# US 12,178,472 B2 · Surgical instrument guide with insufflation channels > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,472 B2 - Document ID: US12178472B2 - Status: Granted - Kind: B2 - Application number: 18/196,815 - Filed: 2023-05-12 - Published: 2023-11-09 - Granted: 2024-12-31 - Earliest claimed: 2016-07-13 - Assignees: Intuitive Surgical Operations, Inc. - Applicants: Intuitive Surgical Operations, Inc. - Inventors: Tyler J. Morrissette; Michael Ikeda - Web page: https://patentgrep.com/patent/US12178472B2 ## CPC - A61B 17/3474: {Insufflating needles, e.g. Veress needles} - A61B 1/04: combined with photographic or television appliances - A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 17/3421: {Cannulas} - A61B 34/35: for telesurgery - A61B 34/37: Leader-follower robots (A61B34/35 takes precedence) - A61M 13/003: {Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing} - A61M 39/06: Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof - A61B 2017/3445: {used as instrument channel for multiple instruments} - A61M 2039/0646: {Duckbill-valve} - 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)} ## Abstract A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels. ## Claims ### Claim 1 A medical device comprising: an instrument guide including an outer wall defining an outer surface, a distal end, an interior passageway, and an insufflation gas channel defined in the outer surface of the outer wall and including a proximal section and a flared distal section; wherein the proximal section extends from adjacent a proximal end of the insufflation gas channel to the flared distal section and has an approximately constant first cross-sectional area; and wherein the flared distal section extends to the distal end of the instrument guide and has a cross-sectional area that increases from the first cross-sectional area to a second cross-sectional area at the distal end of the instrument guide. ### Claim 2 (depends on 1) The medical device of claim 1, wherein the distal flared section is approximately 1 inch (25 millimeters) long. ### Claim 3 (depends on 1) The medical device of claim 1, wherein the first cross-sectional area is approximately 0.0023 in2 (1.5 mm2) and the second cross-sectional area is approximately 0.0050 in2 (3.0 mm2). ### Claim 4 (depends on 1) The medical device of claim 1, wherein a cross-sectional area of the insufflation gas channel is largest at the distal end of the instrument guide. ### Claim 5 (depends on 1) The medical device of claim 1, wherein the proximal section including the first cross-sectional area extends along a majority of a length of the insufflation gas channel. ### Claim 6 (depends on 1) The medical device of claim 1, wherein: the proximal section of the insufflation gas channel is located relative to the interior passageway to provide a first wall thickness for the outer wall of the instrument guide where the insufflation gas channel has the first cross-sectional area; the flared distal section of the insufflation gas channel is located relative to the interior passageway to provide a second wall thickness for the outer wall of the instrument guide where the insufflation gas channel has the second cross-sectional area; and the second wall thickness is less than the first wall thickness. ### Claim 7 (depends on 1) The medical device of claim 1, wherein the second cross-sectional area of the insufflation gas channel is at least twice the first cross-sectional area. ### Claim 8 (depends on 1) The medical device of claim 1, wherein the insufflation gas channel extends toward, but does not reach, the proximal end of the instrument guide. ### Claim 9 (depends on 1) The medical device of claim 1, wherein: the medical device further comprises a cannula; the cannula includes a proximal portion and a tube; the tube includes a proximal end and a distal end opposite the proximal end; the proximal end of the tube is coupled to the proximal portion of the cannula; and the instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to the distal end of the tube. ### Claim 10 (depends on 9) The medical device of claim 9, wherein: the outer wall of the instrument guide includes a gas introduction location on the outer surface at which insufflation gas is introduced into the insufflation gas channel; the cannula includes an insufflation port adjacent the gas introduction location; the tube of the cannula includes an interior surface; and a passage for insufflation gas from the insufflation port of the cannula to the distal end of the instrument guide is formed by the insufflation gas channel adjacent the interior surface of the tube of the cannula. ### Claim 11 (depends on 1) The medical device of claim 1, wherein: the instrument guide further includes a funnel assembly coupled to the proximal end of the instrument guide; the funnel assembly is configured to: guide insertion of a shaft of a surgical instrument into and through the interior passageway of the instrument guide; and reduce insufflation gas leakage from the proximal end of the instrument guide. ### Claim 12 (depends on 1) The medical device of claim 1, wherein: the instrument guide further includes a plurality of interior passageways; and the interior passageway is one of the plurality of interior passageways. ### Claim 13 (depends on 12) The medical device of claim 12, wherein: the instrument guide further includes a plurality of radial walls; and each individual one of the plurality of radial walls is between two individual ones of the plurality of interior passageways. ### Claim 14 (depends on 13) The medical device of claim 13, wherein: each individual one of the plurality of radial walls joins the outer wall of the instrument guide; the instrument guide further includes a plurality of insufflation gas channels; the insufflation gas channel is one of the plurality of insufflation gas channels; and each individual one of the plurality of insufflation gas channels is in the outer surface of the outer wall opposite a location where a corresponding individual one of the plurality of radial walls joins the outer wall. ### Claim 15 A medical device comprising: an instrument guide including an outer wall, a distal end, an interior passageway, and an insufflation gas channel; wherein the outer wall of the instrument guide includes an outer surface and a gas introduction location on the outer surface at which insufflation gas is introduced into the insufflation gas channel; wherein the insufflation gas channel is defined in the outer surface of the outer wall and extends from the gas introduction location to the distal end of the instrument guide; and wherein the insufflation gas channel has a first cross-sectional area at the gas introduction location and along a majority of a length of the insufflation gas channel; wherein the insufflation gas channel has a second cross-sectional area at the distal end of the instrument guide; and wherein the second cross-sectional area is larger than the first cross-sectional area. ### Claim 16 (depends on 15) The medical device of claim 15, wherein a section of the insufflation gas channel having the second cross-sectional area is approximately 1 inch (25 millimeters) long. ### Claim 17 (depends on 16) The medical device of claim 16, wherein the first cross-sectional area is approximately 0.0023 in2 (1.5 mm2) and the second cross-sectional area is approximately 0.0050 in2 (3.0 mm2). ### Claim 18 (depends on 17) The medical device of claim 17, wherein the second cross-sectional area of the insufflation gas channel is at least twice the first cross-sectional area. ### Claim 19 (depends on 15) The medical device of claim 15, wherein the insufflation gas channel extends toward, but does not reach, a proximal end of the instrument guide. ### Claim 20 (depends on 15) The medical device of claim 15, wherein: the instrument guide further includes a funnel assembly coupled to a proximal end of the instrument guide; the funnel assembly is configured to: guide insertion of a shaft of a surgical instrument into and through the interior passageway of the instrument guide; and reduce insufflation gas leakage from the proximal end of the instrument guide.