Surgical procedure

• US 8,375,955 B2
• Filed: 02/05/2010
• Issued: 02/19/2013
• Est. Priority Date: 02/06/2009
• Status: Active Grant

• Current Assignee: Atropos Limited
• Original Assignee: Atropos Limited
• Inventors: Desai, Mihir M., Gill, Inderbir S., Bonadio, Frank
• Primary Examiner(s): Matthews, William H.
• Application Number:
  US12/700,859
• Publication Number:
  US 20110011410A1
• Time in Patent Office: 1,110 Days
• Field of Search: 128/898, 600204-209
• US Class Current: 128/898
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/06052 Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle hollow suture needles A61B2017/061
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2050/0065 Peelable cover
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40

Abstract

A surgical procedure is carried out on any suitable hollow organ, such as a gall bladder located beneath an abdominal wall. In a first step of the procedure the hollow organ is inflated by air or water through an inflation line so that the organ swells up. A scalpel is then used to create an incision in the abdominal wall. Sutures are then inserted through the opening and these are used to pull up the inflated organ to the opening. The inflated organ is now presented to the opening and a laparascopic procedure is carried out on the organ. A number of medical devices may be employed to perform the procedure for example a scalpel, an introducer device, an instrument access device, an insufflator, a camera device, and various surgical instruments.

Claims

1. A method of carrying out a procedure in a hollow body organ comprising the step of:

inflating the hollow organ;

carrying out a procedure in the inflated hollow organ;

providing an instrument access device comprising

at least one instrument seal,

a distal anchoring member, and

a retractor member extending proximally from the distal anchoring member within the organ interior;

retracting laterally sides of an opening in the organ using the retracting member; and

inserting one or more surgical instruments through the instrument seal into the organ.

2. A method as claimed in claim 1 wherein the hollow organ is inflated using a fluid.

3. A method as claimed in claim 2 wherein the hollow organ is inflated using air or water.

4. A method as claimed in claim 1 wherein the hollow organ is selected from the bladder, the uterus, the stomach and the colon.

5. A method as claimed in claim 1. further comprising making an incision to form a wound opening and providing access to the inflated hollow organ through the wound opening.

6. A method as claimed in claim 5, further comprising engaging the inflated organ and pulling the inflated organ towards the wound opening.

7. A method as claimed in claim 6 wherein the inflated organ is engaged by one or more sutures.

8. A method as claimed in claim 1, further comprising making an incision in the inflated organ to provide access to the interior of the organ.

9. A method as claimed in claim 1, wherein the device is inserted at least partially through the wound opening using an introducer device.

10. A method as claimed in claim 9, further comprising inserting at least part of the instrument access device into the introducer device.

11. A method as claimed in claim 9, further comprising inserting the introducer device at least partially through the opening.

12. A method as claimed in claim 11, further comprising ejecting at least part of the instrument access device from the introducer device within the organ interior.

13. A method as claimed in claim 11, further comprising removing the introducer device from the opening.

14. A method of carrying out a procedure in a hollow body organ, comprising:

carrying out a procedure in the hollow organ inflated by inflation material;

providing an instrument access device comprising

at least one instrument seal,

a distal anchoring member, and

a retractor member extending proximally from the distal anchoring member within the organ interior;

inserting the instrument access device at least partially through a wound opening;

retracting laterally sides of an opening in the organ using the retracting member; and

inserting one or more surgical instruments through the instrument seal into the organ.

16. A method as claimed in claim 14, wherein the hollow organ is chosen from the bladder, uterus, stomach and colon.

15. A method of carrying out a procedure in a hollow body organ, comprising:

supplying inflation material to the hollow organ;

making an incision in the inflated organ to provide access to the interior of the organ;

providing an instrument access device comprising

at least one instrument seal,

a distal anchoring member and

a retractor member extending proximally from the distal anchoring member within the organ interior;

retracting laterally sides of an opening in the organ using the retracting member; and

inserting one or more surgical instruments through the instrument seal into the organ.

17. A method as claimed in claim 15, wherein the hollow organ is selected from bladder, uterus, stomach and colon.

18. A method as claimed in claim 15, further comprising supplying the inflation material through an inflation line to the hollow organ.

19. A method as claimed in claim 15, further comprising inserting the instrument access device at least partially through the wound opening using an introducer device.