Cape-Shielded Implantable-Mesh Introducer for Small Trocars
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Solution Overview
Problem
Existing implantable surgical meshes are prone to damage and contamination during introduction through trocars due to direct pinching and dragging, and require larger trocars when the mesh size does not match the trocar diameter, leading to increased surgical risks and costs.
Innovation Solution
An implantable-mesh introducer system comprising a cape and a push stick, where the cape surrounds and protects the mesh, transitioning from an expanded to a delivery configuration to minimize damage and contamination, allowing insertion through smaller trocars without mechanical fixation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If the mesh is introduced through direct pinching and dragging by surgical tools, then the mesh can be inserted through the trocar, but the mesh is damaged (cutting, stretching, denting) and contaminated
Solution Approach 1:
The patent introduces a dedicated mesh introducer as an intermediary device between the surgical tool and the mesh. This introducer includes a protective sheath that envelops the mesh during insertion, and a release mechanism that transfers the mesh to the surgical site without direct contact from grasping tools, thereby preventing mechanical damage and contamination
Solution Approach 2:
The patent employs a flexible protective sheath made of thin film material that surrounds the mesh during insertion. This flexible shell protects the mesh from direct mechanical contact with rigid surgical tools while allowing the assembly to navigate through the trocar, and the sheath is designed to collapse or detach to release the mesh at the destination
2Adaptability or versatility
If a larger trocar is used to accommodate the mesh, then the mesh can be inserted without size constraints, but the surgical risk increases and cost increases due to larger incision and potential incisional hernia
Solution Approach 1:
The patent implements a nested configuration where the mesh is placed inside a collapsible introducer sheath, which is then inserted through a small trocar. The sheath collapses around the mesh during insertion, allowing the mesh to pass through a trocar smaller than the mesh's final deployed size, thereby avoiding the need for large incisions and associated surgical risks
3Length of moving object
If the surgical tool external diameter is reduced to fit through smaller trocars, then the trocar size can be minimized, but the tool cannot accommodate larger meshes
Solution Approach 1:
The patent solves the size mismatch problem by introducing a dimensional transformation mechanism. The mesh is folded or rolled into a compact configuration that fits within a thin introducer sheath for passage through a small-diameter trocar. Once inside the abdominal cavity, the mesh is deployed from the sheath and expanded to its full functional size, effectively bypassing the diameter constraint during the insertion phase
Data Source
Figure 1A~1D
Figure 2A~2C
Figure 2D~3B
AI summary
A mesh introducer comprising a push stick extending between a proximal end portion and a distal end portion; a cape extending between a free proximal end portion and a fixed distal end portion, the fixed distal end portion of the cape secured to the distal end portion of the push stick.