Apparatus for retracting an incision and inflating an abdominal cavity

• US 5,522,791 A
• Filed: 08/31/1994
• Issued: 06/04/1996
• Est. Priority Date: 08/31/1994
• Status: Expired due to Fees

• Current Assignee: Horacio A. Leyva
• Original Assignee: Horacio A. Leyva
• Inventors: Leyva, Horacio A.
• Primary Examiner(s): Thaler, Michael H.
• Assistant Examiner(s): MARKOW, SCOTT
• Application Number:
  US08/298,930
• Time in Patent Office: 643 Days
• Field of Search: 128/20, 606/198, 606/192, 606/1, 604/174, 604/167, 604/26, 600/207
• US Class Current: 600/207
• 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 17/0293 with ring member to support retractor elements
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

An abdominal retractor comprising a deformable annular-shaped member with an opening therethrough, which is structured and dimensioned for retracting a linear incision in the abdomen and forming the surrounding tissue into a generally circular configuration, thereby providing an access opening into the abdominal cavity large enough for a hand. The annular member is also adapted to contact the retracted abdominal tissues so as to provide a sealing engagement therebetween. A collapsible sleeve is joined to the annular member and is disposed for extension exterior to the abdomen. The sleeve is structured to enable an arm member to be sealingly yet movably enclosed therein such that a hand at the end of the arm member can be introduced through the access opening into the abdominal cavity. The retractor further includes means through which the abdominal cavity can be inflated with gas such as carbon dioxide (CO₂).

Claims

1. An abdominal retractor to be inserted into an incision made in a patient'"'"'s abdomen, said retractor comprising:

(A) a resilient deformable generally annular shaped member, said annular member including an upper wall and a lower wall defining a generally annular recessed channel therebetween, said recessed channel being of sufficient size so as to engage abdominal tissues about the incision into said recessed channel in sandwiching relation between the upper and lower walls of said annular member, said annular member defining an access opening about the incision sized large enough for an arm member to pass therethrough into an abdominal cavity;

(B) an inflatable member disposed within said recessed channel of said annular member, said inflatable member being structured and disposed to expand upon inflation so that an inner surface of said inflatable member sealingly engages said annular member and an outer surface of said inflatable member sealingly engages the abdominal tissues;

(C) a sleeve having a proximal end joined to said annular member in surrounding fashion and adapted to extend exteriorly from the abdomen to form a cylindrical shaped passageway for introduction therethrough of the arm member; and

(D) means for tightly securing said sleeve to the arm member so as to create a seal therebetween.

2. A retractor as recited in claim 1 further comprising an inflation tube operably connected to said annular member, said inflation tube including means for delivering gas into said abdominal cavity.

3. A retractor as recited in claim 1, further comprising an inflation valve operably connected to said sleeve, said inflation valve providing means for delivering gas into said sleeve and abdominal cavity.

4. A retractor as recited in claim 1 further comprising at least one finger extension projecting outwardly from said lower wall of said annular member, said at least one finger extension being structured and disposed for preventing said annular member from being disengaged from said abdominal tissues.

5. A retractor as recited in claim 1 further comprising tubular means operably connected to said inflatable member and structured and disposed for inflating said inflatable member.

6. A retractor as recited in claim 5 wherein said annular member includes an aperture formed in said upper wall and said tubular means further comprising a tubular member having a first end, a second end, and a middle section, said first end being positioned exterior to said upper wall of said annular member, said middle section passing through said aperture in said annular member and said second end being operably connected to said inflatable member.

7. A retractor as recited in claim 6 wherein said first end of said tubular member is structured and disposed to be operably connected to an inflation means.

8. A retractor as recited in claim 1 wherein said upper wall includes an aperture therein and an inflation tube passes through said aperture.

9. A retractor as recited in claim 1 wherein said means for securing said sleeve to said arm member comprise a fastening strap.

10. A retractor as recited in claim 1 wherein said means for securing said sleeve to said arm member comprise a gripping loop at a distal end of said sleeve.

11. A retractor as recited in claim 1 wherein said lower wall comprises a generally flat annular base and said recessed channel including a circumferential side wall operably joined in a substantially perpendicular orientation to said base for directing an outwardly pressure against the abdominal tissues surrounding said incision.

12. A retractor as recited in claim 11 wherein said flat annular base further comprises a smooth relatively wide surface area for adhering against an undersurface of the abdomen wall surrounding said incision for providing a substantially sealing engagement between said smooth relatively wide surface area and the abdomen wall.

13. A retractor as recited in claim 12 further comprising an inflation tube operably connected to said annular member, said inflation tube including means for delivering a gas into said abdominal cavity.

14. A retractor as recited in claim 12, further comprising an inflation valve operably connected to said sleeve, said inflation valve providing means for delivering a gas into said sleeve and abdominal cavity.

15. A retractor as recited in claim 1 further comprising a means for lighting the abdominal cavity, said means being partially deformable.

16. A retractor as recited in claim 1, wherein the arm member is a surgical instrument such as a robotic end effector.

17. A retractor as recited in claim 1, wherein the arm member is a human hand.

18. A method for retracting an abdominal incision comprising the steps of:

providing an abdominal retractor as recited in claim 1, comprising said deformable, resilient, generally annularly shaped member;

deforming said resilient, generally annularly shaped member structured and shaped to engage the tissues surrounding the abdominal incision;

inserting said deformed annular shaped member into said incision;

allowing said annular member to return to an original, undeformed shape wherein the tissues surrounding said incision are retracted so as to define an access opening sized large enough for the arm member to pass therethrough into the abdominal cavity, and

inflating said inflatable member to provide a seal between said annular member and said tissues surrounding said incision.

19. The method of claim 18 further comprising the steps of:

providing a flexible sleeve connected to said annular member;

inserting, after forming said seal between said annular member and the tissues surrounding the incision, said arm member into said flexible sleeve and through said access opening, said sleeve operably and sealingly connected to said annular member, and

fastening said sleeve to said arm member with said securing means to provide a sealed enclosure about said arm member.

20. The method of claim 19 further comprising the steps of:

providing an inflation tube for inflating the abdominal cavity;

inflating the abdominal cavity, after providing a sealed enclosure about the arm member, by inserting said inflation tube through said sleeve to provide an inflation path into the abdominal cavity to inflate the abdominal cavity.