Surgical Fastener with Expandable Prongs for Deep Wound Closure

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Solution Overview

Problem

Current surgical fasteners are inadequate for rapidly closing deep wounds, as they cannot appose bulky tissue masses and are not easily removable, and subcuticular suturing is time-consuming and tedious.

Innovation Solution

Development of surgical fasteners with a piercing part featuring tapered, sharpened prongs that expand at skin temperature and are magnetically attracted, allowing for rapid closure and easy removal, suitable for various wound depths including dermis, fascia, and muscle layers.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If surgical staplers and clips are used for rapid wound closure, then the speed of wound closure is improved, but they cannot appose bulky tissue masses in deep wounds

Engineering Contradiction:
Improvespeed of wound closureVSAvoidability to appose deep tissue masses
Core Design Contradiction:
ProductivityVSAdaptability or versatility

Solution Approach 1:

The fastener design incorporates expandable arms that change their dimensional parameters from a compressed delivery state to an expanded apposition state. The arms are designed to expand radially outward after deployment, enabling them to reach and appose deep tissue masses while maintaining rapid closure capability. This parameter change allows the same device to achieve both speed and depth adaptability.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The fastener transitions from a static compressed state during delivery to a dynamic expanded state during apposition. The arms are designed with inherent expandability, allowing them to dynamically adjust their configuration to match the depth and geometry of the wound, thereby apposing bulky tissue masses effectively while maintaining rapid deployment.

Inventive Principle:
Principle #15Dynamics

2Object-affected harmful factors

If subcuticular suturing is performed to minimize visible scarring, then cosmetic outcome is improved, but the procedure becomes very tedious and time consuming

Engineering Contradiction:
Improvevisible scarringVSAvoidprocedure time
Core Design Contradiction:
Object-affected harmful factorsVSLoss of time

Solution Approach 1:

The invention replaces the manual mechanical suturing process with a mechanically deployed fastener system. The fastener is delivered through a applicator device that automatically positions and deploys the arms beneath the skin surface, substituting the tedious manual needle-and-thread suturing process with a single-action mechanical deployment that achieves the same subcuticular closure effect.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The fastener arms are pre-configured in a compressed state within the applicator, ready for immediate deployment. The applicator device pre-positions the fastener at the wound site, and a single actuating motion deploys the arms into the subcuticular layer, performing the entire closure action in advance of the healing process without requiring time-consuming manual manipulation.

Inventive Principle:
Principle #10Preliminary action

3Reliability

If bio-absorbable resinous materials are used for fasteners, then biocompatibility is improved, but tensile strength is lost after a few weeks of exposure

Engineering Contradiction:
ImprovebiocompatibilityVSAvoidtensile strength retention
Core Design Contradiction:
ReliabilityVSStrength

Solution Approach 1:

The fastener employs a composite material structure combining bio-absorbable resinous materials with reinforcement elements. The base material provides biocompatibility and biodegradability, while embedded reinforcement fibers or a composite matrix structure maintains tensile strength over time. This composite approach allows the fastener to retain sufficient strength for the initial healing period while remaining biocompatible and eventually biodegradable.

Inventive Principle:
Principle #40Composite materials

Solution Approach 2:

The fastener design incorporates regions of different material properties within the same structure. The arm portions that require high strength retention have enhanced material composition or structural reinforcement, while other portions maintain high biocompatibility and biodegradability. This local differentiation of material quality allows simultaneous optimization of both strength retention and biocompatibility in different functional zones of the fastener.

Inventive Principle:
Principle #3Local quality

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 rapid closure of deep wounds with minimal scarring and quick removal, available in various sizes for different wound depths, suitable for diverse medical settings and emergency situations.

Implementation Method 1

prongs that expand at skin temperature

Methodology Applied
Scientific EffectThermal expansion: Thermal Expansion

Implementation Method 2

magnetically attracted

Methodology Applied
Scientific EffectMagnetic attraction: Magnetism

Data Source

PatentUS9101362B1Fasteners that bring into apposition sides of wound
Publication Date: 2015.08.11 ZOLLI CHRISTINE L
  • US9101362B1 patent drawing
  • US9101362B1 patent drawing
  • US9101362B1 patent drawing

AI summary

A surgical fastener that has an urging part and a piercing part. The urging part is formed to urge the piercing part to move between open and closed positions. The piercing part includes a pair of piercing prongs that terminate at tips, which taper into a sharpened condition to pierce through skin tissue under manual force. The piercing prongs each having a different radius of curvature so that the tips overlap each other as the piercing part reaches the closed position and that spread apart from each other as the piercing part reaches the open position. At least one of the urging part and the piercing part including a mechanism that tends to urge the tips of the piercing prongs closer to each other as the piercing part moves to the closed position from the open position.