Adaptive Suture Dynamic Length Adjustment Tissue Swelling

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Solution Overview

Problem

Conventional surgical sutures fail to adapt to tissue swelling or shrinkage post-surgery, leading to loose wound closures and potential leakages, as they cannot dynamically change their length to accommodate healing tissue changes.

Innovation Solution

Development of an adaptive surgical suture that elongates or shortens in response to tissue swelling and healing, using materials that dissolve or crystallize in response to body fluids, allowing the suture to maintain effective tissue approximation and tension.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If conventional surgical sutures are used to close wound edges, then initial wound closure is achieved, but the sutures become loose and fail to maintain wound closure as tissue swelling subsides and tissue shrinks during healing

Engineering Contradiction:
Improvewound closure maintenanceVSAvoidadaptation to tissue swelling and shrinkage
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The suture is designed with dynamic length adjustment capability through a unique structure comprising a first suture material and a second suture material with different mechanical properties. The second material allows the suture to elongate when tissue swells and contracts when tissue shrinks, enabling the suture to adapt to changing tissue dimensions throughout the healing process while maintaining reliable wound closure

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The invention changes the physical parameters of the suture by combining materials with different elastic moduli and length change characteristics. The first material provides initial strength and stability, while the second material enables length adjustment in response to tissue swelling and shrinkage, allowing the suture to maintain optimal tension throughout healing

Inventive Principle:
Principle #35Parameter changes

2Strength

If conventional non-absorbable sutures are used, then long-term tensile strength is maintained, but the sutures cannot adapt to tissue healing and shrinking processes

Engineering Contradiction:
Improvetensile strengthVSAvoidadaptation to tissue healing
Core Design Contradiction:
StrengthVSAdaptability or versatility

Solution Approach 1:

The suture combines two different suture materials with complementary properties: the first material provides initial tensile strength and wound approximation, while the second material enables adaptive length change. This composite structure allows the suture to maintain strength during early healing while adapting to tissue shrinkage as healing progresses

Inventive Principle:
Principle #40Composite materials

3Adaptability or versatility

If conventional absorbable sutures are used, then the sutures are biocompatible and degrade over time, but they lose tensile strength before tissue healing is complete

Engineering Contradiction:
ImprovebiocompatibilityVSAvoidtensile strength retention
Core Design Contradiction:
Adaptability or versatilityVSStrength

Solution Approach 1:

The dynamic length adjustment mechanism allows the suture to compensate for strength loss by adapting to tissue shrinkage. As the absorbable first material degrades and loses strength, the second material maintains wound approximation through controlled contraction, ensuring continuous protection throughout the healing process

Inventive Principle:
Principle #15Dynamics

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The adaptive suture effectively accommodates tissue swelling by elongating and subsequently shortening to maintain wound closure, enhancing healing outcomes by preventing wound openings and maintaining tissue tension.

Implementation Method 1

the suture can be in the form of a plurality of filaments arranged in a braid, with a constricting yarn forming a core of the braid and holding the braid in a constricted shortened state, wherein said constricting yarn is rapidly dissolves upon exposure to body fluids

Methodology Applied
Scientific EffectCrystallization: Crystallisation

Implementation Method 2

said constricting yarn is rapidly dissolves upon exposure to body fluids and tissue

Methodology Applied
Scientific EffectDissolution: Solvation

Data Source

PatentUS12156650B2Adaptive sutures dynamically changing wound holding properties post-implantation
Publication Date: 2024.12.03 ETHICON INC
  • US12156650B2 patent drawing
  • US12156650B2 patent drawing
  • US12156650B2 patent drawing

AI summary

The present invention is directed to a length adaptive surgical suture comprising a monofilament or a braid of a plurality of filaments, the suture having an original length when implanted and a second length that is different from the original length within a first twenty-four (24) hour period of time after implantation to accommodate tissue swelling. The present invention is also directed to configurations and combinations that enable length adaptive results.