Tissue engagement method

• US 6,607,534 B2
• Filed: 01/29/2002
• Issued: 08/19/2003
• Est. Priority Date: 06/28/1990
• Status: Expired due to Fees

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: The Bonutti 2003 Trust A
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US10/059,569
• Publication Number:
  US 20020091406A1
• Time in Patent Office: 567 Days
• Field of Search: 606/192, 606/80
• US Class Current: 606/80
• CPC Class Codes: A61B 10/025 for taking bone, bone marrow or cartilage samples
• CPC Class Codes: A61B 17/1615 Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
• CPC Class Codes: A61B 17/1631 Special drive shafts, e.g. flexible shafts A61B17/1642, A61B17/164 take precedence
• CPC Class Codes: A61B 17/1635 for grafts, harvesting or transplants
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/00969 used for transplantation
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 1/79 Filters for solid matter specially adapted for dental use A61C17/065

Abstract

The present invention relates to a method of engaging tissue that, for example, can be used to guide a surgical instrument or other implement. An inflatable element is positioned in a patient'"'"'s body, the flow of fluid to the inflatable element is controlled with a microprocessor, and tissue is engaged in the patient'"'"'s body with the inflatable element as it is inflated. The inflatable element can be accordion shaped or can include a number of inflatable elements. Additionally, the inflatable element can be guided with a guidance system as the inflatable element is inflated.

Claims

1. A method comprising the steps of:

positioning an inflatable element in a patient'"'"'s body;

controlling a flow of fluid to the inflatable element with a microprocessor to inflate the inflatable element; and

engaging tissue in the patient'"'"'s body with the inflatable element as the inflatable element is inflated,

wherein the inflatable element is accordion shaped and is expanded as the inflatable element is inflated in the patient'"'"'s body.

2. A method comprising the steps of:

positioning an inflatable element in a patient'"'"'s body;

controlling a flow of fluid to the inflatable element with a microprocessor to inflate the inflatable element;

engaging tissue in the patient'"'"'s body with the inflatable element as the inflatable element is inflated; and

guiding the inflatable element with a guidance system as the inflatable element is inflated.

3. A method as set forth in claim 2 wherein the inflatable member assumes a predetermined shape when inflated.

4. A method as set forth in claim 2 wherein the inflatable member bends radially outward when inflated.

5. A method as set forth in claim 2 wherein at least one step is performed under x-ray guidance.

6. A method as set forth in claim 2 wherein at least one step is performed under endoscopic, arthroscopic, or fiber optic guidance.

7. A method comprising the steps of moving a plurality of inflatable elements into a patient'"'"'s body, inflating selected inflatable elements of the plurality of inflatable elements without inflating other inflatable elements of the plurality of inflatable elements, and engaging the patient'"'"'s body tissue with at least one of the inflatable elements.

8. A method as set forth in claim 7 wherein said step of inflating selected inflatable elements of the plurality of inflatable elements without inflating other inflatable elements includes controlling inflation of the selected inflatable elements with a microprocessor.

9. A method as set forth in claim 8 further including the step of inflating selected inflatable elements of the plurality of inflatable elements without inflating other inflatable elements includes multiplexing control signals.

10. A method as set forth in claim 7 wherein the plurality of inflatable elements are disposed in an array prior to inflation, said step of inflating selected inflatable elements of the plurality of inflatable elements without inflating other inflatable elements of the plurality of inflatable elements includes changing a configuration of the array of inflatable elements.

11. A method as set forth in claim 7 wherein said step of inflating selected inflatable elements includes increasing the selected inflatable element'"'"'s length as the selected inflatable elements are inflated.

12. A method as set forth in claim 7 wherein the plurality of inflatable elements are disposed in an array prior to inflation, said method further includes guiding movement of the array of inflatable elements during inflation of the selected inflatable elements.

13. A method as set forth in claim 7 wherein at least one inflatable element is accordion shaped and is expanded as the inflatable element is inflated in the patient'"'"'s body.

14. A method as set forth in claim 7 wherein at least one inflatable element assumes a predetermined shape when inflated.

15. A method as set forth in claim 7 wherein at least one inflatable element bends radially outward when inflated.

16. A method as set forth in claim 7 wherein at least one step is performed under x-ray guidance.

17. A method as set forth in claim 7 wherein at least one step is performed under endoscopic, arthroscopic, or fiber optic guidance.

18. A method comprising the steps of positioning an inflatable element having an accordion configuration in a patient'"'"'s body, inflating the inflatable element while the inflatable element is in the patient'"'"'s body, and engaging tissue in the patient'"'"'s body with the inflatable element as the inflatable element is inflated.

19. A method as set forth in claim 18 wherein the step of inflating the inflatable element includes controlling a flow of fluid to the inflatable element with a microprocessor to inflate the inflatable element while the inflatable element is in the patient'"'"'s body.

20. A method as set forth in claim 18 wherein the inflatable member assumes a predetermined shape when inflated.

21. A method as set forth in claim 18 wherein the inflatable member bends radially outward when inflated.

22. A method as set forth in claim 18 wherein at least one step is performed under x-ray guidance.

23. A method as set forth in claim 18 wherein at least one step is performed under endoscopic, arthroscopic, or fiber optic guidance.