Devices, tools and methods for performing minimally invasive abdominal surgical procedures
First Claim
1. A method of treating a patient, said method comprising:
- making an incision or puncture though the patient'"'"'s skin;
establishing an initial tract through an opening formed by the incision or puncture and through an abdominal wall of the patient;
inserting a guide member having a flexible distal portion and a distal lip into the initial tract and extending the initial tract to form a delivery tract leading to and following along a portion of the curvature of the diaphragm of the patient;
dilating the opening formed by the incision or puncture and initial tract through the abdominal wall by torquing a distal end of a dilator therethrough, wherein an introducer cannula is mounted over said dilator and a distal end portion of said introducer cannula is passed through the abdominal wall along the tract;
removing said dilator from said introducer cannula and from said patient, while leaving said introducer cannula in position;
passing an obturator, having a delivery conduit mounted thereon, over said guide member and through said introducer conduit;
advancing said obturator and delivery conduit over said guide member to an extent where distal end portions of said obturator and delivery conduit bend and track along a portion of the curvature of the diaphragm followed by said guide member;
removing said obturator and guide member while leaving said delivery conduit in place, wherein said delivery conduit defines a delivery tract for delivery of at least one or more tools and/or implants; and
delivering at least one or more tools and/or implants through a delivery tract defined by said delivery conduit.
2 Assignments
0 Petitions
Accused Products
Abstract
Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient'"'"'s skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
-
Citations
25 Claims
-
1. A method of treating a patient, said method comprising:
-
making an incision or puncture though the patient'"'"'s skin; establishing an initial tract through an opening formed by the incision or puncture and through an abdominal wall of the patient; inserting a guide member having a flexible distal portion and a distal lip into the initial tract and extending the initial tract to form a delivery tract leading to and following along a portion of the curvature of the diaphragm of the patient; dilating the opening formed by the incision or puncture and initial tract through the abdominal wall by torquing a distal end of a dilator therethrough, wherein an introducer cannula is mounted over said dilator and a distal end portion of said introducer cannula is passed through the abdominal wall along the tract; removing said dilator from said introducer cannula and from said patient, while leaving said introducer cannula in position; passing an obturator, having a delivery conduit mounted thereon, over said guide member and through said introducer conduit; advancing said obturator and delivery conduit over said guide member to an extent where distal end portions of said obturator and delivery conduit bend and track along a portion of the curvature of the diaphragm followed by said guide member; removing said obturator and guide member while leaving said delivery conduit in place, wherein said delivery conduit defines a delivery tract for delivery of at least one or more tools and/or implants; and
delivering at least one or more tools and/or implants through a delivery tract defined by said delivery conduit. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
-
-
24. A method of treating a patient said method comprising:
-
making an incision or puncture though the patient'"'"'s skin; establishing an initial tract through an opening formed by the incision or puncture and through an abdominal wall of the patient; inserting a guide member having a flexible distal portion and a distal tip into the initial tract and extending the initial tract to form a delivery tract leading to and following along a portion of the curvature of the diaphragm of the patient; dilating the opening formed by the incision or puncture and initial tract through the abdominal wall by torquing a distal end of a dilator therethrough, wherein an introducer cannula is mounted over said dilator and a distal end portion of said introducer cannula is passed through the abdominal wall along the tract; removing said dilator from said introducer cannula and from said patient, while leaving said introducer cannula in position; attaching a cap to a proximal end of the introducer cannula, thereby sealing off the proximal end of the introducer cannula; and forming a pneumoperitoneum in the abdominal cavity. - View Dependent Claims (25)
-
Specification