摘要:
A steerable laser probe may include a handle having a handle, a housing sleeve, a first portion of the housing sleeve having a first stiffness, a second portion of the housing sleeve having a second stiffness, an actuation control of the handle, an optic fiber disposed in an inner bore of the handle and the housing sleeve, and a shape memory wire having a pre-formed curve. An actuation of the actuation control may be configured to gradually curve the housing sleeve and the optic fiber. An actuation of the actuation control may be configured to gradually straighten the housing sleeve and the optic fiber.
摘要:
The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and methods relate to removal of the occluding material from the blood vessels as well as other body lumens. In some variations, the methods comprise providing a vascular device comprising a catheter body, a cutter assembly, a drive mechanism, a torque shaft, and a deflecting mechanism. The methods may further comprise operating the drive mechanism to cut occlusive material, operating the deflecting mechanism to deflect the cutter assembly, and rotating the distal end of the catheter body to sweep the cutter assembly.
摘要:
A steerable laser probe may include a handle, an actuation structure of the handle, a housing tube, an optic fiber, and an optic fiber sleeve. The housing tube may have a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater that the first stiffness. The optic fiber may be disposed within an inner bore of the handle, the optic fiber sleeve, the actuation structure, and the housing tube. The optic fiber sleeve may enclose at least a portion of the optic fiber and the optic fiber sleeve may be disposed within the actuation structure and the housing tube. A compression of the actuation structure may be configured to curve the housing tube and the optic fiber.
摘要:
A navigable system for catheter based endovascular neurosurgery including: a micro-motor (3) including a piezoelectric actuator (5) mounted to a free end of a guidewire or micro-catheter (2), the piezoelectric actuator (5) including a piezoelectric element (7), and an elongate transducer (9) mounted on the piezoelectric element (7) and extending therefrom, the transducer (9) being formed from an asymmetric hollow member, and an end member (15) located at a free end of the transducer (9); wherein electrical excitation of the piezoelectric element (7) induces one or both orthogonal flexural and axial vibration modes within the transducer (9), the coupling of the induced vibration modes thereby resulting in rotation of the end member (15) with three degrees of freedom (DOF).
摘要:
An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue.
摘要:
A remote control actuator includes a spindle guide section (3), a distal end member (2) fitted to the tip of the spindle guide section for alteration in attitude, a tool (1) provided rotatably in the distal end member, a tool rotation drive source (41) for rotating the tool, and an attitude altering drive source (42) for altering the attitude of the distal end member. The spindle guide section has therein a rotary shaft (22) for transmitting a rotation of the tool rotation drive source to the tool, and an attitude altering member (31) capable of being selectively advanced or retracted by the attitude altering drive source for altering the attitude of the distal end member. A position detector (47) is provided for detecting the advanced or retracted position of the attitude altering member at a site distant from the attitude altering drive source.
摘要:
A surgical instrument includes a handle and an elongated shaft that defines a longitudinal axis. An end effector extends from the elongated shaft and defines an end effector axis. The elongated shaft includes an articulating portion that both pivotally and rotationally movable with respect to the longitudinal axis. The end effector is rotationally movable with respect to the end effector axis. A drive mechanism includes at least one actuator disposed on the handle that is operable to move the end effector in at least three independent modes relative to the longitudinal axis or the end effector axis. The three modes include an articulation mode wherein the articulating portion of the elongated shaft pivots relative to the longitudinal axis, a shoulder roll mode wherein the articulating portion of the elongated shaft rotates about the longitudinal axis, and a wrist roll mode wherein the end effector rotates about the end effector axis.
摘要:
A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.
摘要:
A steerable medical device is used to controllably introduce a guidewire or other medical instrument into a body of a patient and direct placement of the guidewire or other medical instrument in the body of the patient. The steerable medical device can include an elongated member, a steering mechanism, and an attachment member. The elongated member extends along a longitudinal axis and comprises a deflectable distal portion that is deflectable off of the longitudinal axis. The steering mechanism is adapted to control longitudinal and rotational movement of the elongated member and to control off-axis deflection of its deflectable portion. The attachment member is removably couplable to another medical device. The attachment member is moveably coupled to the steering mechanism and the elongated member.