Proximal Biceps Clip for Secure Tendon Fixation
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Solution Overview
Problem
Current biceps tenodesis procedures face challenges in securing the tendon effectively, requiring complex sutures and multiple steps, which can be time-consuming and difficult to execute, especially in arthroscopic surgeries.
Innovation Solution
A clip device with a central clamp capture area and ratchet-like closure is designed to securely grasp and hold the biceps tendon in place, allowing for easier deployment during arthroscopic surgery and potentially eliminating the need for complex sutures.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional suture methods are used to fix the tendon, then secure fixation can be achieved, but the procedure becomes complex and time-consuming
Solution Approach 1:
The patent extracts the fixation function from the complex suture procedure and consolidates it into a single clip device. The clip device captures the tendon directly without requiring separate suture passing, knot tying, and anchoring steps, thereby maintaining secure fixation while dramatically simplifying the overall procedure.
Solution Approach 2:
The patent merges multiple fixation functions (grasping, securing, and anchoring) into a single integrated clip device. The clip combines the tendon capture mechanism with the fixation structure, eliminating the need for separate sutures and anchors, thus reducing procedural complexity while maintaining reliability.
2Reliability
If multiple steps are used to fix the tendon with anchors or screws, then secure fixation is achieved, but surgical time increases significantly
Solution Approach 1:
The clip device is pre-configured with the fixation structure and capture mechanism integrated together. The tendon is captured and fixed in a single action without requiring preliminary suture passing, knot tying, or separate anchor placement steps, thereby maintaining secure fixation while minimizing surgical time.
Solution Approach 2:
The patent skips the intermediate steps of suture passing, knot tying, and separate anchor placement by using a single clip device that performs all fixation functions simultaneously. This allows the surgeon to complete the fixation in one rapid action rather than proceeding through multiple time-consuming steps.
3Ease of operation
If a clip device is used to grasp the tendon, then procedure simplicity is improved, but the ability to provide secondary fixation may be reduced
Solution Approach 1:
The clip device is designed with multiple functions integrated into a single structure: it provides primary tendon capture through the central clamp, secondary fixation through suture holes, and anchoring capability through the fixation structure. This multi-functionality allows the device to maintain procedural simplicity while preserving adaptability for various fixation needs.
Solution Approach 2:
The clip device is segmented into functional zones: the central clamp for primary tendon capture, suture holes for secondary fixation options, and the fixation structure for anchoring. This segmentation allows each function to be performed optimally while maintaining overall device simplicity and ease of operation.
Data Source
AI summary
The present invention is directed to a proximal biceps clip for the repair of a biceps tendon and method of performing a biceps tenodesis medical procedure using such a clip that has a locking clamp configuration with a tendon grasping groove with teeth thereon. The clip has hinge and a locking portion as well as recesses to receive gripping arms or fingers of an instrument for closure thereof to facilitate the locking and closure step. The present invention allows easier and more precise placement of a clip device that securely holds the tendon into position while the tenodesis process occurs. This saves time, improves the position in which the tenodesis will occur and reduces the overall cost of the procedure. As a result, the muscle length of the long head portion of the biceps tendon is more anatomic.