Retraction of tissue for single port entry, robotically assisted medical procedures

• US 8,517,933 B2
• Filed: 06/13/2007
• Issued: 08/27/2013
• Est. Priority Date: 06/13/2006
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Mohr, Catherine J.
• Primary Examiner(s): Robert, Eduardo
• Assistant Examiner(s): Cumberledge, Jerry
• Application Number:
  US11/762,217
• Publication Number:
  US 20070287889A1
• Time in Patent Office: 2,267 Days
• Field of Search: 600201-246
• US Class Current: 600/207
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00193 adapted for stereoscopic vision
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/72 Micromanipulators
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

A single port entry surgical instrument has an elongated structure with lumens through which surgical tools and an image capturing device may be inserted and controllably extended out of its distal end for performing a medical procedure, a tubular-shaped balloon disposed around the elongated structure, and an expandable retractor disposed around the balloon so that when the balloon is inflated, the retractor expands and locks in an expanded configuration to retract extraneous tissue. The port entry may be secured using the expandable retractor or sealed using another inflatable balloon disposed around the proximal end of the elongated structure and centered in the port entry.

Claims

1. A surgical instrument comprising:

an elongated structure having proximal and distal ends and a first lumen extending between the proximal and distal ends;

a surgical tool inserted within the first lumen, wherein the surgical tool has a distal end adapted with an end effector and a proximal end adapted with an interface for controllably manipulating the end effector for performing a medical procedure;

a balloon disposed around an outer surface of the elongated structure; and

an expandable retractor disposed around an outer surface of the balloon, wherein the expandable retractor is configured so that the expandable retractor is expandable by expansion of the balloon, locked without external support in an expanded configuration by the balloon being expanded to sufficient volume, and remains locked without external support in the expanded configuration even after the balloon is deflated and no longer contacts an inner surface of the expandable retractor.

2. The surgical instrument according to claim 1, wherein the expandable retractor is configured so as to be collapsible from the expanded configuration by controlled action of the end effector while the balloon is deflated.

3. The surgical instrument according to claim 2, wherein the expandable retractor has an element which causes the expandable retractor to collapse when the element is manipulated by the end effector.

4. The surgical instrument according to claim 1, wherein the expandable retractor is predominantly formed of a biodegradable material.

5. The surgical instrument according to claim 1, wherein the expandable retractor is predominantly formed of a bioabsorbable material.

6. The surgical instrument according to claim 1, wherein the balloon has a light reflector coating so as to enhance an image of an object captured by an image capturing device.

7. The surgical instrument according to claim 1, wherein the elongated structure has a second lumen extending between the proximal and distal ends of the elongated structure, and further comprising:

a camera unit inserted within the second lumen and having at least one image capturing element and a light source extending out of the distal end of the elongated structure;

wherein the balloon has a light reflector coating so as to enhance an image of an object captured by the at least one image capturing element.

8. The surgical instrument according to claim 1, wherein the elongated structure is shaped so as to have a convex cross section.

9. The surgical instrument according to claim 8, wherein the expandable retractor is cylindrical in shape when both expanded and non-expanded.

10. The surgical instrument according to claim 9, wherein the balloon is tubular in shape and is disposed within the cylindrically shaped expandable retractor.