Endoluminal Valve Creation With Guided Tissue Flap Cutting
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Solution Overview
Problem
Venous reflux, a condition where the valves in the vessel fail to function properly, leading to blood pooling in the legs and vein distention, necessitates new systems and methods for effective treatment.
Innovation Solution
A device with an elongated member and a guide member at the distal end, featuring a blunt tip for engagement against the vessel wall, and a tissue cutting device with a sharp tip for precise tissue manipulation, including a lumen for fluid delivery and a tapered configuration, is used to create a flap in the vessel wall.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Manufacturing precision
If a sharp cutting device is used to cut tissue, then cutting precision is improved, but the risk of uncontrolled tissue damage increases
Solution Approach 1:
A guide member with a blunt distal tip is introduced as an intermediary between the sharp cutting device and the vessel wall. The guide member engages against the vessel wall to provide a stable reference surface, allowing the sharp cutting device to cut tissue precisely while the blunt tip prevents uncontrolled penetration and damage to deeper tissue structures.
2Reliability
If the cutting device penetrates deeper into the vessel wall to create a proper flap, then valve creation effectiveness is improved, but the risk of vessel wall damage increases
Solution Approach 1:
The guide member with its blunt distal tip engages against the vessel wall before the cutting action occurs. This preliminary engagement establishes a controlled entry point and reference surface, enabling the cutting device to penetrate to the required depth for effective flap creation while the guide member's blunt tip prevents excessive penetration and vessel wall damage.
3Manufacturing precision
If the guide member applies pressure to the vessel wall to provide tension, then cutting accuracy is improved, but the force required increases
Solution Approach 1:
The guide member features a blunt distal tip with a curved surface that conforms to the vessel wall. This curvature allows the guide member to distribute the applied pressure over a larger surface area, providing sufficient tension for accurate cutting while reducing the peak force required compared to a sharp or flat tip design.
Data Source
AI summary
A device for manipulating tissue at a vessel includes an elongated member having a proximal end and a distal end, a guide member at the distal end of the elongated member, the guide member having a blunt distal tip for engagement against an interior wall of the vessel, and a tissue cutting device at the distal end of the elongated member, wherein the tissue cutting device has a sharp tip that is proximal to the blunt distal tip of the guide member.


