Adjustable Multi-Piece Pelvic Implant and Tool

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Solution Overview

Problem

Current methods for treating pelvic conditions such as incontinence and vaginal prolapse are often invasive and lack effective, minimally invasive solutions, posing challenges for surgeons in achieving optimal results with existing instruments and implants.

Innovation Solution

Development of adjustable multi-piece implants and associated tools that allow for precise adjustment and cutting of implant components during sacral colpopexy procedures, featuring a Y-shaped design and self-fixating eyelets, enabling controlled tensioning and minimization of tissue trauma.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional invasive methods are used to treat pelvic conditions, then treatment effectiveness is achieved, but surgical trauma and recovery time increase

Engineering Contradiction:
Improvetreatment effectivenessVSAvoidsurgical trauma
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The implant is divided into multiple adjustable segments (first piece and second piece) that can be independently positioned and adjusted within the pelvic cavity, allowing precise support placement with minimal tissue disruption. The segmentation enables the implant to be tailored to specific anatomical requirements without requiring extensive invasive surgery.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The implant incorporates adjustable features that allow dynamic positioning and tensioning during the surgical procedure. The adjustment mechanism enables real-time modification of implant position and tension to optimize support while minimizing tissue trauma, and the ability to adjust post-operatively adapts to patient-specific anatomical variations.

Inventive Principle:
Principle #15Dynamics

2Manufacturing precision

If adjustable multi-piece implants are used, then precision and adaptability improve, but device complexity increases

Engineering Contradiction:
Improveimplant positioning precisionVSAvoidimplant structure complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The implant is divided into multiple adjustable segments (first piece and second piece) that can be independently positioned and adjusted within the pelvic cavity, allowing precise support placement with minimal tissue disruption. The segmentation enables the implant to be tailored to specific anatomical requirements without requiring extensive invasive surgery.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

An adjustment tool serves as an intermediary device to facilitate the adjustment process. The tool includes a shaft with a distal end that engages the implant pieces and a proximal end with a control mechanism, allowing the surgeon to precisely adjust implant positioning through a simplified interface rather than directly manipulating the complex implant structure.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If multiple separate tools are used for adjustment and cutting, then operational flexibility is maintained, but procedure time and complexity increase

Engineering Contradiction:
Improveadjustment flexibilityVSAvoidsurgical procedure time
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The adjustment tool integrates multiple functions into a single device: adjustment capability through the shaft and distal end engagement, cutting capability through the integrated cutting mechanism, and control through the proximal actuator. This consolidation eliminates the need for multiple separate tools, reducing procedure time while maintaining operational flexibility.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The adjustment tool is designed as a multi-functional instrument that can perform adjustment, cutting, and control operations. The universal design allows a single tool to replace multiple specialized instruments, streamlining the surgical procedure and reducing the time required to switch between different tools.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentUS9492191B2Tools and methods for treatment of pelvic conditions
Publication Date: 2016.11.15 BOSTON SCIENTIFIC SCIMED INC
  • US9492191B2 patent drawing
  • US9492191B2 patent drawing
  • US9492191B2 patent drawing

AI summary

Surgical procedures, systems, implants, devices, tools, and methods that are used for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, adjusting the length of implant components, and cutting the implant to a desired length.