Intra-lumen Suture Knot Deployment via Nested Needle
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Solution Overview
Problem
Conventional minimally invasive cardiac valve repair procedures are invasive, technologically challenging, and require extended recovery times due to the need for multiple suture knot deployments, which can be time-consuming and increase the level of invasiveness, especially when dealing with mitral valve regurgitation.
Innovation Solution
A delivery system comprising a needle with a lumen for carrying and deploying multiple suture anchors, where the suture anchors are coiled within the needle and pushed out using a pusher to form knots on the valve leaflet, allowing for simultaneous or near-simultaneous deployment of multiple knots during a single procedure, reducing the need for repeated needle insertion and minimizing tissue friction and damage.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If multiple suture knots are deployed using conventional methods, then the valve repair can be completed, but the procedure becomes time-consuming and more invasive
Solution Approach 1:
Multiple suture anchors are combined into a single delivery system that can deploy multiple knots simultaneously or near-simultaneously through one needle insertion, merging what would traditionally require multiple separate procedures into a single integrated operation
Solution Approach 2:
Suture anchors are pre-loaded into the needle lumen before the procedure, and multiple anchors are prepared in advance within the delivery system, allowing for rapid sequential deployment without repeated preparation steps
2Reliability
If multiple needle insertions are performed for suture knot deployment, then complete valve repair is achieved, but tissue friction and damage increase
Solution Approach 1:
Multiple suture anchor deliveries are merged into a single needle insertion event, where all anchors are introduced through one puncture of the valve leaflet, eliminating the need for multiple separate needle insertions and reducing cumulative tissue trauma
Solution Approach 2:
The delivery system segments multiple suture anchors into individual units that can be independently deployed from a single access point, allowing each anchor to be released sequentially or simultaneously without requiring separate needle insertions
3Ease of manufacture
If conventional suture deployment methods are used, then sutures can be placed in the valve, but the procedure requires extended recovery time
Solution Approach 1:
Multiple suture placement operations are combined into a single procedural event, reducing the overall duration of the intervention and consequently shortening the patient's recovery time while maintaining complete suture placement capability
4Reliability
If multiple suture anchors are delivered sequentially, then complete valve repair is possible, but the device complexity increases
Solution Approach 1:
Multiple suture anchors are nested within the lumen of a single needle, with each anchor contained within the delivery system's internal pathway, allowing complex multi-anchor delivery through a relatively simple external structure
Data Source
AI summary
A delivery system comprises a needle comprising a distal tip configured to pierce a valve leaflet of a heart and a lumen configured to receive one or more suture anchors, a first suture anchor configured to be delivered via the lumen of the needle, and a pusher configured to extend through the lumen of the needle and configured to press the first suture anchor beyond the distal tip of the needle.


