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US6042596A Expired / Lapsed US ⏱️ 0.0 years remaining

Method of performing balloon dissection

Assignee: Medtronic Spine LLC
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Filing: 1997-09-25
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Granted: 2000-03-28
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Expires: 2017-09-25
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Abstract

Abstract A retractor for use in arthroscopic surgery. The retractor has a mechanical expanding portion for expanding against sub-surface tissues when the retractor is in use. The retractor also has a fluid-operated expanding portion, which may be independently controllable, for expanding against sub-surface tissues when the retractor is in use. The retractor is inserted through a small percutaneous opening, expanded in sub-surface tissues without significantly damaging the tissue, then collapsed after use for removal. The retractor can be manipulated to allow the surgeon to push or pull or lever on tissue. The retractor can be hollow like a cannula to permit the passage of one or more surgical devices through the retractor, with a side portal into the center of the retractor.

Inventors

  • 👤 Peter M. Bonutti

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 12:24
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/0218; A61B17/025; A61B17/32; A61B17/320016; A61B17/320036; A61B17/3205; A61B17/3207; A61B17/320725; A61B17/34; A61B17/3417; A61B2017/00535; A61B2017/00539; A61B2017/00557; A61B2017/00982; A61B2017/00986; A61B2017/0256; A61B2017/320044; A61B2017/320048; A61B2017/348; A61B2017/3482; A61B2017/3484; A61B90/00; A61B90/06; A61B2090/062; A61M; A61M25/00; A61M25/0043; A61M2025/006; A61M25/10; A61M25/1002

Claims Analysis

Total Claims: 27
Claim 1
Independent Claim 137 words
A method for dissecting a first layer of tissue from a second layer of tissue along a natural tissue plane between the first and second tissue layers, comprising the steps of: introducing a deflated balloon to a first location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue panel by exerting force on said layers by inflating said balloon, thereby creating a first dissected region between the first and second tissue layers; deflating said balloon; moving said balloon to a new location between the first and second tissue layers; and dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon again, thereby creating a second dissected region between the first and second tissue layers.
Claim 2
Independent Claim 137 words
A method for dissecting a first layer of tissue from a second layer of tissue along a natural tissue plane between the first and second tissue layers, comprising the steps of: introducing a deflated balloon to a first location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue panel by exerting force on said layers by inflating said balloon, thereby creating a first dissected region between the first and second tissue layers; deflating said balloon; moving said balloon to a new location between the first and second tissue layers; and dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon again, thereby creating a second dissected region between the first and second tissue layers.
Claim 3
Dependent Claim 21 words
The method of claim 1 further comprising the step of retracting the dissected regions to maintain a space in body tissue.
Claim 4
Dependent Claim 15 words
The method of claim 2 wherein the dissected regions are retracted by a mechanical retractor.
Claim 5
Dependent Claim 14 words
The method of claim 2 wherein the dissected regions are retracted by said balloon.
Claim 6
Dependent Claim 39 words
The method of claim 1 wherein said space is an anatomic space in body tissue, said anatomic space being defined as a volume not occupied by body tissue but which may be occupied by said balloon or other device.
Claim 7
Dependent Claim 35 words
The method of claim 2 wherein said space is an open space in body tissue, said open space being defined as a volume not occupied by said balloon or other device or by body tissue.
Claim 8
Dependent Claim 43 words
The method of claim 2 wherein said space is a working space in body tissue, said working space being defined as a volume not occupied by said balloon or other device or by body tissue, and sufficiently large to perform a surgical procedure.
Claim 9
Dependent Claim 14 words
The method of claim 2 wherein said space is occupied by said inflated balloon.
Claim 10
Dependent Claim 15 words
The method of claim 1 further comprising the steps of deflating and removing said balloon.
Claim 11
Dependent Claim 18 words
The method of claim 9 further comprising the step of performing a surgical procedure in said dissected regions.
Claim 12
Dependent Claim 17 words
The method of claim 10 further comprising the step of inserting a scope into the dissected regions.
Claim 13
Dependent Claim 18 words
The method of claim 11 further comprising the step of performing a surgical procedure in said dissected region.
Claim 14
Dependent Claim 16 words
The method of claim 12 wherein said balloon is left in place during the surgical procedure.
Claim 15
Dependent Claim 21 words
The method of claim 9 further comprising the step of retracting the dissected regions to maintain a space in body tissue.
Claim 16
Dependent Claim 39 words
The method of claim 14 wherein said space is an anatomic space in body tissue, said anatomic space being defined as a volume not occupied by body tissue but which may be occupied by said balloon or other device.
Claim 17
Dependent Claim 35 words
The method of claim 9 wherein said space is an open space in body tissue, said open space being defined as a volume not occupied by said balloon or other device or by body tissue.
Claim 18
Dependent Claim 43 words
The method of claim 9 wherein said space is a working space in body tissue, said working space being defined as a volume not occupied by said balloon or other device or by body tissue, and sufficiently large to perform a surgical procedure.
Claim 19
Dependent Claim 14 words
The method of claim 9 further comprising the step of retracting the dissected regions.
Claim 20
Dependent Claim 15 words
The method of claim 18 wherein the dissected regions are retracted by a mechanical retractor.
Claim 21
Dependent Claim 22 words
The method of claim 1 wherein said first dissected region and second dissected region are connected to form a combined dissected region.
Claim 22
Dependent Claim 32 words
The method of claim 1 wherein said balloon is disposed between a pair of jaws and wherein one of said jaws pivots such that inflation of said balloon actuates said pivoting jaw.
Claim 23
Independent Claim 171 words
A method for dissecting a first layer of tissue from a second layer of tissue along a natural tissue plane between the first and second tissue layers, comprising the steps of: making an incision in a body which incision provides access to the natural tissue plane; introducing a deflated balloon into the incision and directing it to a first location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon, thereby creating a first dissected region between the first and second tissue layers; deflating said balloon; moving said balloon to a new location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon again, thereby creating a second dissected region between the first and second tissue layers; deflating and removing said balloon; and performing a surgical procedure in said dissected regions.
Claim 24
Independent Claim 171 words
A method for dissecting a first layer of tissue from a second layer of tissue along a natural tissue plane between the first and second tissue layers, comprising the steps of: making an incision in a body which incision provides access to the natural tissue plane; introducing a deflated balloon into the incision and directing it to a first location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon, thereby creating a first dissected region between the first and second tissue layers; deflating said balloon; moving said balloon to a new location between the first and second tissue layers; dissecting said first layer from said second layer along said natural tissue plane by exerting force on said layers by inflating said balloon again, thereby creating a second dissected region between the first and second tissue layers; deflating and removing said balloon; and performing a surgical procedure in said dissected regions.
Claim 25
Dependent Claim 19 words
The method of claim 22 wherein said balloon is disposed on a distal portion of a substantially rigid member.
Claim 26
Dependent Claim 13 words
The method of claim 22 wherein said balloon is mounted on an elongate.
Claim 27
Dependent Claim 29 words
The method of claim 22 wherein said cannula further comprises a pair of jaws and wherein one of said jaws pivots and is actuated by inflation of said balloon.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-03-28 2003-09-27 2004-03-28 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-03-28 2007-09-27 2008-03-28 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-03-28 2011-09-27 2012-03-28 $7700.00 Window Closed / Lapsed

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