DEVICE AND METHOD FOR ROLLING AND INSERTING A PROSTHETIC PATCH INTO A BODY CAVITY

• US 20110034942A1
• Filed: 09/24/2010
• Published: 02/10/2011
• Est. Priority Date: 02/18/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Polytouch Medical Ltd. (Medtronic Plc)
• Inventors: Levin, Ofek, Levy, Arie
• Granted Patent: US 8,317,808 B2
• Time in Patent Office: Days
• US Class Current: 606/151
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/0053 Loading magazines or sutures into applying tools
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: Y10T 29/53 Means to assemble or disassemble

Abstract

This invention generally relates to minimal invasive surgery. More specifically the current invention relates to an apparatus especially adapted to fold prosthetic patches and to insert said patches into a body cavity through a cannula or an incision.

Claims

1. A device for facilitating rolling of a surgical mesh onto a surgical instrument, the device comprising a sleeve having a slit along a length of the sleeve, wherein the sleeve has an open configuration for operably coupling with an unrolled mesh on a surgical instrument, and a closed configuration for facilitating rolling of the mesh onto the instrument.

2. The device according to claim 1, wherein the sleeve comprises:

a first portion; and

a second portion, wherein the first and second portion are hingedly connected.

3. The device according to claim 1, further comprising a locking mechanism for locking the sleeve when it is in the closed configuration.

4. The device according to claim 3, wherein the locking mechanism further comprises a member that provides for automatic release of the locked sleeve once the patch is at least partially inserted into a body cavity.

5. The device according to claim 1, further comprising an insertion tip.

6. The device according to claim 1, further comprising a plurality of rigid members connected to a distal end of the sleeve.

7. The device according to claim 6, wherein the rigid members are fins.

8. The device according to claim 7, wherein the fins open a valve of a port.

9. The device according to claim 7, wherein the fins cause spreading of a subcutaneous layer of tissue.

10. The device according to claim 1, wherein the mesh is a patch.

11. The device according to claim 10, wherein the instrument is a patch deployment apparatus or a laparoscopic grasper.

12. The device according to claim 1, further comprising a member at a distal portion of the sleeve that prevents bucking of a shaft of a patch deployment apparatus or a laparoscopic grasper.

13. A device for facilitating rolling of a mesh onto a surgical instrument, the device comprising:

a sleeve having a slit along a length of the sleeve, wherein the sleeve has an open configuration for operably coupling with an unrolled mesh on a surgical instrument, and a closed configuration for facilitating rolling of the mesh onto the instrument; and

a plurality of rigid members connected to a distal end of the sleeve.

14. The device according to claim 13, wherein the rigid members are fins.

15. The device according to claim 14, wherein the fins open a valve of a port.

16. The device according to claim 14, wherein the fins cause spreading of a subcutaneous layer of tissue.

17. The device according to claim 13, wherein the sleeve comprises:

a first portion; and

a second portion, wherein the first and second portion are hingedly connected.

18. The device according to claim 13, further comprising a locking mechanism for locking the sleeve when it is in the closed configuration.

19. The device according to claim 18, wherein the locking mechanism further comprises a member that provides for automatic release of the locked sleeve once the patch is at least partially inserted into a body cavity.

20. The device according to claim 13, wherein the mesh is a patch.

21. The device according to claim 20, wherein the instrument is a patch deployment apparatus.

22. The device according to claim 13, further comprising a member at a distal portion of the sleeve that prevents bucking of a shaft of a patch deployment apparatus or a laparoscopic grasper.

23. A method for facilitating rolling of a mesh onto a surgical instrument, the method comprising:

operably coupling a device that facilitates rolling of a mesh to an unrolled mesh on a surgical instrument; and

using the device to thereby roll the mesh on the instrument.

24. The method according to claim 23, further comprising prior to the coupling step, placing the unrolled mesh onto the surgical instrument.

25. The method according to claim 24, further comprising prior to the coupling step, attaching the unrolled mesh to the instrument via a clip.

26. The method according to claim 23, wherein the mesh is a patch.

27. The method according to claim 26, wherein the instrument is a patch deployment apparatus.

28. The method according to claim 23, wherein the device comprises a sleeve having a slit along a length of the sleeve, wherein the sleeve has an open configuration for operably coupling with an unrolled mesh on a surgical instrument, and a closed configuration for facilitating rolling of the mesh onto the instrument.

29. The method according to claim 28, wherein the sleeve further comprises a plurality of rigid members connected to a distal end of the sleeve.

30. The method according to claim 29, further comprising advancing the instrument such that the fins of the sleeve open a closed valve, thereby allowing advancement of the instrument having the rolled mesh into a patient.

31. The method according to claim 29, further comprising advancing the instrument such that the fins of the sleeve spread apart a subcutaneous layer of tissue, thereby allowing advancement of the instrument having the rolled mesh into a patient.

32. A clip, the clip comprising:

a body that is configured to move between an open position and a closed position; and

a plurality of members that extend from the body and are oriented at an angle to the body.

33. The clip according to claim 32, wherein the members are located at a proximal end of the body.

34. The clip according to claim 33, wherein the members are oriented at 90°

to the body.

35. The clip according to claim 32, wherein the body comprises:

a first elongate member;

a second elongate member, wherein the first and second members are hingedly connected at a proximal portion of the members; and

a spring positioned between the first and second members at a distal portion of the members.