Nested Conduit Stiffening for Variable Bend Radius in Steerable Instruments

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Solution Overview

Problem

Existing minimally invasive medical instruments face challenges in navigating small anatomical passageways due to size and flexibility limitations, requiring improved designs for articulation and stiffness adjustment to enhance maneuverability during procedures.

Innovation Solution

The development of a medical instrument with an elongate flexible body featuring nested conduits and actuation tendons, allowing for adjustable axial stiffness and varying bend radii, enabling precise articulation and navigation through small anatomical spaces without additional articulation motors or telescoping designs.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If additional articulation motors and telescoping structures are added to achieve variable articulable lengths, then maneuverability and ease of use are improved, but device complexity and outer diameter increase

Engineering Contradiction:
ImprovemaneuverabilityVSAvoiddevice complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The patent employs nested conduits where an inner conduit is positioned within an outer conduit, both extending through the flexible body. The control tendon passes through the inner conduit, creating a compact nested structure that enables variable articulable lengths through axial displacement of the inner conduit relative to the outer conduit, without requiring additional motors or telescoping mechanisms that would increase device complexity and outer diameter.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

The patent implements dynamic adjustability by allowing the inner conduit to axially displace within the outer conduit. This dynamic reconfiguration enables the instrument to achieve different articulable lengths on-demand during the procedure, providing variable maneuverability without permanent structural modifications or complex mechanical assemblies.

Inventive Principle:
Principle #15Dynamics

2Volume of moving object

If the instrument is made smaller and more flexible to fit within small anatomical lumens, then navigability through small passageways is improved, but structural strength and support for remote operation decrease

Engineering Contradiction:
Improveouter diameterVSAvoidstructural strength
Core Design Contradiction:
Volume of moving objectVSStrength

Solution Approach 1:

The patent applies local stiffening by positioning the nested conduit structure within the flexible body at specific locations. The inner and outer conduits provide localized axial support where needed, while the rest of the flexible body maintains its flexibility for navigation. This allows the instrument to have a small outer diameter for navigability while providing sufficient structural strength at critical regions for remote operation.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent utilizes a composite construction combining flexible material for the body with rigid or semi-rigid nested conduits. This composite structure enables the instrument to exhibit both flexibility (from the flexible body material) and strength (from the nested conduit structure), resolving the contradiction between being small/flexible for navigation and having sufficient structural strength for remote operation.

Inventive Principle:
Principle #40Composite materials

Data Source

PatentUS20220152356A1Flexible instrument with nested conduits
Publication Date: 2022.05.19 INTUITIVE SURGICAL OPERATIONS INC
  • US20220152356A1 patent drawing
  • US20220152356A1 patent drawing
  • US20220152356A1 patent drawing

AI summary

A medical instrument comprises an elongate flexible body including a proximal section and a steerable distal section. The instrument also comprises a control tendon extending within the elongate flexible body. The instrument also comprises an axially variable stiffening mechanism including a first conduit extending through a second conduit. The axially variable stiffening mechanism is adjustable between a first state in which an actuation of the control tendon produces a first bend radius in the steerable distal section and a second state in which the actuation of the control tendon produces a second bend radius in the steerable distal section. The second bend radius is different than the first bend radius.