公开(公告)号：US12127805B1

公开(公告)日：2024-10-29

申请号：US18634962

申请日：2024-04-14

申请人： Gregory P. Schmitz

发明人： Gregory P. Schmitz

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B1/018 ,  A61B1/267 ,  A61B34/30 ,  A61M25/01

CPC分类号： A61B34/30 ,  A61B1/00149 ,  A61B1/0055 ,  A61B1/018 ,  A61B1/2676 ,  A61B2034/301 ,  A61B2034/303 ,  A61M25/0113 ,  A61M25/0138

摘要： Catheter device and driving system configured to navigate the catheter through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion connected to this torque shaft. The distal position of the catheter is controlled by at least one steering cable/tensioning cable arrangement. The system uses processor-controlled actuators that simultaneously rotate the torque shaft and the at least one steering cable/tensioning cable in a 1:1 relationship, while also actuating the steering cable. The catheter is tipped by a tool plate, which can be equipped with various sensors and other instruments and connected to the outside via other conduits.

公开(公告)号：US20240349994A1

公开(公告)日：2024-10-24

申请号：US18631892

申请日：2024-04-10

申请人： COOK MEDICAL TECHNOLOGIES LLC

发明人： Vincent McHugo ,  Liam Breen ,  Jonathan K. Lupton

IPC分类号： A61B1/018 ,  A61B1/00 ,  A61B1/005 ,  A61B1/05

CPC分类号： A61B1/018 ,  A61B1/00098 ,  A61B1/0052 ,  A61B1/05 ,  A61B1/00082 ,  A61B1/00085 ,  A61B1/00087 ,  A61B1/00091 ,  A61B1/00094

摘要： A scope system includes an elongate tube defining a lumen and having a distal portion. The scope system includes at least one accessory channel including at least one tubular structure defining an accessory lumen, the at least one accessory channel movably disposed within the lumen of the elongate tube. The scope system also includes a first steerable endoscopic instrument extending through the at least one accessory lumen and including a first distal instrument end that is movable relative to a distal channel end of the at least one accessory channel. The scope system also includes a second steerable endoscopic instrument extending through the at least one accessory lumen and including a second distal instrument end that is movable relative to the distal channel end of the at least one accessory channel.

公开(公告)号：US20240341571A1

公开(公告)日：2024-10-17

申请号：US18656922

申请日：2024-05-07

申请人： INTUITIVE SURGICAL OPERATIONS, INC.

发明人： Joseph D. Bogusky ,  Randall L. Schlesinger

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B34/20 ,  A61B34/35 ,  A61M25/01

CPC分类号： A61B1/00078 ,  A61B1/00147 ,  A61B1/009 ,  A61M25/0138 ,  A61M25/0147 ,  A61M25/0155 ,  A61B2034/2051 ,  A61B2034/2061 ,  A61B34/35 ,  A61M2205/0266

摘要： A medical system may comprise a flexible elongate device including a flexible body with proximal and distal ends and at least one lumen. The flexible elongate device may also include a support structure coupled with the flexible body. The support structure may include a plurality of sub-elements arranged in series. At least a portion of the sub-elements are configured to spread apart when the flexible body flexes into a pose. The flexible elongate device may also include a stiffening mechanism having at least one stiffening element extending along at least a portion of the flexible body and configured for actuation independent of the support structure. After the flexible body has flexed into the pose, actuation of the stiffening element stiffens the support structure to hold at least a portion of the pose of the flexible body. The stiffening element includes a compression feature to engage the support structure.

公开(公告)号：US12114839B2

公开(公告)日：2024-10-15

申请号：US17477994

申请日：2021-09-17

申请人： Boston Scientific Limited

发明人： Aditya Dhanotiya ,  Nabarun Bhowmick ,  Deepak Kumar Sharma ,  Subodh Morey ,  Shrikant Vasant Raut

IPC分类号： A61B1/008 ,  A61B1/005 ,  A61B1/015

CPC分类号： A61B1/008 ,  A61B1/0052 ,  A61B1/015

摘要： A medical device includes a handle, a shaft extending from the handle, and an articulation member integral with or attached to a distal end of the shaft. The articulation member includes a first portion coupled to a second portion, the second portion is receivable in a slot defined by the first portion, and the handle is coupled to each of the first portion and the second portion and to articulate the first portion independently of articulating the second portion.

公开(公告)号：US12114838B2

公开(公告)日：2024-10-15

申请号：US17140578

申请日：2021-01-04

申请人： Auris Health, Inc.

发明人： Luis Andrade Baez, Jr.

IPC分类号： A61B34/20 ,  A61B1/00 ,  A61B1/005 ,  A61B1/267 ,  A61B1/307 ,  A61B10/04 ,  A61B17/00 ,  A61B34/00 ,  A61B34/30 ,  A61B50/13

CPC分类号： A61B1/0057 ,  A61B1/00149 ,  A61B1/0053 ,  A61B1/2676 ,  A61B1/307 ,  A61B10/04 ,  A61B34/20 ,  A61B34/30 ,  A61B34/70 ,  A61B34/71 ,  A61B50/13 ,  A61B2010/045 ,  A61B2017/00477 ,  A61B2034/2051 ,  A61B2034/301 ,  A61B2034/303

摘要： Certain aspects relate to manually and robotically controllable medical instruments. A manually and robotically controllable medical instrument can include an elongated shaft articulable by pull wires. The elongated shaft can be connected to an instrument handle that attaches to an instrument drive mechanism. The instrument handle can include a pulley assembly on which the pull wires can be mounted. Rotation of the pulley assembly can actuate the pull wires to cause articulation of the elongated shaft. The medical instrument also includes a manual drive input connected to the pulley assembly such that manual actuation of the manual drive input causes rotation of the first pulley assembly and a robotic drive input configured to engage with a robotic drive output of the instrument drive mechanism such that rotation of the first robotic drive output causes rotation of the pulley assembly.

公开(公告)号：US12114837B2

公开(公告)日：2024-10-15

申请号：US17806780

申请日：2022-06-14

申请人： Boston Scientific Scimed, Inc. ,  Boston Scientific Medical Device Limited

发明人： Deepak Kumar Sharma ,  Barry Weitzner

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B1/018

CPC分类号： A61B1/0052 ,  A61B1/00042 ,  A61B1/00087 ,  A61B1/0057 ,  A61B1/018

摘要： A medical device includes a handle including a first slot, a first control device movable within the first slot in a proximal direction and a distal direction, and a sheath extending from the handle and having a longitudinal axis, the sheath defining a first lumen extending from the handle to a distal end of the sheath. A first tube extends within the first lumen, the first tube is connected to the first control device and moves between a first position, where a distalmost end of the first tube is flush with or proximal of a distalmost end of the sheath, and a second position, where the distalmost end of the first tube is positioned distal of the distalmost end of the sheath. The first slot extends parallel to the longitudinal direction of the sheath.

公开(公告)号：US12114836B2

公开(公告)日：2024-10-15

申请号：US18159599

申请日：2023-01-25

申请人： Meditrina, Inc.

发明人： Csaba Truckai

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B1/015 ,  A61B1/018 ,  A61B1/05

CPC分类号： A61B1/00183 ,  A61B1/00042 ,  A61B1/00135 ,  A61B1/00177 ,  A61B1/0057 ,  A61B1/015 ,  A61B1/018 ,  A61B1/051

摘要： An endoscope used for insertion into a patient's body is disclosed herein. The endoscope can comprise an outer sleeve defining a longitudinal axis. The outer sleeve can comprise a first deflecting segment and a second deflecting segment at a distal portion of the outer sleeve and one or more slots at the distal portion. The endoscope can further comprise an inner sleeve positioned within the outer sleeve and comprising a working channel. The inner sleeve can comprise one or more extending elements at a distal portion of the inner sleeve, the one or more extending elements being coupled to the first deflecting segment of the outer sleeve. The endoscope can further comprise a tool advanceable through the working channel, wherein advancement of the tool transitions the distal portion of the outer sleeve between a straight profile and a deflected profile.

公开(公告)号：US20240335099A1

公开(公告)日：2024-10-10

申请号：US18695823

申请日：2023-03-13

申请人： HUNAN VATHIN MEDICAL INSTRUMENT CO. LTD

发明人： Zhenhua ZHOU

IPC分类号： A61B1/005 ,  A61B1/00 ,  A61M25/01

CPC分类号： A61B1/0052 ,  A61B1/00103 ,  A61B1/00105 ,  A61B1/00128 ,  A61B1/0057 ,  A61M25/0136 ,  A61M25/0147

摘要： A disposable section of an endoscope handle, an endoscope handle, and an endoscope are provided. The disposable section of an endoscope handle includes: a housing provided with a connecting portion that is detachably connected to a reusable section of the handle; an inserting unit including a proximal end located at a distal end of the housing; and a first transmission assembly including: a first traction wire, a second traction wire, and a first connecting element, where the first traction wire and the second traction wire are located in the inserting unit; proximal ends of the first traction wire and the second traction wire are connected to the first connecting element; a proximal end surface of the housing forms a linear movement path that is orthogonal to an axial direction of the proximal end surface; and the first connecting element is movable along the linear movement path.

公开(公告)号：US20240324869A1

公开(公告)日：2024-10-03

申请号：US18600251

申请日：2024-03-08

申请人： Covidien LP

发明人： Peter D.C. INGLIS ,  Derek S. Tata

IPC分类号： A61B1/267 ,  A61B1/00 ,  A61B1/005 ,  A61B1/05

CPC分类号： A61B1/267 ,  A61B1/00006 ,  A61B1/000096 ,  A61B1/00045 ,  A61B1/00066 ,  A61B1/0051 ,  A61B1/05

摘要： Methods and systems for automatic steering of a blind introducer based on images from an independent camera (e.g., a camera of a video laryngoscope) are disclosed. A real time image of a video laryngoscope may be analyzed by a trained ML model to output a classification for the image. The classification may be associated with steering instructions for an introducer. The steering instructions may be provided to the introducer to cause steering of a distal end of the introducer in real time. The trained ML model may be generated by AI or ML training algorithms, based on multiple sets of multiple still-shot training images associated with a finite quantity of classifications.

公开(公告)号：US20240324862A1

公开(公告)日：2024-10-03

申请号：US18732975

申请日：2024-06-04

申请人： BOSTON SCIENTIFIC SCIMED, INC. ,  WORCESTER POLYTECHNIC INSTITUTE

发明人： CHRISTOPHER J. NYCZ ,  ELIZABETH M. ALBRECHT ,  MEGAN CHROBAK ,  KIANOOSH GHAZI ,  GREGORY SCOTT FISCHER ,  BRYAN ALLEN CLARK

IPC分类号： A61B1/005 ,  A61B1/00

CPC分类号： A61B1/0052 ,  A61B1/00039

摘要： An endoscopic system may include an endoscope including a handle and an elongate shaft extending distally therefrom. The handle may include a non-motorized and non-ratcheting actuation mechanism configured to articulate a distal tip portion of the elongate shaft. The distal tip portion may be articulatable in response to a manually applied force exerted upon the actuation mechanism. Removal of the manually applied force may lock the distal tip portion in its then-current configuration. The non-motorized and non-ratcheting actuation mechanism may include a clutch mechanism actuatable in response to an electrical signal generated in response to sensing a user-applied force to the actuating mechanism by a strain gauge.