Pivotable Jaw Linkage for Tissue Grasping Strength

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Solution Overview

Problem

Conventional hemostatic devices and clips used for gastrointestinal bleeding and tissue closure are not strong enough for permanent hemostasis and face challenges with difficult placement and limited tissue grasping capacity, leading to incomplete closure.

Innovation Solution

A medical device with a housing, jaws, and links that are slidably and pivotally connected, allowing for longitudinal movement and rotation to engage tissue effectively, along with a driver mechanism for precise control of jaw positions and tissue grasping.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Strength

If traditional clips are used for hemostasis and tissue closure, then the procedure is less invasive, but the clips are not strong enough to cause permanent hemostasis and have limited tissue grasping capacity

Engineering Contradiction:
Improvetissue grasping strengthVSAvoiddevice structure complexity
Core Design Contradiction:
StrengthVSDevice complexity

Solution Approach 1:

The jaws are designed to be rotatable relative to the longitudinal axis, allowing dynamic adjustment of jaw orientation to match the tissue geometry. This rotational capability enables the jaws to adapt to different tissue configurations while maintaining strong grasping force, resolving the contradiction between strength and adaptability.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The device is divided into modular components including the housing, rotatable jaw assembly, and driver mechanism. This segmentation allows each component to be optimized independently for its specific function while maintaining overall device effectiveness, addressing the complexity concern.

Inventive Principle:
Principle #1Segmentation

2Ease of operation

If traditional clips are used for tissue closure, then the device is simpler, but placement is difficult and tissue grasping capability is limited

Engineering Contradiction:
Improveplacement easeVSAvoidtissue adaptation capability
Core Design Contradiction:
Ease of operationVSAdaptability or versatility

Solution Approach 1:

The rotatable jaw mechanism allows the device to adapt to various tissue orientations and geometries during placement. By enabling the jaws to rotate to the optimal orientation, the device becomes easier to place correctly while maintaining high adaptability to different tissue types and configurations.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The device changes the orientation parameter of the jaws through rotation, allowing adaptation to different tissue configurations. This parameter adjustment simplifies placement by enabling the operator to align the jaws with the tissue geometry rather than requiring precise initial positioning.

Inventive Principle:
Principle #35Parameter changes

3Strength

If conventional hemostatic devices are used, then the device structure is simpler, but they cannot provide strong enough force for permanent hemostasis

Engineering Contradiction:
Improvehemostatic forceVSAvoidmechanism complexity
Core Design Contradiction:
StrengthVSDevice complexity

Solution Approach 1:

The rotatable jaw mechanism enables dynamic application of grasping force, allowing the jaws to rotate into optimal positions for maximizing tissue compression and hemostatic effect. This dynamic capability enhances the hemostatic force delivered while maintaining a relatively simple overall device structure.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentEP2627263B1Medical devices with pivotable jaws
Publication Date: 2016.12.07 COOK MEDICAL TECHNOLOGIES LLC
  • EP2627263B1 patent drawingFigure 1~2
  • EP2627263B1 patent drawingFigure 3~4
  • EP2627263B1 patent drawingFigure 5~6

AI summary

Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, first and second links pivotally attached to the jaws, and a driver. The housing, first and second jaws, and first and second links form a linkage mechanism that allows the jaws to engage tissue and be left in vivo.