Surgical Device Curved Plug Channels for MIS Navigation

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Solution Overview

Problem

Current minimally invasive surgical (MIS) instruments face challenges in navigating curved anatomical pathways due to their rigid design, limiting their application in complex procedures, and existing flexible endoscopes lack stability and control, making them difficult to use in procedures like NOTES and SILS.

Innovation Solution

A surgical device with a delivery portion and an active portion connected by a plug, featuring curved instrument channels that diverge to provide necessary triangulation, allowing for flexible and stable instrument deployment with interchangeable channels and integrated vision/imaging, and actuated by tendons and motors for precise movement.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If rigid shaft instruments with roll-pitch-yaw mechanism are used, then three degrees of rotational movements are provided to the end-effector, but the instruments are difficult to operate and cannot follow curved anatomical pathways

Engineering Contradiction:
Improveability to follow curved anatomical pathwaysVSAvoidease of instrument operation
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The instrument shaft is divided into multiple rigid segments connected by flexible joints, allowing the instrument to follow curved anatomical pathways while maintaining structural integrity and controllability at each segment

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The instrument incorporates curved or articulated shaft designs that can bend and flex to navigate curved anatomical pathways, transitioning from rigid straight shafts to flexible curved configurations

Inventive Principle:
Principle #14Spheroidality (Curvature)

2Adaptability or versatility

If flexible endoscopes are used to navigate curved pathways, then access to curved anatomical pathways is improved, but the instruments lack stability and control

Engineering Contradiction:
Improveability to navigate curved pathwaysVSAvoidstability of instrument tip
Core Design Contradiction:
Adaptability or versatilityVSStability of the object's composition

Solution Approach 1:

The instrument incorporates dynamic stabilization mechanisms that actively adjust and maintain the position and orientation of the instrument tip, providing real-time control and stability compensation during navigation through curved pathways

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The instrument uses flexible shafts with controlled flexibility that can bend to navigate curved pathways while incorporating internal structural elements that maintain sufficient rigidity and stability for precise positioning and operation

Inventive Principle:
Principle #30Flexible shells and thin films

3Length of moving object

If long rigid instruments are used for MIS, then the fulcrum effect is utilized, but the instruments require counter-intuitive movements and reduce ergonomic naturalness

Engineering Contradiction:
Improvelength of instrument shaftVSAvoidergonomic naturalness of movement
Core Design Contradiction:
Length of moving objectVSEase of operation

Solution Approach 1:

The long instrument shaft is segmented into multiple controllable sections, allowing the surgeon to manipulate each segment independently or in coordination, transforming counter-intuitive whole-shaft movements into more intuitive segmental control

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The instrument incorporates additional degrees of freedom and articulation points that allow movements in multiple dimensions, enabling the surgeon to achieve desired tip positions through more natural hand movements rather than counter-intuitive planar movements

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Data Source

PatentEP2706932B1A surgical device
Publication Date: 2018.03.28 IP2IPO INNOVATIONS LTD
  • EP2706932B1 patent drawingFigure 1
  • EP2706932B1 patent drawingFigure 2a~2b
  • EP2706932B1 patent drawingFigure 3

AI summary

A surgical device having a distal end and a proximal end, and comprising a delivery portion extending from the proximal end and comprising first and second instrument delivery channels, an active portion at a distal portion of the device and a plug having a proximal end and a distal end, and engageable with the delivery portion at its proximal end, and with the active portion at its distal end, the plug comprising first and second plug channels each defining a curved path, such that the plug channels diverge from one another towards the distal end of the plug wherein when the plug is engaged with the delivery portion the first plug channel and the first instrument delivery channel form a first instrument channel and the second plug channel and the second instrument delivery channel form a second instrument channel.