Ureteral Access Sheath with Force Meter and Disengagement

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Solution Overview

Problem

The existing ureteral access sheaths are prone to causing ureteral injury due to variable and excessive force application during insertion, leading to potential ureteral stricture and trauma, as practitioners rely solely on feel for force measurement, which is prone to human error.

Innovation Solution

A ureteral access sheath device equipped with a force meter and a disengagement mechanism that alerts the user to excessive force through color markings, chime sounds, or mechanical disengagement, preventing forces above 7-10 Newtons, ensuring safe insertion by limiting forward progress or causing the device to fail safely.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a ureteral access sheath is inserted using traditional manual force estimation, then the insertion procedure is simple and quick, but excessive force may be applied causing ureteral injury and stricture

Engineering Contradiction:
Improvesafety of ureteral access sheath insertionVSAvoidcomplexity of insertion device
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent replaces the manual mechanical force estimation system with an electronic force sensing system. Force sensors embedded in the insertion device electronically measure the force applied during sheath insertion, replacing the traditional tactile/manual estimation method. This electronic substitution enables precise force monitoring and automatic safety mechanisms while maintaining procedural simplicity.

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

Solution Approach 2:

The patent implements real-time feedback through force sensors that continuously monitor the force applied during sheath insertion. When the measured force approaches or exceeds the safety threshold (8 Newtons), the system provides immediate feedback through visual or audible alerts, and can automatically trigger disengagement mechanisms. This closed-loop feedback system ensures force remains within safe limits throughout the insertion process.

Inventive Principle:
Principle #23Feedback

2Measurement precision

If force measurement and disengagement mechanisms are added to the ureteral access sheath device, then safety and precision of insertion is improved, but the device complexity and manufacturing difficulty increases

Engineering Contradiction:
Improveforce measurement precisionVSAvoidease of manufacturing device
Core Design Contradiction:
Measurement precisionVSEase of manufacture

Solution Approach 1:

The patent merges the force sensing, measurement, and safety disengagement functions into a single integrated device assembly. The force sensors, processing unit, alert mechanisms, and disengagement components are combined with the ureteral access sheath in one unified structure, eliminating the need for separate manual monitoring devices and reducing overall system complexity despite adding sophisticated functionality.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent implements self-service through automatic safety mechanisms that operate without continuous external intervention. The force sensors automatically detect excessive force, the processing unit independently evaluates the measurements against safety thresholds, and the disengagement mechanism automatically activates when needed. This self-monitoring and self-protecting system reduces the need for complex external control systems and manual operation complexity.

Inventive Principle:
Principle #25Self-service

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 device ensures safe ureteral access by preventing excessive force application, reducing the risk of ureteral injury and stricture, allowing for precise force measurement and alerting the surgeon to potential damage, thereby enhancing the safety of ureteral access sheath insertion procedures.

Implementation Method 1

the disengagement mechanism is a magnetic disengagement mechanism

Methodology Applied
Scientific EffectMagnetic force: Magnetism

Implementation Method 2

the force meter is spring loaded

Methodology Applied
Scientific EffectElasticity: Elasticity

Data Source

PatentUS11389264B2Safety ureteral access sheath and interventional catheter insertion with intrinsic and extrinsic force meters
Publication Date: 2022.07.19 RGT UNIV OF CALIFORNIA
  • US11389264B2 patent drawing
  • US11389264B2 patent drawing
  • US11389264B2 patent drawing

AI summary

The invention relates to medical devices and methods of use thereof, such as for example, ureteroscopy. In one embodiment, the device is a safety ureteral access sheath and interventional catheter insertion with a force meter and a force disengagement mechanism. In another embodiment, the invention provides a method of examination or treatment for a condition in a subject, comprising providing a device comprising a ureteral access sheath (UAS) operably linked to a force meter and a force disengagement mechanism, and using the device to examine or treat the subject.