Pelvic Implant Anchors for Single-Incision Tissue Fixation

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Solution Overview

Problem

Current surgical methods for treating pelvic conditions such as urinary incontinence and prolapse often require multiple incisions and may not provide sufficient urethral support, leading to limited effectiveness and increased trauma.

Innovation Solution

A pelvic implant system with mesh extension portions and anchors designed for minimally invasive deployment, using a delivery tool with a thin needle and sheath to secure the implant within the pelvic tissue, reducing the need for external incisions and enhancing tissue support through anchor fixation and ingrowth.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Object-affected harmful factors

If traditional surgical methods are used to treat pelvic conditions, then urethral support can be provided, but multiple incisions are required causing increased tissue trauma

Engineering Contradiction:
Improvetissue traumaVSAvoidurethral support effectiveness
Core Design Contradiction:
Object-affected harmful factorsVSReliability

Solution Approach 1:

The implant is divided into multiple functional segments: a mesh body portion for urethral support, extension portions for anchoring, and self-fixating tips for tissue engagement. This segmentation allows each component to perform its specific function while being delivered through a single incision, reducing tissue trauma while maintaining support effectiveness

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The implant components are nested within a delivery system where the mesh body, extension portions, and self-fixating tips are contained within a catheter or delivery device. This nesting enables minimally invasive single-incision delivery while ensuring all components are properly positioned for effective urethral support

Inventive Principle:
Principle #7Nested doll (Nesting)

2Object-affected harmful factors

If self-fixating tips are used for anchor placement, then tissue trauma is reduced, but anchor placement precision is limited

Engineering Contradiction:
Improvetissue traumaVSAvoidanchor placement precision
Core Design Contradiction:
Object-affected harmful factorsVSManufacturing precision

Solution Approach 1:

A delivery device acts as an intermediary tool that guides the self-fixating tips to precise target locations within the pelvic tissue. The delivery device includes positioning features and guidance mechanisms that ensure accurate anchor placement while the self-fixating tips maintain their low-trauma insertion characteristic

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The delivery device is pre-configured with the implant components and guidance features before insertion. The positioning and alignment are established during the delivery phase, ensuring precise anchor placement is achieved before the self-fixating tips engage the tissue, combining precision with minimal trauma

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS8678995B2Pelvic implant and delivery system
Publication Date: 2014.03.25 BOSTON SCIENTIFIC SCIMED INC
  • US8678995B2 patent drawing
  • US8678995B2 patent drawing
  • US8678995B2 patent drawing

AI summary

Described and depicted are pelvic sling implant and delivery systems. The sling implants can be used in treating stress incontinence and other pelvic floor disorders. The sling systems can include a mesh extension or support portion and one or more tip anchors. A delivery tool can include a handle (61), a needle (62) and a sheath (70), with the sheath having an elongate shaft portion slidable along at least a portion of the needle. The sheath can further include a distal hood portion having opposed flared portions (78) defining interior pleat channels adapted to selectively seat tine ends of the anchors.