公开(公告)号：US06974411B2

公开(公告)日：2005-12-13

申请号：US10229814

申请日：2002-08-27

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/31 ,  A61B1/00

CPC分类号： A61B1/00078 ,  A61B1/00154 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61M2025/0063

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带有手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20050222498A1

公开(公告)日：2005-10-06

申请号：US11129172

申请日：2005-05-13

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/04 ,  A61B1/31

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

公开(公告)号：US20050165276A1

公开(公告)日：2005-07-28

申请号：US10767109

申请日：2004-01-28

申请人： Amir Belson ,  Robert Ohline

发明人： Amir Belson ,  Robert Ohline

IPC分类号： A61B1/005 ,  A61B1/05 ,  A61B1/313 ,  A61B18/14 ,  G02B23/24 ,  A61B1/00

CPC分类号： A61B1/0055 ,  A61B1/0052 ,  A61B1/05 ,  A61B1/313 ,  A61B18/1492 ,  A61B2018/00351 ,  A61B2018/00446 ,  A61B2034/301 ,  G02B23/2476

摘要： Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

摘要翻译： 本文公开了用于进入和处理身体区域的方法和装置。 使用具有自动控制的近端部分和选择性可操纵的远端部分的内窥镜装置，该装置通常可以通过开口进入身体。 远侧部分被选择性地转向以沿着主体内的期望路径呈现出选择的曲线，其避免与组织的接触，而近端部分被自动控制以呈现远端部分的选定曲线。 然后，内窥镜装置可用于通过常规手术技术访问身体的各个区域，这些区域通常难以进入和治疗，因为该装置不受“直线”要求的约束。 各种应用可以包括进入脑，胸腔的区域，包括心脏内的区域，腹膜腔等，这些区域难以用常规外科手术达到。

公开(公告)号：US20050154258A1

公开(公告)日：2005-07-14

申请号：US11019962

申请日：2004-12-20

申请人： Joseph Tartaglia ,  Wade Keller ,  Amir Belson ,  Arthur Ratchford

发明人： Joseph Tartaglia ,  Wade Keller ,  Amir Belson ,  Arthur Ratchford

IPC分类号： G02B23/24 ,  A61B20060101 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/04 ,  A61B1/31

CPC分类号： A61B1/00073 ,  A61B1/0014 ,  A61B1/00147 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/01 ,  A61B1/07 ,  A61B1/31 ,  A61B5/065 ,  A61B2017/00323 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 提供具有引导装置的内窥镜。 内窥镜具有细长主体，其具有可转向的远端部分，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的引导装置。 引导装置可以定位在内窥镜内，或者可以定位成与内窥镜相邻。 联锁装置设置成可滑动地联动引导装置和内窥镜。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦刚性化，内窥镜可以沿着导轨以单轨或“背部”方式前进，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20050124855A1

公开(公告)日：2005-06-09

申请号：US11016659

申请日：2004-12-17

申请人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

发明人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

IPC分类号： A61B1/00 ,  A61B20060101 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/018 ,  A61B1/31 ,  A61B17/00 ,  A61M25/00 ,  A61M25/01

CPC分类号： A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00142 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/31 ,  A61B5/065 ,  A61B17/3421 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/3441 ,  A61B2034/301 ,  A61M25/0138 ,  A61M2025/0063 ,  A61M2025/0681

摘要： An endoscope having a guide tube is described herein. The assembly has an endoscope which is slidably insertable within the lumen of a guide tube. The guide tube is configured to be rigidizable along its entire length from a relaxed configuration. The endoscope has a steerable distal portion to facilitate the steering of the device through tortuous paths. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve while the endoscope is advanced distally through the tortuous path without having to place any undue pressure against the tissue walls.

公开(公告)号：US06890297B2

公开(公告)日：2005-05-10

申请号：US10228624

申请日：2002-08-26

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/04 ,  A61B1/31 ,  A61N5/00

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.