Pelvic Implant Fixation via Segmented Delivery Tools
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Solution Overview
Problem
Current surgical methods for treating pelvic conditions such as incontinence and prolapse are often invasive and require lengthy procedures, with a need for minimally invasive solutions that can effectively address muscle and ligament weaknesses through transvaginal, laparoscopic, or transabdominal approaches.
Innovation Solution
Development of surgical tools and methods involving fixation elements, mesh attachment systems, and reperitonealization techniques using a curved trocar and retractor system to support pelvic tissue with minimal incisions, including the use of sutures, mesh, and fixation kits for secure attachment to the sacrum and other pelvic structures.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional surgical methods are used to treat pelvic conditions, then effective treatment of incontinence and prolapse can be achieved, but the procedures are invasive and require lengthy surgical times
Solution Approach 1:
The surgical system is divided into separate modular components including fixation elements, mesh components, and delivery tools that can be independently prepared and then assembled during the procedure, enabling minimally invasive delivery while maintaining treatment effectiveness
Solution Approach 2:
Fixation elements and mesh components are prepared and positioned in advance through small incisions, allowing the main surgical procedure to proceed with minimal manipulation and reduced surgical time while ensuring proper placement for effective treatment
2Reliability
If traditional surgical methods are used to treat pelvic conditions, then effective treatment can be achieved, but the procedures are invasive requiring large incisions
Solution Approach 1:
The implant system is segmented into multiple components (fixation elements, mesh, delivery tools) that can be delivered separately through small incisions, avoiding the need for large incisions while ensuring each component is properly positioned for effective treatment
Solution Approach 2:
A delivery tool system acts as an intermediary to transport fixation elements and mesh components through small incisions to their final positions, minimizing direct surgical trauma while enabling effective placement of treatment components
3Reliability
If fixation elements are placed deep inside the posterior pelvic region, then secure attachment to sacrum can be achieved, but the procedure becomes more complex and difficult to access
Solution Approach 1:
Fixation elements are prepared with attachment features and positioning mechanisms in advance, allowing them to be easily guided to the sacrum through the vaginal canal and positioned securely without requiring complex surgical maneuvers or deep dissection
Solution Approach 2:
A delivery tool serves as an intermediary to guide fixation elements to the sacrum, simplifying the placement process by providing a controlled pathway and positioning mechanism that reduces surgical complexity while ensuring secure attachment
Data Source
AI summary
Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.