# US 8,147,458 B2 · Multi-seal trocar system

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- Number: US 8,147,458 B2
- Document ID: US8147458B2
- Status: Granted
- Kind: B2
- Application number: 12/208,000
- Filed: 2008-09-10
- Published: 2009-01-01
- Granted: 2012-04-03
- Earliest claimed: 2004-05-13
- Assignees: Applied Medical Resources Corporation
- Inventors: Charles C Hart; John R Brustad; Nabil Hilal; Said Hilal
- Web page: https://patentgrep.com/patent/US8147458B2

## CPC

- 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 2017/3464: {with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A multi-seal trocar system includes a plurality of co-axial sealing elements adapted for forming a seal with either a large or small instrument. Small and large sealing elements are disposed in an in-line arrangement such that a-single port is provided for instrument insertion. A zero seal is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element is configured such that insertion of a large instrument automatically moves the small sealing element out of its path, thereby avoiding contact with the large instrument.

## Claims

### Claim 1

A trocar system comprising:
a housing comprising a proximal portion and a distal portion;
a cap assembly comprising:
a cap coupled to the proximal portion of the housing and having an orifice therethrough,
a plurality of protectors in a rest state extending proximally away from the orifice and outside of and away from the cap and the housing, and
a small-sized seal element coupled to the protectors;
a guide assembly disposed at least in part within the housing, distal to the cap assembly, the guide assembly comprising:
a tube, and
a large-sized seal disposed at a distal portion of the tube, substantially coaxial with the small-sized seal element; and
a zero seal element disposed at least in part within the housing, substantially coaxial with the large-sized seal element and the small-sized seal element, the zero seal element comprising a distal end disposed adjacent to the distal portion of the housing, and distal to the small-sized seal element and the large-sized seal element.

### Claim 2 (depends on 1)

The system of claim 1, wherein at least one of the protectors comprises a proximal bump, positioned, dimensioned, and configured to contact and to shield the large instrument from contacting the small-sized seal element.

### Claim 3 (depends on 1)

The system of claim 1, wherein the small-sized seal element comprises a radially stretchable septum.

### Claim 4 (depends on 1)

The system of claim 1, wherein the small-sized seal element is comprises a first material and the large-sized seal comprises a second material, wherein the first material is more flexible than the second material.

### Claim 5 (depends on 4)

The system of claim 4, wherein the second material is more puncture-resistant than the first material.

### Claim 6 (depends on 1)

The system of claim 1, wherein the zero seal element comprises a duckbill-type seal.

### Claim 7 (depends on 1)

The system of claim 1, wherein the zero seal element comprises a plenum in which at least a portion of the guide assembly is disposed.

### Claim 8 (depends on 1)

The system of claim 1, further comprising a cannula formed integrally with the housing and extending distally therefrom.

### Claim 9 (depends on 1)

The system of claim 1 wherein the tube is an elongate tube having a height greater than a width of the tube, a proximal end of the tube connected to the cap adjacent to the plurality of protectors.

### Claim 10 (depends on 1)

The system of claim 1 wherein the small-sized seal element is a monolithic elastomeric septum saucer with a distally extending outer portion curving into a proximally extending central portion.

### Claim 11 (depends on 1)

The system of claim 1 wherein the small-sized seal element in a rest state extends proximally away from the large-sized seal element and towards the plurality of protectors with a distal end of the small-sized seal element extending proximally towards a distal end of the plurality of protectors.

### Claim 12 (depends on 1)

The system of claim 1 wherein the cap has a raised portion exteriorly surrounding the orifice through the cap and the plurality of protectors being attached to the raised portion of the cap peripherally around the orifice.

### Claim 13 (depends on 1)

The system of claim 1 wherein the small-sized seal element in a rest state extends proximally towards the plurality of protectors with a proximally extending central portion of the small-sized seal element contacting distally extending portions of the plurality of protectors.

### Claim 14 (depends on 13)

The system of claim 13 wherein the small-sized seal element comprises a curvilinear outer portion extending distally towards the large-sized seal element and curving up into the proximally extending central portion of the small-sized seal element.
