Retractor system for internal in-situ assembly during laparoscopic surgery
First Claim
1. A method of laparoscopic surgery, the method comprising:
- providing a trocar port operably disposed within a first abdominal incision opening;
providing an incision-adaptable sealed port operably disposed within a second abdominal incision opening;
introducing a spatulate element through the incision-adaptable port, the spatulate element having a transverse clearance dimension of at least about 2 centimeters and a proximal coupling portion;
introducing an elongate positioner dimensioned to extend through the trocar port and having a distal coupling portion;
joining the coupling portions of the spatulate element and the positioner to define a tissue retractor;
removing an internal organ or other tissue from the operating area in order to make room and increase visibility for the laparoscopic intervention;
disconnecting the coupling portion of said spatulate element and said positioner; and
withdrawing said positioner and said spatulate element.
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Accused Products
Abstract
A method of laparoscopic (or robotic) surgery, using a hand-port, comprising providing a trocar port operably disposed within a first abdominal incision opening of a patient, providing a hand-port operably disposed within a second abdominal incision opening, introducing an elongate positioner dimensioned to extend through the trocar, introducing a spatulate element through the hand port and joining the spatulate element to the positioner. The procedure further comprises removing an internal organ or other tissue from the operating area in order to make room and add visibility for the laparoscopic intervention, detaching the spatulate element from the positioner, and withdrawing the positioner through the trocar port and the spatulate through the hand port.
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Citations
17 Claims
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1. A method of laparoscopic surgery, the method comprising:
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providing a trocar port operably disposed within a first abdominal incision opening; providing an incision-adaptable sealed port operably disposed within a second abdominal incision opening; introducing a spatulate element through the incision-adaptable port, the spatulate element having a transverse clearance dimension of at least about 2 centimeters and a proximal coupling portion; introducing an elongate positioner dimensioned to extend through the trocar port and having a distal coupling portion; joining the coupling portions of the spatulate element and the positioner to define a tissue retractor; removing an internal organ or other tissue from the operating area in order to make room and increase visibility for the laparoscopic intervention; disconnecting the coupling portion of said spatulate element and said positioner; and withdrawing said positioner and said spatulate element. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A laparoscopic surgical method requiring anterior spine exposure of a patient, the method comprising:
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providing a trocar operably disposed within a first abdominal incision opening; providing a hand-port operably disposed within a second abdominal incision opening; introducing an elongate positioner dimensioned to extend through the trocar port and having a distal coupling portion; introducing a spatulate element through the hand port, the spatulate element having a transverse clearance dimension of at least about 2 centimeters and a proximal coupling portion; joining the coupling portions of the spatulate element and the positioner to define a tissue retractor; removing an internal organ or other tissue to increase visibility of a spinal disc space; disconnecting the coupling portion of each said spatulate element and said positioner; and withdrawing said positioner and said spatulate element.
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11. A retractor system for use in a hand-assisted laparoscopic procedure having a trocar port and a hand port, the system comprising:
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an elongate positioner dimensioned for insertion through the trocar port and having a distal coupling portion; and a fixed profile spatulate element having a proximal coupling portion and a transverse clearance dimension of at least 2 centimeters, wherein the distal coupling portion and the proximal coupling portion together define a detachable joint. - View Dependent Claims (12, 13, 14, 15)
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16. A kit assembly according to the present invention for use during laparoscopic surgery with an instrument having an elongate body portion dimensioned for insertion through a trocar port and terminating in distal ends, the kit comprising:
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first and second coupling adapters each having a clamp for engaging the elongate body and a distal coupling feature; first and second spatulate elements each having a proximal coupling portion and a transverse clearance dimension of at least about 2 centimeters, wherein said proximal coupling portion and said distal coupling feature together define a detachable joint. - View Dependent Claims (17)
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Specification