Flexible Portal Saver with Expandable Dilating Assembly
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Solution Overview
Problem
Conventional cannulas are too rigid, restricting movement and requiring multiple instruments and steps to switch between portals during arthroscopic procedures, while also causing trauma and scarring due to aggressive external threads.
Innovation Solution
A portal saver assembly with a flexible cannulated tube and an obturator featuring a dilating assembly that allows for easy insertion and removal of instruments through a small incision, minimizing trauma and scarring.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional cannulas with aggressive external threads are used to maintain portal access, then the cannula can be securely anchored in tissue, but it causes trauma and scarring at the incision site
Solution Approach 1:
The obturator is divided into multiple segments including a proximal shaft, a dilating assembly with expandable arms, and a distal tip. This segmentation allows the device to be inserted through a small incision in a compact state and then expanded within the tissue to achieve secure anchoring without requiring large aggressive threads
Solution Approach 2:
The dilating assembly transitions from a compressed low-profile configuration during insertion to an expanded configuration once positioned in tissue. This dynamic transformation allows the same structure to minimize incision size during insertion while providing secure anchoring after deployment, eliminating the need for aggressive external threads
2Stability of the object's composition
If rigid cannulas are used to maintain portal access, then the portal structure is stable, but instrument movement between portals is restricted and requires multiple instruments and steps
Solution Approach 1:
The obturator shaft is constructed from a flexible material that allows it to bend and flex as instruments are manipulated through the portal. This flexibility enables smooth instrument movement between portals while the expanded distal tip maintains portal stability, eliminating the need for multiple rigid cannulas
3Reliability
If multiple instruments and steps are used to move instruments between portals, then portal access is maintained, but procedural time increases
Solution Approach 1:
The flexible obturator serves multiple functions: it maintains portal access, allows instrument passage, enables instrument manipulation between portals, and provides structural stability. This multi-functionality consolidates what would otherwise require multiple separate instruments and steps into a single device, reducing procedural time
4Object-affected harmful factors
If a small incision is made to insert the cannula, then trauma and scarring are minimized, but the cannula cannot be securely anchored
Solution Approach 1:
The obturator transitions from a one-dimensional linear insertion through the incision to a three-dimensional expanded structure within the tissue. The expandable arms or balloons deploy radially outward after insertion, creating secure anchoring points in the tissue while the incision remains small, solving the contradiction between incision size and anchoring security
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The flexible portal saver assembly enables efficient movement of instruments between portals in two steps, reducing procedural time and minimizing trauma and scarring at the incision site.
Implementation Method 1
a dilating assembly at the distal tip movable between a collapsed, first configuration and an expanded, second configuration
Implementation Method 2
A shaft expander can have a cannulated inner obturator tube, which is movable between a first position and a second position within the outer obturator tube
Data Source
AI summary
A portal saver device for installing a flexible cannulated tube at a surgical site. A portal saver device includes an obturator. The obturator has an obturator body having a cannulated outer obturator tube extending therethrough. The outer obturator tube has a distal tip with a dilating assembly movable between a collapsed, first configuration and an expanded, second configuration. A shaft expander has a cannulated inner obturator tube, which is movable between a first position and a second position within the outer obturator tube. In the first position, the inner obturator tube is retracted from the distal tip of the outer obturator tube and the dilating assembly is in the first configuration. In the second position, the inner obturator tube is advanced within the distal tip of the outer obturator tube and the dilating assembly is in the second configuration.


