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 When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body.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

    Instrument having radio frequency identification systems and methods for use
    8.
    发明申请
    Instrument having radio frequency identification systems and methods for use 有权
    具有射频识别系统和使用方法的仪器

    公开(公告)号:US20070249901A1

    公开(公告)日:2007-10-25

    申请号:US11648408

    申请日:2006-12-28

    IPC分类号: A61B5/05 A61B1/00

    摘要: One RFID equipped instrument includes an elongate body with a plurality of uniquely identified radio frequency identification chips spaced along the length of the elongate body. One system used for determining the position of an instrument includes an instrument; a plurality of radio frequency identification chips attached to the instrument; a reader connected to an antenna and adapted to communicate with each radio frequency identification chip using the antenna. One method for determining the position of an instrument using radio frequency identification chips includes providing a radio frequency identification chip reader and antenna; providing an instrument having a longitudinal axis and comprising a plurality of radio frequency identification chips placed along the longitudinal axis; moving the instrument relative to the antenna; and using information about a radio frequency identification chip detected by the antenna to determine the position of the instrument.

    摘要翻译: 一个RFID装备的仪器包括细长主体,其具有沿着细长主体的长度间隔开的多个唯一识别的射频识别芯片。 用于确定仪器位置的一个系统包括仪器; 附接到所述仪器的多个射频识别芯片; 读取器,连接到天线,并且适于使用天线与每个射频识别芯片进行通信。 使用射频识别芯片确定仪器的位置的一种方法包括提供射频识别芯片读取器和天线; 提供具有纵向轴线并包括沿着纵向轴线放置的多个射频识别芯片的仪器; 相对于天线移动乐器; 并且使用关于由天线检测到的射频识别芯片的信息来确定仪器的位置。

    Activated polymer articulated instruments and methods of insertion
    9.
    发明申请
    Activated polymer articulated instruments and methods of insertion 审中-公开
    活性聚合物铰接仪器和插入方法

    公开(公告)号:US20050085693A1

    公开(公告)日:2005-04-21

    申请号:US10923602

    申请日:2004-08-20

    摘要: An electro-polymeric articulated endoscope and method of insertion are described herein. A steerable endoscope having a segmented, elongated body with a manually or selectively steerable distal portion and an automatically controlled proximal portion can be articulated by electro-polymeric materials. These materials are configured to mechanically contract or expand in the presence of a stimulus, such as an electrical field. Adjacent segments of the endoscope can be articulated using the electro-polymeric material by inducing relative differences in size or length of the material when placed near or around the outer periphery along a portion of the endoscope.

    摘要翻译: 这里描述了一种电聚合铰接内窥镜和插入方法。 具有具有手动或选择性可操纵的远侧部分和自动控制的近端部分的分段细长主体的可操纵内窥镜可以通过电聚合材料铰接。 这些材料构造成在诸如电场的刺激的存在下机械地收缩或膨胀。 当沿着内窥镜的一部分放置在外周附近或周围时,通过引起材料的尺寸或长度的相对差异,可以使用电聚合材料来连接内窥镜的相邻段。

    Methods and apparatus for accessing and treating regions of the body
    10.
    发明申请
    Methods and apparatus for accessing and treating regions of the body 审中-公开
    用于进入和治疗身体部位的方法和装置

    公开(公告)号:US20050165276A1

    公开(公告)日:2005-07-28

    申请号:US10767109

    申请日:2004-01-28

    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。