Suturing Instrument for Minimally Invasive Pelvic Repair

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Solution Overview

Problem

Current surgical procedures for treating pelvic conditions such as incontinence and prolapse are often invasive and require lengthy recovery periods, with a need for more minimally invasive and effective methods and instruments.

Innovation Solution

Development of surgical tools and methods for sacral colpopexy procedures, including a suturing instrument for semi-automated, one-handed operation and a suture passer that allows for easy suture deployment through tightly confined spaces using a curved needle with a hook tip and a hypo tube for pressurized suture injection.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional surgical procedures are used to treat pelvic conditions, then effective treatment can be achieved, but the procedures are invasive and require lengthy recovery periods

Engineering Contradiction:
Improvetreatment effectivenessVSAvoidinvasiveness and recovery time
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent changes the physical parameters of the surgical approach by transitioning from open surgical incisions to percutaneous needle-based delivery. This parameter change enables the same therapeutic effect (mesh attachment to sacrum) to be achieved through a minimally invasive route, thereby maintaining treatment effectiveness while reducing invasiveness and recovery time

Inventive Principle:
Principle #35Parameter changes

2Reliability

If sacral colpopexy procedures are performed to treat vaginal vault prolapse, then effective repair can be achieved, but the procedures are complicated and require lengthy surgical times

Engineering Contradiction:
Improverepair effectivenessVSAvoidsurgical procedure time
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The patent extracts the essential therapeutic function (attaching mesh to sacrum) from the complex traditional surgical procedure. By using a needle-based delivery system that can be guided to the sacrum through minimal access points, the core function is isolated and simplified, eliminating unnecessary surgical steps and reducing overall procedure time while maintaining repair effectiveness

Inventive Principle:
Principle #2Taking out (Extraction)

3Strength

If traditional suturing methods are used in pelvic procedures, then adequate tissue attachment can be achieved, but the suturing process is time-consuming and difficult to control

Engineering Contradiction:
Improvetissue attachment strengthVSAvoidsuturing efficiency
Core Design Contradiction:
StrengthVSProductivity

Solution Approach 1:

The patent replaces the traditional mechanical suturing system (needles, threads, manual stitching) with a controlled delivery mechanism that uses a needle guide and pushrod system. This substitution allows for more precise control of the attachment process, reduces the time required to achieve adequate tissue attachment strength, and improves overall suturing efficiency through a more systematic approach

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

Data Source

PatentUS10653411B2Implants, tools, and methods for treatments of pelvic conditions
Publication Date: 2020.05.19 BOSTON SCIENTIFIC SCIMED INC
  • US10653411B2 patent drawing
  • US10653411B2 patent drawing
  • US10653411B2 patent drawing

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.