Force-determining retraction device and associated method

• US 7,775,974 B2
• Filed: 07/22/2005
• Issued: 08/17/2010
• Est. Priority Date: 07/23/2004
• Status: Active Grant

• Current Assignee: North Carolina State University (University of North Carolina System)
• Original Assignee: North Carolina State University (University of North Carolina System)
• Inventors: Bolotin, Gil, Buckner, Gregory D.
• Primary Examiner(s): Rodriguez; Cris L
• Assistant Examiner(s): Mai; Hao D
• Application Number:
  US11/187,207
• Publication Number:
  US 20060025656A1
• Time in Patent Office: 1,852 Days
• Field of Search: 600201-202, 600/215, 600/219, 600231-234
• US Class Current: 600/202
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

A retraction device including at least one pair of opposed retraction members, with each retraction member being capable of operably engaging the tissue to be retracted. A drive mechanism is operably engaged with at least one of each pair of retraction members for separating one of each pair of retraction members from the other to retract the tissue. A measuring device is operably engaged with at least one of the drive mechanism and one of each pair of retraction members, for determining and/or controlling a magnitude and/or rate of a force and/or strain imparted to the tissue by the drive mechanism via the retraction members as the tissue is being retracted. Associated devices and methods are also provided.

Claims

1. A method of separating incised tissue, comprising:

engaging at least one retraction member with the tissue at an incision having opposing sides to be separated;

automatically separating the opposing sides of the incision by exerting a force thereon via the at least one retraction member as directed by a controller in operable communication therewith;

measuring, via a measuring device in operable communication with the controller, at least one of a force magnitude, a stress magnitude, a strain magnitude, a force rate, a stress rate, and a strain rate associated with the exerted force on the tissue; and

automatically effecting at least one of a force magnitude relaxation, a stress magnitude relaxation, a strain magnitude relaxation, a force rate relaxation, a stress rate relaxation, and a strain rate relaxation on the tissue in response to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate via the at least one retraction member as directed by the controller.

2. A method according to claim 1, wherein automatically separating the opposing sides of the incision comprises automatically separating the incision at a separation rate.

3. A method according to claim 2, further comprising modifying the separation rate of the incision during the automatically separating of the opposing sides of the incision.

4. A method according to claim 3, wherein modifying the separation rate during the automatically separating of the opposing sides of the incision comprises increasing the separation rate during the automatically separating of the sides of the incision.

5. A method according to claim 4, wherein increasing the separation rate during the automatically separating of the sides of the incision further comprises increasing the separation rate in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the tissue, resulting from the automatically separating of the sides of the incision.

6. A method according to claim 3, wherein modifying the separation rate comprises decreasing the separation rate during the automatically separating of the sides of the incision.

7. A method according to claim 6, wherein decreasing the separation rate further comprises decreasing the separation rate in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate.

8. A method according to claim 3, wherein the modifying the separation rate comprises modifying the separation rate in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the tissue, resulting from the automatically separating of the sides of the incision.

9. A method according to claim 1, further comprising further automatically separating the opposing sides of the incision after the automatically effecting of a relaxation of the tissue.

10. A method according to claim 9, wherein further automatically separating the opposing sides of the incision further comprises further automatically separating the opposing sides of the incision in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the tissue, resulting from the automatically separating of the sides of the incision.

11. A method according to claim 1, wherein automatically separating the opposing sides of the incision by exerting a force thereon comprises communicating a drive signal to at least one drive mechanism operably engaged with at least one retraction member operably engaged with the tissue, such that the at least one retraction member provides the exerted force to separate the opposing sides of the incision.

12. A method according to claim 1, wherein automatically separating the opposing sides of the incision further comprises automatically separating the opposing sides of the incision in relation to at least one operational parameter input by a user into an interface.

13. A method according to claim 1, wherein the steps of automatically separating the opposing sides of the incision and automatically effecting a relaxation are performed before a desired separation of the opposing sides of the incision is attained.

14. A method according to claim 13, wherein the step of automatically separating the opposing sides of the incision is further performed after the step of automatically effecting a relaxation before the desired separation of the opposing sides of the incision is attained.

15. A method according to claim 13, wherein the steps of automatically separating the opposing sides of the incision and automatically effecting a relaxation are repeatedly performed until the desired separation of the opposing sides of the incision is attained.

16. A system for separating incised tissue, comprising:

at least one retraction member capable of operably engaging tissue at a side of an incision having opposing sides, and the at least one retraction member being configured to exert a force on the tissue to separate the opposing sides of the incision;

a drive mechanism operably engaged with the at least one retraction member and configured to actuate the at least one retraction member to exert the force in response to a drive signal, such that a separation of the opposing sides of the incision is capable of being performed automatically by the at least one retraction member;

a measuring device operably engaged with the drive mechanism and configured to provide a measure signal corresponding to at least one of a force magnitude, a stress magnitude, a strain magnitude, a force rate, a stress rate, and a strain rate associated with the exerted force on the tissue at the side of the incision by the at least one retraction member as the opposing sides of the incision are being separated; and

a controller operably coupled to the drive mechanism and the measuring device, the controller being configured to;

communicate the drive signal to the drive mechanism to automatically actuate the at least one retraction member to exert the force on the tissue to automatically separate the opposing sides of the incision;

receive the measure signal from the measuring device corresponding to at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the tissue, resulting from separating the opposing sides of the incision; and

automatically effect at least one of a force magnitude relaxation, a stress magnitude relaxation, a strain magnitude relaxation, a force rate relaxation, a stress rate relaxation, and a strain rate relaxation on the tissue via the at least one retraction member in response to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate.

17. A system according to claim 16, wherein the controller is configured to separate the opposing sides of the incision at a separation rate.

18. A system according to claim 17, wherein the controller is further configured to modify the separation rate of the tissue during automatic separation of the opposing sides of the incision.

19. A system according to claim 18, wherein the controller is further configured to modify the separation rate of the opposing sides of the incision by increasing the separation rate of the opposing sides of the incision during the automatically performed separation of the opposing sides of the incision.

20. A system according to claim 18, wherein the controller is further configured to modify the separation rate of the opposing sides of the incision by decreasing the separation rate of the opposing sides of the incision during the automatically performed separation of the opposing sides of the incision.

21. A system according to claim 18, wherein the controller is further configured to modify the separation rate of the opposing sides of the incision in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the side of the incision, resulting from the automatically performed separation of the opposing sides of the incision.

22. A system according to claim 16, wherein the controller is further configured to further automatically perform separation of the opposing sides of the incision after automatically effecting a relaxation on the tissue.

23. A system according to claim 22, wherein the controller is further configured to perform the further automatically performed separation of the opposing sides of the incision in relation to the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force at the side of the incision, resulting from the automatically performed separation of the opposing sides of the incision.

24. A system according to claim 16, wherein the controller is further configured to automatically separate the opposing sides of the incision in relation to at least one operational parameter input by a user into an interface.

25. A system according to claim 24, wherein the at least one operational parameter is selected from the group consisting of force, stress, strain, force rate, stress rate, strain rate, empirically-determined data, data about a patient, age of a patient, weight of a patient, information about a procedure to be performed on a patient, location of a procedure to be performed on a patient, dimensions of a sternal bone of a patient, and an amount of access to a body cavity of a patient.

26. A system according to claim 16, further comprising a wireless communication device operably engaged with the measuring device and configured to communicate the measure signal wirelessly, wherein the controller is further configured to receive the measure signal from the wireless communication device.

27. A system according to claim 16, further comprising a display in communication with one of the controller and the measuring device, and configured to display the measured at least one of the force magnitude, the stress magnitude, the strain magnitude, the force rate, the stress rate, and the strain rate associated with the exerted force on the tissue, resulting from the automatically performed separation of the opposing sides of the incision.

28. A system according to claim 16, wherein the controller is configured to communicate the drive signal to the drive mechanism to actuate the at least one retraction member to exert the force on the side of the incision and automatically effect the relaxation on the side of the incision before a desired separation of the opposing sides of the incision is attained.

29. A system according to claim 28, wherein the controller is further configured to communicate the drive signal to the drive mechanism to actuate the at least one retraction member to exert the force on the side of the incision after automatically effecting the relaxation on the side of the incision before the desired separation of the opposing sides of the incision is attained.

30. A system according to claim 28, wherein the controller is further configured to communicate the drive signal to the drive mechanism to actuate the at least one retraction member to exert the force on the side of the incision and automatically effect the relaxation on the side of the incision repeatedly until the desired separation of the opposing sides of the incision is attained.