Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith

• US 6,368,337 B1
• Filed: 05/22/1997
• Issued: 04/09/2002
• Est. Priority Date: 06/02/1992
• Status: Expired due to Fees

• Current Assignee: General Surgical Innovations Incorporated (Johnson Controls International plc)
• Original Assignee: General Surgical Innovations Incorporated (Johnson Controls International plc)
• Inventors: Kayan, Helmut L., Mollenauer, Kenneth H., Monfort, Michelle Y., Kieturakis, Maciej J.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/861,913
• Time in Patent Office: 1,783 Days
• Field of Search: 606/1, 606/190-200, 604/96.01, 604/99.01, 604/103, 604/103.05, 604/103.07, 604/103.11, 604/103.14, 604/158, 604/164.01, 604/164.1, 604/264, 604/533, 600/201, 600/204, 600/207, 600/210
• 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• 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 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61M 25/0668 splittable, tear apart
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

Apparatus for creating an anatomic spade in tissue in a body comprising an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A blunt tip is secured to the distal extremity of the tunneling shaft. A balloon assembly is provided. The balloon assembly is removably secured to the tunneling shaft. The balloon assembly includes a deflated collapsed balloon. A sheath encloses the balloon and is carried by the tunneling shaft. The sheath has a weakened region extending longitudinally thereof permitting the sheath to be removed to release the balloon.

Claims

1. An introducer and sheath assembly comprising:

an elongate introducer member,

a tubular sheath adapted to surround said introducer member, said tubular sheath having a weakened region which extends along its longitudinal axis from a proximal region to a distal region of said tubular sheath; and

a handle on the proximal region of said tubular sheath, said handle being adapted to be pulled proximally, thereby causing said weakened region to separate as said weakened region is drawn against said introducer member, thereby allowing said tubular sheath to be removed from said introducer member, said handle having one-or more inwardly directed latches adapted to releasably secure said sheath to said introducer member,

wherein said one or more latches comprise one or more protuburances formed on an inner wall of said handle and wherein said introducer member comprises one or more recesses, said one or more protuberances being adapted to releasably engage said one or more recesses.

2. The introducer and sheath assembly of claim 1 wherein said tubular sheath is adapted to resume the shape of a tube upon removal.

3. The introducer and sheath assembly of claim 1 wherein said handle is adapted to be pulled using only one hand, thereby allowing a surgeon to remove said tubular sheath with one hand while still holding said introducer member with the other hand.

4. The introducer and sheath assembly of claim 1 wherein said handle comprises a pair of rigid wing-shaped members disposed on opposite sides of said sheath, said wing members defining a plane perpendicular to the axis of said sheath.

5. The introducer and sheath assembly of claim 1 wherein said tubular sheath is formed of a semi-rigid material.

6. The introducer and sheath assembly of claim 1 wherein said tubular sheath has a single weakened region.

7. An introducer and sheath assembly comprising:

an elongate introducer member,

a tubular sheath adapted to surround said introducer member, said tubular sheath having a weakened region which extends along its longitudinal axis from a proximal region to a distal region of said tubular sheath; and

a handle on the proximal region of said tubular sheath, said handle being adapted to be pulled proximally, thereby causing said weakened region to separate as said weakened region is drawn against said introducer member, thereby allowing said tubular sheath to be removed from said introducer member, said handle having one or more inwardly directed detents for releasably securing the sheath to said member,

wherein said one or more detents are formed on an inner wall of said handle and wherein said introducer member comprises one or more recesses, said one or more detents being adapted to releasably engage said one or more recesses.

8. The sheath assembly of claim 7 wherein said tubular sheath is adapted to resume the shape of a tube upon removal.

9. The sheath assembly of claim 7 wherein said handle is adapted to be pulled using only one hand, thereby allowing a surgeon to remove said tubular sheath with one hand while still holding said introducer member with the other hand.

10. The sheath assembly of claim 7 wherein said handle comprises a pair or rigid wing-shaped members disposed on opposite sides of said sheath, said wing members defining a plane perpendicular to the axis of said sheath.

11. The sheath assembly of claim 7 wherein said tubular sheath is formed of a semi-rigid material.

12. The sheath assembly of claim 7 wherein said tubular sheath has a single weakened region.

13. An introducer and sheath assembly comprising:

an elongate introducer member,

a tubular sheath adapted to surround said introducer member, said tubular sheath having a weakened region which extends along its longitudinal axis from a proximal region to a distal region of said tubular sheath; and

a handle on the proximal region of said tubular sheath, said handle being adapted to be pulled proximally, thereby causing said weakened region to separate as said weakened region is drawn against said introducer member, thereby allowing said tubular sheath to be removed from said introducer member, said handle having one or more detents formed on an inner wall of said handle to engage said introducer member for releasably securing said sheath to said introducer member, wherein said one or more detents comprises a protrusion that is adapted to seat in one or more opposing holes within the elongate member.

14. The sheath assembly of claim 13 wherein said tubular sheath is adapted to resume the shape of the tube upon removal.

15. The sheath assembly of claim 13 wherein said handle is adapted to be pulled using only one hand, thereby allowing a surgeon to remove said tubular sheath with one hand while still holding said introducer member with the other hand.

16. The sheath assembly of claim 13 wherein said handle comprises a pair of rigid wing-shaped members disposed on opposite sides of said sheath, said wing members defining a plane perpendicular to the axis of said sheath.

17. The sheath assembly of claim 13 wherein said tubular sheath has a single weakened region.

18. The sheath assembly of claim 13 wherein said one or more detents comprises a pair of diametrically opposed detents.