Load Cell Suture Tensioning for Precise Force Control

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Solution Overview

Problem

Existing suture tensioning methods are inadequate for precise control and real-time adjustment, particularly in minimally invasive heart valve repair procedures, leading to potential suture rupture and suboptimal implant placement.

Innovation Solution

A suture-tensioning device comprising an elongate plunger, plunger track housing, and actuator, with a load cell for tension force measurement, allowing for precise adjustment of suture tension through axial translation and rotation of the plunger within the track housing.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If existing suture tensioning methods are used, then the procedure can be performed, but precise control and real-time adjustment of suture tension are inadequate

Engineering Contradiction:
Improvesuture tension control precisionVSAvoidsuture rupture risk
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent incorporates a load cell that provides real-time feedback on suture tension forces. This feedback mechanism enables precise measurement and control of tension, allowing the operator to adjust the plunger to achieve and maintain optimal suture tension while avoiding excessive force that could cause rupture.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent replaces traditional mechanical suture tensioning methods with a more sophisticated system combining a load cell for force measurement, a plunger for controlled displacement, and an actuator for automated or assisted adjustment. This substitution enables precise digital control and monitoring of suture tension.

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

2Ease of operation

If existing suture tensioning methods are used, then the procedure can be performed, but real-time adjustment capability is insufficient

Engineering Contradiction:
Improvereal-time tension adjustmentVSAvoidimplant placement precision
Core Design Contradiction:
Ease of operationVSManufacturing precision

Solution Approach 1:

The patent employs a dynamic system where the plunger can be adjusted in real-time through axial translation and rotation. The actuator enables continuous adjustment of suture tension during the procedure, allowing the operator to adapt to changing conditions and achieve precise implant placement.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The plunger acts as an intermediary mechanism between the actuator and the suture. By translating axial movement and rotation into controlled suture tension adjustment, the plunger enables precise real-time control while protecting the suture from direct manipulation that could cause damage.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Measurement precision

If a suture-tensioning device with load cell and actuator is used, then precise suture tensioning and real-time monitoring are achieved, but device complexity increases

Engineering Contradiction:
Improvetension force measurementVSAvoiddevice structure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent merges multiple functions into an integrated device: the load cell measures tension, the plunger provides mechanical advantage for adjustment, and the actuator enables controlled movement. This consolidation of measurement and actuation functions into a single device reduces the number of separate components and simplifies the overall system.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The plunger serves multiple functions: it transmits actuator movement to adjust suture tension, it provides a mechanical interface for the load cell to measure force, and it acts as a constraint to control the suture's position. This multi-functionality reduces the need for separate dedicated components.

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

Enables precise suture tensioning, reducing the risk of rupture and ensuring proper implant placement, while allowing real-time monitoring and minimally invasive procedures, thereby improving surgical outcomes.

Implementation Method 1

The tensioning device may further comprise a load cell device configured to generate signals indicative of an amount of tension force applied to a portion of the plunger

Methodology Applied
Scientific EffectLoad cell measurement:

Implementation Method 2

the plunger includes radially-projecting screw threads and the actuator includes screw threads configured to mate with the screw threads of the plunger

Methodology Applied
Scientific EffectScrew mechanism: Screw

Data Source

PatentUS12419631B2Controlled suture tensioning
Publication Date: 2025.09.23 EDWARDS LIFESCIENCES CORP
  • US12419631B2 patent drawing
  • US12419631B2 patent drawing
  • US12419631B2 patent drawing

AI summary

A tensioning device includes an elongate plunger, a plunger track housing configured to receive the plunger therein at least in part, an elongate tube configured to be coupled to the plunger track housing, and an actuator configured to cause axial translation of at least a portion of the plunger within the plunger track housing.