Tissue Release Instrument with Guide Channel for Fascia Cutting

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Solution Overview

Problem

Soft tissue imbalance, particularly contracture of the gastrocnemius muscle, leads to joint pain and dysfunction by limiting ankle range of motion, which conservative treatments often fail to address effectively.

Innovation Solution

A tissue release instrument comprising a distractor with a guide channel and a blade assembly is used to isolate and cut the contracted tissue, allowing for surgical lengthening by sliding the blade through the channel to relieve tension and restore mobility.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If conservative treatment is used for soft tissue contracture, then non-invasive approach is maintained, but joint mobility and range of motion are not restored

Engineering Contradiction:
Improvenon-invasive treatmentVSAvoidjoint mobility restoration
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The instrument divides the soft tissue release procedure into distinct functional segments: the distractor component creates space by separating tissue structures, while the blade assembly performs the cutting action. This segmentation allows each component to be optimized for its specific function, enabling effective surgical intervention when conservative treatment fails.

Inventive Principle:
Principle #1Segmentation

2Reliability

If surgical cutting of fascia is performed to lengthen muscle, then joint mobility is restored, but tissue damage and surgical complexity increase

Engineering Contradiction:
Improvejoint mobility restorationVSAvoidsurgical procedure complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The distractor and blade assembly are merged into a single integrated instrument that can be inserted through one incision. The distractor creates the necessary space, and the blade assembly, which attaches to the distractor, performs the cutting action in the same surgical field, reducing the need for multiple incisions and complex surgical steps.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The guide channel on the distractor serves as an intermediary structure that directs and controls the blade assembly's movement. This intermediary mechanism ensures the blade cuts the fascia at the precise location and angle needed, while the distractor itself mediates the space creation that enables safe access to the target tissue.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Manufacturing precision

If blade assembly is inserted through tissue to reach contracted fascia, then precise cutting is achieved, but risk of damaging surrounding structures increases

Engineering Contradiction:
Improvecutting precisionVSAvoiddamage to surrounding tissue
Core Design Contradiction:
Manufacturing precisionVSObject-affected harmful factors

Solution Approach 1:

The distractor is inserted and positioned first to create the necessary space and expose the target fascia before the blade assembly is introduced. This preliminary action of space creation allows the subsequent cutting action to be performed safely with reduced risk to surrounding structures, as the distractor acts as a protective barrier and spatial guide.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The guide channel on the distractor serves as an intermediary structure that directs and controls the blade assembly's movement. This intermediary mechanism ensures the blade cuts the fascia at the precise location and angle needed, while the distractor itself mediates the space creation that enables safe access to the target tissue.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS10874414B2Tissue release instrument and methods of use
Publication Date: 2020.12.29 ZIMMER INC
  • US10874414B2 patent drawing
  • US10874414B2 patent drawing
  • US10874414B2 patent drawing

AI summary

A device for releasing soft tissue includes a distractor and blade assembly. The distractor may include a guide channel positioned along an edge of the distractor and the blade assembly fits into the guide channel and is configured to slide within the channel of the distractor.