Method and inflatable chamber apparatus for separating layers of tissue

• US 5,779,728 A
• Filed: 01/05/1996
• Issued: 07/14/1998
• Est. Priority Date: 05/29/1991
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Origin Medsystems Inc. (Boston Scientific Corporation)
• Inventors: Smith, Jeffrey A., Wallace, Daniel T., Lunsford, John P., Chin, Albert K., Gresl, Charles
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/583,563
• Time in Patent Office: 921 Days
• Field of Search: 606/190-200, 600/201, 600/204, 600/207, 600/210, 604/96-104
• US Class Current: 606/190
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• 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 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 2017/00261 Discectomy
• 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 2017/22059 transparent
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 2017/320048 Balloon dissectors
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/50 : Supports for surgical instruments, e.g. articulated arms

Abstract

An apparatus for tissue dissection and instrument anchoring, including a dissection balloon having a viewing window (preferably a rigid, transparent window) at its distal end, or including an anchoring or dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, and methods for using such apparatus. The window, which can be a lens (such as a wide angle lens), is transparent and either rigid or non-rigid but sufficiently strong to retain a desired optical shape while (and after) being pushed against tissue layers by a rigid instrument deployed within the balloon. In preferred embodiments, the balloon is a long-necked dissection balloon deployed through a cannula. In other embodiments, the invention is a dissection balloon having a viewing window at its distal end, or an anchoring or dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, for use in an apparatus for tissue dissection, tissue retraction, and instrument anchoring. In other embodiments, the invention is a dissection balloon assembly including a long-necked dissection balloon having a viewing window at its distal end, and a housing to which the dissection balloon'"'"'s mouth is attached.

Claims

1. A device for dissection of tissue layers, including:

a trocar having a distal end; and

a dissection balloon assembly attached to the distal end of the trocar, the dissection balloon including a distal end and a viewing window provided at the distal end, wherein the distal end of the dissection balloon defines an opening, the viewing window has a grooved side wall, and the grooved side wall is glued to the dissection balloon so that the viewing window is attached to the dissection balloon over the opening.

2. The device of claim 1, wherein the viewing window is made of rigid material.

3. The device of claim 1, wherein the viewing window has a recessed base for receiving an end of a rigid, elongated instrument.

4. The device of claim 3, wherein the rigid, elongated instrument is an endoscope.

5. The device of claim 1, wherein the viewing window is a lens.

6. The device of claim 5, wherein the viewing window is a wide angle lens.

7. A device for dissection of tissue layers, including:

a trocar having a distal end; and

a dissection balloon attached to the distal end of the trocar, the dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, wherein the dissection balloon has a distal end, a viewing window is provided at the distal end of the dissection balloon, the distal end of the dissection balloon defines an opening, the viewing window has a grooved side wall, and the grooved side wall is glued to the dissection balloon so that the viewing window is attached to the dissection balloon over the opening.

8. A device for dissection of tissue layers, including:

a trocar having a distal end; and

a dissection balloon attached to the distal end of the trocar, the dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, wherein the dissection balloon comprises a first sheet having a first elasticity, and a second sheet having a second elasticity bonded to the first sheet, wherein the second elasticity is substantially less than the first elasticity.

9. The device of claim 8, wherein the first sheet has a neck portion, and the second sheet is bonded to the first sheet so that the second sheet reinforces the neck portion.

10. The device of claim 8, wherein the first sheet and the second sheet have substantially the same size and shape.

11. The device of claim 10, wherein the first sheet has a neck portion, and wherein the dissection balloon also comprises a third sheet bonded to the first sheet so as to reinforce the neck portion.

12. A device for dissection of tissue layers, including:

a trocar having a distal end; and

a dissection balloon attached to the distal end of the trocar, the dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, wherein the dissection balloon comprises;

a first sheet;

a second sheet bonded to the first sheet; and

a third sheet bonded to a central portion of the second sheet, wherein the first sheet and the second sheet have substantially identical size, shape, and elasticity, and the third sheet has an elasticity substantially less than the elasticity of the second sheet.

13. A device for dissection of tissue layers, including:

a trocar having a distal end; and

a dissection balloon attached to the distal end of the trocar, the dissection balloon having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, wherein the dissection balloon comprises;

a first sheet; and

a second sheet bonded to the first sheet, wherein the first sheet and the second sheet have substantially identical size and shape, the second sheet has lateral end portions and a central portion between the lateral end portions, the first sheet and the lateral end portions of the second sheet have substantially identical elasticity, and the central portion of the second sheet has an elasticity substantially less than the elasticity of the first sheet.

14. The device of claim 13, wherein the lateral end portions and the central portion are portions of a single piece of material, but said material has greater thickness at the central portion than at the lateral end portions.