of axially-spaced ribs comprises an apex defining a radially outermost portion of each individual rib, at least a portion of the tapered outer profile defined by the apexes of the ribs. ### Claim 13 (depends on 12) The cannula of claim 12, wherein: the apexes of the ribs in the series of axially-spaced ribs extend different radial distances from the outer lateral wall of the cannula tube; and the outer lateral wall of the cannula tube is cylindrical. ### Claim 14 (depends on 12) The cannula of claim 12, wherein: each rib in the series of axially-spaced ribs extends a same radial distance from the outer lateral wall of the cannula tube; and the outer lateral wall of the cannula tube is tapered. ### Claim 15 (depends on 12) The cannula of claim 12, wherein the apex comprises a rounded profile. ### Claim 16 (depends on 12) The cannula of claim 12, wherein the apex comprises a flattened profile. ### Claim 17 (depends on 11) The cannula of claim 11, wherein each rib of the series of axially-spaced ribs has a generally triangular cross-sectional shape along a longitudinal cross section of the cannula tube. ### Claim 18 (depends on 11) The cannula of claim 11, wherein a junction between the first length portion and the second length portion defines a waist portion of the cannula tube. ### Claim 19 (depends on 18) The cannula of claim 18, further comprising a third, tapered outer profile of a third length portion of the cannula tube, the third length portion being distal of the second length portion of the cannula tube.