US5967970A
Expired / Lapsed
US
⏱️ 0.0 years remaining
System and method for balloon-assisted retraction tube
Assignee: Individual
•
Filing: 1998-09-17
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Granted: 1999-10-19
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Expires: 2018-09-17
Abstract
Abstract A system and method for balloon-assisted retraction technique for the purposes of retraction of tissues and insertion of instruments in connection with advanced surgeries such as microscopic or endoscopic surgeries. A balloon assembly comprising an introducer, a balloon, and a sheath is inserted either manually or with the aid of stereotactic techniques. An endoscope may be used to ensure the proper docking of the introducer assembly. The balloon is then inflated slowly to retract the tissues, in order to create a corridor with minimal invasion. The corridor is expanded and retained using a series of dilators and retractor. The retractor comprises ports through which endoscope and other surgical instruments may pass. Surgical operation is performed through the corridor. The present invention overcomes the disadvantages of conventional retraction systems by providing better visualization and enhanced manual dexterity, as well as providing minimal invasion to allow a shorter recovery period.
Inventors
- 👤 Michael A. Cowan
- 👤 Mark R. Lee
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 15:08
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/34; A61B17/3417; A61B17/3421; A61B17/02; A61B17/0218; A61B17/3423; A61B17/3439; A61B2017/00535; A61B2017/00557; A61B17/32; A61B2017/320044; A61B2017/320048
Claims Analysis
Total Claims: 34
Claim 1
Independent Claim
286 words
A system for retraction of tissues and insertion of instruments comprising: a balloon, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening near the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and sequential cannulated dilators, the dilators having a tubular shape, the dilators having an inner tubular surface and an outer tubular surface, the dilators having a proximal end and a distal end, the dilators having a first opening at the proximal end and a second opening at the distal end, the dilators having increasing circumferences, whereby the balloon is inserted between tissues to create a corridor, the balloon is inflated through the balloon's first opening to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and the dilators are inserted in series, from the dilator having the smallest circumference to the dilator having the largest circumference, such that the dilator having the smallest circumference is inserted first, then a dilator having the next larger circumference is inserted over the dilator having the smallest circumference, such that this process is repeated until the retractor is inserted over the dilator having the largest circumference, in order to expand and retain the corridor.
Claim 2
Independent Claim
286 words
A system for retraction of tissues and insertion of instruments comprising: a balloon, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening near the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and sequential cannulated dilators, the dilators having a tubular shape, the dilators having an inner tubular surface and an outer tubular surface, the dilators having a proximal end and a distal end, the dilators having a first opening at the proximal end and a second opening at the distal end, the dilators having increasing circumferences, whereby the balloon is inserted between tissues to create a corridor, the balloon is inflated through the balloon's first opening to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and the dilators are inserted in series, from the dilator having the smallest circumference to the dilator having the largest circumference, such that the dilator having the smallest circumference is inserted first, then a dilator having the next larger circumference is inserted over the dilator having the smallest circumference, such that this process is repeated until the retractor is inserted over the dilator having the largest circumference, in order to expand and retain the corridor.
Claim 3
Dependent Claim
85 words
A system according to claim 1 further comprising: an introducer, the introducer having a tubular shape, the introducer having an inner tubular surface and an outer tubular surface, the introducer having a proximal end and a distal end, the introducer having a first opening at the proximal end and a second opening at the distal end, whereby the introducer provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 4
Dependent Claim
42 words
A system according to claim 2 further comprising: a flexible endoscope, wherein the flexible endoscope is passed through the introducer via the introducer's first opening and second opening, whereby the flexible endoscope ensures that the balloon is inserted at a desired site.
Claim 5
Dependent Claim
94 words
A system according to claim 1 further comprising: a sheath, the sheath having a tubular shape, the sheath having an inner tubular surface and an outer tubular surface, the sheath having a proximal end and a distal end, the sheath being made of deformable material, the material having properties for expanding and stretching, the sheath being attached to the balloon in at least one location, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 6
Dependent Claim
77 words
A system according to claim 1 further comprising: a sheath, the sheath being a part of the balloon, the sheath forming at least a part of the outer tubular surface of the balloon, the sheath being made of deformable material, the material having properties for expanding and stretching, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at the desired site.
Claim 7
Dependent Claim
39 words
A system according to claim 1 further comprising: a flexible arm assembly, the flexible arm assembly having attaching means, whereby the flexible arm assembly secures the retractor in a fixed position so that the retractor need not be hand-held.
Claim 8
Dependent Claim
40 words
A system according to claim 1, wherein the balloon's outer circumference is about 10 millimeters when the balloon is in a deflated state, and the balloon's outer circumference is about 20 millimeters when the balloon is in an inflated state.
Claim 9
Independent Claim
232 words
A system for retraction of tissues and insertion of instruments comprising: a balloon, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening near the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; and a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end, wherein the retractor having at least one port, the port being attached to the inner tubular surface of the retractor, the port having an inner circumferential surface and an outer circumferential surface, the inner circumferential surface defines a small space, whereby the balloon is inserted between tissues to create a corridor, the balloon is inflated through the balloon's first opening to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and after surgical instruments have been passed through the port, by limiting the freedom of their movement within the small space, the port secures the surgical instruments and the port minimizes the cross-controlling of instruments.
Claim 10
Independent Claim
232 words
A system for retraction of tissues and insertion of instruments comprising: a balloon, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening near the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; and a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end, wherein the retractor having at least one port, the port being attached to the inner tubular surface of the retractor, the port having an inner circumferential surface and an outer circumferential surface, the inner circumferential surface defines a small space, whereby the balloon is inserted between tissues to create a corridor, the balloon is inflated through the balloon's first opening to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and after surgical instruments have been passed through the port, by limiting the freedom of their movement within the small space, the port secures the surgical instruments and the port minimizes the cross-controlling of instruments.
Claim 11
Dependent Claim
85 words
A system according to claim 8 further comprising: an introducer, the introducer having a tubular shape, the introducer having an inner tubular surface and an outer tubular surface, the introducer having a proximal end and a distal end, the introducer having a first opening at the proximal end and a second opening at the distal end, whereby the introducer provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 12
Dependent Claim
42 words
A system according to claim 9 further comprising: a flexible endoscope, wherein the flexible endoscope is passed through the introducer via the introducer's first opening and second opening, whereby the flexible endoscope ensures that the balloon is inserted at a desired site.
Claim 13
Dependent Claim
94 words
A system according to claim 8 further comprising: a sheath, the sheath having a tubular shape, the sheath having an inner tubular surface and an outer tubular surface, the sheath having a proximal end and a distal end, the sheath being made of deformable material, the material having properties for expanding and stretching, the sheath being attached to the balloon in at least one location, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 14
Dependent Claim
77 words
A system according to claim 8 further comprising: a sheath, the sheath being a part of the balloon, the sheath forming at least a part of the outer tubular surface of the balloon, the sheath being made of deformable material, the material having properties for expanding and stretching, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at the desired site.
Claim 15
Dependent Claim
39 words
A system according to claim 8 further comprising: a flexible arm assembly, the flexible arm assembly having attaching means, whereby the flexible arm assembly secures the retractor in a fixed position so that the retractor need not be hand-held.
Claim 16
Dependent Claim
40 words
A system according to claim 8, wherein the balloon's outer circumference is about 10 millimeters when the balloon is in a deflated state, and the balloon's outer circumference is about 20 millimeters when the balloon is in an inflated state.
Claim 17
Dependent Claim
21 words
A system according to claim 8, wherein the surgical instruments comprising an endoscope and instruments for irrigation or suction or both.
Claim 18
Independent Claim
269 words
A method for retraction of tissues and insertion of instruments comprising: inserting a balloon through tissues, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening at the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; inserting a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and inserting sequential cannulated dilators in series, the dilators having a tubular shape, the dilators having an inner tubular surface and an outer tubular surface, the dilators having a proximal end and a distal end, the dilators have increasing circumferences, from the dilator having the smallest circumference to the dilator having the largest circumference, the inserting is performed such that the dilator having the smallest circumference is inserted first, then a dilator having the next larger circumference is inserted over the dilator having the smallest circumference, such that this process is repeated until the retractor is inserted over the dilator having the largest circumference, in order to expand and retain the corridor, whereby the balloon is inserted between the tissues to create a corridor, the balloon is inflated to expand the corridor, and the retractor is inserted into the corridor to retain the corridor.
Claim 19
Independent Claim
269 words
A method for retraction of tissues and insertion of instruments comprising: inserting a balloon through tissues, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening at the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; inserting a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and inserting sequential cannulated dilators in series, the dilators having a tubular shape, the dilators having an inner tubular surface and an outer tubular surface, the dilators having a proximal end and a distal end, the dilators have increasing circumferences, from the dilator having the smallest circumference to the dilator having the largest circumference, the inserting is performed such that the dilator having the smallest circumference is inserted first, then a dilator having the next larger circumference is inserted over the dilator having the smallest circumference, such that this process is repeated until the retractor is inserted over the dilator having the largest circumference, in order to expand and retain the corridor, whereby the balloon is inserted between the tissues to create a corridor, the balloon is inflated to expand the corridor, and the retractor is inserted into the corridor to retain the corridor.
Claim 20
Dependent Claim
87 words
A method according to claim 16, further comprising: inserting an introducer through tissues, the introducer having a tubular shape, the introducer having an inner tubular surface and an outer tubular surface, the introducer having a proximal end and a distal end, the introducer having an opening at the proximal end and a second opening at the distal end, whereby the introducer provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 21
Dependent Claim
37 words
A method according to claim 17, further comprising: inserting a flexible endoscope, whereby the flexible endoscope is passed through the introducer's first opening and second opening to ensure that the balloon is inserted at a desired site.
Claim 22
Dependent Claim
98 words
A method according to claim 16, wherein inserting the balloon also inserts a sheath, the sheath having a tubular shape, the sheath having an inner tubular surface and an outer tubular surface, the sheath having a proximal end and a distal end, the sheath is made of deformable material, the material having properties for expanding and stretching, the sheath being attached to the balloon in at least one location, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 23
Dependent Claim
81 words
A method according to claim 16, wherein inserting the balloon also inserts a sheath, the sheath being a part of the balloon, the sheath forming at least a part of the outer tubular surface of the balloon, the sheath being made of deformable material, the material having properties for expanding and stretching, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at the desired site.
Claim 24
Dependent Claim
43 words
A method according to claim 16, further comprising: securing a flexible arm assembly to the retractor, the flexible arm assembly having attaching means, whereby the flexible arm assembly secures the retractor in a fixed position so that the retractor need not be hand-held.
Claim 25
Dependent Claim
61 words
A method according to claim 16, further comprising: inflating the balloon which changes the balloon from a deflated state to an inflated state, whereby the outer circumference of the balloon is about 10 millimeters when the balloon is in a deflated state, and the outer circumference of the balloon is about 20 millimeters when the balloon is in an inflated state.
Claim 26
Independent Claim
231 words
A method for retraction of tissues and insertion of instruments comprising: inserting a balloon through tissues, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening at the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; inserting a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and inserting instruments through at least one port, the port being attached to the inner tubular surface of the retractor, the port having an inner circumferential surface and an outer circumferential surface, the inner circumferential surface defines a small space, whereby the balloon is inserted between the tissues to create a corridor, the balloon is inflated to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and after surgical instruments have been passed through the port, by limiting the freedom of their movement within the small space, the port secures the surgical instruments and the port minimizes the cross-controlling of instruments.
Claim 27
Independent Claim
231 words
A method for retraction of tissues and insertion of instruments comprising: inserting a balloon through tissues, the balloon having a tubular shape, the balloon having an inner tubular surface and an outer tubular surface, the balloon having a proximal end and a distal end, the balloon having a first opening at the proximal end and through the first opening the balloon is inflated and deflated, and the balloon having a deflated state and an inflated state; inserting a retractor, the retractor having a tubular shape, the retractor having an inner tubular surface and an outer tubular surface, the retractor having a proximal end and a distal end, the retractor having a first opening at the proximal end and a second opening at the distal end; and inserting instruments through at least one port, the port being attached to the inner tubular surface of the retractor, the port having an inner circumferential surface and an outer circumferential surface, the inner circumferential surface defines a small space, whereby the balloon is inserted between the tissues to create a corridor, the balloon is inflated to expand the corridor; the retractor is inserted into the corridor to retain the corridor; and after surgical instruments have been passed through the port, by limiting the freedom of their movement within the small space, the port secures the surgical instruments and the port minimizes the cross-controlling of instruments.
Claim 28
Dependent Claim
87 words
A method according to claim 23, further comprising: inserting an introducer through tissues, the introducer having a tubular shape, the introducer having an inner tubular surface and an outer tubular surface, the introducer having a proximal end and a distal end, the introducer having an opening at the proximal end and a second opening at the distal end, whereby the introducer provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 29
Dependent Claim
36 words
A method according to claim 24, further comprising: inserting a flexible endoscope, whereby the flexible endoscope,is passed through the introducer's first opening and second opening to ensure that the balloon is inserted at a desired site.
Claim 30
Dependent Claim
98 words
A method according to claim 23, wherein inserting the balloon also inserts a sheath, the sheath having a tubular shape, the sheath having an inner tubular surface and an outer tubular surface, the sheath having a proximal end and a distal end, the sheath is made of deformable material, the material having properties for expanding and stretching, the sheath being attached to the balloon in at least one location, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at a desired site.
Claim 31
Dependent Claim
81 words
A method according to claim 23, wherein inserting the balloon also inserts a sheath, the sheath being a part of the balloon, the sheath forming at least a part of the outer tubular surface of the balloon, the sheath being made of deformable material, the material having properties for expanding and stretching, whereby the sheath provides structural rigidity to the balloon, while the balloon is being inserted between tissues, so that the balloon may be properly placed at the desired site.
Claim 32
Dependent Claim
43 words
A method according to claim 23, further comprising: securing a flexible arm assembly to the retractor, the flexible arm assembly having attaching means, whereby the flexible arm assembly secures the retractor in a fixed position so that the retractor need not be hand-held.
Claim 33
Dependent Claim
61 words
A method according to claim 23, further comprising: inflating the balloon which changes the balloon from a deflated state to an inflated state, whereby the outer circumference of the balloon is about 10 millimeters when the balloon is in a deflated state, and the outer circumference of the balloon is about 20 millimeters when the balloon is in an inflated state.
Claim 34
Dependent Claim
24 words
A method according to claim 23, wherein the inserting of surgical instruments comprising inserting an endoscope and instruments for irrigation or suction or both.
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| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
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| 3.5 Years (Year 4) | 2002-10-18 | 2003-04-19 | 2003-10-19 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2006-10-18 | 2007-04-19 | 2007-10-19 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2010-10-18 | 2011-04-19 | 2011-10-19 | $7700.00 | Window Closed / Lapsed |