Trocar Stabilization Dressing for MIS

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Solution Overview

Problem

During minimal invasive surgery (MIS), trocars often dislocate, and there are challenges with maintaining sterility and preventing contamination, as existing solutions like balloon and Hasson trocars have limitations such as balloon rupture risks and cumbersome suture fixation.

Innovation Solution

A medical dressing with a backing layer, adhesive skin contact layer, and flanges that securely attach to the trocar cannula, providing stabilization without internal fixation or sutures, and an incision film to maintain sterility and prevent gas leakage.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a balloon trocar is used to prevent trocar dislocation, then the trocar is anchored in the abdomen, but the balloon may rupture causing patient risks and cannot be simply removed

Engineering Contradiction:
Improvetrocar anchoringVSAvoidballoon rupture risk
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent removes the balloon component from the trocar system entirely. Instead of using a balloon for anchoring, the trocar is secured through adhesive application directly to the skin surface, extracting the problematic balloon element that could rupture while maintaining the anchoring function.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The adhesive securing method uses a disposable adhesive layer that is applied to the trocar and skin, providing reliable anchoring without the complexity and risks of reusable balloon components. The adhesive is designed for single-use and simple removal without rupture risks.

Inventive Principle:
Principle #27Cheap short-living objects (Disposable)

2Reliability

If a Hasson trocar with sutures is used to stabilize the trocar, then the trocar stays in place, but the system becomes cumbersome requiring suture fixation and stabilization

Engineering Contradiction:
Improvetrocar stabilizationVSAvoidsuture fixation requirement
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent replaces the mechanical suture fixation system with an adhesive bonding system. The adhesive layer chemically bonds the trocar to the skin surface, eliminating the need for mechanical sutures, needles, and complex stabilization mechanisms while maintaining reliable trocar positioning.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Ease of operation

If traditional trocars are used without additional fixation, then the procedure is simple, but the trocar may dislocate during surgery

Engineering Contradiction:
Improveprocedure simplicityVSAvoidtrocar positioning
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The adhesive layer is applied to the trocar before insertion into the patient's body. This preliminary application of the adhesive ensures that the trocar is pre-secured and cannot dislocate during surgery, while the application process itself remains simple and does not complicate the surgical procedure.

Inventive Principle:
Principle #10Preliminary action

4Reliability

If the dressing is designed to secure the trocar firmly, then dislocation is prevented, but the attachment and detachment process becomes complex

Engineering Contradiction:
Improvetrocar fixationVSAvoidattachment and detachment
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The adhesive layer uses controlled adhesive strength parameters that provide firm fixation during surgery but allow for simple removal. The adhesive is formulated with specific bonding characteristics that ensure reliable anchoring under surgical conditions while permitting clean detachment without damage to skin or trocar when removal is needed.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The dressing simplifies trocar handling, prevents dislocation and contamination, and allows flexible access to body cavities while ensuring safe and easy attachment and detachment, reducing surgical complications and improving procedural efficiency.

Implementation Method 1

an opposing proximal side provided with an adhesive skin contact layer

Methodology Applied
Scientific EffectAdhesion: Adhesive

Implementation Method 2

a respective distal end portion configured to be adhesively attached to a trocar during use

Methodology Applied
Scientific EffectAdhesion: Adhesive

Data Source

PatentEP4257100B1A medical dressing for use in conjunction with a trocar
Publication Date: 2024.10.16 MOLNLYCKE HEALTH CARE AB
  • EP4257100B1 patent drawingFigure 1a~1b
  • EP4257100B1 patent drawingFigure 2a
  • EP4257100B1 patent drawingFigure 2b

AI summary

The present disclosure generally relates to a medical dressing (100) for use in conjunction with a trocar (201). The present disclosure also relates to a trocar system (200) comprising the medical dressing (100). The dressing (100) of the present disclosure allows for a simple and facilitated means to operate and handle a trocar (201) during minimal invasive surgery (MIS).