Knotless Orthopedic Fixation Fastener for Secure Suture Compression

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Solution Overview

Problem

Existing orthopedic fixation fasteners rely on knot quality for effectiveness, which can compromise surgical outcomes due to potential slippage and uneven tissue pressure.

Innovation Solution

An orthopedic fixation fastener design that secures sutures without knotting, using a fixation fastener body and a detachable fixator to compress and fix sutures, distributing pressure evenly over a larger surface area and allowing for post-assembly adjustment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If knotting is used to secure the suture, then the suture can be fixed to the tissue, but the effectiveness depends on knot quality which can lead to slippage and uneven tissue pressure

Engineering Contradiction:
Improvesuture fixation reliabilityVSAvoidknotting operation complexity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The patent extracts and eliminates the knotting operation from the suture fixation process. Instead of requiring the surgeon to tie a knot, the device uses a mechanical compression mechanism with a compression member that directly secures the suture to the tissue, removing the source of potential slippage and uneven pressure associated with manual knotting

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The device enables self-service fixation where the compression member automatically secures the suture through mechanical compression when the fixation fastener is pressed against the tissue. The suture passes through the compression member and is held in place by the compression force, eliminating the need for surgical intervention to tie knots

Inventive Principle:
Principle #25Self-service

2Reliability

If knotting is used to secure the suture, then the suture can be fixed to the tissue, but it causes uneven tissue pressure and potential tissue damage

Engineering Contradiction:
Improvesuture fixation reliabilityVSAvoiduneven tissue pressure
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by distributing the compression force through a compression member that contacts the suture at multiple points. The compression member has a specific geometry with contact surfaces that apply pressure evenly across the suture and underlying tissue, preventing localized stress concentrations that would cause tissue damage

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The device transitions from one-dimensional knot securing to a multi-dimensional compression mechanism. The compression member applies force in multiple directions simultaneously, distributing the load across a larger surface area of the tissue and suture interface, thereby preventing uneven pressure and tissue damage

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Reliability

If a compression member is added to compress and fix the suture, then suture slippage is prevented, but the device complexity increases

Engineering Contradiction:
Improvesuture slippage preventionVSAvoidfixation fastener structure
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent merges the compression member with the fixation fastener body into an integrated structure. The compression member is formed as part of the fixation fastener, eliminating the need for separate components and reducing overall device complexity while maintaining effective suture compression and slippage prevention

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The compression member serves multiple functions: it compresses the suture against the tissue, prevents suture slippage, distributes pressure evenly, and provides a secure fixation point. This multi-functionality reduces the need for additional separate components, thereby reducing device complexity

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

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

Prevents suture slippage and reduces uneven tissue growth by evenly distributing pressure, eliminating the need for knotting and enabling easy adjustment after assembly.

Implementation Method 1

when the fixator is engaged with the fixation fastener body, at least one suture is compressed and fixed between them

Methodology Applied
Scientific EffectCompression: Compression

Data Source

PatentEP4691392A1Orthopedic fixation fastener
Publication Date: 2026.02.11 DE NOVO ORTHOPEDICS CO LTD
  • EP4691392A1 patent drawingFigure 1
  • EP4691392A1 patent drawingFigure 2
  • EP4691392A1 patent drawingFigure 3

AI summary

The present disclosure provides an orthopedic fixation fastener for securing a suture, including a fixation fastener body (1) and a fixator (2). The fixation fastener body (1) includes a central portion (11), a first fixing portion (12), and a second fixing portion (13), which are correspondingly connected to opposite sides of the central portion (11). Each of the first fixing portion (12) and second fixing portion (13) includes a suture hole (121, 131) extending through a top surface (14) and a bottom surface (15), through which the suture passes. The fixator (2) includes a fixing structure (21) detachably connectable to the fixation fastener body (1), such that when the fixator (2) is engaged, the suture is accommodated and fixed between the fixator (2) and the fixation fastener body (1) without requiring additional knotting for fixation.