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Transoral Submandibular Access

Finger Mounted
Intraoral
Dissector

A wearable finger sheath combining loop scissor spreading and Metzenbaum dissection for transoral submandibular access without a transcervical incision.

Concept and mechanism design ongoing · IP landscape search to be initiated

The Problem

Submandibular gland and duct surgery conventionally requires an extraoral transcervical incision, resulting in a visible neck scar with risk to the marginal mandibular branch of the facial nerve. Transoral access via the floor of mouth is limited by confined working space where standard scissors cannot be effectively oriented.

The Solution

A finger mounted dissector combining loop scissor spreading action with Metzenbaum scissor tissue separation, worn as a finger sheath, integrating tactile duct palpation with active blunt dissection in a single motion within a space too confined for two handed instrumentation. Eliminates the transcervical incision and its associated morbidity entirely.

Biodesign Stage Progress

CodeStageStatusWhat Was Done
1.2Needs Exploration✓ CompleteAccess limitation identified as driver of extraoral approach
1.3Need Statement✓ CompleteSurgeons need compact intraoral instrument for transoral submandibular gland access
2.2Existing Solutions✓ CompleteBenchmarked against sialendoscopy and handheld scissors; confined space access gap identified
3.1Ideation✓ CompleteConceived finger mounted dissector combining loop scissor and Metzenbaum mechanics
3.2Concept Selection► ActiveMechanism design and ergonomic refinement ongoing; instrument profile being defined
4.1IP Basics► ActiveIP landscape search to be conducted; provisional filing to be initiated
4.5Prototyping○ PendingPhysical prototype, bench testing, and cadaveric feasibility study to follow
5+Implementation○ PendingRegulatory pathway, clinical validation, and commercialisation strategy to be developed