Prostatic Urethral Implant Retrieval for Precise Placement and Removal
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Solution Overview
Problem
The challenge of accurately and consistently delivering implants into the prostatic urethra in a minimally-invasive manner is complicated by the tortuous anatomical geometry and patient-to-patient variability, making it difficult to design systems with sufficient flexibility for precise placement.
Innovation Solution
A delivery system comprising an elongate delivery device with a proximal control device, featuring multiple tubular components, imaging capabilities, and a self-expanding implant design that navigates tortuous anatomy, allowing controlled deployment and retrieval of implants within the prostatic urethra.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If the delivery system is made highly flexible to navigate tortuous anatomy, then the ability to reach the prostatic urethra is improved, but the precision of implant placement deteriorates
Solution Approach 1:
The delivery system is divided into multiple segments including an introducer, delivery catheter, and implant components. This segmentation allows each part to be optimized independently - the introducer provides flexibility for navigation while the delivery catheter maintains structural integrity for precise implant placement at the target site
Solution Approach 2:
The delivery catheter acts as an intermediary between the introducer and the implant. It receives the implant from the flexible introducer and provides a stable platform for precise deployment, mediating between the need for flexibility during insertion and precision during placement
2Ease of operation
If a minimally-invasive approach is used to reduce patient trauma, then the ease of operation is improved, but the difficulty of detecting and measuring implant position worsens
Solution Approach 1:
The implant incorporates radiopaque materials that appear distinct under imaging modalities, enabling clear visualization and confirmation of implant position and orientation during the minimally-invasive procedure without requiring more invasive diagnostic interventions
3Ease of manufacture
If the implant design is simplified for easier delivery, then the ease of manufacture is improved, but the reliability of the implant function worsens
Solution Approach 1:
The implant采用嵌套结构,将功能元件集成在紧凑的设计中。这种嵌套设计既保持了结构的简单性便于制造,又通过多层次的功能集成确保了植入后的可靠功能。Implant can be delivered in a compressed state within the delivery catheter, then expands or deploys at the target site to achieve its full functional form, ensuring both ease of delivery and functional reliability
Data Source
AI summary
Systems, devices, and methods are provided for retrieval of an implant from the prostatic urethra. Embodiments of retrieval systems can include a device for insertion into the patient and a proximal control device for use in grasping a portion of the implant and withdrawing the implant into a lumen of the retrieval system.


