Surgical access instruments for use with delicate tissues

A - Human Necessities – 61 – B

Patent

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A61B 17/34 (2006.01)

Patent

CA 2670631

One or more surgical instruments provide access to delicate tissue, such as brain tissue or breast tissue, through a transcutaneous incision, for a variety of reasons, such as to access a surgical site for providing a working channel for accessing delicate tissue by surgical instruments, to provide access to insert an inflatable prosthesis, or for providing an external buttress channel for supporting tissue thereon. The surgical instrument assembly includes an interleaved combination of an open sleeve hollow retractor and a tapered tipped wedge introducer. The wedge introducer is introduced into an area adjacent to the hollow sleeve. The distal tip of the wedge introducer extends beyond a distal end of the hollow retractor, forward of a distal end of the hollow retractor, so that the wedge introdticer traverses delicate tissue ahead of the distal end of the hollow retractor, guiding the hollow retractor into place to the delicate tissue.

L'invention concerne un ou plusieurs instruments chirurgicaux permettant d'accéder à un tissu délicat, comme un tissu cérébral ou un tissu mammaire, à travers une incision transcutanée. Le besoin d'accéder audit tissus délicat peut découler de diverses raisons : un accès à un site chirurgical pour fournir un canal de travail permettant d'accéder à un tissu délicat par l'intermédiaire d'instruments chirurgicaux ; insertion d'une prothèse gonflable ; établissement d'un canal de contrefort externe sur lequel supporter un tissu. L'ensemble formant instrument chirurgical comporte une combinaison entremêlée d'un rétracteur creux à manchon ouvert et d'un dispositif d'introduction formant cale à embout conique. Le dispositif d'introduction formant cale est introduit dans une zone adjacente au manchon creux. L'embout distal du dispositif d'introduction formant cale s'étend au-delà d'une extrémité distale du rétracteur creux et en avant d'une extrémité distale du rétracteur creux, de sorte que le dispositif d'introduction formant cale traverse un tissu délicat en avant de l'extrémité distale du rétracteur creux et guide le rétracteur creux vers le tissu délicat.

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