Method and inflatable chamber apparatus for separating layers of tissue

• US 5,925,058 A
• Filed: 06/18/1997
• Issued: 07/20/1999
• Est. Priority Date: 05/29/1991
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Origin Medsystems Inc. (Eli Lilly and Company)
• Inventors: Wallace, Daniel T., Smith, Jeffrey A., Lunsford, John P., Chin, Albert K., Hlavka, Edwin J., Gresl, Charles
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/878,293
• Time in Patent Office: 762 Days
• Field of Search: 600/201, 600/204, 600/206, 600/207, 606/108, 606/190-200, 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 1/018 for receiving instruments
• CPC Class Codes: A61B 1/3132 for laparoscopy
• 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
• 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 90/361 : 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. In accordance with the method of the invention, the distal end of a long-necked dissection balloon (deployed through a cannula) is inserted between tissue layers and inflated to dissect the tissue layers. The dissection balloon has a window at its distal end, or nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics, or both such a window and such nonuniform elasticity.

Claims

1. A dissection balloon, including:

a mouth portion;

a distal portion shaped so that inflation of the dissection balloon when the distal portion is between two tissue layers dissects said tissue layers;

a neck portion between the mouth portion and the distal portion; and

a substantially transparent viewing window provided at the distal portion, wherein the distal portion defines an opening, and the viewing window is attached to the distal portion of the dissection balloon over the opening, the viewing window has a grooved side wall, and the grooved side wall is glued to the distal portion of the dissection balloon.

2. The balloon of claim 1, also including a housing attached to the mouth portion of the dissection balloon, said housing including a port means through which inflating fluid can be supplied to the dissection balloon.

3. The balloon of claim 1, also including a housing attached to the mouth portion of the dissection balloon, said housing including a valve means through which inflating fluid can be supplied to the dissection balloon.

4. The balloon of claim 1, wherein the viewing window is made of rigid material.

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

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

7. A balloon, including:

a mouth portion; and

a remaining portion having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics when the remaining portion is inserted between two tissue layers, to dissect said tissue layers or anchor an object connected to the balloon to said tissue layers, wherein the remaining portion comprises a first sheet having a first elasticity, and a second sheet having a second elasticity bonded to the first sheet, and wherein the second elasticity is substantially less than the first elasticity.

8. A dissection balloon, including:

a mouth portion; and

a remaining portion having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics when the remaining portion is inserted between two tissue layers, to dissect said tissue layers or anchor an object connected to the balloon to said tissue layers, wherein the remaining portion is shaped so that inflation of the dissection balloon when the remaining portion is between the two tissue layers dissects said tissue layers, and wherein the dissection balloon comprises;

a first sheet having a first elasticity and neck portion; and

a second sheet having a second elasticity bonded to the first sheet, wherein the second elasticity is substantially less than the first elasticity, and the second sheet is bonded to the first sheet so that the second sheet reinforces the neck portion.

9. A dissection balloon, including:

a mouth portion; and

a remaining portion having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics when the remaining portion is inserted between two tissue layers, to dissect said tissue layers or anchor an object connected to the balloon to said tissue layers, wherein the remaining portion comprises;

a first sheet and a second sheet, the first sheet and the second sheet have substantially the same size and shape, and the first sheet has a neck portion; and

a third sheet bonded to the first sheet so as to reinforce the neck portion.

10. A dissection balloon, including:

a mouth portion; and

a remaining portion having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics when the remaining portion is inserted between two tissue layers, to dissect said tissue layers or anchor an object connected to the balloon to said tissue layers, wherein the remaining portion 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.

11. The balloon of claim 10, wherein the remaining portion also comprises a fourth sheet bonded to a central portion of the first sheet, wherein the fourth sheet has an elasticity substantially less than that the elasticity of the first sheet.

12. A dissection balloon, including:

a mouth portion; and

a remaining portion having nonuniform elasticity selected to achieve desired inflated shape and pressure characteristics when the remaining portion is inserted between two tissue layers, to dissect said tissue layers or anchor an object connected to the balloon to said tissue layers, wherein the remaining portion 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.

13. The balloon of claim 12, wherein the lateral end portion 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.