Tendon-driven endoscope and methods of insertion
    1.
    发明申请
    Tendon-driven endoscope and methods of insertion 审中-公开
    肌腱驱动内窥镜和插入方法

    公开(公告)号:US20050154261A1

    公开(公告)日:2005-07-14

    申请号:US11019963

    申请日:2004-12-20

    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 When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body.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.

    摘要翻译: 这里描述了可操纵的肌腱驱动的内窥镜。 内窥镜具有细长主体,其具有手动或选择性可操纵的远侧部分和自动控制的分段近端部分。 可操纵的远端部分和可控部分的段由至少两个腱致动。 当内窥镜前进时,使用者操纵远侧部分,并且运动控制器致动分段近端部分中的腱,使得近端部分呈现选择性可操纵的远侧部分的选定曲线。 通过该方法,所选择的曲线沿着内窥镜主体传播,使得内窥镜大体上符合所选择的路径。 当内窥镜向近侧收回时,所选择的曲线可沿内窥镜体向远端传播。 这允许内窥镜沿着穿过体内器官之间或之间的所需途径协商曲折曲线。

    Method and apparatus for advancing an instrument along an arbitrary path
    2.
    发明申请
    Method and apparatus for advancing an instrument along an arbitrary path 审中-公开
    用于沿任意路径前进仪器的方法和装置

    公开(公告)号:US20060089530A1

    公开(公告)日:2006-04-27

    申请号:US11228014

    申请日:2005-09-14

    IPC分类号: A61B1/00

    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。

    Method of navigating a therapeutic instrument with an apparatus having a handle coupled to an overtube
    3.
    发明申请
    Method of navigating a therapeutic instrument with an apparatus having a handle coupled to an overtube 审中-公开
    用具有连接到外套管的手柄的装置导航治疗仪器的方法

    公开(公告)号:US20060089528A1

    公开(公告)日:2006-04-27

    申请号:US11227978

    申请日:2005-09-14

    IPC分类号: A61B1/00

    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。

    Method and apparatus for advancing an instrument along an arbitrary path using an introducer sheath
    4.
    发明申请
    Method and apparatus for advancing an instrument along an arbitrary path using an introducer sheath 审中-公开
    用于使用引导器鞘沿着任意路径推进器械的方法和装置

    公开(公告)号:US20060089532A1

    公开(公告)日:2006-04-27

    申请号:US11228025

    申请日:2005-09-14

    IPC分类号: A61B1/00

    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。

    Method and apparatus having an elongate guide and controllable portion
    5.
    发明申请
    Method and apparatus having an elongate guide and controllable portion 审中-公开
    具有细长引导件和可控部分的方法和装置

    公开(公告)号:US20060089531A1

    公开(公告)日:2006-04-27

    申请号:US11228024

    申请日:2005-09-14

    IPC分类号: A61B1/00

    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。

    Endoscope with regidizable introducer sheath
    6.
    发明申请
    Endoscope with regidizable introducer sheath 审中-公开
    内窥镜具有可重复的导引鞘

    公开(公告)号:US20060089529A1

    公开(公告)日:2006-04-27

    申请号:US11228013

    申请日:2005-09-14

    IPC分类号: A61B1/00

    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。

    Endoscope Having a Guide Tube
    7.
    发明申请
    Endoscope Having a Guide Tube 审中-公开
    内窥镜有导管

    公开(公告)号:US20070043259A1

    公开(公告)日:2007-02-22

    申请号:US11554165

    申请日:2006-10-30

    IPC分类号: A61B1/00

    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.

    摘要翻译: 这里描述了具有引导管的内窥镜。 组件具有可滑动地插入导管内腔内窥镜。 引导管被构造成从松弛构型沿其整个长度可固化。 内窥镜具有可操纵的远侧部分,以便于通过曲折路径对装置的转向。 在松弛构造中,导管的一部分能够呈现由内窥镜的可控远端限定的形状或曲线。 假设内窥镜的形状或曲线,导管可以被医师或外科医生硬化,以在内窥镜通过曲折路径向远侧推进而保持该形状或曲线,而不必对组织壁施加任何不适当的压力。