Self-deployed inflatable retractor

• US 5,308,327 A
• Filed: 11/25/1991
• Issued: 05/03/1994
• Est. Priority Date: 11/25/1991
• Status: Expired due to Term

• Current Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Advanced Surgical, Inc. (Imagyn Medical Technologies, Inc.)
• Inventors: Heaven, Malcolm D., Shapiro, Stephen J.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US07/797,727
• Time in Patent Office: 890 Days
• Field of Search: 128/3, 128/20, 606/127, 606/191-192, 606/195, 606/198, 604/96, 604/104-106
• US Class Current: 604/103.09
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 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 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: B29L 2031/7138 Shock absorbing
• CPC Class Codes: Y10S 128/24 Medical-surgical bags

Abstract

A medical device such as a retractor or isolation bag including an inflatable member which expands from a collapsed configuration to an expanded configuration when pressurized gas or liquid is supplied thereto. The member can include a plurality of fluid channels, ribs and pre-shaped wire members. The device is inserted into a body cavity through a tube. The device can also be actuated by a honeycomb reinforcing structure with or without the use of pressurized fluid. The device can be manufactured by forming one or more air conduits in a member of expandable material or by enclosing a honeycomb reinforcing structure in a polymer material.

Claims

1. A medical device usable within a body cavity comprising:

an inflatable and collapsible retractor blade, the retractor blade having a first configuration in a collapsed state and a second configuration in an expanded state, the retractor blade including a substantially flat planar section in the expanded state, the the retractor blade being introducible into a body cavity by passing the retractor blade through a tube while the retractor blade is in the collapsed state, and the retractor blade being expandable from the first configuration to the second configuration when the retractor blade is inserted into the cavity beyond an end of the tube; and

fluid actuating means for expanding the retractor blade from the first configuration to the second configuration, the fluid actuating means comprising a conduit supported by the retractor blade, the retractor blade being expanded into the second configuration by supplying pressurized gas or liquid to the conduit.

2. The device of claim 1, wherein the retractor blade includes an atraumatic surface thereon.

3. The device of claim 1, wherein the retractor blade comprises a polymeric material selected from the group consisting of PVC, PVC copolymers, chlorinated polyethylene, ethylene ethyl acrylate copolymers, butadiene styrene block copolymers, polyethylene terephthalate, ionomers, polyisoprene, silicones, polyethylene, polyethylene copolymers, ethylene vinyl acetate copolymers, fluoropolymers, polyvinylidene fluoride, polyvinylidene fluoride copolymers, polypropylene copolymers, nylons such as but not limited to nylon 6.6, polyurethanes and other suitable polymers, blends and mixtures thereof.

4. The device of claim 1, wherein the retractor blade comprises a woven fabric or a sewn fabric having a fluid impervious coating.

5. The device of claim 1, wherein the fluid actuating means further comprises a plurality of fluid channels communicating with the conduit.

6. The device of claim 1, wherein the retractor blade includes reinforcing means supported by the retractor blade, the reinforcing means being selected from the group consisting of ribs and pre-shaped wire members.

7. The device of claim 1, further comprising an inner hollow tube attached to the retractor blade and an outer hollow tube for delivery of the retractor blade to a body cavity, the retractor blade having a distal end and a proximal end, the outer tube having a distal end and a proximal end, the retractor blade being slidable within the outer tube and being expandable to the second configuration at a position outwardly of the distal end of the outer tube, the distal end of the inner tube being attached to the proximal end of the retractor blade and the inner tube having a passageway communicating with the conduit of the retractor blade for inflation thereof.

8. The device of claim 7, further comprising a manually operable handle on a proximal end of the inner hollow tube, and a sliding carrier attached to the distal end of the inner hollow tube and providing a seal between an inner periphery of the inner tube and an inner periphery of the inner hollow tube.

9. A medical device usable within a body cavity comprising:

an inflatable and collapsible retractor blade, the retractor blade having a first configuration in a collapsed state and a second configuration in an expanded state, the retractor blade being introducible into a body cavity by passing the retractor blade through a tube while the retractor blade is in the collapsed state, and the retractor blade being expandable from the first configuration to the second configuration when the retractor blade is inserted into the cavity beyond an end of the tube; and

fluid actuating means for expanding the retractor blade from the first configuration to the second configuration, the fluid actuating means comprising a first and second conduits supported by the retractor blade, the retractor blade being expanded into the second configuration by supplying pressurized gas or liquid to the first and second conduits, the second conduit being discrete from and not in communication with the first conduit whereby the first conduit and the second conduit can each be supplied with pressurized fluid at different pressures.

10. A medical device usable within a body cavity comprising:

an outer hollow tube;

an inflatable and collapsible retractor blade, the retractor blade having a first configuration in a collapsed state and a second configuration in an expanded state, the retractor blade being introducible into a body cavity by passing the retractor blade through the outer tube while the retractor blade is in the collapsed state, and the retractor blade being expandable from the first configuration to the second configuration when the retractor blade is inserted into the cavity beyond a distal end of the outer tube;

fluid actuating means for expanding the retractor blade from the first configuration to the second configuration, the fluid actuating means comprising a conduit supported by the retractor blade, the retractor blade being expanded into the second configuration by supplying pressurized gas or liquid to the conduit;

an inner hollow tube for delivery of the retractor blade to a body cavity, the retractor blade having a distal end and a proximal end, the inner hollow tube having a distal end and a proximal end, the retractor blade being slidable within the outer hollow tube and being expandable to the second configuration at a position outwardly of the distal end of the outer hollow tube, the distal end of the inner hollow tube being attached to the proximal end of the retractor blade and the inner hollow tube having a passageway communicating with the conduit of the retractor blade for inflation thereof; and

means to release the inflatable and collapsible retractor blade from the inner hollow tube when the retractor blade is in its second configuration beyond the distal end of the outer hollow tube.

11. A medical device usable within a body cavity comprising:

an outer hollow tube;

an inflatable and collapsible retractor blade, the retractor blade having a first configuration in a collapsed state and a second configuration in an expanded state, the retractor blade being introducible into a body cavity by passing the retractor blade through the outer tube while the retractor blade is in the collapsed state, and the retractor blade being expandable from the first configuration to the second configuration when the retractor blade is inserted into the cavity beyond a distal end of the outer tube;

fluid actuating means for expanding the retractor blade from the first configuration to the second configuration, the fluid actuating means comprising a conduit supported by the retractor blade, the retractor blade being expanded into the second configuration by supplying pressurized gas or liquid to the conduit;

an inner hollow tube for delivery of the retractor blade to a body cavity, the retractor blade having a distal end and a proximal end, the inner hollow tube having a distal end and a proximal end, the retractor blade being slidable within the outer hollow tube and being expandable to the second configuration at a position outwardly of the distal end of the outer hollow tube, the distal end of the inner hollow tube being attached to the proximal end of the retractor blade and the inner hollow tube having a passageway communicating with the conduit of the retractor blade for inflation thereof; and

means to release the inflatable and collapsible retractor blade from the inner hollow tube when the retractor blade is in its second configuration beyond the distal end of the outer hollow tube, the retractor blade including means to interdigitate the inflatable and collapsible retractor blade with another inflatable and collapsible retractor blade within a body cavity.

12. A medical device usable within a body cavity comprising:

an outer hollow tube;

an inflatable and collapsible retractor blade, the retractor blade having a first configuration in a collapsed state and a second configuration in an expanded state, the retractor blade being introducible into a body cavity by passing the retractor blade through the outer tube while the retractor blade is in the collapsed state, and the retractor blade being expandable from the first configuration to the second configuration when the retractor blade is inserted into the cavity beyond a distal end of the outer tube; and

fluid actuating means for expanding the retractor blade from the first configuration to the second configuration, the fluid actuating means comprising a conduit supported by the retractor blade, the retractor blade being expanded into the second configuration by supplying pressurized gas or liquid to the conduit;

an inner hollow tube for delivery of the retractor blade to a body cavity, the retractor blade having a distal end and a proximal end, the inner hollow tube having a distal end and a proximal end, the retractor blade being slidable within the outer hollow tube and being expandable to the second configuration at a position outwardly of the distal end of the outer hollow tube, the distal end of the inner hollow tube being attached to the proximal end of the retractor blade and the inner hollow tube having a passageway communicating with the conduit of the retractor blade for inflation thereof; and

means to articulate the inflatable and collapsible retractor blade beyond the distal end of the outer hollow tube.