Knotless Anchor Loop for Minimally Invasive Soft Tissue Repair
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Solution Overview
Problem
Existing tissue repair devices for suturing soft tissues like cartilage, ligament, or muscle are not fully satisfactory in facilitating efficient and minimally invasive repair.
Innovation Solution
A soft tissue repair device with flexible or rigid anchors externally carried on an inserter, coupled by a flexible strand to form an adjustable knotless loop, allowing deployment and secure fixation without penetrating the tissue.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If traditional suturing devices are used to repair soft tissue tears, then the repair can be performed, but the procedure is time-consuming and causes excessive tissue injury
Solution Approach 1:
The device segments the suture function into multiple components: an inserter for delivery, anchors for securement, and a flexible strand for tensioning. This segmentation allows each component to be optimized for its specific function, enabling faster deployment and reduced tissue manipulation compared to traditional suturing
Solution Approach 2:
The anchors are pre-loaded onto the inserter in a compact configuration before the procedure. This preliminary preparation eliminates the need to assemble components during surgery, significantly reducing procedural time and allowing the device to be deployed as a complete unit with minimal tissue disruption
2Reliability
If traditional penetrating suturing methods are used, then secure anchoring can be achieved, but the tissue penetration causes additional tissue damage
Solution Approach 1:
Instead of penetrating the tissue to create anchors, the device inverts the approach by deploying anchors on the outer surface of the tissue and securing them there. The flexible strand passes through the tissue without requiring the anchors to penetrate, thereby achieving secure anchoring while minimizing tissue damage
Solution Approach 2:
The flexible strand acts as an intermediary element that connects the anchors on the outer tissue surface to the tear site. This mediator allows force transmission and secure anchoring without requiring the anchors themselves to penetrate the tissue, reducing direct tissue damage while maintaining reliability
3Reliability
If complex knotting procedures are used to secure sutures, then secure fixation is achieved, but the procedure becomes more complex and time-consuming
Solution Approach 1:
The flexible strand is designed with self-locking capability through its interaction with the anchors. When tension is applied, the strand automatically secures itself to the anchors without requiring external knotting operations. This self-service mechanism eliminates complex knotting procedures while maintaining secure fixation
Solution Approach 2:
The device extracts the complex knotting operation from the surgical procedure by incorporating the securing function directly into the anchor-strand interface. The knotting complexity is taken out and replaced by a simpler tension-based securing mechanism that achieves reliable fixation without manual knot tying
4Adaptability or versatility
If multiple separate components are used for tissue repair, then functionality can be optimized, but the device complexity and assembly time increase
Solution Approach 1:
The device merges the delivery mechanism (inserter), the anchoring elements (anchors), and the tensioning element (flexible strand) into a single integrated system. These components are pre-assembled and function together as one unit, optimizing functionality while reducing the perceived complexity by eliminating the need to handle and assemble multiple separate components during surgery
Data Source
AI summary
A soft tissue repair device. The device includes an inserter having a distal portion, a first anchor carried externally onto the distal portion, a second anchor carried externally onto the distal portion, and a flexible strand coupling the first and second anchors and forming an adjustable knotless loop.


