Automated Knot Tying Device with Vision Inspection

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Solution Overview

Problem

Existing knot tying devices face challenges in consistently and reproducibly forming surgeon's knots, especially for small diameter wires or strings, and in ensuring the knot's position and integrity for medical devices like IUDs, where precise tension and infection prevention are critical.

Innovation Solution

A device and method for forming a double loop surgeon's knot using a flexible element, which includes a platform for engaging medical devices, a winding mandrel, rotary lock, and a housing with a vision inspection device to ensure knot quality and positioning, allowing for automated knotting with minimal operator intervention.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If automated knot tying apparatuses are used, then productivity is improved, but device complexity increases

Engineering Contradiction:
Improveknot tying speedVSAvoidapparatus structure
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The automated knot tying apparatus is divided into distinct functional modules: a loading element for holding the flexible element, a spooling element for winding and paying out the element, a looping element for forming loops, and a knot tying element with a rotary lock mechanism. Each module performs a specific function in the knot tying sequence, enabling automated operation while maintaining manageable complexity through functional decomposition.

Inventive Principle:
Principle #1Segmentation

2Reliability

If the knot is tied securely, then reliability is improved, but the knot profile height increases

Engineering Contradiction:
Improveknot securityVSAvoidknot profile height
Core Design Contradiction:
ReliabilityVSShape

Solution Approach 1:

The apparatus enables precise control of the knot tying process by adjusting parameters such as the number of turns in the loop, the tension applied during tightening, and the position where the knot is formed relative to the medical device. The rotary lock mechanism allows controlled rotation to create the desired number of turns, and the tensioning element applies precise force to tighten the knot to a specific dimension, achieving both security and compact profile.

Inventive Principle:
Principle #35Parameter changes

3Manufacturing precision

If the knot is positioned precisely, then manufacturing precision is improved, but the ease of operation decreases

Engineering Contradiction:
Improveknot position accuracyVSAvoidmanual knot tying difficulty
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The apparatus performs the knot tying operation automatically through a sequence of automated actions: the loading element presents the flexible element, the spooling element winds and pays it out, the looping element forms the loop, and the knot tying element with rotary lock creates and tightens the knot at a predetermined position. The system self-regulates the knot formation process without requiring manual dexterity, achieving precise positioning while simplifying operator involvement to loading and unloading.

Inventive Principle:
Principle #25Self-service

4Measurement precision

If vision inspection is implemented, then measurement precision is improved, but device complexity increases

Engineering Contradiction:
Improveknot quality inspection accuracyVSAvoidinspection system structure
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The manual visual inspection process is replaced with an automated vision inspection system that uses optical sensors or cameras to detect and measure the knot's position, size, and quality characteristics. The vision system automatically captures images of the knotted medical device, processes the images to determine whether the knot meets specification, and provides feedback without requiring manual measurement, thereby improving precision while the modular integration keeps complexity manageable.

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

Data Source

PatentEP3328297B1Devices, systems and methods for knot tying
Publication Date: 2020.08.19 MEDICINES360
  • EP3328297B1 patent drawingFigure 1A~2
  • EP3328297B1 patent drawingFigure 3A~4G
  • EP3328297B1 patent drawingFigure 5A~6C

AI summary

Disclosed is an apparatus or device for making knots in a flexible element that engages a medical device, such as an IUD, and associated methods.