Expandable Mesh Locking Structure for Stable Hernia Defect Sealing

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Solution Overview

Problem

Existing methods for sealing perforations in tissue, such as hernias, are time-consuming and inefficient, with mesh plug techniques often failing to effectively cover the entire area or leading to complications like shrinkage or migration into adjacent organs.

Innovation Solution

An expandable mesh design featuring a first and second coupling element and an intermediate portion that flares out when the first coupling element is retracted relative to the second, secured with a friction fit or ratcheting mechanism, allowing for secure anchoring and expansion to cover perforations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If manual suturing techniques are used to secure graft material to surrounding tissue, then the graft material can be effectively secured, but the procedure becomes time-consuming and difficult to perform

Engineering Contradiction:
Improvesecuring effectivenessVSAvoidprocedure time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent extracts the time-consuming manual suturing operation by incorporating pre-formed coupling elements directly onto the graft material. These coupling elements are prepared in advance during manufacturing, eliminating the need for time-consuming intraoperative suturing while maintaining secure attachment to surrounding tissue.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The coupling elements are prepared in advance during the manufacturing process rather than being created during surgery. This preliminary action includes forming the coupling elements and positioning them on the graft material before implantation, thereby reducing operative time while ensuring reliable tissue securing.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If a mesh plug is used to fill the perforation, then fewer sutures and less tissue dissection are needed, but the mesh plug may shrink, become loose, or migrate into adjacent organs

Engineering Contradiction:
Improvesurgical efficiencyVSAvoidposition stability
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The graft material is segmented into multiple functional zones: a central perforation-covering region and multiple coupling elements positioned at the periphery. This segmentation allows the central portion to effectively fill the perforation while the distributed coupling elements provide stable anchoring to prevent migration and loosening.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The coupling elements are designed with flexible, compliant characteristics that allow them to adapt to tissue movement and deformation. This dynamic design prevents the graft from becoming loose or migrating while maintaining secure attachment, addressing the rigidity-related failures of traditional mesh plugs.

Inventive Principle:
Principle #15Dynamics

3Area of stationary object

If the intermediate portion of the mesh is expanded to cover the entire perforation area, then comprehensive sealing is achieved, but the device complexity increases

Engineering Contradiction:
Improvecoverage areaVSAvoidstructure complexity
Core Design Contradiction:
Area of stationary objectVSDevice complexity

Solution Approach 1:

The graft material is delivered in a compressed, nested configuration within the delivery catheter. The coupling elements are positioned in overlapping or nested arrangements that allow compact delivery while enabling full expansion to cover the entire perforation area upon deployment, thereby achieving comprehensive coverage without excessive device complexity.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

The intermediate portion of the mesh is designed to dynamically expand from a compressed delivery state to a fully deployed coverage state. This dynamic transformation allows the device to achieve comprehensive perforation coverage while maintaining a simple, compact form during delivery, avoiding permanent structural complexity.

Inventive Principle:
Principle #15Dynamics

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

The expandable mesh provides a secure, comprehensive seal with reduced migration risk and enhanced anchoring, improving the efficiency and effectiveness of hernia repair and other tissue closure procedures.

Implementation Method 1

The first and second tubes may be dimensioned to be secured together using a friction fit when the first tube is proximally retracted relative to the second tube

Methodology Applied
Scientific EffectFriction fit: Friction

Implementation Method 2

the first and second tubes are formed from treating the mesh material in a manner that maintains a tubular shape of the first and second tubes. At least one of the first tube or the second tube may be formed by melting or heat-shrinking the mesh material

Methodology Applied
Scientific EffectHeat-shrinking: Thermal Contraction

Data Source

PatentUS11771541B2Expandable mesh with locking feature
Publication Date: 2023.10.03 COOK MEDICAL TECHNOLOGIES LLC
  • US11771541B2 patent drawing
  • US11771541B2 patent drawing
  • US11771541B2 patent drawing

AI summary

The present embodiments provide an expandable mesh comprising a first coupling element, a second coupling element, and an intermediate portion disposed between the first coupling element and the second coupling element. Proximal retraction of the first coupling element relative to the second coupling element causes the intermediate portion to flare out to an enlarged width. In one embodiment, the first coupling element comprises a first tube and the second coupling element comprises a second tube.