Suture Passing Device Jaw Assembly with Push-Pull Capture
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Solution Overview
Problem
Current surgical suture passing devices face challenges in arthroscopic procedures, particularly when suturing the labrum, due to limited visualization and the difficulty in passing and retrieving suture through severely damaged tissue with a small needle profile.
Innovation Solution
A suture passing device with a handle and shaft featuring a sharp distal tip and a jaw assembly with a push-pull suture capturing mechanism, comprising teeth for secure capture and retrieval of suture, allowing for easy passage and retrieval of suture through tissue with a minimized profile.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Volume of moving object
If a small needle profile is used to minimize the overall device size for arthroscopic procedures, then the device can access difficult anatomical sites, but the suture loop size becomes very small making it difficult to grab and retrieve
Solution Approach 1:
The device separates the needle function from the suture retrieval function. The needle passes through tissue with a minimal profile, while the jaw assembly with teeth provides a separate mechanism for capturing and retrieving suture, allowing each function to be optimized independently
Solution Approach 2:
The jaw assembly acts as an intermediary between the needle and the suture. It captures the suture with its teeth and provides a larger grip surface, mediating between the small needle profile and the need for easy suture retrieval
2Productivity
If a complex suture passing mechanism is implemented to improve suture capture and retrieval, then suture passing efficiency improves, but the manufacturing cost increases
Solution Approach 1:
The jaw assembly is nested within the shaft, with the teeth structure integrated into the jaw members that move within the shaft. This nested configuration allows complex functionality to be achieved within a compact form factor using straightforward manufacturing approaches
Solution Approach 2:
The teeth on the jaw members automatically engage with and capture the suture through their geometric shape alone, without requiring additional active mechanisms. The scalloped edge geometry provides self-capturing functionality that is simple to manufacture
3Ease of operation
If the jaw assembly is designed to allow significant jaw movement for easy suture capture, then suture capture capability improves, but jaw movement within the shaft increases complicating the device structure
Solution Approach 1:
The jaw members have different structural properties at different locations. The distal portion allows movement for suture capture, while the proximal portion is constrained within the shaft. The teeth are positioned to engage suture while the jaw body remains guided within the shaft
Data Source
AI summary
A suture passing device includes a jaw assembly that is moved to an open configuration after exiting a hollow needle distal tip and moved to a closed configuration when retracted into the needle tip. The jaw assembly may include a pair of jaw members biased to a default diverging configuration. A suture capturing mechanism formed on the jaw members securely captures suture to both push and pull the captured when the jaw assembly is retracted into the hollow distal tip. The jaw members have configurations of teeth that may be staggered axially and vertically.


