Surgical device for providing access to a surgical site

• US 10,070,855 B2
• Filed: 06/12/2014
• Issued: 09/11/2018
• Est. Priority Date: 06/12/2013
• Status: Active Grant

• Current Assignee: UMC Utrecht Holding B.V.
• Original Assignee: UMC Utrecht Holding B.V.
• Inventors: Grundeman, Paul Frederik, Kwant, Paul Barteld
• Primary Examiner(s): Coley, Zade
• Assistant Examiner(s): Weiss, Jessica
• Application Number:
  US14/895,268
• Publication Number:
  US 20160120531A1
• Time in Patent Office: 1,552 Days
• Field of Search: 600207, 600204, 600210, 600235, 606 90
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/0237 for heart surgery endoscopic heart surgery A61B2017/00243; endoscopic access devices, i.e. trocars, A61B17/34
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: A61B 5/6865 Access ports
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00

Abstract

A surgical device (5) for application in a treatment performed on the human or animal body (1) with the aim of providing access to a surgical site in the body, includes at least one inflatable chamber (70, 71, 72) which can be inflated from a collapsed state to an expanded state, in which expanded state the device is suitable for exerting a force on an organ or tissue at the surgical site, at least one elongated flexible member (8, 80), which member at its proximal end (801) is operatively connected to the device, and which member has a length to allow the distal end (800) of the member to be fixed to a fixation site (100, 101) outside of the body, and methods of using this device.

Claims

1. A method for positioning a surgical device in a human or animal body, the surgical device being suitable for application in a treatment performed on the human or animal body with an aim of providing access to a surgical site in the body, the surgical device comprising:

at least one inflatable chamber configured to be inflated from a collapsed state to an expanded state, wherein the at least one inflatable chamber comprises at least one wall, the at least one wall forming a first set of multiple inflatable chambers of the at least one inflatable chamber, which are in fluid connection, the chambers formed by the at least one wall are laterally contiguous, two neighboring chambers are laterally connected at a seam and each of the two neighboring chambers convexly bulges towards the seam, wherein the at least one wall is formed as a sheeting comprising two opposing layers of deformable material, the sheeting forming the multiple inflatable chambers connected at the seam, the seam being formed according to a predetermined pattern by having a connection of the two opposite layers at the seam, wherein the sheeting comprises a third layer interposed between the two opposing layers, and

at least one elongated flexible member, each elongated flexible member having a proximal end operatively connected to the surgical device, the method comprising the steps of;

inserting the surgical device in the collapsed state into the body,

inflating the at least one inflatable chamber to the expanded state such that the surgical device exerts a force on an organ or tissue at said surgical site,

guiding a distal end of the at least one elongated flexible member outside of the body,

positioning the distal end at a fixation site such that the at least one elongated flexible member is adapted to position the surgical device, and

fixing the distal end at the fixation site to fix the position of the surgical device.

2. A method according to claim 1, wherein the at least one elongated flexible member comprises at least one tether.

3. A method according to claim 2, wherein the at least one tether comprises at least two tethers.

4. A method according to claim 1, wherein the at least one elongated flexible member is a stylet.

5. A method according to claim 4, wherein the stylet is removably connected to the surgical device.

6. A method according to claim 1, wherein the at least one elongated flexible member comprises one removably connected stylet and at least two tethers.

7. A method according to claim 1, wherein the first set of multiple inflatable chambers are formed in two perpendicular directions with respect to each other.

8. A method according to claim 1, wherein the at least one wall is formed as a sleeve.

9. A method according to claim 1 , wherein the at least one wall forms a second set of multiple inflatable chambers of the at least one inflatable chamber which are in fluid connection, the chambers of the second set not being in fluid connection with the first set of multiple inflatable chambers of the at least one inflatable chamber.

10. A method according to claim 1 further comprising at least one conduit to guide instruments to the surgical device.

11. A method for positioning a surgical device in a human or animal body, the surgical device being suitable for application in a treatment performed on the human or animal body with an aim of providing access to a surgical site in the body, the surgical device comprising:

at least one inflatable chamber configured to be inflated from a collapsed state to an expanded state, and

at least one elongated flexible member, each elongated flexible member having a proximal end operatively connected to the surgical device, the method comprising the steps of;

inserting the surgical device in the collapsed state into the body,

inflating the at least one inflatable chamber to the expanded state such that the surgical device exerts a force on an organ or tissue at said surgical site,

guiding a distal end of the at least one elongated flexible member outside of the body,

positioning the distal end at a fixation site such that the at least one elongated flexible member is adapted to position the surgical device, and

fixing the distal end at the fixation site to fix the position of the surgical device,

wherein the at least one inflatable chamber comprises at least one wall, the at least one wall forming a first set of multiple inflatable chambers of the at least one inflatable chamber, which are in fluid connection,

wherein the first set of multiple inflatable chambers formed by the at least one wall are laterally contiguous,

wherein two neighboring chambers are laterally connected at a seam,

wherein each of the two neighboring chambers convexly bulges towards the seam,

wherein the first set of multiple inflatable chambers are part of one continuous tube rolled up to form multiple windings, each winding representing a chamber.

12. A method according to claim 11 further comprising electrocardiogram electrodes:

on the at least one inflatable chamber, or

in the at least one inflatable chamber.

13. A method according to claim 11 further comprising a luminescent fiber:

on the at least one inflatable chamber, or

in the at least one inflatable chamber.

14. A method according to claim 11, wherein the at least one elongated flexible member comprises at least one tether.

15. A method according to claim 14, wherein the at least one tether comprises at least two tethers.

16. A method for positioning a surgical device in a human or animal body, the surgical device being suitable for application in a treatment performed on the human or animal body with an aim of providing access to a surgical site in the body, the surgical device comprising:

at least one inflatable chamber configured to be inflated from a collapsed state to an expanded state, wherein the at least one inflatable chamber comprises at least one wall, the at least one wall forming a first set of multiple inflatable chambers of the at least one inflatable chamber, which are in fluid connection, the chambers formed by the at least one wall are laterally contiguous, two neighboring chambers are laterally connected at a seam and each of the two neighboring chambers convexly bulges towards the seam, wherein the inflatable chambersare part of one continuous tube rolled up to form the surgical device into multiple windings, each winding representing a chamber, wherein the windings form a cone, and

at least one elongated flexible member, each elongated flexible member having a proximal end operatively connected to the surgical device, the method comprising the steps of;

inserting the surgical device in the collapsed state into the body,

inflating the at least one inflatable chamber to the expanded state such that the surgical device exerts a force on an organ or tissue at said surgical site,

guiding a distal end of the at least one elongated flexible member outside of the body,

positioning the distal end at a fixation site such that the at least one elongated flexible member is adapted to position the surgical device, and

fixing the distal end at the fixation site to fix the position of the surgical device.

17. A method according to claim 16, wherein a bottom one of the windings of the cone is flexed outwardly from the cone to form a lateral entrance leading towards an interior of the cone.

18. A method according to claim 16, wherein the at least one elongated flexible member comprises at least one tether.

19. A method according to claim 18, wherein the at least one tether comprises at least two tethers.