Mechanical tissue expander

• US 5,882,353 A
• Filed: 04/11/1994
• Issued: 03/16/1999
• Est. Priority Date: 04/11/1994
• Status: Expired due to Fees

• Current Assignee: PMT Corporation
• Original Assignee: PMT Corporation
• Inventors: Iversen, Alfred Abner, VanBeek, Allen L.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/225,884
• Time in Patent Office: 1,800 Days
• Field of Search: 623/7, 623/8, 623/11, 623/26, 606/191, 128/899
• US Class Current: 623/8
• 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

Abstract

The invention relates to a mechanical tissue expansion device for use in the reconstruction or augmentation of a portion of an individual'"'"'s body. The invention includes a pair of tissue expansion plates which may be substantially flat or which may include an arcuate curved shape. Each of the tissue expansion plates has a plurality of apertures therethrough in order to facilitate the ingrowth of natural tissue within an enlarged cavity. The tissue expansion plates are mechanically separated by a means for expansion which preferably includes a cylinder having three telescopically expanding rods engaged thereto. The means for expansion is incrementally regulated by an operating means. The operating means preferably includes tubing engaged to the cylinder and to a port having a silicone membrane, for receipt of incremental portions of saline solution or water for telescopic expansion of the rods from the cylinder. In alternative embodiments, the means for expansion may include a rotatable flexible threaded arm for expansion of the rods from the cylinder, a worm gear engaged to a keyed-threaded surface for expansion of the rods from the cylinder, or a hydraulic cylinder engaged to expansible linkages for separation of the tissue expansion plates from each other. In the alternative embodiments, the operating means may include motors, batteries, drive shafts, and various gears for incremental enlargement of the means for expansion.

Claims

1. A removable mechanical tissue expansion appliance comprising a pair of tissue expansion plates mounted to a means for incremental expansion for separating said tissue expansion plates outwardly from each other for establishment of a cavity whereby said cavity is filled with ingrowth over time of natural tissue for permanent tissue expansion, said means for expansion comprising:

(a) a cylinder and at least two rods telescopically engaged to each other and to said cylinder, said cylinder having a channel and a valve in flow communication therewith;

(b) an operating means in flow communication with said channel for incremental expansion of said rod from said cylinder; and

(c) a spring means for actuating said valve into a sealed and closed position terminating communication between said cylinder and said operating means.

2. The removable mechanical tissue expansion appliance according to claim 1, said operating means comprising a hose having an outlet and a port, said outlet engaging said channel, said port comprising a membrane for receipt of incremental portions of saline solution or water for communication through said hose for incremental expansion of said rod from said cylinder, and incremental expansion of said tissue expansion plates for incremental enlargement of said cavity.

3. The removable mechanical tissue expansion appliance according to claim 1, wherein said valve is a one-way check valve having a cylindrical plug for sealing and terminating communication between said cylinder and said operating means.

4. The removable mechanical tissue expansion appliance according to claim 1, wherein said means for expansion receives water or saline solution for telescopic expansion of said rod from said cylinder.

5. The removable mechanical tissue expansion appliance according to claim 4, wherein said channel further comprises an inlet.

6. The removable mechanical tissue expansion appliance according to claim 5, wherein said operating means further comprises an outlet engaged to said inlet for receipt of incremental portions of saline solution or water for telescopic expansion of said rod from said cylinder.

7. The removable mechanical tissue expansion appliance according to claim 3, wherein said spring means further comprises a spring engaged to said cylindrical plug for sealing communication between said cylinder and said operating means.

8. The removable mechanical tissue expansion appliance according to claim 1, said means for expansion comprising:

(a) a cylinder and a rod telescopically engaged within said cylinder, said cylinder having a channel having an umbrella-shaped one-way valve within said cylinder; and

(b) an operating means communicating with said channel for incremental enlargement of said cylinder.

9. The removable mechanical tissue expansion appliance according to claim 1, further comprising:

a third rod having a diameter smaller than each of said at least two rods telescopically engaged within, and sealed to, one of said at least two rods for vertical expansion therefrom for incremental enlargement of said cavity.

10. A removable mechanical tissue expansion appliance comprising:

(a) a pair of tissue expansion plates where one of said tissue expansion plates is mounted to a cylinder;

(b) a first rod having a diameter telescopically engaged within, and sealed to, said cylinder for vertical expansion therefrom for incremental enlargement of said cavity;

(c) a second rod having a diameter smaller than said first rod, telescopically engaged within, and sealed to, said first rod for vertical expansion therefrom for incremental enlargement of said cavity;

(d) a third rod having a diameter smaller than said second rod, telescopically engaged within, and sealed to, said second rod for vertical expansion therefrom for incremental enlargement of said cavity;

(e) the other tissue expansion plate being mounted to said third rod;

(f) an operating means communicating with said cylinder for expansion of said first, second, and third rods, said operating means being releasably sealed for incremental expansion of said first, second, and third rod and incremental enlargement of said cavity, where said cavity is filled with ingrowth of natural tissue for permanent tissue expansion;

(g) a channel having a valve communicating with said cylinder and said operating means; and

(h) a spring means for actuating said valve into a sealed and closed position terminating communication between said cylinder and said operating means.

11. A removable mechanical tissue expansion appliance comprising:

(a) a pair of tissue expansion plates where one of said tissue expansion plates is mounted to a cylinder;

(b) a first rod having a diameter telescopically engaged within, and sealed to, said cylinder for vertical expansion therefrom for incremental enlargement of said cavity;

(c) a second rod having a diameter smaller than said first rod, telescopically engaged within, and sealed to, said first rod for vertical expansion therefrom for incremental enlargement of said cavity;

(d) a third rod having a diameter smaller than said second rod, telescopically engaged within, and sealed to, said second rod for vertical expansion therefrom for incremental enlargement of said cavity;

(e) the other tissue expansion plate being mounted to said third rod;

(f) an operating means having an outlet, a hose, and a port having a silicone membrane for receipt of incremental portions of saline solution or water for telescopic expansion of said rods from said cylinder, said operating means for communicating with said cylinder for incremental enlargement of said cavity where said cavity is filled with ingrowth of natural tissue for permanent tissue expansion;

(g) a channel having a valve communicating with said cylinder and said operating means; and

(h) a spring means for actuating said valve into a sealed and closed position terminating communication between said cylinder and said operating means.

12. A removable mechanical tissue expansion appliance comprising a pair of tissue expansion plates mounted to a means for incremental expansion for separating said tissue expansion plates outwardly from each other for establishment of a cavity whereby said cavity is filled with ingrowth over time of natural tissue for permanent tissue expansion, wherein each of said pair of tissue expansion plates further comprises a plurality of apertures for passing engagement of natural tissue for ingrowth within said cavity.

13. The removable mechanical tissue expansion appliance according to claim 12, wherein said tissue expansion plates are arcuate in shape.