Gel Sweeper for Kidney Stone Fragment Removal

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Solution Overview

Problem

Current lithotripsy procedures are complicated and time-consuming due to the need for antiretropulsion devices to prevent stone fragments from migrating during kidney stone or gallstone pulverization, which increases operating room costs and procedural complexity.

Innovation Solution

A sweeper gel system that forms a tacky, flowable polymer plug within the body lumen to occlude the area, allowing for simultaneous removal of stone fragments and antiretropulsion devices, using a polymer formulation that hardens to maintain shape and secure an elongated handle for easy retrieval.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If antiretropulsion devices are deployed during lithotripsy to prevent stone fragment migration, then fragment migration is minimized, but procedural time and complexity increase

Engineering Contradiction:
Improvefragment migration preventionVSAvoidprocedural complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The invention combines the antiretropulsion device and stone fragment collection into a single integrated plug structure. The plug simultaneously performs multiple functions: preventing fragment migration (antiretropulsion), collecting pulverized stone fragments, and facilitating their removal. This merging eliminates the need for separate devices, thereby reducing procedural complexity while maintaining reliable fragment migration prevention.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The plug is designed as a multi-functional device that serves several purposes: it acts as an antiretropulsion barrier, a collection receptacle for stone fragments, and a retrieval mechanism. By making the device universal and multi-functional, the invention reduces the number of separate components needed, thereby simplifying the overall procedure while ensuring reliable fragment containment and prevention of migration.

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Reliability

If antiretropulsion devices are deployed during lithotripsy to prevent stone fragment migration, then fragment migration is minimized, but operating room time and costs increase

Engineering Contradiction:
Improvefragment migration preventionVSAvoidprocedural time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The invention combines the antiretropulsion device and stone fragment collection into a single integrated plug structure. The plug simultaneously performs multiple functions: preventing fragment migration (antiretropulsion), collecting pulverized stone fragments, and facilitating their removal. This merging eliminates the need for separate devices, thereby reducing procedural complexity while maintaining reliable fragment migration prevention.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The plug is deployed before lithotripsy begins, establishing the antiretropulsion barrier and collection mechanism in advance. This preliminary action allows the procedure to proceed without interruption for device deployment or adjustment during the actual lithotripsy, thereby reducing overall procedural time while ensuring fragment migration prevention from the outset.

Inventive Principle:
Principle #10Preliminary action

3Reliability

If multiple separate devices are used for antiretropulsion and fragment collection, then fragment migration is prevented, but device complexity and retrieval difficulty increase

Engineering Contradiction:
Improvefragment migration preventionVSAvoidretrieval ease
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The invention combines the antiretropulsion device and stone fragment collection into a single integrated plug structure. The plug simultaneously performs multiple functions: preventing fragment migration (antiretropulsion), collecting pulverized stone fragments, and facilitating their removal. This merging eliminates the need for separate devices, thereby reducing procedural complexity while maintaining reliable fragment migration prevention.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The plug design incorporates nested functional elements where the collection receptacle is integrated within the antiretropulsion barrier structure. This nesting allows both functions to be performed by a single device that can be deployed and retrieved as one unit, simplifying the操作流程 and making retrieval easier compared to managing multiple separate devices.

Inventive Principle:
Principle #7Nested doll (Nesting)

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

This approach reduces procedural time and complexity by effectively collecting and removing debris while minimizing the risk of fragment migration, thereby reducing operating costs and simplifying the lithotripsy process.

Implementation Method 1

a flowable polymer formulation that is able to form a plug when it is introduced into a body lumen

Methodology Applied
Scientific EffectFlowable polymer formulation:

Implementation Method 2

the plug is tacky

Methodology Applied
Scientific EffectTacky plug formation:

Implementation Method 3

a polymer that forms a solid or a highly viscous liquid within the body

Methodology Applied
Scientific EffectPhase transition from flowable to solid/gel: Phase Change

Implementation Method 4

the polymer formulation includes a polymer that forms a solid or a highly viscous liquid within the body

Methodology Applied
Scientific EffectGel formation: Gel

Implementation Method 5

the second end can include a plurality of flanges or flukes to secure the elongated body to the plug

Methodology Applied
Scientific EffectMechanical fastening: Mechanical Fastener

Data Source

PatentUS9775631B2Gel sweeper for residual stone fragment removal
Publication Date: 2017.10.03 BOSTON SCIENTIFIC SCIMED INC
  • US9775631B2 patent drawing
  • US9775631B2 patent drawing
  • US9775631B2 patent drawing

AI summary

Systems and methods for performing medical procedures in body lumens are described. Embodiments of the methods include forming a plug to partially or fully occlude the lumen and moving the plug through a surgical field. Embodiments of the systems include an elongate body graspable by a surgical instrument or by a surgeon that are adapted to anchor to the plug.