WO2006096532A1 - Expandable surgical access device with mobility member - Google Patents

Expandable surgical access device with mobility member Download PDF

Info

Publication number
WO2006096532A1
WO2006096532A1 PCT/US2006/007662 US2006007662W WO2006096532A1 WO 2006096532 A1 WO2006096532 A1 WO 2006096532A1 US 2006007662 W US2006007662 W US 2006007662W WO 2006096532 A1 WO2006096532 A1 WO 2006096532A1
Authority
WO
WIPO (PCT)
Prior art keywords
expandable
access
expandable portion
access device
distal end
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2006/007662
Other languages
English (en)
French (fr)
Inventor
William N. Woodburn, Sr.
Brian R. Bankoski
Ralph C. Solitario, Jr.
Caryn E. Bundra
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
Synthes USA LLC
HFSC Co
Original Assignee
Synthes GmbH
Synthes USA LLC
HFSC Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synthes GmbH, Synthes USA LLC, HFSC Co filed Critical Synthes GmbH
Priority to BRPI0607689A priority Critical patent/BRPI0607689A2/pt
Priority to EP06736907A priority patent/EP1858423A1/en
Priority to JP2007558278A priority patent/JP2008531219A/ja
Priority to CA002599948A priority patent/CA2599948A1/en
Priority to AU2006220777A priority patent/AU2006220777A1/en
Publication of WO2006096532A1 publication Critical patent/WO2006096532A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy

Definitions

  • An operator may perform any combination of translation, rotation and angulation independently and/or simultaneously.
  • a surgeon may move the access portion in and out of the expandable portion and/or right, left, forwards or backwards relative to the expandable portion.
  • Translation along the z-axis may allow a surgeon to manually palpate (Le., examine by feel or by touch) patient anatomy during a surgical procedure.
  • the mobility member may expand as the expandable portion moves to the expanded position and may contract as the expandable portion moves to the unexpanded position.
  • FIG. 3B is a rear view of the expandable portion shown in FIG. 3 A in an unexpanded
  • FIG. 7 is a perspective view of an exemplary embodiment of the expandable portion of FIG. 6A in an unexpanded position
  • the locking mechanism 30 may be moved between a locked position (e.g., away from the handle 24) - where the ratchet mechanism 26 and, consequently, the first portion 20 may be fixed with respect to the second portion 22 - and an unlocked position ⁇ e.g., towards the handle 24) - where the ratchet mechanism 26 and, consequently, the first portion 20 may be moveable relative to the second portion 22.
  • the access portion 3 may be moved in increment between an expanded position and an coUapsed/unexpanded position.
  • the access portion 3 may have a collapsed/unexpanded dimension D of about 30 mm which may be expanded in increments of about 2 mm to an expanded dimension D of about 44 mm.
  • the access portion 3 may be locked in place at different increments so that a surgical procedure may be performed therethrough.
  • the increments may be a factor of the spacing between the teeth 34 of the ratchet mechanism 26.
  • the ring 252 may be connected to/positioned around the access portion 207 and a table mount (not shown) (e.g., a rigid or flexible rod) may be attached to the flange 254 to fix the handle member 250 to an operating table.
  • a table mount e.g., a rigid or flexible rod
  • the handle member 250 may be used with any embodiment of an expandable access device to connect the expandable access device to an operating table.
  • the handle member 250 may be sized and configured so that surgical or diagnostic instruments (e.g., a light, nerve root retractor) may attached thereto.
  • the first and second members 302, 304 may be flexible, for example, the first and second members 302, 304 may be made from, for example, a flexible biocompatible polymer (e.g., PEEK, polypropylene) or a thin piece of sheet metal so that the first and second members 302, 304 may be contourable.
  • the first and second members 302, 304 may each include a receiving portion 310, 310a, and a flap 306, 306a, which may define a deployment path 308, 308a.
  • the first and second members 302, 304 may be sized and configured so that the flap 306 of the first member 302 may be inserted into the receiving portion 310a of the second member 304.
  • the hinges 514 may have a first hinge portion 514a and a second hinge portion 514b which may be pivotally connected to each other at pivot connection 516 and pivotally connected to first section 510 and second section 520, respectively.
  • One or more hinges 514 may be selectively locked by, for example, opening the expandable portion 505 until the first and second hinge portions 514a, 514b may be at an angle ⁇ of about 180 degrees or less with respect to each other. It should be noted, however, that other means for selectively locking one or more hinges 514 are envisioned.
  • the hinges 514 may be locked and unlocked and, the expandable portion 505 may be expanded and unexpanded, by a device (not shown) which may be inserted through the passage 9 and in between the first and second sections 510, 520.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
PCT/US2006/007662 2005-03-04 2006-03-03 Expandable surgical access device with mobility member Ceased WO2006096532A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
BRPI0607689A BRPI0607689A2 (pt) 2005-03-04 2006-03-03 dispositivo de acesso expansível para fornecer acesso do exterior para o interior de um corpo vivo, e, método para fornecer um portal de acesso
EP06736907A EP1858423A1 (en) 2005-03-04 2006-03-03 Expandable surgical access device with mobility member
JP2007558278A JP2008531219A (ja) 2005-03-04 2006-03-03 可動性部材を備えている拡張可能な外科手術用接近装置
CA002599948A CA2599948A1 (en) 2005-03-04 2006-03-03 Expandable surgical access device with mobility member
AU2006220777A AU2006220777A1 (en) 2005-03-04 2006-03-03 Expandable surgical access device with mobility member

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US65905005P 2005-03-04 2005-03-04
US60/659,050 2005-03-04

Publications (1)

Publication Number Publication Date
WO2006096532A1 true WO2006096532A1 (en) 2006-09-14

Family

ID=36576024

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/007662 Ceased WO2006096532A1 (en) 2005-03-04 2006-03-03 Expandable surgical access device with mobility member

Country Status (10)

Country Link
US (1) US20060229636A1 (https=)
EP (1) EP1858423A1 (https=)
JP (1) JP2008531219A (https=)
KR (1) KR20070117640A (https=)
CN (1) CN101166476A (https=)
AU (1) AU2006220777A1 (https=)
BR (1) BRPI0607689A2 (https=)
CA (1) CA2599948A1 (https=)
TW (1) TW200701934A (https=)
WO (1) WO2006096532A1 (https=)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009137700A1 (en) * 2008-05-07 2009-11-12 Synthes Usa, Llc Method and apparatus for laterally accessing an intervertebral disc space
JP2010540034A (ja) * 2007-09-24 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド 楕円形開創器

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7846093B2 (en) * 2005-09-26 2010-12-07 K2M, Inc. Minimally invasive retractor and methods of use
EP2043528A2 (en) 2006-06-09 2009-04-08 Zimmer Spine, Inc. Methods and apparatus for access to and/or treatment of the spine
US8262569B2 (en) * 2006-07-19 2012-09-11 Zimmer Spine, Inc. Surgical access system and method of using the same
US8062217B2 (en) 2007-01-26 2011-11-22 Theken Spine, Llc Surgical retractor with removable blades and method of use
US20100217090A1 (en) * 2009-02-26 2010-08-26 Heiges Bradley A Retractor and mounting pad
US9675334B2 (en) 2009-02-26 2017-06-13 Bhdl Holdings, Llc Surgical dilator, retractor and mounting pad
US10413287B2 (en) 2009-02-26 2019-09-17 Bhdl Holdings, Llc Surgical dilator, retractor and mounting pad
US8480704B2 (en) * 2009-02-26 2013-07-09 Bhdl Holdings, Llc Surgical dilator, retractor and mounting pad
CA2709619A1 (en) * 2009-08-06 2011-02-06 Tyco Healthcare Group Lp Surgical device having indicia for cutting to size
US9907582B1 (en) 2011-04-25 2018-03-06 Nuvasive, Inc. Minimally invasive spinal fixation system and related methods
WO2014144086A1 (en) * 2013-03-15 2014-09-18 Ib Medical, Llc Expandable cannula with distal locking mechanism
AU2014253945B2 (en) * 2013-04-17 2019-03-07 DePuy Synthes Products, LLC Expandable dilator
US10045768B2 (en) 2014-07-06 2018-08-14 Javier Garcia-Bengochea Methods and devices for surgical access
WO2017008087A1 (en) 2015-07-06 2017-01-12 Javier Garcia-Bengochea Methods and devices for surgical access
CA3211010C (en) * 2014-11-13 2025-09-09 Applied Medical Resources Corporation TISSUE REMOVAL SYSTEMS AND METHODS
KR101703002B1 (ko) * 2015-03-10 2017-02-06 주식회사 메드릭스 접이식 블레이드 타입의 최소 침습 수술용 견인장치
WO2017040275A1 (en) * 2015-08-28 2017-03-09 Bhdl Holdings, Llc Surgical dilator, retractor and mounting pad
DE102015012964B4 (de) * 2015-10-08 2018-12-27 Karl Storz Se & Co. Kg Zugangssystem für endoskopische Operationen
WO2017200555A1 (en) * 2016-05-20 2017-11-23 Choicespine, Lp Access instruments to extend a surgical working channel
WO2020061073A1 (en) * 2018-09-17 2020-03-26 Cestero Ramon Francisco Adjustable locking surgical retractor
MX2023007692A (es) 2021-01-03 2023-07-07 Advanced Surgical Retractor Systems Inc Retractor quirurgico.
US20240065728A1 (en) * 2022-08-23 2024-02-29 Lsi Solutions, Inc. Expandable cannula assembly
US12569235B2 (en) * 2023-03-21 2026-03-10 Lsi Solutions, Inc. Surgical retractor assembly

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6312443B1 (en) * 1998-12-23 2001-11-06 Nuvasive, Inc. Expandable cannula
US20040002629A1 (en) * 2002-06-26 2004-01-01 Branch Charles L. Instruments and methods for minimally invasive tissue retraction and surgery
US20040230100A1 (en) 2003-05-16 2004-11-18 Shluzas Alan E. Access device for minimally invasive surgery

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6605063B2 (en) * 1998-09-21 2003-08-12 Gerald G. Bousquet Transcutaneous access device
US6036638A (en) * 1997-11-04 2000-03-14 Nwawka; Chudi C. Vaginal sleeve
US6365115B1 (en) * 1999-05-14 2002-04-02 Poly Vac, Inc. Sterilization and storage container tray

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6312443B1 (en) * 1998-12-23 2001-11-06 Nuvasive, Inc. Expandable cannula
US20040002629A1 (en) * 2002-06-26 2004-01-01 Branch Charles L. Instruments and methods for minimally invasive tissue retraction and surgery
US20040230100A1 (en) 2003-05-16 2004-11-18 Shluzas Alan E. Access device for minimally invasive surgery

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010540034A (ja) * 2007-09-24 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド 楕円形開創器
WO2009137700A1 (en) * 2008-05-07 2009-11-12 Synthes Usa, Llc Method and apparatus for laterally accessing an intervertebral disc space
JP2011519691A (ja) * 2008-05-07 2011-07-14 ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング 椎間板空間に側方からアクセスする方法及び装置
US8808172B2 (en) 2008-05-07 2014-08-19 DePuy Synthes Products, LLC Method and apparatus for laterally accessing an intervertebral disc space

Also Published As

Publication number Publication date
JP2008531219A (ja) 2008-08-14
EP1858423A1 (en) 2007-11-28
US20060229636A1 (en) 2006-10-12
CA2599948A1 (en) 2006-09-14
KR20070117640A (ko) 2007-12-12
CN101166476A (zh) 2008-04-23
AU2006220777A1 (en) 2006-09-14
BRPI0607689A2 (pt) 2016-11-08
TW200701934A (en) 2007-01-16

Similar Documents

Publication Publication Date Title
US20060229636A1 (en) Expandable access device with mobility member
US10874387B2 (en) Surgical retractor system
US7935053B2 (en) Surgical Retractor System
US9510858B2 (en) Minimally invasive retractor and methods of use
US7144368B2 (en) Guided retractor and methods of use
US8246538B2 (en) Minimally invasive retractor with separable blades and methods of use
US7566302B2 (en) Expandable access device
US20140243602A1 (en) Minimally invasive retractor screw and methods of use
WO2005060837A2 (en) Surgical retractor systems, illuminated cannulae, and methods of use

Legal Events

Date Code Title Description
WWE Wipo information: entry into national phase

Ref document number: 200680014478.3

Country of ref document: CN

121 Ep: the epo has been informed by wipo that ep was designated in this application
ENP Entry into the national phase

Ref document number: 2599948

Country of ref document: CA

WWE Wipo information: entry into national phase

Ref document number: 2006220777

Country of ref document: AU

WWE Wipo information: entry into national phase

Ref document number: 2007558278

Country of ref document: JP

Ref document number: 561179

Country of ref document: NZ

Ref document number: 3851/CHENP/2007

Country of ref document: IN

Ref document number: 2006736907

Country of ref document: EP

NENP Non-entry into the national phase

Ref country code: DE

ENP Entry into the national phase

Ref document number: 2006220777

Country of ref document: AU

Date of ref document: 20060303

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 07103460

Country of ref document: CO

NENP Non-entry into the national phase

Ref country code: RU

WWE Wipo information: entry into national phase

Ref document number: 1020077022695

Country of ref document: KR

ENP Entry into the national phase

Ref document number: PI0607689

Country of ref document: BR

Kind code of ref document: A2

Effective date: 20070903