US006364892B1

(12) United States Patent (10) Patent N0.: US 6,364,892 B1

Jervis (45) Date of Patent: Apr. 2, 2002

(54) BALLON DISSECTOR WITH IMPROVED 3,882,852 A 5/1975 Sinnreich

VISUALIZATION RE29,207 E 5/1977 Boldac 6161.
4,083,369 A 4/1978 Sinnreich
(75) Inventor: James E. Jervis, Atherton, CA (US) a a
2 ?fitiltivfandet a1
1 e Of

(73) Assignee: General Surgical Innovations, Inc., a a

2 glolllgkbf? a1
a a laIl
Norwalk CT (Us) 4,411,654 A 10/1983 BOaIiIli e161.
* ~ , ~ ~ ~ - 4,447,227 A 5/1984 Kotsanis
( ) Notice. Sub]ect~ to any disclaimer, the term of this 4,490,137 A 12/1984 Moukheibir
patent 15 extended or ad]usted under 35 4496 345 A 1 1985 H
US 0 154(b) b 0 da 5 / am
- ~ - Y Y - 4,574,806 A 3/1986 McCarthy
4,581,025 A 4/1986 Timmermans
(21) Appl. No.: 09/364,686 _ _
(List continued on neXt page.)
22 Filed: Jul. 30 1999
( ) FOREIGN PATENT DOCUMENTS
Related US. Application Data W0 WO 92/06638 4/1992
. . . . . W0 W0 9532663 12/1995
(60) Continuation-in-part of application No. 09/107,834, ?led on W0 W0 9725094 7/1997
Jun. 30, 1998, which is a continuation of application No. W0 W0 9734532 9/1997
08/570,766, ?led on Dec. 12, 1995, now Pat. No. 5,772,680,
which is a continuation-in-part of application No. 08/403, ' ~
012, ?led on Mar. 10, 1995, HOW Pat. N0. 5,540,711, which Primary ExaminerG1enn K Dawson
is a continuation-in-part of application No. 08/388,233, ?led (57) ABSTRACT
on Feb. 13, 1995, now Pat. No. 5,730,756, which is a
continuation-in-part of application No. 08/267,488, ?led on ' ' '
Jun. 29, 1994, now Pat. No. 5,607,443, which is a continu-
ation-in-part of application No. 08/124,283, ?led on Sep. 20,
fAn expaiislble tunneltmgapparaglls and assoilated method?
or Crea mg at} ana Omlc _W0r ng Space or a surglca
1993, HOW Pat. NO. 5,836,961, which is a Continuation-in- procedure Varlous embodlrnents of one and tWO P1999
part of application N0- 08/073,_73_7,_ ?led On Jun- 8, 1993, apparatus that permit laparoscopic observation both during
now abandoned Whlch 1S a dlvlslon of apphcanon N~ tunneling and during subsequent balloon dissection are
07/893,988, ?led On Jun. 2, 1992. . . . .
disclosed. In a disclosed one piece embodiment, a tubular
7 member has a bore extending therethrough and an open
(51) Int. Cl. .............................................. .. A61B 17/00 distal end' Alip is formed in the distal end of the tubular
member to capture the distal tip of a laparoscope that is
(58) Fleld 0f Search
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ..........................
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ nu.. 604/103, 103.03, procedure both during tunneling to a desired location and

604/103'14; 606/190_200; 600/201> 204> during subsequent balloon in?ation. An elongated neck of
207 210 the balloon is secured to the tunneling member. The elon
56 Rf Ct d gated neck permits the tubular member to be withdrawn
( ) e erences l e slightly from the balloon after in?ation to facilitate obser
U.S. PATENT DOCUMENTS vation. After the balloon has been advanced to the desired
512,456 A 9/1894 sad?kova location in the DOSY gt in?ated1 through a ballogn in?ation
1,213,005 A 1/1917 Pillsbury umen'to cause t e a oon to issect tissue an create an
2,936,760 A 5/196O Gants operating space. Various balloon constructions and a reus
3,545,443 A 12/1970 Ansari er a1, able design are also disclosed.
3,774,596 A 11/1973 Cook
3,800,788 A 4/1974 White 36 Claims, 44 Drawing Sheets

954

951 962
9250 981
 US 6,364,892 B1
Page 2

US. PATENT DOCUMENTS 5,159,925 11/1992 Neuwirth et al.

5,163,949 11/1992 Bonutti
4,596,554 6/1986 Dastgeer 5,176,692 1/1993 Wilk et a1.
4,644,936 2/1987 Schiff Debbas
5,183,463 2/1993
4,654,030 3/1987 Moll et a1.
5,188,596 2/1993 Condon et a1.
4,685,447 8/1987 Iversen et a1.
5,188,630 2/1993 Christoudias
4,738,666 4/1988 Fuqua Bilweis
4,769,038 9/1988 Bendavid et a1. 5,195,507 3/1993
4,772,266 9/1988 Groshong 5,201,742 4/1993 Hasson
4,779,611 10/1988 Grooters et al. 5,201,754 4/1993 Crittenden et al.
11/1988 Mackin 5,209,725 5/1993 Roth
4,784,133
4,793,348 12/1988 PalmaZ 5,215,526 6/1993 Deniega et a1.
4,798,205 1/1989 Bonomo et a1. 5,222,970 6/1993 Reeves
4,800,901 1/1989 Rosenberg 5,226,890 7/1993 Innairuberto et al.
4,802,479 2/1989 Haber et al. 5,232,446 8/1993 Arney
4,813,429 3/1989 Eshel et a1. 5,258,026 11/1993 Johnson et a1.
4,854,316 8/1989 Davis 5,269,753 12/1993 Wilk
4,869,717 9/1989 Adair 5,308,327 5/1994 Heaven et al.
4,888,000 12/1989 McQuilkin et a1. 5,309,896 5/1994 Moll et a1.
4,917,668 4/1990 Haindl 5,314,443 5/1994 Rudnick
4,931,042 6/1990 Holmes et al. 5,318,012 6/1994 Wilk
4,955,895 9/1990 Sugiyama et a1. 5,342,307 8/1994 Euteneuer et a1.
5,002,557 3/1991 Hasson 5,346,504 9/1994 Ortiz et a1.
5,009,643 4/1991 Reich et a1. 5,359,995 11/1994 Sewell, Jr.
5,030,206 7/1991 Lander 5,361,752 11/1994 Moll et a1.
5,030,227 7/1991 Rosenbluth et a1. 5,370,134 12/1994 Chin et a1.
5,074,871 12/1991 Groshong 5,383,889 1/1995 Warner et a1.
5,104,383 4/1992 Shichman 5,402,772 4/1995 Moll et a1.
5,116,318 5/1992 Hillstead 5,407,433 4/1995 Loomas
5,116,357 5/1992 Eberbach 5,431,173 7/1995 Chin et a1.
5,122,155 6/1992 Eberbach 5,468,248 11/1995 Chin et a1.
5,137,512 8/1992 Burns et al. 5,505,698 4/1996 Booth et a1.
5,141,494 8/1992 Danforth et a1. 5,588,951 12/1996 Zhu et al.
5,141,515 8/1992 Eberbach 5,690,668 11/1997 Fogarty et a1.
5,147,302 9/1992 Euteneuer et a1. 5,720,762 2/1998 Bass
5,147,374 9/1992 Fernandez 5,730,748 3/1998 Fogarty et al.
5,158,545 10/1992 Trudell et a1. 5,772,680 6/1998 Kieturakis et al.
U.S. Patent Apr. 2, 2002 Sheet 1 0f 44 US 6,364,892 B1

11
U.S. Patent Apr. 2, 2002 Sheet 2 0f 44 US 6,364,892 B1
U.S. Patent Apr. 2, 2002 Sheet 3 0f 44 US 6,364,892 B1

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U.S. Patent Apr. 2, 2002 Sheet 4 0f 44 US 6,364,892 B1
U.S. Patent Apr. 2, 2002 Sheet 6 6f 44 US 6,364,892 B1

169 128
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U.S. Patent Apr. 2, 2002 Sheet 7 0f 44 US 6,364,892 B1

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U.S. Patent Apr. 2, 2002 Sheet 8 0f 44 US 6,364,892 B1

FIG. 23

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U.S. Patent Apr. 2, 2002 Sheet 10 0f 44 US 6,364,892 B1

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FIG. 49A FIG. 493

FIG. 49C FIG. 49D

U.S. Patent Apr. 2, 2002 Sheet 17 0f 44 US 6,364,892 B1

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FIG. 49F
U.S. Patent Apr. 2, 2002 Sheet 18 0f 44 US 6,364,892 B1

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