Carpal Tunnel Release Tip With Tactile Feedback for Office Surgery
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Solution Overview
Problem
Conventional carpal tunnel release procedures require general anesthesia, a tourniquet, and an operating room setting, which are inconvenient and costly, and lack tactile feedback for precise surgical decision-making.
Innovation Solution
A surgical device with a distal tip that provides tactile feedback through a raised edge for safe and effective carpal tunnel release without visualization, allowing the procedure to be performed in an office setting under local anesthesia and without a tourniquet.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional open or endoscopic procedures are used, then complete release of the transverse carpal ligament is achieved, but the procedure requires general anesthesia, tourniquet, and operating room setting which increases cost and complexity
Solution Approach 1:
The patent extracts the essential function of ligament release from the complex operating room environment by using a percutaneous approach that requires only local anesthesia. The surgical device is inserted through a small incision to directly access and release the transverse carpal ligament, eliminating the need for general anesthesia, tourniquet, and full operating room setup while maintaining complete ligament release.
Solution Approach 2:
The patent introduces a specialized surgical device as an intermediary tool that enables ligament release through a percutaneous approach. This device includes a shaft with tactile feedback features that allow the surgeon to navigate and release the ligament without direct vision or complex imaging, serving as a mediator between the surgeon and the target tissue in a simplified procedural setting.
2Loss of information
If conventional endoscopic procedure with camera is used, then surgical visualization is achieved, but tactile feedback for precise surgical decision-making is lost
Solution Approach 1:
The patent segments the information acquisition function into two distinct modalities: tactile feedback through the device shaft for deep tissue engagement and touch, and visual confirmation through small incisions. This segmentation allows the surgeon to rely on tactile cues for precise surgical decisions while maintaining minimal visual verification, restoring the tactile feedback that was lost in conventional endoscopic approaches.
Solution Approach 2:
The patent incorporates tactile feedback mechanisms directly into the device shaft, including raised edges and surface features that provide resistance and tactile cues when engaging the transverse carpal ligament. This feedback loop allows the surgeon to sense tissue engagement, ligament tension, and release confirmation through touch, enabling precise surgical decision-making without relying solely on visual camera feedback.
3Reliability
If open procedure with direct vision is used, then complete ligament release is achieved, but incision in the palm and longer healing time occur
Solution Approach 1:
The patent extracts the ligament release function from the open surgical approach by using a percutaneous technique. The surgical device is inserted through a small incision in the wrist or hand, allowing direct access to the transverse carpal ligament for complete release without requiring a large palm incision. This extraction of the essential function minimizes tissue disruption and accelerates healing while maintaining complete ligament release.
4Illumination intensity
If tourniquet is used to stop blood flow, then surgical field visibility is improved, but patient comfort and procedure simplicity are reduced
Solution Approach 1:
The patent removes the tourniquet from the procedural requirements by using a percutaneous approach with tactile feedback. The surgical device provides tactile cues that allow the surgeon to navigate and release the ligament without relying on enhanced visual field from a tourniquet. This extraction of the tourniquet eliminates blood flow restriction, improving patient comfort and simplifying the procedure while maintaining surgical effectiveness.
Data Source
AI summary
An embodiment includes an apparatus for carpel tunnel syndrome surgery. The apparatus comprises: a shaft including a shaft proximal end, a shaft distal end, and a shaft long axis, wherein the shaft distal end comprises a raised edge; a linkage included within the shaft; a blade coupled to a distal end of the linkage; wherein (a)(i) an axis parallel to the shaft long axis intersects the raised edge but does not intersect the shaft, (a)(ii) the raised edge is curvilinear, (a)(iii) the raised edge includes a first lateral edge portion, a second lateral edge portion, and a middle edge portion between the first and second lateral edge portions; and (a)(iv) the first and second lateral edge portions are both proximal to the middle edge portion. Other embodiments are described herein.


