Terminal-Steerable Surgical Instrument for In-Situ Lesion Positioning

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Solution Overview

Problem

Minimally invasive surgical instruments often require multiple replacements and repositioning, increasing operation time and the risk of wound infection and tissue damage, especially when dealing with large lesions that require adjustments within tight spaces.

Innovation Solution

A minimally invasive surgical instrument with a terminal steerable mechanism, comprising an intervention device with a flexible section and a control device with a rotatable sphere and operating lever, allowing independent steering of the instrument's end through a system of wires, enabling precise positioning without needing to remove or reinsert the instrument.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If multiple instruments are used in narrow workspace, then functional versatility is improved, but operation time increases and wound infection risk increases

Engineering Contradiction:
Improvefunctional versatilityVSAvoidoperation time
Core Design Contradiction:
Adaptability or versatilityVSLoss of time

Solution Approach 1:

The patent combines multiple surgical instruments into a single integrated minimally invasive surgical instrument. The intervention device includes a main body with a flexible section and an operation section, integrating functions that would traditionally require multiple separate instruments. This allows medical staff to perform various surgical operations through one instrument rather than repeatedly inserting and removing multiple instruments, thereby reducing operation time and wound infection risk while maintaining functional versatility

Inventive Principle:
Principle #5Merging (Combining)

2Measurement precision

If insertion instrument is removed and repositioned to adjust terminal, then positioning accuracy is improved, but tissue damage risk increases

Engineering Contradiction:
Improvepositioning accuracyVSAvoidtissue damage risk
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent implements a dynamic terminal adjustment mechanism that allows the operation section to be steered and repositioned while the instrument remains inserted in the patient's body. The flexible section enables the operation section to bend and change direction, and the control device with sphere and operating lever allows precise terminal positioning without removing the instrument. This dynamic adjustment capability achieves positioning accuracy while eliminating the harmful effect of repeated instrument insertion and removal that could damage normal tissue

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The intervention device is segmented into three main sections: main body, flexible section, and operation section. This segmentation allows the operation section to be independently positioned and steered through the flexible section, enabling precise terminal adjustment without moving the entire instrument or removing it from the patient's body, thereby reducing tissue damage risk while maintaining positioning accuracy

Inventive Principle:
Principle #1Segmentation

3Ease of operation

If insertion instrument is moved in situ to adjust terminal, then operation convenience is improved, but normal tissue injury risk increases

Engineering Contradiction:
Improveoperation convenienceVSAvoidnormal tissue injury risk
Core Design Contradiction:
Ease of operationVSObject-affected harmful factors

Solution Approach 1:

The patent provides dynamic control of the operation section through a control device that includes a sphere with rotational degrees of freedom and an operating lever. This allows medical staff to conveniently adjust the terminal position and orientation of the operation section while the instrument remains in place, improving operation convenience. The flexible section transmits the control movements to the operation section, enabling precise positioning without moving the entire instrument through normal tissue, thereby reducing tissue injury risk

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS11020194B2Minimally invasive surgical instruments with terminal steerable mechanism
Publication Date: 2021.06.01 NAT CHIAO TUNG UNIV
  • US11020194B2 patent drawing
  • US11020194B2 patent drawing
  • US11020194B2 patent drawing

AI summary

The present invention provides a minimally invasive surgical instrument with a terminal steerable mechanism, comprising an intervention device, a control device and one or more wires. The strip-shaped intervention device sequentially includes a main section, a flexible section and an operation section from the top to the end. The control device includes a sphere with a preset rotational degree of freedom, and an operating lever connected to the sphere. Said one or more wires are extended along the main section of the intervention device. Here, the second ends of said at least one or more wires are connected to the flexible section or the operation section of the intervention device, and the first ends thereof are connected to at least a part of the control device.