Endoscopic inflatable retraction device

• US 6,605,037 B1
• Filed: 10/26/1998
• Issued: 08/12/2003
• Est. Priority Date: 05/29/1991
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Moll, Frederic H., Hopper, Philip K., Gresl, Charles Jr., Chin, Albert K.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US09/179,008
• Time in Patent Office: 1,751 Days
• Field of Search: 606/192, 606/198, 600/204, 600/205, 600/207, 604/101.02
• 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 2017/320048 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 inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism. The inflatable maintaining lattice defines a plurality of single layered access windows around the inflatable chamber, and is configured and adapted to maintain the inflatable chamber in substantially the predetermined shape after an aperture is pierced in at least one of the plurality of access windows of the inflatable chamber.

Claims

1. An inflatable retraction apparatus for retracting an organ inside a body to gain access to an adjacent tissue, the apparatus comprising:

an inflatable chamber formed from a single thin envelope, the inflatable chamber capable of being collapsed for insertion into the body through an incision of the body and capable of being expanded to a predetermined shape for retracting the organ;

an inflation mechanism adapted to selectively inflate the chamber to the predetermined shape, while the inflatable chamber is in place within the body, the inflation mechanism including at least one inflation tube attached to the inflatable chamber in fluid communication therebetween; and

an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism, the inflatable maintaining lattice defining a plurality of single layered access windows around the inflatable chamber, the inflatable maintaining lattice being configured and adapted to maintain the inflatable chamber in substantially the predetermined shape after an aperture is pierced in at least one of the plurality of access windows of he inflatable chamber to provide access to the tissue.

2. The apparatus of claim 1 wherein the maintaining mechanism includes an additional chamber.

3. The apparatus of claim 2 wherein the additional chamber is attached to the inside of the inflatable chamber.

4. The apparatus of claim 2 wherein the additional chamber is attached to the outside of the inflatable chamber.

5. The apparatus of claim 2 wherein the inflation mechanism is adapted to selectively inflate the inflatable chamber and the additional chamber.

6. The apparatus of claim 2 wherein the inflatable chamber is adapted to be pierced, whereby apertures are formed to thereby provide access to the tissue.

7. The apparatus of claim 2 further including a tab element inside the main chamber for providing a point inside the inflatable chamber that can be gripped with a suitable gripping tool to change the position of the at least partly inflated apparatus.

8. The apparatus of claim 7 wherein the tab element is attached to the envelope.

9. The apparatus of claim 7 wherein the tab element constitutes part of the envelope.

10. The apparatus of claim 1 wherein the inflatable chamber is expandable to a polyhedral shape.

11. The apparatus of claim 1 wherein the inflatable chamber is expandable to a spherical shape.

12. The apparatus of claim 1 wherein the inflatable chamber is expandable to a ellipsoidal shape.

13. The apparatus of claim 1 wherein the inflatable chamber is expandable to a relatively flat shape.

14. The apparatus of claim 1 wherein the inflatable chamber includes a cage structure.

15. The apparatus of claim 1 wherein the maintaining mechanism includes an elastomeric window covering the aperture and providing access to the tissue.

16. The apparatus of claim 1 wherein the inflation mechanism is adapted for receiving a surgical instrument passed into the chamber from outside the body.

17. The apparatus of claim 1 wherein the aperture is adapted to receive the tissue for treatment.

18. The apparatus of claim 1, further including a suction means for providing drainage of the part of the body in which the apparatus is deployed, the suction means being attached to the part of the apparatus that is substantially lower-most when the apparatus is deployed in the body.

19. The apparatus of claim 18, wherein the suction means comprises an elongate tubular structure having a plurality of holes in its side-wall and two ends, at least one of the ends being adapted for connecting to a suction line.

20. The apparatus of claim 1 further including a flexible sheath means attachable to the envelope for providing a flexible passage to the chamber from outside the body.

21. An inflatable retraction apparatus for retracting an organ inside a body to gain access to an adjacent tissue, the apparatus comprising:

first and second inflatable chambers each formed from a thin envelope, the first and second inflatable chambers capable of being collapsed for insertion into the body through an incision of the body and capable of being expanded to a predetermined shape for retracting the organ, the second inflatable chamber enveloping the first inflatable chamber and defining a plurality of single layered windows therearound; and

first and second inflating tubes in fluid communication with the first and second inflatable chambers, respectively, for independently inflating the first and second inflation chambers to the predetermined shape, wherein the second inflatable chamber maintains the first inflatable chamber in the predetermined shape following the formation of an aperture in at least one of the plurality of windows to provide access to the tissue.

22. The apparatus of claim 21, wherein the first inflatable chamber includes a wall portion having a piercable area formed thereon to provide access to tissue adjacent the apparatus.

23. The apparatus of claim 22, wherein the apparatus is adapted to maintain substantially the predetermined shape upon piercing of the piercable area.

24. The apparatus of claim 21, wherein the apparatus is adapted to receive a surgical instrument passed through at least one of the first and second inflatable chambers from outside the body.

25. The apparatus of claim 21 further including at least one tab for manipulating the location of the first and second inflatable chambers inside the body.