Endoscopic Guide Tool With Segmented Channels For Ligament Release

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Solution Overview

Problem

Current endoscopic carpal tunnel release systems face challenges such as the knife cutting tip inadvertently engaging anatomy due to improper alignment and interference between the endoscope and knife within a single channel, leading to potential accidental cuts and difficulty in precise manipulation.

Innovation Solution

A guide tool with separate channels for the endoscope and knife, featuring a self-dilating tip, pivot pin and groove system for knife stability, and indicators for proper orientation, along with a cover piece to prevent anatomy from getting caught, ensures the knife remains concealed and securely positioned during surgery.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Device complexity

If the endoscope and knife are placed in a single channel, then the device complexity is reduced, but the knife may inadvertently engage anatomy due to interference between the endoscope and knife

Engineering Contradiction:
Improvechannel structureVSAvoidsafety of cutting
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The guide tool is divided into separate channels: a first channel for the endoscope and a second channel for the knife. This segmentation prevents interference between the endoscope and knife, eliminating the risk of accidental anatomy engagement while maintaining a relatively simple overall structure.

Inventive Principle:
Principle #1Segmentation

2Ease of operation

If the knife is made independently manipulable, then the ease of operation is improved, but the knife may be difficult to position precisely due to lack of guidance

Engineering Contradiction:
Improveindependent manipulationVSAvoidpositioning accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The guide tool serves as an intermediary structure that provides precise geometric guidance for the knife. The guide includes a second channel with specific geometry and a pivot pin system that mediates between the independent manipulation capability and precise positioning requirements, ensuring accurate alignment during cutting.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If the guide tool is designed with a self-dilating tip, then the ease of insertion is improved, but the device complexity increases

Engineering Contradiction:
Improveinsertion easeVSAvoidguide tool structure
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The guide tool incorporates a self-dilating tip that dynamically changes its configuration during insertion. The tip transitions from a compressed state for easy insertion through tight spaces to an expanded state for stable positioning, providing ease of operation without requiring complex external mechanisms.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS8672960B2Method and apparatus for endoscopic ligament release
Publication Date: 2014.03.18 SEGWAY ORTHOPAEDICS
  • US8672960B2 patent drawing
  • US8672960B2 patent drawing
  • US8672960B2 patent drawing

AI summary

The invention pertains to a method, apparatus, and system for cutting anatomic members, such as ligaments, in surgical procedures such as carpal tunnel release, plantar fasciotomy, gastroc release, cubital tunnel release, and tarsal tunnel release. The apparatus includes a retrograde knife and a guide tool for guiding the knife and a scope during surgery. Relevant features include a knife stop for preventing the knife from inadvertently raising out of the knife channel, indicators showing the proper orientation for the guide tool, a self dilating tip and channel design on the guide tool, a cover piece and/or pivotable panel system for preventing ligaments and other anatomy from getting caught in the guide tool, a pivot pin and groove system for stabilizing the knife and also assuring that the knife blade is not inadvertently raised out of the channel, and a use indicator for preventing re-use of a single use device.