Rotatable Optical Cannula for Arthroscopy Portal Reduction
Find Innovative SolutionsGenerate Solutions
Solution Overview
Problem
Conventional arthroscopic systems require multiple portals for visualization and instrumentation, leading to increased surgical complexity, tissue trauma, and limited ergonomic efficiency for surgeons.
Innovation Solution
An improved orthopedic arthroscopy system that reduces the number of necessary arthroscopic portals by using a rotatable, optical cannula through which instruments can be manipulated, allowing for improved visualization and instrumentation capabilities within the joint space.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If multiple portals are used for visualization and instrumentation, then surgical capability is improved, but surgical complexity and tissue trauma increase
Solution Approach 1:
The patent combines the endoscope and instrumentation functions into a single portal by using a rotatable optical cannula that allows both visualization and instrument manipulation through one access point, eliminating the need for separate portals and reducing surgical complexity
Solution Approach 2:
The optical cannula serves multiple functions including visualization, instrument guidance, and rotational adjustment, allowing a single device to perform what traditionally required multiple separate portals and instruments
2Adaptability or versatility
If multiple portals are created, then instrumentation capability is improved, but tissue trauma increases
Solution Approach 1:
By merging visualization and instrumentation through a single rotatable optical cannula, the patent reduces the number of portal incisions required, thereby minimizing tissue trauma while maintaining full instrumentation capability
3Loss of information
If conventional endoscope is used, then visualization is achieved, but wrist rotation is required increasing surgeon fatigue
Solution Approach 1:
The optical cannula incorporates a rotatable mechanism that dynamically adjusts the viewing angle and instrument orientation, allowing the surgeon to rotate the cannula itself rather than twisting the wrist, thereby improving ergonomic efficiency while maintaining visualization quality
4Length of moving object
If smaller endoscope tip diameter is used, then portal size is reduced, but image resolution decreases
Solution Approach 1:
The patent replaces the traditional fiberoptic mechanical system with a digital camera sensor and electronic imaging system, allowing for high-resolution images to be captured through a smaller cannula diameter by using electronic rather than optical fiber transmission
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 system enhances surgical efficiency by reducing the need for unnecessary wrist rotation and portal creation, improving image resolution, and minimizing tissue damage and instrument breakage, while also reducing surgical time and patient discomfort.
Implementation Method 1
the electrical wire carrying the camera signal from the cannula tip through the length of the cannula would interface via an electrical coupler (e.g., electrical commutator or service loop) that would allow at least 90 degrees of cannula rotation (or alternatively at least 360 degrees of cannula rotation or unlimited cannula rotation) without interruption of the electrical connection
Implementation Method 2
the optical camera chip (e.g., complementary metal oxide semiconductor (CMOS), charge coupled device (CCD), lens, or other type of image sensor) is placed at the tip of the arthroscopic cannula
Implementation Method 3
This implementation-includes a LED light source contained either within the arthroscope handle or located at the tip of the cannula
Data Source
AI summary
Implementations described herein are directed toward an improved orthopedic arthroscopy system that reduces the number of necessary arthroscopic portals while at the same time improving endoscopic visualization and instrumentation capability within the joint space. Main embodiments of the disclosed system replace the traditional rod endoscope with a rotatable, optical cannula through which instruments can be used to manipulate tissue and perform surgery. By adding the cannula rotation capability, visualization of instrument tool tip can be easily adjusted. The disclosed system would eliminate the need for unnecessary wrist rotation by the surgeon thereby making it easier to coordinate hand position while performing surgical tasks.


