(43) International Publication Date. 15 July 2010 ( ) WO 2010/ A3. (19) World Intellectual Property Organization International Bureau

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1 (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (43) International Publication Date (10) International Publication Number 15 July 2010 ( ) WO 2010/ A3 (51) International Patent Classification: (74) Agent: DANIELS, Barbara; IMDS, Inc., 124 South 600 A61B 17/34 ( ) A61M 29/02 ( ) West, Logan, UT (US). A61M 25/10 ( ) A61B 17/56 ( ) (81) Designated States (unless otherwise indicated, for every (21) International Application Number: kind of national protection available): AE, AG, AL, AM, PCT/US2009/ AO, AT, AU, AZ, BA, BB, BG, BH, BR, BW, BY, BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, DO, (22) International Filing Date: DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, 17 December 2009 ( ) HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, (25) Filing Language: English KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, (26) Publication Language: English NO, NZ, OM, PE, PG, PH, PL, PT, RO, RS, RU, SC, SD, (30) Priority Data: SE, SG, SK, SL, SM, ST, SV, SY, TJ, TM, TN, TR, TT, 61/138, December 2008 ( ) US TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. 61/166,069 2 April 2009 ( ) US (84) Designated States (unless otherwise indicated, for every (71) Applicant (for all designated States except US): IMDS, kind of regional protection available): ARIPO (BW, GH, INC. [US/US]; Barbara Daniels, 124 South 600 West, GM, KE, LS, MW, MZ, NA, SD, SL, SZ, TZ, UG, ZM, Logan, Utah (US). ZW), Eurasian (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), European (AT, BE, BG, CH, CY, CZ, DE, DK, EE, (72) Inventors; and ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (75) Inventors/Applicants (for US only): AKYUZ, Ephraim MC, MK, MT, NL, NO, PL, PT, RO, SE, SI, SK, SM, [US/US]; 358 North Gateway Drive Apt. # 117, Provi TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, GW, dence, Utah (US). GAMBHIR, Kabir [US/US]; ML, MR, NE, SN, TD, TG) Ohio St., San Diego, California (US). STONE, Corbett [US/US]; 9236 Ronda Ave., San Published: Diego, California (US). with international search report (Art. 21(3)) (54) Title: SYSTEMS AND METHODS FOR DILATION AND DISSECTION OF TISSUES [Continued on next page] (57) Abstract: A minimally invasive dila tion device includes a stylus, a plurality of rigid arms radially arrayed about the stylus, and a dilating member positioned between the stylus and the arms. An outer flexible sleeve may be circumferentially secured to the arms, lying within or without the plurali ty of arms. An inner mesh may surround the stylus and dilating member. The device may be introduced into tissue toward a targeted area, while in a closed configuration. The dilating member may be a balloon, wherein upon inflation of the balloon, the arms are pushed radially outward, expanding the de vice and dilating the surrounding tissue. A cannula may be inserted inside the plurality of arms to keep the arms in an open config uration, and the stylus, balloon and inner mesh may be withdrawn, providing an open passageway through the device to the tar get ed area. The device may be used with a neu ral monitoring system.

2 before the expiration of the time limit for amending the claims and to be republished in the event of receipt of amendments (Rule 48.2(h)) (88) Date of publication of the international search report: 30 September 2010

3 A. CLASSIFICATION OF SUBJECT MATTER A61B 17/34( )1, A61M 25/10( )1, A61M 29/02( )1, A61B 17/56( )1 According to International Patent Classification (IPC) or to both national classification and IPC B. FIELDS SEARCHED Minimum documentation searched (classification system followed by classification symbols) IPC A61B, A61F, A61M Documentation searched other than minimum documentation to the extent that such documents are included in the fields searched Korean Utility models and applications for Utility models Japanese Utility models and applications for Utility models Electronic data base consulted during the international search (name of data base and, where practicable, search terms used) ekompass(kipo internal) & keywords DILATION, BALLOON, STYLUS, ARM and OBTURATOR C. DOCUMENTS CONSIDERED TO BE RELEVANT Category* Citation of document, with indication, where appropriate, of the relevant passages Relevant to claim No US Al (JAMES S. HAMADA) 5 June 2008 ( ) 1-11, See abstract, paragraphs [0056] - [0175] and f igures US Al (JAVIER GARC I A-BENGOCHEA e t a l. ) 11 September 2008 ( , ) See abstract, paragraphs [0076] - [0110] and figures 1-44 US A l (AMIN KASSAM) 8 May 2008 ( ) 1-11, See abstract, paragraphs [0032] - [0051] and figures 1-12 US A l (JOHN P. CARR e t a l.) 20 October 2005 ( ) 1-11, See abstract, paragraphs [0059] - [0203] and figures 1-40 US A l (MORTEZA FARR e t a l.) 16 October 2008 ( ) 1-11, See abstract, paragraphs [0043] - [0097] and figures 1-29 Further documents are listed in the continuation of Box C See patent family annex * Special categories of cited documents "T" later document published after the international filing date or priority "A" document defining the general state of the art which is not considered date and not in conflict with the application but cited to understand to be of particular relevance the principle or theory underlying the invention "E" earlier application or patent but published on or after the international "X" document of particular relevance, the claimed invention cannot be filing date considered novel or cannot be considered to involve an inventive "L" document which may throw doubts on priority claim(s) or which is step when the document is taken alone cited to establish the publication date of citation or other "Y" document of particular relevance, the claimed invention cannot be special reason (as specified) considered to involve an inventive step when the document is "O" document referring to an oral disclosure, use, exhibition or other combined with one or more other such documents, such combination means being obvious to a person skilled in the art "P" document published prior to the international filing date but later "&" document member of the same patent family than the priority date claimed Date of the actual completion of the international search Date of mailing of the international search report 09 AUGUST 2010 ( ) 09 AUGUST 2010 ( ) Name and mailing address of the ISA/KR Authorized officer Korean Intellectual Property Office Government Complex-Daejeon, 139 Seonsa-ro, Seo- Hong, Young Uk gu, Daejeon , Republic of Korea Facsimile No Telephone No Form PCT/ISA/210 (second sheet) (July 2009)

4 Box No. II Observations where certain claims were found unsearchable (Continuation of item 2 of first sheet) This international search report has not been established in respect of certain claims under Article 17(2)(a) for the following reasons 1 [ ] Claims Nos 12-19, because they relate to subject matter not required to be searched by this Authority, namely Claims and pertain to methods for treatment of human body by theraphy, as well as diagnostic methods and thus relate to a subject matter which this International Searching Authority is not required, under Article 17(2)(a)(i) of PCT and Rule 39 l(iv) of the Regulations under the PCT, to search 2 I I Claims Nos because they relate to parts of the international application that do not comply with the prescribed requirements to such an extent that no meaningful international search can be carried out, specifically Claims Nos because they are dependent claims and are not drafted in accordance with the second and third sentences of Rule 6 4(a) Box No. Ill Observations where unity of invention is lacking (Continuation of item 3 of first sheet) This International Searching Authority found multiple inventions in this international application, as follows 1 As all required addtional search fees were timely paid by the applicant, this international search report covers all searchable claims 2 I I As all searchable claims could be searched without effort justifying an additional fee, this Authority did not invite payment of any additional fee 3 I I As only some of the required additional search fees were timely paid by the applicant, this international search report covers only those claims for which fees were paid, specifically claims Nos No required additional search fees were timely paid by the applicant Consequently, this international search report is restricted to the invention first mentioned in the claims, it is covered by claims Nos Remark on Protest The additional search fees were accompanied by the applicant's protest and, where applicable, the payment of a protest fee I I The additional search fees were accompanied by the applicant's protest but the applicable protest fee was not paid within the time limit specified in the invitation I I No protest accompanied the payment of additional search fees Form PCT/ISA/210 (continuation of first sheet (2)) (July 2009)

5 Patent document Publication Patent family Publication cited in search report date member(s) date US A AU A AU A EP B EP A EP A EP A EP A EP A EP A JP A US A US A US A US A US A US A US A US A US A US B US B US B US B WO A WO A WO A WO A US A EP A WO A US A WO A WO A US A EP A WO A WO A US A AU A CA A EP A JP A KR A US A US A WO A WO A WO A Form PCT/ISA/210 (patent family annex) (July 2009)

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