Colonoscopy Air Retention Patch for Loop Prevention
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Solution Overview
Problem
Conventional colonoscopy procedures are cumbersome, require significant dexterity, and cause patient discomfort due to air retention and looping issues, leading to increased pain and the need for sedative medications, which can pose cardiorespiratory risks.
Innovation Solution
An air retention device shaped like a patch with a tightening strap, made of flexible material like silicone, is applied around the colonoscope to reduce water and air/carbon dioxide retention, preventing looping and discomfort by aligning with the anus central axis during the procedure.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Illumination intensity
If air is introduced to distend the colon for advancement and navigation of the colonoscope, then visualization is improved, but patient discomfort increases due to air retention
Solution Approach 1:
The invention divides the colonoscope into multiple segments with expansion sections that can be independently controlled. Air can be introduced into specific segments to distend corresponding portions of the colon, improving visualization of particular areas without unnecessarily distending the entire colon, thereby reducing overall patient discomfort
Solution Approach 2:
The expansion sections allow for localized air introduction and retention. Each segment can be selectively inflated to provide optimal visualization of specific colon regions while maintaining minimal air in other areas, creating a local quality improvement in visualization without global increase in patient discomfort
2Ease of operation
If the colonoscope is manually advanced through the colon, then the procedure can be performed, but looping occurs causing patient pain and difficulty in advancement
Solution Approach 1:
The colonoscope is divided into multiple expandable segments that can be independently inflated. By selectively expanding sections along the colon's path, the scope can navigate loops and bends more effectively, maintaining forward progression without creating excessive loops that cause patient pain
Solution Approach 2:
The expansion sections can be pre-inflated before encountering difficult anatomical regions. This preliminary action prepares the scope to navigate potential loops and bends by already having the necessary structural support in place, preventing loop formation before it occurs and reducing patient discomfort
3Ease of operation
If control dials with control wires are used to direct the scope tip, then directional control is achieved, but the scope returns to neutral position when dials are released
Solution Approach 1:
The expansion sections act as intermediaries between the operator's directional inputs and the scope tip position. By inflating specific segments, the scope maintains its directed position through the expansion of intervening sections, providing stable positioning without continuous dial pressure and eliminating the return-to-neutral problem
4Productivity
If forceful pushing of the scope is applied to advance through loops, then advancement may be achieved, but patient pain and cardiovascular risk increase
Solution Approach 1:
The segmented design allows selective expansion of sections to mechanically push the scope forward through loops and bends. This distributed mechanical force replaces forceful pushing, achieving scope advancement through controlled expansion of specific segments rather than brute force, thereby reducing patient pain and cardiovascular risk
Solution Approach 2:
The invention replaces the mechanical system of forceful pushing with a pneumatic system using controlled air expansion. By inflating sections along the colon, the scope is gently propelled forward through anatomical challenges without requiring forceful manual pushing, substituting a softer mechanical approach that reduces patient harm
Data Source
AI summary
An improved air retention device or a patch for colonoscopy comprises of a first end and a second end located at a distal end of the first end. During colonoscopy, the first end of the air retention device is put on the surface of a person's buttocks such that the surface of the first end is flush with the skin of the person's buttocks—the device placed on the gluteus of a person and tightened around a colonoscope. The second end of the air retention device is pulled away from the first end around a central axis aligned with the center of the anus of the person undergoing the colonoscopy.


