Seals for surgical access devices

Information

  • Patent Grant
  • 11717323
  • Patent Number
    11,717,323
  • Date Filed
    Tuesday, May 11, 2021
    3 years ago
  • Date Issued
    Tuesday, August 8, 2023
    a year ago
Abstract
A cannula for use in an access assembly includes an instrument valve housing including first and second housing sections and defining a cavity and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a seal assembly including an outer flange and a septum seal extending across the outer flange, a guard assembly disposed within the outer flange of the seal assembly, and a centering mechanism. The guard assembly includes a plurality of guard members. Each guard member of the plurality of guard members includes a ring portion and a flap portion. The flap portions of the guard members of the guard assembly are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.
Description
BACKGROUND
Technical Field

The present disclosure relates to seals. More particularly, the present disclosure relates to seals for surgical access devices.


Background

In order to facilitate minimally invasive surgery, a working space must be created in the desired surgical plane. An injection of an insufflation fluid, typically CO2, can be used to create a pneumoperitoneum in the abdomen. To work in the created space, access ports are required for surgical instrumentation and cameras. These ports maintain the pressure creating the pneumoperitoneum with seals that adapt to the surgical instrumentation.


The breadth of surgical instrumentation on the market today requires a robust seal capable adjusting to multiple sizes and withstanding multiple insertions of surgical instrumentation. Therefore, it would be beneficial to have an access assembly with improved seal durability.


SUMMARY

A cannula for use in an access assembly is provided. The cannula includes an instrument valve housing including first and second housing sections and defining a cavity and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a seal assembly including an outer flange and a septum seal extending across the outer flange, a guard assembly disposed within the outer flange of the seal assembly, and a centering mechanism including an annular ring and a plurality of spokes extending outwardly from the annular ring. The guard assembly includes a plurality of guard members. Each guard member of the plurality of guard members includes a ring portion and a flap portion. The outer flange of the seal assembly is supported within the annular ring and the outer ring is disposed within the cavity of the instrument valve housing. The flap portions of the guard members of the guard assembly are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.


In embodiments, the guard assembly includes first, second, third and fourth guard members. Each of the guard members may include a ring portion and a flap portion. The flap portions may not extend beyond a midline of the ring portions. The first and second flap portions may be disposed opposite one another, and the third and fourth flap portions may be disposed opposite one another. The first and second flap portions may be disposed perpendicular to the third and fourth flap portions. The flap portions may include a substantial mushroom cap shape.


The guard assembly of the valve assembly may further include upper and lower retainer members. At least one of the upper or lower retainer members may include a plurality of pins configured to engage the ring portions of the plurality of guard members. The flap portion of the first guard member may overlap the flap portion of the second guard member. The flap portion of the second guard member may overlap the flap portion of the third guard member. The flap portion of the third guard member may overlap the flap portion of the fourth guard member. The flap portion of the fourth guard member may overlap the flap portion of the first guard member.


Another cannula for use in an access assembly is provided. The cannula includes an instrument valve housing including first and second housing sections and defining a cavity, and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a seal assembly including an outer flange and a septum seal extending across the outer flange, a guard assembly disposed within the outer flange of the seal assembly, and a centering mechanism including an annular ring and a plurality of spokes extending outwardly from the annular ring the guard assembly including a guard member having a ring portion and a plurality of petals. The outer flange of the seal assembly is supported within the annular ring. The plurality of petals of the guard member are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.


In embodiments, each petal of the plurality of petals includes a flap portion and a connector portion. Each of the flap portions may be connected to the ring member by a respective connector portion. The plurality of petals may extend radially outward from the ring portion. The plurality of petals may be configured to be folded over the ring portion such that the flap portions overlap adjacent flap portions. Each of the flap portions may define one or more openings and the ring portion defines corresponding openings.


The guard assembly of the valve assembly may further include upper and lower retainer members. At least one of the upper or lower retainer members may include a plurality of pins. The one or more openings in the flap portions and the corresponding openings in the ring portion may be configured to receive the plurality of pins of the at least one upper or lower retainer members.





BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiments given below, serve to explain the principles of the disclosure, wherein:



FIG. 1 is a perspective side view of a cannula of a trocar assembly according to an embodiment of the present disclosure;



FIG. 2 is a perspective top view of an instrument valve housing of the cannula shown in FIG. 1;



FIG. 3 is an exploded top view of the instrument valve housing shown in FIG. 2, including first and second housing sections, separated, and a valve assembly;



FIG. 4 is a perspective top view of the valve assembly shown in FIG. 3;



FIG. 5 is a perspective top view of a plurality of guard members of a guard assembly of the valve assembly shown in FIG. 3;



FIG. 6 is an exploded view of the valve assembly shown in FIG. 3, with parts separated;



FIG. 7 is a perspective top view of the plurality of guard members of the guard assembly shown in FIG. 3, with the guard members in an alternative configuration;



FIG. 8 is a perspective top view of a guard member according to another embodiment of the present disclosure, in an initial or pre-folded configuration;



FIG. 9 is a perspective top view of the guard member shown in FIG. 8, in a second or partially-folded configuration;



FIG. 10 is a perspective top view of the guard member shown in FIG. 8, in a fully-folded configuration;



FIG. 11 is a perspective top view of a guard member according to yet another embodiment of the present disclosure; and



FIG. 12 is a top view of a guard member according to still another embodiment of the present disclosure.





DETAILED DESCRIPTION

Particular embodiments of the present disclosure are described hereinbelow with reference to the accompanying drawings; however, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure. Like reference numerals refer to similar or identical elements throughout the description of the figures.


As used herein, the term “distal” refers to that portion of the instrument, or component thereof which is farther from the user while the term “proximal” refers to that portion of the instrument or component thereof which is closer to the user.


Cannulas are employed during, e.g., laparoscopic surgery and may, in various embodiments, provide for the sealed access of laparoscopic surgical instruments into an insufflated body cavity, such as the abdominal cavity. The cannulas of the present disclosure include an instrument valve housing mounted on a cannula tube. Cannulas are typically part of a trocar assembly including a trocar obturator. The trocar obturator is insertable through the cannula to facilitate placement of the cannula through tissue. The cannula and the trocar obturator are separate components but are capable of being selectively connected together. For example, the trocar obturator may be inserted into and through the cannula until the handle of the trocar obturator engages, e.g., selectively locks into, the instrument valve housing of the cannula.


Trocar assemblies are employed to tunnel through an anatomical structure, e.g., the abdominal wall, either by making a new passage through the structure or by passing through an existing opening through the structure. Once the trocar assembly has tunneled through the anatomical structure, the trocar obturator is removed, leaving the cannula in place in the structure, e.g., in the incision created by the trocar assembly. The instrument valve housing of the cannula may include valves that prevent the escape of insufflation gases from the body cavity, while also allowing surgical instruments to be inserted into the cavity.


In various embodiments, a bladeless optical trocar obturator may be provided that permits separation of tissue planes in a surgical procedure and visualization of body tissue fibers as they are being separated, thereby permitting a controlled traversal across a body wall. In other embodiments, the trocar obturator may be bladeless without being optical, e.g., without providing contemporaneous visualization thereof through the distal tip of an obturator. The bladeless obturator may be provided for the blunt dissection of the abdominal lining during a surgical procedure.


Various trocar obturators suitable for use with the cannulas of the present disclosure are known and include, for example, bladed, bladeless, blunt, optical, non-optical. The trocar assemblies will only be described to the extent necessary to disclose the aspects of the present disclosure. For a detailed description of the structure and function of exemplary trocar assemblies, including exemplar trocar obturators and exemplar cannulas, please refer to commonly owned PCT Publication No WO 2016/186905 (“the '905 publication”), the content of which is hereby incorporated by reference herein in its entirety.


With initial reference now to FIG. 1, a cannula according to aspects of the present disclosure is shown generally as cannula 100. The cannula 100 includes a cannula assembly 102 and an instrument valve housing 110 secured to the cannula assembly 102. The cannula assembly 102 will only be described to the extent necessary to fully disclose the aspects of the present disclosure. For a detailed description of an exemplary cannula assembly, please refer to the '905 publication.


With reference to FIGS. 2 and 3, the instrument valve housing 110 of the cannula 100 includes a first housing section 112 and a second housing section 114. The first and second housing section 112, 114 are configured to support a valve assembly 120 on a proximal end of the cannula assembly 102. More particularly, the first and second housing sections 112, 114 define a cavity 113 for operably receiving the valve assembly 120. The first housing section 112 of the instrument valve housing 110 may be selectively attachable to, and detachable from, the second housing section 114. The second housing section 114 may be releasably or permanently attached to a cannula tube 104 of the cannula assembly 102. In embodiments, either or both of the first and second housing sections 112, 114 of the instrument valve housing 110 may include knurls, indentations, tabs, or be otherwise configured to facilitate engagement by a clinician.


The first and second housing sections 112, 114 of the instrument valve housing 110 define a longitudinal passage 111 for receipt of a surgical instrument (not shown). The valve assembly 120 is supported within the first and second housing sections 112, 114 to provide sealed passage of the surgical instrument through the instrument valve housing 110.


With particular reference to FIGS. 4-6, the valve assembly 120 supported in the instrument valve housing 110 includes a guard assembly 130, a centering mechanism 150, and a seal assembly 170. As will be described in further detail below, the guard assembly 130 is configured to protect the seal assembly 170 during insertion and withdrawal of a surgical instrument through the seal assembly 170. The centering mechanism 150 is configured to permit radial movement of the valve assembly 120 relative to the instrument valve housing 110 when a surgical instrument is received through the valve assembly 120, and returns the valve assembly 120 to a centered position once the surgical instrument is withdrawn from within the instrument valve housing 120. The seal assembly 170 provides sealed passage of the surgical instrument through the instrument valve housing 110.


The guard assembly 130 of the valve assembly 120 supported within the instrument valve housing 110 includes first, second, third, and fourth guard members 132, 134, 136, 138. The guard members 132, 134, 136, 138 are formed of rigid plastic or other suitable material. Each of the first, second, third, and fourth guard members 132, 134, 136, 138 includes a ring portion 132a, 134a, 136a, 138a and a flap portion 132b, 134b, 136b, 138b. The ring portions 132a, 134a, 136a, 138a of the first, second, third, and fourth guard members 132, 134, 136, 138 each define a plurality of openings 131, 133, 135, 137, respectively. Each opening of the plurality of openings 131, 133, 135, 137 is configured to receive a pin of a plurality of pins 146 of an upper retainer member 140.


Each of the flap portions 132b, 134b, 136b, 138b of the respective first, second, third, and fourth guard members 132, 134, 136, 138 of the guard assembly 130 extends radially inward from the ring portions 132a, 134a, 136a, 138a. Each of the flap portions 132b, 134b, 136b, 138b includes a substantial mushroom cap shape having a curved outer edge 132c, 134c, 136c, 138c. The flap portions 132b, 134b, 136b, 138b do not extend beyond a midline of the respective first, second, third, and fourth guard members 132, 134, 136, 138, e.g., midline “y” of the first and second guard members 132, 134 and midline “z” of the third and fourth guard members 136, 138, shown in FIG. 5).


As shown in FIGS. 5 and 6, the first, second, third, and fourth guard members 132, 134, 136, 138 are arranged one on top of another, e.g., stacked configuration. As shown, the first and second guard members 132, 134 are arranged such that the respective flap portions 132b, 134b are opposed to one another and do not overlap. The first and second flap portions 132b, 134b form a first layer occupying a majority of the opening 139 defined by the ring portions 132a, 134a of the respective first and second guard members 132, 134. Similarly, the third and fourth guard members 136, 138 are arranged such that the respective flap portions 136b, 138b are opposed to one another and do not overlap. The third and fourth flap portions 136b, 138b of the third and fourth guard members 136, 138 form a second layer occupying a majority of the opening 139 defined by the ring portions 136a, 138a of the respective third and fourth guard members 136, 138.


As shown in FIG. 5, are offset by ninety degrees (90°) relative to each other. In this manner, first and second guard members 132, 134 are perpendicular to the third and fourth guard members 136, 138, and together, occupy nearly the entire opening 139 defined by the ring portions 132a, 134a, 136a, 138a. The flap portions 132b, 134b, 136b, 138b of the respective first, second, third and fourth guard members 132, 134, 136, 138 are configured to flex downward upon engagement with a surgical instrument to facilitate passage of the surgical instrument through seal assembly 170. More particularly, engagement of the first and second flap portions 132b, 134b of the first and second guard members 132, 134, respectively, flexes the first and second flap portions 132b, 134b downward into engagement with the third and fourth flap portions 136b, 138b of the third and fourth guard members 136, 138. Continued insertion of the surgical instrument through the guard assembly 130 causes each of the first, second, third, and fourth flap portions 132b, 134b, 136b, 138b to engage with a septum seal 174 of the seal assembly 170 to stretch the septum seal 174 of the seal assembly 170 to increase the size of a central opening 173 of the septum seal 174. The increased size of the central opening 173 the septum seal 174 permits receipt of the surgical instrument through the valve assembly 120. The larger the diameter of the surgical instrument, the more the first, second, third, and fourth flap portions 132b, 134b, 136b, 138b of the first, second, third, and fourth guard members 132, 134, 136, 138 are flexed downward and the greater the size of the central opening 173 in the septum seal 174. The flap portions 132b, 134b, 136b, 138b guide and center the surgical instrument through the septum seal 174. In addition, the flap portions 132b, 134b, 136b, 138b may also inhibit inversion of the seal assembly 170 during withdrawal of a surgical instrument from the seal assembly 170.


It is envisioned that the guard assembly 130 may include a guard member (not shown) including a pair of opposed flap portions (not shown) supported on a single ring portion. In embodiments, the flap portions may extend radially outward from the ring portions, thereby necessitating folding the flap portions over the ring portions. See, for example, the embodiment of FIG. 8. The guard assembly may include any number of guard members, and the guard members may include flap portions of any size or configuration.


Turning briefly to FIG. 7, in an alternative embodiment of the guard assembly 130′, the flap portions 132b′, 134b′, 136b′, 138b′ of the respective first, second, third and fourth guard members 132′, 134′, 136′, 138′ overlap with one another. More particularly, the first flap portion 132b′ of the first guard member 132′ overlaps the third flap portion 136b′ of the third guard member 136′, the third flap portion 136b′ of the third guard member 136 overlaps the second flap portion 134b′ of the second guard member 134′, the second flap portion 134b′ of the second guard member 134′ overlaps the fourth flap portion 138b of the fourth guard member 138′, and the fourth flap portion 138b′ of the fourth guard member 138 overlaps the first flap portion 132b′ of the first guard member 132′.


With reference again to FIG. 6, the guard assembly 130 further includes upper and lower retainer members 140, 142 for retaining the first, second, third and fourth guard members 132, 134, 136, 138. More particularly, the upper retainer member 140 includes a base 144 and the plurality of fingers or pins 146 extending downwardly from the base 144. The lower retainer member 142 includes a base 148 defining an annular channel 149 for securely receiving the plurality of pins 146 of the upper retainer member 140.


Although the plurality of pins 146 is shown as extending downwardly from the base 144 of the upper retainer member 140 for engagement with the lower retainer member 142, in other embodiments, the plurality of pins 146 may instead extend upwardly from the base 148 of the lower retainer member 142 for engagement with the upper retainer member 140, or the pins 146 may extend from both the upper and lower retainer members 140, 142 and extend both upwardly and downwardly. In addition, while the lower retainer member 142 is shown and described as including the annular channel 149, the lower retainer member 142 may instead include one or more discrete openings (not shown) for receiving the corresponding fingers or pins, which may improve the engagement of the pins 146 with the lower retainer member 142 and increase the retention between the pins 146 and the lower retainer member 142 once the upper and lower retainer members 140, 142 are connected to each other. Employing the channel 149 instead of the discrete openings eliminates the need to circumferential align the upper and lower retainer members 140, 142 prior to connecting the upper and lower retainer members 140, 142 to one another.


The plurality of pins 146 of the upper retainer member 140 of the guard assembly 130 are configured to be received through the plurality of openings 131, 133, 135, 137 in the respective ring portions 132a, 134a, 136a, 138a of the first, second, third, and fourth guard members 132, 134, 136, 138, respectively. Receipt of the plurality of pins 146 of the upper retainer member 140 of the guard assembly 130 through the plurality of openings 131, 133, 135, 137 in the respective first, second, third, and fourth guard members 132, 134, 136, 138 and subsequent attachment of the lower retainer member 142 to the upper retainer member 140 secures the first, second, third, and fourth guard members 132, 134, 136, 138 relative to one another. The upper and lower retainer members 140, 142 of the guard assembly 130 also secure the guard assembly 130 and seal assembly 170 the centering mechanism 150.


With particular reference to FIGS. 4 and 6, the centering mechanism 150 of the instrument valve housing 110 is configured to maintain the valve assembly 110 centered within the cavity 113 of the first and second housing sections 112, 114 of the instrument valve housing 110 (FIG. 3). More particularly, the centering mechanism 150 includes an annular ring 152 and a plurality of spokes or spring elements 154 extending radially outward from the annular ring 152. The centering mechanism 150 further includes a plurality of tabs 156 that extend inwardly from the annular ring 152 and are configured to engage the seal member 170. For a detailed description of the structure and function of an exemplary centering mechanism, please refer to commonly owned U.S. Pat. App. Pub. No. 2015/0025477 (“the '477 publication”), the content of which is incorporated herein by reference in its entirety. It is envisioned that the centering mechanism 150 may include two centering mechanisms, as disclosed in the '477 publication.


As described in the '477 publication, the plurality of spokes 154 of the centering mechanism 150 each include a free end 154a configured to engage an inner wall 114a (FIG. 3) of the lower housing section 114 when the valve assembly 120 is moved off-center to bias the valve assembly 120 back to a centered position.


Alternatively, the centering mechanism may include a bellows or otherwise be configured to maintain the valve assembly 120 centered within the instrument valve housing 110.


Referring again to FIG. 6, the seal member 170 of the valve assembly 120 is configured to provide a seal around an outer surface of a surgical instrument passing through the instrument valve housing 110. The seal member 170 includes an annular flange 172, and the septum seal 174 supported by the annular flange 172. As shown, a free end 172a of the annular flange 172 may extend radially outwardly and in a proximal direction to facilitate reception of a surgical instrument through the septum seal 174.


The septum seal 174 of the seal member 170 is formed of an elastic material, e.g., rubber, and defines a central opening 173. In embodiments, the septum seal 174 may include one or more fabric layers. The septum seal 174 is configured to provide a seal around an outer surface of a surgical instrument passing through the valve assembly 120. A surface 174a of the septum seal 174 defining the central opening 173 may be beveled or otherwise configured to facilitate reception of the surgical instrument through the central opening 173 in the septum seal 174. The septum seal 174 further defines a plurality of openings 175 corresponding to the pins 146 extending from the upper retainer member 140 of the guard assembly 130.


With particular reference to FIG. 4, the upper retainer member 140 of the guard assembly 130 of the valve assembly 120 is received within the annular flange 172 of the seal member 170 such that the pins 146 of the upper retainer member 140 are received through the openings 175 (FIG. 6) in the septum seal 174 of the seal member 170. Prior to receiving the pins 146 of the upper retainer member 140 through the openings 175 in the septum seal 174, the first, second, third and fourth guard members 132, 134, 136, 138 of the guard assembly 130 are secured to the upper retainer member 140. In this manner, when the pins 146 of the upper retainer member 140 are received through the openings 175 in the septum seal 174, the first, second, third, and fourth guard members 132, 134, 136, 138 of the guard assembly 130 are disposed within the annular flange 172 of the seal assembly 170. The lower retainer member 142 of the guard assembly 130 is secured to the upper retainer member 140 to secure the first, second, third, and fourth guard members 132, 134, 136, 138 relative to the seal assembly 170. The upper and lower retainer members 140, 142 also maintain alignment and orientation of the first, second, third, and fourth guard members 132, 134, 136, 138.


In an assembled configuration, the seal assembly 170, including the guard assembly 130, is received within the annular ring 152 of the centering mechanism 150. More particularly, the tabs 156 (FIG. 6) extending inwardly from the annular ring 152 of the center mechanism 150 engage an outer surface of the annular flange 172 to maintain the seal assembly 170 within the centering mechanism 150.


During a surgical procedure utilizing cannula 100, an instrument (not shown) is introduced into the instrument valve housing 110 through the longitudinal passage 113 in the first and second housing sections 112, 114. As described above, the distal end of the instrument engages the first and second flap portions 132b, 134b of the respective first and second guard members 132, 134. The first and second flap portions 132b, 134b flex downward into contact with the third and fourth flap portions 136b, 138b of the respective third and fourth guard members 136, 138. The first, second, third and fourth flap portions 132b, 134b, 136b, 138b flex into contact with the septum seal 174 of the seal member 170 to cause the central opening 173 of the septum seal 174 to open to accommodate passage of the surgical instrument through the septum seal 174. The first, second, third, and fourth guard members 132, 134, 136, 138 of the guard assembly 130 minimize damage to the seal member 170 during insertion of an instrument through the valve assembly 120.


The first, second, third, and fourth guard members 132, 134, 136, 138 of the guard assembly 130 operate to protect the septum seal 174 of the seal assembly 170 from tearing or other damage as a surgical instrument is received through the seal assembly 170. Additionally, the guard assembly 130 may prevent inversion of the septum seal 174 as the surgical instrument is retracted through the septum seal 174.


With reference now to FIGS. 8-10, a guard member according to another embodiment of the present disclosure is shown generally as guard member 230. The guard member 230 includes a ring portion 232 and first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 supported by and extending radially outward from the ring portion 232 when the guard member 230 is in an initial or pre-folded condition (FIG. 8).


The ring portion 232 of the guard member 230 defines a plurality of openings 233 to facilitate engagement of the guard member 230 by retainer members, e.g., the upper and lower retainer members 140, 142 (FIG. 6). The ring portion 232 may define one or more openings corresponding to the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244. In embodiments, and as will be described in further detail below, the plurality of petals may also each define one or more openings (FIG. 12) corresponding to openings in the ring portions when the petals are in a fully-folded condition (FIG. 10).


Each of the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 of the guard member 230 includes a flap portion 234a, 236a, 238a, 240a, 242a, 244a and a connector portion 234b, 236b, 238b, 240b, 242b, 244b connecting the flap portions 234a, 236a, 238a, 240a, 242a, 244a of the respective first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 to the ring portion 232. In embodiments, and as shown, the flap portions 234a, 236a, 238a, 240a, 242a, 244a of the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244, respectively, define a spade-like body, although other configurations are envisioned. Similarly, although shown having six (6) petals, it is envisioned that the guard member may have more or less than six (6) petals.


The connector portions 234b, 236b, 238b, 240b, 242b, 244b of the respective petals 234, 236, 238, 240, 242, 244 are configured to permit inward folding of the respective petals 234, 236, 238, 240, 242, 244 such that the flap portions 234a, 236a, 238a, 240a, 242a, 244a of the respective first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 occupy substantially the entire opening 231 defined by the ring portion 232. In embodiments, and as shown, the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 are configured to overlap one another when folded, as described below. The connector portions 234b, 236b, 238b, 240b, 242b, 244b may provide increased stability and structure to the respective first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244.


Turning briefly to FIG. 11, in embodiments, connector portions 234b′, 236b′, 238b′, 240b′, 242b′, 244b′ of respective first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′ of a guard member 230′ define a hinge feature “H” to facilitate folding of the respective first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′. The hinge feature “H” may be a living hinge including a weakened or thinned portion of the connector portions 234b′, 236b′, 238b′, 240b′, 242b′, 244b′. The hinge feature “H” may also facilitate orienting and aligning the first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′.


With particular reference to FIG. 10, the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 of the guard member 230 are shown in a sequentially overlapping configuration. More particularly, the flap portion 234a of the first petal 234 overlaps the flap portion 236a of the second petal 236, which overlaps the flap portion 238a of the third petal 238, which overlaps the flap portion 240a of the fourth petal 240, which overlaps the flap portions 242a of the fifth petal 242, which overlaps the flap portion 244a of the sixth petal 244. In this manner, downward flexing of one of the flap portions 234, 236, 238, 240, 242, 244 during engagement by a surgical instrument causes downward flexing of all of the flap portions 234, 236, 238, 240, 242, 244.


Alternatively, the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 of the guard member 230 may be arranged in an alternating pattern. More particularly, the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 are arranged such that the second and sixth petals 236, 244 overlap the first petal 234, the second and fourth petals 236, 240 overlap the third petal 238, and the fourth and sixth petals 240, 244 overlap the fifth petal 242.


With reference to FIG. 12, in an alternative embodiment, a guard assembly 230′ includes a ring portion 232′ and first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′ each including a respective flap portion 234a′, 236a′, 238a′, 240a′, 242a′, 244a′. Each of the flap portions 234a′, 236a′, 238a′, 240a′, 242a′, 244a′ defines one or more openings 233, 235, 237, 239, 241, 243 corresponding to one or more openings 231a, 231b, 231c, 231d, 231e, 231f in the ring portion 232′. The one or more openings 233, 235, 237, 239, 241, 243 of the respective of the flap portions 234a′, 236a′, 238a′, 240a′, 242a′, 244a align with the corresponding one or more openings 231a, 231b, 231c, 231d, 231e, 231f in the ring portion 232′ when the first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′ are in a folded configuration, e.g., FIG. 10.


The one or more openings 233, 235, 237, 239, 241, 243 of the first, second, third, fourth, fifth, and sixth petals 234′, 236′, 238′, 240′, 242′, 244′ are configured to receive pins, e.g., pins 146 (FIG. 6) of a retainer member, e.g., upper retainer member 140. Receipt of the pins through the one or more openings 233, 235, 237, 239, 241, 243 align the first, second, third, fourth, fifth, and sixth petals 234, 236, 238, 240, 242, 244 relative to each other and provide structure support to the guard member 230′.


While various embodiments of the present disclosure have been shown and described herein, it will be obvious to those skilled in the art that these embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the present disclosure. Accordingly, it is intended that the invention be limited only by the spirit and scope of the appended claims.

Claims
  • 1. A valve assembly for a surgical access device, the valve assembly comprising: a seal assembly including an outer flange and a septum seal extending across the outer flange;a guard assembly disposed within the outer flange of the seal assembly, the guard assembly including a plurality of guard members, each guard member of the plurality of guard members consisting of a ring portion and a single flap portion extending from the ring portion; anda centering mechanism including an annular ring and a plurality of spokes extending outwardly from the annular ring, the outer flange of the seal assembly being supported within the annular ring, wherein the flap portions of the guard members of the guard assembly are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.
  • 2. The valve assembly of claim 1, wherein the guard assembly includes first, second, third and fourth guard members, each of the guard members including a ring portion and a single flap portion.
  • 3. The valve assembly of claim 2, wherein the flap portions do not extend beyond a midline of the ring portions.
  • 4. The valve assembly of claim 2, wherein the flap portions of the first and second guard members are disposed opposite one another and the flap portions of the third and fourth guard members are disposed opposite one another.
  • 5. The valve assembly of claim 4, wherein the flap portions of the first and second guard members are disposed perpendicular to the flap portions of the third and fourth guard members.
  • 6. The valve assembly of claim 2, wherein the flap portions include a substantial mushroom cap shape.
  • 7. The valve assembly of claim 1, wherein the guard assembly further includes upper and lower retainer members, at least one of the upper or lower retainer members including a plurality of pins configured to engage the ring portions of the plurality of guard members.
  • 8. The valve assembly of claim 2, wherein the flap portion of the first guard member overlaps the flap portion of the second guard member, the flap portion of the second guard member overlaps the flap portion of the third guard member, the flap portion of the third guard member overlaps the flap portion of the fourth guard member and the flap portion of the fourth guard member overlaps the flap portion of the first guard member.
  • 9. A valve assembly comprising: a seal assembly including an outer flange and a septum seal extending across the outer flange;a guard assembly disposed within the outer flange of the seal assembly, the guard assembly including a guard member having a ring portion and a plurality of petals, each petal of the plurality of petals having an outwardly curved outer edge; anda centering mechanism including an annular ring and a plurality of spokes extending outwardly from the annular ring, the outer flange of the seal assembly being supported within the annular ring, wherein the plurality of petals of the guard member are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.
  • 10. The valve assembly of claim 9, wherein each petal of the plurality of petals includes a flap portion and a connector portion, each of the flap portions being connected to the ring member by a respective connector portion.
  • 11. The valve assembly of claim 10, wherein the plurality of petals extends radially outward from the ring portion.
  • 12. The valve assembly of claim 11, wherein the plurality of petals is configured to be folded over the ring portion such that the flap portions overlap adjacent flap portions.
  • 13. The valve assembly of claim 10, wherein each of the flap portions defines one or more openings and the ring portion defines corresponding openings.
  • 14. The valve assembly of claim 13, wherein the guard assembly further includes upper and lower retainer members, at least one of the upper or lower retainer members including a plurality of pins.
  • 15. The valve assembly of claim 14, wherein the one or more openings in the flap portions and the corresponding openings in the ring portion are configured to receive the plurality of pins of the at least one upper or lower retainer members.
  • 16. A valve assembly comprising: a seal assembly including an outer flange and a septum seal extending across the outer flange;a guard assembly disposed within the outer flange of the seal assembly, the guard assembly including a plurality of guard members, each guard member of the plurality of guard members having a ring portion and a flap portion, the flap portions having a substantially mushroom cap shape; anda centering mechanism including an annular ring and a plurality of spokes extending outwardly from the annular ring, the outer flange of the seal assembly being supported within the annular ring, wherein the flap portions of the plurality of guard members of the guard assembly are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.
  • 17. The valve assembly of claim 16, wherein the guard assembly includes first, second, third and fourth guard members, each of the guard members including a ring portion and a flap portion.
  • 18. The valve assembly of claim 17, wherein the flap portions do not extend beyond a midline of the ring portions.
  • 19. The valve assembly of claim 16, wherein the guard assembly further includes upper and lower retainer members, at least one of the upper or lower retainer members including a plurality of pins configured to engage the ring portions of the plurality of guard members.
CROSS REFERENCE TO RELATED APPLICATION

This application is a continuation of U.S. patent application Ser. No. 16/394,043, filed Apr. 25, 2019, the entire contents of each of which is hereby incorporated by reference herein.

US Referenced Citations (469)
Number Name Date Kind
3402710 Paleschuck Sep 1968 A
3495586 Regenbogen Feb 1970 A
4016884 Kwan-Gett Apr 1977 A
4112932 Chiulli Sep 1978 A
4183357 Bentley et al. Jan 1980 A
4356826 Kubota Nov 1982 A
4402683 Kopman Sep 1983 A
4653476 Bonnet Mar 1987 A
4737148 Blake Apr 1988 A
4863430 Klyce et al. Sep 1989 A
4863438 Gauderer et al. Sep 1989 A
4984564 Yuen Jan 1991 A
5002557 Hasson Mar 1991 A
5073169 Raiken Dec 1991 A
5082005 Kaldany Jan 1992 A
5122122 Allgood Jun 1992 A
5159921 Hoover Nov 1992 A
5176697 Hasson et al. Jan 1993 A
5183471 Wilk Feb 1993 A
5192301 Kamiya et al. Mar 1993 A
5209741 Spaeth May 1993 A
5209754 Ahluwalia May 1993 A
5217466 Hasson Jun 1993 A
5242409 Buelna Sep 1993 A
5242415 Kantrowitz et al. Sep 1993 A
5257973 Villasuso Nov 1993 A
5257975 Foshee Nov 1993 A
5269772 Wilk Dec 1993 A
5290249 Foster et al. Mar 1994 A
5312391 Wilk May 1994 A
5312417 Wilk May 1994 A
5314417 Stephens et al. May 1994 A
5318516 Cosmescu Jun 1994 A
5330486 Wilk Jul 1994 A
5334143 Carroll Aug 1994 A
5336169 Divilio et al. Aug 1994 A
5336203 Goldhardt et al. Aug 1994 A
5337937 Remiszewski et al. Aug 1994 A
5345927 Bonutti Sep 1994 A
5360417 Gravener et al. Nov 1994 A
5366478 Brinkerhoff et al. Nov 1994 A
5375588 Yoon Dec 1994 A
5378588 Tsuchiya Jan 1995 A
5391156 Hildwein et al. Feb 1995 A
5394863 Sanford et al. Mar 1995 A
5395367 Wilk Mar 1995 A
5437683 Neumann et al. Aug 1995 A
5445615 Yoon Aug 1995 A
5451222 De Maagd et al. Sep 1995 A
5460170 Hammerslag Oct 1995 A
5464409 Mohajer Nov 1995 A
5480410 Cuschieri et al. Jan 1996 A
5490843 Hildwein et al. Feb 1996 A
5507758 Thomason et al. Apr 1996 A
5511564 Wilk Apr 1996 A
5514133 Golub et al. May 1996 A
5514153 Bonutti May 1996 A
5520698 Koh May 1996 A
5522791 Leyva Jun 1996 A
5524644 Crook Jun 1996 A
5540648 Yoon Jul 1996 A
5545150 Danks et al. Aug 1996 A
5545179 Williamson, IV Aug 1996 A
5556385 Andersen Sep 1996 A
5569159 Anderson et al. Oct 1996 A
5577993 Zhu et al. Nov 1996 A
5601581 Fogarty et al. Feb 1997 A
5624399 Ackerman Apr 1997 A
5634911 Hermann et al. Jun 1997 A
5634937 Mollenauer et al. Jun 1997 A
5643285 Rowden et al. Jul 1997 A
5649550 Crook Jul 1997 A
5651771 Fangherlini et al. Jul 1997 A
5653705 de la Torre et al. Aug 1997 A
5656013 Yoon Aug 1997 A
5672168 de la Torre et al. Sep 1997 A
5683378 Christy Nov 1997 A
5685857 Negus et al. Nov 1997 A
5697946 Hopper et al. Dec 1997 A
5709675 Williams Jan 1998 A
5713858 Heruth et al. Feb 1998 A
5713869 Morejon Feb 1998 A
5722962 Garcia Mar 1998 A
5728103 Picha et al. Mar 1998 A
5730748 Fogarty et al. Mar 1998 A
5735791 Alexander, Jr. et al. Apr 1998 A
5741298 MacLeod Apr 1998 A
5752970 Yoon May 1998 A
5782817 Franzel et al. Jul 1998 A
5795290 Bridges Aug 1998 A
5803921 Bonadio Sep 1998 A
5810712 Dunn Sep 1998 A
5813409 Leahy et al. Sep 1998 A
5830191 Hildwein et al. Nov 1998 A
5836871 Wallace et al. Nov 1998 A
5836913 Orth et al. Nov 1998 A
5840077 Rowden et al. Nov 1998 A
5842971 Yoon Dec 1998 A
5848992 Hart et al. Dec 1998 A
5853417 Fogarty et al. Dec 1998 A
5857461 Levitsky et al. Jan 1999 A
5865817 Moenning et al. Feb 1999 A
5871474 Hermann et al. Feb 1999 A
5876413 Fogarty et al. Mar 1999 A
5894843 Benetti et al. Apr 1999 A
5899208 Bonadio May 1999 A
5899913 Fogarty et al. May 1999 A
5904703 Gilson May 1999 A
5906577 Beane et al. May 1999 A
5914415 Tago Jun 1999 A
5916198 Dillow Jun 1999 A
5941898 Moenning et al. Aug 1999 A
5951588 Moenning Sep 1999 A
5957913 de la Torre et al. Sep 1999 A
5964781 Mollenauer et al. Oct 1999 A
5976174 Ruiz Nov 1999 A
5997515 de la Torre et al. Dec 1999 A
6017355 Hessel et al. Jan 2000 A
6018094 Fox Jan 2000 A
6024736 de la Torre et al. Feb 2000 A
6030402 Thompson et al. Feb 2000 A
6033426 Kaji Mar 2000 A
6033428 Sardella Mar 2000 A
6042573 Lucey Mar 2000 A
6048309 Flom et al. Apr 2000 A
6059816 Moenning May 2000 A
6068639 Fogarty et al. May 2000 A
6077288 Shimomura et al. Jun 2000 A
6086603 Termin et al. Jul 2000 A
6099506 Macoviak et al. Aug 2000 A
6110154 Shimomura et al. Aug 2000 A
6142936 Beane et al. Nov 2000 A
6156006 Brosens et al. Dec 2000 A
6162196 Hart et al. Dec 2000 A
6171282 Ragsdale Jan 2001 B1
6197002 Peterson Mar 2001 B1
6217555 Hart et al. Apr 2001 B1
6228063 Aboul-Hosn May 2001 B1
6234958 Snoke et al. May 2001 B1
6238373 de la Torre et al. May 2001 B1
6241768 Agarwal et al. Jun 2001 B1
6251119 Addis Jun 2001 B1
6254534 Butler et al. Jul 2001 B1
6264604 Kieturakis et al. Jul 2001 B1
6276661 Laird Aug 2001 B1
6293952 Brosens et al. Sep 2001 B1
6315770 de la Torre et al. Nov 2001 B1
6319246 de la Torre et al. Nov 2001 B1
6328720 McNally et al. Dec 2001 B1
6329637 Hembree et al. Dec 2001 B1
6371968 Kogasaka et al. Apr 2002 B1
6382211 Crook May 2002 B1
6423036 Van Huizen Jul 2002 B1
6440061 Wenner et al. Aug 2002 B1
6440063 Beane et al. Aug 2002 B1
6443957 Addis Sep 2002 B1
6447489 Peterson Sep 2002 B1
6450983 Rambo Sep 2002 B1
6454783 Piskun Sep 2002 B1
6464686 O'Hara et al. Oct 2002 B1
6468292 Mollenauer et al. Oct 2002 B1
6485410 Loy Nov 2002 B1
6488620 Segermark et al. Dec 2002 B1
6488692 Spence et al. Dec 2002 B1
6524283 Hopper et al. Feb 2003 B1
6527787 Fogarty et al. Mar 2003 B1
6544210 Trudel et al. Apr 2003 B1
6551270 Bimbo et al. Apr 2003 B1
6558371 Dorn May 2003 B2
6562022 Hoste et al. May 2003 B2
6572631 McCartney Jun 2003 B1
6578577 Bonadio et al. Jun 2003 B2
6582364 Butler et al. Jun 2003 B2
6589167 Shimomura et al. Jul 2003 B1
6589316 Schultz et al. Jul 2003 B1
6592543 Wortrich et al. Jul 2003 B1
6613952 Rambo Sep 2003 B2
6623426 Bonadio et al. Sep 2003 B2
6669674 Macoviak et al. Dec 2003 B1
6676639 Ternstrom Jan 2004 B1
6684405 Lezdey Feb 2004 B2
6706050 Giannadakis Mar 2004 B1
6716201 Blanco Apr 2004 B2
6723044 Pulford et al. Apr 2004 B2
6723088 Gaskill, III et al. Apr 2004 B2
6725080 Melkent et al. Apr 2004 B2
6800084 Davison et al. Oct 2004 B2
6811546 Callas et al. Nov 2004 B1
6814078 Crook Nov 2004 B2
6830578 O'Heeron et al. Dec 2004 B2
6837893 Miller Jan 2005 B2
6840946 Fogarty et al. Jan 2005 B2
6840951 de la Torre et al. Jan 2005 B2
6846287 Bonadio et al. Jan 2005 B2
6863674 Kasahara et al. Mar 2005 B2
6878110 Yang et al. Apr 2005 B2
6884253 McFarlane Apr 2005 B1
6890295 Michels et al. May 2005 B2
6913609 Yencho et al. Jul 2005 B2
6916310 Sommerich Jul 2005 B2
6916331 Mollenauer et al. Jul 2005 B2
6929637 Gonzalez et al. Aug 2005 B2
6939296 Ewers et al. Sep 2005 B2
6942633 Odland Sep 2005 B2
6945932 Caldwell et al. Sep 2005 B1
6958037 Ewers et al. Oct 2005 B2
6972026 Caldwell et al. Dec 2005 B1
6986752 McGuckin, Jr. et al. Jan 2006 B2
6991602 Nakazawa et al. Jan 2006 B2
6997909 Goldberg Feb 2006 B2
7001397 Davison et al. Feb 2006 B2
7008377 Beane et al. Mar 2006 B2
7011645 McGuckin, Jr. et al. Mar 2006 B2
7014628 Bousquet Mar 2006 B2
7033319 Pulford et al. Apr 2006 B2
7052454 Taylor May 2006 B2
7056321 Pagliuca et al. Jun 2006 B2
7077852 Fogarty et al. Jul 2006 B2
7081089 Bonadio et al. Jul 2006 B2
7083626 Hart et al. Aug 2006 B2
7100614 Stevens et al. Sep 2006 B2
7101353 Lui et al. Sep 2006 B2
7104981 Elkins et al. Sep 2006 B2
7153261 Wenchell Dec 2006 B2
7160309 Voss Jan 2007 B2
7163510 Kahle et al. Jan 2007 B2
7192436 Sing et al. Mar 2007 B2
7195590 Butler et al. Mar 2007 B2
7201725 Cragg et al. Apr 2007 B1
7214185 Rosney et al. May 2007 B1
7217277 Parihar et al. May 2007 B2
7223257 Shubayev et al. May 2007 B2
7223278 Davison et al. May 2007 B2
7235064 Hopper et al. Jun 2007 B2
7235084 Skakoon et al. Jun 2007 B2
7238154 Ewers et al. Jul 2007 B2
7258712 Schultz et al. Aug 2007 B2
7276075 Callas et al. Oct 2007 B1
7294103 Bertolero et al. Nov 2007 B2
7300399 Bonadio et al. Nov 2007 B2
7316699 McFarlane Jan 2008 B2
7331940 Sommerich Feb 2008 B2
7344547 Piskun Mar 2008 B2
7377898 Ewers et al. May 2008 B2
7390322 McGuckin, Jr. et al. Jun 2008 B2
7393322 Wenchell Jul 2008 B2
7412977 Fields et al. Aug 2008 B2
7440661 Kobayashi Oct 2008 B2
7445597 Butler et al. Nov 2008 B2
7452363 Ortiz Nov 2008 B2
7473221 Ewers et al. Jan 2009 B2
7481765 Ewers et al. Jan 2009 B2
7493703 Kim et al. Feb 2009 B2
7513361 Mills, Jr. Apr 2009 B1
7513461 Reutenauer et al. Apr 2009 B2
7520876 Ressemann et al. Apr 2009 B2
7537564 Bonadio et al. May 2009 B2
7540839 Butler et al. Jun 2009 B2
7559893 Bonadio et al. Jul 2009 B2
7608082 Cuevas et al. Oct 2009 B2
7625361 Suzuki et al. Dec 2009 B2
7645232 Shluzas Jan 2010 B2
7650887 Nguyen et al. Jan 2010 B2
7704207 Albrecht et al. Apr 2010 B2
7717846 Zirps et al. May 2010 B2
7717847 Smith May 2010 B2
7721742 Kalloo et al. May 2010 B2
7727146 Albrecht et al. Jun 2010 B2
7730629 Kim Jun 2010 B2
7736306 Brustad et al. Jun 2010 B2
7753901 Piskun et al. Jul 2010 B2
7758500 Boyd et al. Jul 2010 B2
7762995 Eversull et al. Jul 2010 B2
7766824 Jensen et al. Aug 2010 B2
7787963 Geistert et al. Aug 2010 B2
7798998 Thompson et al. Sep 2010 B2
7811251 Wenchell et al. Oct 2010 B2
7815567 Albrecht et al. Oct 2010 B2
7837612 Gill et al. Nov 2010 B2
7846123 Vassiliades et al. Dec 2010 B2
7850600 Piskun Dec 2010 B1
7850667 Gresham Dec 2010 B2
7867164 Butler et al. Jan 2011 B2
7896889 Mazzocchi et al. Mar 2011 B2
7905829 Nishimura et al. Mar 2011 B2
7909760 Albrecht et al. Mar 2011 B2
7913697 Nguyen et al. Mar 2011 B2
7951076 Hart et al. May 2011 B2
7955257 Frasier et al. Jun 2011 B2
7955313 Boismier Jun 2011 B2
7998068 Bonadio et al. Aug 2011 B2
3021296 Bonadio et al. Sep 2011 A1
3025670 Sharp et al. Sep 2011 A1
8038652 Morrison et al. Oct 2011 B2
8066673 Hart et al. Nov 2011 B2
8079986 Taylor et al. Dec 2011 B2
8092430 Richard et al. Jan 2012 B2
8105234 Ewers et al. Jan 2012 B2
8109873 Albrecht et al. Feb 2012 B2
8157786 Miller et al. Apr 2012 B2
8157817 Bonadio et al. Apr 2012 B2
8187177 Kahle et al. May 2012 B2
8187178 Bonadio et al. May 2012 B2
8241209 Shelton, IV et al. Aug 2012 B2
8262568 Albrecht et al. Sep 2012 B2
8323184 Spiegal et al. Dec 2012 B2
8335783 Milby Dec 2012 B2
8343047 Mbrecht et al. Jan 2013 B2
8353824 Shelton, IV et al. Jan 2013 B2
8403889 Richard Mar 2013 B2
8480683 Fowler et al. Jul 2013 B2
8574153 Richard Nov 2013 B2
8585632 Okoniewski Nov 2013 B2
11000313 Vaccarella May 2021 B2
20010037053 Bonadio et al. Nov 2001 A1
20020055714 Rothschild May 2002 A1
20030014076 Mollenauer et al. Jan 2003 A1
20030093104 Bonner et al. May 2003 A1
20030187376 Rambo Oct 2003 A1
20030233115 Eversull et al. Dec 2003 A1
20030236549 Bonadio et al. Dec 2003 A1
20040059297 Racenet et al. Mar 2004 A1
20040092795 Bonadio et al. May 2004 A1
20040102804 Chin May 2004 A1
20040111061 Curran Jun 2004 A1
20040138529 Wiltshire et al. Jul 2004 A1
20040204734 Wagner et al. Oct 2004 A1
20040267096 Caldwell et al. Dec 2004 A1
20050020884 Hart et al. Jan 2005 A1
20050070935 Ortiz Mar 2005 A1
20050096695 Olich May 2005 A1
20050119525 Takemoto Jun 2005 A1
20050137459 Chin et al. Jun 2005 A1
20050148823 Vaugh et al. Jul 2005 A1
20050192483 Bonadio et al. Sep 2005 A1
20050203346 Bonadio et al. Sep 2005 A1
20050209608 O'Heeron Sep 2005 A1
20050245876 Khosravi et al. Nov 2005 A1
20050251092 Howell et al. Nov 2005 A1
20050277946 Greenhalgh Dec 2005 A1
20060071432 Staudner Apr 2006 A1
20060129165 Edoga et al. Jun 2006 A1
20060149137 Pingleton et al. Jul 2006 A1
20060149306 Hart et al. Jul 2006 A1
20060161049 Beane et al. Jul 2006 A1
20060161050 Butler et al. Jul 2006 A1
20060212063 Wilk Sep 2006 A1
20060224161 Bhattacharyya Oct 2006 A1
20060241651 Wilk Oct 2006 A1
20060247498 Bonadio et al. Nov 2006 A1
20060247499 Butler et al. Nov 2006 A1
20060247500 Voegele et al. Nov 2006 A1
20060247516 Hess et al. Nov 2006 A1
20060247586 Voegele et al. Nov 2006 A1
20060247673 Voegele et al. Nov 2006 A1
20060247678 Weisenburgh et al. Nov 2006 A1
20060270911 Voegele et al. Nov 2006 A1
20070093695 Bonadio et al. Apr 2007 A1
20070118175 Butler et al. May 2007 A1
20070151566 Kahle et al. Jul 2007 A1
20070203398 Bonadio et al. Aug 2007 A1
20070208312 Norton et al. Sep 2007 A1
20070225650 Hart et al. Sep 2007 A1
20070270654 Pignato et al. Nov 2007 A1
20070270882 Hjelle et al. Nov 2007 A1
20080009826 Miller et al. Jan 2008 A1
20080021360 Fihe et al. Jan 2008 A1
20080027476 Piskun Jan 2008 A1
20080048011 Weller Feb 2008 A1
20080091143 Taylor et al. Apr 2008 A1
20080097162 Bonadio et al. Apr 2008 A1
20080097332 Greenhalgh et al. Apr 2008 A1
20080119868 Sharp et al. May 2008 A1
20080161826 Guiraudon Jul 2008 A1
20080188868 Weitzner et al. Aug 2008 A1
20080194973 Imam Aug 2008 A1
20080200767 Ewers et al. Aug 2008 A1
20080255519 Piskun et al. Oct 2008 A1
20080319261 Lucini et al. Dec 2008 A1
20090012477 Norton et al. Jan 2009 A1
20090036738 Cuschieri et al. Feb 2009 A1
20090036745 Bonadio et al. Feb 2009 A1
20090093752 Richard et al. Apr 2009 A1
20090093850 Richard Apr 2009 A1
20090105635 Bettuchi et al. Apr 2009 A1
20090131751 Spivey et al. May 2009 A1
20090137879 Ewers et al. May 2009 A1
20090182279 Wenchell et al. Jul 2009 A1
20090182288 Spenciner Jul 2009 A1
20090187079 Albrecht et al. Jul 2009 A1
20090204067 Abu-Halawa Aug 2009 A1
20090221968 Morrison et al. Sep 2009 A1
20090227843 Smith et al. Sep 2009 A1
20090326330 Bonadio et al. Dec 2009 A1
20090326332 Carter Dec 2009 A1
20100063452 Edelman et al. Mar 2010 A1
20100100043 Racenet Apr 2010 A1
20100113886 Piskun et al. May 2010 A1
20100228094 Ortiz et al. Sep 2010 A1
20100240960 Richard Sep 2010 A1
20100249516 Shelton, IV et al. Sep 2010 A1
20100249523 Spiegal et al. Sep 2010 A1
20100249524 Ransden et al. Sep 2010 A1
20100262080 Shelton, IV et al. Oct 2010 A1
20100280326 Hess et al. Nov 2010 A1
20100286484 Stellon et al. Nov 2010 A1
20100286506 Ransden et al. Nov 2010 A1
20100298646 Stellon et al. Nov 2010 A1
20100312063 Hess et al. Dec 2010 A1
20110009704 Marczyk et al. Jan 2011 A1
20110021877 Fortier et al. Jan 2011 A1
20110028891 Okoniewski Feb 2011 A1
20110034778 Kleyman Feb 2011 A1
20110054257 Stopek Mar 2011 A1
20110054258 O'Keefe et al. Mar 2011 A1
20110054260 Albrecht et al. Mar 2011 A1
20110082341 Kleyman et al. Apr 2011 A1
20110082343 Okoniewski Apr 2011 A1
20110082346 Stopek Apr 2011 A1
20110118553 Stopek May 2011 A1
20110124968 Kleyman May 2011 A1
20110124969 Stopek May 2011 A1
20110124970 Kleyman May 2011 A1
20110125186 Fowler et al. May 2011 A1
20110166423 Farascioni et al. Jul 2011 A1
20110251463 Kleyman Oct 2011 A1
20110251464 Kleyman Oct 2011 A1
20110251465 Kleyman Oct 2011 A1
20110251466 Kleyman et al. Oct 2011 A1
20110313250 Kleyman Dec 2011 A1
20120059640 Roy et al. Mar 2012 A1
20120130177 Davis May 2012 A1
20120130181 Davis May 2012 A1
20120130182 Rodrigues, Jr. et al. May 2012 A1
20120130183 Barnes May 2012 A1
20120130184 Richard May 2012 A1
20120130185 Pribanic May 2012 A1
20120130186 Stopek et al. May 2012 A1
20120130187 Okoniewski May 2012 A1
20120130188 Okoniewski May 2012 A1
20120130190 Kasvikis May 2012 A1
20120130191 Pribanic May 2012 A1
20120149987 Richard et al. Jun 2012 A1
20120157777 Okoniewski Jun 2012 A1
20120157779 Fischvogt Jun 2012 A1
20120157780 Okoniewski et al. Jun 2012 A1
20120157781 Kleyman Jun 2012 A1
20120157782 Alfieri Jun 2012 A1
20120157783 Okoniewski et al. Jun 2012 A1
20120157784 Kleyman et al. Jun 2012 A1
20120157785 Kleyman Jun 2012 A1
20120157786 Pribanic Jun 2012 A1
20120190931 Stopek Jul 2012 A1
20120190932 Okoniewski Jul 2012 A1
20120190933 Kleyman Jul 2012 A1
20120209077 Racenet Aug 2012 A1
20120209078 Pribanic et al. Aug 2012 A1
20120245427 Kleyman Sep 2012 A1
20120245429 Smith Sep 2012 A1
20120245430 Kleyman et al. Sep 2012 A1
20120283520 Kleyman Nov 2012 A1
20130225930 Smith Aug 2013 A1
20130225931 Cruz et al. Aug 2013 A1
20130245373 Okoniewski Sep 2013 A1
20130274559 Fowler et al. Oct 2013 A1
20130310651 Alfieri Nov 2013 A1
20140018632 Kleyman Jan 2014 A1
20180021063 Main et al. Jan 2018 A1
20190059938 Holsten Feb 2019 A1
Foreign Referenced Citations (75)
Number Date Country
2702419 Nov 2010 CA
0226026 Jun 1987 EP
0538060 Apr 1993 EP
0577400 Jan 1994 EP
0630660 Dec 1994 EP
0807416 Nov 1997 EP
0950376 Oct 1999 EP
1188415 Mar 2002 EP
1312318 May 2003 EP
1774918 Apr 2007 EP
1932485 Jun 2008 EP
2044889 Apr 2009 EP
2044897 Apr 2009 EP
2080494 Jul 2009 EP
2095781 Sep 2009 EP
2098182 Sep 2009 EP
2138117 Dec 2009 EP
2138118 Dec 2009 EP
2181657 May 2010 EP
2226025 Sep 2010 EP
2229900 Sep 2010 EP
2238924 Oct 2010 EP
2238925 Oct 2010 EP
2238926 Oct 2010 EP
2238933 Oct 2010 EP
2248478 Nov 2010 EP
2248482 Nov 2010 EP
2253283 Nov 2010 EP
2272450 Jan 2011 EP
2277464 Jan 2011 EP
2289438 Mar 2011 EP
2292165 Mar 2011 EP
2343019 Jul 2011 EP
2469083 Apr 2009 GB
8401512 Apr 1984 WO
9314801 Aug 1993 WO
9404067 Mar 1994 WO
9610963 Apr 1996 WO
9636283 Nov 1996 WO
9733520 Sep 1997 WO
9742889 Nov 1997 WO
9916368 Apr 1999 WO
9922804 May 1999 WO
9929250 Jun 1999 WO
0032116 Jun 2000 WO
0032120 Jun 2000 WO
0054675 Sep 2000 WO
0108581 Feb 2001 WO
0149363 Jul 2001 WO
0207611 Jan 2002 WO
03034908 May 2003 WO
03071926 Sep 2003 WO
03077726 Sep 2003 WO
2004043275 May 2004 WO
2004054456 Jul 2004 WO
2004075741 Sep 2004 WO
2004075930 Sep 2004 WO
2005058409 Jun 2005 WO
2006019723 Feb 2006 WO
2006100658 Sep 2006 WO
2006110733 Oct 2006 WO
2007018458 Feb 2007 WO
2007095703 Aug 2007 WO
2007143200 Dec 2007 WO
2008015566 Feb 2008 WO
2008042005 Apr 2008 WO
2008077080 Jun 2008 WO
2008093313 Aug 2008 WO
2008103151 Aug 2008 WO
2008121294 Oct 2008 WO
2008147644 Dec 2008 WO
2009036343 Mar 2009 WO
2010000047 Jan 2010 WO
2010141409 Dec 2010 WO
2010141673 Dec 2010 WO
Non-Patent Literature Citations (1)
Entry
European Search Report dated Aug. 25, 2020, issued in EP Appln. No. 20171223, 7 pages.
Related Publications (1)
Number Date Country
20210259734 A1 Aug 2021 US
Continuations (1)
Number Date Country
Parent 16394043 Apr 2019 US
Child 17317014 US