US3557780A - Mechanism for controlling flexure of endoscope - Google Patents
Mechanism for controlling flexure of endoscope Download PDFInfo
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- US3557780A US3557780A US721833A US3557780DA US3557780A US 3557780 A US3557780 A US 3557780A US 721833 A US721833 A US 721833A US 3557780D A US3557780D A US 3557780DA US 3557780 A US3557780 A US 3557780A
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- control means
- lever
- flexible portion
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- control
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
Definitions
- Brake means are provided to releasably maintain the flexible portions in their controlled position.
- the present invention provides a novel and useful control mechanism for bending the controllable flexible portion of an endoscope in which at least two groups are provided in said flexible portion, each of which groups can be bentseparately from the other group(s) in desired direction by selectively pulling wire means connected to the group in question by operatingcontrol lever means in the control portion of the endoscope to which said wire means endoscope connecting said flexible portion to the control portion.
- the positions of the lever means are adapted to correspond to the bent state of the controllable flexible portion thereby permitting the bent state of the flexible portion to be exactly and conveniently detected from the exterior by the controlled position of the lever means when the endoscope is used for inspection.
- Brake means are provided in the control mechanism to positively maintain the bent state of the flexible portion given by the operation of the control mechanism thereby preventing the bent state of the flexible portion from being unexpectedly changed by the external force.
- FIGS. 1 and 2 are schematic general views of two kinds of endoscopes showing the manners how the flexible portions are bent, respectively;
- FIG. 3 is a schematic view showing the principle of the control mechanism for bending the flexible portion of one embodiment of the endoscope constructed in accordance with the present invention
- FIG. 4 is a fragmentary cross-sectional view taken along line X-X in FIG. 3;
- FIG. 5A is a cross-sectional view taken along line Y-Y in FIG. 3;
- FIG. 5B is a cross-sectional view taken along line Z-Z in FIG. 3;
- FIGS. 6 to 14 are general views of the endoscope provided with the control mechanism shown in FIGS. 3 and 4, respectively, showing the manner how the flexible portion of the endoscope is bent in accordance with the operation of the control knobs in the control mechanism;
- FIG. 15 is a fragmentary cross-sectional view similar to FIG. 4 but showing the portion of the control mechanism provided with brake means constructed in accordance with the present invention
- FIG. 16 is an exploded perspective view showing the main parts of an embodiment of the brake means shown in FIG. 15;-
- FIG. 17A is a schematic general viewsimilar to FIG. 3 but showing the principle of the control mechanism for bending the flexible portion of the second embodiment of the endoscope constructed in accordance withthe present invention.
- FIG. 17B is a fragmentary view showing the modification of the actuating means using drum means in place of pinion-rack means employed in the actuatingmeans shown in FIG. 17A;
- FIG. 18 is a cross-sectional view taken along line Y-Y in FIG. 17A
- FIG. 19 is a cross-sectional view taken along line Z-Z in FIG. 17A;
- FIG. 20 is a fragmentary cross-sectional view taken along line XX in FIG. 17A showing the control mechanism
- FIG. 2 is a view similar to FIG. 20 but showing a modification of the control mechanism provided with brake means;
- FIG. 22 is a fragmentary view showing the main parts of brake means in the control mechanism of FIG. 21;
- FIGS. 23 and 24 are general views of the endoscope provided with the control mechanism as shown in FIG. 20 or 22, respectively. showing the manners how the flexible portion of the endoscope is bent in accordance with the operation of the control knobs in the control mechanism;
- FIG. 25 is a fragmentary view partly in cross section of another embodiment of the endoscope constructed in accordance with the present invention.
- FIG. 26 is a fragmentary cross sectional view showing the flexible portion shown in FIG. 25;
- FIG. 27 is a side view of the portion shown in FIG. 26;
- FIG. 28 is a front view of the tubular segment constituting the flexible portion shown in FIG. 27;
- FIG. 29 is a front view of the intermediate ring employed in the endoscope shown in FIG. 25;
- FIGS. 30 to 37 are fragmentary views of the flexible portion of the endoscope shown in FIG. 25, respectively, showing the manners how the flexible portion of the endoscope is bent in accordance with the operation of the control mechanism of the endoscope shown in FIG. 25.
- FIG. I shows one type of the prior art endoscope in which camera portion 1 is connected to one end of flexible portion 3 by articulated portion 2.
- the other end of flexible portion 3 is connected to control housing 4 provided with control knob 5 which actuates said articulated portion 2 through wires extending through flexible portion 3 so that camera portion I is bent at an angle with respect to the axis of the end of flexible portion 3 to which camera portion 1 is connected through articulated' portion 2.
- flexible portion 3' can be rotated about its axis together with control housing 4 relative to grip means rotatably mounted on control housing 4.
- the grip means is provided with angular graduation cooperating withthe index provided on control housing 4 so that the degree of rotation of flexible portion 3 and hence the direction of camera portion 1 can be detected by means of the graduation and the index.
- FIG. 2 shows another type of the prior art endoscope, in which controllable flexible portion 6 is employed in place of articulatedportion shown in FIG. I.
- camera portion I is connected to one end of first controllable flexible portion II, and the other end of said first controllable flexible portion II is connected to one end of second controllable flexible portion III, the other end of said second controllable flexible portion'III being in turn connected to one end of flexible elongated connecting portion IV yieldingly bendable in accordancewith the configuration of the path leading to the hollow space in the living body to be inspected.
- the other end of said flexible elongated connecting portion IV is connected to control portion V, in which the control mechanism for actuating said first and second flexible portions II, III is provided.
- said first flexible portion II comprises a plurality of. relatively short articulated tubular segments 8 all of which are of identical construction. As shown in FIG. 3, both faces of each of segments 8 are tapered to form diametrically extending pivot ridges N-N, respectively.
- said second flexible portion Ill comprises a plurality of relatively short articulated tubular segments 8' substantially similar to segments 8. All of said segments 8' are of identical construction. Hollow space 9 is provided in each of said segments 8, 8', through which the film loaded in camera portion I and lead wires for energizing the lamp in camera portion I or a light conducting fiber optical system and other elements extend. As shown in FIGS.
- small holes 10 are provided at positions in diametrically extending pivot ridges N-N of each of segments 8, 8.
- Wire 11 extends through each of said holes 10, one end of said wire 11 being fixed to forward end segment 8a one face of which is tapered to form a diametrically extending pivot ridge similar to that of segment 8, said segment 8a being connected to camera portion I, while the other end of said wire 1 l is fixed to rear end segment 8'c which is similar to segment 80 and connected to the forward end of flexible connecting portion IV, so that segments 8, 8' are urged toward each other and aligned with each other by wires 11 with said ridge of one segment bearing against the opposite ridge of the next segment thereby permitting each of segments 8, 8' to be relatively pivoted to the next segment about diametrically extending pivot ridge N-N.
- Small holes 12, 12' are provided in each of segments 8 adjacent to the center line normal to ridge N-N as shown in FIG. 5A, and small holes 12, 12, 14,14 are provided in each of segments 8 adjacent to the center line normal to ridge N-N as shown in FIG. 5B, the positions of holes 12, 12 in each of segments 8' corresponding to those of holes 12, 12' in each of segments 8, respectively.
- Wires 13, 13' extend through holes 12 and 12' in each of segments 8, 8, respectively, one end of each of wires 13, 13' being fixed to segment 80, while the other end of each of wires 13, 13 extends through flexible connecting portion IV and is connected to the periphery of control drum 16 provided in control portion V, which is operated by a control lever described hereinafter.
- Wires and 15' extend through holes 14, 14' in each of segments 8, respectively, one end of each of wires .15, 15 being fixed to forward end segment 8'b similar in construction to segment 8' and located at the forward end of second flexible portion III and connected to the rear end of first flexible portion II, while the other end of each of wires 15, 15' extends through flexible connecting portion IV and connected to the periphery of another control drum 17 which is provided in control portion V coaxially with previously described-control drum 16 and operated by another control lever as described hereinafter.
- drum 17 is fixedly secured to shaft 19 journaled in bearings 18 provided in the housing of control portion V, disc 20 and second control lever 21 being fixedly secured to said shaft 19.
- Drum 16 isrotatably supported by shaft 19 and gear 22 is integrally fixed to drum 16.
- Said gear 22 meshes with intermediate gear 24 rotatably fitted on shah 23 which is fixed to disc 20.
- Said intermediate gear 24 also meshes with gear 25 fixedly secured to shaft 26 which is rotatably journaled in a bearing secured to disc 20.
- First control lever 27 is fixedly secured to the outer end of shaft 26.
- a stationary lever 28 is secured to cover 29 of control portion V as shown in FIG. 4, said stationary lever 28 serving to indicate the relative positions of said control levers 21, 27 with respect I to control portion V.
- levers 21 and 27 are so determined that they are aligned with stationary lever 28 when camera portion I, first flexible portion II and second flexible portion III are aligned as shown in FIG. 6.
- drum 16 also rotates together with drum 17 by virtue of the engagement of gear 22 with gear 25 through intermediate gear 24, gear 25 being kept stationary relative to lever 21, so that wire 13 is pulled to the same extent as wire 15' while wire 13 is loosened, however, the positions of wires 13, 13' relative to segment 8'b do not change, because the bending of second flexible portion III absorbs the movement of wires I3, 13' within the range of second flexible portion III. Therefore, first flexible portion II is not bent.
- the relative positions of control levers 21, 27 with respect to stationary lever 28 exactly corresponds to the bent state of first and second flexible portions II, III.
- first flexible portion II is bent toward the right in FIG. 3 to assume the condition shown in FIG. 12.
- relative positions of levers 21, 27 with respect to stationary lever 28 also correspond to the bent state of first and second flexible portions II, III.
- first and second flexible portions II, III can be selectively bent as desired as shown in FIG. 7 to 9, 11, 13 and 14 by appropriately operating either or both levers 21, 27, the relative positions of levers 21, 27, 28 indicating the bent state of the flexible portions, respectively.
- drums l6, 17 can be replaced by pinion-rack means which can pull or loosen wires in the similar way as described hereinbelow.
- FIG. 15 shows a modification of the control mechanism shown in FIGS. 3 and 4.
- the mechanism shown in FIG. 15 is provided with brake means in order to positively maintain the controllable flexible portions in their controlled states.
- the mechanism shown in FIG. 15 is similar to that shown in FIG. 4 except that brakedrum 30 having annular V-shaped groove 30 in its periphery and secured to bearing plate 18 is adapted to rotatably support shaft 19 and that brake drum 31 having annular V-shaped groove 31 in its periphery is integrally secured to gear 25, said brakedrums 30 and 31 being adapted to be releasably clamped between a pair of brakeshoes 32, 32' each having mating surfaces 32a, 32a engageable with V- shaped grooves 30' 31' of said brakedrums 30 and 31.
- Said pair of brake drums 30, 31 are relatively movably assembled by a pair of bolts and nuts 33, 33 as shown in FIG. 16.
- Springs 34 are provided on bolts 33 between nuts 33' and brake shoe 32' so as to normally urge the pair of brake shoes 32, 32' toward each other so that brakedrums 30, 31 are tightly clamped therebetween when braking action is desired to be applied to the shoes.
- Shaft 36 extends rotatably through control lever 21 and disc 28, the outer end of said shaft 36 being provided with knob 37 while brake releasing piece 35 is secured to the inner end of shaft 36.
- Piece 35 has an elongated configuration in cross section inthe plane normal to the axis of shaft 36 so that when shaft 36 is rotated by knob 37, brakeshoes 32, 32' are moved between a position in which shoes 32, 32' are urged toward each other by the action of spring 34 so that the braking action is appliedto brakedrums 30, 31 and a position in which brakedrums 30, 31 are released from brakeshoes 32, 32.
- first control lever 27 When first control lever 27 is rotated, gear 22 and hence drum 16 are rotated through gear 25 fixed to lever 27 and intermediate gear 24 so that first flexible portion II is bent. Drum 16 is positively held in its controlled position by virtue of the braking action applied to brakedrum 31 fixed to gear 25, thereby permitting first flexible portion II to be maintained in its controlled state.
- gear 25 When second control lever 21 is rotated, gear 25 rotates about the axis of shaft 19. together with the pair of brakeshoes 32, 32 while gear 25 is prevented from rotating about its axis relative to disc 20 by virtue of braking action of shoes 32, 32'.
- Lever 21 is held in its controlled position by virtue of the braking action acting between brakedrum 30 fixed to bearing plate 18 and brakeshoes 32, 32' rotatable about the axis of shafi 19 together with second control lever 21. Therefore, the mechanism shown in FIG. permits the controllable flexible portions of the endoscope to be positively held in their controlled state. When it is desired to release the brake means, it is only necessary that to rotate knob 37 so as to move brakeshoes 32, 32' away from brakedrums 30, 31.
- the endoscope shown in FIG. 17A is similar to that shown in FIG. 3 except that pinion 55 and a pair of racks 57, 57' meshing with pinion 55 for actuating wires 48, 48' and pinion 54 and a pair of racks 56, 56' meshing with pinion 54 for actuating wires 46, 46 are provided in place of drums 16, 17 of FIG. 3, and that closely wound helical springs 60, 60 extend from abutment portion 53 of control portion V to rear end segment 8d of first flexible portion 11 through which wires 48 and 48' extend as shown in FIGS. 17A, 18 and 19, respectively, and closely wound helical springs 59, 59 extend between said abutment portion 53 and rear end segment 8c of second flexible portion III through which wires 46, 46 extend as shown in FIGS. 17A and 19, respectively.
- Springs 60, 60' extend through flexible connecting portion IV with sufficient surplus length so as to permit bending of portion IV without requiring any relative movement between springs 60, 60 and wires 48, 48' passing therethrough.
- springs 59, 59' extend through flexible connecting portion IV and second controllable flexible portion III with sufiicient surplus length so as to permit bending of portions III, IV without requiring any relative movement between springs 59, 59 46 passing therethrough.
- springs 60, 60'; 59, 59" must be of noncompressive nature so as to transmit the relative movement of the wires to the springs given at the ends adjacent to abutment portion 53 to the opposite ends thereof.
- metallic pipes in place of closely wound helical springs.
- the forward end of each of wires 48, 48, 46, 46' is fixed to respective segments 8'12, 80 in the same way as shown in FIG. 3.
- pinion 55 or 54 is selectively rotated so as to bend either of first or second flexible portion II or III, while both pinions 55 and 54 are rotated in desired directions so as to bend both first and second flexible portions II, III as shown in FIGS. 23 and 24.
- FIG. 178 shows a modification of the control mechanism shown in FIG. 17A.
- the control mechanism shown in FIG. 178 comprises drum 55 and 54' for actuating wires 48 48,
- FIG. 20 shows the detail of the control mechanism to be used in the endoscope shown in FIG. 17A.
- the control mechanism shown in FIG. 20 is similar to that shown in FIG. 4 except that drums 16, 17 for pulling wires shown in FIG. 4 are replaced with pinions 55, 54 and pairs of racks 57, 57, 56, 56' meshing with pinions 55, 54, respectively, as shown in FIG. 20, pinion 54 being fixedly mounted on separate shaft 58 rotatably mounted in bearing plate 18 to which shaft 58 gear 61 is secured.
- Gear 61 meshes with intermediate gear 64 rotatably fitted on shaft 69 to which second lever 21, disc 20 and pinion 55 are secured.
- Intermediate gear 64 meshes with gear 62 fixed to shaft 26 to which first lever 27 is fixed.
- first lever 27 When first lever 27 is rotated, gear 62, intermediate gear 64 and gear 61 are rotated so that pinion 54 actuates racks 56, 56' thereby pulling wire 46 or 46' so as to bend first flexible portion II in desired direction.
- second lever 21 When second lever 21 is rotated, pinion 55 actuates racks 57, 57 thereby pulling wire 48 or 48' so as to bend second flexible portion III in desired direction.
- the rotation of lever 21 causes gear 62 to be rotated about the axis of intermediate gear 64 thereby rotating intermediate gear 64 together with shaft 69.
- the ratio of gear 61 to intermediate gear 64 is made sufficiently small in the present invention, the bending of first flexible portion [I resulting from the rotation of gear 62 about intermediate gear 64 when only second flexible portion III is to be bent can be neglected.
- FIGS. 21 and 22 show a modification of the control mechanism shown in FIG. 20.
- the control mechanism shownin FIG. 21 is similar to that shown in FIG. 20 except that brake means similar to those shown in FIG. 15 are added.
- axially shiftable shaft 36' having knob 37 at its outer end and tapered end portion 35 at its inner end is provided in place of rotatable shaft 36 of FIG. 15 in order to move shoes 32, 32' part from each other by inserting tapered end portion 35' between shoes 32, 32' by pushing shaft 36 downwardly when it is desired to release the brake means.
- the operation of the control mechanism shown in FIGS. 21 and 22 is similar to that shown in FIGS. 15 and 20.
- FIGS. 23 and 24 show some of the manners how the first and second flexible portions are bent. It is evident from FIGS. 23 and 24 that the relative positions of levers 21, 27 indicate the bent state of the first and second flexible portions determined by the operation of the levers.
- FIG. 25 shows another embodiment of the present invention.
- casing 101 of head I housing therein the inspecting or photographing mechanism and other means is connected to the forward end of controllable flexible portion II, the other end of which is connected to the forward end of elongated flexible connecting portion In by means of connecting ring 105, the other end of said connecting portion III being in turn connected to control housing of the endoscope not shown.
- Sheath 102 covers watertightly portions II' and III.
- Controllable flexible portion 11' comprises two groups II'a, IIb as shown in FIG. 26.
- Each of groups II'a, IIb is constituted by a plurality of relatively short tubular segments 103 similar in construction and arrangement to those as shown in FIG. 3.
- a hollow space 106 is provided in each of segments 103 through which a fiber optical system or photographic film and other elements employed in the endoscope is adapted to pass. Both faces of each of segments 103 are tapered to form diametrically extending pivot ridges 103a, respectively, in the same manner as shown in FIG. 3. Diametrically opposed two small holes 107 are provided at positions where ridges 103a are formed, througheach of which wire 112 extends, one end of which is secured to ring while the other end is secured to casing 101, thereby flexibly urging segments 103 toward each other and aligning segments 103 with each other. Further, each of segments 103 is provided with small holes or cut out portions 108a and 1108b in the center line normal to said ridges 103a.
- Intermediate ring 104 is interposed between groups lla and llb as shown in FIG. 26.
- One face of ring 104 is tapered to form a diametrically extending pivot ridge 104a, and the other face may be flat or tapered to form a diametrically extending ridge.
- Ring 104 is provided with holes 109, 109 similar to holes 107 in segment 103 and holes or cutout portions 110a, 1 10b similar to holes or cutout portions 108a of segment 103. Further holes 111a, ll1b are provided in ring 104 at the positions outside of said holes or cutout portions llllla, 110b, respectively, as shown.
- Small holes llllla and 110'b are provided in the forward and end face of ring 104, the positions of said holes 110a, llltl'b corresponding to said holes or cutout portions 110a, 110b, respectively.
- the forward end face of connecting ring 105 has the same configuration as the forward end face of intermediate ring 104.
- Tension wires 113a and 11311 extend through holes 108a, Nb of each of segments 103, holes 11011, 11% of connecting ring 104, respectively.
- One end of each of wires 113a, l1l3b is secured to casing 101, while the other end of each of wires 113a, 113! extends through connecting portions Ill and is connected to a winding mechanism provided in the control housing not shown.
- Closely wound helical spring 1141 is provided around each of wires 113a, 113b, one end of each of springs 114 abutting against ring 104 as shown in FIG. 26 while the other end of each of springs 11 14 abuts against the abutment surface provided in the control housing.
- One ends of tension wires 115a, 1115b are secured to holes 111a, 111b, respectively, of intermediate ring 104 as shown in FIG. 26.
- Wires 115a, 1l5b extend through group llb of controllable flexible portion ll and flexible connecting portion Ill and the other ends of wires 1115a, 1115b are connected to another winding mechanism in the control housing.
- Closely wound helical springs 116 are provided around wires 1150, 115b, respectively. One end of each of springs 116 abuts against connecting ring 105 as shown in FIG. 26, while the other end of each of springs 116 abuts against the abutment surface provided in the control housing.
- group ll'a of controllable flexible portion II can be bent in desired direction as shown in FIG. 34 or 35 by operating the winding mechanism for pulling wires 113a or 113k.
- group llb of flexible portion 11' as shown in FIGS. 36 and 37, only the winding mechanism for pulling wire 1150 or 1115b is operated. If both the winding mechanisms are simultaneously operated, flexible portion ll can be bent to assume any desired configuration as shown in FIGS. 30 to 33 depending upon the selection of the wires to be pulled.
- the flexible portion has been shown as consisting of two groups, it is evident more than two groups of the controllable flexible portion can be provided in accordance with the teaching of the present invention.
- Mechanism for controlling the flexure of an endoscope comprising a controllably flexible portion, a set of tension wires being fixed with their one ends to the forward end of said controllably flexible portion at the peripheral portion thereof and extending therethrough so as to be connected with their other ends to a control means housed in a control portion connected to said controllably flexible portion, thereby permitting said controllably flexible portion to be bent in a desired direction by pulling selected ones of the wires in said set by operating said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections each adapted to be bent in a desired direction separately from each other by pulling selected ones of the wires in the set which are fixed with their one ends to the forward end of each of said sections and which extend through said controllably flexible portion so as to be connected with their other ends to said control means so that each of said sets of wires are actuated separately, and said control means comprises a stationary control lever on said control portion, and a plurality of rotatable control levers in gear relationship with control drum
- control means comprises drum means for operating said sets of wires, respectively.
- control means comprises brake means adapted to releasably apply braking force to said control means thereby permitting the bent state of the controllable flexible portion given by the operation of said control means to be positively maintained.
- Mechanism for controlling the flexure of an endoscope comprising a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope thereby permitting said controllably flexible portion to be bent in desired direction by pulling a selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises closely wound noncontractable flexible helical springs provided around the respective wires of said pair, each of said springs extending from the rearward end of said controllably flexible portion to an abutment surface stationarily provided in said control portion thereby permitting the relative movement of each of the wires with respect to the spring therearound which occurs at said abutment surface, by the operation of said control means, to be exactly transmitted to the forward portion of the wire at the forward
- Mechanism for controlling the flexure of an endoscope including a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope, thereby permitting said controllably flexible portion to be bent in desired direction by pulling selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections of which a first section is located at the foremost end of said controllably flexible portion while a second section is connected to the rearward end of said first section, said first and second sections having respectively a pair of tensioning wires with their one ends securely fixed to the respective ends of said first and second sections and extending therealong so as to be connected with their other ends to a first and second control means housed in said
- each of said first and second control means comprises a drum on which the pair of tensioning wires are secured, the drum of said first control means being provided with a coaxial gear integral therewith and rotatably mounted on a shaft secured to said rotatable disc and extending along the axis of rotation thereof, said coaxial gear being coupled with a gear integrally secured to said first lever by the interposition of an idle gear rotatably mounted on said disc, the drum of said second control means being fixedly secured to said shaft secured to said disc, so that the drum of said first control means is rotated by either of the operation of said first lever and the rotation of said disc by the operation of said second lever which also causes the rotation of the drum of said second control means.
- each of said first and second control means is comprised of pinion-rack means having a pair of parallely located racks adapted to be moved oppositely to each other by a pinion interposed therebetween and engaging therewith with the pair of tensioning wires being secured to said pair of racks, respectively, so as to be actuated thereby, the pinion of said first control means being rotatably mounted on a stationary shaft provided in said control portion and having a coaxial gear integral therewith, said coaxial gear being coupled with a gear integral with said first lever through the interposition of an idle gear rotatably mounted on a center shaft fixedly secured to said rotatable disc along the axis of rotation thereof while the pinion of said second control means is fixedly secured to said center shaft so as to be rotated together with said second lever, so that the pinion of said first control means is rotated by either of the operation of said first lever and the rotation of said disc by the operation of said second lever which also causes the rotation of the pinion of said second control means.
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Abstract
Mechanism for controlling flexture of an endoscope which comprises at least two flexible portions each including a plurality of tubular short articulated segments having their faces tapered to form diametrically extending pivot ridges and flexibly connected to and in alignment with each other by means of wires extending through said ridges with the ridge of one segment bearing against the opposite ridge of the next segment, at least two sets of tension wires extending through said segments to a control portion of the endoscope through a connecting portion connecting said controllable flexible portion to said control portion so as to be connected to an operating mechanism therein, the forward ends of each of said sets of tension wires being secured to the forward ends of the respective flexible portions thereby permitting each of the flexible portions to be bent by activating the set of tension wires secured thereto by means of said operating mechanism separately from other flexible portion(s). Brake means are provided to releasably maintain the flexible portions in their controlled position.
Description
United States Patent [72] Inventor Masaaki Sato Ilachioji-shi, Japan [2] Appl. No. 721,833 [22] Filed Apr. 16, 1968 [45] Patented Jan. 26, 1971 [73] Assignee Olympus Optical Co., Ltd.
Tokyo, Japan a corporation of Japan [32] Priority Apr. 20, 1967, Feb. 26, 1968, Mar. 11,
1968 1 J p [31] 42/24827/1967, 43/ 11793/ 1968 and [54] MECHANISM FOR CONTROLLING FLEXURE OF ENDOSCOPE 10 Claims, 39 Drawing Figs.
[52] U.S. Cl 128/4, 356/241 [51] Int. Cl A6lb H00 [50] Field of Search. 128/4, 6,5, 7, 8, 9; 138/120; 356/241, 259(Inquired), 256(Inquired); 95/1 1, 281(Inquired) [56] References Cited UNITED STATES PATENTS 3,071,161 1/1963 Ulrich 138/120 3,091,235 5/1963 Richards 128/6 GIG 3,162,214 12/1964 Bazinet, Jr 138/120 3,190,286 6/1965 Stokes 128/6 3,253,524 5/1966 Ashizawa et a1. 95/11 FOREIGN PATENTS 880,639 10/1961 Great Britain 128/4 Primary Examiner-Adele M. Eager Assistant Examiner-G. F. Dunne Attorney-Kurt Kelman ABSTRACT: Mechanism for controlling flexture of an endoscope which comprises at least two flexible portions each including a plurality of tubular short articulated segments having their faces tapered to fonn diametrically extending pivot ridges and flexibly connected to and in alignment with each other by means of wires extending through said ridges with the ridge of one segment bearing against the opposite ridge of the next segment, at least two sets of tension wires extending through said segments to a control portion of the endoscope through a connecting portion connecting said controllable flexible portion to said control portion so as to be connected to an operating mechanism therein, the forward ends of each of said sets of tension wires being secured to the forward ends of the respective flexible portions thereby permitting each of the flexible portions to be bent by activating the set of tension wires secured thereto by means of said operating mechanism separately from other flexible portion(s).
Brake means are provided to releasably maintain the flexible portions in their controlled position.
, PATENTED JAN-26 I971 SHEET 1 BF 7 IN WIN 1'0 R.
H AS An K sAT MECHANISM FOR CONTROLLING FLEXURE OF ENDOSCOPE BACKGROUND OF THE INVENTION SUMMARY OF THE INVENTION The present invention provides a novel and useful control mechanism for bending the controllable flexible portion of an endoscope in which at least two groups are provided in said flexible portion, each of which groups can be bentseparately from the other group(s) in desired direction by selectively pulling wire means connected to the group in question by operatingcontrol lever means in the control portion of the endoscope to which said wire means endoscope connecting said flexible portion to the control portion.
The positions of the lever means are adapted to correspond to the bent state of the controllable flexible portion thereby permitting the bent state of the flexible portion to be exactly and conveniently detected from the exterior by the controlled position of the lever means when the endoscope is used for inspection.
Brake means are provided in the control mechanism to positively maintain the bent state of the flexible portion given by the operation of the control mechanism thereby preventing the bent state of the flexible portion from being unexpectedly changed by the external force.
BRIEF DESCRIPTION OF THE DRAWINGS FIGS. 1 and 2 are schematic general views of two kinds of endoscopes showing the manners how the flexible portions are bent, respectively;
FIG. 3 is a schematic view showing the principle of the control mechanism for bending the flexible portion of one embodiment of the endoscope constructed in accordance with the present invention;
FIG. 4 is a fragmentary cross-sectional view taken along line X-X in FIG. 3;
FIG. 5A is a cross-sectional view taken along line Y-Y in FIG. 3;
FIG. 5B is a cross-sectional view taken along line Z-Z in FIG. 3;
FIGS. 6 to 14 are general views of the endoscope provided with the control mechanism shown in FIGS. 3 and 4, respectively, showing the manner how the flexible portion of the endoscope is bent in accordance with the operation of the control knobs in the control mechanism;
FIG. 15 is a fragmentary cross-sectional view similar to FIG. 4 but showing the portion of the control mechanism provided with brake means constructed in accordance with the present invention;
FIG. 16 is an exploded perspective view showing the main parts of an embodiment of the brake means shown in FIG. 15;-
FIG. 17A is a schematic general viewsimilar to FIG. 3 but showing the principle of the control mechanism for bending the flexible portion of the second embodiment of the endoscope constructed in accordance withthe present invention; I
FIG. 17B is a fragmentary view showing the modification of the actuating means using drum means in place of pinion-rack means employed in the actuatingmeans shown in FIG. 17A;
FIG. 18 is a cross-sectional view taken along line Y-Y in FIG. 17A
FIG. 19 is a cross-sectional view taken along line Z-Z in FIG. 17A;
FIG. 20 is a fragmentary cross-sectional view taken along line XX in FIG. 17A showing the control mechanism;
FIG. 2] is a view similar to FIG. 20 but showing a modification of the control mechanism provided with brake means;
FIG. 22 is a fragmentary view showing the main parts of brake means in the control mechanism of FIG. 21;
FIGS. 23 and 24 are general views of the endoscope provided with the control mechanism as shown in FIG. 20 or 22, respectively. showing the manners how the flexible portion of the endoscope is bent in accordance with the operation of the control knobs in the control mechanism;
FIG. 25 is a fragmentary view partly in cross section of another embodiment of the endoscope constructed in accordance with the present invention;
FIG. 26 is a fragmentary cross sectional view showing the flexible portion shown in FIG. 25;
FIG. 27 is a side view of the portion shown in FIG. 26;
FIG. 28 is a front view of the tubular segment constituting the flexible portion shown in FIG. 27;
FIG. 29 is a front view of the intermediate ring employed in the endoscope shown in FIG. 25; and
FIGS. 30 to 37 are fragmentary views of the flexible portion of the endoscope shown in FIG. 25, respectively, showing the manners how the flexible portion of the endoscope is bent in accordance with the operation of the control mechanism of the endoscope shown in FIG. 25.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT Prior to the description of the present invention, operation of the prior art endoscopes will be described briefly for the better understanding of the present invention.
FIG. I shows one type of the prior art endoscope in which camera portion 1 is connected to one end of flexible portion 3 by articulated portion 2. The other end of flexible portion 3 is connected to control housing 4 provided with control knob 5 which actuates said articulated portion 2 through wires extending through flexible portion 3 so that camera portion I is bent at an angle with respect to the axis of the end of flexible portion 3 to which camera portion 1 is connected through articulated' portion 2.
In order to facilitate the inspection by using the endoscope, flexible portion 3'can be rotated about its axis together with control housing 4 relative to grip means rotatably mounted on control housing 4. The grip means is provided with angular graduation cooperating withthe index provided on control housing 4 so that the degree of rotation of flexible portion 3 and hence the direction of camera portion 1 can be detected by means of the graduation and the index.
FIG. 2 shows another type of the prior art endoscope, in which controllable flexible portion 6 is employed in place of articulatedportion shown in FIG. I.
In the prior art endoscopes as shown in FIGS. 1 and 2, it is difiicult to exactly detect the direction of the camera portion and the degree of the bending thereof during the inspection using the endoscope, because the inspection is usually carried out in the dim place.
Now various embodiments of the present invention will be described in detail with reference to FIGS. 3--37.
Referring to FIG. 3 showing the principle of the control mechanism for bending the controllable flexible portion of the endoscope constructed in accordance with the present invention, camera portion I is connected to one end of first controllable flexible portion II, and the other end of said first controllable flexible portion II is connected to one end of second controllable flexible portion III, the other end of said second controllable flexible portion'III being in turn connected to one end of flexible elongated connecting portion IV yieldingly bendable in accordancewith the configuration of the path leading to the hollow space in the living body to be inspected.
The other end of said flexible elongated connecting portion IV is connected to control portion V, in which the control mechanism for actuating said first and second flexible portions II, III is provided.
As shown in FIGS. 3 and 5A, said first flexible portion II comprises a plurality of. relatively short articulated tubular segments 8 all of which are of identical construction. As shown in FIG. 3, both faces of each of segments 8 are tapered to form diametrically extending pivot ridges N-N, respectively. As shown in FIGS. 3 and 58, said second flexible portion Ill comprises a plurality of relatively short articulated tubular segments 8' substantially similar to segments 8. All of said segments 8' are of identical construction. Hollow space 9 is provided in each of said segments 8, 8', through which the film loaded in camera portion I and lead wires for energizing the lamp in camera portion I or a light conducting fiber optical system and other elements extend. As shown in FIGS. 5A and 5B, small holes 10, are provided at positions in diametrically extending pivot ridges N-N of each of segments 8, 8. Wire 11 extends through each of said holes 10, one end of said wire 11 being fixed to forward end segment 8a one face of which is tapered to form a diametrically extending pivot ridge similar to that of segment 8, said segment 8a being connected to camera portion I, while the other end of said wire 1 l is fixed to rear end segment 8'c which is similar to segment 80 and connected to the forward end of flexible connecting portion IV, so that segments 8, 8' are urged toward each other and aligned with each other by wires 11 with said ridge of one segment bearing against the opposite ridge of the next segment thereby permitting each of segments 8, 8' to be relatively pivoted to the next segment about diametrically extending pivot ridge N-N. Small holes 12, 12' are provided in each of segments 8 adjacent to the center line normal to ridge N-N as shown in FIG. 5A, and small holes 12, 12, 14,14 are provided in each of segments 8 adjacent to the center line normal to ridge N-N as shown in FIG. 5B, the positions of holes 12, 12 in each of segments 8' corresponding to those of holes 12, 12' in each of segments 8, respectively. Wires 13, 13' extend through holes 12 and 12' in each of segments 8, 8, respectively, one end of each of wires 13, 13' being fixed to segment 80, while the other end of each of wires 13, 13 extends through flexible connecting portion IV and is connected to the periphery of control drum 16 provided in control portion V, which is operated by a control lever described hereinafter. Wires and 15' extend through holes 14, 14' in each of segments 8, respectively, one end of each of wires .15, 15 being fixed to forward end segment 8'b similar in construction to segment 8' and located at the forward end of second flexible portion III and connected to the rear end of first flexible portion II, while the other end of each of wires 15, 15' extends through flexible connecting portion IV and connected to the periphery of another control drum 17 which is provided in control portion V coaxially with previously described-control drum 16 and operated by another control lever as described hereinafter.
As shown in FIG. 4, drum 17 is fixedly secured to shaft 19 journaled in bearings 18 provided in the housing of control portion V, disc 20 and second control lever 21 being fixedly secured to said shaft 19. Drum 16 isrotatably supported by shaft 19 and gear 22 is integrally fixed to drum 16. Said gear 22 meshes with intermediate gear 24 rotatably fitted on shah 23 which is fixed to disc 20. Said intermediate gear 24 also meshes with gear 25 fixedly secured to shaft 26 which is rotatably journaled in a bearing secured to disc 20. First control lever 27 is fixedly secured to the outer end of shaft 26. A stationary lever 28 is secured to cover 29 of control portion V as shown in FIG. 4, said stationary lever 28 serving to indicate the relative positions of said control levers 21, 27 with respect I to control portion V.
The positions of levers 21 and 27 are so determined that they are aligned with stationary lever 28 when camera portion I, first flexible portion II and second flexible portion III are aligned as shown in FIG. 6.
The operation of the endoscope as described above is as follows. Starting from the condition of the endoscope shown in FIG. 6, when both levers 21, 27 are simultaneously rotated in the anticlockwise direction as shown in FIG. 10, drum 17 is rotated by the actuation of second lever 21 so as to pull wire 15' and loosen wire 15 thereby causing second flexible portion III to be bent as shown in FIG. 3. In this case, drum 16 also rotates together with drum 17 by virtue of the engagement of gear 22 with gear 25 through intermediate gear 24, gear 25 being kept stationary relative to lever 21, so that wire 13 is pulled to the same extent as wire 15' while wire 13 is loosened, however, the positions of wires 13, 13' relative to segment 8'b do not change, because the bending of second flexible portion III absorbs the movement of wires I3, 13' within the range of second flexible portion III. Therefore, first flexible portion II is not bent. As shown in FIG. 10, the relative positions of control levers 21, 27 with respect to stationary lever 28 exactly corresponds to the bent state of first and second flexible portions II, III. When first control lever 27 is further rotated anticlockwise from the condition shown in FIG. 10 to the condition shown in FIG. 12, only drum I6 is further rotated by the engagement of gear 22 with gear 25 through gear 24, so that wire 13' is further pulled and wire 13 is loosened thereby causing first flexible portion II to be bent toward the right in FIG. 3 to assume the condition shown in FIG. 12. In this case, relative positions of levers 21, 27 with respect to stationary lever 28 also correspond to the bent state of first and second flexible portions II, III.
In the similar way, first and second flexible portions II, III can be selectively bent as desired as shown in FIG. 7 to 9, 11, 13 and 14 by appropriately operating either or both levers 21, 27, the relative positions of levers 21, 27, 28 indicating the bent state of the flexible portions, respectively.
In order to prevent the control of flexible portions II, III from being disturbed by the external force applied inadvertently by the path leading to the hollow space in the living body through which the endoscope is inserted, it is preferable to provide friction means or click stop means between disc 20 and lever 27, alternatively, wonn gear means may be employed between levers 21, 27 and drums 17, 16, respectively.
It is also evident that the present invention described above can be incorporated in the flexible portion using articulated portions as shown in FIG. 1 which can bend the flexible portions at a plurality of points.
It is also evident that drums l6, 17 can be replaced by pinion-rack means which can pull or loosen wires in the similar way as described hereinbelow.
FIG. 15 shows a modification of the control mechanism shown in FIGS. 3 and 4. The mechanism shown in FIG. 15 is provided with brake means in order to positively maintain the controllable flexible portions in their controlled states. The mechanism shown in FIG. 15 is similar to that shown in FIG. 4 except that brakedrum 30 having annular V-shaped groove 30 in its periphery and secured to bearing plate 18 is adapted to rotatably support shaft 19 and that brake drum 31 having annular V-shaped groove 31 in its periphery is integrally secured to gear 25, said brakedrums 30 and 31 being adapted to be releasably clamped between a pair of brakeshoes 32, 32' each having mating surfaces 32a, 32a engageable with V- shaped grooves 30' 31' of said brakedrums 30 and 31. Said pair of brake drums 30, 31 are relatively movably assembled by a pair of bolts and nuts 33, 33 as shown in FIG. 16. Springs 34 are provided on bolts 33 between nuts 33' and brake shoe 32' so as to normally urge the pair of brake shoes 32, 32' toward each other so that brakedrums 30, 31 are tightly clamped therebetween when braking action is desired to be applied to the shoes. Shaft 36 extends rotatably through control lever 21 and disc 28, the outer end of said shaft 36 being provided with knob 37 while brake releasing piece 35 is secured to the inner end of shaft 36. Piece 35 has an elongated configuration in cross section inthe plane normal to the axis of shaft 36 so that when shaft 36 is rotated by knob 37, brakeshoes 32, 32' are moved between a position in which shoes 32, 32' are urged toward each other by the action of spring 34 so that the braking action is appliedto brakedrums 30, 31 and a position in which brakedrums 30, 31 are released from brakeshoes 32, 32.
In operation. when first control lever 27 is rotated, gear 22 and hence drum 16 are rotated through gear 25 fixed to lever 27 and intermediate gear 24 so that first flexible portion II is bent. Drum 16 is positively held in its controlled position by virtue of the braking action applied to brakedrum 31 fixed to gear 25, thereby permitting first flexible portion II to be maintained in its controlled state. When second control lever 21 is rotated, gear 25 rotates about the axis of shaft 19. together with the pair of brakeshoes 32, 32 while gear 25 is prevented from rotating about its axis relative to disc 20 by virtue of braking action of shoes 32, 32'. Lever 21 is held in its controlled position by virtue of the braking action acting between brakedrum 30 fixed to bearing plate 18 and brakeshoes 32, 32' rotatable about the axis of shafi 19 together with second control lever 21. Therefore, the mechanism shown in FIG. permits the controllable flexible portions of the endoscope to be positively held in their controlled state. When it is desired to release the brake means, it is only necessary that to rotate knob 37 so as to move brakeshoes 32, 32' away from brakedrums 30, 31.
FIGS. 17A to show the second embodiment of the endoscope constructed in accordance with the present invention. The endoscope shown in FIG. 17A is similar to that shown in FIG. 3 except that pinion 55 and a pair of racks 57, 57' meshing with pinion 55 for actuating wires 48, 48' and pinion 54 and a pair of racks 56, 56' meshing with pinion 54 for actuating wires 46, 46 are provided in place of drums 16, 17 of FIG. 3, and that closely wound helical springs 60, 60 extend from abutment portion 53 of control portion V to rear end segment 8d of first flexible portion 11 through which wires 48 and 48' extend as shown in FIGS. 17A, 18 and 19, respectively, and closely wound helical springs 59, 59 extend between said abutment portion 53 and rear end segment 8c of second flexible portion III through which wires 46, 46 extend as shown in FIGS. 17A and 19, respectively.
It must be noted that, in the construction shown in FIG. 3, when second flexible portion III is to be bent, wires 13, 15 (or 13, 15) must be simultaneously pulled while only wire 13 (or 13') must be pulled in order to bend first flexible portion II, whereas, in the construction shown in FIG. 17A, since closely wound helical springs are provided, it is only necessary to pull only wire 48 (or 48') in order to bend second flexible portion III while first flexible portion II can be bent by pulling only wire 46 (or 46').
In operation, pinion 55 or 54 is selectively rotated so as to bend either of first or second flexible portion II or III, while both pinions 55 and 54 are rotated in desired directions so as to bend both first and second flexible portions II, III as shown in FIGS. 23 and 24.
FIG. 178 shows a modification of the control mechanism shown in FIG. 17A. The control mechanism shown in FIG. 178 comprises drum 55 and 54' for actuating wires 48 48,
46, 46', respectively, in place of pinion-rack means 55, 57, 57, 54, 56, 56' shown in FIG. 17A. The operation of the control mechanism of FIG. 17B is similar to that shown in FIG. 17A.
FIG. 20 shows the detail of the control mechanism to be used in the endoscope shown in FIG. 17A. The control mechanism shown in FIG. 20 is similar to that shown in FIG. 4 except that drums 16, 17 for pulling wires shown in FIG. 4 are replaced with pinions 55, 54 and pairs of racks 57, 57, 56, 56' meshing with pinions 55, 54, respectively, as shown in FIG. 20, pinion 54 being fixedly mounted on separate shaft 58 rotatably mounted in bearing plate 18 to which shaft 58 gear 61 is secured. Gear 61 meshes with intermediate gear 64 rotatably fitted on shaft 69 to which second lever 21, disc 20 and pinion 55 are secured. Intermediate gear 64 meshes with gear 62 fixed to shaft 26 to which first lever 27 is fixed. When first lever 27 is rotated, gear 62, intermediate gear 64 and gear 61 are rotated so that pinion 54 actuates racks 56, 56' thereby pulling wire 46 or 46' so as to bend first flexible portion II in desired direction. When second lever 21 is rotated, pinion 55 actuates racks 57, 57 thereby pulling wire 48 or 48' so as to bend second flexible portion III in desired direction. In this case the rotation of lever 21 causes gear 62 to be rotated about the axis of intermediate gear 64 thereby rotating intermediate gear 64 together with shaft 69. However, since the ratio of gear 61 to intermediate gear 64 is made sufficiently small in the present invention, the bending of first flexible portion [I resulting from the rotation of gear 62 about intermediate gear 64 when only second flexible portion III is to be bent can be neglected.
FIGS. 21 and 22 show a modification of the control mechanism shown in FIG. 20.
The control mechanism shownin FIG. 21 is similar to that shown in FIG. 20 except that brake means similar to those shown in FIG. 15 are added. In the brake means shown in FIGS. 21 and 22, axially shiftable shaft 36' having knob 37 at its outer end and tapered end portion 35 at its inner end is provided in place of rotatable shaft 36 of FIG. 15 in order to move shoes 32, 32' part from each other by inserting tapered end portion 35' between shoes 32, 32' by pushing shaft 36 downwardly when it is desired to release the brake means. The operation of the control mechanism shown in FIGS. 21 and 22 is similar to that shown in FIGS. 15 and 20.
FIGS. 23 and 24 show some of the manners how the first and second flexible portions are bent. It is evident from FIGS. 23 and 24 that the relative positions of levers 21, 27 indicate the bent state of the first and second flexible portions determined by the operation of the levers.
FIG. 25 shows another embodiment of the present invention. In FIG. 25, casing 101 of head I housing therein the inspecting or photographing mechanism and other means is connected to the forward end of controllable flexible portion II, the other end of which is connected to the forward end of elongated flexible connecting portion In by means of connecting ring 105, the other end of said connecting portion III being in turn connected to control housing of the endoscope not shown. Sheath 102 covers watertightly portions II' and III. Controllable flexible portion 11' comprises two groups II'a, IIb as shown in FIG. 26. Each of groups II'a, IIb is constituted by a plurality of relatively short tubular segments 103 similar in construction and arrangement to those as shown in FIG. 3. A hollow space 106 is provided in each of segments 103 through which a fiber optical system or photographic film and other elements employed in the endoscope is adapted to pass. Both faces of each of segments 103 are tapered to form diametrically extending pivot ridges 103a, respectively, in the same manner as shown in FIG. 3. Diametrically opposed two small holes 107 are provided at positions where ridges 103a are formed, througheach of which wire 112 extends, one end of which is secured to ring while the other end is secured to casing 101, thereby flexibly urging segments 103 toward each other and aligning segments 103 with each other. Further, each of segments 103 is provided with small holes or cut out portions 108a and 1108b in the center line normal to said ridges 103a. Intermediate ring 104 is interposed between groups lla and llb as shown in FIG. 26. One face of ring 104 is tapered to form a diametrically extending pivot ridge 104a, and the other face may be flat or tapered to form a diametrically extending ridge. Ring 104 is provided with holes 109, 109 similar to holes 107 in segment 103 and holes or cutout portions 110a, 1 10b similar to holes or cutout portions 108a of segment 103. Further holes 111a, ll1b are provided in ring 104 at the positions outside of said holes or cutout portions llllla, 110b, respectively, as shown. Small holes llllla and 110'b are provided in the forward and end face of ring 104, the positions of said holes 110a, llltl'b corresponding to said holes or cutout portions 110a, 110b, respectively. The forward end face of connecting ring 105 has the same configuration as the forward end face of intermediate ring 104. Tension wires 113a and 11311 extend through holes 108a, Nb of each of segments 103, holes 11011, 11% of connecting ring 104, respectively. One end of each of wires 113a, l1l3b is secured to casing 101, while the other end of each of wires 113a, 113!) extends through connecting portions Ill and is connected to a winding mechanism provided in the control housing not shown. Closely wound helical spring 1141 is provided around each of wires 113a, 113b, one end of each of springs 114 abutting against ring 104 as shown in FIG. 26 while the other end of each of springs 11 14 abuts against the abutment surface provided in the control housing. One ends of tension wires 115a, 1115b are secured to holes 111a, 111b, respectively, of intermediate ring 104 as shown in FIG. 26. Wires 115a, 1l5b extend through group llb of controllable flexible portion ll and flexible connecting portion Ill and the other ends of wires 1115a, 1115b are connected to another winding mechanism in the control housing. Closely wound helical springs 116 are provided around wires 1150, 115b, respectively. One end of each of springs 116 abuts against connecting ring 105 as shown in FIG. 26, while the other end of each of springs 116 abuts against the abutment surface provided in the control housing. Closely wound helical springs 114i and wires 113a, 1113b passing therethrough extend through group llb of flexible portion l1 and flexible connecting portion ill with sufficient surplus length so as to permit group llb and connecting portion III to be bent without requiring any relative move ment between springs 114 and wires 113a, 1l3b passing therethrough so that the relative movement of wires 113a, 11l3b with respect to springs 1114 given at the side of control housing by the operation of the winding mechanism can be exactly transmitted to the other sides of wires remote from the control housing. Similarly, springs 116 and wires 115a, 1115b extend through connecting portion III with sufficient surplus length so that connecting portion Ill can be bent without requiring any relative movement of wires 1115a, 11512 with respect to springs 1 16. 1
In operation, group ll'a of controllable flexible portion II can be bent in desired direction as shown in FIG. 34 or 35 by operating the winding mechanism for pulling wires 113a or 113k. When it is desired to bend only group llb of flexible portion 11' as shown in FIGS. 36 and 37, only the winding mechanism for pulling wire 1150 or 1115b is operated. If both the winding mechanisms are simultaneously operated, flexible portion ll can be bent to assume any desired configuration as shown in FIGS. 30 to 33 depending upon the selection of the wires to be pulled.
Although the flexible portion has been shown as consisting of two groups, it is evident more than two groups of the controllable flexible portion can be provided in accordance with the teaching of the present invention.
lclaim:
1. Mechanism for controlling the flexure of an endoscope, comprising a controllably flexible portion, a set of tension wires being fixed with their one ends to the forward end of said controllably flexible portion at the peripheral portion thereof and extending therethrough so as to be connected with their other ends to a control means housed in a control portion connected to said controllably flexible portion, thereby permitting said controllably flexible portion to be bent in a desired direction by pulling selected ones of the wires in said set by operating said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections each adapted to be bent in a desired direction separately from each other by pulling selected ones of the wires in the set which are fixed with their one ends to the forward end of each of said sections and which extend through said controllably flexible portion so as to be connected with their other ends to said control means so that each of said sets of wires are actuated separately, and said control means comprises a stationary control lever on said control portion, and a plurality of rotatable control levers in gear relationship with control drums about which the other ends of said set of tension wires are wound, to place the control levers in a substantially parallel relationship with their respective controlled portions.
2. Mechanism according to claim 1, wherein said control means comprises drum means for operating said sets of wires, respectively.
3. Mechanism according to claim 2, wherein said control means comprises brake means adapted to releasably apply braking force to said control means thereby permitting the bent state of the controllable flexible portion given by the operation of said control means to be positively maintained.
4. Mechanism according to claim 1, wherein closely wound noncontractable flexible helical springs are provided around the respective wires of said sets of wires, each of said springs extends from the rear end of the section in the controllably flexible portion to which the wire extending through said each spring belongs to an abutment surface in said control portion thereby permitting the relative movement of each of the wires with respect to the spring therearound occurring at the abutment surface by the operation of the control means to be exactly transmitted to the forward portion of the wire at the forward end of the spring so that the controllably flexible portion is bent in accordance with the operation of the control means.
5. Mechanism for controlling the flexure of an endoscope comprising a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope thereby permitting said controllably flexible portion to be bent in desired direction by pulling a selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises closely wound noncontractable flexible helical springs provided around the respective wires of said pair, each of said springs extending from the rearward end of said controllably flexible portion to an abutment surface stationarily provided in said control portion thereby permitting the relative movement of each of the wires with respect to the spring therearound which occurs at said abutment surface, by the operation of said control means, to be exactly transmitted to the forward portion of the wire at the forward end of the spring so that said controllably flexible portion is bent exactly in correspondence to the operation of said control means.
6. Mechanism for controlling the flexure of an endoscope including a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope, thereby permitting said controllably flexible portion to be bent in desired direction by pulling selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections of which a first section is located at the foremost end of said controllably flexible portion while a second section is connected to the rearward end of said first section, said first and second sections having respectively a pair of tensioning wires with their one ends securely fixed to the respective ends of said first and second sections and extending therealong so as to be connected with their other ends to a first and second control means housed in said control portion, respectively, thereby permitting each of said first and second sections to be bent in desired direction separately from each other by the operation of the control means corresponding to the section to be bent, a first lever rotatably mounted on a rotatable disc rotatably mounted in said control portion at a position radially offset from the center of rotation of said disc and operably coupled to said first control means such that said first section is bent by the operation of said first lever in the same direction, and substantially by the same angle, as those of the rotation of said first lever, and a second lever fixedly secured to said rotatable disc so as to be rotated therewith and operably connected to said second control means such that said second section is bent by the operation of said second lever in the same direction, and substantially by the same angle, as those of the rotation of said second lever, the direction of said first lever being made parallel to the longitudinal direction of said first section with said first lever being located forwardly of said second lever when both said first and second sections are held in the straight state while the direction of said second lever is made parallel to the longitudinal direction of said second section when said second section is held in the straight state, thereby permitting said first lever to be always parallel to said first section regardless of the flexure of said first and second sections by virtue of the mounting of said first lever on said rotatable disc the rotation of which also causes the actuation of said first control means together with said second control means when rotated by the operation of said second lever, while said second lever is made always parallel to said second section regardless of the flexure thereof, so that the state of flexure of said first and second sections is directly indicated by the directions of said first and second levers, respectively.
7. Mechanism according to claim 6, wherein a stationary lever is fixedly secured to said control portion, the direction of said stationary lever being made parallel to the longitudinal direction of the rearward end of said controllably flexible portion connected to said control portion, thereby permitting the state of flexure of the entire length of said controllably flexible portion to be directly indicated by the directions of said stationary lever, said first and second levers, respectively.
8. Mechanism according to claim 6, wherein each of said first and second control means comprises a drum on which the pair of tensioning wires are secured, the drum of said first control means being provided with a coaxial gear integral therewith and rotatably mounted on a shaft secured to said rotatable disc and extending along the axis of rotation thereof, said coaxial gear being coupled with a gear integrally secured to said first lever by the interposition of an idle gear rotatably mounted on said disc, the drum of said second control means being fixedly secured to said shaft secured to said disc, so that the drum of said first control means is rotated by either of the operation of said first lever and the rotation of said disc by the operation of said second lever which also causes the rotation of the drum of said second control means.
9. Mechanism according to claim 6, wherein each of said first and second control means is comprised of pinion-rack means having a pair of parallely located racks adapted to be moved oppositely to each other by a pinion interposed therebetween and engaging therewith with the pair of tensioning wires being secured to said pair of racks, respectively, so as to be actuated thereby, the pinion of said first control means being rotatably mounted on a stationary shaft provided in said control portion and having a coaxial gear integral therewith, said coaxial gear being coupled with a gear integral with said first lever through the interposition of an idle gear rotatably mounted on a center shaft fixedly secured to said rotatable disc along the axis of rotation thereof while the pinion of said second control means is fixedly secured to said center shaft so as to be rotated together with said second lever, so that the pinion of said first control means is rotated by either of the operation of said first lever and the rotation of said disc by the operation of said second lever which also causes the rotation of the pinion of said second control means.
10. Mechanism according to claim 6, wherein said first and second control means are provided with brake means adapted to releasably apply braking force thereto thereby permitting the bent state of said first and second sections to be positively maintained.
Claims (10)
1. Mechanism for controlling the flexure of an endoscope, comprising a controllably flexible portion, a set of tension wires being fixed with their one ends to the forward end of said controllably flexible portion at the peripheral portion thereof and extending therethrough so as to be connected with their other ends to a control means housed in a control portion connected To said controllably flexible portion, thereby permitting said controllably flexible portion to be bent in a desired direction by pulling selected ones of the wires in said set by operating said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections each adapted to be bent in a desired direction separately from each other by pulling selected ones of the wires in the set which are fixed with their one ends to the forward end of each of said sections and which extend through said controllably flexible portion so as to be connected with their other ends to said control means so that each of said sets of wires are actuated separately, and said control means comprises a stationary control lever on said control portion, and a plurality of rotatable control levers in gear relationship with control drums about which the other ends of said set of tension wires are wound, to place the control levers in a substantially parallel relationship with their respective controlled portions.
2. Mechanism according to claim 1, wherein said control means comprises drum means for operating said sets of wires, respectively.
3. Mechanism according to claim 2, wherein said control means comprises brake means adapted to releasably apply braking force to said control means thereby permitting the bent state of the controllable flexible portion given by the operation of said control means to be positively maintained.
4. Mechanism according to claim 1, wherein closely wound noncontractable flexible helical springs are provided around the respective wires of said sets of wires, each of said springs extends from the rear end of the section in the controllably flexible portion to which the wire extending through said each spring belongs to an abutment surface in said control portion thereby permitting the relative movement of each of the wires with respect to the spring therearound occurring at the abutment surface by the operation of the control means to be exactly transmitted to the forward portion of the wire at the forward end of the spring so that the controllably flexible portion is bent in accordance with the operation of the control means.
5. Mechanism for controlling the flexure of an endoscope comprising a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope thereby permitting said controllably flexible portion to be bent in desired direction by pulling a selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises closely wound noncontractable flexible helical springs provided around the respective wires of said pair, each of said springs extending from the rearward end of said controllably flexible portion to an abutment surface stationarily provided in said control portion thereby permitting the relative movement of each of the wires with respect to the spring therearound which occurs at said abutment surface, by the operation of said control means, to be exactly transmitted to the forward portion of the wire at the forward end of the spring so that said controllably flexible portion is bent exactly in correspondence to the operation of said control means.
6. Mechanism for controlling the flexure of an endoscope including a controllably flexible portion, a pair of tensioning wires fixed with their one ends to the forward end of said controllably flexible portion at substantially diametrically opposite peripheral positions adjacent to the center line normal to the neutral plane of bending of said controllably flexible portion and extending therealong so as to be connected with their other ends to a control means housed in a control portion of the endoscope, thereby permitting said controllably flexible portion to be bent in desired direction by pulling selected one of said wires in said pair by the operation of said control means, wherein the improvement comprises the fact that said controllably flexible portion comprises at least two sections of which a first section is located at the foremost end of said controllably flexible portion while a second section is connected to the rearward end of said first section, said first and second sections having respectively a pair of tensioning wires with their one ends securely fixed to the respective ends of said first and second sections and extending therealong so as to be connected with their other ends to a first and second control means housed in said control portion, respectively, thereby permitting each of said first and second sections to be bent in desired direction separately from each other by the operation of the control means corresponding to the section to be bent, a first lever rotatably mounted on a rotatable disc rotatably mounted in said control portion at a position radially offset from the center of rotation of said disc and operably coupled to said first control means such that said first section is bent by the operation of said first lever in the same direction, and substantially by the same angle, as those of the rotation of said first lever, and a second lever fixedly secured to said rotatable disc so as to be rotated therewith and operably connected to said second control means such that said second section is bent by the operation of said second lever in the same direction, and substantially by the same angle, as those of the rotation of said second lever, the direction of said first lever being made parallel to the longitudinal direction of said first section with said first lever being located forwardly of said second lever when both said first and second sections are held in the straight state while the direction of said second lever is made parallel to the longitudinal direction of said second section when said second section is held in the straight state, thereby permitting said first lever to be always parallel to said first section regardless of the flexure of said first and second sections by virtue of the mounting of said first lever on said rotatable disc the rotation of which also causes the actuation of said first control means together with said second control means when rotated by the operation of said second lever, while said second lever is made always parallel to said second section regardless of the flexure thereof, so that the state of flexure of said first and second sections is directly indicated by the directions of said first and second levers, respectively.
7. Mechanism according to claim 6, wherein a stationary lever is fixedly secured to said control portion, the direction of said stationary lever being made parallel to the longitudinal direction of the rearward end of said controllably flexible portion connected to said control portion, thereby permitting the state of flexure of the entire length of said controllably flexible portion to be directly indicated by the directions of said stationary lever, said first and second levers, respectively.
8. Mechanism according to claim 6, wherein each of said first and second control means comprises a drum on which the pair of tensioning wires are secured, the drum of said first control means being provided with a coaxial gear integral therewith and rotatably mounted on a shaft secured to said rotatable disc and extending along the axis of rotation thereof, said coaxial gear being coupled with a gear integrally secured to said first lever by the interposition of an idle gear rotatably mounted on said disc, the drum of said second control means being fixedly secured to said shaft secured to said disc, so that the drum of said first control means is rotated by either of the operation of said first lever and the rotaTion of said disc by the operation of said second lever which also causes the rotation of the drum of said second control means.
9. Mechanism according to claim 6, wherein each of said first and second control means is comprised of pinion-rack means having a pair of parallely located racks adapted to be moved oppositely to each other by a pinion interposed therebetween and engaging therewith with the pair of tensioning wires being secured to said pair of racks, respectively, so as to be actuated thereby, the pinion of said first control means being rotatably mounted on a stationary shaft provided in said control portion and having a coaxial gear integral therewith, said coaxial gear being coupled with a gear integral with said first lever through the interposition of an idle gear rotatably mounted on a center shaft fixedly secured to said rotatable disc along the axis of rotation thereof while the pinion of said second control means is fixedly secured to said center shaft so as to be rotated together with said second lever, so that the pinion of said first control means is rotated by either of the operation of said first lever and the rotation of said disc by the operation of said second lever which also causes the rotation of the pinion of said second control means.
10. Mechanism according to claim 6, wherein said first and second control means are provided with brake means adapted to releasably apply braking force thereto thereby permitting the bent state of said first and second sections to be positively maintained.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2482767 | 1967-04-20 | ||
JP43011793A JPS4841631B1 (en) | 1968-02-26 | 1968-02-26 | |
JP1852268 | 1968-03-11 |
Publications (1)
Publication Number | Publication Date |
---|---|
US3557780A true US3557780A (en) | 1971-01-26 |
Family
ID=27279585
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US721833A Expired - Lifetime US3557780A (en) | 1967-04-20 | 1968-04-16 | Mechanism for controlling flexure of endoscope |
Country Status (2)
Country | Link |
---|---|
US (1) | US3557780A (en) |
DE (1) | DE1766209B2 (en) |
Cited By (221)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3694094A (en) * | 1970-12-22 | 1972-09-26 | Nasa | Borescope with variable angle scope |
US3788303A (en) * | 1972-01-24 | 1974-01-29 | American Cystoscope Makers Inc | Orthogonally deflectable endoscope |
US3892228A (en) * | 1972-10-06 | 1975-07-01 | Olympus Optical Co | Apparatus for adjusting the flexing of the bending section of an endoscope |
US4078555A (en) * | 1974-12-26 | 1978-03-14 | Nagashige Takahashi | Control device for an endoscope |
DE2752325A1 (en) * | 1976-12-16 | 1978-07-06 | Nagashige Takahashi | Endoscope distal end bending mechanism - has twin rack and pinion drives for tensioning wires and separate adjusting screws |
DE2917465A1 (en) * | 1978-05-02 | 1979-12-13 | Medos Kenkyusho Kk | DIRECTION CONTROLLER |
FR2475386A1 (en) * | 1980-02-08 | 1981-08-14 | Fort Francois | Endoscope with pivotable head - has bidirectional motor rotating eyepiece w.r.t. optical fibre bundle |
US4351323A (en) * | 1979-10-20 | 1982-09-28 | Kabushiki Kaisha Medos Kenkyusho | Curvable pipe assembly in endoscope |
EP0094791A2 (en) * | 1982-05-17 | 1983-11-23 | Advanced Technology Laboratories, Inc. | Ultrasonic endoscope having elongated array mounted in manner allowing it to remain flexible |
US4432349A (en) * | 1979-04-03 | 1984-02-21 | Fuji Photo Optical Co., Ltd. | Articulated tube structure for use in an endoscope |
WO1984002196A1 (en) * | 1982-11-19 | 1984-06-07 | Haduch Judith E Legal Represen | Flexible inspection system |
FR2544978A1 (en) * | 1983-04-29 | 1984-11-02 | Warner Lambert Tech | METHOD FOR TILTING THE TIP OF AN ENDOSCOPE AND CORRESPONDING ENDOSCOPE |
US4561427A (en) * | 1983-01-05 | 1985-12-31 | Masazumi Takada | Endoscope |
US4655257A (en) * | 1985-03-25 | 1987-04-07 | Kabushiki Kaisha Machida Seisakusho | Guide tube assembly for industrial endoscope |
US4659195A (en) * | 1986-01-31 | 1987-04-21 | American Hospital Supply Corporation | Engine inspection system |
US4686963A (en) * | 1986-03-05 | 1987-08-18 | Circon Corporation | Torsion resistant vertebrated probe of simple construction |
US4688555A (en) * | 1986-04-25 | 1987-08-25 | Circon Corporation | Endoscope with cable compensating mechanism |
US4762119A (en) * | 1987-07-28 | 1988-08-09 | Welch Allyn, Inc. | Self-adjusting steering mechanism for borescope or endoscope |
US4762118A (en) * | 1987-07-28 | 1988-08-09 | Welch Allyn, Inc. | Self-adjusting steering mechanism for borescope, endoscope, or guide tube |
US4773395A (en) * | 1987-05-12 | 1988-09-27 | Olympus Optical Co., Ltd. | Endoscope |
US4787369A (en) * | 1987-08-14 | 1988-11-29 | Welch Allyn, Inc. | Force relieving, force limiting self-adjusting steering for borescope or endoscope |
US4790294A (en) * | 1987-07-28 | 1988-12-13 | Welch Allyn, Inc. | Ball-and-socket bead endoscope steering section |
US4796607A (en) * | 1987-07-28 | 1989-01-10 | Welch Allyn, Inc. | Endoscope steering section |
EP0306723A1 (en) * | 1987-09-01 | 1989-03-15 | Richard Wolf GmbH | Control device for deflecting the distal end of an endoscope |
US4846573A (en) * | 1987-04-10 | 1989-07-11 | Identechs Corporation | Shape memory effect alloy pull wire articulator for borescopes |
DE3905455A1 (en) * | 1988-02-22 | 1989-08-31 | Asahi Optical Co Ltd | DEVICE FOR ADJUSTING THE BEND OF AN ENDOSCOPE |
US4873965A (en) * | 1987-07-31 | 1989-10-17 | Guido Danieli | Flexible endoscope |
GB2226245A (en) * | 1988-11-18 | 1990-06-27 | Alan Crockard | Endoscope, remote actuator and aneurysm clip applicator. |
US5014685A (en) * | 1988-07-13 | 1991-05-14 | Asahi Kogaku Kogyo Kabushiki Kaisha | Brake for bending control device of endoscope |
US5051823A (en) * | 1988-01-28 | 1991-09-24 | Fuji Optical Systems, Inc. | Dental instrument including laser device and electronic video dental camera |
US5164826A (en) * | 1991-08-19 | 1992-11-17 | Westinghouse Electric Corp. | Method and apparatus for visual inspection of the internal structure of apparatus through internal passages |
US5199950A (en) * | 1990-12-07 | 1993-04-06 | Willy Rusch Ag | Medical instrument |
FR2682877A1 (en) * | 1991-06-25 | 1993-04-30 | Sgro Jean Claude | ORIENTABLE DEVICE FOR THE HANDLING OF SURGICAL INSTRUMENTS, PARTICULARLY IN CÓOELIOSCOPIC SURGERY. |
US5251025A (en) * | 1987-03-05 | 1993-10-05 | Fuji Optical Systems, Inc. | Electronic video dental camera |
US5290168A (en) * | 1987-03-05 | 1994-03-01 | Optical Systems, Inc. | Electronic video dental camera |
WO1994011057A1 (en) * | 1992-11-16 | 1994-05-26 | Boaz Avitall | Catheter deflection control |
WO1994010897A1 (en) * | 1992-11-17 | 1994-05-26 | Omega Universal Limited | Deflectable medical instrument |
US5390663A (en) * | 1993-12-23 | 1995-02-21 | Schaefer; Nicholas E. | Canal obstruction remover |
US5398670A (en) * | 1993-08-31 | 1995-03-21 | Ethicon, Inc. | Lumen traversing device |
US5413107A (en) * | 1994-02-16 | 1995-05-09 | Tetrad Corporation | Ultrasonic probe having articulated structure and rotatable transducer head |
US5448989A (en) * | 1993-02-22 | 1995-09-12 | Richard Wolf Gmbh | Medical instrument shaft capable of positive and non-positive linking of segments |
US5454824A (en) * | 1992-10-09 | 1995-10-03 | United States Surgical Corporation | Fragmentable ring applier |
US5462527A (en) * | 1993-06-29 | 1995-10-31 | C.R. Bard, Inc. | Actuator for use with steerable catheter |
DE4417637A1 (en) * | 1994-05-19 | 1995-11-23 | Rudolf Dr Med Bertagnoli | Instrument for the percutaneous treatment of tissue parts |
US5472017A (en) * | 1992-11-17 | 1995-12-05 | Life Medical Technologies, Inc. | Deflectable catheter |
US5487757A (en) * | 1993-07-20 | 1996-01-30 | Medtronic Cardiorhythm | Multicurve deflectable catheter |
US5545200A (en) * | 1993-07-20 | 1996-08-13 | Medtronic Cardiorhythm | Steerable electrophysiology catheter |
US5549542A (en) * | 1992-11-17 | 1996-08-27 | Life Medical Technologies, Inc. | Deflectable endoscope |
DE19520717A1 (en) * | 1995-06-12 | 1996-12-19 | Aesculap Ag | Instrument for surgical use |
US5601538A (en) * | 1995-03-07 | 1997-02-11 | Medtronic, Inc. | Flow directed catheter with hydrophilic distal end |
US5632432A (en) * | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
WO1997018746A2 (en) * | 1995-11-17 | 1997-05-29 | Circon Corporation | Articulation mechanism for an endoscope |
US5666970A (en) * | 1995-05-02 | 1997-09-16 | Heart Rhythm Technologies, Inc. | Locking mechanism for catheters |
US5715817A (en) * | 1993-06-29 | 1998-02-10 | C.R. Bard, Inc. | Bidirectional steering catheter |
US5752644A (en) * | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5762067A (en) * | 1996-05-30 | 1998-06-09 | Advanced Technology Laboratories, Inc. | Ultrasonic endoscopic probe |
US5762603A (en) * | 1995-09-15 | 1998-06-09 | Pinotage, Llc | Endoscope having elevation and azimuth control of camera assembly |
DE19650721A1 (en) * | 1996-12-06 | 1998-06-18 | Wolf Gmbh Richard | Control drive for endoscope |
US5807249A (en) * | 1996-02-16 | 1998-09-15 | Medtronic, Inc. | Reduced stiffness, bidirectionally deflecting catheter assembly |
US5813976A (en) * | 1996-04-02 | 1998-09-29 | Filipi; Charles J. | Stabilizing instrumentation for the performing of endoscopic surgical procedures |
US5817057A (en) * | 1996-09-13 | 1998-10-06 | Micro Interventional Systems, Inc. | Fluid propulsion steerable catheter and method |
US5873817A (en) * | 1997-05-12 | 1999-02-23 | Circon Corporation | Endoscope with resilient deflectable section |
US5987344A (en) * | 1996-08-08 | 1999-11-16 | Medtronic, Inc. | Handle for catheter assembly with multifunction wire |
US6007484A (en) * | 1995-09-15 | 1999-12-28 | Image Technologies Corporation | Endoscope having elevation and azimuth control of camera |
US6165123A (en) * | 1997-08-27 | 2000-12-26 | Pinotage Llc | Controllable multi-directional positioning system |
DE19932022A1 (en) * | 1999-07-09 | 2001-02-08 | Etm Endoskopische Technik Gmbh | Endoscopic device, especially for emergency intubation |
US6270453B1 (en) * | 1998-12-28 | 2001-08-07 | Suzuki Motor Corporation | Bending device for examining insertion tube |
WO2002050619A2 (en) * | 2000-12-21 | 2002-06-27 | Foster-Miller, Inc. | Steerable delivery system |
US6413209B1 (en) | 1995-09-15 | 2002-07-02 | Med Images, Inc. | Imaging system with condensation control |
DE10100533A1 (en) * | 2001-01-09 | 2002-07-18 | Xion Gmbh | Endoscope device especially for emergency medical intubations has improved positioning and control elements that are also more economical and easier to repair than existing devices |
US6428470B1 (en) | 1995-09-15 | 2002-08-06 | Pinotage, Llc | Imaging system and components thereof |
US20030233104A1 (en) * | 2002-06-12 | 2003-12-18 | Scimed Life Systems, Inc. | Suturing instrument with deflectable head |
US6743239B1 (en) | 2000-05-25 | 2004-06-01 | St. Jude Medical, Inc. | Devices with a bendable tip for medical procedures |
US6780151B2 (en) | 1999-10-26 | 2004-08-24 | Acmi Corporation | Flexible ureteropyeloscope |
US6811532B2 (en) * | 2000-10-02 | 2004-11-02 | Olympus Corporation | Endoscope |
US20040236316A1 (en) * | 2003-05-23 | 2004-11-25 | Danitz David J. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US6837849B2 (en) * | 2000-10-02 | 2005-01-04 | Olympus Corporation | Endoscope |
USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US20050096694A1 (en) * | 2003-10-30 | 2005-05-05 | Woojin Lee | Surgical instrument |
US20050107667A1 (en) * | 2003-05-23 | 2005-05-19 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US6899673B2 (en) * | 2000-10-02 | 2005-05-31 | Olympus Corporation | Endoscope |
US20050162643A1 (en) * | 2004-01-22 | 2005-07-28 | Thomas Karpen | Automotive fuel tank inspection device |
US20050168571A1 (en) * | 2004-01-29 | 2005-08-04 | Everest Vit, Inc. | Method and apparatus for improving the operation of a remote viewing device |
WO2005094661A1 (en) * | 2004-03-30 | 2005-10-13 | Cathrx Ltd | A catheter steering device |
US20050273085A1 (en) * | 2004-06-07 | 2005-12-08 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US20050272978A1 (en) * | 2004-06-08 | 2005-12-08 | Brunnen Rainer D | Bendable portion of an insertion tube of an endoscope and method of producing it |
US20050273084A1 (en) * | 2004-06-07 | 2005-12-08 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US20060020287A1 (en) * | 2003-10-30 | 2006-01-26 | Woojin Lee | Surgical instrument |
EP1624792A2 (en) * | 2003-05-19 | 2006-02-15 | Evalve, Inc. | Articulatable access sheath and methods of use |
US20060069311A1 (en) * | 2004-09-30 | 2006-03-30 | Roy Sullivan | Manually controlled endoscope |
US20060095074A1 (en) * | 2003-10-30 | 2006-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20060111210A1 (en) * | 2004-11-23 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US20060111615A1 (en) * | 2004-11-23 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US20060111616A1 (en) * | 2004-11-24 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
WO2006073581A2 (en) | 2004-11-23 | 2006-07-13 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
EP1681013A1 (en) * | 2004-09-03 | 2006-07-19 | Olympus Corporation | Endoscope |
US20060201130A1 (en) * | 2005-01-31 | 2006-09-14 | Danitz David J | Articulating mechanisms with joint assembly and manual handle for remote manipulation of instruments and tools |
US20060264927A1 (en) * | 2005-03-04 | 2006-11-23 | Gyrus Ent, L.L.C. | Surgical instrument and method |
US20070021737A1 (en) * | 2005-04-14 | 2007-01-25 | Woojin Lee | Surgical instrument guide device |
US20070055103A1 (en) * | 2005-08-31 | 2007-03-08 | Siegfried Hoefig | Endoscope with variable direction of view |
US20070184751A1 (en) * | 2006-02-03 | 2007-08-09 | Folkmanis, Inc. | Animated hand puppet & animator therefor |
US20070208364A1 (en) * | 2006-03-02 | 2007-09-06 | Kms Development, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US20070250113A1 (en) * | 2003-05-23 | 2007-10-25 | Hegeman David E | Tool with articulation lock |
US20070251976A1 (en) * | 2000-11-20 | 2007-11-01 | Medigus Ltd. | Stapler for endoscopes |
US20070270648A1 (en) * | 2006-05-22 | 2007-11-22 | Kms Medical Llc | Torque-transmitting, variably flexible insertion device and method for transmitting torque and variably flexing an insertion device |
US20070276430A1 (en) * | 2006-05-23 | 2007-11-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070282371A1 (en) * | 2006-06-05 | 2007-12-06 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070287993A1 (en) * | 2006-06-13 | 2007-12-13 | Hinman Cameron D | Tool with rotation lock |
US20080015631A1 (en) * | 2006-07-11 | 2008-01-17 | Woojin Lee | Surgical instrument |
US20080039691A1 (en) * | 2006-08-10 | 2008-02-14 | Kms Development, Llc | Torque-transmitting, variably-flexible, corrugated insertion device and method for transmitting torque and variably flexing a corrugated insertion device |
US20080046000A1 (en) * | 2006-08-16 | 2008-02-21 | Woojin Lee | Surgical instrument |
US20080065098A1 (en) * | 2006-06-13 | 2008-03-13 | Intuitive Surgical, Inc. | Minimally invasive surgical apparatus with independent imaging system |
US20080255608A1 (en) * | 2007-04-16 | 2008-10-16 | Hinman Cameron D | Tool with end effector force limiter |
US20080255588A1 (en) * | 2007-04-16 | 2008-10-16 | Hinman Cameron D | Tool with multi-state ratcheted end effector |
US20080262492A1 (en) * | 2007-04-11 | 2008-10-23 | Cambridge Endoscopic Devices, Inc. | Surgical Instrument |
US20080275297A1 (en) * | 2007-05-01 | 2008-11-06 | Ethicon Endo-Surgery, Inc. | Endoscopic guide device |
US20080294191A1 (en) * | 2007-05-22 | 2008-11-27 | Woojin Lee | Surgical instrument |
US20090005643A1 (en) * | 2007-06-27 | 2009-01-01 | Syntheon Llc | Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device |
US20090054734A1 (en) * | 2007-08-23 | 2009-02-26 | Tyco Healthcare Group Lp | Endoscopic surgical devices |
US20090069842A1 (en) * | 2007-09-11 | 2009-03-12 | Woojin Lee | Surgical instrument |
US20090171147A1 (en) * | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
US20090171161A1 (en) * | 2007-12-10 | 2009-07-02 | Usgi Medical, Inc. | Steerable endoscopic instruments |
US20090192355A1 (en) * | 2008-01-28 | 2009-07-30 | Mauricio Mejia | Scope for managing difficult pathways and method to improve visibility of the same |
US20090216083A1 (en) * | 2008-02-25 | 2009-08-27 | Neoguide Systems, Inc. | Systems and Methods for Articulating an Elongate Body |
US20090222022A1 (en) * | 2006-03-03 | 2009-09-03 | Corporacion Sanitaria Parc Tauli | Surgical instrument for endoscopic surgery |
US20090240110A1 (en) * | 2008-03-19 | 2009-09-24 | Tetsumaru MIYAWAKI | Endoscope |
US20090247994A1 (en) * | 2008-03-31 | 2009-10-01 | Uwe Bacher | Medical Instrument With A Lockable Bend Control Mechanism |
US20090299344A1 (en) * | 2005-07-20 | 2009-12-03 | Woojin Lee | Surgical instrument guide device |
US20090312772A1 (en) * | 2008-06-11 | 2009-12-17 | Boston Scientific Scimed, Inc. | Suturing instrument and method for uterine preservation |
US20100004508A1 (en) * | 2007-03-29 | 2010-01-07 | Olympus Medical Systems Corp. | Multijointed bending mechanism and multijointed medical equipment having multijointed bending mechanism |
US7648519B2 (en) | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20100030018A1 (en) * | 2008-08-04 | 2010-02-04 | Richard Fortier | Articulating surgical device |
US20100041945A1 (en) * | 2008-08-18 | 2010-02-18 | Isbell Jr Lewis | Instrument with articulation lock |
US20100094090A1 (en) * | 2008-01-28 | 2010-04-15 | Mauricio Mejia | Self-cleaning wireless video stylet with display mounted to laryngoscope blade and method for using the same |
US20100116080A1 (en) * | 2008-11-11 | 2010-05-13 | Intuitive Surgical, Inc. | Robotic linkage |
US20100191256A1 (en) * | 1997-09-12 | 2010-07-29 | Evalve, Inc. | Surgical device for connecting soft tissue |
US20100217283A1 (en) * | 1999-04-09 | 2010-08-26 | Evalve,Inc. | Leaflet suturing |
US20100249497A1 (en) * | 2009-03-30 | 2010-09-30 | Peine William J | Surgical instrument |
US7862554B2 (en) | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
US20110054687A1 (en) * | 2007-12-21 | 2011-03-03 | Robert Oliver Buckingham | Robotic Arm |
US20110090331A1 (en) * | 2009-10-15 | 2011-04-21 | Perceptron, Inc. | Articulating imager for video borescope |
EP2320262A1 (en) | 2009-11-10 | 2011-05-11 | Siemens Aktiengesellschaft | Inspection device and method for positioning an inspection device |
US20110112517A1 (en) * | 2009-11-06 | 2011-05-12 | Peine Willliam J | Surgical instrument |
WO2011058008A1 (en) | 2009-11-10 | 2011-05-19 | Siemens Aktiengesellschaft | Inspection device and method for positioning an inspection device |
US20110184459A1 (en) * | 2008-08-04 | 2011-07-28 | Malkowski Jaroslaw T | Articulating Surgical Device |
US20120238952A1 (en) * | 2008-04-02 | 2012-09-20 | Usgi Medical, Inc. | Endoluminal surgical tool with small bend radius steering section |
US20130012958A1 (en) * | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
US20130023859A1 (en) * | 2011-07-21 | 2013-01-24 | Tyco Healthcare Group Lp | Articulating Links with Middle Link Control System |
US8419720B1 (en) | 2012-02-07 | 2013-04-16 | National Advanced Endoscopy Devices, Incorporated | Flexible laparoscopic device |
US20130255410A1 (en) * | 2012-04-02 | 2013-10-03 | Samsung Electronics Co., Ltd | Robot arm driving apparatus and robot arm having the same |
US20130281924A1 (en) * | 2010-04-13 | 2013-10-24 | Transenterix, Inc. | Segmented instrument shaft with antirotation features |
WO2013180904A1 (en) * | 2012-05-30 | 2013-12-05 | Usgi Medical, Inc. | Endoluminal surgical tool with small bend radius steering section |
US20140088360A1 (en) * | 2011-04-07 | 2014-03-27 | Terumo Kabushiki Kaisha | Medical device |
US8709021B2 (en) | 2006-11-07 | 2014-04-29 | Boston Scientific Scimed, Inc. | Suturing instrument |
US20140123976A1 (en) * | 2011-05-04 | 2014-05-08 | The Regents Of The University Of Michigan | Intubation device |
US8992421B2 (en) | 2010-10-22 | 2015-03-31 | Medrobotics Corporation | Highly articulated robotic probes and methods of production and use of such probes |
US8998801B2 (en) * | 2012-07-02 | 2015-04-07 | Olympus Medical Systems Corp. | Insertion instrument |
US20150133857A1 (en) * | 2013-11-13 | 2015-05-14 | Covidien Lp | Steerable gastric calibration tube |
US9038880B1 (en) * | 2011-04-25 | 2015-05-26 | Cardica, Inc. | Articulated surgical instrument |
US20150202013A1 (en) * | 2012-07-24 | 2015-07-23 | Richard Wolf Gmbh | Shaft for medical instruments, comprising movable sections |
US9089354B2 (en) * | 2003-05-21 | 2015-07-28 | The Johns Hopkins University | Devices, systems and methods for minimally invasive surgery of the throat and other portions of mammalian body |
US9155451B2 (en) | 2006-03-02 | 2015-10-13 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US9161771B2 (en) | 2011-05-13 | 2015-10-20 | Intuitive Surgical Operations Inc. | Medical instrument with snake wrist structure |
US9168050B1 (en) | 2011-03-24 | 2015-10-27 | Cambridge Endoscopic Devices, Inc. | End effector construction |
US20150314107A1 (en) * | 2008-07-07 | 2015-11-05 | Intuitive Surgical Operations, Inc. | Catheter Control Systems |
US9211134B2 (en) | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
US9221179B2 (en) | 2009-07-23 | 2015-12-29 | Intuitive Surgical Operations, Inc. | Articulating mechanism |
US9302073B2 (en) | 2008-03-31 | 2016-04-05 | Karl Storz Gmbh & Co. Kg | Medical instrument with a lockable bend control mechanism |
US9357984B2 (en) | 2013-04-23 | 2016-06-07 | Covidien Lp | Constant value gap stabilizer for articulating links |
US9364955B2 (en) | 2011-12-21 | 2016-06-14 | Medrobotics Corporation | Stabilizing apparatus for highly articulated probes with link arrangement, methods of formation thereof, and methods of use thereof |
US9572628B2 (en) | 2011-09-13 | 2017-02-21 | Medrobotics Corporation | Highly articulated probes with anti-twist link arrangement, methods of formation thereof, and methods of performing medical procedures |
EP2659855A3 (en) * | 2001-06-29 | 2017-03-22 | Intuitive Surgical Operations, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US20170079634A1 (en) * | 2001-11-28 | 2017-03-23 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US9649163B2 (en) | 2010-11-11 | 2017-05-16 | Medrobotics Corporation | Introduction devices for highly articulated robotic probes and methods of production and use of such probes |
US9675380B2 (en) | 2012-08-09 | 2017-06-13 | Medrobotics Corporation | Surgical tool positioning system |
US9730572B2 (en) | 2001-06-29 | 2017-08-15 | Intuitive Surgical Operations, Inc. | Articulate and swappable endoscope for a surgical robot |
US9795765B2 (en) | 2010-04-09 | 2017-10-24 | St. Jude Medical International Holding S.À R.L. | Variable stiffness steering mechanism for catheters |
US9840266B2 (en) | 2013-10-09 | 2017-12-12 | Glidemachines Llc | Apparatus and method for towing a load by a person |
US9855404B2 (en) | 2013-05-03 | 2018-01-02 | St. Jude Medical International Holding S.À R.L. | Dual bend radii steering catheter |
US9901410B2 (en) | 2010-07-28 | 2018-02-27 | Medrobotics Corporation | Surgical positioning and support system |
US9913695B2 (en) | 2013-05-02 | 2018-03-13 | Medrobotics Corporation | Robotic system including a cable interface assembly |
US10004568B2 (en) | 2013-12-30 | 2018-06-26 | Medrobotics Corporation | Articulating robotic probes |
CN108601603A (en) * | 2016-02-05 | 2018-09-28 | 得克萨斯系统大学董事会 | Surgical apparatus |
US10123683B2 (en) | 2006-03-02 | 2018-11-13 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US10159527B2 (en) | 2004-09-24 | 2018-12-25 | Syntheon, Llc | Selective stiffening catheter and methods for operating a selective stiffening catheter |
EP3430967A1 (en) | 2017-07-21 | 2019-01-23 | Karl Storz Imaging, Inc. | A control interface and adjustment mechanism for an endoscope or exoscope |
US10188392B2 (en) | 2014-12-19 | 2019-01-29 | Abbott Cardiovascular Systems, Inc. | Grasping for tissue repair |
US10238495B2 (en) | 2015-10-09 | 2019-03-26 | Evalve, Inc. | Delivery catheter handle and methods of use |
US10238494B2 (en) | 2015-06-29 | 2019-03-26 | Evalve, Inc. | Self-aligning radiopaque ring |
US10314586B2 (en) | 2016-12-13 | 2019-06-11 | Evalve, Inc. | Rotatable device and method for fixing tricuspid valve tissue |
US10363138B2 (en) | 2016-11-09 | 2019-07-30 | Evalve, Inc. | Devices for adjusting the curvature of cardiac valve structures |
US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US10390943B2 (en) | 2014-03-17 | 2019-08-27 | Evalve, Inc. | Double orifice device for transcatheter mitral valve replacement |
US10398553B2 (en) | 2016-11-11 | 2019-09-03 | Evalve, Inc. | Opposing disk device for grasping cardiac valve tissue |
US10413408B2 (en) | 2015-08-06 | 2019-09-17 | Evalve, Inc. | Delivery catheter systems, methods, and devices |
US10426616B2 (en) | 2016-11-17 | 2019-10-01 | Evalve, Inc. | Cardiac implant delivery system |
WO2019200476A1 (en) * | 2018-04-16 | 2019-10-24 | The Hospital For Sick Children | Articulating steerable surgical instrument |
US10524912B2 (en) | 2015-04-02 | 2020-01-07 | Abbott Cardiovascular Systems, Inc. | Tissue fixation devices and methods |
US10524868B2 (en) | 2002-12-06 | 2020-01-07 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
US10588495B2 (en) | 2016-07-28 | 2020-03-17 | Cook Medical Technologies LL | Brake mechanism of a steerable catheter |
US10624618B2 (en) | 2001-06-27 | 2020-04-21 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
US10631871B2 (en) | 2003-05-19 | 2020-04-28 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
US10667815B2 (en) | 2015-07-21 | 2020-06-02 | Evalve, Inc. | Tissue grasping devices and related methods |
US10736632B2 (en) | 2016-07-06 | 2020-08-11 | Evalve, Inc. | Methods and devices for valve clip excision |
US10743876B2 (en) | 2011-09-13 | 2020-08-18 | Abbott Cardiovascular Systems Inc. | System for fixation of leaflets of a heart valve |
US10751507B2 (en) | 2017-04-10 | 2020-08-25 | Syn Variflex, Llc | Thermally controlled variable-flexibility catheters and methods of manufacturing same |
US10775315B2 (en) * | 2018-03-07 | 2020-09-15 | General Electric Company | Probe insertion system |
US10779837B2 (en) | 2016-12-08 | 2020-09-22 | Evalve, Inc. | Adjustable arm device for grasping tissues |
US11065119B2 (en) | 2017-05-12 | 2021-07-20 | Evalve, Inc. | Long arm valve repair clip |
US11122962B2 (en) * | 2016-03-01 | 2021-09-21 | Cook Medical Technologies Llc | Flexible endoscopic support system |
WO2021216411A1 (en) | 2020-04-20 | 2021-10-28 | Enlight Medical Technologies (Shanghai) Co., Ltd. | Catheter with electrically-actuated articulation |
WO2021219181A1 (en) * | 2020-04-27 | 2021-11-04 | Ambu A/S | An articulated bending section body for an insertion endoscope |
US20210401270A1 (en) * | 2020-06-26 | 2021-12-30 | Cook Medical Technologies Llc | Endoscope bending section |
US11246583B2 (en) | 2014-06-18 | 2022-02-15 | Boston Scientific Scimed, Inc. | Insertion devices, anchors, and methods for securing an implant |
US11344188B1 (en) * | 2021-05-30 | 2022-05-31 | OTU Medical Inc. | Actively bendable sheath for delivering medical instrument therethrough and method thereof |
US11503984B2 (en) | 2016-03-01 | 2022-11-22 | Cook Medical Technologies Llc | Deflecting endoscope accessory channels |
US11653947B2 (en) | 2016-10-05 | 2023-05-23 | Evalve, Inc. | Cardiac valve cutting device |
US12048624B2 (en) | 2019-07-15 | 2024-07-30 | Evalve, Inc. | Independent proximal element actuation methods |
US12048448B2 (en) | 2020-05-06 | 2024-07-30 | Evalve, Inc. | Leaflet grasping and cutting device |
US12137909B2 (en) | 2021-12-17 | 2024-11-12 | Abbott Cardiovascular Systems Inc. | Grasping for tissue repair |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4219537A1 (en) * | 1992-06-15 | 1993-12-16 | Martin Neumann | Surgical swab appts. - in which swab strip is fed through a guide to swabbing zone and moved through to give fresh swab material without constant swab replacement |
DE19535179A1 (en) * | 1995-09-22 | 1997-03-27 | Wolf Gmbh Richard | Angled pipe and process for its manufacture |
DE102005054057B4 (en) * | 2005-11-10 | 2017-12-14 | Schölly Fiberoptic GmbH | component |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB880639A (en) * | 1959-06-30 | 1961-10-25 | Juri Alexeevich Tsepelev | Flexible gastroscope |
US3071161A (en) * | 1960-05-16 | 1963-01-01 | Bausch & Lomb | Bidirectionally flexible segmented tube |
US3091235A (en) * | 1960-06-15 | 1963-05-28 | American Optical Corp | Diagnostic instruments |
US3162214A (en) * | 1963-01-16 | 1964-12-22 | American Optical Corp | Flexible tubular structures |
US3190286A (en) * | 1961-10-31 | 1965-06-22 | Bausch & Lomb | Flexible viewing probe for endoscopic use |
US3253524A (en) * | 1962-05-24 | 1966-05-31 | Olympus Optical Co | Flexible tube assembly |
-
1968
- 1968-04-16 US US721833A patent/US3557780A/en not_active Expired - Lifetime
- 1968-04-19 DE DE19681766209 patent/DE1766209B2/en active Granted
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB880639A (en) * | 1959-06-30 | 1961-10-25 | Juri Alexeevich Tsepelev | Flexible gastroscope |
US3071161A (en) * | 1960-05-16 | 1963-01-01 | Bausch & Lomb | Bidirectionally flexible segmented tube |
US3091235A (en) * | 1960-06-15 | 1963-05-28 | American Optical Corp | Diagnostic instruments |
US3190286A (en) * | 1961-10-31 | 1965-06-22 | Bausch & Lomb | Flexible viewing probe for endoscopic use |
US3253524A (en) * | 1962-05-24 | 1966-05-31 | Olympus Optical Co | Flexible tube assembly |
US3162214A (en) * | 1963-01-16 | 1964-12-22 | American Optical Corp | Flexible tubular structures |
Cited By (459)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3694094A (en) * | 1970-12-22 | 1972-09-26 | Nasa | Borescope with variable angle scope |
US3788303A (en) * | 1972-01-24 | 1974-01-29 | American Cystoscope Makers Inc | Orthogonally deflectable endoscope |
US3892228A (en) * | 1972-10-06 | 1975-07-01 | Olympus Optical Co | Apparatus for adjusting the flexing of the bending section of an endoscope |
US4078555A (en) * | 1974-12-26 | 1978-03-14 | Nagashige Takahashi | Control device for an endoscope |
DE2752325A1 (en) * | 1976-12-16 | 1978-07-06 | Nagashige Takahashi | Endoscope distal end bending mechanism - has twin rack and pinion drives for tensioning wires and separate adjusting screws |
US4461282A (en) * | 1978-05-02 | 1984-07-24 | Kabushiki Kaisha Medos Kenkyusho | Mechanism for direction changing of endoscope top end |
DE2917465A1 (en) * | 1978-05-02 | 1979-12-13 | Medos Kenkyusho Kk | DIRECTION CONTROLLER |
US4432349A (en) * | 1979-04-03 | 1984-02-21 | Fuji Photo Optical Co., Ltd. | Articulated tube structure for use in an endoscope |
US4351323A (en) * | 1979-10-20 | 1982-09-28 | Kabushiki Kaisha Medos Kenkyusho | Curvable pipe assembly in endoscope |
FR2475386A1 (en) * | 1980-02-08 | 1981-08-14 | Fort Francois | Endoscope with pivotable head - has bidirectional motor rotating eyepiece w.r.t. optical fibre bundle |
EP0094791A2 (en) * | 1982-05-17 | 1983-11-23 | Advanced Technology Laboratories, Inc. | Ultrasonic endoscope having elongated array mounted in manner allowing it to remain flexible |
EP0094791A3 (en) * | 1982-05-17 | 1985-05-15 | Advanced Technology Laboratories, Inc. | Ultrasonic endoscope having elongated array mounted in manner allowing it to remain flexible |
WO1984002196A1 (en) * | 1982-11-19 | 1984-06-07 | Haduch Judith E Legal Represen | Flexible inspection system |
GB2141837A (en) * | 1982-11-19 | 1985-01-03 | Haduch Judith E | Flexible inspection system |
DE3390340T1 (en) * | 1982-11-19 | 1985-05-30 | Judith E. West Milford N.J. Haduch | Flexible examination system |
US4530568A (en) * | 1982-11-19 | 1985-07-23 | American Hospital Supply Corporation | Flexible optical inspection system |
US4561427A (en) * | 1983-01-05 | 1985-12-31 | Masazumi Takada | Endoscope |
FR2544978A1 (en) * | 1983-04-29 | 1984-11-02 | Warner Lambert Tech | METHOD FOR TILTING THE TIP OF AN ENDOSCOPE AND CORRESPONDING ENDOSCOPE |
US4655257A (en) * | 1985-03-25 | 1987-04-07 | Kabushiki Kaisha Machida Seisakusho | Guide tube assembly for industrial endoscope |
US4659195A (en) * | 1986-01-31 | 1987-04-21 | American Hospital Supply Corporation | Engine inspection system |
US4686963A (en) * | 1986-03-05 | 1987-08-18 | Circon Corporation | Torsion resistant vertebrated probe of simple construction |
US4688555A (en) * | 1986-04-25 | 1987-08-25 | Circon Corporation | Endoscope with cable compensating mechanism |
US5290168A (en) * | 1987-03-05 | 1994-03-01 | Optical Systems, Inc. | Electronic video dental camera |
US5429502A (en) * | 1987-03-05 | 1995-07-04 | Fuji Optical Systems, Inc. | Electronic video dental camera |
US5251025A (en) * | 1987-03-05 | 1993-10-05 | Fuji Optical Systems, Inc. | Electronic video dental camera |
US4846573A (en) * | 1987-04-10 | 1989-07-11 | Identechs Corporation | Shape memory effect alloy pull wire articulator for borescopes |
US4773395A (en) * | 1987-05-12 | 1988-09-27 | Olympus Optical Co., Ltd. | Endoscope |
US4796607A (en) * | 1987-07-28 | 1989-01-10 | Welch Allyn, Inc. | Endoscope steering section |
US4790294A (en) * | 1987-07-28 | 1988-12-13 | Welch Allyn, Inc. | Ball-and-socket bead endoscope steering section |
US4762118A (en) * | 1987-07-28 | 1988-08-09 | Welch Allyn, Inc. | Self-adjusting steering mechanism for borescope, endoscope, or guide tube |
US4762119A (en) * | 1987-07-28 | 1988-08-09 | Welch Allyn, Inc. | Self-adjusting steering mechanism for borescope or endoscope |
US4873965A (en) * | 1987-07-31 | 1989-10-17 | Guido Danieli | Flexible endoscope |
US4787369A (en) * | 1987-08-14 | 1988-11-29 | Welch Allyn, Inc. | Force relieving, force limiting self-adjusting steering for borescope or endoscope |
EP0306723A1 (en) * | 1987-09-01 | 1989-03-15 | Richard Wolf GmbH | Control device for deflecting the distal end of an endoscope |
US5051823A (en) * | 1988-01-28 | 1991-09-24 | Fuji Optical Systems, Inc. | Dental instrument including laser device and electronic video dental camera |
DE3905455A1 (en) * | 1988-02-22 | 1989-08-31 | Asahi Optical Co Ltd | DEVICE FOR ADJUSTING THE BEND OF AN ENDOSCOPE |
US5014685A (en) * | 1988-07-13 | 1991-05-14 | Asahi Kogaku Kogyo Kabushiki Kaisha | Brake for bending control device of endoscope |
GB2226245A (en) * | 1988-11-18 | 1990-06-27 | Alan Crockard | Endoscope, remote actuator and aneurysm clip applicator. |
US5174276A (en) * | 1988-11-18 | 1992-12-29 | Hillway Surgical Limited | Endoscope device for applying an aneurysm clip |
US5199950A (en) * | 1990-12-07 | 1993-04-06 | Willy Rusch Ag | Medical instrument |
FR2682877A1 (en) * | 1991-06-25 | 1993-04-30 | Sgro Jean Claude | ORIENTABLE DEVICE FOR THE HANDLING OF SURGICAL INSTRUMENTS, PARTICULARLY IN CÓOELIOSCOPIC SURGERY. |
US5164826A (en) * | 1991-08-19 | 1992-11-17 | Westinghouse Electric Corp. | Method and apparatus for visual inspection of the internal structure of apparatus through internal passages |
US5454824A (en) * | 1992-10-09 | 1995-10-03 | United States Surgical Corporation | Fragmentable ring applier |
WO1994011057A1 (en) * | 1992-11-16 | 1994-05-26 | Boaz Avitall | Catheter deflection control |
US5441483A (en) * | 1992-11-16 | 1995-08-15 | Avitall; Boaz | Catheter deflection control |
WO1994010897A1 (en) * | 1992-11-17 | 1994-05-26 | Omega Universal Limited | Deflectable medical instrument |
US5549542A (en) * | 1992-11-17 | 1996-08-27 | Life Medical Technologies, Inc. | Deflectable endoscope |
US5472017A (en) * | 1992-11-17 | 1995-12-05 | Life Medical Technologies, Inc. | Deflectable catheter |
US5448989A (en) * | 1993-02-22 | 1995-09-12 | Richard Wolf Gmbh | Medical instrument shaft capable of positive and non-positive linking of segments |
US5462527A (en) * | 1993-06-29 | 1995-10-31 | C.R. Bard, Inc. | Actuator for use with steerable catheter |
US5715817A (en) * | 1993-06-29 | 1998-02-10 | C.R. Bard, Inc. | Bidirectional steering catheter |
US5487757A (en) * | 1993-07-20 | 1996-01-30 | Medtronic Cardiorhythm | Multicurve deflectable catheter |
US5545200A (en) * | 1993-07-20 | 1996-08-13 | Medtronic Cardiorhythm | Steerable electrophysiology catheter |
US5398670A (en) * | 1993-08-31 | 1995-03-21 | Ethicon, Inc. | Lumen traversing device |
US5390663A (en) * | 1993-12-23 | 1995-02-21 | Schaefer; Nicholas E. | Canal obstruction remover |
US5413107A (en) * | 1994-02-16 | 1995-05-09 | Tetrad Corporation | Ultrasonic probe having articulated structure and rotatable transducer head |
DE4417637A1 (en) * | 1994-05-19 | 1995-11-23 | Rudolf Dr Med Bertagnoli | Instrument for the percutaneous treatment of tissue parts |
US5632432A (en) * | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5692668A (en) * | 1994-12-19 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5826776A (en) * | 1994-12-19 | 1998-10-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5669544A (en) * | 1994-12-19 | 1997-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5673840A (en) * | 1994-12-19 | 1997-10-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5673841A (en) * | 1994-12-19 | 1997-10-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5680982A (en) * | 1994-12-19 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5601538A (en) * | 1995-03-07 | 1997-02-11 | Medtronic, Inc. | Flow directed catheter with hydrophilic distal end |
US5666970A (en) * | 1995-05-02 | 1997-09-16 | Heart Rhythm Technologies, Inc. | Locking mechanism for catheters |
DE19520717A1 (en) * | 1995-06-12 | 1996-12-19 | Aesculap Ag | Instrument for surgical use |
DE19520717C2 (en) * | 1995-06-12 | 1998-09-24 | Aesculap Ag & Co Kg | Surgical tubular shaft instrument |
US5752644A (en) * | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5911353A (en) * | 1995-07-11 | 1999-06-15 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5762603A (en) * | 1995-09-15 | 1998-06-09 | Pinotage, Llc | Endoscope having elevation and azimuth control of camera assembly |
US6428470B1 (en) | 1995-09-15 | 2002-08-06 | Pinotage, Llc | Imaging system and components thereof |
US6413209B1 (en) | 1995-09-15 | 2002-07-02 | Med Images, Inc. | Imaging system with condensation control |
US6398725B1 (en) | 1995-09-15 | 2002-06-04 | Pinotage, Llc | Endoscope having elevation and azimuth control of camera |
US6007484A (en) * | 1995-09-15 | 1999-12-28 | Image Technologies Corporation | Endoscope having elevation and azimuth control of camera |
US5704898A (en) * | 1995-11-17 | 1998-01-06 | Circon Corporation | Articulation mechanism for an endoscope |
WO1997018746A3 (en) * | 1995-11-17 | 1997-09-04 | Circon Corp | Articulation mechanism for an endoscope |
WO1997018746A2 (en) * | 1995-11-17 | 1997-05-29 | Circon Corporation | Articulation mechanism for an endoscope |
US5807249A (en) * | 1996-02-16 | 1998-09-15 | Medtronic, Inc. | Reduced stiffness, bidirectionally deflecting catheter assembly |
US5813976A (en) * | 1996-04-02 | 1998-09-29 | Filipi; Charles J. | Stabilizing instrumentation for the performing of endoscopic surgical procedures |
US5762067A (en) * | 1996-05-30 | 1998-06-09 | Advanced Technology Laboratories, Inc. | Ultrasonic endoscopic probe |
US5987344A (en) * | 1996-08-08 | 1999-11-16 | Medtronic, Inc. | Handle for catheter assembly with multifunction wire |
US6156027A (en) * | 1996-08-08 | 2000-12-05 | Medtronic, Inc. | Handle for catheter assembly with multifunction wire |
US6169916B1 (en) | 1996-08-08 | 2001-01-02 | Medtronic Inc. | Electrophysiology catheter with multifunctional wire and method for making |
US5817057A (en) * | 1996-09-13 | 1998-10-06 | Micro Interventional Systems, Inc. | Fluid propulsion steerable catheter and method |
DE19650721C2 (en) * | 1996-12-06 | 1999-08-12 | Wolf Gmbh Richard | Control device for guiding the distal end of an endoscope |
US5888192A (en) * | 1996-12-06 | 1999-03-30 | Richard Wolf Gmbh | Control device for endocscopes |
DE19650721A1 (en) * | 1996-12-06 | 1998-06-18 | Wolf Gmbh Richard | Control drive for endoscope |
US5873817A (en) * | 1997-05-12 | 1999-02-23 | Circon Corporation | Endoscope with resilient deflectable section |
US6165123A (en) * | 1997-08-27 | 2000-12-26 | Pinotage Llc | Controllable multi-directional positioning system |
US8740918B2 (en) | 1997-09-12 | 2014-06-03 | Evalve, Inc. | Surgical device for connecting soft tissue |
US20110238165A1 (en) * | 1997-09-12 | 2011-09-29 | Evalve, Inc. | Surgical device for connecting soft tissue |
US9510837B2 (en) | 1997-09-12 | 2016-12-06 | Evalve, Inc. | Surgical device for connecting soft tissue |
US7981123B2 (en) | 1997-09-12 | 2011-07-19 | Evalve, Inc. | Surgical device for connecting soft tissue |
US20100191256A1 (en) * | 1997-09-12 | 2010-07-29 | Evalve, Inc. | Surgical device for connecting soft tissue |
US6270453B1 (en) * | 1998-12-28 | 2001-08-07 | Suzuki Motor Corporation | Bending device for examining insertion tube |
US8123703B2 (en) | 1999-04-09 | 2012-02-28 | Evalve, Inc. | Steerable access sheath and methods of use |
US20100130924A1 (en) * | 1999-04-09 | 2010-05-27 | Evalve, Inc. | Steerable access sheath and methods of use |
US20100217283A1 (en) * | 1999-04-09 | 2010-08-26 | Evalve,Inc. | Leaflet suturing |
US6887195B1 (en) * | 1999-07-09 | 2005-05-03 | Karl Storz Gmbh & Co. Kg | Endoscope-type device, especially for emergency intubation |
DE19932022A1 (en) * | 1999-07-09 | 2001-02-08 | Etm Endoskopische Technik Gmbh | Endoscopic device, especially for emergency intubation |
US6780151B2 (en) | 1999-10-26 | 2004-08-24 | Acmi Corporation | Flexible ureteropyeloscope |
USRE41475E1 (en) | 1999-10-26 | 2010-08-03 | Gyrus Acmi, Inc. | Flexible ureteropyeloscope |
US6743239B1 (en) | 2000-05-25 | 2004-06-01 | St. Jude Medical, Inc. | Devices with a bendable tip for medical procedures |
US6811532B2 (en) * | 2000-10-02 | 2004-11-02 | Olympus Corporation | Endoscope |
US6837849B2 (en) * | 2000-10-02 | 2005-01-04 | Olympus Corporation | Endoscope |
US6899673B2 (en) * | 2000-10-02 | 2005-05-31 | Olympus Corporation | Endoscope |
US8807415B2 (en) | 2000-11-20 | 2014-08-19 | Medigus Ltd. | Stapler for endoscopes |
US20070251976A1 (en) * | 2000-11-20 | 2007-11-01 | Medigus Ltd. | Stapler for endoscopes |
US20070251975A1 (en) * | 2000-11-20 | 2007-11-01 | Medigus Ltd. | Stapler for endoscopes |
WO2002050619A3 (en) * | 2000-12-21 | 2003-04-03 | Foster Miller Inc | Steerable delivery system |
WO2002050619A2 (en) * | 2000-12-21 | 2002-06-27 | Foster-Miller, Inc. | Steerable delivery system |
US20020108644A1 (en) * | 2000-12-21 | 2002-08-15 | Hoadley David J. | Steerable delivery system |
DE10100533A1 (en) * | 2001-01-09 | 2002-07-18 | Xion Gmbh | Endoscope device especially for emergency medical intubations has improved positioning and control elements that are also more economical and easier to repair than existing devices |
US6699182B2 (en) * | 2001-01-09 | 2004-03-02 | Xion Gmbh | Endoscope-type device, particularly for emergency intubation |
EP1224904A3 (en) * | 2001-01-09 | 2003-06-25 | XION GmbH | Endoscopic device especially for intubation emergency |
EP1224904A2 (en) * | 2001-01-09 | 2002-07-24 | XION GmbH | Endoscopic device especially for intubation emergency |
US10624618B2 (en) | 2001-06-27 | 2020-04-21 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
US10653427B2 (en) | 2001-06-27 | 2020-05-19 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
US9730572B2 (en) | 2001-06-29 | 2017-08-15 | Intuitive Surgical Operations, Inc. | Articulate and swappable endoscope for a surgical robot |
EP3087944B1 (en) * | 2001-06-29 | 2021-11-10 | Intuitive Surgical Operations, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US11051794B2 (en) | 2001-06-29 | 2021-07-06 | Intuitive Surgical Operations, Inc. | Apparatus for pitch and yaw rotation |
EP3524201A1 (en) * | 2001-06-29 | 2019-08-14 | Intuitive Surgical Operations Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US10105128B2 (en) | 2001-06-29 | 2018-10-23 | Intuitive Surgical Operations, Inc. | Apparatus for pitch and yaw rotation |
US10506920B2 (en) | 2001-06-29 | 2019-12-17 | Intuitive Surgical Operations, Inc. | Articulate and swappable endoscope for a surgical robot |
EP2659855A3 (en) * | 2001-06-29 | 2017-03-22 | Intuitive Surgical Operations, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US9717486B2 (en) | 2001-06-29 | 2017-08-01 | Intuitive Surgical Operations, Inc. | Apparatus for pitch and yaw rotation |
US20170079634A1 (en) * | 2001-11-28 | 2017-03-23 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
DE10308902B4 (en) * | 2002-03-01 | 2013-07-18 | Gyrus ACMI, Inc. (n.d.Ges.d. Staates Delaware) | Flexible ureteropyeloscope |
US20090062818A1 (en) * | 2002-06-12 | 2009-03-05 | Boston Scientific Scimed, Inc. | Suturing instrument with pivotable distal portion |
US20030233104A1 (en) * | 2002-06-12 | 2003-12-18 | Scimed Life Systems, Inc. | Suturing instrument with deflectable head |
US9504464B2 (en) | 2002-06-12 | 2016-11-29 | Boston Scientific Scimed, Inc. | Suturing instrument with deflectable head |
US9078649B2 (en) | 2002-06-12 | 2015-07-14 | Boston Scientific Scimed, Inc. | Suturing instrument |
US8257369B2 (en) | 2002-06-12 | 2012-09-04 | Boston Scientific Scimed, Inc. | Suturing instrument with pivotable distal portion |
US20070088372A1 (en) * | 2002-06-12 | 2007-04-19 | Boston Scientific Scimed, Inc. | Suturing instrument with deflectable head |
US7232447B2 (en) * | 2002-06-12 | 2007-06-19 | Boston Scientific Scimed, Inc. | Suturing instrument with deflectable head |
US11633241B2 (en) | 2002-12-06 | 2023-04-25 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
US10524868B2 (en) | 2002-12-06 | 2020-01-07 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
US10631871B2 (en) | 2003-05-19 | 2020-04-28 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
US10828042B2 (en) | 2003-05-19 | 2020-11-10 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
EP1624792A2 (en) * | 2003-05-19 | 2006-02-15 | Evalve, Inc. | Articulatable access sheath and methods of use |
US10667823B2 (en) | 2003-05-19 | 2020-06-02 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
EP1624792A4 (en) * | 2003-05-19 | 2010-06-02 | Evalve Inc | Articulatable access sheath and methods of use |
US10646229B2 (en) | 2003-05-19 | 2020-05-12 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
US10058390B2 (en) | 2003-05-21 | 2018-08-28 | The Johns Hopkins University | Devices, systems and methods for minimally invasive surgery of the throat and other portions of mammalian body |
US9089354B2 (en) * | 2003-05-21 | 2015-07-28 | The Johns Hopkins University | Devices, systems and methods for minimally invasive surgery of the throat and other portions of mammalian body |
US20050107667A1 (en) * | 2003-05-23 | 2005-05-19 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US20100262161A1 (en) * | 2003-05-23 | 2010-10-14 | Danitz David J | Articulating instruments with joystick control |
US10722314B2 (en) | 2003-05-23 | 2020-07-28 | Intuitive Surgical Operations, Inc. | Articulating retractors |
US20040236316A1 (en) * | 2003-05-23 | 2004-11-25 | Danitz David J. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US8535347B2 (en) | 2003-05-23 | 2013-09-17 | Intuitive Surgical Operations, Inc. | Articulating mechanisms with bifurcating control |
US20060094931A1 (en) * | 2003-05-23 | 2006-05-04 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US9072427B2 (en) | 2003-05-23 | 2015-07-07 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US9085085B2 (en) | 2003-05-23 | 2015-07-21 | Intuitive Surgical Operations, Inc. | Articulating mechanisms with actuatable elements |
US10342626B2 (en) | 2003-05-23 | 2019-07-09 | Intuitive Surgical Operations, Inc. | Surgical instrument |
US8100824B2 (en) | 2003-05-23 | 2012-01-24 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US20100262075A1 (en) * | 2003-05-23 | 2010-10-14 | Danitz David J | Articulating catheters |
US20080262538A1 (en) * | 2003-05-23 | 2008-10-23 | Novare Surgical Systems, Inc. | Articulating instrument |
US11547287B2 (en) | 2003-05-23 | 2023-01-10 | Intuitive Surgical Operations, Inc. | Surgical instrument |
US20100262180A1 (en) * | 2003-05-23 | 2010-10-14 | Danitz David J | Articulating mechanisms with bifurcating control |
US9737365B2 (en) | 2003-05-23 | 2017-08-22 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US20070250113A1 (en) * | 2003-05-23 | 2007-10-25 | Hegeman David E | Tool with articulation lock |
US7615066B2 (en) | 2003-05-23 | 2009-11-10 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US20100261964A1 (en) * | 2003-05-23 | 2010-10-14 | Danitz David J | Articulating endoscopes |
US20100261971A1 (en) * | 2003-05-23 | 2010-10-14 | Danitz David J | Articulating retractors |
US7090637B2 (en) | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US7682307B2 (en) | 2003-05-23 | 2010-03-23 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US9550300B2 (en) | 2003-05-23 | 2017-01-24 | Intuitive Surgical Operations, Inc. | Articulating retractors |
US20050251112A1 (en) * | 2003-05-23 | 2005-11-10 | Danitz David J | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US9370868B2 (en) | 2003-05-23 | 2016-06-21 | Intuitive Surgical Operations, Inc. | Articulating endoscopes |
US9434077B2 (en) | 2003-05-23 | 2016-09-06 | Intuitive Surgical Operations, Inc | Articulating catheters |
US9498888B2 (en) | 2003-05-23 | 2016-11-22 | Intuitive Surgical Operations, Inc. | Articulating instrument |
US9440364B2 (en) | 2003-05-23 | 2016-09-13 | Intuitive Surgical Operations, Inc. | Articulating instrument |
US7364582B2 (en) | 2003-10-30 | 2008-04-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US8221450B2 (en) | 2003-10-30 | 2012-07-17 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7686826B2 (en) | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20060206101A1 (en) * | 2003-10-30 | 2006-09-14 | Woojin Lee | Surgical instrument |
US20050096694A1 (en) * | 2003-10-30 | 2005-05-05 | Woojin Lee | Surgical instrument |
US20060020287A1 (en) * | 2003-10-30 | 2006-01-26 | Woojin Lee | Surgical instrument |
US7147650B2 (en) | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
US20060095074A1 (en) * | 2003-10-30 | 2006-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20050162643A1 (en) * | 2004-01-22 | 2005-07-28 | Thomas Karpen | Automotive fuel tank inspection device |
US7134993B2 (en) | 2004-01-29 | 2006-11-14 | Ge Inspection Technologies, Lp | Method and apparatus for improving the operation of a remote viewing device by changing the calibration settings of its articulation servos |
US20050168571A1 (en) * | 2004-01-29 | 2005-08-04 | Everest Vit, Inc. | Method and apparatus for improving the operation of a remote viewing device |
US20080319418A1 (en) * | 2004-03-30 | 2008-12-25 | Cathrx Pty Ltd | Catheter Steering Device |
WO2005094661A1 (en) * | 2004-03-30 | 2005-10-13 | Cathrx Ltd | A catheter steering device |
US20050273085A1 (en) * | 2004-06-07 | 2005-12-08 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US9861786B2 (en) | 2004-06-07 | 2018-01-09 | Intuitive Surgical Operations, Inc. | Articulating mechanism with flex hinged links |
US10729885B2 (en) | 2004-06-07 | 2020-08-04 | Intuitive Surgical Operations, Inc. | Articulating mechanism with flex-hinged links |
US8920429B2 (en) | 2004-06-07 | 2014-12-30 | Intuitive Surgical Operations, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
EP2596742A1 (en) | 2004-06-07 | 2013-05-29 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US8419747B2 (en) | 2004-06-07 | 2013-04-16 | Intuitive Surgical Operations, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US20050273084A1 (en) * | 2004-06-07 | 2005-12-08 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US9517326B2 (en) | 2004-06-07 | 2016-12-13 | Intuitive Surgical Operations, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US8323297B2 (en) | 2004-06-07 | 2012-12-04 | Intuitive Surgical Operations, Inc. | Articulating mechanism with flex-hinged links |
US9095253B2 (en) | 2004-06-07 | 2015-08-04 | Intuitive Surgical Operations, Inc. | Articulating mechanism with flex hinged links |
US20100249759A1 (en) * | 2004-06-07 | 2010-09-30 | Cameron Dale Hinman | Link systems and articulation mechanisms for remote manipulation of surgical of diagnostic tools |
EP2949262A1 (en) | 2004-06-07 | 2015-12-02 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
EP2992808A1 (en) | 2004-06-07 | 2016-03-09 | Intuitive Surgical Operations, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US11491310B2 (en) | 2004-06-07 | 2022-11-08 | Intuitive Surgical Operations, Inc. | Articulating mechanism with flex-hinged links |
US20100234831A1 (en) * | 2004-06-07 | 2010-09-16 | Hinman Cameron D | Articulating mechanism with flex-hinged links |
US7678117B2 (en) | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US7766821B2 (en) | 2004-06-08 | 2010-08-03 | Henke-Sass, Wolf Gmbh | Bendable portion of an insertion tube of an endoscope and method of producing it |
US20050272978A1 (en) * | 2004-06-08 | 2005-12-08 | Brunnen Rainer D | Bendable portion of an insertion tube of an endoscope and method of producing it |
EP1681013A4 (en) * | 2004-09-03 | 2006-11-22 | Olympus Corp | Endoscope |
EP1681013A1 (en) * | 2004-09-03 | 2006-07-19 | Olympus Corporation | Endoscope |
US20060200000A1 (en) * | 2004-09-03 | 2006-09-07 | Olympus Corporation | Endoscope |
US11376065B2 (en) | 2004-09-24 | 2022-07-05 | Syn Variflex, Llc | Selective stiffening catheter |
US11382690B2 (en) | 2004-09-24 | 2022-07-12 | Syn Variflex, Llc | Selective stiffening catheter |
US10159527B2 (en) | 2004-09-24 | 2018-12-25 | Syntheon, Llc | Selective stiffening catheter and methods for operating a selective stiffening catheter |
US10463427B2 (en) | 2004-09-24 | 2019-11-05 | Syn Variflex, Llc | Selective stiffening catheter |
US7789826B2 (en) | 2004-09-30 | 2010-09-07 | Boston Scientific Scimed, Inc. | Manually controlled endoscope |
US8366607B2 (en) | 2004-09-30 | 2013-02-05 | Boston Scientific Scimed, Inc. | Manually controlled endoscope |
US20110105844A1 (en) * | 2004-09-30 | 2011-05-05 | Boston Scientific Scimed | Manually controlled endoscope |
US20060069311A1 (en) * | 2004-09-30 | 2006-03-30 | Roy Sullivan | Manually controlled endoscope |
EP2335558A1 (en) | 2004-11-23 | 2011-06-22 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US10321927B2 (en) | 2004-11-23 | 2019-06-18 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US20110087071A1 (en) * | 2004-11-23 | 2011-04-14 | Intuitive Surgical Operations, Inc. | Articulation sheath for flexible instruments |
US11638590B2 (en) | 2004-11-23 | 2023-05-02 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US20060111210A1 (en) * | 2004-11-23 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US20060111615A1 (en) * | 2004-11-23 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US7785252B2 (en) | 2004-11-23 | 2010-08-31 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
US8277375B2 (en) | 2004-11-23 | 2012-10-02 | Intuitive Surgical Operations, Inc. | Flexible segment system |
US9700334B2 (en) | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
WO2006073581A2 (en) | 2004-11-23 | 2006-07-13 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US9155449B2 (en) | 2004-11-23 | 2015-10-13 | Intuitive Surgical Operations Inc. | Instrument systems and methods of use |
EP1955659A1 (en) | 2004-11-23 | 2008-08-13 | Novare Surgical Systems, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
EP3391804A2 (en) | 2004-11-24 | 2018-10-24 | Intuitive Surgical Operations Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US8182417B2 (en) | 2004-11-24 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
EP2823772A1 (en) | 2004-11-24 | 2015-01-14 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US20060111616A1 (en) * | 2004-11-24 | 2006-05-25 | Novare Surgical Systems, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
US20060201130A1 (en) * | 2005-01-31 | 2006-09-14 | Danitz David J | Articulating mechanisms with joint assembly and manual handle for remote manipulation of instruments and tools |
US7699846B2 (en) * | 2005-03-04 | 2010-04-20 | Gyrus Ent L.L.C. | Surgical instrument and method |
US20060264927A1 (en) * | 2005-03-04 | 2006-11-23 | Gyrus Ent, L.L.C. | Surgical instrument and method |
US7842028B2 (en) | 2005-04-14 | 2010-11-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US20070021737A1 (en) * | 2005-04-14 | 2007-01-25 | Woojin Lee | Surgical instrument guide device |
US8926597B2 (en) | 2005-07-20 | 2015-01-06 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US20080269727A1 (en) * | 2005-07-20 | 2008-10-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US20090299344A1 (en) * | 2005-07-20 | 2009-12-03 | Woojin Lee | Surgical instrument guide device |
US10188372B2 (en) | 2005-07-20 | 2019-01-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US8409175B2 (en) | 2005-07-20 | 2013-04-02 | Woojin Lee | Surgical instrument guide device |
US20090023995A1 (en) * | 2005-07-20 | 2009-01-22 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US9427256B2 (en) | 2005-07-20 | 2016-08-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
US20070055103A1 (en) * | 2005-08-31 | 2007-03-08 | Siegfried Hoefig | Endoscope with variable direction of view |
US7553277B2 (en) * | 2005-08-31 | 2009-06-30 | Karl Storz Gmbh & Co. Kg | Endoscope with variable direction of view |
US7635288B2 (en) * | 2006-02-03 | 2009-12-22 | Folkmanis, Inc. | Animated hand puppet & animator therefor |
US20070184751A1 (en) * | 2006-02-03 | 2007-08-09 | Folkmanis, Inc. | Animated hand puppet & animator therefor |
US8092374B2 (en) * | 2006-03-02 | 2012-01-10 | Kevin Smith | Variably flexible insertion device and method for variably flexing an insertion device |
US8696639B2 (en) | 2006-03-02 | 2014-04-15 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US10835112B2 (en) | 2006-03-02 | 2020-11-17 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US10123683B2 (en) | 2006-03-02 | 2018-11-13 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US20070208364A1 (en) * | 2006-03-02 | 2007-09-06 | Kms Development, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US9155451B2 (en) | 2006-03-02 | 2015-10-13 | Syntheon, Llc | Variably flexible insertion device and method for variably flexing an insertion device |
US20090222022A1 (en) * | 2006-03-03 | 2009-09-03 | Corporacion Sanitaria Parc Tauli | Surgical instrument for endoscopic surgery |
US8317811B2 (en) * | 2006-03-03 | 2012-11-27 | Corporacio Sanitaria Parc Tauli | Surgical instrument for endoscopic surgery |
US20070270648A1 (en) * | 2006-05-22 | 2007-11-22 | Kms Medical Llc | Torque-transmitting, variably flexible insertion device and method for transmitting torque and variably flexing an insertion device |
US8556804B2 (en) | 2006-05-22 | 2013-10-15 | Syntheon, Llc | Torque-transmitting, variably flexible insertion device and method for transmitting torque and variably flexing an insertion device |
US8105350B2 (en) | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070276430A1 (en) * | 2006-05-23 | 2007-11-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7615067B2 (en) | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20070282371A1 (en) * | 2006-06-05 | 2007-12-06 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US9549663B2 (en) * | 2006-06-13 | 2017-01-24 | Intuitive Surgical Operations, Inc. | Teleoperated surgical retractor system |
US9215967B2 (en) | 2006-06-13 | 2015-12-22 | Intuitive Surgical Operations Inc. | Side looking minimally invasive surgery instrument assembly |
US20080065098A1 (en) * | 2006-06-13 | 2008-03-13 | Intuitive Surgical, Inc. | Minimally invasive surgical apparatus with independent imaging system |
US11304769B2 (en) * | 2006-06-13 | 2022-04-19 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
US20210353377A1 (en) * | 2006-06-13 | 2021-11-18 | Intuitive Surgical Operations, Inc. | Side-looking minimally invasive surgery instrument assembly |
US20070287993A1 (en) * | 2006-06-13 | 2007-12-13 | Hinman Cameron D | Tool with rotation lock |
US9510734B2 (en) | 2006-06-13 | 2016-12-06 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
US10448813B2 (en) | 2006-06-13 | 2019-10-22 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
US8672833B2 (en) | 2006-06-13 | 2014-03-18 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
US8679099B2 (en) | 2006-06-13 | 2014-03-25 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
US9320416B2 (en) | 2006-06-13 | 2016-04-26 | Intuitive Surgical Operations, Inc. | Surgical instrument control and actuation |
US8029531B2 (en) | 2006-07-11 | 2011-10-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20080015631A1 (en) * | 2006-07-11 | 2008-01-17 | Woojin Lee | Surgical instrument |
US20110213347A1 (en) * | 2006-07-11 | 2011-09-01 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US8292802B2 (en) | 2006-08-10 | 2012-10-23 | Syntheon, Llc | Method for transmitting torque and variably flexing a corrugated insertion device |
US8298137B2 (en) | 2006-08-10 | 2012-10-30 | Syntheon, Llc | Method for transmitting torque and variably flexing a corrugated insertion device |
US8708894B2 (en) | 2006-08-10 | 2014-04-29 | Syntheon, Llc | Method for variably flexing and steering an insertion device |
US20090209815A1 (en) * | 2006-08-10 | 2009-08-20 | Syntheon Llc | Torque-Transmitting, Variably-Flexible, Corrugated Insertion Device and Method for Transmitting Torque and Variably Flexing a Corrugated Insertion Device |
US7988621B2 (en) | 2006-08-10 | 2011-08-02 | Syntheon, Llc | Torque-transmitting, variably-flexible, corrugated insertion device and method for transmitting torque and variably flexing a corrugated insertion device |
US20080039691A1 (en) * | 2006-08-10 | 2008-02-14 | Kms Development, Llc | Torque-transmitting, variably-flexible, corrugated insertion device and method for transmitting torque and variably flexing a corrugated insertion device |
US7914445B2 (en) | 2006-08-10 | 2011-03-29 | Syntheon, Llc | Torque-transmitting, variably-flexible, corrugated insertion device and method for transmitting torque and variably flexing a corrugated insertion device |
US20110130628A1 (en) * | 2006-08-10 | 2011-06-02 | Smith Kevin W | Method for Transmitting Torque and Variably Flexing a Corrugated Insertion Device |
US8709037B2 (en) | 2006-08-16 | 2014-04-29 | Woojin Lee | Surgical instrument |
US20100228235A1 (en) * | 2006-08-16 | 2010-09-09 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7708758B2 (en) | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20080046000A1 (en) * | 2006-08-16 | 2008-02-21 | Woojin Lee | Surgical instrument |
US7648519B2 (en) | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US8083765B2 (en) | 2006-09-13 | 2011-12-27 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20100168722A1 (en) * | 2006-09-13 | 2010-07-01 | Cambridge Endoscopic Devices, Inc. | Surgical Instrument |
US9931111B2 (en) | 2006-11-07 | 2018-04-03 | Boston Scientific Scime, Inc. | Suturing instrument |
US8709021B2 (en) | 2006-11-07 | 2014-04-29 | Boston Scientific Scimed, Inc. | Suturing instrument |
US20100004508A1 (en) * | 2007-03-29 | 2010-01-07 | Olympus Medical Systems Corp. | Multijointed bending mechanism and multijointed medical equipment having multijointed bending mechanism |
US20080262492A1 (en) * | 2007-04-11 | 2008-10-23 | Cambridge Endoscopic Devices, Inc. | Surgical Instrument |
US8562640B2 (en) | 2007-04-16 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Tool with multi-state ratcheted end effector |
US20080255608A1 (en) * | 2007-04-16 | 2008-10-16 | Hinman Cameron D | Tool with end effector force limiter |
US8409244B2 (en) | 2007-04-16 | 2013-04-02 | Intuitive Surgical Operations, Inc. | Tool with end effector force limiter |
US20080255588A1 (en) * | 2007-04-16 | 2008-10-16 | Hinman Cameron D | Tool with multi-state ratcheted end effector |
US7862554B2 (en) | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
US20080275297A1 (en) * | 2007-05-01 | 2008-11-06 | Ethicon Endo-Surgery, Inc. | Endoscopic guide device |
US7967741B2 (en) | 2007-05-01 | 2011-06-28 | Ethicon Endo-Surgery, Inc. | Endoscopic guide device |
US20080294191A1 (en) * | 2007-05-22 | 2008-11-27 | Woojin Lee | Surgical instrument |
US8409245B2 (en) | 2007-05-22 | 2013-04-02 | Woojin Lee | Surgical instrument |
US10806331B2 (en) | 2007-06-27 | 2020-10-20 | Syntheon, Llc | Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device |
US20090005643A1 (en) * | 2007-06-27 | 2009-01-01 | Syntheon Llc | Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device |
US9814372B2 (en) | 2007-06-27 | 2017-11-14 | Syntheon, Llc | Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device |
US20090054734A1 (en) * | 2007-08-23 | 2009-02-26 | Tyco Healthcare Group Lp | Endoscopic surgical devices |
US9005238B2 (en) | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
US20090069842A1 (en) * | 2007-09-11 | 2009-03-12 | Woojin Lee | Surgical instrument |
US8257386B2 (en) | 2007-09-11 | 2012-09-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20090171161A1 (en) * | 2007-12-10 | 2009-07-02 | Usgi Medical, Inc. | Steerable endoscopic instruments |
US8374722B2 (en) * | 2007-12-21 | 2013-02-12 | Oliver Crispin Robotics Limited | Robotic arm |
US20110054687A1 (en) * | 2007-12-21 | 2011-03-03 | Robert Oliver Buckingham | Robotic Arm |
US20090171147A1 (en) * | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
US20090192355A1 (en) * | 2008-01-28 | 2009-07-30 | Mauricio Mejia | Scope for managing difficult pathways and method to improve visibility of the same |
US20100094090A1 (en) * | 2008-01-28 | 2010-04-15 | Mauricio Mejia | Self-cleaning wireless video stylet with display mounted to laryngoscope blade and method for using the same |
US8888683B2 (en) | 2008-01-28 | 2014-11-18 | Mauricio Mejia | Modifications in endoscope apparatus, using fluid and gas dynamics, and methods for improving visibility during endoscopy |
US20090216083A1 (en) * | 2008-02-25 | 2009-08-27 | Neoguide Systems, Inc. | Systems and Methods for Articulating an Elongate Body |
US8608647B2 (en) | 2008-02-25 | 2013-12-17 | Intuitive Surgical Operations, Inc. | Systems and methods for articulating an elongate body |
US8182418B2 (en) * | 2008-02-25 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Systems and methods for articulating an elongate body |
EP2103247B1 (en) * | 2008-03-19 | 2017-05-03 | FUJIFILM Corporation | Endoscope |
US20090240110A1 (en) * | 2008-03-19 | 2009-09-24 | Tetsumaru MIYAWAKI | Endoscope |
US8133170B2 (en) * | 2008-03-19 | 2012-03-13 | Tetsumaru MIYAWAKI | Endoscope |
EP2106751A1 (en) | 2008-03-31 | 2009-10-07 | Karl Storz GmbH & Co. KG | Medical instrument with adjustable angle control |
US20090247994A1 (en) * | 2008-03-31 | 2009-10-01 | Uwe Bacher | Medical Instrument With A Lockable Bend Control Mechanism |
US8449530B2 (en) | 2008-03-31 | 2013-05-28 | Karl Storz Gmbh & Co. Kg | Medical instrument with a lockable bend control mechanism |
US9302073B2 (en) | 2008-03-31 | 2016-04-05 | Karl Storz Gmbh & Co. Kg | Medical instrument with a lockable bend control mechanism |
US9504371B2 (en) | 2008-04-02 | 2016-11-29 | Usgi Medical, Inc. | Endoscopic system with torque transmitting sheath |
US20120238952A1 (en) * | 2008-04-02 | 2012-09-20 | Usgi Medical, Inc. | Endoluminal surgical tool with small bend radius steering section |
US8771295B2 (en) | 2008-06-11 | 2014-07-08 | Boston Scientific Scimed, Inc. | Suturing instrument and method for uterine preservation |
US9486210B2 (en) | 2008-06-11 | 2016-11-08 | Boston Scientific Scimed, Inc. | Suturing instrument and method for uterine preservation |
US20090312772A1 (en) * | 2008-06-11 | 2009-12-17 | Boston Scientific Scimed, Inc. | Suturing instrument and method for uterine preservation |
US20150314107A1 (en) * | 2008-07-07 | 2015-11-05 | Intuitive Surgical Operations, Inc. | Catheter Control Systems |
US11350815B2 (en) * | 2008-07-07 | 2022-06-07 | Intuitive Surgical Operations, Inc. | Catheter control systems |
US8968355B2 (en) | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US20100030018A1 (en) * | 2008-08-04 | 2010-02-04 | Richard Fortier | Articulating surgical device |
US20110184459A1 (en) * | 2008-08-04 | 2011-07-28 | Malkowski Jaroslaw T | Articulating Surgical Device |
US9883880B2 (en) | 2008-08-04 | 2018-02-06 | Covidien Lp | Articulating surgical device |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US11234694B2 (en) | 2008-08-18 | 2022-02-01 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US9033960B2 (en) | 2008-08-18 | 2015-05-19 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US9737298B2 (en) | 2008-08-18 | 2017-08-22 | Intuitive Surgical Operations, Inc. | Instrument with articulation lock |
US11998195B2 (en) | 2008-08-18 | 2024-06-04 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US20100041945A1 (en) * | 2008-08-18 | 2010-02-18 | Isbell Jr Lewis | Instrument with articulation lock |
US8465475B2 (en) | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
US20100116081A1 (en) * | 2008-11-11 | 2010-05-13 | Intuitive Surgical, Inc. | Robotic linkage |
US20100116080A1 (en) * | 2008-11-11 | 2010-05-13 | Intuitive Surgical, Inc. | Robotic linkage |
US9737199B2 (en) | 2008-11-11 | 2017-08-22 | Intuitive Surgical Operations, Inc. | Robotic linkage |
US9687986B2 (en) * | 2008-11-11 | 2017-06-27 | Intuitive Surgical Operations, Inc. | Robotic linkage |
US11154185B2 (en) | 2008-11-11 | 2021-10-26 | Intuitive Surgical Operations, Inc. | Robotic linkage |
US10433716B2 (en) | 2008-11-11 | 2019-10-08 | Intuitive Surgical Operations, Inc. | Robotic linkage |
US20100249497A1 (en) * | 2009-03-30 | 2010-09-30 | Peine William J | Surgical instrument |
US9221179B2 (en) | 2009-07-23 | 2015-12-29 | Intuitive Surgical Operations, Inc. | Articulating mechanism |
US20110090331A1 (en) * | 2009-10-15 | 2011-04-21 | Perceptron, Inc. | Articulating imager for video borescope |
US20110112517A1 (en) * | 2009-11-06 | 2011-05-12 | Peine Willliam J | Surgical instrument |
EP2320262A1 (en) | 2009-11-10 | 2011-05-11 | Siemens Aktiengesellschaft | Inspection device and method for positioning an inspection device |
WO2011058010A1 (en) | 2009-11-10 | 2011-05-19 | Siemens Aktiengesellschaft | Inspection device and method for positioning an inspection device |
WO2011058008A1 (en) | 2009-11-10 | 2011-05-19 | Siemens Aktiengesellschaft | Inspection device and method for positioning an inspection device |
US9795765B2 (en) | 2010-04-09 | 2017-10-24 | St. Jude Medical International Holding S.À R.L. | Variable stiffness steering mechanism for catheters |
US20130281924A1 (en) * | 2010-04-13 | 2013-10-24 | Transenterix, Inc. | Segmented instrument shaft with antirotation features |
US9901410B2 (en) | 2010-07-28 | 2018-02-27 | Medrobotics Corporation | Surgical positioning and support system |
US8992421B2 (en) | 2010-10-22 | 2015-03-31 | Medrobotics Corporation | Highly articulated robotic probes and methods of production and use of such probes |
US10238460B2 (en) | 2010-10-22 | 2019-03-26 | Medrobotics Corporation | Highly articulated robotic probes and methods of production and use of such probes |
US9649163B2 (en) | 2010-11-11 | 2017-05-16 | Medrobotics Corporation | Introduction devices for highly articulated robotic probes and methods of production and use of such probes |
US9168050B1 (en) | 2011-03-24 | 2015-10-27 | Cambridge Endoscopic Devices, Inc. | End effector construction |
US20140088360A1 (en) * | 2011-04-07 | 2014-03-27 | Terumo Kabushiki Kaisha | Medical device |
US9038880B1 (en) * | 2011-04-25 | 2015-05-26 | Cardica, Inc. | Articulated surgical instrument |
US20140123976A1 (en) * | 2011-05-04 | 2014-05-08 | The Regents Of The University Of Michigan | Intubation device |
US9750912B2 (en) * | 2011-05-04 | 2017-09-05 | The Regents Of The University Of Michigan | Intubation device |
US9161771B2 (en) | 2011-05-13 | 2015-10-20 | Intuitive Surgical Operations Inc. | Medical instrument with snake wrist structure |
US10335177B2 (en) | 2011-05-13 | 2019-07-02 | Intuitive Surgical Operations, Inc. | Medical instrument with snake wrist structure |
US11357526B2 (en) | 2011-05-13 | 2022-06-14 | Intuitive Surgical Operations, Inc. | Medical instrument with snake wrist structure |
US10448964B2 (en) * | 2011-07-08 | 2019-10-22 | Covidien Lp | Surgical device with articulation and wrist rotation |
US11457942B2 (en) * | 2011-07-08 | 2022-10-04 | Covidien Lp | Surgical device with articulation and wrist rotation |
US20130012958A1 (en) * | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
US20130023859A1 (en) * | 2011-07-21 | 2013-01-24 | Tyco Healthcare Group Lp | Articulating Links with Middle Link Control System |
US9572628B2 (en) | 2011-09-13 | 2017-02-21 | Medrobotics Corporation | Highly articulated probes with anti-twist link arrangement, methods of formation thereof, and methods of performing medical procedures |
US10743876B2 (en) | 2011-09-13 | 2020-08-18 | Abbott Cardiovascular Systems Inc. | System for fixation of leaflets of a heart valve |
US9757856B2 (en) | 2011-09-13 | 2017-09-12 | Medrobotics Corporation | Highly articulated probes with anti-twist link arrangement, methods of formation thereof, and methods of performing medical procedures |
US12016561B2 (en) | 2011-09-13 | 2024-06-25 | Abbott Cardiovascular Systems Inc. | System for fixation of leaflets of a heart valve |
US10792039B2 (en) | 2011-09-13 | 2020-10-06 | Abbott Cardiovascular Systems Inc. | Gripper pusher mechanism for tissue apposition systems |
US9821477B2 (en) | 2011-12-21 | 2017-11-21 | Medrobotics Corporation | Stabilizing apparatus for highly articulated probes with link arrangement, methods of formation thereof, and methods of use thereof |
US9364955B2 (en) | 2011-12-21 | 2016-06-14 | Medrobotics Corporation | Stabilizing apparatus for highly articulated probes with link arrangement, methods of formation thereof, and methods of use thereof |
US8419720B1 (en) | 2012-02-07 | 2013-04-16 | National Advanced Endoscopy Devices, Incorporated | Flexible laparoscopic device |
US9939053B2 (en) * | 2012-04-02 | 2018-04-10 | Samsung Electronics Co., Ltd. | Robot arm driving apparatus and robot arm having the same |
US20130255410A1 (en) * | 2012-04-02 | 2013-10-03 | Samsung Electronics Co., Ltd | Robot arm driving apparatus and robot arm having the same |
KR20130112981A (en) * | 2012-04-02 | 2013-10-15 | 삼성전자주식회사 | Driving device usable with robot arm and robot arm |
CN103358304A (en) * | 2012-04-02 | 2013-10-23 | 三星电子株式会社 | Robot arm driving apparatus and robot arm having same |
CN103358304B (en) * | 2012-04-02 | 2016-08-10 | 三星电子株式会社 | Robots arm's driving means and there is the robots arm of this driving means |
US9717517B2 (en) | 2012-04-09 | 2017-08-01 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
US9211134B2 (en) | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
WO2013180904A1 (en) * | 2012-05-30 | 2013-12-05 | Usgi Medical, Inc. | Endoluminal surgical tool with small bend radius steering section |
US8998801B2 (en) * | 2012-07-02 | 2015-04-07 | Olympus Medical Systems Corp. | Insertion instrument |
US20150202013A1 (en) * | 2012-07-24 | 2015-07-23 | Richard Wolf Gmbh | Shaft for medical instruments, comprising movable sections |
US9675380B2 (en) | 2012-08-09 | 2017-06-13 | Medrobotics Corporation | Surgical tool positioning system |
US9357984B2 (en) | 2013-04-23 | 2016-06-07 | Covidien Lp | Constant value gap stabilizer for articulating links |
US9913695B2 (en) | 2013-05-02 | 2018-03-13 | Medrobotics Corporation | Robotic system including a cable interface assembly |
US9855404B2 (en) | 2013-05-03 | 2018-01-02 | St. Jude Medical International Holding S.À R.L. | Dual bend radii steering catheter |
US10384036B2 (en) | 2013-05-03 | 2019-08-20 | St. Jude Medical International Holding S.À R.L. | Dual bend radii steering catheter |
US9840266B2 (en) | 2013-10-09 | 2017-12-12 | Glidemachines Llc | Apparatus and method for towing a load by a person |
US9918863B2 (en) * | 2013-11-13 | 2018-03-20 | Covidien Lp | Steerable gastric calibration tube |
US20150133857A1 (en) * | 2013-11-13 | 2015-05-14 | Covidien Lp | Steerable gastric calibration tube |
US10004568B2 (en) | 2013-12-30 | 2018-06-26 | Medrobotics Corporation | Articulating robotic probes |
US11666433B2 (en) | 2014-03-17 | 2023-06-06 | Evalve, Inc. | Double orifice device for transcatheter mitral valve replacement |
US10390943B2 (en) | 2014-03-17 | 2019-08-27 | Evalve, Inc. | Double orifice device for transcatheter mitral valve replacement |
US11246583B2 (en) | 2014-06-18 | 2022-02-15 | Boston Scientific Scimed, Inc. | Insertion devices, anchors, and methods for securing an implant |
US11006956B2 (en) | 2014-12-19 | 2021-05-18 | Abbott Cardiovascular Systems Inc. | Grasping for tissue repair |
US10188392B2 (en) | 2014-12-19 | 2019-01-29 | Abbott Cardiovascular Systems, Inc. | Grasping for tissue repair |
US11229435B2 (en) | 2014-12-19 | 2022-01-25 | Abbott Cardiovascular Systems Inc. | Grasping for tissue repair |
US11109863B2 (en) | 2014-12-19 | 2021-09-07 | Abbott Cardiovascular Systems, Inc. | Grasping for tissue repair |
US10524912B2 (en) | 2015-04-02 | 2020-01-07 | Abbott Cardiovascular Systems, Inc. | Tissue fixation devices and methods |
US10893941B2 (en) | 2015-04-02 | 2021-01-19 | Abbott Cardiovascular Systems, Inc. | Tissue fixation devices and methods |
US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US11590321B2 (en) | 2015-06-19 | 2023-02-28 | Evalve, Inc. | Catheter guiding system and methods |
US10856988B2 (en) | 2015-06-29 | 2020-12-08 | Evalve, Inc. | Self-aligning radiopaque ring |
US10238494B2 (en) | 2015-06-29 | 2019-03-26 | Evalve, Inc. | Self-aligning radiopaque ring |
US11096691B2 (en) | 2015-07-21 | 2021-08-24 | Evalve, Inc. | Tissue grasping devices and related methods |
US11759209B2 (en) | 2015-07-21 | 2023-09-19 | Evalve, Inc. | Tissue grasping devices and related methods |
US10667815B2 (en) | 2015-07-21 | 2020-06-02 | Evalve, Inc. | Tissue grasping devices and related methods |
US10413408B2 (en) | 2015-08-06 | 2019-09-17 | Evalve, Inc. | Delivery catheter systems, methods, and devices |
US10238495B2 (en) | 2015-10-09 | 2019-03-26 | Evalve, Inc. | Delivery catheter handle and methods of use |
US11931263B2 (en) | 2015-10-09 | 2024-03-19 | Evalve, Inc. | Delivery catheter handle and methods of use |
US11109972B2 (en) | 2015-10-09 | 2021-09-07 | Evalve, Inc. | Delivery catheter handle and methods of use |
CN108601603A (en) * | 2016-02-05 | 2018-09-28 | 得克萨斯系统大学董事会 | Surgical apparatus |
US11122962B2 (en) * | 2016-03-01 | 2021-09-21 | Cook Medical Technologies Llc | Flexible endoscopic support system |
US11503984B2 (en) | 2016-03-01 | 2022-11-22 | Cook Medical Technologies Llc | Deflecting endoscope accessory channels |
US20210369090A1 (en) * | 2016-03-01 | 2021-12-02 | Cook Medical Technologies Llc | Flexible endoscopic support system |
US12053154B2 (en) * | 2016-03-01 | 2024-08-06 | Cook Medical Technologies Llc | Flexible endoscopic support system |
US10736632B2 (en) | 2016-07-06 | 2020-08-11 | Evalve, Inc. | Methods and devices for valve clip excision |
US10588495B2 (en) | 2016-07-28 | 2020-03-17 | Cook Medical Technologies LL | Brake mechanism of a steerable catheter |
US11653947B2 (en) | 2016-10-05 | 2023-05-23 | Evalve, Inc. | Cardiac valve cutting device |
US10363138B2 (en) | 2016-11-09 | 2019-07-30 | Evalve, Inc. | Devices for adjusting the curvature of cardiac valve structures |
US10398553B2 (en) | 2016-11-11 | 2019-09-03 | Evalve, Inc. | Opposing disk device for grasping cardiac valve tissue |
US10426616B2 (en) | 2016-11-17 | 2019-10-01 | Evalve, Inc. | Cardiac implant delivery system |
US10779837B2 (en) | 2016-12-08 | 2020-09-22 | Evalve, Inc. | Adjustable arm device for grasping tissues |
US11957358B2 (en) | 2016-12-08 | 2024-04-16 | Evalve, Inc. | Adjustable arm device for grasping tissues |
US11406388B2 (en) | 2016-12-13 | 2022-08-09 | Evalve, Inc. | Rotatable device and method for fixing tricuspid valve tissue |
US10314586B2 (en) | 2016-12-13 | 2019-06-11 | Evalve, Inc. | Rotatable device and method for fixing tricuspid valve tissue |
US10751507B2 (en) | 2017-04-10 | 2020-08-25 | Syn Variflex, Llc | Thermally controlled variable-flexibility catheters and methods of manufacturing same |
US11065119B2 (en) | 2017-05-12 | 2021-07-20 | Evalve, Inc. | Long arm valve repair clip |
EP3430967A1 (en) | 2017-07-21 | 2019-01-23 | Karl Storz Imaging, Inc. | A control interface and adjustment mechanism for an endoscope or exoscope |
US10874289B2 (en) | 2017-07-21 | 2020-12-29 | Karl Storz Imaging, Inc. | Control interface and adjustment mechanism for an endoscope or exoscope |
USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
US10775315B2 (en) * | 2018-03-07 | 2020-09-15 | General Electric Company | Probe insertion system |
WO2019200476A1 (en) * | 2018-04-16 | 2019-10-24 | The Hospital For Sick Children | Articulating steerable surgical instrument |
US12048624B2 (en) | 2019-07-15 | 2024-07-30 | Evalve, Inc. | Independent proximal element actuation methods |
WO2021216411A1 (en) | 2020-04-20 | 2021-10-28 | Enlight Medical Technologies (Shanghai) Co., Ltd. | Catheter with electrically-actuated articulation |
WO2021219181A1 (en) * | 2020-04-27 | 2021-11-04 | Ambu A/S | An articulated bending section body for an insertion endoscope |
US12048448B2 (en) | 2020-05-06 | 2024-07-30 | Evalve, Inc. | Leaflet grasping and cutting device |
US11839359B2 (en) * | 2020-06-26 | 2023-12-12 | Cook Medical Technologies Llc | Endoscope bending section |
US20210401270A1 (en) * | 2020-06-26 | 2021-12-30 | Cook Medical Technologies Llc | Endoscope bending section |
US11344188B1 (en) * | 2021-05-30 | 2022-05-31 | OTU Medical Inc. | Actively bendable sheath for delivering medical instrument therethrough and method thereof |
US12137909B2 (en) | 2021-12-17 | 2024-11-12 | Abbott Cardiovascular Systems Inc. | Grasping for tissue repair |
US12137910B2 (en) | 2023-08-02 | 2024-11-12 | Evalve, Inc. | Tissue grasping devices and related methods |
Also Published As
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---|---|
DE1766209B2 (en) | 1972-12-14 |
DE1766209A1 (en) | 1972-03-23 |
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