Anastomosis Protection Sheath Deployment Without Crossing Fresh Tissue
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Solution Overview
Problem
Existing anastomosis protection devices require introduction through a fresh anastomosis, which surgeons find risky, and involve multiple steps and prolonged operating times.
Innovation Solution
A surgical device allowing the anastomosis protection device to be placed upstream of the anastomosis before the procedure, using an introducer to deploy the stent and sheath after anastomosis, reducing the need for instruments to pass through the anastomosis.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If the anastomosis protection device is introduced through the fresh anastomosis, then the device can be positioned to protect the anastomosis, but the surgical risk increases and operating time is prolonged
Solution Approach 1:
The device is introduced through the anal orifice and positioned upstream of the anastomosis site before the anastomosis is performed. The stent is deployed in the upstream intestine first, then the anastomosis is created, allowing the device to protect the anastomosis without requiring passage through the fresh anastomotic site, thereby reducing surgical risk
Solution Approach 2:
Instead of introducing the device through the anastomosis from downstream to upstream, the device is introduced from upstream through the anal orifice and positioned upstream of the anastomosis site. This reverses the traditional approach and eliminates the need to pass instruments through the fresh anastomosis, reducing surgical risk while maintaining protection efficacy
2Reliability
If the anastomosis protection device is introduced through the fresh anastomosis, then the device can be positioned to protect the anastomosis, but the number of surgical steps increases
Solution Approach 1:
The introduction of the anastomosis protection device is combined with the routine surgical steps. The device is introduced through the anal orifice during the same surgical procedure, and its positioning upstream of the anastomosis is integrated into the surgical workflow, eliminating the need for separate additional steps while maintaining protection efficacy
3Reliability
If the anastomosis protection device is introduced through the fresh anastomosis, then the device can be positioned to protect the anastomosis, but the operating time is prolonged
Solution Approach 1:
The device is introduced and positioned upstream of the anastomosis site before the anastomosis is performed. This preliminary positioning eliminates the need for time-consuming maneuvers to pass the device through the fresh anastomosis after it is created, thereby reducing operating time while maintaining protection efficacy
Solution Approach 2:
The device introduction pathway skips the fresh anastomosis site entirely by being introduced through the anal orifice and positioned upstream. This avoids the time-consuming and risky process of passing instruments through the delicate fresh anastomosis, reducing operating time without compromising protection
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
Facilitates anastomosis by reducing the number of surgical steps and operating time, while providing effective protection against anastomotic fistulas.
Implementation Method 1
The stent is the temporary anchor element to the walls of the intestine, which holds the sheath in place
Implementation Method 2
the device's anchorage or release is reinforced by means of a tube opening into the space of a chamber delimited between an inner sheath and the stent wall, which makes it possible to create a suction effect by drawing the walls of the intestine against the stent to reinforce the anchorage
Implementation Method 3
said first hollow longitudinal element being made of a material giving it radial elasticity properties so that it can be radially compressed in a retracted position and adopt a said position of maximum radial expansion after release of the radial compression
Data Source
AI summary
The present invention relates to a complex surgical device for carrying out an anastomosis in the intestine including:a— a protective device (5) comprising an anchor element consisting of a stent (1) and a flexible outer sheath (2), andb— an introducer (10) comprising at least a first deformable guide tube (12),characterized in that the downstream end of said outer sheath is connected to said first guide tube (12) or to a first connecting piece (11), said outer sheath (2) being folded inside said first deformable guide tube (12), said stent being held in radial compression inside said first deformable guide tube.


