Telescoping Surgical Instrument Shaft Stability

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Solution Overview

Problem

Conventional surgical instruments for dissecting bone or other tissue face issues with shaft instability due to insufficient stiffness and potential disengagement of threadably engaged components, especially when subjected to high-speed operation and dynamic loads, and telescoping attachments can interfere with the surgeon's line of sight and be difficult to adjust incrementally.

Innovation Solution

A surgical attachment instrument featuring a telescoping tubular member that can be adjusted and locked in repeatable increments, with a coupling and arcuate member to prevent disengagement and bearing assemblies for stabilizing the shaft, allowing incremental and repeatable adjustment without interfering with the surgeon's view.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Stability of the object's composition

If a telescoping tubular member is used to support the shaft, then the shaft stability is improved, but the device complexity increases

Engineering Contradiction:
Improveshaft stabilityVSAvoidattachment structure complexity
Core Design Contradiction:
Stability of the object's compositionVSDevice complexity

Solution Approach 1:

The tubular member is telescopable relative to the housing, allowing one component to be nested within another. This provides variable shaft support length while maintaining a compact overall structure, resolving the contradiction between stability and complexity.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

The attachment structure transitions from a fixed configuration to a dynamic, adjustable configuration. The tubular member can be positioned at multiple discrete lengths and locked in place, providing adaptability for different surgical needs while maintaining structural integrity.

Inventive Principle:
Principle #15Dynamics

2Device complexity

If threadably engaged components are used in the attachment, then the structure is simplified, but disengagement occurs during operation due to vibration

Engineering Contradiction:
Improveattachment structure complexityVSAvoidcomponent engagement reliability
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The arcuate member is positioned to preemptively prevent disengagement of the coupling from the housing before vibration can cause loosening. This counteracts the harmful effect of vibration-induced disengagement.

Inventive Principle:
Principle #9Preliminary anti-action

Solution Approach 2:

The arcuate member acts as an intermediary component between the coupling and housing, providing additional engagement surfaces and preventing direct reliance on threadable connections alone to resist vibrational forces.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Stability of the object's composition

If additional components are added to provide telescoping functionality, then the shaft support stability is improved, but the surgeon's line of sight is blocked

Engineering Contradiction:
Improveshaft support stabilityVSAvoidsurgeon's line of sight obstruction
Core Design Contradiction:
Stability of the object's compositionVSObject-affected harmful factors

Solution Approach 1:

The arcuate member is strategically positioned to provide necessary structural support and prevent disengagement only in the critical coupling region, while leaving the distal viewing path clear for the surgeon. This localized support approach maintains stability without obstructing the line of sight.

Inventive Principle:
Principle #3Local quality

4Stability of the object's composition

If the tubular member is made stiffer to improve stability, then the shaft support is enhanced, but the adjustment mechanism becomes more complex

Engineering Contradiction:
Improvetubular member stiffnessVSAvoidadjustment mechanism complexity
Core Design Contradiction:
Stability of the object's compositionVSDevice complexity

Solution Approach 1:

The tubular member incorporates a dynamic adjustment mechanism that allows it to transition between different extended positions. The indexing system with detents and springs provides discrete, repeatable positioning without requiring complex continuous control mechanisms, balancing stiffness requirements with adjustment simplicity.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS7658740B2Surgical attachment instrument and method
Publication Date: 2010.02.09 MEDTRONIC INC
  • US7658740B2 patent drawing
  • US7658740B2 patent drawing
  • US7658740B2 patent drawing

AI summary

A surgical attachment instrument and method according to which a housing is adapted to be coupled to a motor. A tubular member is coupled to the housing so that an end of the tubular member extends from the housing at a predetermined distance. The predetermined distance may be selectively adjusted by a repeatable increment.