Flexible Catheter Minimizes Tip Displacement During Chorionic Villus Sampling
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Solution Overview
Problem
Existing catheters for chorionic villus sampling face issues with tip displacement and membrane rupture due to the stiffness of the obturator, which affects precision and safety during the procedure.
Innovation Solution
A catheter design featuring a flexible plastic cannula and a flexible stainless steel obturator with a molded handle and steering guide for improved manipulation and placement, allowing for precise guidance and minimizing tip displacement upon withdrawal.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If a stiff obturator is used to maintain cannula support during insertion, then the cannula can be inserted easily, but the cannula tip deflects from the desired location when the obturator is withdrawn
Solution Approach 1:
The patent changes the material parameter of the obturator from stiff (aluminum, stainless steel) to flexible (polymer, rubber), which allows the obturator to conform to the cannula shape during insertion but not cause deflection when removed. This parameter change resolves the contradiction between ease of insertion and tip position accuracy.
Solution Approach 2:
The patent uses a composite structure where a flexible obturator is placed within a flexible cannula. The flexible obturator provides support during insertion while the flexible cannula maintains its shape without deflection when the obturator is removed, resolving the contradiction between insertion ease and tip position precision.
2Measurement precision
If a stiff catheter is used to prevent cannula deflection, then tip position is maintained, but the catheter causes ruptures in patients' membranes
Solution Approach 1:
The patent changes the rigidity parameter of the entire catheter assembly by using flexible materials for both the cannula and obturator. This reduces the overall stiffness to a level that prevents membrane rupture while still maintaining sufficient support during insertion and accurate tip positioning.
Solution Approach 2:
The patent employs flexible materials (polymer, rubber) for the obturator and cannula, allowing the catheter to bend and conform to anatomical structures without causing membrane rupture, while still providing adequate support for precise tip placement.
3Measurement precision
If a flexible obturator is used to prevent cannula deflection, then tip position is maintained, but the obturator cannot provide sufficient support during insertion
Solution Approach 1:
The patent optimizes the flexibility parameter of the obturator to a specific range that provides sufficient support during insertion while preventing deflection when removed. The flexible material is chosen to have enough rigidity to support the cannula during insertion but not enough to cause deflection upon withdrawal.
Solution Approach 2:
The patent uses a flexible obturator that can dynamically adapt its support characteristics during the procedure - providing support when needed during insertion, then allowing the cannula to maintain its shape independently when the obturator is removed, thus resolving the contradiction between insertion ease and tip position accuracy.
Data Source
AI summary
A catheter with a guide wire and handle is provided for sampling an area of interest, such as chorionic villi. The catheter contains a cannula of flexible plastic that is non-pyrogenic and latex-free, and a flexible obturator with an elongate cylindrical handle. The cannula is echogenic and can be easily visualized with visualization or imaging device. In an embodiment, the catheter may be curved manually by the operator to conform to the patient's anatomy and it is inserted through the cervix into a pregnant uterus at 10-13 weeks gestation and placed into the developing placenta under ultrasound guidance and a guide mechanism provided on the handle. In this embodiment, once the catheter has been placed, the obturator is withdrawn and a sample of chorionic villi is removed by applying appropriate pressure to the proximal end of the cannula and slowly withdrawing the cannula from the uterine cavity.


