Steerable Cannula Assembly for Vertebral Augmentation

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Solution Overview

Problem

Current minimally invasive vertebral augmentation techniques lack effective directional control and tactile feedback, making it difficult to safely and accurately reposition and augment damaged vertebrae to restore spinal lordosis.

Innovation Solution

A steerable cannula assembly comprising an outer cannula with an articulating portion that curves in response to force applied to its proximal end, and an inner cannula that can flex within the outer cannula's lumen, allowing for controlled curvature and improved directional precision during vertebral body augmentation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Strength

If a rigid cannula is used for vertebral augmentation, then the structural strength and stability are improved, but the directional control and tactile feedback deteriorate

Engineering Contradiction:
Improvestructural strengthVSAvoiddirectional control
Core Design Contradiction:
StrengthVSEase of operation

Solution Approach 1:

The cannula is divided into multiple segments including a proximal rigid portion for structural strength, a mid-portion with articulation mechanism for directional control, and a distal rigid portion for stability. This segmentation allows each portion to perform its specific function optimally.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The cannula incorporates a dynamic articulation mechanism in the mid-portion that allows the cannula to bend and change direction in response to applied forces, providing tactile feedback while maintaining overall structural integrity through the rigid proximal and distal portions.

Inventive Principle:
Principle #15Dynamics

2Stability of the object's composition

If a rigid cannula is used for vertebral augmentation, then the structural stability is improved, but the tactile feedback deteriorates

Engineering Contradiction:
Improvestructural stabilityVSAvoidtactile feedback
Core Design Contradiction:
Stability of the object's compositionVSLoss of information

Solution Approach 1:

The cannula is segmented into rigid portions for stability and a flexible mid-portion for tactile feedback, allowing the system to maintain structural integrity while providing sensory information to the operator.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The mid-portion of the cannula uses flexible material or structure that can deform elastically, providing tactile feedback to the operator while the rigid proximal and distal portions maintain structural stability during the procedure.

Inventive Principle:
Principle #30Flexible shells and thin films

3Manufacturing precision

If an expandable balloon is used to form a cavity, then the control over injected bone cement is improved, but the device complexity increases

Engineering Contradiction:
Improvecontrol over injected bone cementVSAvoiddevice complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The expandable balloon is nested within the steerable cannula assembly, allowing the balloon to be delivered through the cannula and deployed at the target site. This nested configuration enables cavity formation with controlled bone cement injection while integrating the balloon mechanism into the existing cannula structure.

Inventive Principle:
Principle #7Nested doll (Nesting)

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 steerable cannula assembly provides enhanced control and precision for vertebral body augmentation, enabling effective restoration of spinal lordosis and improved safety during minimally invasive procedures.

Implementation Method 1

an articulating portion (310) that curves in response to a force applied to a proximal end (306) of the outer cannula (102)

Methodology Applied
Scientific EffectElastic deformation: Elasticity

Implementation Method 2

an inner cannula (104) that can flex within the outer cannula's lumen

Methodology Applied
Scientific EffectFlexural deformation: Elasticity

Data Source

PatentEP2762099B1Steerable cannula assembly
Publication Date: 2019.08.28 DEPUY SYNTHES PROD INC
  • EP2762099B1 patent drawingFigure 1
  • EP2762099B1 patent drawingFigure 2
  • EP2762099B1 patent drawingFigure 3A

AI summary

A steerable cannula assembly for use in vertebral body augmentation comprises an outer cannula having a central lumen extending through it, and having an articulating portion that curves in response to a force applied to a proximal end of the outer cannula. An inner cannula has a central lumen extending through it, the inner cannula being sized and configured to extend into a portion of the central lumen of the outer cannula, and coupled to a distal end of the outer cannula. The cannula can be used to create a void within a vertebral body and may also be used to control delivery of a treatment element to the body.