Automated Instrument Replacement Apparatus for Minimally Invasive Surgery

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Solution Overview

Problem

Current minimally invasive procedures require manual instrument changes, leading to inefficiencies, increased risk of contamination, and exposure to radiation due to the need for healthcare professionals to repeatedly enter and exit sterile environments.

Innovation Solution

An automated apparatus with a housing, outlet element, selection unit, guide element, and graphical user interface enables remote-controlled and automated instrument replacement, utilizing a control module for magnetic navigation and including features like a retracting device and tip shaping module to facilitate sterile and efficient instrument swapping and control.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If manual instrument changes are performed, then the procedure can be completed with simple equipment, but the treatment time increases and contamination risk rises

Engineering Contradiction:
Improveinstrument replacement speedVSAvoidtotal procedure time
Core Design Contradiction:
ProductivityVSLoss of time

Solution Approach 1:

The instrument replacement system is segmented into independent modules: instrument storage compartments, automated selection unit, guide element for positioning, and outlet element for delivery. This segmentation allows simultaneous preparation of multiple instruments while one is in use, enabling rapid replacement without manual intervention and reducing total procedure time.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Multiple instruments are pre-loaded into the housing and pre-positioned on the guide element before the procedure begins. The selection unit prepares instruments in advance, so when replacement is needed, the next instrument is already ready for immediate deployment, eliminating delays associated with manual retrieval and preparation.

Inventive Principle:
Principle #10Preliminary action

2Reliability

If manual instrument changes are performed, then equipment complexity remains low, but sterility maintenance becomes difficult

Engineering Contradiction:
Improvesterility maintenanceVSAvoidautomated replacement system complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The instrument retrieval and replacement functions are extracted from the sterile field and relocated to an external automated housing system. The housing remains outside the sterile boundary, with only the outlet element and guide element penetrating into the sterile field. This extraction eliminates the need for healthcare professionals to repeatedly enter and exit the sterile environment, maintaining sterility while accepting the complexity of the automated system.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The guide element acts as an intermediary between the external housing and the sterile field. It provides a controlled interface through which instruments are transferred automatically, maintaining the sterile barrier while enabling instrument replacement. The graphical user interface serves as another intermediary, allowing remote control of the replacement process without physical contact with the sterile field.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If healthcare professionals repeatedly enter sterile environments for instrument changes, then direct control is maintained, but radiation exposure increases

Engineering Contradiction:
Improveinstrument control capabilityVSAvoidradiation exposure
Core Design Contradiction:
Ease of operationVSObject-affected harmful factors

Solution Approach 1:

The automated selection unit and replacement mechanism perform the instrument change function independently without requiring human presence in the examination room. The system monitors and controls instruments through the graphical user interface, enabling self-service operation that maintains full control capability while eliminating radiation exposure for the healthcare professional.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The manual mechanical operation of instrument retrieval and replacement is substituted with an automated control system. The selection unit uses automated mechanisms to retrieve instruments from storage, position them on the guide element, and deliver them through the outlet element. This mechanical substitution allows complete instrument control to be maintained through the graphical user interface while the healthcare professional remains outside the radiation field.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentUS8353851B2Apparatus for automatic replacement of instruments during minimally invasive procedures
Publication Date: 2013.01.15 SIEMENS HEALTHINEERS AG
  • US8353851B2 patent drawing
  • US8353851B2 patent drawing

AI summary

The invention relates to an apparatus for automatic replacement of instruments during minimally invasive procedures, comprising a housing, an outlet element for an instrument, a selection unit and a guide element.