Suture Retention Device Zig-Zag Locking Mechanism

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Solution Overview

Problem

Existing suture retention devices for percutaneous direct feeding methods, such as gastrostomy or gastrojejunostomy tubes, face challenges in securely anchoring the stomach or jejunum against the abdominal wall, leading to potential movement and mislocation of the feeding tube, which can affect the efficacy of nutrient delivery.

Innovation Solution

A suture retention device with a body and retention members that transition between an unlocked and locked state, allowing a suture to be threaded through coaxial holes and then forced into a zig-zag configuration within the device to securely restrain the suture, utilizing a retention wire to prevent premature locking and ensuring proper placement of the feeding tube.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional suture retention devices are used to secure the suture to the exterior of the abdominal wall, then the suture can be anchored to maintain stomach or jejunum position, but the device may not provide sufficient restraint allowing the suture to slip or move, leading to mislocation of the feeding tube

Engineering Contradiction:
Improvesuture anchoring reliabilityVSAvoiddevice structure complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The retention members are designed to move between unlocked and locked states within the channel. In the unlocked state, the suture can be threaded through coaxial holes. In the locked state, the retention members force the suture into a zig-zag configuration that provides secure restraint. This dynamic transformation allows the device to adapt from a simple threading structure to a complex restraining structure only when needed.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The device changes the physical configuration parameter of the suture from a straight threaded path to a zig-zag constrained path. This parameter change in suture configuration increases the friction and mechanical interlocking, thereby improving anchoring reliability without requiring a more complex overall device structure.

Inventive Principle:
Principle #35Parameter changes

2Stability of the object's composition

If the suture is secured tightly to prevent movement, then the positioning stability is improved, but the device structure becomes more complex requiring additional retention mechanisms

Engineering Contradiction:
Improvefeeding tube positioning stabilityVSAvoidretention mechanism complexity
Core Design Contradiction:
Stability of the object's compositionVSDevice complexity

Solution Approach 1:

The device is segmented into a body with a channel and multiple retention members that can independently move within the channel. Each retention member can be actuated separately to control the locking mechanism. This segmentation allows the complex stabilization function to be achieved through simple, modular components rather than a monolithic complex structure.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The retention members act as intermediaries between the suture and the body structure. Instead of directly complexifying the connection between suture and body, the retention members mediate this interaction by providing a controlled locking mechanism that transforms the suture path into a zig-zag configuration, achieving stability through an intermediate element.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Device complexity

If a simple suture threading device is used, then the device complexity is reduced, but the suture cannot be effectively restrained leading to potential movement and loss of positioning precision

Engineering Contradiction:
Improvedevice structure complexityVSAvoidsuture placement precision
Core Design Contradiction:
Device complexityVSManufacturing precision

Solution Approach 1:

The retention members force the suture into a zig-zag configuration rather than allowing it to pass through in a straight line. This curved, zig-zag path increases the contact length and friction between the suture and the device, providing effective restraint. The curvature transformation of the suture path achieves precise positioning control without requiring complex active restraint mechanisms.

Inventive Principle:
Principle #14Spheroidality (Curvature)

Data Source

PatentUS9011490B2Suture retention device
Publication Date: 2015.04.21 COOK MEDICAL TECHNOLOGIES LLC
  • US9011490B2 patent drawing
  • US9011490B2 patent drawing
  • US9011490B2 patent drawing

AI summary

A suture retention device is provided for retaining a suture. The device includes a body with a channel and two retention members within the channel. The retention members are movable between an unlocked state to a locked state in which the suture is restrained with respect to the body.