Vibrating Serrated Needle for Flexible TIPS Catheter
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Solution Overview
Problem
Current puncture devices for creating TIPS shunts in patients with liver cirrhosis are stiff, making them difficult to bend for patients with challenging anatomy, leading to prolonged procedures and potential treatment infeasibility, and require high force, which is painful and inefficient.
Innovation Solution
A flexible catheter with a vibrating needle and serrated tip, inspired by the mosquito proboscis, reduces piercing force and tissue displacement, allowing for easier navigation and lower profile design, incorporating a piezoelectric actuator and hardness gradient for reduced stiffness and enhanced tissue penetration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Force
If a stiff needle is used for puncturing the liver, then the puncture force is sufficient, but the flexibility and adaptability to patient anatomy are reduced
Solution Approach 1:
The needle is divided into multiple segments that can articulate relative to each other, allowing the distal portion to bend and adapt to patient anatomy while the proximal portion remains stiff enough to deliver adequate puncture force
Solution Approach 2:
The needle stiffness parameter is varied along its length, with the distal portion being more flexible and the proximal portion being stiffer, enabling both adaptability and sufficient puncture force
2Force
If a stiff needle is used for puncturing the liver, then the puncture capability is adequate, but the procedure time increases due to multiple attempts
Solution Approach 1:
The segmented needle design with articulation joints allows real-time adjustment to patient anatomy during the procedure, reducing the need for multiple puncture attempts and thereby reducing procedure time
Solution Approach 2:
The needle transitions from a static rigid structure to a dynamic articulated structure that can adapt its configuration during the procedure, improving first-attempt success rate and reducing overall procedure time
3Adaptability or versatility
If a flexible catheter is used, then the adaptability to anatomy is improved, but the puncture force capability is reduced
Solution Approach 1:
The flexible catheter is segmented with articulation joints that allow the distal portion to bend for anatomical adaptation while maintaining the ability to transmit sufficient puncture force from the proximal portion
Solution Approach 2:
The needle combines materials with different stiffness properties in a composite structure, with the distal portion being more flexible and the proximal portion being stiffer, achieving both adaptability and puncture force capability
4Strength
If a larger profile puncture device is used, then the structural integrity is maintained, but the ease of introduction into the patient's body is reduced
Solution Approach 1:
The needle and catheter components are designed to nest within each other in a collapsed configuration, allowing easy introduction through small access points while maintaining structural integrity when deployed
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 flexible and vibrating needle with serrations requires less force for tissue penetration, making it more user-friendly and adaptable for various anatomies, reducing procedure time and pain, while allowing for a lower profile and cost-effective design.
Implementation Method 1
incorporating a piezoelectric actuator
Implementation Method 2
A flexible catheter with a vibrating needle and serrated tip, inspired by the mosquito proboscis, reduces piercing force and tissue displacement
Implementation Method 3
serrated tip, inspired by the mosquito proboscis
Data Source
AI summary
Described herein is a catheter (10) including a needle (12) arranged for creating a puncture suitable for a TIPS shunt. The catheter can include a flexible catheter body (14) having a proximal and a distal end, the needle (12) being provided at the distal end of the catheter body (14), and an actuator (16) arranged for vibrating the needle,the needle being provided with serrations (18) on its outside.
