Multi-Mode Dissecting Cannula for Controlled Tissue Separation

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Solution Overview

Problem

Conventional surgical devices for tissue dissection in minimally invasive procedures lack control over tissue dissection, often require additional tools, and fail to effectively manage debris, leading to compromised visualization and increased procedural risk.

Innovation Solution

A multi-mode tissue dissecting device with a cannula, dilation wedge, and expandable dilation member, featuring a dissecting surface with a higher friction coefficient and fluid ports for suction or irrigation, allowing for controlled dissection and debris management.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If balloon-type structures are used for tissue dissection via expansion, then tissue dissection is achieved, but control over the amount of tissue dissection is reduced

Engineering Contradiction:
Improvecontrol over tissue dissectionVSAvoidpredictability of dissection
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The device divides the dissection function into multiple modes: a deflatable balloon for initial tissue separation, a retractable wedge for controlled mechanical dissection, and a textured surface for gentle tissue loosening. This segmentation allows the physician to select the appropriate dissection mode for each specific tissue type and procedural need, thereby maintaining control and predictability.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The device incorporates dynamically adjustable components including a deflatable balloon with variable volume, a retractable wedge that can extend and retract, and an expandable textured surface. These dynamic features enable the physician to adjust the dissection mechanism in real-time based on tissue response, ensuring controlled and predictable dissection outcomes.

Inventive Principle:
Principle #15Dynamics

2Ease of operation

If obturator-type structures are used for tissue dissection via dilation, then tissue dissection is achieved, but the ability to tease or loosen adjoining tissue is lost

Engineering Contradiction:
Improveability to tease or loosen tissueVSAvoiddevice structure
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The device segments the dissection function across multiple components: the obturator for dilation, the wedge for mechanical separation, and the textured balloon surface for teasing and loosening tissue. This segmentation enables the physician to perform gentle tissue manipulation while maintaining a relatively simple overall device structure.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Different portions of the device have specialized local properties: the obturator provides smooth dilation, the wedge provides focused mechanical separation, and the textured balloon surface provides gentle tissue loosening. This local quality differentiation enables versatile tissue manipulation without requiring a complex multi-device system.

Inventive Principle:
Principle #3Local quality

3Ease of operation

If separate dissection devices are used in addition to scopes, then tissue dissection is achieved, but the number of devices that must be manipulated increases

Engineering Contradiction:
Improvenumber of devices to manipulateVSAvoiddissection capability
Core Design Contradiction:
Ease of operationVSAdaptability or versatility

Solution Approach 1:

The device merges multiple functions into a single integrated system: visualization (scope), dilation (obturator), mechanical dissection (wedge), and gentle tissue loosening (textured balloon). This consolidation allows the physician to perform all dissection tasks through one device, reducing the number of devices to manipulate while maintaining full dissection capability.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The device is designed as a universal access device that can perform multiple functions: visualization, dilation, dissection, and tissue manipulation. This multi-functionality eliminates the need for separate specialized devices while providing comprehensive dissection capability across different tissue types and procedural needs.

Inventive Principle:
Principle #6Universality (Multi-functionality)

4Reliability

If conventional dissection devices are used, then tissue dissection is achieved, but debris management and visualization are compromised

Engineering Contradiction:
Improvevisualization qualityVSAvoiddevice functionality
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The device merges debris management functionality directly into the dissection device through integrated suction ports and irrigation channels. This allows simultaneous tissue dissection and debris removal, maintaining clear visualization without requiring separate debris management devices.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The device functions as a universal tool that combines dissection, debris removal, and irrigation capabilities. This multi-functionality ensures reliable visualization quality while managing debris effectively, without significantly increasing device complexity beyond the integrated system.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables gentle, gradual, and forceful tissue dissection, maintaining clear visualization by effectively managing debris and reducing the need for additional tools, thereby improving surgical precision and safety.

Implementation Method 1

a dissecting surface having a frictional coefficient greater than that of a frictional coefficient of the cannula such that the dissecting surface grips the tissue

Methodology Applied
Scientific EffectFriction: Friction

Implementation Method 2

an expandable dilation member located about an exterior surface of the cannula to separate tissue when expanded

Methodology Applied
Scientific EffectExpansion:

Implementation Method 3

a dilation wedge, smaller than an outer diameter of the cannula and located at a distal end of the cannula and configured to permit mechanical dilation of a small opening in tissue into a larger opening

Methodology Applied
Scientific EffectMechanical dilation: Mechanical Force

Data Source

PatentUS9931132B2Dissecting cannula and methods of use thereof
Publication Date: 2018.04.03 ATRICURE INC
  • US9931132B2 patent drawing
  • US9931132B2 patent drawing
  • US9931132B2 patent drawing

AI summary

Methods and devices described herein facilitate improved access of locations within the body by providing a variety of dissection modes on a single access device.