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

• US 8,771,180 B2
• Filed: 08/05/2013
• Issued: 07/08/2014
• 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): Cumberledge, Jerry
• Application Number:
  US13/958,842
• Publication Number:
  US 20130317309A1
• Time in Patent Office: 337 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 method for retracting extraneous tissue using a surgical instrument, wherein the surgical instrument includes a tool guide, a balloon, and an expandable retractor, wherein the balloon is disposed around the tool guide so that the tool guide extends within a core formed in the balloon, wherein the expandable retractor is disposed around the balloon, wherein the expandable retractor is constructed so that the expandable retractor is expanded and locks in an expanded configuration when the balloon is expanded to sufficient volume, and wherein the expandable retractor is constructed so that expandable retractor remains locked without external support when the balloon is deflated and no longer contacts an inner surface of the expandable retractor, the method comprising:

positioning the surgical instrument so that the expandable retractor retracts the extraneous tissue when the expandable retractor is expanded to and locked in its expanded configuration;

expanding the balloon so that the expandable retractor is expanded to and locked in its expanded configuration to retract the extraneous tissue;

deflating the balloon so that the balloon no longer contacts the inner surface of the expandable retractor while the expandable retractor remains locked without external support so as to continue retracting the extraneous tissue; and

moving a tool inserted in the tool guide towards a target tissue.

2. The method according to claim 1, further comprising:

positioning the tool so as to be capable of performing a medical procedure on the target tissue; and

re-inflating the balloon so as to brace at least the balloon against the expandable retractor while the expandable retractor remains locked and in place so as to continue retracting the extraneous tissue.

3. The method according to claim 2, further comprising:

performing the medical procedure by using the tool;

deflating the balloon;

manipulating an end effector of the tool to interact with an element of the expandable retractor so as to collapse the expandable retractor.

4. The method according to claim 3, wherein the manipulation of the end effector of the tool to collapse the expandable retractor comprises:

grasping and manipulating the element of the expandable retractor by using the end effector of tool so that the manipulated element causes the expandable retractor to collapse from its expanded configuration back to a non-expanded configuration.

5. The method according to claim 4, further comprising:

removing the expandable retractor along with the tool guide following completion of the medical procedure on the target tissue.

6. The method according to claim 1, wherein the balloon is tubular shaped.

7. The method according to claim 6, wherein the expandable retractor is cylindrically shaped.