摘要:
Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.
摘要:
A minimally invasive surgical instrument comprising: an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; an end effector; a wrist member having an inner spring which includes a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector, the wrist member having a plurality of annular disks distributed along an axis of the inner spring, the annular disks each having an inside edge connected with the inner spring; and a plurality of actuation cables having distal portions connected to the end effector and extending from the distal portion of the wrist member through the wrist member toward the elongate shaft to proximal portions which are actuatable to bend the wrist member in pitch rotation and yaw rotation.
摘要:
An image pickup apparatus for an endoscope, comprises an image pickup device unit, a lens unit, and an endoscope actuator apparatus inside a distal end portion of an insertion portion of the endoscope, the image pickup device unit including an image pickup device, the lens unit including a moving lens that moves to a first observation position and a second observation position, the lens unit being included in an objective optical system that forms an optical image on an image pickup surface of the image pickup device, the endoscope actuator apparatus including a first elastic member having an urging force that makes a moving lens frame in which the moving lens in the lens unit is disposed be arranged at the first observation position, a second elastic member having an urging force larger than the urging force of the first elastic member and making the moving lens frame be arranged at the second observation position, and a shape memory alloy wire having a property of extending/contracting as a result of a temperature thereof changing due to a current applied from an external power supply via an electric cable, the shape memory alloy wire holding the second elastic member in a tensionless state when the shape memory alloy wire is extended, and contracting the second elastic member into a predetermined state and holding the second elastic member when the shape memory alloy wire is contracted, wherein a driving force transmitting wire is provided on a distal end side of the shape memory alloy wire of the endoscope actuator apparatus, to have a length such that the shape memory alloy wire is sufficiently away from a heat generating body such as the image pickup device, and a proximal end portion of the driving force transmitting wire and a distal end portion of the shape memory alloy wire are fixed in an integrated manner.
摘要:
A biliary access sheath may include an elongate proximal tube portion having a fixed outer diameter and permanently attached to a distal tube portion having an outer diameter that may be constricted and expanded. The distal portion may be configured as a self-expanding tube similar to a self-expanding stent construction, being constrained during introduction into a proximal portion of the biliary tree, and released to anchor the distal sheath portion therein. In another aspect, a method for introducing an intra-ductal endoscope may use a biliary access sheath as herein described.
摘要:
An apparatus includes a flexible elongate member that defines a lumen and is configured to be inserted within a body passageway of a patient. The flexible elongate member includes a proximal portion, a distal portion, and a medial portion disposed between the proximal portion and the distal portion. The distal portion is movable between a substantially linear configuration and a curved configuration. A stiffening member is coupled to the flexible elongate member. The stiffening member is movable to a selected location along a length of the flexible elongate member to provide modified flexibility to the selected location of the flexible elongate member. The stiffening member may include a first portion and a second portion, the first portion having a first stiffness and the second portion having a second stiffness different than the first stiffness. The stiffening member may be disposed within a lumen or at an exterior portion of the flexible elongate member.
摘要:
A minimally invasive surgical instrument comprising: an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; an end effector; a wrist member having a flexible tube including an axis extending through an interior surrounded by a wall, the wall of the flexible tube including a plurality of lumens oriented generally parallel to the axis of the flexible tube, the wrist member having a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector; and a plurality of actuation cables having distal portions connected to the end effector and extending from the distal portion through the lumens of the wall of the wrist member toward the elongate shaft to proximal portions which are actuatable to bend the wrist member in pitch rotation and yaw rotation.
摘要:
The invention relates to a bendable structure 40 comprising a body 41 conceived to be bent; an actuator 42, 43, 44 for inducing a bending force in the body, wherein the actuator comprises a wire at least partially manufactured from a shape memory alloy (SMA) material, said wire being pre-deformed and being arranged in contact with a portion of the body for forming a bridge structure The bendable structure 40 may relate to a bendable catheter or an endoscope.
摘要:
A minimally invasive surgical instrument comprising: an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; an end effector; a wrist member having an inner spring which includes a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector, the wrist member having a plurality of annular disks distributed along an axis of the inner spring, the annular disks each having an inside edge connected with the inner spring; and a plurality of actuation cables having distal portions connected to the end effector and extending from the distal portion of the wrist member through the wrist member toward the elongate shaft to proximal portions which are actuatable to bend the wrist member in pitch rotation and yaw rotation.
摘要:
A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.
摘要:
Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.