Angled Tissue Cutting Instrument with Rotatable Distal Tip

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Solution Overview

Problem

Existing angled tissue cutting instruments have a fixed cutting window position relative to their bend, limiting access to anatomical tissue and requiring rotation of the entire instrument, which can compromise access and handpiece orientation, leading to potential anatomical trauma and operational inefficiencies.

Innovation Solution

The angled tissue cutting instrument allows selective rotational indexing of the cutting window by relative movement between the distal end and elongate body, enabling variable positioning without rotating the entire instrument, using engagement structures to lock or unlock rotational positions, and an indexing tool for safe manual adjustment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If the cutting window is fixed relative to the bend in the outer member, then the instrument structure is simple and reliable, but the adaptability to access anatomical tissue from various directions is limited

Engineering Contradiction:
Improveadaptability to access anatomical tissueVSAvoidinstrument structure complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The distal tip is made rotatable relative to the elongate body about its longitudinal axis, transforming the fixed cutting window configuration into a dynamic, adjustable one. This allows the cutting window to be positioned at different angular orientations (e.g., 0°, 45°, 90°) relative to the bend without changing the bend's physical configuration, thereby improving adaptability while maintaining structural simplicity.

Inventive Principle:
Principle #15Dynamics

2Ease of operation

If the entire instrument is rotated to position the cutting window facing the anatomical tissue, then the cutting window can access the tissue, but the handpiece orientation is compromised and anatomical trauma may occur

Engineering Contradiction:
Improvecutting window positioningVSAvoidanatomical trauma risk
Core Design Contradiction:
Ease of operationVSObject-affected harmful factors

Solution Approach 1:

The instrument is divided into two independently rotatable segments: the elongate body (with the bend) and the distal tip (with the cutting window). The distal tip can be rotated independently about its longitudinal axis to orient the cutting window toward the anatomical tissue, while the elongate body and handpiece maintain their original orientation. This segmentation eliminates the need to rotate the entire instrument, thereby preventing anatomical trauma and maintaining handpiece accessibility.

Inventive Principle:
Principle #1Segmentation

3Adaptability or versatility

If the distal end is made rotatable relative to the elongate body, then the cutting window can be variably positioned, but the device complexity increases due to additional engagement structures

Engineering Contradiction:
Improvecutting window positioningVSAvoidengagement structures
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The distal tip is made rotatable relative to the elongate body about its longitudinal axis, transforming the fixed cutting window configuration into a dynamic, adjustable one. This allows the cutting window to be positioned at different angular orientations (e.g., 0°, 45°, 90°) relative to the bend without changing the bend's physical configuration, thereby improving adaptability while maintaining structural simplicity.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS8202288B2Angled tissue cutting instrument having variably positionable cutting window and indexing tool for use therewith
Publication Date: 2012.06.19 MEDTRONIC XOMED INC
  • US8202288B2 patent drawing
  • US8202288B2 patent drawing
  • US8202288B2 patent drawing

AI summary

An angled tissue cutting instrument includes an outer member having an elongate body with a bend and a forward end, and a distal tip rotatably mounted on the forward end. The distal tip and body are rotatable relative to one another about a central longitudinal axis of the tip to variably position a cutting window of the tip in a selected directional position about the axis. Relative rotation between the distal tip and the body about the axis is prevented to lock the cutting window in a selected directional position when the outer member is maintained in a longitudinally extended position by an inner member of the instrument disposed within the outer member. An indexing tool for the angled tissue cutting instrument has a socket for receiving the distal tip to effect rotational indexing. A method of variably positioning a cutting window of an angled tissue cutting instrument involves rotationally indexing a distal tip of an outer member of the instrument and maintaining the distal tip in a selected rotationally indexed position.