Balloon dissector with cannula

• US 8,454,645 B2
• Filed: 10/05/2007
• Issued: 06/04/2013
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Criscuolo, Christopher, Creston, Brian, Aranyi, Ernest, Geiste, Robert
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US11/973,188
• Publication Number:
  US 20080097506A1
• Time in Patent Office: 2,069 Days
• Field of Search: 606190-198, 606/170, 600/201, 600/204, 600/205, 600/207, 600/208, 600202-203
• US Class Current: 606/192
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/320048 Balloon dissectors
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3486 Balloon

Abstract

There are disclosed various embodiments of a balloon dissector and balloon tip cannula assembly which are provided to facilitate forming an anatomical space within the body, such as, for example, an anatomical space in the abdominal cavity or extraperitoneal space for facilitating hernia repair surgeries. The balloon dissector and balloon tip cannula assembly generally includes a balloon tip cannula assembly for anchoring the device to the abdominal wall and a balloon dissector assembly having a dissection balloon at a distal end for separating apart tissue layers and forming an anatomical space. Various structures are provided to connect the balloon dissector assembly to the balloon tip cannula assembly. Obturators associated with the balloon dissector assembly and the balloon tip cannula assembly may also be provided. The balloon dissector and balloon tip cannula assembly may also include a scope support for insertion through the balloon dissector assembly and dissection balloon and for receipt of an endoscope to view the procedure from within the balloon. Various combinations of valve ports and sub-assemblies are disclosed for providing inflation fluid to the balloon tip cannula assembly, insufflation fluid for the abdominal cavity and inflation fluid for the dissection balloon.

Claims

1. A dissection and access assembly comprising:

a cannula assembly having a cannula housing and an access cannula;

a valve assembly having a port, the valve assembly being releasably coupled to the cannula assembly;

a dissector assembly having a dissector housing with an attaching structure configured to engage a portion of the valve assembly and a rigid elongated tube having a passage, the elongated tube extending distally from the dissector housing, the dissector assembly insertable through the valve assembly and the cannula assembly; and

a dissection balloon attached to a distal end of the elongated tube, the dissection balloon having a chamber in communication with the passage, wherein the port of the valve assembly is in fluid communication with a lumen of the access cannula when the valve assembly is releasably coupled to the cannula assembly, thereby allowing insufflation of a body cavity through the port, and the port is in fluid communication with the dissection balloon when the dissector assembly is positioned within the cannula assembly through the valve assembly, thereby allowing inflation of the dissection balloon through the port.

2. The dissection and access assembly of claim 1, wherein the valve assembly has an orifice in communication with the lumen of the access cannula.

3. The dissection and access assembly of claim 2, wherein the attaching structure includes an end cap having a bayonet type fitting configured to securely engage the valve assembly at a proximal end portion of the valve assembly.

4. The dissection and access assembly of claim 3, wherein the valve assembly includes a bayonet type fitting at the proximal end portion thereof configured to engage the end cap of the attaching structure.

5. The dissection and access assembly of claim 2, wherein the elongated tube of the dissector assembly has an inflation port configured to receive inflation fluid supplied through the port for inflating the dissection balloon.

6. The dissection and access assembly of claim 2, wherein the dissector assembly is configured to receive an endoscope therethrough.

7. The dissection and access assembly of claim 2, wherein the cannula has a distal end and a balloon anchor disposed at the distal end.

8. The dissection and access assembly of claim 7, wherein the cannula has a first port in communication with the balloon anchor.

9. The dissection and access assembly of claim 5, wherein the port of the dissector assembly is in fluid communication with the port of the valve assembly for supplying an inflation fluid to the dissection balloon.

10. The dissection and access assembly of claim 2, wherein the cannula assembly further includes a skin seal assembly movably mounted thereon.