CA2483905A1 - Endoscopic organ retractor and method of using the same - Google Patents

Endoscopic organ retractor and method of using the same Download PDF

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Publication number
CA2483905A1
CA2483905A1 CA002483905A CA2483905A CA2483905A1 CA 2483905 A1 CA2483905 A1 CA 2483905A1 CA 002483905 A CA002483905 A CA 002483905A CA 2483905 A CA2483905 A CA 2483905A CA 2483905 A1 CA2483905 A1 CA 2483905A1
Authority
CA
Canada
Prior art keywords
organ
support assembly
shaft
ribs
longitudinal axis
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.)
Granted
Application number
CA002483905A
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French (fr)
Other versions
CA2483905C (en
Inventor
Joseph Orban, Iii
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.)
Covidien LP
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2483905A1 publication Critical patent/CA2483905A1/en
Application granted granted Critical
Publication of CA2483905C publication Critical patent/CA2483905C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft

Abstract

In an organ retractor including a shaft (50) defining a longitudinal axis and a longitudinal plane, and at least one organ support assembly (70) operatively coupled to the shaft. The organ support assembly includes a plurality of ribs (90a, 90b) having a first position, in which each of the plurality of ribs is parallel with one another, and a second position, in which a first rib of the plurality of ribs is transverse with respect to a second rib of the plurality of ribs. The at least one organ support assembly is pivotable from a first orientation, in which each of the plurality of ribs is disposed in the longitudinal plane (x, y) of the shaft, to a second orientation, in which each of the plurality of ribs is disposed at an angle relative to the longitudinal plane (x, y) of the shaft, and a support (97) extending between and connected to each of the plurality of two ribs.

Claims (29)

1. An organ retractor, comprising:
a shaft having a proximal end and a distal end and defining a longitudinal axis and a longitudinal plane; and at least one organ support assembly operatively coupled to the distal end of the shaft, the organ support assembly including:
a plurality of ribs each defining a respective longitudinal axis; the at least one organ support assembly having a first position, in which the longitudinal axis of each of the plurality of ribs is generally parallel with one another, and a second position, in which the longitudinal axis of a first rib of the plurality of ribs is transverse with respect to the longitudinal axis of a second rib of the plurality of ribs; the at least one organ support assembly being pivotable from a first orientation, in which each of the plurality of ribs is generally disposed in the longitudinal plane of the shaft, to a second orientation, in which each of the plurality of ribs is disposed at an angle relative to the longitudinal plane of the shaft; and a support extending between and connected to the first rib and the second rib.
2. The organ retractor according to claim 1, wherein when the at least one organ support assembly is in the first position, the longitudinal axis of each of the first plurality of ribs is generally parallel with the longitudinal axis of the shaft.
3. The organ retractor according to claim 2, wherein the plurality of ribs are pivotally connected to one another at a proximal end portion thereof.
4. The organ retractor according to claim 3, wherein the at least one organ support assembly is pivotally connected to the distal end of the shaft and arranged so as to permit articulation of the at least one organ support assembly relative to the shaft.
5. The organ retractor according to claim 4, wherein the organ support assembly is pivotally connected to the shaft by a hinge member defines a pivot axis which is oriented substantially orthogonal relative to the longitudinal axis of the shaft.
6. The organ retractor according to claim 4, further including a deployment and retracting mechanism configured and adapted to urge the at least one organ support assembly from the first position to a plurality of positions including the second position.
7. The organ retractor according to claim 6, wherein the deployment and retracting mechanism is configured and adapted to urge the at least one organ support assembly from the first orientation to a plurality of orientations including the second orientation.
8. The organ retractor according to claim 7, wherein the deployment and retracting mechanism includes a first rod extending through the shaft and operatively connected to the at least one organ support assembly such that proximal movement of the first rod urges the at least one organ support assembly from the first orientation to one of the plurality of orientations.
9. The organ retractor according to claim 8, wherein the deployment and retracting mechanism includes a second rod extending through the shaft and operatively connected to one of the plurality of ribs such that proximal movement of the second rod urges the at least one organ support assembly from a first position to one of the plurality of positions.
10. The organ retractor according to claim 6, wherein the deployment and retracting mechanism includes a first cable extending through the shaft and operatively connected to the at least one organ support assembly, arranged so that when the first cable is withdrawn in a proximal direction the at least one organ support assembly is urged from the first position to one of the plurality of positions.
11. The organ retractor according to claim 10, wherein the deployment and retracting mechanism includes a second cable arranged so that when the second cable is withdrawn in a proximal direction the at least one organ support assembly is urged from the first orientation to one of the plurality of orientations.
12. The organ retractor according to claim 1, further including a port defining a passageway extending therethrough, wherein the port is configured and adapted to define an opening into a body cavity.
13. The organ retractor according to claim 12, wherein the shaft and the at least one organ support assembly, when in the first position and in the first orientation, are sized and shaped to be received in the passageway of the port.
14. The organ retractor according to claim 13, wherein the port further includes a locking mechanism for fixing the position of the shaft relative to the port.
15. The organ retractor according to claim 7, further comprising a locking mechanism for securing the position of the retracting and deployment mechanism relative to the shaft to fix the orientation and position of the at least one organ support assembly.
16. The organ retractor according to claim 1, further including a handle operatively connected to the proximal end of the shaft.
17. The organ retractor according to claim 1, wherein each of the plurality of ribs includes a series of apertures formed therein, the organ retractor further including a vacuum source fluidly connected to the series of apertures formed in each of the plurality of ribs.
18. The organ retractor according to claim 1, wherein at least one of the plurality of ribs includes a pressure sensor operatively associated therewith.
19. The organ retractor according to claim 1, wherein at least the distal end of the shaft is longitudinally divided into a first portion and a second portion;
wherein a first organ support assembly is operatively connected to a distal end of the first portion and a second organ support assembly is operatively connected to a distal end of the second portion.
20. The organ retractor according to claim 19, wherein the first and second portions are pivotally connected to one another so as to be pivotally separatable from one another.
21. An organ retracting system, for retracting an organ within a body cavity, comprising:
a port defining a passageway extending therethrough, wherein the port is configured and adapted to define an opening into the body cavity and provide access to the organ; and a lifting apparatus configurable to be sized and dimensioned to be received.
through the passageway of the port, the lifting apparatus including:
a shaft having a proximal end and a distal end and defining a longitudinal axis;
at least one organ support assembly operatively coupled to the distal end of the shaft, the organ support assembly having a plurality of ribs with a first position substantially aligned with the longitudinal axis of the shaft and at least one second position angled with respect to the longitudinal axis of the shaft; and a support extending between and connected to at least two of the plurality of ribs.
22. The organ retracting system according to claim 21, wherein the at least one organ support assembly is pivotally connected to the distal end of the shaft so as to define .
a pivot axis which is orthogonal to the longitudinal axis of the shaft.
23. The organ retracting system according to claim 22, wherein the lifting apparatus includes a hinge member and the at least one organ support assembly is pivotable about the pivot axis of the hinge member.
24. The organ retracting system according to claim 23, wherein the plurality of ribs are pivotally connected to one another at a proximal end thereof.
25. The organ retracting system according to claim 24, wherein the at least one .-organ support assembly has a first orientation in which the plurality of ribs.
is substantially disposed in a longitudinal plane of the shaft and at least one second orientation in which at least one of the ribs is angled with respect to the longitudinal plane of the shaft.
26. The organ retracting system according to claim 25, wherein the plurality of ribs are angled with respect to a plane defined by the longitudinal axis of the shaft and the pivot axis of the hinge member.
27. A method of retracting an organ in a body cavity during an endoscopic surgical procedure comprising the steps of:
providing an organ retracting system, including:
a port defining a passageway extending therethrough, wherein the port is configured and adapted to define an opening into the body cavity and provide access to the organ; and a lifting apparatus configurable to be sized and dimensioned to be received through the passageway of the port, the lifting apparatus including:
a shaft having a proximal end and a distal end and defining a longitudinal axis; and at least one organ support assembly operatively coupled to the distal end of the shaft, the organ support assembly having a plurality of ribs each defining a respective longitudinal axis, the at least one organ support assembly having a first position in which the longitudinal axis of each of the plurality of ribs is generally parallel with one another and a second position in which the longitudinal axis of a first rib of the plurality of ribs is transverse with respect to the longitudinal axis of a second rib, the at least one organ support assembly having a support extending between and connected to a first and a second rib of the plurality of ribs;
positioning the port through the surface of the body;
passing the at least one organ support assembly, while in the first position, through the passageway of the port;
advancing the at least one organ support assembly to a position adjacent the organ to be retracted;
manipulating the lifting apparatus to urge the at least one organ support assembly to the second position and positioning the lifting apparatus so that the support extending between the first and second ribs is positioned along the organ; and retracting the organ.
28. The method according to claim 27, wherein the at least one organ support assembly has a first orientation in which the plurality of ribs is generally disposed in a longitudinal plane of the shaft and a second orientation in which each of the plurality of ribs is disposed at an angle relative to the longitudinal plane of the shaft, and wherein the step of retracting the organ comprises moving the organ support assembly from the first orientation to the second orientation.
29. The method according to claim 27, wherein the step of retracting comprises moving the shaft in a proximal direction.
CA2483905A 2002-05-09 2003-05-09 Endoscopic organ retractor and method of using the same Expired - Fee Related CA2483905C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US37932702P 2002-05-09 2002-05-09
US60/379,327 2002-05-09
PCT/US2003/014773 WO2003094744A1 (en) 2002-05-09 2003-05-09 Endoscopic organ retractor and method of using the same

Publications (2)

Publication Number Publication Date
CA2483905A1 true CA2483905A1 (en) 2003-11-20
CA2483905C CA2483905C (en) 2011-01-25

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA2483905A Expired - Fee Related CA2483905C (en) 2002-05-09 2003-05-09 Endoscopic organ retractor and method of using the same

Country Status (8)

Country Link
US (1) US7445598B2 (en)
EP (1) EP1501423B1 (en)
JP (1) JP2005524475A (en)
AU (1) AU2003232111B2 (en)
CA (1) CA2483905C (en)
DE (1) DE60329381D1 (en)
ES (1) ES2333215T3 (en)
WO (1) WO2003094744A1 (en)

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JP2005524475A (en) 2005-08-18
AU2003232111B2 (en) 2008-10-02
DE60329381D1 (en) 2009-11-05
ES2333215T3 (en) 2010-02-18
US20050240083A1 (en) 2005-10-27
WO2003094744A1 (en) 2003-11-20
EP1501423A1 (en) 2005-02-02
EP1501423B1 (en) 2009-09-23
AU2003232111A1 (en) 2003-11-11
US7445598B2 (en) 2008-11-04
CA2483905C (en) 2011-01-25

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