Implantable Sensor Staple for Anastomotic Leak Detection

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Solution Overview

Problem

Current methods for detecting anastomotic leakage after surgical procedures, such as monitoring clinical signs and using imaging modalities, are inadequate as they often result in delayed detection, leading to escalated complications and increased medical costs.

Innovation Solution

A tissue monitoring system that includes a sensor assembly coupled to staples implanted during surgery, which measures physiological parameters like temperature and transmits data to a computing device for early detection of complications, allowing for timely intervention.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of time

If clinical signs monitoring is used to detect anastomotic leakage, then the detection method is simple and low-cost, but there is a lag time between leak occurrence and symptom onset resulting in delayed detection

Engineering Contradiction:
Improvedetection timeVSAvoidearly detection capability
Core Design Contradiction:
Loss of timeVSReliability

Solution Approach 1:

The patent applies preliminary action by implanting sensors during the surgical procedure itself, before the patient is discharged. These sensors continuously monitor physiological parameters at the anastomosis site from the outset, enabling detection of leakage in its earliest stages rather than waiting for clinical symptoms to manifest. This transforms the detection approach from reactive (waiting for symptoms) to proactive (continuous early monitoring).

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent replaces the mechanical/clinical monitoring system (relying on physical signs like fever, white blood cell count, and abdominal tenderness) with an electronic sensing system. The sensors directly measure physiological parameters such as temperature, pH, and electrical properties at the anastomosis site, providing objective, continuous data that is not dependent on clinical judgment or patient presentation, thereby eliminating the lag time inherent in clinical sign monitoring.

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

2Measurement precision

If imaging modalities such as fluoroscopy are used to monitor for anastomotic leakage, then detection sensitivity can be improved, but the resources and cost required increase significantly

Engineering Contradiction:
Improveleakage detection sensitivityVSAvoidsystem resource requirement
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts the detection function from complex external imaging systems and relocates it to simple, implantable sensors positioned directly at the anastomosis site. Instead of using fluoroscopy or other resource-intensive imaging modalities that require external equipment and radiation, the sensors continuously measure local physiological parameters (temperature, pH, electrical properties) providing sensitive leakage detection without the need for complex imaging infrastructure.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent employs disposable, implantable sensors that are inexpensive compared to imaging modalities. These sensors are designed for single-use, providing cost-effective continuous monitoring during the critical postoperative period. The sensors are implanted during surgery and then discarded after serving their monitoring function, eliminating the need for expensive reusable imaging equipment and reducing overall system cost while maintaining high detection sensitivity.

Inventive Principle:
Principle #27Cheap short-living objects (Disposable)

3Reliability

If drain effluent monitoring is used to detect anastomotic leakage, then some detection success has been achieved, but the approach is limited by inconsistent drain use and delayed marker identification

Engineering Contradiction:
Improveleakage detection accuracyVSAvoidmarker identification delay
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent introduces physiological parameters (temperature, pH, electrical properties) as intermediary indicators that directly reflect the condition of the anastomosis site. Instead of relying on indirect markers in drain effluent that may be delayed or inconsistent, the sensors directly measure the local environment at the anastomosis, providing immediate and reliable information about leakage without depending on drain placement or fluid analysis timing.

Inventive Principle:
Principle #24Intermediary (Mediator)

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

Enables early detection of anastomotic leakage, reducing severe adverse effects, medical costs, and hospital stay duration by providing real-time monitoring and data analysis for improved patient outcomes.

Implementation Method 1

The sensor assembly includes a sensor and a tether interconnecting the sensor and the respective staple

Methodology Applied
Scientific EffectTemperature sensing:

Data Source

PatentUS11883028B2Systems and methods for post-operative anastomotic leak detection
Publication Date: 2024.01.30 COVIDIEN LP
  • US11883028B2 patent drawing
  • US11883028B2 patent drawing
  • US11883028B2 patent drawing

AI summary

A tissue monitoring system includes a sensor, a sensor reader, and at least one computing device. The sensor is releasably coupled to a staple by a tether and is configured to measure a physiological parameter of tissue and convert the measurement into a signal. The sensor reader is configured to receive the signal from the sensor and the at least one computing device is configured to receive the signal from the sensor reader and process the signal into physiological data. The sensor is implanted in tissue by the staple.