Method for lifting a body wall using an inflatable lifting apparatus

• US 5,836,871 A
• Filed: 06/10/1996
• Issued: 11/17/1998
• 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: Wallace, Daniel T., Smith, Jeffery A., Mandato, Joseph, Moll, Frederic H., Mueller, Richard
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US08/660,728
• Time in Patent Office: 890 Days
• Field of Search: 606/192, 600/204, 600/207, 604/101
• US Class Current: 600/204
• 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 17/3462 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 2017/306 holding by means of suction
• 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 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

An apparatus deployed through a laparoscopic incision in a body wall to apply an external lifting force over a large area of the body wall. The apparatus comprises a body wall engaging element and an elongate lifting member. The body wall engaging element is capable of passing in a packaged state through the laparoscopic incision, is inflatable to an inflated state, and includes, in the inflated state, a plane lifting surface. The elongate lifting member includes a distal portion connected to the plane lifting surface, and capable of passing through the laparoscopic incision. A proximal portion receives the external lifting force in a direction that moves the body wall engaging element into contact with the body wall. A method for lifting a body wall by applying an external lifting force to a large area of the body wall through a laparoscopic incision. The lifting device is provided that includes an body wall engaging element capable of passing through the laparoscopic incision in a packaged state. The lifting device also includes a lifting member including a distal portion to which the body wall engaging element is connected. The body wall engaging element and the distal portion of the lifting member are advanced through the laparoscopic incision. The body wall engaging element is inflated to an inflated state to provide a plane lifting surface. Finally, the external lifting force is applied to the proximal portion of the lifting member to move the lifting surface into contact with the body wall.

Claims

1. A method for lifting a body wall by applying an external lifting force to a large area of the body wall through a laparoscopic incision, the method comprising the steps of:

providing a lifting device, the lifting device including a body wall engaging element having a bore and further including a packaged state in which the body wall engaging element forms a package capable of passing through the laparoscopic incision, and a lifting member, the lifting member including a distal portion whereto the body wall engaging element is connected, and a proximal portion and further providing an inflatable retractor;

with the body wall engaging element in the packaged state, advancing the body wall engaging element through the laparoscopic incision;

inflating the body wall engaging element to an inflated state to release the body wall engaging element from the packaged state and to provide a plane lifting surface;

with the body wall engaging element oriented such that the plane lifting surface extends laterally of the distal portion of the lifting member, applying the external lifting force to the proximal portion of the lifting member to move the lifting surface into contact with the body wall;

passing the inflatable retractor in a packaged state through the bore from outside the body wall,

inflating the inflatable retractor to an inflated state, and

applying an external retraction force to the inflatable retractor in a direction substantially opposite to the direction of the lifting force, to retract tissue underlying the body wall using the inflated inflatable retractor.

2. The method of claim 1, wherein the inflatable retractor is provided to include:

a retraction element capable of passing in a packaged state through the bore of the lifting member, and being inflatable to the inflated state, the retraction element in the inflated state including a plane retraction surface, and

an elongate operating member including a distal portion connected to the retraction element and capable of passing through the bore of the lifting member, and a proximal portion.