Surgical expansion device

• US 8,764,646 B2
• Filed: 04/29/2004
• Issued: 07/01/2014
• Est. Priority Date: 04/29/2004
• Status: Active Grant

• Current Assignee: UMC Utrecht Holding B.V.
• Original Assignee: UMC Utrecht Holding B.V.
• Inventors: Grndeman, Paul Frederik
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): YABUT, DIANE D
• Application Number:
  US10/834,128
• Publication Number:
  US 20050245960A1
• Time in Patent Office: 3,715 Days
• Field of Search: 606191-192, 600/207
• US Class Current: 600/207
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• 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 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00

Abstract

A surgical device for application in a treatment performed on the human or animal body with the aim of providing access to a surgical site in the body by exerting a force, upon expansion of the device at the location of the surgical site, on the organs and/or tissues at the surgical site, e.g. for mobilizing and/or supporting organs and/or tissues, the surgical device including an expansion structure, at least one fluid reservoir, and a conduit for conveying fluid from the reservoir to the expansion structure.

Claims

1. A surgical device for application in a treatment performed on the human or animal body to provide access to a surgical site in said body, the device comprising:

expansion means (1) for exerting a force on the organs or tissues at said surgical site;

a fluid reservoir (2); and

means (3) for conveying fluid from said reservoir (2) to expand said expansion means (1) through a connection port (7), the connection port providing access to the internal space of the expansion means (1), wherein,

said expansion means (1) has elongated expansion members (8), the expansion members being angled with respect to each other'"'"'s longitudinal direction in an expanded state, and said expansion members each having opposite ends which are spaced apart in their longitudinal direction,

a flexible web (12) extends between at least two of the expansion members (8), the at least two expansion members (8) bordering an open side of the expansion means, the open side i) being void of a web or other closure and ii) configured to provide unrestricted access from an inside of the expansion means to an outside of the expansion means,

a pull member (14) is connected to the opposite ends of at least one of the expansion members (8), a length of said pull member between said opposite ends being less than a length of said at least one of the expansion members (8) between said opposite ends so that said at least one of the expansion members (8), when in the expanded state, is urged by said pull member (14) to have a slightly curved shape by restricting a full expansion of said at least one expansion member (8), and

the expansion means (1), during and after expansion thereof, forms a frame with the open side.

2. A method for providing access to a surgical site in a human or animal body, comprising the steps of:

providing an inflatable surgical device, comprising

an expansion means (1),

at least one fluid reservoir (2),

means (3) for conveying fluid from said reservoir (2) to expand said expansion means (1) through a connection port (7) to give access to the internal space of the expansion means (1),

wherein the expansion means has elongate expansion members (8) angled with respect to longitudinal directions of the expansion members in an expanded state, and the expansion members (8), in the expanded state, form a frame with open sides and each having opposite ends which are spaced apart in said longitudinal directions, the open sides being void of a web or other closure and configured to provide unrestricted access from an inside of the expansion means to an outside of the expansion means, and

wherein a flexible web (12) extends between at least two of the elongate expansion members (8);

placing the surgical device at the surgical site near an organ or tissue in the human or animal body;

providing the surgical device with at least one restrictor (14) for restricting an expansion of the expansion means, said restrictor being connected to the opposite ends of at least one of the expansion members (8), a length of said restrictor between said opposite ends being less than a length of said at least one of the expansion members (8) between said opposite ends;

inflating the elongate expansion members (8) so the elongate expansion members (8) form the frame and the surgical device exerts a force against the organ or tissue to establish a free space within the human or animal body, the open sides being open during said inflating of the expansion members (8);

obtaining a specific predetermined shape of the expansion means upon the inflating of the expansion means with said at least one restrictor (14), said at least one restrictor (14) restricting a full expansion of said expansion means;

performing operations at the surgical site through the open sides of the frame.

3. The method according to claim 2, wherein the at least one restrictor (14) is provided as a wire connected to opposite ends of one of the elongate members (8) of the expansion means (8).

4. A surgical device for application in a treatment performed on the human or animal body to provide access to a surgical site in said body, the device comprising:

a plurality of elongate expansion members (8), each expansion member, when expanded in an expanded mode, having a longitudinal shape and angled with respect to each other'"'"'s longitudinal direction, and said expansion members each having opposite ends which are spaced apart in a longitudinal direction, an end of each of said expansion members attached to an end of another of said expansion members;

a fluid reservoir (2);

means (3) for conveying fluid from said reservoir (2) to expand said expansion members (8) through a connection port (7), the connection port providing access to an internal space of the expansion members (8); and

a pull member (14), having a total length between opposite ends that is less than a total length between the opposite ends of at least one of the expansion members (8), the pull member (14) connected to the opposite ends of the at least one of the expansion members (8) so that, when in the expanded mode, the at least one of the expansion members (8) is urged by said pull member (14) to have a slightly curved shape by restricting a full expansion of said at least one expansion member (8),

wherein, in the expanded mode, said expansion members (8) form a frame of a spatial structure, the spatial structure having a height, a width, a length, and open sides between the expansion members, the open sides being void of a web or other closure, and

wherein said sides are open during expansion of said expansion members (8) into the expanded mode.

5. The surgical device according to claim 4, the device further comprising:

a flexible web (12) with a fenestration hole (13), the flexible web (12) mounted between at least two of said expansion members (8), the fenestration hole (13) configured to enable a surgeon to reach a surgical target site.

6. The surgical device according to claim 4, the device, wherein,

said plurality has three of said expansion members (8), and

said three expansion members, in the expanded mode, form a triangle having an opening between said expansion members.

7. The surgical device according to claim 4, wherein said plurality has six of said expansion members (8), each end of any one of said expansion members joined to respective ends of two others of said expansion members, said expansion members (8), in the expanded mode, forming a tetrahedron having open sides between said expansion members.

8. The surgical device according to claim 4, wherein each end of any one of said expansion members is joined to respective ends of two others of said expansion members, said expansion members (8), in the expanded mode, forming a cube.

9. The surgical device according to claim 4, wherein each of the expansion members comprises a sheet type material enclosing an internal chamber to receive an expansion medium, the sheet type material forming, upon expansion by injection of the expansion medium into the chamber, a longitudinal shape with an elongated, tubular outer surface.