Inflatable devices for separating layers of tissue, and methods of using

• US 6,361,543 B1
• Filed: 03/18/1997
• Issued: 03/26/2002
• Est. Priority Date: 05/29/1991
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Smith, Jeffrey A., Moll, Frederic H., Lunsford, John P., Chin, Albert K.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/828,751
• Time in Patent Office: 1,834 Days
• Field of Search: 606/190-200, 600/201, 600/204, 600/207, 604/96-104
• US Class Current: 606/190
• 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 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• 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 and method for separating a first layer of tissue from a second layer of tissue. An inflatable balloon is mounted to a delivery device. The inflatable balloon has a first, inwardly-displaced portion which everts when the balloon is inflated. The balloon is inserted into a patient between the first and second tissue layers when the balloon is in the deflated state. The balloon is then inflated so that the first portion is everted thereby minimizing trauma to the tissue layers.

Claims

1. A method of separating tissue layers, comprising the steps of:

(a) providing an inflatable balloon having an interior surface which defines an opening for receiving fluid for inflating the balloon, said balloon having a deflated state and an inflated state;

(b) when the balloon is in the deflated state with the interior surface substantially surrounding a first volume, displacing a first portion of the balloon inwardly;

(c) after step (b) but before inflating the balloon, inserting the balloon into a patient;

(d) after step (c), inflating the balloon to separate adjacent tissue layers in the patient, the first portion of the balloon being everted during inflation of the balloon;

(e) after step (b), but before step (c), inserting a rolling device into the first volume;

(f) after step (e), but before step (c), grasping the first portion of the balloon with the rolling device; and

(g) after step (f), but before step (c), rotating the rolling device so that the first portion of the balloon is rolled into a first roll.

2. The method of claim 1, further comprising the steps of:

(h) after step (g), but before step (c), displacing a second portion of the balloon inwardly;

(i) after step (h), but before step (c), grasping the second portion of the balloon with the rolling device; and

(j) after step (i), but before step (c), rotating the rolling device so that the second portion of the balloon is rolled into a second roll.

3. The method of claim 2, wherein step (a) includes the steps of providing a support structure having a fluid path, the inflatable balloon being attached to the support structure with at least a portion of the support structure extending through the opening such that, when said inflatable balloon is in the deflated state, the first volume is fluidly coupled to the fluid path, and wherein the support structure includes a hollow tube having a longitudinal axis, and wherein steps (b) and (h) are carried out by displacing the first and second portions inwardly toward the longitudinal axis.

4. A method of separating tissue layers, comprising the steps of:

(a) providing an inflatable balloon having an interior surface which defines an opening for receiving fluid for inflating the balloon, said balloon having a deflated state and an inflated state;

(b) when the balloon is in the deflated state with the interior surface substantially surrounding a first volume, displacing a first portion of the balloon inwardly forming a folded portion separating the balloon into an upper part, a lower part and a fold therebetween;

(c) after step (b) but before inflating the balloon, inserting the balloon into a patient; and

(d) after step (c), inflating the balloon to separate adjacent tissue layers in the patient, the first portion of the balloon being everted during inflation of the balloon, and

(e) after step (b) but before step (c), rolling the upper part, the lower part, and the fold together to form a roll.

5. The method of claim 4, wherein step (a) comprises the step of:

coupling together a first sheet and a second sheet to form the balloon, the first sheet including the upper part and the second sheet including the lower part.

6. A method of separating tissue layers, comprising the steps of:

(a) providing an inflatable balloon having an interior surface which defines an opening for receiving fluid for inflating the balloon, said balloon having a deflated state and an inflated state;

(b) when the balloon is in the deflated state with the interior surface substantially surrounding a first volume, displacing a first portion of the balloon inwardly forming a folded portion separating the balloon into an upper part, a lower part and a fold therebetween;

(c) after step (b) but before inflating the balloon, inserting the balloon into a patient; and

(d) after step (c), inflating the balloon to separate adjacent tissue layers in the patient, the upper part contacting one of the tissue layers and the lower part contacting an other of the tissue layers, and the first portion being positioned between the upper and lower parts and being everted during inflation of the balloon.

7. A method of separating tissue layers, comprising the steps of:

(a) providing an inflatable balloon having an interior surface which defines an opening for receiving fluid for inflating the balloon, said balloon also having a deflated state and an inflated state, and an exterior surface;

(b) when the balloon is in the deflated state, inverting a part of the balloon inwardly to form a folded portion which separates the balloon into an upper part, a lower part, and a fold therebetween, and rolling the folded portion to form a first portion;

(c) after step (b), inserting the balloon into a patient; and

(d) after step (c), inflating the balloon to separate adjacent tissue layers in the patient, the first portion of the balloon being everted and unrolled during inflation of the balloon.

8. The method of claim 7, wherein step (b) also includes the step of:

when the balloon is in the deflated state, inverting another part of the balloon inwardly to form a second folded portion of the balloon, and rolling the second folded portion to form a second portion of the balloon, and wherein during step (d), the second portion of the balloon is everted and unrolled.

9. The method of claim 7, also including the steps of:

(e) after step (b) but before step (c), covering the balloon with a sheath when the balloon is in the deflated states.

10. A method of packing device for separating tissue layers, comprising the steps of:

(a) providing an inflatable balloon having a deflated state, an inflated state, an exterior surface, an interior surface, and an interior;

(b) when the balloon is in the deflated state, inverting a part of the balloon inwardly to form a folded portion which separates the balloon into an upper part, a lower part, and a fold therebetween, and rolling the folded portion to form a first portion; and

(c) when the balloon is in the deflated state, inverting another part of the balloon inwardly to form a second folded portion of the balloon, and rolling the second folded portion to form a second portion.

11. The method of claim 10, also including the step of:

(d) after steps (b) and (c), covering the balloon with a sheath when the balloon is in the deflated state.

12. The method of claim 10, followed by (also including) the steps of:

(d) after steps (b) and (c), inserting the balloon into a patient; and

(e) after step (d) inflating the balloon to separate adjacent tissue layers in the patient, the first portion of′

the balloon being everted and unrolled during inflation of the balloon, and the second portion of the balloon also being everted and unrolled during said inflation of the balloon.