Pressure-responsive surgical tool assembly

• US 4,263,900 A
• Filed: 04/20/1979
• Issued: 04/28/1981
• Est. Priority Date: 04/20/1979
• Status: Expired due to Term

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Nicholson, James E.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Thaler, Michael H.
• Application Number:
  US06/031,720
• Time in Patent Office: 739 Days
• Field of Search: 128/15, 128/16, 128/20, 128/748, 128/344, 128/303 R
• US Class Current: 600/202
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: H01H 35/24 Switches operated by change of fluid pressure, by fluid pressure waves, or by change of fluid flow wherein the change of pressure is caused by change of temperature H01H37/36

Abstract

A pressure-responsive surgical tool assembly includes an inflatable enclosure and a pair of electrodes positioned therein. The electrodes are adapted to contact each other and operatively move away from each other under an increase of fluid pressure inside the enclosure until electrical contact is broken. An electrical lead is connected to each electrode for electrically monitoring the condition of electrode contact. A flexible tubing is connected to the enclosure to provide fluid flow therein to increase the pressure inside. A surgical tool overlies at least one of the electrodes and is adapted to transmit force applied from it to that associated electrode. Application of force by the tool initially causes the electrodes to contact each other and to remain in contact until the pressure inside the enclosure substantially balances the applied pressure from the tool whereupon electrode contact is broken.

Claims

1. A pressure-responsive surgical retractor tool assembly comprising:

an elongated inflatable enclosure having oppositely facing walls and having a distal end and having a proximal end;

means near said proximal end of said elongated enclosure for providing fluid flow into said enclosure;

a pair of thin electrode strips each fixed to its adjacent, oppositely facing wall and positioned within said enclosure in confronting relationship on said oppositely faced walls, each electrode strip extending axially along said elongated enclosure and terminating near said distal end;

said electrode strips adapted to contact each other when said envelope is in the uninflated, collapsed position and adapted to peel apart as said elongated enclosure is inflated and to break electrical contact therebetween only when the entire surfaces of the electrodes separate thereby permitting said electrodes to indicate the maximum pressure to which any part of the electrode is exposed;

an electrical lead connected to each electrode strip and extending outside of said enclosure;

elongated pouch means attacted to the outside of one of said oppositely facing walls for removably receiving a surgical tool; and

,

a surgical tool overlying at least one of said electrodes and adapted to transmit force applied from it to said associated electrode whereby application of said force by said tool against a surface of a patient initially causes said electrodes to contact each other and to remain in contact until the entire surfaces of the electrodes are separated so as to indicate the maximum pressure to which any part of the electrode is exposed whereupon electrode contact is broken.

2. The surgical tool assembly of claim 1 wherein said enclosure is a flexible housing adapted to expand when the volume inside said enclosure increases due to a pressure increase.

3. The surgical tool assembly of claim 2 wherein said tool includes a substantially flat retractor blade for transmitting said force, said blade overlying said associated electrode, and a handle attached to said blade, said handle extending beyond said enclosure to facilitate usage of the tool assembly by an operator.

4. The surgical tool assembly of claim 3 wherein said blade and said underlying electrode are substantially equivalent in surface to surface area so that the force from said blade may be transmitted to said underlying electrode from any point along the length of said blade.

5. The surgical tool assembly of claim 3 wherein said blade area significantly exceeds the mating surface area of said underlying electrode and said assembly further includes a fluid-filling pocket overlying the other of said electrodes so that said housing containing said electrodes is sandwiched between said pouch and fluid-filled pocket whereby force from said blade may be transmitted to underlying electrode from any point along the length of said blade.

6. The surgical tool of claim 2 wherein said electrodes are attached to the interior surface of opposite, facing walls of said housing with said walls being movable away from each other under an increase of fluid pressure inside said enclosure.

7. The surgical tool assembly of claim 6 wherein said housing and said electrodes are rectangularly shaped with each electrode covering a major portion of the respective wall to which each is attached.

8. The surgical tool assembly of claim 1 wherein said electrodes are flexible and are adapted to contact each other over less than their entire surface area in response to local force applications by said tool.

9. The surgical tool assembly of claim 1 wherein said means for providing fluid flow into said enclosure includes a length of flexible tubing attached to said enclosure, said tubing adapted to be connected at its remote end to a fluid source for supplying fluid to said enclosure, said tubing also serving to enclose said electrical leads from said electrodes so that an electrical connection can be made at the remote end of said tubing.

10. A pressure-responsive device for use with a surgical tool comprising:

an elongated inflatable enclosure having oppositely facing walls and having a distal end and a proximal end;

a pair of thin electrode strips positioned within said enclosure, said strips adapted to contact each other and operatively move away from each other under an increase in fluid pressure inside the enclosure until electrical contact is broken;

an electrical lead connected to each electrode;

means near the proximal end of said enclosure for providing fluid flow into said enclosure;

and elongated pouch means attached to the outside of one of said oppositely facing walls for removably receiving a surgical tool which is adapted to overlie at least one of said electrodes and to transmit force applied from it to said associated electrode.

11. An pressure-responsive retraction tool assembly comprising:

an inflatable, flexible housing having opposite facing walls;

a pair of thin, flexible electrode strips in said housing, each electrode strip attached to the interior surface of said opposite, facing walls of said housing, said housing and said electrode strips being substantially rectangularly shaped with each electrode strip covering a major portion o the respective facing wall to which each is attached, said electrode strips adapted to contact each other and operatively move away from each other under an increase of fluid pressure inside said housing until electrical contact is broken;

a length of flexible tubing have a connection end and a remote end, said connection end attached to said housing and said remote end adapted to be connected to a fluid source for supplying fluid to said housing;

an electrical lead connected to each electrode strip to provide an electrical connection therefor said leads extending out of said housing through said tubing and adapted to make an electrical connection at the remote end of said tubing;

a pouch fixed to the outside of one of said oppositely facing walls and having a closed distal end and an open proximal end, a surgical retraction tool including a substantially flat and rectangular retraction blade overlying one of said electrode strips and being slidably removably retained in position inside said pouch, said blade adapted to transmit force applied from it to said associated electrode strip, said tool further including a handle attached to said blade for facilitating use of said tool assembly.