Force-Limited Needle Driver for Surgical Suturing

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Solution Overview

Problem

Current surgical suturing methods, both manual and automated, face challenges in efficiency and precision, especially during minimally invasive surgeries, as they require manual handling and lack advanced mechanisms for consistent and reliable suturing.

Innovation Solution

A surgical suturing device featuring a cartridge with a needle and suture, an elongate shaft, and a receiver with a pair of jaws that can be actuated to securely hold and release the cartridge, along with a needle driver that rotates the needle in a circular path, facilitating precise suturing through a ratchet mechanism and articulation control.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If manual suturing is performed using fine graspers to hold and manipulate the needle, then the surgeon has direct control over the suturing process, but the process is time-consuming and labor-intensive

Engineering Contradiction:
Improvesuturing speedVSAvoidmanual handling complexity
Core Design Contradiction:
ProductivityVSEase of operation

Solution Approach 1:

The needle driver is designed to automatically grasp, rotate, and release the suture needle without requiring continuous manual manipulation. The ratchet mechanism automatically advances the needle through tissue while the spring-loaded graspers hold the needle in place during rotation, reducing the surgeon's manual effort and increasing suturing speed

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The device incorporates a ratchet mechanism that allows unidirectional rotation of the needle driver, enabling the needle to be rotated and advanced through tissue in a controlled manner. The spring-loaded graspers dynamically adjust to hold and release the needle at appropriate moments, facilitating automated suturing motion

Inventive Principle:
Principle #15Dynamics

2Productivity

If automated suturing devices are used to speed up the suturing process, then productivity increases, but precision and reliability of needle control may be compromised

Engineering Contradiction:
Improvesuturing speedVSAvoidneedle control consistency
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The ratchet mechanism provides mechanical feedback by allowing rotation only in the forward direction, ensuring consistent needle advancement through tissue. The spring-loaded graspers provide tactile feedback to maintain secure needle holding during rotation and automatic release when appropriate, ensuring reliable and repeatable suturing cycles

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The suturing function is divided into distinct mechanical steps: the ratchet mechanism handles needle rotation and advancement, while the spring-loaded graspers handle needle holding and release. This segmentation allows each component to be optimized for its specific function, improving overall reliability and precision

Inventive Principle:
Principle #1Segmentation

3Manufacturing precision

If a ratchet mechanism is used to rotate the needle in a circular path, then automated needle movement and precision are improved, but device complexity increases

Engineering Contradiction:
Improveneedle rotation precisionVSAvoidmechanical mechanism complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The ratchet mechanism is designed with a circular arc-shaped rack that guides the needle driver in a precise circular path during rotation. This curved geometry naturally ensures consistent needle rotation radius and orientation, achieving high manufacturing precision without requiring complex control systems

Inventive Principle:
Principle #14Spheroidality (Curvature)

4Manufacturing precision

If the needle is rotated in a circular path through tissue, then consistent penetration and suture placement are achieved, but the force required to drive the needle increases

Engineering Contradiction:
Improveneedle penetration consistencyVSAvoidneedle driving force
Core Design Contradiction:
Manufacturing precisionVSForce

Solution Approach 1:

The ratchet mechanism enables periodic rotation of the needle driver in discrete angular increments, allowing the needle to penetrate tissue in controlled stages. This periodic motion distributes the required force over multiple small movements rather than requiring one large force application, making the device more manageable while maintaining consistent penetration

Inventive Principle:
Principle #19Periodic action

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

Enhances the efficiency and precision of suturing by allowing for automated and controlled needle movement, reducing manual effort and improving consistency during surgical procedures, particularly in endoscopic and laparoscopic surgeries.

Implementation Method 1

The pivoting jaw may comprise a resiliently biased tooth oriented toward the stationary jaw, the tooth being dimensioned and adapted to engage and distally retain the cartridge. The surgical suturing device may further comprise a spring biasing the pivoting jaw towards the closed position.

Methodology Applied
Scientific EffectElasticity: Elasticity

Data Source

PatentUS10004490B2Force limited needle driver
Publication Date: 2018.06.26 CILAG GMBH INTERNATIONAL
  • US10004490B2 patent drawing
  • US10004490B2 patent drawing
  • US10004490B2 patent drawing

AI summary

A surgical suturing device comprises an arced needle comprises a length of suture. An elongate shaft comprises a proximal end and a distal end. A needle driver is on the distal end of the elongate shaft operable to engage and rotate the needle in a circular path. The needle driver reciprocates between a drive stroke wherein the needle is rotated and a return stroke. A trigger is on the proximal end of the elongate shaft. A drive rod in the elongate shaft operably connects the trigger and the needle driver. Moving the trigger in a first direction actuates the needle driver through its drive stroke, and moving the trigger in a second direction actuates the needle driver through its return stroke. A spring is operably connected to the drive rod limiting a load transmitted through the drive rod. The spring may limit the load transmitted through the drive rod when the trigger is moved in a first direction.