US11931067B2

US11931067B2 - Insertable cutting guards

Info

Publication number: US11931067B2
Application number: US17/399,159
Authority: US
Inventors: Jacob C. Baril; Saumya Banerjee
Original assignee: Covidien LP
Current assignee: Covidien LP
Priority date: 2020-08-15
Filing date: 2021-08-11
Publication date: 2024-03-19
Also published as: US20220047298A1

Abstract

A tissue guard includes an elongated body having a proximal end and a distal end and defining a lumen therethrough. A plurality of torsion springs is included, each torsion spring having a first leg and a second leg and a spring defined therebetween. The first leg of each torsion spring is operably engaged to the distal end of the elongated body. Two or more petals extend from the distal end of the elongated body, each petal is operably engaged to the second leg of one of the torsion springs. The petals are movable between a first, compressed configuration wherein the petals are compressed relative to one another against the bias of the plurality of torsion springs to facilitate insertion of the tissue guard within an access device or natural orifice and a second, expanded configuration to facilitate engagement of the petals beneath the access device or within the natural orifical to secure the tissue guard therein.

Description

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional Application Ser. No. 63/066,160, filed Aug. 15, 2020, the entire contents of which are incorporated by reference herein.

FIELD

The present disclosure relates to tissue specimen removal and, more particularly, to tissue or cutting guards and systems incorporating the same for use in tissue specimen removal procedures and other electrosurgical surgical procedures.

BACKGROUND

In minimally-invasive surgical procedures, operations are carried out within an internal body cavity through small entrance openings in the body. The entrance openings may be natural passageways of the body or may be surgically created, for example, by making a small incision into which a cannula is inserted.

Minimally-invasive surgical procedures may be used for partial or total removal of tissue from an internal body cavity. However, the restricted access provided by minimally-invasive openings (natural passageways and/or surgically created openings) presents challenges with respect to maneuverability and visualization. The restricted access also presents challenges when large tissue specimens are required to be removed. As such, tissue specimens that are deemed too large for intact removal may be broken down into a plurality of smaller pieces to facilitate removal from the internal body cavity. Typically electrosurgical instruments such as bipolar electrosurgical pencils may be utilized for this purpose.

SUMMARY

As used herein, the term “distal” refers to the portion that is described which is further from a user, while the term “proximal” refers to the portion that is being described which is closer to a user. Further, any or all of the aspects described herein, to the extent consistent, may be used in conjunction with any or all of the other aspects described herein.

Provided in accordance with aspects of the present disclosure is a tissue guard including an elongated body having a proximal end and a distal end and defining a lumen therethrough. A plurality of torsion springs is included, each torsion spring having a first leg and a second leg and a spring defined therebetween. The first leg of each torsion spring is operably engaged to the distal end of the elongated body. Two or more petals extend from the distal end of the elongated body, each petal is operably engaged to the second leg of one of the torsion springs. The petals are movable between a first, compressed configuration wherein the petals are compressed relative to one another against the bias of the plurality of torsion springs to facilitate insertion of the tissue guard within an access device or natural orifice and a second, expanded configuration to facilitate engagement of the petals beneath the access device or within the natural orifical to secure the tissue guard therein.

In aspects according to the present disclosure, one or more of the petals includes a grounding plate operably associated therewith. In other aspects according to the present disclosure, the grounding plate is affixed to one or more petals by a rivet, adhesive or complimentary mechanically interfacing surfaces.

In aspects according to the present disclosure, the first end of one or more of the torsion springs is operably received within a corresponding channel defined within the elongated body. In other aspects according to the present disclosure, the second end of one or more of the torsion springs is operably received within a corresponding channel defined within one of the petals.

In aspects according to the present disclosure, each of the petals is operably engaged to two torsion springs. In other aspects according to the present disclosure, the petals are configured to overlap one another when moved to the first, compressed configuration.

In aspects according to the present disclosure, one or more of the petals is shaped like a duck bill to facilitate insertion within the access device or natural orifice.

Provided in accordance with aspects of the present disclosure is a tissue guard having an elongated body including a proximal end and a distal end and defining a lumen therethrough, the distal end defining two or more petals compressible relative to one another. A coil spring is operably disposed between the petals of the elongated body and is radially transitionable between a first, compressed configuration wherein the distal petals are compressed relative to one another to facilitate insertion of the tissue guard within an access device or natural body orifice and a second, expanded configuration to facilitate engagement of the petals beneath the access device or within the natural orifical to secure the tissue guard therein.

In aspects according to the present disclosure, the coil spring coils within itself upon compression thereof. In other aspects according to the present disclosure, the petals are configured to overlap one another when the coil spring is radially transitioned to the first, compressed configuration.

BRIEF DESCRIPTION OF THE DRAWINGS

The above and other aspects and features of the present disclosure will become more apparent in light of the following detailed description when taken in conjunction with the accompanying drawings wherein like reference numerals identify similar or identical elements.

FIG. 1A is an exploded, top, perspective view of a prior art an access device and a tissue guard;

FIG. 1B is a cross-sectional view of the access device and tissue guard of FIG. 1A shown assembled and disposed within an opening in tissue;

FIG. 2A is a side view of an insertable tissue guard in accordance with the present disclosure shown in an expanded configuration;

FIG. 2B is a side view of the tissue guard of FIG. 2A shown in a compressed, insertion configuration;

FIGS. 2C-2E are varying views of one of the distal petals of the tissue guard shown in FIG. 2A;

FIGS. 3A-3F show various views of another embodiment of a tissue guard in accordance with the present disclosure including a coil spring;

FIGS. 4A-4E show various views of yet another embodiment of a tissue guard in accordance with the present disclosure including a balloon;

FIGS. 5A-5C show various views of still another embodiment of a tissue guard in accordance with the present disclosure including an overlapping cinch;

FIGS. 6A-6D show various views of another embodiment of a tissue guard in accordance with the present disclosure including opposing retaining flanges; and

FIGS. 7A-7E show various views of yet another embodiment of a tissue guard in accordance with the present disclosure including an adhesive grounding plate.

DETAILED DESCRIPTION

Turning to FIGS. 1A and 1B, a prior art system 100 is shown and includes a tissue guard 110 and an access device 150. Tissue guard 110 is monolithically formed as a single piece of material, e.g., a biocompatible plastic such as, for example, polyethylene, polycarbonate, etc., from any suitable method, e.g., injection molding. The material, thickness, and configuration of tissue guard 110 are such that tissue guard 110 defines sufficient stiffness to maintain its shape when positioned within an opening in tissue “T” and/or when engaged within access device 150. However, the material, thickness, and configuration of tissue guard 110 also provide sufficient resilient flexibility to permit manipulation of tissue guard 110 from an at-rest position for insertion into an opening in tissue “T” and/or for engagement within access device 150, with tissue guard 110 returning to or towards the at-rest position after insertion and/or engagement as explained in more detail below. Further, the material, thickness, and configuration of tissue guard 110 is selected such that tissue guard 110 is configured to withstand cutting and puncturing by surgical knives, scalpels, pencils, and the like, thereby protecting surrounding tissue “T” and/or access device 150 from being cut or punctured. Tissue guard 110 may additionally or alternatively be configured to inhibit transfer of thermal and/or electrical energy therethrough to protect surrounding tissue “T” and/or access device 150 from thermal and/or electrical energy.

Continuing with reference to FIGS. 1A and 1B, tissue guard 110 includes a body 112 defining an open proximal end 114, an open distal end 116, and a lumen 118 extending therethrough between open proximal and

distal ends

114, 116, respectively. Lumen 118 defines a longitudinal axis 120 and is configured to receive one or more surgical instruments (not shown) therethrough. In embodiments, body 112 defines a funnel-shaped configuration wherein a diameter of body 112 at open proximal end 114 thereof is greater than a diameter of body 112 at open distal end 116 thereof. Additionally or alternatively, the exterior surface 122 of body 112 may define a generally concave configuration while the interior surface 124 of body 112, which defines lumen 118, may define a generally convex configuration. One or more flanges 126 are configured to secure the tissue guard to the access device 150.

Access device

150 may be configured as a tissue retractor, an access port, or other suitable access device configured for positioning within an opening in tissue “T,” e.g., a surgical incision or a naturally-occurring orifice, to provide access therethrough into an internal surgical site. Access device 150 includes a proximal rim 152 configured for positioning on an external side of the opening in tissue “T,” a distal rim 154 configured for positioning on an internal side of the opening in tissue “T,” and a body 156 extending between proximal and

distal rims

152, 154, respectively. Body 156 is configured to extend through the opening in tissue “T” and defines a passageway 158 extending longitudinally therethrough to permit access to an internal surgical site through the opening in tissue “T.” Passageway 158 defines a longitudinal axis 160. At least a portion of body 156 of access device 150 may be flexible to facilitate insertion and positioning of access device 150 within the opening in tissue “T.” In embodiments, body 156 is formed from a flexible sleeve of material including one or more layers of material. Further, access device 150 may be selectively adjustable, e.g., by rolling proximal rim 154 distally about body 156, to retract tissue “T” and/or secure access device 150 within the opening in tissue “T.” Access device 150 may further define an inwardly-extending overhang 162 between proximal rim 154 and body 156 and extending annularly about passageway 158.

As shown in FIG. 1B, in use, access device 150 is positioned within an opening in tissue “T” such that, as noted above, distal rim 154 is disposed on an internal surface of tissue “T” on the internal side of the opening in tissue “T,” body 156 extends through the opening in tissue “T,” and proximal rim 152 is disposed on an exterior surface of tissue “T” on the external side of the opening in tissue “T.” As also noted above, access device 150 may be adjusted to conform access device 150 to a patient's anatomy, retracting tissue “T” and/or securing access device 150 within the opening in tissue “T.” With access device 150 disposed within the opening in tissue “T,” tissue guard 110, led by open distal end 116 thereof, is inserted into passageway 158.

Turning now to FIGS. 2A-2C, one embodiment of a tissue guard for use with an electrosurgical pencil is shown and is generally identified as tissue guard 200. Tissue guard 200 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Referenced herein is made to an electrosurgical pencil that is only generally described and only those features necessary for an understanding of the overall system are provided in detail. Cross reference is made to various electrosurgical pencils that may be utilized with system 100, for example, U.S. patent application Ser. No. 16/776,922 filed Jan. 30, 2020, U.S. patent application Ser. No. 16/540,593 filed Aug. 14, 2019, U.S. patent application Ser. No. 16/781,557 filed Feb. 4, 2020 and U.S. patent application Ser. No. 16/789,553 filed Feb. 13, 2020 the entire contents of each of which being incorporated by reference herein.

Tissue guard

200 includes a proximal portion 204 which is configured for engagement with an access device, for example, access device 150, an elongated body portion 202 and a distal end 206 configured for insertion within the access device 150 or direct insertion within an incision “I” in tissue “T”. One or more flanges (not shown) may be configured to engage the proximal rim 152 of the access device 150 to secure the tissue guard 200 therein.

Distal end

206 of elongated body 202 is generally oblong and is configured to operably connect to a series of

distal petals

216 a, 216 b. As shown herein, only two petals are disclosed but additional petals may be added depending upon a particular purpose. Each

petal

216 a, 216 b is shaped like a duck bill or a shoe horn to facilitate insertion thereof within the access device 150.

The

petals

216 a, 216 b are operably engaged to the distal end 206 of the elongated body 202 via a plurality of torsions springs 250. Two torsion springs 250 are used with each petal, however, additional (or less) torsions springs 250 may be utilized depending on a particular purpose, e.g., balancing the spring effect of each

petal

216 a, 216 b.

Each torsion spring 250 includes an elongated body 256 having a centrally disposed torsion loop 255 disposed therein and supported at opposite ends by a proximal leg 252 and distal leg 254. The distal leg 254 of each torsion spring 250 is inserted and anchored through a corresponding sleeve or channel 218 a, 218 b defined within each

corresponding petal

216 a, 216 b. Similarly, the proximal legs 252 of each torsion spring 250 are inserted and anchored through a corresponding number of sleeves or channels 208 defined within the body 202. The torsion springs 250 are biased in an outwardly direction as explained in more detail below. In addition, to facilitate insertion of the cutting guard 200 within the access device 150, the duck bill shape of the

distal petals

216 a, 216 b are configured to overlap one another or partially interleave one another to reduce the insertion profile thereof during insertion.

FIGS. 2C-2E show more specific detail of the distal petals, e.g., distal petal 216 a. As mentioned above, an outer-facing side of distal petal 216 a is shaped like a duck bill or shoe horn to facilitate insertion within access device 150. One or more channels 218 a is defined therein for insertion of the distal leg 254 of corresponding number of torsion springs 250. One or more rivets 225 a extend through the distal petal 216 that connect to a grounding plate 230 a affixed to an underside of the distal petal 216 a. Grounding plate 230 a and rivets 225 a provide a local ground for the electrosurgical pencil (not shown) and may be substantially flush with the outside or underside of the distal petal 216 a depending upon a particular purpose. The grounding plate 230 a is configured to electrically connect to a remote ground associated with system 100. Cross reference is made to various electrosurgical pencils and grounding systems that may be utilized with system 100, for example, U.S. patent application Ser. No. 16/776,922 filed Jan. 30, 2020, U.S. patent application Ser. No. 16/540,593 filed Aug. 14, 2019, U.S. patent application Ser. No. 16/781,557 filed Feb. 4, 2020, U.S. patent application Ser. No. 16/789,553 filed Feb. 13, 2020, and U.S. patent application Ser. No. 16/883,477 filed May 26, 2020 the entire contents of each of which being incorporated by reference herein.

In use, the user squeezes the

distal petals

216 a, 216 b together against the bias of the torsion springs 250 (in the direction “C”) such that the

petals

216 a, 216 b overlap or interleave one another to a reduced profile. The tissue guard 200 is then inserted into the access device 150 and released. Upon release, the

distal petals

216 a, 216 b spring outwardly to engage the underside of the access device 150 in situ. The tissue guard 200 is now secured in place.

During an operation the tissue guard 200 protects the inner periphery of the access device 150 from accidental rupture. Moreover and as explained in detail in the above-identified cross referenced applications, the electrosurgical pencil may be grounded during use simply by contacting the grounding plate 230 a disposed within the underside of the petals e.g., petal 216 a. To remove the tissue guard 200, the user simply pulls the tissue guard 200 out of the access device 150 by overcoming the outward bias of the torsion springs 250.

FIGS. 3A-3F show another embodiment of a tissue guard generally identified as tissue guard 300 for use with an electrosurgical pencil. Tissue guard 300 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Tissue guard 300 includes an elongated body 302 having a proximal end 304 and at least a pair of

petals

316 a, 316 b disposed at a distal portion thereof. As shown herein, only two petals are shown but additional petals may be added depending upon a particular purpose. Each

petal

316 a, 316 b is shaped like a duck bill or a shoe horn to facilitate insertion thereof within the access device 150. The two

petals

316 a, 316 b are configured to overlap one another or partially interleave one another to reduce the insertion profile thereof during insertion.

Each

petal

316 a, 316 b includes a respective

distal end

306 a, 306 b that may be compressed relative to one another to facilitate insertion into access device 150. A coiled wire or spring 325 connects each petal at a distal end thereof and, when the petals are compressed, the coil wraps inwardly around itself (e.g., compresses radially) under an outward bias (FIGS. 3A, 3C, and 3E). The ability of the

petals

316 a, 316 b to interleave or overlap one another facilitates the reduction of the insertion profile of the tissue guard 300 simplifying insertion into the access device 150.

Once inserted, the coiled wire 325 urges the

petals

316 a, 316 b outwardly to engage the underside of the distal end of the access device 150 in situ (FIGS. 3B, 3D). The tissue guard 300 is now secured in place. During an operation the tissue guard 300 protects the inner periphery of the access device 150 from accidental rupture. To remove the tissue guard 300, the user simply pulls the tissue guard 300 out of the access device 150 by overcoming the outward bias of the coiled wire 325 allowing the coiled wire 325 to re-coil onto itself as the

petals

316 a, 316 b interleave one another.

FIGS. 4A-4E show another embodiment of a tissue guard generally identified as tissue guard 400 for use with an electrosurgical pencil. Tissue guard 400 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Tissue guard 400 includes an elongated body 402 having a proximal end 404 and a distal end 406. Distal end 406 is substantially resilient and is foldable onto itself to reduce the overall profile thereof to facilitate insertion of the distal end 406 into the access device 150.

A donut-like balloon 425 is affixed to distal end 406 and is expandable from a deflated configuration for insertion into the access device 150 and an inflated configuration for retention within the access device 150. More particularly, when the balloon 425 is deflated, the balloon 425 reduces the overall profile of the distal end 406 to a minimum configuration to facilitate insertion within the access device 150. The resiliency of the distal end 406 allows the distal end 406 to fold upon itself to reduce the overall profile thereof. Once inserted within the access device 150, the balloon 425 is inflated to expand beneath the access device 150 and secure the tissue guard 400 therein. To remove the tissue guard 400, the balloon 425 is simply deflated to disengage the balloon 425 from underneath the access device 150 and to allow for removal.

FIGS. 4D and 4E show a version of the tissue guard 400 for use without an access device 150. In this instance, the tissue guard 400 is placed within an incision when the balloon 425 is disposed in a deflated state. Once inserted, the balloon 425 is inflated to engage the underside of the surgical cavity, e.g., abdominal cavity “A”, to secure the tissue guard in situ. The proximal end 404 may include a resilient ring (not shown) or additional inflatable cavity 405 to secure the proximal end 404 of the tissue guard 400 outside the incision (FIG. 4D). The tissue guard 400 may be secured within a vaginal canal in much the same manner (FIG. 4E).

FIGS. 5A-5C show another embodiment of a tissue guard generally identified as tissue guard 500 for use with an electrosurgical pencil. Tissue guard 500 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Tissue guard 500 includes an elongated body 502 having a proximal end 504 and a distal end 506. Distal end 506 is substantially resilient and malleable to reduce the overall profile thereof to facilitate insertion of the distal end 506 into the access device 150. Distal end 506 is generally shoe horn shaped and includes a long petal 506 a on one side thereof and a short petal 506 b on an opposite side thereof to facilitate insertion of the tissue guard 500 into the access device 150 and an internal body cavity “A” (FIGS. 5A and 5B). Prior to insertion, short petal 506 b may be inverted into body 502 such that only the long petal 506 a remains exposed for insertion (FIG. 5B) such as described in commonly-owned U.S. application Ser. No. 16/883,311 filed May 26, 2020 the entire contents of which being incorporated by reference herein.

Proximal end

504 includes one or more channel loops, e.g.,

channel loops

507 a, 507 b, that define a corresponding number of passageways therethrough, e.g.,

passageways

509 a, 509 b, configured to secure a corresponding number of sutures (or other elastic material) 525 a, 525 b therein.

Sutures

525 a, 525 b may be in the form of an elastic loop or may be cinchable to size the

sutures

525 a, 525 b as needed during use.

In use, the tissue guard 500 is inserted within the access device 150 as shown in FIG. 5B. The shoe-horn shape of the long petal 506 a secures the tissue guard 500 under the distal end 154 of the access device 150 while the proximal end 504 lies relatively flush with the proximal end 152 of the access device 150. Once seated within the access device 150, each

respective suture loop

525 a, 525 b is pulled across the top of the proximal end 504 to engage the opposite underside of the proximal end 152 of the access device 150 (FIG. 5C). The

suture loops

525 a, 525 b may be stretched or cinched to accommodate as needed. The tissue guard 500 is now secured for use.

To disengage the tissue guard 500, the

suture loops

525 a, 525 b are disengaged from the opposite side of the proximal end 152 of the access device 150 and the tissue guard 500 is then pulled out of the access device 150. The tissue guard 500 may need to be pulled in a reverse shoe horn-like manner to facilitate disengagement from the access device 150.

FIGS. 6A-6D show another embodiment of a tissue guard generally identified as tissue guard 600 for use with an electrosurgical pencil. Tissue guard 600 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Tissue guard 600 includes an elongated body 602 having a proximal end 604 and a distal end 606. Distal end 606 is substantially resilient and malleable to reduce the overall profile thereof to facilitate insertion of the distal end 606 into the access device 150. Distal end 606 is generally shoe horn shaped and includes a long petal 606 a on one side thereof and a short petal 606 b on an opposite side thereof to facilitate insertion of the tissue guard 600 into the access device 150 and/or an internal body cavity “A” (FIGS. 5A and 5B). Prior to insertion, short petal 606 b may be inverted into body 602 such that only the long petal 606 a remains exposed for insertion (FIG. 5B) such as described in commonly-owned U.S. application Ser. No. 16/883,311 filed May 26, 2020 the entire contents of which being incorporated by reference herein.

Proximal end

604 is annular ring shaped and includes a connection to a surgical evacuation port 609 that connects to a surgical evacuation system (not shown). Proximal end 604 also includes a plurality of hooks, e.g., hooks 625 a, 625 b, that are configured to engage a corresponding elastic loop or cinch 650 to secure the tissue guard 600 to the access device 150.

More particularly, each

hook

625 a, 625 b is integrally (or otherwise affixed) to the proximal end 604 and extends therefrom to a position below the proximal end 604 and proximate the skin. Each

hook

625 a, 625 b includes a respective distal flange, e.g., distal flange 625 b′, that is configured to securely engage the elastic loop or cinch 650. Once the tissue guard 600 is positioned within the access device 150, the elastic loops or cinches 650 are positioned over respective sides of the proximal end 604 of the access device 150 and positioned to engage the respective distal flanges 625 a′, 625 b′ of the

hooks

625 a, 625 b. The elasticity of the elastic loops or cinches 650 (or by re-positioning or cinching the cinches 650 as explained in more detail below) biases the elastic loops or cinches 650 against and/or underneath the proximal rim 152 of the access device 150 securing the tissue guard 600 thereon (FIG. 6B).

An example of a contemplated cinch 650 is shown in FIGS. 6C and 6D. More particularly, the cinch 650 includes a loop 655 having opposing ends 652 a and 652 b. Each

end

652 a, 652 b is fed through a cinching mechanism 675 including a release post 677, a spring 678 and a passageway 654 defined to receive opposite ends 652 a, 652 b. Opposite ends 652 a, 652 b are fed through the cinching mechanism 675 to form the loop 655. The release post 677 is selectively positionable (e.g., pull-able) between a first position that allows the

ends

652 a, 652 b to be fed through the cinching mechanism 675 and re-positioned (e.g., tightened or released as needed) and a second or biased position that secures the

ends

652 a, 652 b in place (FIG. 6D). Spring 678 biases the cinching mechanism 675 in the second position and release post 677 releases the ends for re-positioning as needed.

FIGS. 7A-7E show another embodiment of a tissue guard generally identified as tissue guard 700 for use with an electrosurgical pencil. Tissue guard 700 is similar to tissue guard 110 described above and, as such, only those elements that differ are described in detail below. Tissue guard 700 includes an elongated body 702 having a proximal end 704 and a distal end 706. Distal end 706 is substantially resilient and malleable to reduce the overall profile thereof to facilitate insertion of the distal end 706 into the access device 150. Distal end 706 is generally shoe horn shaped and includes a long petal 706 a on one side thereof and a short petal 706 b on an opposite side thereof to facilitate insertion of the tissue guard 700 into the access device 150 and an internal body cavity “A” (FIGS. 5A and 5B). Prior to insertion, short petal 706 b may be inverted into body 702 such that only the long petal 706 a remains exposed for insertion (FIG. 5B) such as described in commonly-owned U.S. application Ser. No. 16/883,311 filed May 26, 2020 the entire contents of which being incorporated by reference herein.

Proximal end

704 of the tissue guard 700 is generally donut-shaped and made from a resilient material that permits it to flex as need to accommodate instrument therein. The tissue guard 700 may be configured as a stand alone unit or may be configured to operably engage the access device 150 in any of the manners described above. The stand along configuration is described below.

The proximal end 704 of the tissue guard 700 is configured for operable engagement with an adhesive panel 725 disposed on an underside thereof. More particularly, adhesive panel 725 includes an upper surface 725 a and a tissue-engaging surface 725 b that is configured to adhesively (or otherwise) engage the skin of the patient proximate the incision or natural orifice (FIG. 7B). A backer material 726 covers the tissue-engaging surface 725 b to allow positioning the tissue guard 700 prior to securing the tissue guard 700 to the patient.

In use, the tissue guard 700 is positioned within the adhesive panel 725 (or the tissue guard 700 comes assembled in this fashion) and inserted into the incision or natural orifice (FIG. 7B). The user then peels the backer material 726 off of the adhesive panel 725 by pulling tabs 727 (FIGS. 7C and 7D). This secures the tissue guard 700 in place proximate the incision or natural orifice.

In embodiments, a second backer material (not shown) may be utilized. More particularly, in this embodiment, the elongated body 702, proximal end 704 and distal end 706 are separate from the adhesive panel 725. The user positions the adhesive panel 725 proximate the incision in the manner described above without the elongated body 702, proximal end 704 or distal end 706, by peeling off the backer material 726. The user then peels away a second backer panel revealing another adhesive material (not shown) atop surface 725 a. The user then inserts the distal end 706 and elongated body 702 through the adhesive panel 725 and the proximal end 704 operably engages the second adhesive to secure the tissue guard 700 thereon.

In embodiments, the upper surface 725 may be composed of an electrically conductive material and connected to an electrical ground (not shown). More particularly, the upper surface 725 a may be operably engaged to an auxiliary lead 760 that operably and electrically connects to an auxiliary electrosurgical return (not shown) or electrosurgical generator (not shown). As such, the user can ground the electrosurgical instrument, e.g., electrosurgical pencil, as needed during use thereof.

From the foregoing and with reference to the various drawings, those skilled in the art will appreciate that certain modifications can be made to the present disclosure without departing from the scope of the same. While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims

What is claimed is:

1. A tissue guard, comprising:

an elongated body including a proximal end and a distal end and defining a lumen through the elongated body;

a plurality of torsion springs, each torsion spring including a first leg and a second leg and a spring defined between the first and second legs, the first leg of each torsion spring operably engaged to the distal end of the elongated body; and

at least two petals extending from the distal end of the elongated body, each petal operably engaged to the second leg of at least one torsion spring of the plurality of torsion springs, wherein the petals are movable between a first, compressed configuration wherein the at least two petals are compressed relative to one another against the bias of the plurality of torsion springs to facilitate insertion of the tissue guard within an access device or natural body orifice and a second, expanded configuration to facilitate engagement of the at least two petals beneath the access device or within the natural body orifice to secure the tissue guard therein.

2. The tissue guard according to claim 1, wherein at least one of the petals includes a grounding plate operably associated with the at least one the petal.

3. The tissue guard according to claim 2, wherein the grounding plate is affixed to the at least one petal by a rivet, adhesive or complementary mechanically interfacing surfaces.

4. The tissue guard according to claim 1, wherein the first leg of at least one of the plurality of torsion springs is operably received within a corresponding channel defined within the elongated body.

5. The tissue guard according to claim 1, wherein the second leg of at least one of the plurality of torsion springs is operably received within a corresponding channel defined within one of the at least two petals.

6. The tissue guard according to claim 1, wherein each of the at least two petals is operably engaged to at least two torsion springs.

7. The tissue guard according to claim 1, wherein the at least two petals are configured to overlap one another when moved to the first, compressed configuration.

8. The tissue guard according to claim 1, wherein at least one of the at least two petals is shaped like a duck bill to facilitate insertion within the access device or natural body orifice.

9. A tissue guard, comprising:

a plurality of torsion springs, each torsion spring including a first leg, a second leg, and a spring defined between the first leg and the second leg, the first leg of each torsion spring seated within a channel defined within the distal end of the elongated body; and

at least two petals extending from the distal end of the elongated body, each petal including a corresponding channel configured to seat the second leg of each respective torsion spring of the plurality of torsion springs, wherein the petals are movable between a first, compressed configuration to facilitate insertion of the tissue guard within an access device or natural body orifice and a second, expanded configuration to facilitate engagement of the at least two petals beneath the access device or within the natural body orifice to secure the tissue guard therein.

10. The tissue guard according to claim 9, wherein at least one of the at least two petals includes a grounding plate adapted to connect to a remote ground of an electrosurgical system.

11. The tissue guard according to claim 10, wherein the grounding plate is disposed on one surface of the at least one petal and a rivet is disposed on an opposite surface of the at least one petal, the rivet configured to connect the grounding plate to the at least one petal.

12. The tissue guard according to claim 11, wherein both the grounding plate and rivet provide a local ground to the electrosurgical system.

13. The tissue guard according to claim 11, wherein the rivet is exposed on an outer surface of the at least one petal and the grounding plate is disposed on an underside of the at least one petal.

14. The tissue guard according to claim 11, wherein the grounding plate is substantially flush with the one surface of the at least one petal and the rivet is substantially flush with the opposite surface of the at least one petal.

15. The tissue guard according to claim 9, wherein the at least two petals are configured to overlap one another when moved to the first, compressed configuration.

16. The tissue guard according to claim 9, wherein at least one of the at least two petals is shaped like a duck bill to facilitate insertion within the access device or natural body orifice.