US20060009678A1 - Endoscope having a guide tube - Google Patents
Endoscope having a guide tube Download PDFInfo
- Publication number
- US20060009678A1 US20060009678A1 US11/227,371 US22737105A US2006009678A1 US 20060009678 A1 US20060009678 A1 US 20060009678A1 US 22737105 A US22737105 A US 22737105A US 2006009678 A1 US2006009678 A1 US 2006009678A1
- Authority
- US
- United States
- Prior art keywords
- endoscope
- guide tube
- diagnostic
- therapeutic instrument
- overtube
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- GWGVPAZJGFLHHH-UHFFFAOYSA-N C=NC(CCO)N Chemical compound C=NC(CCO)N GWGVPAZJGFLHHH-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/00078—Insertion part of the endoscope body with stiffening means
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
-
- 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
- A61B1/00142—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 with means for preventing contamination, e.g. by using a sanitary sheath
-
- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/0016—Holding or positioning arrangements using motor drive units
-
- 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
- A61B1/0052—Constructional details of control elements, e.g. handles
- A61B1/0053—Constructional details of control elements, e.g. handles using distributed actuators, e.g. artificial muscles
-
- 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
-
- 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
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
-
- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
-
- 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
- A61B1/31—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 for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
- A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0063—Catheters; Hollow probes characterised by structural features having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
-
- 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
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
- A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
-
- 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
- the present invention relates generally to endoscopes and endoscopic medical procedures. More particularly, it relates to a method and apparatus to facilitate insertion of a flexible endoscope along a tortuous path using a guide tube apparatus, such as for colonoscopic examination and treatment.
- An endoscope is a medical instrument for visualizing the interior of a patient's body. Endoscopes can be used for a variety of different diagnostic and interventional procedures, including colonoscopy, bronchoscopy, thoracoscopy, laparoscopy and video endoscopy.
- Colonoscopy is a medical procedure in which a flexible endoscope, or colonoscope, is inserted into a patient's colon for diagnostic examination and/or surgical treatment of the colon.
- a standard colonoscope is typically 135-185 cm in length and 12-19 mm in diameter, and includes a fiberoptic imaging bundle or a miniature camera located at the instrument's tip, illumination fibers, one or two instrument channels that may also be used for insufflation or irrigation, air and water channels, and vacuum channels.
- the colonoscope is inserted via the patient's anus and is advanced through the colon, allowing direct visual examination of the colon, the ileocecal valve and portions of the terminal ileum. Insertion of the colonoscope is complicated by the fact that the colon represents a tortuous and convoluted path. Considerable manipulation of the colonoscope is often necessary to advance the colonoscope through the colon, making the procedure more difficult and time consuming and adding to the potential for complications, such as intestinal perforation.
- the assembly generally comprises a combination of an endoscope which is slidably insertable within the lumen of a guide tube.
- the endoscope may be any conventional endoscope having a shaft which extends from a handle.
- the distal end of the shaft preferably comprises a controllable distal portion which may be manipulated to facilitate the steering of the assembly through the tortuous path.
- the guide tube may be a conventional flexible conduit which is configured to be rigidizable along its entire length from a relaxed configuration.
- a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve.
- the guide tube may also be used with an endoscope having an automatically controlled proximal portion and a selectively steerable distal portion.
- an endoscope having an automatically controlled proximal portion and a selectively steerable distal portion.
- Such a controllable endoscope may have a distal portion which is manually steerable by the physician or surgeon to assume a shape to traverse an arbitrary curved path and a proximal portion which is automatically controlled by, e.g., a computer, to transmit the assumed shape along the proximal portion as the endoscope is advanced or withdrawn. More detailed examples are described in copending U.S. patent application Ser. No. 09/969,927, which has been incorporated above by reference in its entirety.
- the guide tube may be comprised of a plurality of individual segments which are linked adjacent to one another via one or more tensioning wires or elements. These tensioning elements may be placed circumferentially about each of the segments and preferably run throughout the length of the guide tube through each of the individual segments. When the guide tube is to be rigidized, the tensioning elements may be pulled or tightened to draw the segments together such that the entire guide tube becomes rigid. The tensioning elements may then be loosened such that the individual segments may move relative to one another.
- the physician or surgeon may typically first advance the distal portion of the endoscope within the body of the patient.
- the user may appropriately steer the distal portion of the endoscope to assume a curve for traversing the path.
- the endoscope is preferably held stationary relative to the patient while the guide, in a relaxed and flexible state, is advanced over the shaft of the endoscope until the distal end of the guide tube is at, or a short distance past, the distal tip of the endoscope.
- the guide tube may then be rigidized, preferably along its length, to hold its assumed shape. Once this is done, the endoscope may be further advanced within the rigidized guide tube to traverse the curved pathway without having to place any pressure against the walls of the colon. The steps for advancing the endoscope may be repeated as necessary until the desired area within the body has been reached.
- the guide tube may be removed from the colon while leaving the endoscope behind.
- the guide tube may first be withdrawn and the endoscope may be subsequently withdrawn.
- the above steps may be repeated in reverse order to withdraw both the guide tube and the endoscope from the region.
- the outer surface of the guide tube preferably has a tubular covering which covers at least a majority of the tube to prevent the entry of debris and fluids within the lumen of the guide tube between the individual segments.
- the covering also facilitates the advancement and withdrawal of the guide tube by preventing tissue from being pinched between the segments.
- expandable bellows or an additional covering may optionally be placed over the distal opening of the guide tube.
- This additional covering may simply be an integral extension of the covering over the surface of the guide tube, or it may be a separate covering attached to the distal end of the guide tube.
- This covering may also be attached to or near the distal end of the endoscope to maintain a seal between the endoscope shaft and the guide tube.
- the coverings and their variations may be attached by any conventional method as practicable. If the covering over the distal end of the guide tube is utilized, as the distal portion of the endoscope shaft is advanced distally through the guide tube, the covering preferably expands distally along with the endoscope or simply slides distally along with the endoscope. When the shaft is retracted within the guide lumen, the covering again preferably retracts proximally along with the proximal movement of the distal end of the endoscope or it may simply be retracted manually along with the endoscope. The use of the additional covering may also aid in maintaining the sterility of the internal lumen of the guide tube.
- FIG. 1 shows a variation of the guide tube assembly in which an endoscope is pushed through and supported by a guide tube.
- FIG. 2 shows a cross-sectional view of the guide tube assembly of FIG. 1 .
- FIG. 3 shows the guide tube variation of FIG. 1 with a portion of the tube partially removed for clarity.
- FIG. 4 shows a variation on a steerable endoscope having a selectively steerable distal portion and an automatically controllable proximal portion which may be used with the rigidizable guide tube.
- FIG. 5 shows a wire frame model of a section of the automatically controllable endoscope traversing an arbitrary curve.
- FIG. 6A shows a variation in which the distal end of the endoscope remains unattached to the flexible covering.
- FIG. 6B shows another variation in which the distal end of the endoscope is attached to the flexible covering.
- FIG. 7 shows the distal end of the endoscope extending past the distal end of the guide tube and the flexible covering extending distally along with the endoscope.
- FIG. 8A shows another variation in which the covering is configured as an elastic tubular structure.
- FIG. 8B shows another variation in which the covering is configured as an elastic diaphragm structure.
- FIG. 9 shows the variations of FIGS. 8A and 8B in which the endoscope is extended distally.
- FIG. 10 shows yet another variation in which a plastic covering is used to cover the endoscope and guide tube.
- FIGS. 11A to 11 E show a variation on advancing an endoscope through a colon using the guide tube as support.
- FIG. 12 shows a variation in which the guide tube may be withdrawn from the colon while leaving the endoscope behind.
- Assembly 10 generally comprises an endoscope 12 which is insertable within guide tube 14 through guide lumen 16 .
- Endoscope 12 may be any conventional type endoscope having a handle 18 with shaft 20 extending therefrom.
- the distal end of shaft 20 preferably comprises a controllable distal portion 22 which may be manipulated to facilitate the steering of the device through the body.
- Endoscope shaft 20 may be slidingly disposed within guide lumen 16 such that controllable distal portion 22 is able to be passed entirely through guide tube 14 and out distal opening 24 defined at the distal end of tube 14 .
- guide tube 14 may also be used with an endoscope having an automatically controlled proximal portion and a selectively steerable distal portion, as described in further detail below.
- a controllable endoscope may have a distal portion which is manually steerable by the physician or surgeon to assume a shape to traverse an arbitrary curved path and a proximal portion which is automatically controlled by, e.g., a computer, to transmit the assumed shape along the proximal portion as the endoscope is advanced or withdrawn. More detailed examples are described in copending U.S. patent application Ser. No. 09/969,927, which has been incorporated above by reference in its entirety.
- FIG. 4 shows one variation of steerable endoscope 80 .
- Endoscope 80 has an elongate body 82 with a manually or selectively steerable distal portion 84 and an automatically controlled proximal portion 86 .
- the selectively steerable distal portion 84 can be selectively steered or bent up to a full 180° bend in any direction.
- a fiberoptic imaging bundle 92 and one or more illumination fibers 94 may extend through body 82 from proximal end 90 to distal end 88 .
- endoscope 80 may be configured as a video endoscope with a miniaturized video camera, e.g., a CCD camera, positioned at distal end 88 of endoscope body 82 .
- the images from the video camera may be transmitted to a video monitor by a transmission cable or by wireless transmission where images may be viewed in real-time or recorded by a recording device onto analog recording medium, e.g., magnetic tape, or digital recording medium, e.g., compact disc, digital tape, etc.
- body 82 of endoscope 80 may include one or two, instrument channels 96 , 98 that may also be used for insufflation or irrigation, air and water channels, vacuum channels, etc.
- Body 82 of endoscope 80 is preferably highly flexible so that it is able to bend around small diameter curves without buckling or kinking while maintaining the various channels intact.
- body 82 of the endoscope 80 may range typically from 135 to 185 cm in length and approximately 12-13 mm in diameter.
- Endoscope 80 can be made in a variety of other sizes and configurations for other medical and industrial applications.
- a proximal handle 100 is attached to proximal end 90 of elongate body 82 .
- Handle 100 may include ocular 104 connected to fiberoptic imaging bundle 92 for direct viewing and/or for connection to a video camera 106 or a recording device 108 .
- Handle 100 may be connected to an illumination source 110 by illumination cable 116 that is connected to or continuous with illumination fibers 94 .
- a first luer lock fitting 112 and a second luer lock fitting 114 on the handle 100 may be connected to instrument channels 96 , 98 .
- Handle 100 may be connected to an electronic motion controller 122 by way of controller cable 118 .
- Steering control 102 may be connected to electronic motion controller 122 by way of a second cable 120 .
- Steering control 102 may allow the user to selectively steer or bend selectively steerable distal portion 84 of body 82 in the desired direction.
- Steering control 102 may be a joystick controller as shown, or other known steering control mechanism.
- Electronic motion controller 122 may control the motion of automatically controlled proximal portion 86 of body 82 .
- the electronic motion controller 122 may be implemented using a motion control program running on a microcomputer or using an application-specific motion controller. Alternatively, electronic motion controller 122 may be implemented using, a neural network controller.
- An axial motion transducer 124 may be provided to measure the axial motion of the endoscope body 82 as it is advanced and withdrawn.
- the axial motion transducer 124 can be made in many possible configurations.
- the axial motion transducer 124 in FIG. 4 is configured as a ring 126 that may entirely or partially surround body 82 of endoscope 80 .
- the axial motion transducer 124 is preferably attached to a fixed point of reference, such as the surgical table or the insertion point for endoscope 80 on the patient's body.
- axial motion transducer 124 As body 82 of endoscope 80 slides through axial motion transducer 124 , it produces a signal indicative of the axial position of endoscope body 82 with respect to the fixed point of reference and sends a signal to electronic motion controller 122 by telemetry or by a cable (not shown).
- Axial motion transducer 124 may use optical, electronic or mechanical methods to measure the axial position of endoscope body 82 .
- Other possible configurations for the axial motion transducer 124 are further described in copending U.S. patent application Ser. No. 09/969,927.
- FIG. 5 shows a wire frame model of a section of body 82 of endoscope 80 in a neutral or straight position. Most of the internal structure of endoscope body 82 has been eliminated in this drawing for the sake of clarity. Endoscope body 82 is divided up into segments or sections 1, 2, 3, . . . , etc. The geometry of each segment is defined by four length measurements along the a, b, c and d axes and each of the adjacent segments are preferably interconnected via joints which allow the independent angular movement and/or rotation of each segment relative to one another.
- the geometry of segment 1 is defined by the four length measurements l 1a , l 1b , l 1c , l 1d
- the geometry of segment 2 is defined by the four length measurements l 2a , l 2b , l 2c , l 2d , etc.
- Each adjacent segment 1, 2, 3, etc. are preferably individually controlled by linear actuators (not shown), e.g., electric, pneumatic, hydraulic, etc. motors.
- the linear actuators may utilize one of several different operating principles. For example, to bend the endoscope body 82 in the direction of the a axis, the measurements l 1a , l 2a , l 3a . . .
- l 10a can be shortened and the measurements l 1b , l 2b , l 3b . . . l 10b would be lengthened an equal amount. The amount by which these measurements are changed determines the radius of the resultant curve.
- individual motors may be actuated to move adjacent segments relative to one another to effect a resultant curvature, as described in further detail in U.S. patent application Ser. No. 09/969,927.
- each segment may be automatically controlled by electronic motion controller 122 , which uses a curve propagation method to control the shape of endoscope body 82 .
- Endoscope body 82 has been maneuvered through the curve in colon C with the benefit of selectively steerable distal portion 84 and now automatically controlled proximal portion 86 resides in the curve.
- segment 1 moves into the position marked 1 ′
- segment 2 moves into the position previously occupied by segment 1
- segment 3 moves into the position previously occupied by segment 2, etc.
- the axial motion transducer 124 produces a signal indicative of the axial position of endoscope body 82 with respect to a fixed point of reference and sends the signal to the electronic motion controller 122 , under control of the electronic motion controller 122 , each time endoscope body 82 advances one unit, each segment in automatically controlled proximal portion 86 is signaled to assume the shape of the segment that previously occupied the space that it is now in. Thus, the curve propagates proximally along the length of automatically controlled proximal portion 86 of endoscope body 82 . The curve appears to be fixed in space, as endoscope body 82 advances distally.
- each segment in automatically controlled proximal portion 86 is signaled to assume the shape of the segment that previously occupied the space that it is now in.
- the curve propagates distally along the length of the automatically controlled proximal portion 86 of endoscope body 82 , and the curve appears to be fixed in space, as endoscope body 82 withdraws proximally.
- axial motion transducer 124 preferably detects the change in position and electronic motion controller 122 propagates the selected curves proximally or distally along automatically controlled proximal portion 86 of endoscope body 82 to maintain the curves in a spatially fixed position. This allows endoscope body 82 to move through tortuous curves without putting unnecessary force on the walls of colon C.
- the physician or surgeon may typically first advance distal portion 22 of endoscope 12 within the body of the patient. Upon reaching the first point at which endoscope 12 requires steering to negotiate a curved pathway, the user may appropriately steer distal portion 22 to assume a curve for traversing the pathway.
- guide tube 14 may be advanced over shaft 20 until the distal end of guide tube 14 is at, a short distance before, or a short distance past, the distal tip of controllable distal portion 22 . The short distance is considered to range anywhere from a few centimeters to several inches. While guide tube 14 is advanced over shaft 20 , tube 14 is preferably in a non-rigid state and is flexible enough to assume the curve formed by controllable distal portion 22 .
- tube 14 is rigidized preferably along its length to hold its assumed shape. Once this is accomplished, shaft 20 of endoscope 12 may be further advanced within the rigidized guide tube 14 to traverse the curved pathway without having to place any pressure against the walls of the colon.
- automatically controllable endoscope 80 it may generally be used in the same manner as conventional endoscope 12 . However, because endoscope body 82 is automatically controllable either along its entire length or along several segments proximally of steerable distal portion 84 , the steerable distal portion 84 may be advanced farther past the distal end of guide tube 14 than might be possible with conventional endoscope 12 . Controllable endoscope 80 may be used in all other aspects similarly as conventional endoscope 12 as described herein.
- bellows or covering 26 may cover distal opening 24 of guide tube 14 to prevent the entry of debris and fluids within guide lumen 16 .
- covering 26 is preferably configured to expand distally either over or with shaft 20 while maintaining a seal with guide lumen 16 .
- covering 26 is preferably configured to retract proximally back over distal opening 24 along with the proximal movement of distal portion 22 .
- the use of covering 26 is optional and may be used to maintain the sterility of guide lumen 16 . Covering 26 may also be used to prevent the pinching and tearing of tissue when shaft 20 is withdrawn within guide lumen 16 .
- Guide tube 14 may be any conventional appropriately flexible conduit which is capable of being rigidized along its entire length.
- the variation shown in FIG. 1 is comprised of a plurality of individual segments 28 which are linked adjacent to one another via several, i.e., more than one, tensioning wires or elements 30 .
- Segments 28 may be a series of interconnecting ball-and-socket type segments which allow adjacent segments 28 to angularly pivot relative to one another to form an angle for traversing curves.
- These segments 28 may be rigidized via tensioning elements 30 which may be placed circumferentially about segments 28 , as shown in FIG. 2 , which is a cross-sectioned view of assembly 10 from FIG. 1 .
- tensioning wires 30 A, 30 B, 30 C, 30 D which are each placed 90° relative to one another. Although four wires are shown in this example, a fewer number of wires may also be used, e.g., three wires. Each of these wires 30 A, 30 B, 30 C, 30 D may be routed through an integral channel or lumen defined in the walls of each segment 28 . Moreover, they may be individually manipulated or they may all be manipulated simultaneously to effect a tensioning force for either rigidizing or relaxing guide tube 14 along its length.
- FIG. 2 also shows the relative positioning of shaft 20 in relation to segment 28 .
- shaft 20 which may contain any number of channels 34 for illumination fibers, optical fibers, etc., and working channels 34 , is slidingly disposed within guide lumen 16 .
- This variation shows a gap separation between the outer surface of shaft 20 and the inner surface of segment 28 .
- This gap may vary depending upon the diameter of the endoscope being used and the desired cross-sectional area of guide tube 14 , but a nominal separation is preferable to allow the uninhibited traversal of shaft 20 within guide lumen 16 .
- An example of a rigidizable conduit structure which may be utilized as part of the present invention is shown and described in further detail in U.S. Pat. No. 5,251,611 to Zehel et al., which is incorporated herein by reference in its entirety.
- the outer surface of guide tube 14 preferably has a tubular covering 32 which covers at least a majority of tube 14 .
- Tubular covering 32 may provide a barrier between the debris and fluids of the body environment and the interior guide lumen 16 , if also used with covering 26 .
- covering 26 may be an integral extension of tubular covering 32 and may accordingly be made from a continuous layer of material.
- Tubular covering 32 may also provide a lubricous cover to facilitate the insertion and movement of guide tube 14 along the walls of the body lumen as well as to provide a smooth surface inbetween the individual segments 28 to prevent the tissue from being pinched or trapped.
- Tubular covering 32 may be made from a variety of polymeric materials, e.g., PTFE, FEP, Tecoflex, etc.
- FIG. 3 shows a side view of guide tube variation 14 with a portion of the wall partially removed for clarity.
- individual segments 28 are aligned adjacent to one another with interconnecting sleeves 40 placed inbetween.
- Sleeves 40 in this variation, may be used to provide a pivoting structure to allow guide tube 14 to flex into different positions.
- segments 28 may be curved ball-and-socket type joints configured to interfit with one another.
- Tubular covering 32 may also be seen to cover at least the majority of guide tube 14 .
- a distal end portion of guide tube 14 may be configured to be controllable such that guide tube 14 , like the controllable distal portion 22 of the endoscope 12 , may define an optimal path for traversal.
- Bellows or covering 26 may optionally be appended to the distal end of conventional endoscope shaft 20 or controllable shaft 82 .
- automatically controllable endoscope 82 may be interchanged with conventional endoscope 12 when used in guide tube 14 as well as with the use of bellows or covering 26 .
- descriptions on the method of use may describe use with conventional endoscope 12 , this is done for brevity and is not intended to be limiting. The description is intended to apply equally to use with controllable endoscope 80 since the two may be easily interchanged depending upon the desired use and result.
- FIG. 6A shows one variation in which shaft 20 or 80 is unattached to covering 26 such that endoscope 12 may be freely inserted and withdrawn from guide lumen 16 .
- Covering 26 may be omitted altogether from the assembly but is preferably used not only to help maintain an unobstructed guide lumen 16 , but also to prevent the walls of the body lumen from being pinched between the endoscope shaft 20 or 80 and guide tube 14 during advancement of the assembly. As seen in FIG. 6A , covering 26 may be separately attached at attachment region 50 to the outer surface or distal edge of guide tube 14 . Covering 26 may also further comprise a gusseted region 52 which allows the covering 26 to be compressed into a small compact profile and expanded much like a bellows during shaft 20 or 80 advancement. When shaft 20 or 80 is withdrawn, gusseted region 52 may allow covering 26 to recompress or reconfigure itself back into its compacted shape.
- covering 26 is unattached to shaft 20 or 80 ; therefore, once the assembly has reached a predetermined location within the colon, covering 26 may be removed through a working channel within endoscope 12 or the working tools may simply be pierced through covering 26 , although this is less preferable, before a procedure may be begin.
- FIG. 6B shows another variation where covering 26 may be attached to the endoscope shaft 20 or 80 near or at the distal end of controllable distal portion 22 along attachment region 54 .
- covering 26 remains attached to the endoscope 12 .
- FIG. 7 shows shaft 20 or 80 being advanced to a distal position through guide lumen 16 .
- gusseted region 52 may be seen expanding to accommodate the distal movement.
- the gusseted region 52 may be configured to allow shaft 20 or 80 to be advanced to any practical distance beyond guide tube 14 , e.g., a few or several inches, depending upon the application.
- shaft 20 or 80 may be extended through guide lumen 16 to this distal position prior to first advancing shaft 20 or 80 within the colon of a patient as well as to allow enough room so that the controllable distal portion 22 may have enough space to be manipulated to assume a desired shape or curve over which guide tube 14 may be advanced over.
- covering 60 may be configured as an elastic tubular member. As seen, when endoscope shaft 20 or 80 is in a retracted position, covering 60 may be configured to form a tubular structure when relaxed. As endoscope shaft 20 or 80 is advanced distally, as seen in FIG. 9 , covering 60 may stretch along with shaft 20 or 80 to maintain the sterility of guide lumen 16 .
- covering 62 may be configured as an elastic rolling diaphragm.
- covering 62 When endoscope shaft 20 or 80 is retracted, covering 62 may be configured to evert upon itself such that part of covering 62 may be pulled proximally into guide lumen 16 .
- Such a covering 62 material may comprise any number of elastomers, elastomeric materials, or rubber-type materials, e.g., neoprene or latex.
- endoscope shaft 20 or 80 is advanced distally, covering 62 may likewise revert and stretch distally along with shaft 20 or 80 , also as shown in FIG. 9 .
- the covering may simply be a plastic covering or wrapper 64 which is non-elastic, as shown in FIG. 10 .
- Such coverings 64 are conventionally available and may be advanced along with endoscope shaft 20 or 80 and retracted likewise as endoscope shaft 20 or 80 is retracted.
- FIGS. 11A to 11 E show one variation of advancing a conventional endoscope 12 using the guide tube 14 .
- FIG. 11A shows an illustrative colon C of a patient.
- Endoscope 12 may be inserted within colon C through the anus A of the patient.
- controllable distal portion 22 may be manipulated much as a conventional endoscope to select an optimal path into sigmoid colon S.
- the optimal path is one which presents the most efficient path for advancing endoscope 12 with the least amount of contact against the walls of colon C.
- guide tube 14 may be advanced through anus A and rectum R over endoscope 12 while endoscope 12 is maintained stationary relative to colon C.
- Guide tube 14 is preferably in a relaxed state and is able to conform easily to the shape defined by controllable distal portion 22 .
- Guide tube 14 may be advanced to the distal end of distal portion 22 , a short distance before, or a short distance past the distal end of portion 22 , as shown in. FIG. 11B .
- guide tube 14 With guide tube 14 rigidized, it is preferably held stationary relative to colon C while endoscope 12 is further advanced through guide tube 14 until distal portion 22 reaches the next point of curvature. Controllable distal portion 22 may then be manipulated to select an optimal path into descending colon D, as shown in FIG. 11C . Once the optimal path has been selected, endoscope 12 is preferably maintained stationary relative to colon C while guide tube 14 is placed into its relaxed state and advanced over endoscope 12 . Guide tube 14 may be advanced distally until the distal end of endoscope 12 is reached, as shown in FIG. 11D . At this point, guide tube 14 , having assumed the shape defined by controllable distal portion 22 , may be rigidized along its length to maintain this shape.
- Endoscope 12 may then be advanced distally again, as seen in FIG. 11E , while using the rigidized guide tube 14 to provide the column strength to advance endoscope 12 without the need to unnecessarily contact the walls of colon C.
- Endoscope 12 may be advanced until distal portion 22 reaches the flexure between descending colon D and transverse colon T. Once this point is reached, the steps described above may be repeated as necessary until endoscope 12 has negotiated its way through transverse colon T, and ascending colon G until cecum E has been reached, or until a desired location within colon C has been reached.
- guide tube 14 may be removed from colon C while leaving endoscope 12 behind, as shown in FIG. 12 by tube withdrawal 70 . If endoscope 12 were left within colon C, the endoscope 12 may be used and manipulated as any conventional endoscope or colonoscope would be during a conventional colonoscopy examination. Guide tube 14 may also be partially retracted to allow the distal portion 22 to be steered or manipulated to examine or treat the colon C while still providing support and guidance to the proximal scope section of endoscope 12 . To remove the assembly from colon C, guide tube 14 may first be withdrawn, as shown, and endoscope 12 may be subsequently withdrawn. Alternatively, the above steps may be repeated in reverse order to withdraw both guide tube 14 and endoscope 12 from colon C.
- the applications of the guide tube system and methods of use discussed above are not limited to regions of the body but may include any number of further treatment applications. Other treatment sites may include areas or regions of the body around organ bodies. Additionally, the present invention may be used in other environments which present tortuous paths such as exploratory procedures on piping systems, ducts, etc. Moreover, various other rigidizable guide tube apparatus and applications may be utilized beyond what is described herein. Modification of the above-described assemblies and methods for carrying out the invention, and variations of aspects of the invention that are obvious to those of skill in the art are intended to be within the scope of the claims.
Abstract
Description
- This is a continuation of U.S. patent application Ser. No. 10/139,289 filed May 2, 2002, which is a continuation-in-part of U.S. patent application Ser. No. 09/969,927 filed Oct. 2, 2001, which is a continuation-in-part of U.S. patent application Ser. No. 09/790,204 filed Feb. 20, 2001, which claims priority of U.S. Provisional Patent Application Ser. No. 60/194,140 filed Apr. 3, 2000, each of which is incorporated herein by reference in its entirety.
- The present invention relates generally to endoscopes and endoscopic medical procedures. More particularly, it relates to a method and apparatus to facilitate insertion of a flexible endoscope along a tortuous path using a guide tube apparatus, such as for colonoscopic examination and treatment.
- An endoscope is a medical instrument for visualizing the interior of a patient's body. Endoscopes can be used for a variety of different diagnostic and interventional procedures, including colonoscopy, bronchoscopy, thoracoscopy, laparoscopy and video endoscopy.
- Colonoscopy is a medical procedure in which a flexible endoscope, or colonoscope, is inserted into a patient's colon for diagnostic examination and/or surgical treatment of the colon. A standard colonoscope is typically 135-185 cm in length and 12-19 mm in diameter, and includes a fiberoptic imaging bundle or a miniature camera located at the instrument's tip, illumination fibers, one or two instrument channels that may also be used for insufflation or irrigation, air and water channels, and vacuum channels.
- The colonoscope is inserted via the patient's anus and is advanced through the colon, allowing direct visual examination of the colon, the ileocecal valve and portions of the terminal ileum. Insertion of the colonoscope is complicated by the fact that the colon represents a tortuous and convoluted path. Considerable manipulation of the colonoscope is often necessary to advance the colonoscope through the colon, making the procedure more difficult and time consuming and adding to the potential for complications, such as intestinal perforation.
- Steerable colonoscopes have been devised to facilitate selection of the correct path though the curves of the colon. However, as the colonoscope is inserted farther and farther into the colon, it becomes more difficult to advance the colonoscope along the selected path. At each turn, the wall of the colon must maintain the curve in the colonoscope. The colonoscope rubs against the mucosal surface of the colon along the outside of each turn. Friction and slack in the colonoscope build up at each turn, making it more and more difficult to advance and withdraw the colonoscope. In addition, the force against the wall of the colon increases with the buildup of friction. In cases of extreme tortuosity, it may become impossible to advance the colonoscope all of the way through the colon.
- Steerable endoscopes, catheters and insertion devices for medical examination or treatment of internal body structures are described in the following U.S. patents, the disclosures of which are hereby incorporated by reference in their entirety: U.S. Pat. Nos. 4,543,090; 4,753,223; 5,337,732; 5,337,733; 5,383,852; 5,487,757 and 5,662,587.
- An endoscopic assembly and method of advancing the assembly which is able to traverse tortuous paths, such as the colon, without excessively contacting the walls of the colon is described herein. The assembly generally comprises a combination of an endoscope which is slidably insertable within the lumen of a guide tube. The endoscope may be any conventional endoscope having a shaft which extends from a handle. The distal end of the shaft preferably comprises a controllable distal portion which may be manipulated to facilitate the steering of the assembly through the tortuous path. The guide tube may be a conventional flexible conduit which is configured to be rigidizable along its entire length from a relaxed configuration. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve.
- Alternatively, the guide tube may also be used with an endoscope having an automatically controlled proximal portion and a selectively steerable distal portion. Such a controllable endoscope may have a distal portion which is manually steerable by the physician or surgeon to assume a shape to traverse an arbitrary curved path and a proximal portion which is automatically controlled by, e.g., a computer, to transmit the assumed shape along the proximal portion as the endoscope is advanced or withdrawn. More detailed examples are described in copending U.S. patent application Ser. No. 09/969,927, which has been incorporated above by reference in its entirety.
- The guide tube may be comprised of a plurality of individual segments which are linked adjacent to one another via one or more tensioning wires or elements. These tensioning elements may be placed circumferentially about each of the segments and preferably run throughout the length of the guide tube through each of the individual segments. When the guide tube is to be rigidized, the tensioning elements may be pulled or tightened to draw the segments together such that the entire guide tube becomes rigid. The tensioning elements may then be loosened such that the individual segments may move relative to one another.
- In use, e.g., in the colon, the physician or surgeon may typically first advance the distal portion of the endoscope within the body of the patient. When the first curve of the colon is approached, the user may appropriately steer the distal portion of the endoscope to assume a curve for traversing the path. At this point, the endoscope is preferably held stationary relative to the patient while the guide, in a relaxed and flexible state, is advanced over the shaft of the endoscope until the distal end of the guide tube is at, or a short distance past, the distal tip of the endoscope. Once the guide tube, or at least its distal portion, has assumed the curve formed by the controllable distal portion of the endoscope, the guide tube may then be rigidized, preferably along its length, to hold its assumed shape. Once this is done, the endoscope may be further advanced within the rigidized guide tube to traverse the curved pathway without having to place any pressure against the walls of the colon. The steps for advancing the endoscope may be repeated as necessary until the desired area within the body has been reached.
- At any point during the exploratory procedure, the guide tube may be removed from the colon while leaving the endoscope behind. To remove the assembly from the colon, the guide tube may first be withdrawn and the endoscope may be subsequently withdrawn. Alternatively, the above steps may be repeated in reverse order to withdraw both the guide tube and the endoscope from the region.
- The outer surface of the guide tube preferably has a tubular covering which covers at least a majority of the tube to prevent the entry of debris and fluids within the lumen of the guide tube between the individual segments. The covering also facilitates the advancement and withdrawal of the guide tube by preventing tissue from being pinched between the segments. To prevent tissue from being pinched between the guide tube and endoscope during assembly movement, expandable bellows or an additional covering may optionally be placed over the distal opening of the guide tube. This additional covering may simply be an integral extension of the covering over the surface of the guide tube, or it may be a separate covering attached to the distal end of the guide tube. This covering may also be attached to or near the distal end of the endoscope to maintain a seal between the endoscope shaft and the guide tube. The coverings and their variations may be attached by any conventional method as practicable. If the covering over the distal end of the guide tube is utilized, as the distal portion of the endoscope shaft is advanced distally through the guide tube, the covering preferably expands distally along with the endoscope or simply slides distally along with the endoscope. When the shaft is retracted within the guide lumen, the covering again preferably retracts proximally along with the proximal movement of the distal end of the endoscope or it may simply be retracted manually along with the endoscope. The use of the additional covering may also aid in maintaining the sterility of the internal lumen of the guide tube.
-
FIG. 1 shows a variation of the guide tube assembly in which an endoscope is pushed through and supported by a guide tube. -
FIG. 2 shows a cross-sectional view of the guide tube assembly ofFIG. 1 . -
FIG. 3 shows the guide tube variation ofFIG. 1 with a portion of the tube partially removed for clarity. -
FIG. 4 shows a variation on a steerable endoscope having a selectively steerable distal portion and an automatically controllable proximal portion which may be used with the rigidizable guide tube. -
FIG. 5 shows a wire frame model of a section of the automatically controllable endoscope traversing an arbitrary curve. -
FIG. 6A shows a variation in which the distal end of the endoscope remains unattached to the flexible covering. -
FIG. 6B shows another variation in which the distal end of the endoscope is attached to the flexible covering. -
FIG. 7 shows the distal end of the endoscope extending past the distal end of the guide tube and the flexible covering extending distally along with the endoscope. -
FIG. 8A shows another variation in which the covering is configured as an elastic tubular structure. -
FIG. 8B shows another variation in which the covering is configured as an elastic diaphragm structure. -
FIG. 9 shows the variations ofFIGS. 8A and 8B in which the endoscope is extended distally. -
FIG. 10 shows yet another variation in which a plastic covering is used to cover the endoscope and guide tube. -
FIGS. 11A to 11E show a variation on advancing an endoscope through a colon using the guide tube as support. -
FIG. 12 shows a variation in which the guide tube may be withdrawn from the colon while leaving the endoscope behind. - As shown in
FIG. 1 , a representative illustration of a variation onguide tube assembly 10 is seen partially disassembled for clarity.Assembly 10 generally comprises anendoscope 12 which is insertable withinguide tube 14 throughguide lumen 16.Endoscope 12 may be any conventional type endoscope having ahandle 18 withshaft 20 extending therefrom. The distal end ofshaft 20 preferably comprises a controllabledistal portion 22 which may be manipulated to facilitate the steering of the device through the body.Endoscope shaft 20 may be slidingly disposed withinguide lumen 16 such that controllabledistal portion 22 is able to be passed entirely throughguide tube 14 and outdistal opening 24 defined at the distal end oftube 14. - Alternatively, guide
tube 14 may also be used with an endoscope having an automatically controlled proximal portion and a selectively steerable distal portion, as described in further detail below. Such a controllable endoscope may have a distal portion which is manually steerable by the physician or surgeon to assume a shape to traverse an arbitrary curved path and a proximal portion which is automatically controlled by, e.g., a computer, to transmit the assumed shape along the proximal portion as the endoscope is advanced or withdrawn. More detailed examples are described in copending U.S. patent application Ser. No. 09/969,927, which has been incorporated above by reference in its entirety. - One example of such an endoscope is shown in
FIG. 4 , which shows one variation of steerable endoscope 80. Endoscope 80 has anelongate body 82 with a manually or selectively steerabledistal portion 84 and an automatically controlledproximal portion 86. The selectively steerabledistal portion 84 can be selectively steered or bent up to a full 180° bend in any direction. A fiberoptic imaging bundle 92 and one or more illumination fibers 94 may extend throughbody 82 fromproximal end 90 todistal end 88. Alternatively, endoscope 80 may be configured as a video endoscope with a miniaturized video camera, e.g., a CCD camera, positioned atdistal end 88 ofendoscope body 82. The images from the video camera may be transmitted to a video monitor by a transmission cable or by wireless transmission where images may be viewed in real-time or recorded by a recording device onto analog recording medium, e.g., magnetic tape, or digital recording medium, e.g., compact disc, digital tape, etc. Optionally,body 82 of endoscope 80 may include one or two, instrument channels 96, 98 that may also be used for insufflation or irrigation, air and water channels, vacuum channels, etc.Body 82 of endoscope 80 is preferably highly flexible so that it is able to bend around small diameter curves without buckling or kinking while maintaining the various channels intact. When configured for use as a colonoscope,body 82 of the endoscope 80 may range typically from 135 to 185 cm in length and approximately 12-13 mm in diameter. Endoscope 80 can be made in a variety of other sizes and configurations for other medical and industrial applications. - A
proximal handle 100 is attached toproximal end 90 ofelongate body 82. Handle 100 may include ocular 104 connected to fiberoptic imaging bundle 92 for direct viewing and/or for connection to avideo camera 106 or a recording device 108. Handle 100 may be connected to an illumination source 110 by illumination cable 116 that is connected to or continuous with illumination fibers 94. A first luer lock fitting 112 and a second luer lock fitting 114 on thehandle 100 may be connected to instrument channels 96, 98. - Handle 100 may be connected to an
electronic motion controller 122 by way ofcontroller cable 118.Steering control 102 may be connected toelectronic motion controller 122 by way of asecond cable 120.Steering control 102 may allow the user to selectively steer or bend selectively steerabledistal portion 84 ofbody 82 in the desired direction.Steering control 102 may be a joystick controller as shown, or other known steering control mechanism.Electronic motion controller 122 may control the motion of automatically controlledproximal portion 86 ofbody 82. Theelectronic motion controller 122 may be implemented using a motion control program running on a microcomputer or using an application-specific motion controller. Alternatively,electronic motion controller 122 may be implemented using, a neural network controller. - An
axial motion transducer 124 may be provided to measure the axial motion of theendoscope body 82 as it is advanced and withdrawn. Theaxial motion transducer 124 can be made in many possible configurations. By way of example, theaxial motion transducer 124 inFIG. 4 is configured as aring 126 that may entirely or partially surroundbody 82 of endoscope 80. Theaxial motion transducer 124 is preferably attached to a fixed point of reference, such as the surgical table or the insertion point for endoscope 80 on the patient's body. Asbody 82 of endoscope 80 slides throughaxial motion transducer 124, it produces a signal indicative of the axial position ofendoscope body 82 with respect to the fixed point of reference and sends a signal toelectronic motion controller 122 by telemetry or by a cable (not shown).Axial motion transducer 124 may use optical, electronic or mechanical methods to measure the axial position ofendoscope body 82. Other possible configurations for theaxial motion transducer 124 are further described in copending U.S. patent application Ser. No. 09/969,927. -
FIG. 5 shows a wire frame model of a section ofbody 82 of endoscope 80 in a neutral or straight position. Most of the internal structure ofendoscope body 82 has been eliminated in this drawing for the sake of clarity.Endoscope body 82 is divided up into segments orsections segment 1 is defined by the four length measurements l1a, l1b, l1c, l1d, and the geometry ofsegment 2 is defined by the four length measurements l2a, l2b, l2c, l2d, etc. Eachadjacent segment endoscope body 82 in the direction of the a axis, the measurements l1a, l2a, l3a . . . l10a can be shortened and the measurements l1b, l2b, l3b . . . l10b would be lengthened an equal amount. The amount by which these measurements are changed determines the radius of the resultant curve. Alternatively, individual motors may be actuated to move adjacent segments relative to one another to effect a resultant curvature, as described in further detail in U.S. patent application Ser. No. 09/969,927. - In the automatically controlled
proximal portion 86, each segment may be automatically controlled byelectronic motion controller 122, which uses a curve propagation method to control the shape ofendoscope body 82.Endoscope body 82 has been maneuvered through the curve in colon C with the benefit of selectively steerabledistal portion 84 and now automatically controlledproximal portion 86 resides in the curve. When endoscopebody 82 is advanced distally by one unit,segment 1 moves into the position marked 1′,segment 2 moves into the position previously occupied bysegment 1, segment 3 moves into the position previously occupied bysegment 2, etc. Theaxial motion transducer 124 produces a signal indicative of the axial position ofendoscope body 82 with respect to a fixed point of reference and sends the signal to theelectronic motion controller 122, under control of theelectronic motion controller 122, eachtime endoscope body 82 advances one unit, each segment in automatically controlledproximal portion 86 is signaled to assume the shape of the segment that previously occupied the space that it is now in. Thus, the curve propagates proximally along the length of automatically controlledproximal portion 86 ofendoscope body 82. The curve appears to be fixed in space, asendoscope body 82 advances distally. - Similarly, when the
endoscope body 82 is withdrawn proximally, eachtime endoscope body 82 is moved proximally by one unit, each segment in automatically controlledproximal portion 86 is signaled to assume the shape of the segment that previously occupied the space that it is now in. The curve propagates distally along the length of the automatically controlledproximal portion 86 ofendoscope body 82, and the curve appears to be fixed in space, asendoscope body 82 withdraws proximally. Wheneverendoscope body 82 is advanced or withdrawn,axial motion transducer 124 preferably detects the change in position andelectronic motion controller 122 propagates the selected curves proximally or distally along automatically controlledproximal portion 86 ofendoscope body 82 to maintain the curves in a spatially fixed position. This allowsendoscope body 82 to move through tortuous curves without putting unnecessary force on the walls of colon C. - One example of using
assembly 10, e.g., in the colon, the physician or surgeon may typically first advancedistal portion 22 ofendoscope 12 within the body of the patient. Upon reaching the first point at whichendoscope 12 requires steering to negotiate a curved pathway, the user may appropriately steerdistal portion 22 to assume a curve for traversing the pathway. At this point withendoscope 12 held stationary relative to the patient, guidetube 14 may be advanced overshaft 20 until the distal end ofguide tube 14 is at, a short distance before, or a short distance past, the distal tip of controllabledistal portion 22. The short distance is considered to range anywhere from a few centimeters to several inches. Whileguide tube 14 is advanced overshaft 20,tube 14 is preferably in a non-rigid state and is flexible enough to assume the curve formed by controllabledistal portion 22. - Once
tube 14, or at least its distal portion, has assumed the curve formed by controllabledistal portion 22,tube 14 is rigidized preferably along its length to hold its assumed shape. Once this is accomplished,shaft 20 ofendoscope 12 may be further advanced within therigidized guide tube 14 to traverse the curved pathway without having to place any pressure against the walls of the colon. - Alternatively, if automatically controllable endoscope 80 is utilized, it may generally be used in the same manner as
conventional endoscope 12. However, becauseendoscope body 82 is automatically controllable either along its entire length or along several segments proximally of steerabledistal portion 84, the steerabledistal portion 84 may be advanced farther past the distal end ofguide tube 14 than might be possible withconventional endoscope 12. Controllable endoscope 80 may be used in all other aspects similarly asconventional endoscope 12 as described herein. - Returning to
FIG. 1 , bellows or covering 26 may coverdistal opening 24 ofguide tube 14 to prevent the entry of debris and fluids withinguide lumen 16. Asdistal portion 22 ofshaft 20 is advanced distally throughtube 14 and out ofguide lumen 16, covering 26 is preferably configured to expand distally either over or withshaft 20 while maintaining a seal withguide lumen 16. Whenshaft 20 is retracted withinguide lumen 16 or whenguide tube 14 is advanced distally relative toshaft 20, covering 26 is preferably configured to retract proximally back overdistal opening 24 along with the proximal movement ofdistal portion 22. The use of covering 26 is optional and may be used to maintain the sterility ofguide lumen 16. Covering 26 may also be used to prevent the pinching and tearing of tissue whenshaft 20 is withdrawn withinguide lumen 16. -
Guide tube 14 may be any conventional appropriately flexible conduit which is capable of being rigidized along its entire length. The variation shown inFIG. 1 is comprised of a plurality ofindividual segments 28 which are linked adjacent to one another via several, i.e., more than one, tensioning wires orelements 30.Segments 28 may be a series of interconnecting ball-and-socket type segments which allowadjacent segments 28 to angularly pivot relative to one another to form an angle for traversing curves. Thesesegments 28 may be rigidized via tensioningelements 30 which may be placed circumferentially aboutsegments 28, as shown inFIG. 2 , which is a cross-sectioned view ofassembly 10 fromFIG. 1 . In this variation, there are four tensioningwires wires segment 28. Moreover, they may be individually manipulated or they may all be manipulated simultaneously to effect a tensioning force for either rigidizing or relaxingguide tube 14 along its length. -
FIG. 2 also shows the relative positioning ofshaft 20 in relation tosegment 28. As seen,shaft 20, which may contain any number ofchannels 34 for illumination fibers, optical fibers, etc., and workingchannels 34, is slidingly disposed withinguide lumen 16. This variation shows a gap separation between the outer surface ofshaft 20 and the inner surface ofsegment 28. This gap may vary depending upon the diameter of the endoscope being used and the desired cross-sectional area ofguide tube 14, but a nominal separation is preferable to allow the uninhibited traversal ofshaft 20 withinguide lumen 16. An example of a rigidizable conduit structure which may be utilized as part of the present invention is shown and described in further detail in U.S. Pat. No. 5,251,611 to Zehel et al., which is incorporated herein by reference in its entirety. - The outer surface of
guide tube 14 preferably has a tubular covering 32 which covers at least a majority oftube 14. Tubular covering 32 may provide a barrier between the debris and fluids of the body environment and theinterior guide lumen 16, if also used with covering 26. Moreover, covering 26 may be an integral extension of tubular covering 32 and may accordingly be made from a continuous layer of material. Tubular covering 32 may also provide a lubricous cover to facilitate the insertion and movement ofguide tube 14 along the walls of the body lumen as well as to provide a smooth surface inbetween theindividual segments 28 to prevent the tissue from being pinched or trapped. Tubular covering 32 may be made from a variety of polymeric materials, e.g., PTFE, FEP, Tecoflex, etc. -
FIG. 3 shows a side view ofguide tube variation 14 with a portion of the wall partially removed for clarity. As shown,individual segments 28 are aligned adjacent to one another with interconnectingsleeves 40 placed inbetween.Sleeves 40, in this variation, may be used to provide a pivoting structure to allowguide tube 14 to flex into different positions. Alternatively,segments 28 may be curved ball-and-socket type joints configured to interfit with one another. Tubular covering 32 may also be seen to cover at least the majority ofguide tube 14. Optionally, a distal end portion ofguide tube 14 may be configured to be controllable such thatguide tube 14, like the controllabledistal portion 22 of theendoscope 12, may define an optimal path for traversal. - Bellows or covering 26 may optionally be appended to the distal end of
conventional endoscope shaft 20 orcontrollable shaft 82. Throughout the description herein, automaticallycontrollable endoscope 82 may be interchanged withconventional endoscope 12 when used inguide tube 14 as well as with the use of bellows or covering 26. Although descriptions on the method of use may describe use withconventional endoscope 12, this is done for brevity and is not intended to be limiting. The description is intended to apply equally to use with controllable endoscope 80 since the two may be easily interchanged depending upon the desired use and result.FIG. 6A shows one variation in whichshaft 20 or 80 is unattached to covering 26 such thatendoscope 12 may be freely inserted and withdrawn fromguide lumen 16. Covering 26 may be omitted altogether from the assembly but is preferably used not only to help maintain anunobstructed guide lumen 16, but also to prevent the walls of the body lumen from being pinched between theendoscope shaft 20 or 80 and guidetube 14 during advancement of the assembly. As seen inFIG. 6A , covering 26 may be separately attached atattachment region 50 to the outer surface or distal edge ofguide tube 14. Covering 26 may also further comprise agusseted region 52 which allows the covering 26 to be compressed into a small compact profile and expanded much like a bellows duringshaft 20 or 80 advancement. Whenshaft 20 or 80 is withdrawn,gusseted region 52 may allow covering 26 to recompress or reconfigure itself back into its compacted shape. In this variation, covering 26 is unattached toshaft 20 or 80; therefore, once the assembly has reached a predetermined location within the colon, covering 26 may be removed through a working channel withinendoscope 12 or the working tools may simply be pierced through covering 26, although this is less preferable, before a procedure may be begin. -
FIG. 6B shows another variation where covering 26 may be attached to theendoscope shaft 20 or 80 near or at the distal end of controllabledistal portion 22 alongattachment region 54. Asshaft 20 or 80 is advanced or withdrawn fromguide lumen 16, covering 26 remains attached to theendoscope 12.FIG. 7 showsshaft 20 or 80 being advanced to a distal position throughguide lumen 16. Asshaft 20 or 80 is advanced,gusseted region 52 may be seen expanding to accommodate the distal movement. Thegusseted region 52 may be configured to allowshaft 20 or 80 to be advanced to any practical distance beyondguide tube 14, e.g., a few or several inches, depending upon the application. With this variation,shaft 20 or 80 may be extended throughguide lumen 16 to this distal position prior to first advancingshaft 20 or 80 within the colon of a patient as well as to allow enough room so that the controllabledistal portion 22 may have enough space to be manipulated to assume a desired shape or curve over which guidetube 14 may be advanced over. - Another variation is shown in
FIG. 8A in which covering 60 may be configured as an elastic tubular member. As seen, when endoscopeshaft 20 or 80 is in a retracted position, covering 60 may be configured to form a tubular structure when relaxed. Asendoscope shaft 20 or 80 is advanced distally, as seen inFIG. 9 , covering 60 may stretch along withshaft 20 or 80 to maintain the sterility ofguide lumen 16. - Yet another variation is shown in
FIG. 8B in which covering 62 may be configured as an elastic rolling diaphragm. When endoscopeshaft 20 or 80 is retracted, covering 62 may be configured to evert upon itself such that part of covering 62 may be pulled proximally intoguide lumen 16. Such a covering 62 material may comprise any number of elastomers, elastomeric materials, or rubber-type materials, e.g., neoprene or latex. When endoscopeshaft 20 or 80 is advanced distally, covering 62 may likewise revert and stretch distally along withshaft 20 or 80, also as shown inFIG. 9 . - Alternatively, the covering may simply be a plastic covering or
wrapper 64 which is non-elastic, as shown inFIG. 10 .Such coverings 64 are conventionally available and may be advanced along withendoscope shaft 20 or 80 and retracted likewise asendoscope shaft 20 or 80 is retracted. -
FIGS. 11A to 11E show one variation of advancing aconventional endoscope 12 using theguide tube 14.FIG. 11A shows an illustrative colon C of a patient.Endoscope 12 may be inserted within colon C through the anus A of the patient. As thedistal portion 22 is advanced through rectum R, it encounters its first point of curvature. Here, controllabledistal portion 22 may be manipulated much as a conventional endoscope to select an optimal path into sigmoid colon S. The optimal path is one which presents the most efficient path for advancingendoscope 12 with the least amount of contact against the walls of colon C. - Once
distal portion 22 has been manipulated to select the appropriate shape, guidetube 14 may be advanced through anus A and rectum R overendoscope 12 whileendoscope 12 is maintained stationary relative to colonC. Guide tube 14 is preferably in a relaxed state and is able to conform easily to the shape defined by controllabledistal portion 22.Guide tube 14 may be advanced to the distal end ofdistal portion 22, a short distance before, or a short distance past the distal end ofportion 22, as shown in.FIG. 11B . Onceguide tube 14 has been advanced distally, it may be rigidized along its length such that it maintains the shape defined byendoscope 12. - Then, with
guide tube 14 rigidized, it is preferably held stationary relative to colon C whileendoscope 12 is further advanced throughguide tube 14 untildistal portion 22 reaches the next point of curvature. Controllabledistal portion 22 may then be manipulated to select an optimal path into descending colon D, as shown inFIG. 11C . Once the optimal path has been selected,endoscope 12 is preferably maintained stationary relative to colon C whileguide tube 14 is placed into its relaxed state and advanced overendoscope 12.Guide tube 14 may be advanced distally until the distal end ofendoscope 12 is reached, as shown inFIG. 11D . At this point, guidetube 14, having assumed the shape defined by controllabledistal portion 22, may be rigidized along its length to maintain this shape.Endoscope 12 may then be advanced distally again, as seen inFIG. 11E , while using therigidized guide tube 14 to provide the column strength to advanceendoscope 12 without the need to unnecessarily contact the walls ofcolon C. Endoscope 12 may be advanced untildistal portion 22 reaches the flexure between descending colon D and transverse colon T. Once this point is reached, the steps described above may be repeated as necessary untilendoscope 12 has negotiated its way through transverse colon T, and ascending colon G until cecum E has been reached, or until a desired location within colon C has been reached. - At any point during the exploratory procedure, guide
tube 14 may be removed from colon C while leavingendoscope 12 behind, as shown inFIG. 12 by tube withdrawal 70. Ifendoscope 12 were left within colon C, theendoscope 12 may be used and manipulated as any conventional endoscope or colonoscope would be during a conventional colonoscopy examination.Guide tube 14 may also be partially retracted to allow thedistal portion 22 to be steered or manipulated to examine or treat the colon C while still providing support and guidance to the proximal scope section ofendoscope 12. To remove the assembly from colon C, guidetube 14 may first be withdrawn, as shown, andendoscope 12 may be subsequently withdrawn. Alternatively, the above steps may be repeated in reverse order to withdraw both guidetube 14 andendoscope 12 from colon C. - The applications of the guide tube system and methods of use discussed above are not limited to regions of the body but may include any number of further treatment applications. Other treatment sites may include areas or regions of the body around organ bodies. Additionally, the present invention may be used in other environments which present tortuous paths such as exploratory procedures on piping systems, ducts, etc. Moreover, various other rigidizable guide tube apparatus and applications may be utilized beyond what is described herein. Modification of the above-described assemblies and methods for carrying out the invention, and variations of aspects of the invention that are obvious to those of skill in the art are intended to be within the scope of the claims.
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/227,371 US20060009678A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US19414000P | 2000-04-03 | 2000-04-03 | |
US09/790,204 US6468203B2 (en) | 2000-04-03 | 2001-02-20 | Steerable endoscope and improved method of insertion |
US09/969,927 US6610007B2 (en) | 2000-04-03 | 2001-10-02 | Steerable segmented endoscope and method of insertion |
US10/139,289 US6837846B2 (en) | 2000-04-03 | 2002-05-02 | Endoscope having a guide tube |
US10/768,605 US20040220450A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US11/227,371 US20060009678A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/768,605 Continuation US20040220450A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
Publications (1)
Publication Number | Publication Date |
---|---|
US20060009678A1 true US20060009678A1 (en) | 2006-01-12 |
Family
ID=29399313
Family Applications (10)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/139,289 Expired - Lifetime US6837846B2 (en) | 2000-04-03 | 2002-05-02 | Endoscope having a guide tube |
US10/769,305 Abandoned US20040193009A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,253 Abandoned US20040210109A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,605 Abandoned US20040220450A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,472 Abandoned US20040193008A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US11/016,659 Abandoned US20050124855A1 (en) | 2000-04-03 | 2004-12-17 | Endoscope having a guide tube |
US11/226,999 Abandoned US20060015009A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
US11/227,371 Abandoned US20060009678A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
US11/227,415 Abandoned US20060015010A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
US11/554,165 Abandoned US20070043259A1 (en) | 2000-04-03 | 2006-10-30 | Endoscope Having a Guide Tube |
Family Applications Before (7)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/139,289 Expired - Lifetime US6837846B2 (en) | 2000-04-03 | 2002-05-02 | Endoscope having a guide tube |
US10/769,305 Abandoned US20040193009A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,253 Abandoned US20040210109A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,605 Abandoned US20040220450A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US10/768,472 Abandoned US20040193008A1 (en) | 2000-04-03 | 2004-01-29 | Endoscope having a guide tube |
US11/016,659 Abandoned US20050124855A1 (en) | 2000-04-03 | 2004-12-17 | Endoscope having a guide tube |
US11/226,999 Abandoned US20060015009A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/227,415 Abandoned US20060015010A1 (en) | 2000-04-03 | 2005-09-14 | Endoscope having a guide tube |
US11/554,165 Abandoned US20070043259A1 (en) | 2000-04-03 | 2006-10-30 | Endoscope Having a Guide Tube |
Country Status (8)
Country | Link |
---|---|
US (10) | US6837846B2 (en) |
EP (1) | EP1499227B1 (en) |
JP (1) | JP4459047B2 (en) |
CN (1) | CN1649537A (en) |
AT (1) | ATE483396T1 (en) |
AU (1) | AU2003234324A1 (en) |
DE (1) | DE60334449D1 (en) |
WO (1) | WO2003092476A2 (en) |
Cited By (24)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20030167007A1 (en) * | 2002-01-09 | 2003-09-04 | Amir Belson | Apparatus and method for spectroscopic examination of the colon |
US20040193008A1 (en) * | 2000-04-03 | 2004-09-30 | Neoguide Systems, Inc. | Endoscope having a guide tube |
US20050020901A1 (en) * | 2000-04-03 | 2005-01-27 | Neoguide Systems, Inc., A Delaware Corporation | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US20050154258A1 (en) * | 2000-04-03 | 2005-07-14 | Tartaglia Joseph M. | Endoscope with adjacently positioned guiding apparatus |
US20050154261A1 (en) * | 2000-04-03 | 2005-07-14 | Ohline Robert M. | Tendon-driven endoscope and methods of insertion |
US20050222498A1 (en) * | 2000-04-03 | 2005-10-06 | Amir Belson | Steerable endoscope and improved method of insertion |
US20060052664A1 (en) * | 2000-04-03 | 2006-03-09 | Julian Christopher A | Connector device for a controllable instrument |
US20060235457A1 (en) * | 2005-04-15 | 2006-10-19 | Amir Belson | Instruments having a rigidizable external working channel |
US20060258912A1 (en) * | 2000-04-03 | 2006-11-16 | Amir Belson | Activated polymer articulated instruments and methods of insertion |
US20070135803A1 (en) * | 2005-09-14 | 2007-06-14 | Amir Belson | Methods and apparatus for performing transluminal and other procedures |
US20070161291A1 (en) * | 2005-11-23 | 2007-07-12 | Neoguide Systems, Inc. | Non-metallic, multi-strand control cable for steerable instruments |
US20070249901A1 (en) * | 2003-03-07 | 2007-10-25 | Ohline Robert M | Instrument having radio frequency identification systems and methods for use |
US20070270650A1 (en) * | 2006-05-19 | 2007-11-22 | Robert Eno | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US20080167527A1 (en) * | 2007-01-09 | 2008-07-10 | Slenker Dale E | Surgical systems and methods for biofilm removal, including a sheath for use therewith |
US20090216083A1 (en) * | 2008-02-25 | 2009-08-27 | Neoguide Systems, Inc. | Systems and Methods for Articulating an Elongate Body |
US20110065993A1 (en) * | 2000-04-03 | 2011-03-17 | Amir Belson | Steerable segmented endoscope and method of insertion |
US8206349B2 (en) | 2007-03-01 | 2012-06-26 | Medtronic Xomed, Inc. | Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith |
US8246575B2 (en) | 2008-02-26 | 2012-08-21 | Tyco Healthcare Group Lp | Flexible hollow spine with locking feature and manipulation structure |
US8361090B2 (en) | 2002-01-09 | 2013-01-29 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US20130102846A1 (en) * | 2011-10-21 | 2013-04-25 | Viking Systems, Inc. | Steerable electronic stereoscopic endoscope |
US9220398B2 (en) | 2007-10-11 | 2015-12-29 | Intuitive Surgical Operations, Inc. | System for managing Bowden cables in articulating instruments |
US9326665B2 (en) | 2007-01-09 | 2016-05-03 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for biofilm removal |
US9827367B2 (en) | 2008-04-29 | 2017-11-28 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for frontal sinus irrigation |
US11096563B2 (en) | 2005-11-22 | 2021-08-24 | Intuitive Surgical Operations, Inc. | Method of determining the shape of a bendable instrument |
Families Citing this family (920)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040122456A1 (en) * | 2002-12-11 | 2004-06-24 | Saadat Vahid C. | Methods and apparatus for gastric reduction |
US7744613B2 (en) | 1999-06-25 | 2010-06-29 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7416554B2 (en) | 2002-12-11 | 2008-08-26 | Usgi Medical Inc | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7637905B2 (en) * | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
US20050165276A1 (en) * | 2004-01-28 | 2005-07-28 | Amir Belson | Methods and apparatus for accessing and treating regions of the body |
US8414505B1 (en) * | 2001-02-15 | 2013-04-09 | Hansen Medical, Inc. | Catheter driver system |
KR100452754B1 (en) * | 2001-06-28 | 2004-10-12 | 주식회사세운메디칼상사 | Apparatus for inserting guide wire for use in catheter |
US20060201351A1 (en) * | 2001-07-02 | 2006-09-14 | Gi View Ltd. | Self-propelled imaging system |
JP4197877B2 (en) * | 2002-02-25 | 2008-12-17 | オリンパス株式会社 | Electric bending endoscope apparatus and calibration method |
US6783491B2 (en) * | 2002-06-13 | 2004-08-31 | Vahid Saadat | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20060058582A1 (en) * | 2002-06-13 | 2006-03-16 | Usgi Medical Inc. | Disposable shapelocking system |
US20050137455A1 (en) * | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US7041052B2 (en) | 2002-06-13 | 2006-05-09 | Usgi Medical Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
JP4437076B2 (en) * | 2002-06-13 | 2010-03-24 | ユーエスジーアイ メディカル, インコーポレイテッド | A method of advancing an instrument through a shape-fixable device and an unsupported anatomical structure. |
US7942884B2 (en) * | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Methods for reduction of a gastric lumen |
US7942898B2 (en) * | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Delivery systems and methods for gastric reduction |
US20040186349A1 (en) * | 2002-12-24 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for achieving endoluminal access |
US20040186350A1 (en) * | 2003-01-13 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for guiding an endoscope via a rigidizable wire guide |
US20040249367A1 (en) * | 2003-01-15 | 2004-12-09 | Usgi Medical Corp. | Endoluminal tool deployment system |
DE602004015729D1 (en) * | 2003-02-11 | 2008-09-25 | Olympus Corp | ABOUT TUBE |
US20040176683A1 (en) * | 2003-03-07 | 2004-09-09 | Katherine Whitin | Method and apparatus for tracking insertion depth |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US8562640B2 (en) | 2007-04-16 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Tool with multi-state ratcheted end effector |
US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US7090637B2 (en) * | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
US8100824B2 (en) | 2003-05-23 | 2012-01-24 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
US8182417B2 (en) | 2004-11-24 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
US7960935B2 (en) | 2003-07-08 | 2011-06-14 | The Board Of Regents Of The University Of Nebraska | Robotic devices with agent delivery components and related methods |
US20050038318A1 (en) * | 2003-08-13 | 2005-02-17 | Benad Goldwasser | Gastrointestinal tool over guidewire |
US7833176B2 (en) * | 2003-08-13 | 2010-11-16 | G. I. View Ltd. | Pressure-propelled system for body lumen |
US20050036059A1 (en) * | 2003-08-13 | 2005-02-17 | Benad Goldwasser | Ingestible imaging system |
GB0324173D0 (en) * | 2003-10-15 | 2003-11-19 | Anson Medical Ltd | Flexible delivery system |
JP4540328B2 (en) * | 2003-11-19 | 2010-09-08 | カール事務器株式会社 | Multi-function drilling device |
US7347863B2 (en) | 2004-05-07 | 2008-03-25 | Usgi Medical, Inc. | Apparatus and methods for manipulating and securing tissue |
US7087011B2 (en) * | 2003-12-30 | 2006-08-08 | Gi View Ltd. | Gastrointestinal system with traction member |
US7635346B2 (en) * | 2004-01-09 | 2009-12-22 | G. I. View Ltd. | Pressure-propelled system for body lumen |
US8419678B2 (en) | 2004-01-09 | 2013-04-16 | G.I. View Ltd. | Pressure-propelled system for body lumen |
US7635345B2 (en) * | 2004-01-09 | 2009-12-22 | G. I. View Ltd. | Pressure-propelled system for body lumen |
US7947013B2 (en) * | 2004-01-09 | 2011-05-24 | G.I. View Ltd. | Pressure-propelled system for body lumen |
DE102004003166B4 (en) * | 2004-01-21 | 2011-09-15 | Siemens Ag | catheter |
US7703459B2 (en) | 2004-03-09 | 2010-04-27 | Usgi Medical, Inc. | Apparatus and methods for mapping out endoluminal gastrointestinal surgery |
US8277373B2 (en) * | 2004-04-14 | 2012-10-02 | Usgi Medical, Inc. | Methods and apparaus for off-axis visualization |
US20050272977A1 (en) * | 2004-04-14 | 2005-12-08 | Usgi Medical Inc. | Methods and apparatus for performing endoluminal procedures |
US8257394B2 (en) | 2004-05-07 | 2012-09-04 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US7918869B2 (en) | 2004-05-07 | 2011-04-05 | Usgi Medical, Inc. | Methods and apparatus for performing endoluminal gastroplasty |
US7837615B2 (en) * | 2004-05-10 | 2010-11-23 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US8465442B2 (en) * | 2004-05-13 | 2013-06-18 | Boston Scientific Scimed, Inc. | Handle for steerable catheter |
WO2005110186A2 (en) | 2004-05-14 | 2005-11-24 | G.I. View Ltd. | Omnidirectional and forward-looking imaging device |
US7678117B2 (en) * | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
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 |
US7931661B2 (en) * | 2004-06-14 | 2011-04-26 | Usgi Medical, Inc. | Apparatus and methods for performing transluminal gastrointestinal procedures |
JP4980899B2 (en) | 2004-06-25 | 2012-07-18 | カーネギー メロン ユニバーシティ | Steerable follow-the-reader device |
JP2006014960A (en) | 2004-07-01 | 2006-01-19 | Olympus Corp | Endoscope |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
WO2006028763A2 (en) * | 2004-09-01 | 2006-03-16 | Chul Hi Park | Inflatable guide device |
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 |
US7785252B2 (en) * | 2004-11-23 | 2010-08-31 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
ATE508674T1 (en) * | 2005-01-06 | 2011-05-15 | G I View Ltd | GASTROINTESTINAL INSTRUMENT VIA GUIDE ELEMENT |
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 |
US20060178562A1 (en) * | 2005-02-10 | 2006-08-10 | Usgi Medical Inc. | Apparatus and methods for obtaining endoluminal access with a steerable guide having a variable pivot |
EP1850689A4 (en) | 2005-02-10 | 2013-05-22 | G I View Ltd | Advancement techniques for gastrointestinal tool with guiding element |
GB2425764B (en) * | 2005-05-03 | 2007-08-22 | Surgical Innovations Ltd | Endoscope for inspecting turbines |
WO2006123397A1 (en) * | 2005-05-16 | 2006-11-23 | Olympus Medical Systems Corp. | Endoscope system, control program for endoscope system, and control method for endoscope system |
US20060260098A1 (en) * | 2005-05-18 | 2006-11-23 | Brown Michelle J | Weight for Hand-Held Tools Such as Writing Instruments |
US7395119B2 (en) * | 2005-05-19 | 2008-07-01 | Cvrx, Inc. | Implantable electrode assembly having reverse electrode configuration |
US20060264707A1 (en) * | 2005-05-20 | 2006-11-23 | Kinney Timothy P | Endoscope sheath |
US9585651B2 (en) | 2005-05-26 | 2017-03-07 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
US8298291B2 (en) | 2005-05-26 | 2012-10-30 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
KR100596457B1 (en) * | 2005-06-27 | 2006-07-04 | 이성용 | Camera imaging apparatus with an endoscope |
CA2615130A1 (en) | 2005-07-26 | 2007-02-08 | Ams Research Corporation | Methods and systems for treatment of prolapse |
US9241614B2 (en) * | 2005-08-01 | 2016-01-26 | G.I. View Ltd. | Tools for use in esophagus |
US8430809B2 (en) * | 2005-08-01 | 2013-04-30 | G. I View Ltd. | Capsule for use in small intestine |
US20080207989A1 (en) * | 2005-08-29 | 2008-08-28 | Ams Research Corporation | System For Positioning Support Mesh in a Patient |
US8052597B2 (en) * | 2005-08-30 | 2011-11-08 | Boston Scientific Scimed, Inc. | Method for forming an endoscope articulation joint |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
JP2009509669A (en) * | 2005-09-27 | 2009-03-12 | シネコー・エルエルシー | Transgastric surgery device and procedure |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20070142849A1 (en) * | 2005-12-16 | 2007-06-21 | Usgi Medical, Inc. | Helical tissue manipulation instruments and methods of use |
US8241279B2 (en) * | 2006-02-23 | 2012-08-14 | Olympus Medical Systems Corp. | Overtube and natural opening medical procedures using the same |
US20080255422A1 (en) * | 2006-01-13 | 2008-10-16 | Olympus Medical Systems Corp. | Medical device |
US20070219411A1 (en) * | 2006-01-13 | 2007-09-20 | Olympus Medical Systems Corp. | Overtube and endoscopic treatment system |
US20070167675A1 (en) * | 2006-01-13 | 2007-07-19 | Olympus Medical Systems Corp. | Overtube and medical procedure via natural orifice using the same |
US7785333B2 (en) * | 2006-02-21 | 2010-08-31 | Olympus Medical Systems Corp. | Overtube and operative procedure via bodily orifice |
US20070167676A1 (en) * | 2006-01-13 | 2007-07-19 | Olympus Medical Systems Corp. | Overtube and medical procedure via natural orifice using the same |
US8728121B2 (en) * | 2006-01-13 | 2014-05-20 | Olympus Medical Systems Corp. | Puncture needle and medical procedure using puncture needle that is performed via natural orifice |
US8721657B2 (en) * | 2006-01-13 | 2014-05-13 | Olympus Medical Systems Corp. | Medical instrument |
US8726909B2 (en) | 2006-01-27 | 2014-05-20 | Usgi Medical, Inc. | Methods and apparatus for revision of obesity procedures |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8518024B2 (en) * | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
WO2007127199A1 (en) | 2006-04-24 | 2007-11-08 | Synecor, Llc | Natural orifice surgical system |
US9138250B2 (en) | 2006-04-24 | 2015-09-22 | Ethicon Endo-Surgery, Inc. | Medical instrument handle and medical instrument having a handle |
US7892166B2 (en) * | 2006-05-18 | 2011-02-22 | Ethicon Endo-Surgery, Inc. | Medical instrument including a catheter having a catheter stiffener and method for using |
US8062211B2 (en) * | 2006-06-13 | 2011-11-22 | Intuitive Surgical Operations, Inc. | Retrograde instrument |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
US8409244B2 (en) | 2007-04-16 | 2013-04-02 | Intuitive Surgical Operations, Inc. | Tool with end effector force limiter |
US7862554B2 (en) | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
US8679096B2 (en) | 2007-06-21 | 2014-03-25 | Board Of Regents Of The University Of Nebraska | Multifunctional operational component for robotic devices |
US9579088B2 (en) | 2007-02-20 | 2017-02-28 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices for surgical visualization and device manipulation |
US20090259092A1 (en) * | 2006-06-22 | 2009-10-15 | Ogdahl Jason W | Adjustable Sling and Method of Treating Pelvic Conditions |
US8974440B2 (en) | 2007-08-15 | 2015-03-10 | Board Of Regents Of The University Of Nebraska | Modular and cooperative medical devices and related systems and methods |
CA2991346C (en) | 2006-06-22 | 2020-03-10 | Board Of Regents Of The University Of Nebraska | Magnetically coupleable robotic devices and related methods |
CA2654294C (en) * | 2006-06-22 | 2016-09-20 | Ams Research Corporation | Adjustable tension incontinence sling assemblies |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US7798957B2 (en) * | 2006-07-31 | 2010-09-21 | Chang Stanley F | Colonoscope guide and method of use for improved colonoscopy |
JP4702216B2 (en) * | 2006-08-03 | 2011-06-15 | オムロンヘルスケア株式会社 | Electronic blood pressure monitor and control method thereof |
CA2661712C (en) | 2006-08-14 | 2016-07-19 | Cardiorobotics, Inc. | Steerable multi-linked device having multiple working ports |
US20080070476A1 (en) * | 2006-09-19 | 2008-03-20 | Waldo Ottoman Warshaw | Pneumatic blood-hit effect |
US7665647B2 (en) | 2006-09-29 | 2010-02-23 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
ES2420962T3 (en) * | 2006-10-24 | 2013-08-28 | Carnegie Mellon University | Adjustable multi-articulated device that has a modular joint assembly |
US9084621B2 (en) | 2006-12-01 | 2015-07-21 | Boston Scientific Scimed, Inc. | Guide tube systems and methods |
US7976458B2 (en) * | 2006-12-05 | 2011-07-12 | Ethicon Endo-Surgery, Inc. | Independent articulating accessory channel |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8007432B2 (en) * | 2007-01-26 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Endoscopic accessory control mechanism |
US20100241178A1 (en) * | 2008-06-02 | 2010-09-23 | Loma Vista Medical, Inc. | Inflatable medical devices |
WO2008095052A2 (en) * | 2007-01-30 | 2008-08-07 | Loma Vista Medical, Inc., | Biological navigation device |
US20080200934A1 (en) * | 2007-02-15 | 2008-08-21 | Fox William D | Surgical devices and methods using magnetic force to form an anastomosis |
US20080200911A1 (en) * | 2007-02-15 | 2008-08-21 | Long Gary L | Electrical ablation apparatus, system, and method |
US20080200755A1 (en) * | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Method and device for retrieving suture tags |
US20080200933A1 (en) * | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US20080208001A1 (en) * | 2007-02-26 | 2008-08-28 | Ron Hadani | Conforming endoscope |
ES2387589T3 (en) | 2007-02-27 | 2012-09-26 | Carnegie Mellon University | A multi-piece ligation device that has a reinforcing member |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US7735703B2 (en) | 2007-03-15 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Re-loadable surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US7771416B2 (en) * | 2007-06-14 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Control mechanism for flexible endoscopic device and method of use |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
JP5591696B2 (en) | 2007-07-12 | 2014-09-17 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | Biopsy elements, arm devices, and medical devices |
WO2009011881A1 (en) * | 2007-07-18 | 2009-01-22 | Barosense, Inc. | Overtube introducer for use in endoscopic bariatric surgery |
WO2009015373A1 (en) * | 2007-07-26 | 2009-01-29 | Sri International | Selectively rigidizable and actively steerable articulatable device |
US20090076536A1 (en) | 2007-08-15 | 2009-03-19 | Board Of Regents Of The University Of Nebraska | Medical inflation, attachment, and delivery devices and related methods |
US20090054728A1 (en) * | 2007-08-21 | 2009-02-26 | Trusty Robert M | Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US20090062795A1 (en) * | 2007-08-31 | 2009-03-05 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US20090227843A1 (en) * | 2007-09-12 | 2009-09-10 | Smith Jeffrey A | Multi-instrument access devices and systems |
US20110060183A1 (en) * | 2007-09-12 | 2011-03-10 | Salvatore Castro | Multi-instrument access devices and systems |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
US20090112063A1 (en) * | 2007-10-31 | 2009-04-30 | Bakos Gregory J | Endoscopic overtubes |
US20090131751A1 (en) * | 2007-11-20 | 2009-05-21 | Spivey James T | Anal surgical instrument guides |
US20090143794A1 (en) * | 2007-11-29 | 2009-06-04 | Conlon Sean P | Tissue resection device |
US9066655B2 (en) | 2007-12-07 | 2015-06-30 | Ethicon Endo-Surgery, Inc. | Selective stiffening devices and methods |
GB2455804A (en) * | 2007-12-21 | 2009-06-24 | Oliver Crispin Robotics Ltd | A robotic arm for use with a rotary machine |
US20090177219A1 (en) * | 2008-01-03 | 2009-07-09 | Conlon Sean P | Flexible tissue-penetration instrument with blunt tip assembly and methods for penetrating tissue |
US8287469B2 (en) * | 2008-01-09 | 2012-10-16 | Ethicon Endo-Surgery, Inc. | Articulating surgical device and method of use |
US20090182332A1 (en) * | 2008-01-15 | 2009-07-16 | Ethicon Endo-Surgery, Inc. | In-line electrosurgical forceps |
DE102008005070A1 (en) * | 2008-01-18 | 2009-07-30 | Siemens Audiologische Technik Gmbh | Cavity examination device |
EP2249690B1 (en) | 2008-02-06 | 2021-09-29 | Intuitive Surgical Operations, Inc. | A segmented instrument having braking capabilities |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
RU2493788C2 (en) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Surgical cutting and fixing instrument, which has radio-frequency electrodes |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
WO2009107792A1 (en) * | 2008-02-29 | 2009-09-03 | 国立大学法人東京大学 | Device having rigidity which can be changed between high and low levels |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
AU2009251546B2 (en) * | 2008-04-14 | 2014-06-05 | Carnegie Mellon University | Articulated device with visualization system |
US20090287045A1 (en) * | 2008-05-15 | 2009-11-19 | Vladimir Mitelberg | Access Systems and Methods of Intra-Abdominal Surgery |
US20090287236A1 (en) * | 2008-05-16 | 2009-11-19 | Ethicon Endo-Surgery, Inc. | Endoscopic rotary access needle |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8317806B2 (en) | 2008-05-30 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Endoscopic suturing tension controlling and indication devices |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
AU2009255959B2 (en) * | 2008-06-05 | 2013-11-28 | Carnegie Mellon University | Extendable articulated probe device |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
JP5166133B2 (en) * | 2008-06-23 | 2013-03-21 | 富士フイルム株式会社 | Endoscope |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US20100010303A1 (en) * | 2008-07-09 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Inflatable access device |
US20110178367A1 (en) * | 2008-07-10 | 2011-07-21 | Mcmaster University | Endoscopic device with end effector mechanism |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
AU2009277959B2 (en) * | 2008-07-30 | 2014-01-16 | G.I. View Ltd | System and method for enhanced maneuverability |
US8727963B2 (en) | 2008-07-31 | 2014-05-20 | Ams Research Corporation | Methods and implants for treating urinary incontinence |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8465475B2 (en) | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
JP2012500712A (en) | 2008-08-25 | 2012-01-12 | エーエムエス リサーチ コーポレイション | Implants and methods with minimal invasion |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9017243B2 (en) | 2008-08-25 | 2015-04-28 | Ams Research Corporation | Minimally invasive implant and method |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US9370342B2 (en) | 2008-09-05 | 2016-06-21 | Carnegie Mellon University | Multi-linked endoscopic device with spherical distal assembly |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8047236B2 (en) * | 2008-09-12 | 2011-11-01 | Boston Scientific Scimed, Inc. | Flexible conduit with locking element |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8702620B2 (en) | 2008-11-03 | 2014-04-22 | G.I. View Ltd. | Remote pressure sensing system and method thereof |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US20100152539A1 (en) * | 2008-12-17 | 2010-06-17 | Ethicon Endo-Surgery, Inc. | Positionable imaging medical devices |
US8348834B2 (en) * | 2008-12-18 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Steerable surgical access devices and methods |
US20110230723A1 (en) * | 2008-12-29 | 2011-09-22 | Salvatore Castro | Active Instrument Port System for Minimally-Invasive Surgical Procedures |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
KR101493382B1 (en) | 2009-01-14 | 2015-02-13 | 삼성전자 주식회사 | Robot |
US9326843B2 (en) | 2009-01-16 | 2016-05-03 | Claret Medical, Inc. | Intravascular blood filters and methods of use |
ES2516066T3 (en) | 2009-01-16 | 2014-10-30 | Claret Medical, Inc. | Intravascular blood filter |
US9636205B2 (en) | 2009-01-16 | 2017-05-02 | Claret Medical, Inc. | Intravascular blood filters and methods of use |
US20170202657A1 (en) | 2009-01-16 | 2017-07-20 | Claret Medical, Inc. | Intravascular blood filters and methods of use |
US20100249639A1 (en) * | 2009-01-20 | 2010-09-30 | Samir Bhatt | Airway management devices, endoscopic conduits, surgical kits, and methods of using the same |
US20100191050A1 (en) * | 2009-01-23 | 2010-07-29 | Ethicon Endo-Surgery, Inc. | Variable length accessory for guiding a flexible endoscopic tool |
US20100191267A1 (en) * | 2009-01-26 | 2010-07-29 | Ethicon Endo-Surgery, Inc. | Rotary needle for natural orifice translumenal endoscopic surgery |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
RU2525225C2 (en) | 2009-02-06 | 2014-08-10 | Этикон Эндо-Серджери, Инк. | Improvement of drive surgical suturing instrument |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
FR2943906B1 (en) | 2009-04-03 | 2013-03-22 | Univ Pierre Et Marie Curie Paris 6 | SURGICAL INSTRUMENT. |
FR2943907B1 (en) | 2009-04-03 | 2012-08-03 | Univ Pierre Et Marie Curie Paris 6 | SURGICAL INSTRUMENT. |
US9254123B2 (en) | 2009-04-29 | 2016-02-09 | Hansen Medical, Inc. | Flexible and steerable elongate instruments with shape control and support elements |
US20100292535A1 (en) * | 2009-05-18 | 2010-11-18 | Larry Paskar | Endoscope with multiple fields of view |
US20100298642A1 (en) * | 2009-05-19 | 2010-11-25 | Ethicon Endo-Surgery, Inc. | Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery |
EP2437845A1 (en) * | 2009-06-05 | 2012-04-11 | Entrigue Surgical, Inc. | Systems and devices for providing therapy of an anatomical structure |
US9706903B2 (en) | 2009-06-18 | 2017-07-18 | Endochoice, Inc. | Multiple viewing elements endoscope system with modular imaging units |
US9474440B2 (en) | 2009-06-18 | 2016-10-25 | Endochoice, Inc. | Endoscope tip position visual indicator and heat management system |
US9901244B2 (en) | 2009-06-18 | 2018-02-27 | Endochoice, Inc. | Circuit board assembly of a multiple viewing elements endoscope |
US10165929B2 (en) | 2009-06-18 | 2019-01-01 | Endochoice, Inc. | Compact multi-viewing element endoscope system |
WO2012077117A1 (en) | 2010-12-09 | 2012-06-14 | Peermedical Ltd. | Flexible electronic circuit board multi-camera endoscope |
US10524645B2 (en) | 2009-06-18 | 2020-01-07 | Endochoice, Inc. | Method and system for eliminating image motion blur in a multiple viewing elements endoscope |
US11864734B2 (en) | 2009-06-18 | 2024-01-09 | Endochoice, Inc. | Multi-camera endoscope |
EP2865322B1 (en) | 2009-06-18 | 2020-07-22 | EndoChoice, Inc. | Multi-camera endoscope |
US9101268B2 (en) | 2009-06-18 | 2015-08-11 | Endochoice Innovation Center Ltd. | Multi-camera endoscope |
US10130246B2 (en) | 2009-06-18 | 2018-11-20 | Endochoice, Inc. | Systems and methods for regulating temperature and illumination intensity at the distal tip of an endoscope |
US9872609B2 (en) | 2009-06-18 | 2018-01-23 | Endochoice Innovation Center Ltd. | Multi-camera endoscope |
US9402533B2 (en) | 2011-03-07 | 2016-08-02 | Endochoice Innovation Center Ltd. | Endoscope circuit board assembly |
US9642513B2 (en) | 2009-06-18 | 2017-05-09 | Endochoice Inc. | Compact multi-viewing element endoscope system |
US8926502B2 (en) | 2011-03-07 | 2015-01-06 | Endochoice, Inc. | Multi camera endoscope having a side service channel |
US9713417B2 (en) | 2009-06-18 | 2017-07-25 | Endochoice, Inc. | Image capture assembly for use in a multi-viewing elements endoscope |
US11547275B2 (en) | 2009-06-18 | 2023-01-10 | Endochoice, Inc. | Compact multi-viewing element endoscope system |
US9492063B2 (en) | 2009-06-18 | 2016-11-15 | Endochoice Innovation Center Ltd. | Multi-viewing element endoscope |
US11278190B2 (en) | 2009-06-18 | 2022-03-22 | Endochoice, Inc. | Multi-viewing element endoscope |
US9101287B2 (en) | 2011-03-07 | 2015-08-11 | Endochoice Innovation Center Ltd. | Multi camera endoscope assembly having multiple working channels |
KR101012774B1 (en) | 2009-06-25 | 2011-02-08 | 한국과학기술원 | Shape lockable apparatus for flexible tubes |
US10080482B2 (en) | 2009-06-30 | 2018-09-25 | Intuitive Surgical Operations, Inc. | Compliant surgical device |
US20110022078A1 (en) | 2009-07-23 | 2011-01-27 | Cameron Dale Hinman | Articulating mechanism |
US8974489B2 (en) | 2009-07-27 | 2015-03-10 | Claret Medical, Inc. | Dual endovascular filter and methods of use |
AU2010278901A1 (en) * | 2009-07-29 | 2012-03-15 | Transenterix, Inc. | Deflectable instrument ports |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US20110115891A1 (en) * | 2009-11-13 | 2011-05-19 | Ethicon Endo-Surgery, Inc. | Energy delivery apparatus, system, and method for deployable medical electronic devices |
GB0920938D0 (en) | 2009-11-30 | 2010-01-13 | Imp Innovations Ltd | Steerable probes |
US11877722B2 (en) | 2009-12-15 | 2024-01-23 | Cornell University | Method and apparatus for manipulating the side wall of a body lumen or body cavity |
US20110152610A1 (en) * | 2009-12-17 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Intralumenal accessory tip for endoscopic sheath arrangements |
EP2512754A4 (en) * | 2009-12-17 | 2016-11-30 | Univ Nebraska | Modular and cooperative medical devices and related systems and methods |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US20110152878A1 (en) * | 2009-12-17 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
AU2010339575B2 (en) | 2009-12-30 | 2013-04-18 | Boston Scientific Scimed, Inc. | Elongate implant system and method for treating pelvic conditions |
US20110160514A1 (en) * | 2009-12-31 | 2011-06-30 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US20110190764A1 (en) * | 2010-01-29 | 2011-08-04 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
DE112011101691T5 (en) * | 2010-05-17 | 2013-03-21 | Industry-University Cooperation Foundation Hanyang University Erica Campus | Surgical medical device |
WO2012009486A2 (en) | 2010-07-13 | 2012-01-19 | Loma Vista Medical, Inc. | Inflatable medical devices |
US10028813B2 (en) | 2010-07-22 | 2018-07-24 | Boston Scientific Scimed, Inc. | Coated pelvic implant device and method |
CA3024427A1 (en) | 2010-07-28 | 2012-02-02 | Medrobotics Corporation | Surgical positioning and support system |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8801735B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical circular stapler with tissue retention arrangements |
EP2600758A1 (en) | 2010-08-06 | 2013-06-12 | Board of Regents of the University of Nebraska | Methods and systems for handling or delivering materials for natural orifice surgery |
US20120071894A1 (en) | 2010-09-17 | 2012-03-22 | Tanner Neal A | Robotic medical systems and methods |
US9560953B2 (en) | 2010-09-20 | 2017-02-07 | Endochoice, Inc. | Operational interface in a multi-viewing element endoscope |
EP4233680A3 (en) | 2010-09-20 | 2023-09-13 | EndoChoice, Inc. | Endoscope distal section comprising a unitary fluid channeling component |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US8783542B2 (en) | 2010-09-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Fasteners supported by a fastener cartridge support |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
AU2011316849B2 (en) | 2010-10-22 | 2016-05-26 | Medrobotics Corporation | Highly articulated robotic probes and methods of production and use of such probes |
US10663714B2 (en) | 2010-10-28 | 2020-05-26 | Endochoice, Inc. | Optical system for an endoscope |
US9706908B2 (en) | 2010-10-28 | 2017-07-18 | Endochoice, Inc. | Image capture and video processing systems and methods for multiple viewing element endoscopes |
EP2635932B1 (en) | 2010-10-28 | 2019-06-05 | EndoChoice Innovation Center Ltd. | Optical systems for multi-sensor endoscopes |
US10188436B2 (en) | 2010-11-09 | 2019-01-29 | Loma Vista Medical, Inc. | Inflatable medical devices |
KR101786832B1 (en) | 2010-11-11 | 2017-10-18 | 메드로보틱스 코포레이션 | Introduction devices for highly articulated robotic probes and methods of production and use of such probes |
US11889986B2 (en) | 2010-12-09 | 2024-02-06 | Endochoice, Inc. | Flexible electronic circuit board for a multi-camera endoscope |
EP3522215A1 (en) | 2010-12-09 | 2019-08-07 | EndoChoice Innovation Center Ltd. | Flexible electronic circuit board for a multi-camera endoscope |
US9017364B2 (en) | 2010-12-30 | 2015-04-28 | Claret Medical, Inc. | Deflectable intravascular filter |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
EP3210522B1 (en) | 2011-01-31 | 2019-07-31 | Boston Scientific Scimed, Inc. | Articulation section with locking |
US10517464B2 (en) | 2011-02-07 | 2019-12-31 | Endochoice, Inc. | Multi-element cover for a multi-camera endoscope |
EP3228236A1 (en) | 2011-02-07 | 2017-10-11 | Endochoice Innovation Center Ltd. | Multi-element cover for a multi-camera endoscope |
US9622848B2 (en) | 2011-02-23 | 2017-04-18 | Boston Scientific Scimed, Inc. | Urethral stent system and method |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
US8808162B2 (en) | 2011-03-28 | 2014-08-19 | Ams Research Corporation | Implants, tools, and methods for treatment of pelvic conditions |
US20120253108A1 (en) | 2011-03-28 | 2012-10-04 | Fischer Brian G | Implants, tools, and methods for treatment of pelvic conditions |
JP5220153B2 (en) * | 2011-03-29 | 2013-06-26 | 富士フイルム株式会社 | Tube anastomosis |
US9492259B2 (en) | 2011-03-30 | 2016-11-15 | Astora Women's Health, Llc | Expandable implant system |
CN103619271B (en) | 2011-04-06 | 2019-07-09 | 美的洛博迪克斯公司 | Radial type Surigical tool and tool sheath and its application method |
CN102169228B (en) * | 2011-04-12 | 2012-11-28 | 应启迪 | Adjustable endoscope |
BR112013027794B1 (en) | 2011-04-29 | 2020-12-15 | Ethicon Endo-Surgery, Inc | CLAMP CARTRIDGE SET |
US9161771B2 (en) | 2011-05-13 | 2015-10-20 | Intuitive Surgical Operations Inc. | Medical instrument with snake wrist structure |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
EP3714821A1 (en) | 2011-06-10 | 2020-09-30 | Board of Regents of the University of Nebraska | Surgical end effector |
US10058240B2 (en) | 2011-06-29 | 2018-08-28 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US9351723B2 (en) | 2011-06-30 | 2016-05-31 | Astora Women's Health, Llc | Implants, tools, and methods for treatments of pelvic conditions |
US9089353B2 (en) | 2011-07-11 | 2015-07-28 | Board Of Regents Of The University Of Nebraska | Robotic surgical devices, systems, and related methods |
EP2734148B1 (en) | 2011-07-22 | 2019-06-05 | Boston Scientific Scimed, Inc. | Pelvic implant system |
US9414903B2 (en) | 2011-07-22 | 2016-08-16 | Astora Women's Health, Llc | Pelvic implant system and method |
US20130030363A1 (en) | 2011-07-29 | 2013-01-31 | Hansen Medical, Inc. | Systems and methods utilizing shape sensing fibers |
US9492191B2 (en) | 2011-08-04 | 2016-11-15 | Astora Women's Health, Llc | Tools and methods for treatment of pelvic conditions |
US20130035555A1 (en) | 2011-08-05 | 2013-02-07 | Alexander James A | Systems, implants, tools, and methods for treatment of pelvic conditions |
EP2755805B1 (en) | 2011-09-13 | 2018-05-09 | Medrobotics Corporation | Highly articulated probes with anti-twist link arrangement |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US10582973B2 (en) | 2012-08-08 | 2020-03-10 | Virtual Incision Corporation | Robotic surgical devices, systems, and related methods |
US10265152B2 (en) | 2011-10-13 | 2019-04-23 | Boston Scientific Scimed, Inc. | Pelvic implant sizing systems and methods |
US20130303944A1 (en) | 2012-05-14 | 2013-11-14 | Intuitive Surgical Operations, Inc. | Off-axis electromagnetic sensor |
US9452276B2 (en) | 2011-10-14 | 2016-09-27 | Intuitive Surgical Operations, Inc. | Catheter with removable vision probe |
EP3659491A1 (en) | 2011-12-13 | 2020-06-03 | EndoChoice Innovation Center Ltd. | Removable tip endoscope |
EP2604172B1 (en) | 2011-12-13 | 2015-08-12 | EndoChoice Innovation Center Ltd. | Rotatable connector for an endoscope |
EP2793675A4 (en) * | 2011-12-19 | 2015-08-12 | Endocole Llc | Endoscope guide tube |
AU2012358829B2 (en) | 2011-12-21 | 2017-08-03 | Medrobotics Corporation | Stabilizing apparatus for highly articulated probes with link arrangement, methods of formation thereof, and methods of use thereof |
US20140058205A1 (en) | 2012-01-10 | 2014-02-27 | Board Of Regents Of The University Of Nebraska | Methods, Systems, and Devices for Surgical Access and Insertion |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
BR112014024194B1 (en) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
RU2639857C2 (en) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Tissue thickness compensator containing capsule for medium with low pressure |
RU2014143258A (en) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS |
US9211134B2 (en) | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
US9265514B2 (en) | 2012-04-17 | 2016-02-23 | Miteas Ltd. | Manipulator for grasping tissue |
DE102012007648A1 (en) * | 2012-04-18 | 2013-10-24 | Karl Storz Gmbh & Co. Kg | Micro-invasive medical instrument |
EP4357083A2 (en) | 2012-05-01 | 2024-04-24 | Board of Regents of the University of Nebraska | Single site robotic device and related systems and methods |
US9277990B2 (en) * | 2012-05-04 | 2016-03-08 | St. Jude Medical, Cardiology Division, Inc. | Hypotube shaft with articulation mechanism |
US9532871B2 (en) | 2012-05-04 | 2017-01-03 | St. Jude Medical, Cardiology Division, Inc. | Delivery system deflection mechanism |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
EP3189948B1 (en) | 2012-06-22 | 2018-10-17 | Board of Regents of the University of Nebraska | Local control robotic surgical devices |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
BR112014032740A2 (en) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | empty clip cartridge lock |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9560954B2 (en) | 2012-07-24 | 2017-02-07 | Endochoice, Inc. | Connector for use with endoscope |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US9770305B2 (en) | 2012-08-08 | 2017-09-26 | Board Of Regents Of The University Of Nebraska | Robotic surgical devices, systems, and related methods |
CA2880621A1 (en) | 2012-08-09 | 2014-02-13 | Medrobotics Corporation | Surgical tool positioning systems |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
TWI489049B (en) * | 2012-09-05 | 2015-06-21 | Hiwin Mikrosystem Corp | Pipeline automatic extendable device |
US20140148673A1 (en) | 2012-11-28 | 2014-05-29 | Hansen Medical, Inc. | Method of anchoring pullwire directly articulatable region in catheter |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
EP2958520B1 (en) | 2013-02-21 | 2018-12-19 | St. Jude Medical, Cardiology Division, Inc. | Transapical delivery system |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
RU2669463C2 (en) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Surgical instrument with soft stop |
US10149720B2 (en) | 2013-03-08 | 2018-12-11 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
CA2906672C (en) | 2013-03-14 | 2022-03-15 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices relating to force control surgical systems |
US9743987B2 (en) | 2013-03-14 | 2017-08-29 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices relating to robotic surgical devices, end effectors, and controllers |
EP2996545B1 (en) | 2013-03-15 | 2021-10-20 | Board of Regents of the University of Nebraska | Robotic surgical systems |
US10376672B2 (en) | 2013-03-15 | 2019-08-13 | Auris Health, Inc. | Catheter insertion system and method of fabrication |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US10595714B2 (en) | 2013-03-28 | 2020-03-24 | Endochoice, Inc. | Multi-jet controller for an endoscope |
US9636003B2 (en) | 2013-06-28 | 2017-05-02 | Endochoice, Inc. | Multi-jet distributor for an endoscope |
US9993142B2 (en) | 2013-03-28 | 2018-06-12 | Endochoice, Inc. | Fluid distribution device for a multiple viewing elements endoscope |
US9986899B2 (en) | 2013-03-28 | 2018-06-05 | Endochoice, Inc. | Manifold for a multiple viewing elements endoscope |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US9844368B2 (en) | 2013-04-16 | 2017-12-19 | Ethicon Llc | Surgical system comprising first and second drive systems |
WO2014179683A2 (en) | 2013-05-02 | 2014-11-06 | Gabriel Johnston | A robotic system including a cable interface assembly |
US9667935B2 (en) | 2013-05-07 | 2017-05-30 | Endochoice, Inc. | White balance enclosure for use with a multi-viewing elements endoscope |
US10499794B2 (en) | 2013-05-09 | 2019-12-10 | Endochoice, Inc. | Operational interface in a multi-viewing element endoscope |
US10206747B2 (en) * | 2013-05-15 | 2019-02-19 | Intuitive Surgical Operations, Inc. | Guide apparatus for delivery of a flexible instrument and methods of use |
US9949623B2 (en) | 2013-05-17 | 2018-04-24 | Endochoice, Inc. | Endoscope control unit with braking system |
AU2014268819A1 (en) | 2013-05-20 | 2016-01-07 | Medrobotics Corporation | Articulating surgical instruments and method of deploying the same |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US10966700B2 (en) | 2013-07-17 | 2021-04-06 | Virtual Incision Corporation | Robotic surgical devices, systems and related methods |
US10064541B2 (en) | 2013-08-12 | 2018-09-04 | Endochoice, Inc. | Endoscope connector cover detection and warning system |
MX369362B (en) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Firing member retraction devices for powered surgical instruments. |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
US9566153B2 (en) | 2013-09-12 | 2017-02-14 | St. Jude Medical, Cardiology Division, Inc. | Alignment of an implantable medical device |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US11051892B2 (en) * | 2013-09-20 | 2021-07-06 | Canon U.S.A., Inc. | Control apparatus and tendon-driven device |
US9943218B2 (en) | 2013-10-01 | 2018-04-17 | Endochoice, Inc. | Endoscope having a supply cable attached thereto |
US9918863B2 (en) * | 2013-11-13 | 2018-03-20 | Covidien Lp | Steerable gastric calibration tube |
US9968242B2 (en) | 2013-12-18 | 2018-05-15 | Endochoice, Inc. | Suction control unit for an endoscope having two working channels |
US9549735B2 (en) | 2013-12-23 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a firing member including fastener transfer surfaces |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
AU2014374201A1 (en) | 2013-12-30 | 2016-07-07 | Medrobotics Corporation | Articulated robotic probes |
WO2015112747A2 (en) | 2014-01-22 | 2015-07-30 | Endochoice, Inc. | Image capture and video processing systems and methods for multiple viewing element endoscopes |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
BR112016019387B1 (en) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT SYSTEM AND FASTENER CARTRIDGE FOR USE WITH A SURGICAL FIXING INSTRUMENT |
US9775608B2 (en) | 2014-02-24 | 2017-10-03 | Ethicon Llc | Fastening system comprising a firing member lockout |
EP2923669B1 (en) | 2014-03-24 | 2017-06-28 | Hansen Medical, Inc. | Systems and devices for catheter driving instinctiveness |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
CN106456159B (en) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | Fastener cartridge assembly and nail retainer lid arragement construction |
US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
JP6612256B2 (en) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | Fastener cartridge with non-uniform fastener |
BR112016023698B1 (en) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US11234581B2 (en) | 2014-05-02 | 2022-02-01 | Endochoice, Inc. | Elevator for directing medical tool |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9744335B2 (en) | 2014-07-01 | 2017-08-29 | Auris Surgical Robotics, Inc. | Apparatuses and methods for monitoring tendons of steerable catheters |
US10792464B2 (en) | 2014-07-01 | 2020-10-06 | Auris Health, Inc. | Tool and method for using surgical endoscope with spiral lumens |
US9561083B2 (en) | 2014-07-01 | 2017-02-07 | Auris Surgical Robotics, Inc. | Articulating flexible endoscopic tool with roll capabilities |
EP3689219B1 (en) | 2014-07-21 | 2023-08-30 | EndoChoice, Inc. | Multi-focal, multi-camera endoscope systems |
CN106687024B (en) | 2014-08-29 | 2020-10-09 | 恩多巧爱思股份有限公司 | System and method for varying the stiffness of an endoscope insertion tube |
US10111679B2 (en) | 2014-09-05 | 2018-10-30 | Ethicon Llc | Circuitry and sensors for powered medical device |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11273290B2 (en) * | 2014-09-10 | 2022-03-15 | Intuitive Surgical Operations, Inc. | Flexible instrument with nested conduits |
US10342561B2 (en) | 2014-09-12 | 2019-07-09 | Board Of Regents Of The University Of Nebraska | Quick-release end effectors and related systems and methods |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
BR112017005981B1 (en) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
AU2015325052B2 (en) | 2014-09-30 | 2020-07-02 | Auris Health, Inc. | Configurable robotic surgical system with virtual rail and flexible endoscope |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
CN106999001B (en) * | 2014-10-18 | 2019-04-16 | 史赛克欧洲控股I有限责任公司 | Shaft and selectivity with alternative bending bend the operation tool of the shaft and the cable when shaft bending in tensioning |
US10314463B2 (en) | 2014-10-24 | 2019-06-11 | Auris Health, Inc. | Automated endoscope calibration |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
WO2016077478A1 (en) | 2014-11-11 | 2016-05-19 | Board Of Regents Of The University Of Nebraska | Robotic device with compact joint design and related systems and methods |
EP3226762B1 (en) * | 2014-12-01 | 2021-05-19 | Koninklijke Philips N.V. | Virtually-oriented electromagnetic tracking coil for catheter based navigation |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
EP3235241B1 (en) | 2014-12-18 | 2023-09-06 | EndoChoice, Inc. | System for processing video images generated by a multiple viewing elements endoscope |
MX2017008108A (en) | 2014-12-18 | 2018-03-06 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge. |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10271713B2 (en) | 2015-01-05 | 2019-04-30 | Endochoice, Inc. | Tubed manifold of a multiple viewing elements endoscope |
JP6368256B2 (en) * | 2015-02-05 | 2018-08-01 | 富士フイルム株式会社 | Endoscope system |
US10376181B2 (en) | 2015-02-17 | 2019-08-13 | Endochoice, Inc. | System for detecting the location of an endoscopic device during a medical procedure |
WO2016138495A1 (en) * | 2015-02-27 | 2016-09-01 | Gerbo Nicholas Matthew | Flexible endoscope |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10078207B2 (en) | 2015-03-18 | 2018-09-18 | Endochoice, Inc. | Systems and methods for image magnification using relative movement between an image sensor and a lens assembly |
US11819636B2 (en) | 2015-03-30 | 2023-11-21 | Auris Health, Inc. | Endoscope pull wire electrical circuit |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US9566144B2 (en) | 2015-04-22 | 2017-02-14 | Claret Medical, Inc. | Vascular filters, deflectors, and methods |
US10401611B2 (en) | 2015-04-27 | 2019-09-03 | Endochoice, Inc. | Endoscope with integrated measurement of distance to objects of interest |
WO2016187124A1 (en) | 2015-05-17 | 2016-11-24 | Endochoice, Inc. | Endoscopic image enhancement using contrast limited adaptive histogram equalization (clahe) implemented in a processor |
JP6444809B2 (en) * | 2015-06-05 | 2018-12-26 | 富士フイルム株式会社 | Endoscope system |
US11553832B2 (en) * | 2015-06-05 | 2023-01-17 | Fujifilm Corporation | Endoscope system |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
JP6961146B2 (en) | 2015-08-03 | 2021-11-05 | バーチャル インシジョン コーポレイションVirtual Incision Corporation | Robotic surgical devices, systems and related methods |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
JP6828018B2 (en) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーEthicon LLC | Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges |
US10390829B2 (en) | 2015-08-26 | 2019-08-27 | Ethicon Llc | Staples comprising a cover |
MX2022006189A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
WO2017041052A1 (en) | 2015-09-03 | 2017-03-09 | Neptune Medical | Device for endoscopic advancement through the small intestine |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US20170086829A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with intermediate supporting structures |
CN114795472A (en) | 2015-10-28 | 2022-07-29 | 安多卓思公司 | Apparatus and method for tracking the position of an endoscope within a patient |
WO2017091459A1 (en) | 2015-11-24 | 2017-06-01 | Endochoice, Inc. | Disposable air/water and suction valves for an endoscope |
US10143526B2 (en) | 2015-11-30 | 2018-12-04 | Auris Health, Inc. | Robot-assisted driving systems and methods |
EP3395224A4 (en) * | 2015-12-25 | 2019-08-14 | Olympus Corporation | Flexible tube insertion device |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
JP6911054B2 (en) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | Surgical instruments with asymmetric joint composition |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10488648B2 (en) | 2016-02-24 | 2019-11-26 | Endochoice, Inc. | Circuit board assembly for a multiple viewing element endoscope using CMOS sensors |
WO2017160792A1 (en) | 2016-03-14 | 2017-09-21 | Endochoice, Inc. | System and method for guiding and tracking a region of interest using an endoscope |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10376263B2 (en) | 2016-04-01 | 2019-08-13 | Ethicon Llc | Anvil modification members for surgical staplers |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
CA3024623A1 (en) | 2016-05-18 | 2017-11-23 | Virtual Incision Corporation | Robotic surgical devices, systems and related methods |
CN109310408B (en) | 2016-06-21 | 2021-11-23 | 安多卓思公司 | Endoscope system with multiple connection interfaces for connection to different video data signal sources |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
US11122971B2 (en) | 2016-08-18 | 2021-09-21 | Neptune Medical Inc. | Device and method for enhanced visualization of the small intestine |
CN116269696A (en) | 2016-08-25 | 2023-06-23 | 内布拉斯加大学董事会 | Quick release tool coupler and related systems and methods |
US10463439B2 (en) | 2016-08-26 | 2019-11-05 | Auris Health, Inc. | Steerable catheter with shaft load distributions |
CN114872081A (en) | 2016-08-30 | 2022-08-09 | 内布拉斯加大学董事会 | Robotic devices with compact joint design and additional degrees of freedom and related systems and methods |
US11096560B2 (en) * | 2016-09-23 | 2021-08-24 | Meditrina, Inc. | Endoscope with multiple image sensors |
US9931025B1 (en) * | 2016-09-30 | 2018-04-03 | Auris Surgical Robotics, Inc. | Automated calibration of endoscopes with pull wires |
CN110139592B (en) * | 2016-11-09 | 2022-02-01 | 俐娜医疗国际运营公司 | Device for use in hysteroscopy |
EP3544539A4 (en) | 2016-11-22 | 2020-08-05 | Board of Regents of the University of Nebraska | Improved gross positioning device and related systems and methods |
EP3544664B1 (en) * | 2016-11-22 | 2021-09-22 | Boston Scientific Scimed, Inc. | Medical delivery system |
WO2018102430A1 (en) | 2016-11-29 | 2018-06-07 | Virtual Incision Corporation | User controller with user presence detection and related systems and methods |
WO2018102718A1 (en) * | 2016-12-02 | 2018-06-07 | Vanderbilt University | Steerable endoscope with continuum manipulator |
US10722319B2 (en) | 2016-12-14 | 2020-07-28 | Virtual Incision Corporation | Releasable attachment device for coupling to medical devices and related systems and methods |
US10448950B2 (en) | 2016-12-21 | 2019-10-22 | Ethicon Llc | Surgical staplers with independently actuatable closing and firing systems |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
JP2020501779A (en) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーEthicon LLC | Surgical stapling system |
US10524789B2 (en) | 2016-12-21 | 2020-01-07 | Ethicon Llc | Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10244926B2 (en) | 2016-12-28 | 2019-04-02 | Auris Health, Inc. | Detecting endolumenal buckling of flexible instruments |
JP7210458B2 (en) * | 2017-01-23 | 2023-01-23 | ヒューマン エクステンションズ リミテッド | Systems for minimally invasive procedures |
EP3585304B1 (en) | 2017-02-22 | 2022-04-27 | Boston Scientific Scimed, Inc. | Systems for protecting the cerebral vasculature |
USD867589S1 (en) * | 2017-03-23 | 2019-11-19 | Pioneer Medical Instrument Co., Ltd. | Steerable structure for endoscope |
CN106880405B (en) * | 2017-03-30 | 2019-11-22 | 微创(上海)医疗机器人有限公司 | Operating robot flexible instrument, surgical instrument and endoscope |
AU2018265018B2 (en) | 2017-05-12 | 2024-03-07 | Auris Health, Inc. | Biopsy apparatus and system |
AU2018270785B2 (en) | 2017-05-17 | 2023-11-23 | Auris Health, Inc. | Exchangeable working channel |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
EP3645100A4 (en) | 2017-06-28 | 2021-03-17 | Auris Health, Inc. | Instrument insertion compensation |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10426559B2 (en) | 2017-06-30 | 2019-10-01 | Auris Health, Inc. | Systems and methods for medical instrument compression compensation |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
WO2019055701A1 (en) | 2017-09-13 | 2019-03-21 | Vanderbilt University | Continuum robots with multi-scale motion through equilibrium modulation |
CA3076625A1 (en) | 2017-09-27 | 2019-04-04 | Virtual Incision Corporation | Robotic surgical devices with tracking camera technology and related systems and methods |
US10751087B2 (en) * | 2017-09-29 | 2020-08-25 | Ethicon Llc | Radial biasing devices for trocar assembly |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10145747B1 (en) | 2017-10-10 | 2018-12-04 | Auris Health, Inc. | Detection of undesirable forces on a surgical robotic arm |
US10016900B1 (en) | 2017-10-10 | 2018-07-10 | Auris Health, Inc. | Surgical robotic arm admittance control |
CN111565673A (en) | 2017-10-27 | 2020-08-21 | 波士顿科学医学有限公司 | System and method for protecting cerebral blood vessels |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
GB2568763B (en) * | 2017-11-28 | 2020-11-25 | Subsea Energy Solutions Ltd | Stiffening member and protective housing assembly |
WO2019113249A1 (en) | 2017-12-06 | 2019-06-13 | Auris Health, Inc. | Systems and methods to correct for uncommanded instrument roll |
GB2569177B (en) * | 2017-12-08 | 2019-12-04 | Surgerytech Aps | Endoscope system |
KR20200100613A (en) | 2017-12-14 | 2020-08-26 | 아우리스 헬스, 인코포레이티드 | System and method for estimating instrument position |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11154390B2 (en) | 2017-12-19 | 2021-10-26 | Claret Medical, Inc. | Systems for protection of the cerebral vasculature during a cardiac procedure |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
EP3735341A4 (en) | 2018-01-05 | 2021-10-06 | Board of Regents of the University of Nebraska | Single-arm robotic device with compact joint design and related systems and methods |
WO2019160865A1 (en) | 2018-02-13 | 2019-08-22 | Auris Health, Inc. | System and method for driving medical instrument |
CN110831480B (en) * | 2018-03-28 | 2023-08-29 | 奥瑞斯健康公司 | Medical device with variable bending stiffness profile |
JP7093849B2 (en) | 2018-04-26 | 2022-06-30 | ボストン サイエンティフィック サイムド,インコーポレイテッド | Systems and methods to protect the cerebrovascular system |
WO2020018934A1 (en) | 2018-07-19 | 2020-01-23 | Nep Tune Medical Inc. | Dynamically rigidizing composite medical structures |
WO2020033318A1 (en) | 2018-08-07 | 2020-02-13 | Auris Health, Inc. | Combining strain-based shape sensing with catheter control |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
EP3840691A1 (en) | 2018-08-21 | 2021-06-30 | Boston Scientific Scimed, Inc. | Systems for protecting the cerebral vasculature |
CA3108250C (en) * | 2018-08-29 | 2023-10-17 | Ok Fiber Technology Co., Ltd. | Fiberscope having excellent insertability |
US11179212B2 (en) | 2018-09-26 | 2021-11-23 | Auris Health, Inc. | Articulating medical instruments |
EP3856064A4 (en) | 2018-09-28 | 2022-06-29 | Auris Health, Inc. | Systems and methods for docking medical instruments |
US11707819B2 (en) | 2018-10-15 | 2023-07-25 | General Electric Company | Selectively flexible extension tool |
JP2022516937A (en) | 2019-01-07 | 2022-03-03 | バーチャル インシジョン コーポレイション | Equipment and methods related to robot-assisted surgery systems |
US11702955B2 (en) | 2019-01-14 | 2023-07-18 | General Electric Company | Component repair system and method |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11617627B2 (en) | 2019-03-29 | 2023-04-04 | Auris Health, Inc. | Systems and methods for optical strain sensing in medical instruments |
US11793392B2 (en) | 2019-04-17 | 2023-10-24 | Neptune Medical Inc. | External working channels |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
CN110137868B (en) * | 2019-05-08 | 2020-07-07 | 苏州浪潮智能科技有限公司 | Tank chain device with power supply function |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
KR20220050151A (en) | 2019-08-15 | 2022-04-22 | 아우리스 헬스, 인코포레이티드 | Medical device having multiple bend sections |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US10884232B1 (en) | 2019-12-30 | 2021-01-05 | General Electric Company | Insertion apparatus including rigidizable body |
US11660147B2 (en) | 2019-12-31 | 2023-05-30 | Auris Health, Inc. | Alignment techniques for percutaneous access |
JP2023508719A (en) | 2019-12-31 | 2023-03-03 | オーリス ヘルス インコーポレイテッド | Alignment interface for percutaneous access |
EP4084717A4 (en) | 2019-12-31 | 2024-02-14 | Auris Health Inc | Dynamic pulley system |
EP4084721A4 (en) | 2019-12-31 | 2024-01-03 | Auris Health Inc | Anatomical feature identification and targeting |
US11692650B2 (en) | 2020-01-23 | 2023-07-04 | General Electric Company | Selectively flexible extension tool |
US11752622B2 (en) | 2020-01-23 | 2023-09-12 | General Electric Company | Extension tool having a plurality of links |
US11613003B2 (en) | 2020-01-24 | 2023-03-28 | General Electric Company | Line assembly for an extension tool having a plurality of links |
US11371437B2 (en) | 2020-03-10 | 2022-06-28 | Oliver Crispin Robotics Limited | Insertion tool |
KR20230007343A (en) | 2020-03-30 | 2023-01-12 | 넵튠 메디컬 인코포레이티드 | Stacked walls to stiffen devices |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
WO2021262821A1 (en) * | 2020-06-23 | 2021-12-30 | Lumendi LLC | Method and apparatus for manipulating the side wall of a body lumen to provide increased visualization |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
CN114903538A (en) * | 2021-02-09 | 2022-08-16 | 北京术锐技术有限公司 | Growable instrument and surgical robot system |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11654547B2 (en) | 2021-03-31 | 2023-05-23 | General Electric Company | Extension tool |
US20220378424A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a firing lockout |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US20230346205A1 (en) | 2022-04-27 | 2023-11-02 | Neptune Medical Inc. | Multi-lumen port adapter manifold devices and methods of use |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5503616A (en) * | 1991-06-10 | 1996-04-02 | Endomedical Technologies, Inc. | Collapsible access channel system |
Family Cites Families (187)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US423509A (en) * | 1890-03-18 | Wrench | ||
US2510198A (en) * | 1947-10-17 | 1950-06-06 | Earl B Tesmer | Flexible positioner |
US2767705A (en) | 1954-10-08 | 1956-10-23 | Technical Oil Tool Corp | Sigmoidoscope with suction attachment for immobilizing adjacent tissue |
US3060972A (en) | 1957-08-22 | 1962-10-30 | Bausch & Lomb | Flexible tube structures |
US3096961A (en) * | 1961-06-16 | 1963-07-09 | Lattimer J Mcconnell | Lantern mounting bracket for boats |
US3236509A (en) * | 1961-11-13 | 1966-02-22 | British Plaster Board Holdings | Process and apparatus for continuous calcining of powdered gypsum rock |
GB983560A (en) * | 1962-09-18 | 1965-02-17 | Polymathic Engineering Company | Supporting stand for instruments, tools and the like |
US3430662A (en) * | 1964-09-21 | 1969-03-04 | Stephen Guarnaschelli | Flexible segmented tube |
US3610231A (en) | 1967-07-21 | 1971-10-05 | Olympus Optical Co | Endoscope |
JPS4831554B1 (en) * | 1968-12-24 | 1973-09-29 | ||
US3643632A (en) * | 1970-08-28 | 1972-02-22 | Eugene M Poirot | Automatically operated feeding device |
US3739770A (en) | 1970-10-09 | 1973-06-19 | Olympus Optical Co | Bendable tube of an endoscope |
US3946727A (en) | 1971-06-15 | 1976-03-30 | Olympus Optical Co., Ltd. | Flexible tube assembly for an endoscope |
US3773034A (en) | 1971-11-24 | 1973-11-20 | Itt Research Institute | Steerable catheter |
US3871358A (en) * | 1972-08-04 | 1975-03-18 | Olympus Optical Co | Guiding tube for the insertion of an admissible medical implement into a human body |
US3780740A (en) * | 1972-11-01 | 1973-12-25 | J Rhea | Intubation device and method of advancing a tube past the pylorus |
JPS506192A (en) * | 1973-05-18 | 1975-01-22 | ||
US3897775A (en) | 1973-09-07 | 1975-08-05 | Olympus Optical Co | Endoscope with facile bending operation |
US3858578A (en) * | 1974-01-21 | 1975-01-07 | Pravel Wilson & Matthews | Surgical retaining device |
US4054128A (en) | 1976-09-28 | 1977-10-18 | Universite De Sherbrooke | Device for carrying observation and/or manipulation instruments |
JPS5940002Y2 (en) | 1976-12-28 | 1984-11-12 | 株式会社メドス研究所 | Bending device in endoscope |
FR2423793A2 (en) * | 1977-04-29 | 1979-11-16 | Anvar | IMPROVEMENTS TO DEVICES USING ULTRASONICS TO FORM IMAGES, ESPECIALLY FOR THE INTERNAL EXAMINATION OF THE HUMAN BODY |
US4176662A (en) | 1977-06-17 | 1979-12-04 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Apparatus for endoscopic examination |
JPS5586435A (en) | 1978-12-22 | 1980-06-30 | Olympus Optical Co | Endoscope |
JPS6041203Y2 (en) | 1979-04-03 | 1985-12-14 | 富士写真光機株式会社 | Curved tube part of endoscope |
JPS606652B2 (en) | 1979-11-16 | 1985-02-19 | オリンパス光学工業株式会社 | Flexible tube for endoscope |
US4366810A (en) * | 1980-08-28 | 1983-01-04 | Slanetz Jr Charles A | Tactile control device for a remote sensing device |
DE3277287D1 (en) | 1981-10-15 | 1987-10-22 | Olympus Optical Co | Endoscope system with an electric bending mechanism |
DE3278275D1 (en) | 1981-10-22 | 1988-05-05 | Olympus Optical Co | Endoscope apparatus with motor-driven bending mechanism |
JPS5878639A (en) | 1981-11-04 | 1983-05-12 | オリンパス光学工業株式会社 | Endoscope |
CH650894GA3 (en) * | 1982-08-12 | 1985-08-30 | Ebauchesfabrik Eta Ag | |
US5651768A (en) * | 1983-08-18 | 1997-07-29 | Drug Delivery Systems, Inc. | Transdermal drug applicator and electrodes therefor |
US4543090A (en) | 1983-10-31 | 1985-09-24 | Mccoy William C | Steerable and aimable catheter |
JPS60179713A (en) | 1984-02-28 | 1985-09-13 | Olympus Optical Co Ltd | Endoscope device |
JPS60176417U (en) | 1984-05-02 | 1985-11-22 | 株式会社 町田製作所 | Guide tube for endoscope insertion |
JPS60187737U (en) | 1984-05-23 | 1985-12-12 | オリンパス光学工業株式会社 | Indwelling tube guide device |
US4651718A (en) | 1984-06-29 | 1987-03-24 | Warner-Lambert Technologies Inc. | Vertebra for articulatable shaft |
DE3426024A1 (en) * | 1984-07-14 | 1986-01-16 | Robert 5442 Mendig Merkt | KIT FOR MANUFACTURING AN ASSEMBLY GAUGE FOR PIPELINES, IN PARTICULAR PIPELINES FOR HYDRAULIC OR PNEUMATIC SWITCHING OR. WORKING PARTIES |
US4577621A (en) * | 1984-12-03 | 1986-03-25 | Patel Jayendrakumar I | Endoscope having novel proximate and distal portions |
US4646722A (en) | 1984-12-10 | 1987-03-03 | Opielab, Inc. | Protective endoscope sheath and method of installing same |
JPH055529Y2 (en) * | 1985-03-25 | 1993-02-15 | ||
US4646772A (en) * | 1985-08-12 | 1987-03-03 | G.T. Products, Inc. | Fuel tank mounted roll-over valve |
JPS62113125A (en) | 1985-11-13 | 1987-05-25 | Olympus Optical Co Ltd | Endoscope |
US4696544A (en) * | 1985-11-18 | 1987-09-29 | Olympus Corporation | Fiberscopic device for inspection of internal sections of construction, and method for using same |
DE3704247A1 (en) * | 1986-02-14 | 1987-08-20 | Olympus Optical Co | ENDOSCOPE INSERTION DEVICE |
US4686963A (en) | 1986-03-05 | 1987-08-18 | Circon Corporation | Torsion resistant vertebrated probe of simple construction |
US4799474A (en) | 1986-03-13 | 1989-01-24 | Olympus Optical Co., Ltd. | Medical tube to be inserted in body cavity |
DE3734979A1 (en) | 1986-10-16 | 1988-04-28 | Olympus Optical Co | ENDOSCOPE |
US4753223A (en) | 1986-11-07 | 1988-06-28 | Bremer Paul W | System for controlling shape and direction of a catheter, cannula, electrode, endoscope or similar article |
JPS63123011A (en) | 1986-11-12 | 1988-05-26 | Olympus Optical Co Ltd | Endoscope |
US4895431A (en) | 1986-11-13 | 1990-01-23 | Olympus Optical Co., Ltd. | Method of processing endoscopic images |
US4793326A (en) | 1986-12-08 | 1988-12-27 | Olympus Optical Co., Ltd. | Endoscope having insertion end guide means |
US4832473A (en) | 1987-02-06 | 1989-05-23 | Olympus Optical Co., Ltd. | Endoscope with elastic actuator comprising a synthetic rubber tube with only radial expansion controlled by a mesh-like tube |
EP0279316B1 (en) | 1987-02-09 | 1994-05-25 | Sumitomo Electric Industries Limited | Mechanism for bending elongated body |
US4807593A (en) * | 1987-05-08 | 1989-02-28 | Olympus Optical Co. Ltd. | Endoscope guide tube |
US4884557A (en) | 1987-05-15 | 1989-12-05 | Olympus Optical Co., Ltd. | Endoscope for automatically adjusting an angle with a shape memory alloy |
US4796607A (en) | 1987-07-28 | 1989-01-10 | Welch Allyn, Inc. | Endoscope steering section |
IT1235460B (en) | 1987-07-31 | 1992-07-30 | Confida Spa | FLEXIBLE ENDOSCOPE. |
US4890602A (en) | 1987-11-25 | 1990-01-02 | Hake Lawrence W | Endoscope construction with means for controlling rigidity and curvature of flexible endoscope tube |
US4815450A (en) | 1988-02-01 | 1989-03-28 | Patel Jayendra I | Endoscope having variable flexibility |
US4930494A (en) * | 1988-03-09 | 1990-06-05 | Olympus Optical Co., Ltd. | Apparatus for bending an insertion section of an endoscope using a shape memory alloy |
US4834068A (en) | 1988-03-18 | 1989-05-30 | Gottesman James E | Barrier shield method and apparatus for optical-medical devices |
JPH01244732A (en) * | 1988-03-28 | 1989-09-29 | Asahi Optical Co Ltd | Endoscope with sheath |
US4987314A (en) | 1988-04-21 | 1991-01-22 | Olympus Optical Co., Ltd. | Actuator apparatus utilizing a shape-memory alloy |
GB2226245A (en) * | 1988-11-18 | 1990-06-27 | Alan Crockard | Endoscope, remote actuator and aneurysm clip applicator. |
US5018509A (en) | 1989-02-21 | 1991-05-28 | Olympus Optical Co., Ltd. | Endoscope insertion controlling apparatus |
JP2981556B2 (en) | 1989-02-28 | 1999-11-22 | 旭光学工業株式会社 | Endoscope tip |
JPH0651018B2 (en) * | 1989-05-02 | 1994-07-06 | 株式会社東芝 | Endoscope |
US5005559A (en) * | 1989-07-27 | 1991-04-09 | Massachusetts Institute Of Technology | Video-graphic arthroscopy system |
US4957486A (en) | 1989-10-02 | 1990-09-18 | Davis Emsley A | Rectal-stomal insert apparatus and method |
DE3935256C1 (en) * | 1989-10-23 | 1991-01-03 | Bauerfeind, Peter, Dr., 8264 Waldkraiburg, De | |
US5125406A (en) * | 1989-11-29 | 1992-06-30 | Eet Limited Partnership (Del) | Electrode endotracheal tube |
US5024228A (en) * | 1989-11-29 | 1991-06-18 | Goldstone Andrew C | Electrode endotracheal tube |
US5025778A (en) * | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
US5092901A (en) * | 1990-06-06 | 1992-03-03 | The Royal Institution For The Advancement Of Learning (Mcgill University) | Shape memory alloy fibers having rapid twitch response |
JPH04122233A (en) * | 1990-09-11 | 1992-04-22 | Toshiba Corp | Endoscope |
US5125395A (en) | 1990-09-12 | 1992-06-30 | Adair Edwin Lloyd | Deflectable sheath for optical catheter |
US5531664A (en) | 1990-12-26 | 1996-07-02 | Olympus Optical Co., Ltd. | Bending actuator having a coil sheath with a fixed distal end and a free proximal end |
US5188111A (en) * | 1991-01-18 | 1993-02-23 | Catheter Research, Inc. | Device for seeking an area of interest within a body |
US5400769A (en) | 1991-02-18 | 1995-03-28 | Olympus Optical Co., Ltd. | Electrically bendable endoscope apparatus having controlled fixed bending speed |
JP3063784B2 (en) | 1991-03-26 | 2000-07-12 | オリンパス光学工業株式会社 | Endoscope device |
JP3065702B2 (en) | 1991-04-23 | 2000-07-17 | オリンパス光学工業株式会社 | Endoscope system |
US5251611A (en) * | 1991-05-07 | 1993-10-12 | Zehel Wendell E | Method and apparatus for conducting exploratory procedures |
US5127393A (en) | 1991-05-28 | 1992-07-07 | Medilase, Inc. | Flexible endoscope with rigid introducer |
US5159446A (en) | 1991-06-21 | 1992-10-27 | Olympus Optical Co., Ltd. | Electronic endoscope system provided with a separate camera controlling unit and motor controlling unit |
JPH05184526A (en) | 1991-09-17 | 1993-07-27 | Olympus Optical Co Ltd | Bending mechanism for flexible tube |
US5370108A (en) | 1991-10-02 | 1994-12-06 | Asahi Kogaku Kogyo Kabushiki Kaisha | Endoscope |
JP3149219B2 (en) | 1991-10-15 | 2001-03-26 | 旭光学工業株式会社 | Covering structure of curved part of endoscope |
US5271381A (en) | 1991-11-18 | 1993-12-21 | Vision Sciences, Inc. | Vertebrae for a bending section of an endoscope |
US5217001A (en) * | 1991-12-09 | 1993-06-08 | Nakao Naomi L | Endoscope sheath and related method |
US5469840A (en) | 1991-12-10 | 1995-11-28 | Olympus Optical, Ltd. | Electromotive warping type endoscope with velocity control |
US5658238A (en) | 1992-02-25 | 1997-08-19 | Olympus Optical Co., Ltd. | Endoscope apparatus capable of being switched to a mode in which a curvature operating lever is returned and to a mode in which the curvature operating lever is not returned |
US5624380A (en) | 1992-03-12 | 1997-04-29 | Olympus Optical Co., Ltd. | Multi-degree of freedom manipulator |
US5482029A (en) | 1992-06-26 | 1996-01-09 | Kabushiki Kaisha Toshiba | Variable flexibility endoscope system |
US5402768A (en) * | 1992-09-01 | 1995-04-04 | Adair; Edwin L. | Endoscope with reusable core and disposable sheath with passageways |
US5337732A (en) | 1992-09-16 | 1994-08-16 | Cedars-Sinai Medical Center | Robotic endoscopy |
US5662587A (en) | 1992-09-16 | 1997-09-02 | Cedars Sinai Medical Center | Robotic endoscopy |
US5279610A (en) * | 1992-11-06 | 1994-01-18 | Cook Incorporated | Oroesophageal, instrument introducer assembly and method of use |
US5383852A (en) | 1992-12-04 | 1995-01-24 | C. R. Bard, Inc. | Catheter with independent proximal and distal control |
US5460168A (en) | 1992-12-25 | 1995-10-24 | Olympus Optical Co., Ltd. | Endoscope cover assembly and cover-system endoscope |
US5460166A (en) | 1993-03-11 | 1995-10-24 | Olympus Optical, Ltd. | Endoscope of an endoscope cover system wherein, at the time of the maximum curvature, a fluid tube path will be curved as twisted so as to move to the side on which the radius of curvature will become larger |
US5551945A (en) | 1993-03-16 | 1996-09-03 | Olympus Optical Co., Ltd. | Endoscope system including endoscope and protection cover |
US5507717A (en) | 1993-05-24 | 1996-04-16 | Olympus Optical Co., Ltd. | Device for bending the insertion section of an endoscope |
US5487757A (en) | 1993-07-20 | 1996-01-30 | Medtronic Cardiorhythm | Multicurve deflectable catheter |
CA2170729A1 (en) * | 1993-08-30 | 1995-03-09 | Andreas Grundl | Endoscope with a movable frontal end area |
US5389222A (en) * | 1993-09-21 | 1995-02-14 | The United States Of America As Represented By The United States Department Of Energy | Spring-loaded polymeric gel actuators |
US5577992A (en) | 1993-10-05 | 1996-11-26 | Asahi Kogaku Kogyo Kabushiki Kaisha | Bendable portion of endoscope |
JP3411655B2 (en) * | 1994-03-15 | 2003-06-03 | ペンタックス株式会社 | Endoscope tip |
US5449206A (en) * | 1994-01-04 | 1995-09-12 | Lockwood Products, Inc. | Ball and socket joint with internal stop |
US5429118A (en) * | 1994-04-07 | 1995-07-04 | Cook (Canada) Incorporated | Disposable medical scope sheath |
US5624381A (en) | 1994-08-09 | 1997-04-29 | Kieturakis; Maciej J. | Surgical instrument and method for retraction of an anatomic structure defining an interior lumen |
US5645520A (en) | 1994-10-12 | 1997-07-08 | Computer Motion, Inc. | Shape memory alloy actuated rod for endoscopic instruments |
US5728044A (en) * | 1995-03-10 | 1998-03-17 | Shan; Yansong | Sensor device for spacial imaging of endoscopes |
DE19510962C2 (en) | 1995-03-25 | 1998-02-05 | Winter & Ibe Olympus | Medical endoscopic device with super elastic element |
US5620408A (en) * | 1995-04-14 | 1997-04-15 | Vennes; Jack A. | Endoscopic over-tube |
US5667476A (en) | 1995-06-05 | 1997-09-16 | Vision-Sciences, Inc. | Endoscope articulation system to reduce effort during articulation of an endoscope |
US5772591A (en) * | 1995-06-06 | 1998-06-30 | Patient Comfort, Inc. | Electrode assembly for signaling a monitor |
US6233472B1 (en) * | 1995-06-06 | 2001-05-15 | Patient Comfort, L.L.C. | Electrode assembly and method for signaling a monitor |
US5759151A (en) * | 1995-06-07 | 1998-06-02 | Carnegie Mellon University | Flexible steerable device for conducting exploratory procedures |
US6210337B1 (en) | 1995-06-07 | 2001-04-03 | Atl Ultrasound Inc. | Ultrasonic endoscopic probe |
US5752912A (en) | 1995-06-26 | 1998-05-19 | Asahi Kogaku Kogyo Kabushiki Kaisha | Manipulator for flexible portion of an endoscope |
US5810715A (en) | 1995-09-29 | 1998-09-22 | Olympus Optical Co., Ltd. | Endoscope provided with function of being locked to flexibility of insertion part which is set by flexibility modifying operation member |
AU708568B2 (en) * | 1995-12-11 | 1999-08-05 | Zoob Corporation | Construction system |
JP3221824B2 (en) | 1995-12-19 | 2001-10-22 | 富士写真光機株式会社 | Endoscope with bending section protection mechanism |
US5749828A (en) | 1995-12-22 | 1998-05-12 | Hewlett-Packard Company | Bending neck for use with invasive medical devices |
US5989230A (en) | 1996-01-11 | 1999-11-23 | Essex Technology, Inc. | Rotate to advance catheterization system |
US5813976A (en) * | 1996-04-02 | 1998-09-29 | Filipi; Charles J. | Stabilizing instrumentation for the performing of endoscopic surgical procedures |
US5746694A (en) * | 1996-05-16 | 1998-05-05 | Wilk; Peter J. | Endoscope biopsy channel liner and associated method |
US5902254A (en) * | 1996-07-29 | 1999-05-11 | The Nemours Foundation | Cathether guidewire |
US5685822A (en) * | 1996-08-08 | 1997-11-11 | Vision-Sciences, Inc. | Endoscope with sheath retaining device |
DE69726166T2 (en) | 1996-08-27 | 2004-07-08 | C.R. Bard, Inc. | GUIDE WIRE WITH LOW MASS FOR TORQUE TRANSMISSION |
US6096009A (en) * | 1996-09-13 | 2000-08-01 | Boston Scientific Corporation | Guidewire and catheter locking device and method |
IT1285533B1 (en) | 1996-10-22 | 1998-06-08 | Scuola Superiore Di Studi Universitari E Di Perfezionamento Sant Anna | ENDOSCOPIC ROBOT |
US5912147A (en) * | 1996-10-22 | 1999-06-15 | Health Research, Inc. | Rapid means of quantitating genomic instability |
DE19748795B4 (en) | 1996-11-18 | 2006-08-17 | Olympus Corporation | endoscope |
US5779624A (en) | 1996-12-05 | 1998-07-14 | Boston Scientific Corporation | Sigmoid splint device for endoscopy |
US5885208A (en) | 1996-12-24 | 1999-03-23 | Olympus Optical Co., Ltd. | Endoscope system |
US5876373A (en) | 1997-04-04 | 1999-03-02 | Eclipse Surgical Technologies, Inc. | Steerable catheter |
US5908381A (en) * | 1997-04-30 | 1999-06-01 | C. R. Bard Inc. | Directional surgical device for use with endoscope, gastroscope, colonoscope or the like |
US5921915A (en) | 1997-04-30 | 1999-07-13 | C.R. Bard, Inc. | Directional surgical device for use with endoscope, gastroscope, colonoscope or the like |
US6149581A (en) | 1997-06-12 | 2000-11-21 | Klingenstein; Ralph James | Device and method for access to the colon and small bowel of a patient |
GB9713680D0 (en) * | 1997-06-27 | 1997-09-03 | Keymed Medicals & Ind Equip | Improvements in or relating to optical scopes with measuring systems |
DE19729499A1 (en) * | 1997-07-10 | 1999-01-14 | Friedrich Schiller Uni Jena Bu | Guide for flexible endoscope, with reinforcements |
JPH1156754A (en) | 1997-08-18 | 1999-03-02 | Asahi Optical Co Ltd | Operating part of endoscope |
US5916147A (en) | 1997-09-22 | 1999-06-29 | Boury; Harb N. | Selectively manipulable catheter |
US5989182A (en) | 1997-12-19 | 1999-11-23 | Vista Medical Technologies, Inc. | Device-steering shaft assembly and endoscope |
EP1054634A4 (en) | 1998-02-10 | 2006-03-29 | Artemis Medical Inc | Entrapping apparatus and method for use |
DE19815598B4 (en) * | 1998-04-07 | 2007-01-18 | Stm Medizintechnik Starnberg Gmbh | Flexible access tube with everting tube system |
US6249076B1 (en) * | 1998-04-14 | 2001-06-19 | Massachusetts Institute Of Technology | Conducting polymer actuator |
US6066132A (en) | 1998-06-30 | 2000-05-23 | Ethicon, Inc. | Articulating endometrial ablation device |
DE19840986A1 (en) * | 1998-09-08 | 2000-03-09 | Etm Endoskopische Technik Gmbh | Quick release for an endoscope |
US6174280B1 (en) * | 1998-11-19 | 2001-01-16 | Vision Sciences, Inc. | Sheath for protecting and altering the bending characteristics of a flexible endoscope |
US6162171A (en) | 1998-12-07 | 2000-12-19 | Wan Sing Ng | Robotic endoscope and an autonomous pipe robot for performing endoscopic procedures |
US7125403B2 (en) * | 1998-12-08 | 2006-10-24 | Intuitive Surgical | In vivo accessories for minimally invasive robotic surgery |
JP2000193893A (en) | 1998-12-28 | 2000-07-14 | Suzuki Motor Corp | Bending device of insertion tube for inspection |
US6203494B1 (en) * | 1999-03-02 | 2001-03-20 | Olympus Optical Co., Ltd. | Endoscope capable of varying hardness of flexible part of insertion unit thereof |
US6179776B1 (en) * | 1999-03-12 | 2001-01-30 | Scimed Life Systems, Inc. | Controllable endoscopic sheath apparatus and related method of use |
US6206081B1 (en) * | 1999-05-04 | 2001-03-27 | Chromalloy Gas Turbine Corporation | Withdrawal elevator mechanism for withdrawal furnace with a center cooling spool to produce DS/SC turbine airfoils |
JP3490932B2 (en) | 1999-06-07 | 2004-01-26 | ペンタックス株式会社 | Swallowable endoscope device |
JP4454078B2 (en) * | 1999-10-08 | 2010-04-21 | 株式会社町田製作所 | Endoscope bending tube and method of manufacturing the same |
US6209346B1 (en) * | 1999-12-01 | 2001-04-03 | David C. Frosch | Tailgate picnic device |
JP3765218B2 (en) * | 2000-02-03 | 2006-04-12 | フジノン株式会社 | Endoscope operation wire guide device |
IL141665A (en) * | 2001-02-26 | 2007-02-11 | Minelu Zonnenschein | Ultrasonic positioning |
US6468203B2 (en) * | 2000-04-03 | 2002-10-22 | Neoguide Systems, Inc. | Steerable endoscope and improved method of insertion |
US8517923B2 (en) * | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US6984203B2 (en) * | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
US6610007B2 (en) * | 2000-04-03 | 2003-08-26 | Neoguide Systems, Inc. | Steerable segmented endoscope and method of insertion |
US6974411B2 (en) * | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
US6800056B2 (en) * | 2000-04-03 | 2004-10-05 | Neoguide Systems, Inc. | Endoscope with guiding apparatus |
US6837846B2 (en) * | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
CA2536163A1 (en) * | 2000-04-03 | 2005-03-03 | Neoguide Systems, Inc. | Activated polymer articulated instruments and methods of insertion |
US6858005B2 (en) * | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
US6309346B1 (en) | 2000-06-29 | 2001-10-30 | Ashkan Farhadi | Creeping colonoscope |
JP3574844B2 (en) * | 2000-07-19 | 2004-10-06 | 大阪大学長 | Method for oxidizing a compound using an aldehyde in the presence of a copper catalyst comprising a copper salt and a nitrogen-containing compound |
KR100374640B1 (en) * | 2000-11-18 | 2003-03-04 | 삼성전자주식회사 | Decoder for having not charge pump and non-volatile memory device including the same |
US20050203339A1 (en) * | 2001-03-08 | 2005-09-15 | Atropos Limited | Colonic overtube |
US6793621B2 (en) * | 2001-03-08 | 2004-09-21 | Atropos Limited | Colonic overtube |
JP3720727B2 (en) * | 2001-05-07 | 2005-11-30 | オリンパス株式会社 | Endoscope shape detection device |
EP1443851A1 (en) * | 2001-10-18 | 2004-08-11 | Atropos Limited | A device to aid advancement of a colonoscope |
JP2003135381A (en) * | 2001-10-31 | 2003-05-13 | Machida Endscope Co Ltd | Curved tube and its manufacturing method |
WO2003073921A1 (en) * | 2002-03-06 | 2003-09-12 | Atropos Limited | A steerable colonoscope probe with variable stiffness |
US7250027B2 (en) * | 2002-05-30 | 2007-07-31 | Karl Storz Endovision, Inc. | Articulating vertebrae with asymmetrical and variable radius of curvature |
US20050137455A1 (en) * | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US7041052B2 (en) * | 2002-06-13 | 2006-05-09 | Usgi Medical Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US6783491B2 (en) * | 2002-06-13 | 2004-08-31 | Vahid Saadat | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20040186350A1 (en) * | 2003-01-13 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for guiding an endoscope via a rigidizable wire guide |
US7837615B2 (en) * | 2004-05-10 | 2010-11-23 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
-
2002
- 2002-05-02 US US10/139,289 patent/US6837846B2/en not_active Expired - Lifetime
-
2003
- 2003-05-02 DE DE60334449T patent/DE60334449D1/en not_active Expired - Lifetime
- 2003-05-02 AU AU2003234324A patent/AU2003234324A1/en not_active Abandoned
- 2003-05-02 WO PCT/US2003/013600 patent/WO2003092476A2/en active Application Filing
- 2003-05-02 EP EP03728638A patent/EP1499227B1/en not_active Expired - Lifetime
- 2003-05-02 AT AT03728638T patent/ATE483396T1/en not_active IP Right Cessation
- 2003-05-02 JP JP2004500668A patent/JP4459047B2/en not_active Expired - Lifetime
- 2003-05-02 CN CNA038099861A patent/CN1649537A/en active Pending
-
2004
- 2004-01-29 US US10/769,305 patent/US20040193009A1/en not_active Abandoned
- 2004-01-29 US US10/768,253 patent/US20040210109A1/en not_active Abandoned
- 2004-01-29 US US10/768,605 patent/US20040220450A1/en not_active Abandoned
- 2004-01-29 US US10/768,472 patent/US20040193008A1/en not_active Abandoned
- 2004-12-17 US US11/016,659 patent/US20050124855A1/en not_active Abandoned
-
2005
- 2005-09-14 US US11/226,999 patent/US20060015009A1/en not_active Abandoned
- 2005-09-14 US US11/227,371 patent/US20060009678A1/en not_active Abandoned
- 2005-09-14 US US11/227,415 patent/US20060015010A1/en not_active Abandoned
-
2006
- 2006-10-30 US US11/554,165 patent/US20070043259A1/en not_active Abandoned
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5503616A (en) * | 1991-06-10 | 1996-04-02 | Endomedical Technologies, Inc. | Collapsible access channel system |
Cited By (61)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US8827894B2 (en) | 2000-04-03 | 2014-09-09 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US20040193009A1 (en) * | 2000-04-03 | 2004-09-30 | Neoguide Systems, Inc. | Endoscope having a guide tube |
US8845524B2 (en) | 2000-04-03 | 2014-09-30 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
US20040220450A1 (en) * | 2000-04-03 | 2004-11-04 | Neoguide Systems, Inc. | Endoscope having a guide tube |
US20050020901A1 (en) * | 2000-04-03 | 2005-01-27 | Neoguide Systems, Inc., A Delaware Corporation | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US20050124855A1 (en) * | 2000-04-03 | 2005-06-09 | Ross Jaffe | Endoscope having a guide tube |
US20050154258A1 (en) * | 2000-04-03 | 2005-07-14 | Tartaglia Joseph M. | Endoscope with adjacently positioned guiding apparatus |
US20050154261A1 (en) * | 2000-04-03 | 2005-07-14 | Ohline Robert M. | Tendon-driven endoscope and methods of insertion |
US20050222498A1 (en) * | 2000-04-03 | 2005-10-06 | Amir Belson | Steerable endoscope and improved method of insertion |
US20060052664A1 (en) * | 2000-04-03 | 2006-03-09 | Julian Christopher A | Connector device for a controllable instrument |
US8834354B2 (en) | 2000-04-03 | 2014-09-16 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US9427282B2 (en) | 2000-04-03 | 2016-08-30 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US20060258912A1 (en) * | 2000-04-03 | 2006-11-16 | Amir Belson | Activated polymer articulated instruments and methods of insertion |
US9808140B2 (en) | 2000-04-03 | 2017-11-07 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
US9138132B2 (en) | 2000-04-03 | 2015-09-22 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US11026564B2 (en) | 2000-04-03 | 2021-06-08 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US10105036B2 (en) | 2000-04-03 | 2018-10-23 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US20040210109A1 (en) * | 2000-04-03 | 2004-10-21 | Neoguide Systems, Inc. | Endoscope having a guide tube |
US20040193008A1 (en) * | 2000-04-03 | 2004-09-30 | Neoguide Systems, Inc. | Endoscope having a guide tube |
US8062212B2 (en) | 2000-04-03 | 2011-11-22 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US20110065993A1 (en) * | 2000-04-03 | 2011-03-17 | Amir Belson | Steerable segmented endoscope and method of insertion |
US8721530B2 (en) | 2000-04-03 | 2014-05-13 | Intuitive Surgical Operations, Inc. | Tendon-driven endoscope and methods of use |
US8641602B2 (en) | 2000-04-03 | 2014-02-04 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US10893794B2 (en) | 2000-04-03 | 2021-01-19 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US10736490B2 (en) | 2000-04-03 | 2020-08-11 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US10327625B2 (en) | 2000-04-03 | 2019-06-25 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US8517923B2 (en) | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US10349816B2 (en) | 2002-01-09 | 2019-07-16 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US20030167007A1 (en) * | 2002-01-09 | 2003-09-04 | Amir Belson | Apparatus and method for spectroscopic examination of the colon |
US8361090B2 (en) | 2002-01-09 | 2013-01-29 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US8696694B2 (en) | 2002-01-09 | 2014-04-15 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US9421016B2 (en) | 2002-01-09 | 2016-08-23 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US10959807B2 (en) | 2003-03-07 | 2021-03-30 | Intuitive Surgical Operations, Inc. | Systems and methods for determining the state of motion of an instrument |
US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
US9980778B2 (en) | 2003-03-07 | 2018-05-29 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
US20070249901A1 (en) * | 2003-03-07 | 2007-10-25 | Ohline Robert M | Instrument having radio frequency identification systems and methods for use |
US20060235457A1 (en) * | 2005-04-15 | 2006-10-19 | Amir Belson | Instruments having a rigidizable external working channel |
US20060235458A1 (en) * | 2005-04-15 | 2006-10-19 | Amir Belson | Instruments having an external working channel |
US20070135803A1 (en) * | 2005-09-14 | 2007-06-14 | Amir Belson | Methods and apparatus for performing transluminal and other procedures |
US11096563B2 (en) | 2005-11-22 | 2021-08-24 | Intuitive Surgical Operations, Inc. | Method of determining the shape of a bendable instrument |
US11617499B2 (en) | 2005-11-22 | 2023-04-04 | Intuitive Surgical Operations, Inc. | System for determining the shape of a bendable instrument |
US8083879B2 (en) | 2005-11-23 | 2011-12-27 | Intuitive Surgical Operations, Inc. | Non-metallic, multi-strand control cable for steerable instruments |
US20070161291A1 (en) * | 2005-11-23 | 2007-07-12 | Neoguide Systems, Inc. | Non-metallic, multi-strand control cable for steerable instruments |
US8568299B2 (en) | 2006-05-19 | 2013-10-29 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US10426412B2 (en) | 2006-05-19 | 2019-10-01 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US9357901B2 (en) | 2006-05-19 | 2016-06-07 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US20070270650A1 (en) * | 2006-05-19 | 2007-11-22 | Robert Eno | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US20080167527A1 (en) * | 2007-01-09 | 2008-07-10 | Slenker Dale E | Surgical systems and methods for biofilm removal, including a sheath for use therewith |
US9339172B2 (en) | 2007-01-09 | 2016-05-17 | Medtronic Xomed, Inc. | Methods for biofilm removal |
US9326665B2 (en) | 2007-01-09 | 2016-05-03 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for biofilm removal |
US8790301B2 (en) | 2007-03-01 | 2014-07-29 | Medtronic Xomed, Inc. | Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith |
US8206349B2 (en) | 2007-03-01 | 2012-06-26 | Medtronic Xomed, Inc. | Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith |
US9220398B2 (en) | 2007-10-11 | 2015-12-29 | Intuitive Surgical Operations, Inc. | System for managing Bowden cables in articulating instruments |
US8608647B2 (en) | 2008-02-25 | 2013-12-17 | Intuitive Surgical Operations, Inc. | Systems and methods for articulating an elongate body |
US20090216083A1 (en) * | 2008-02-25 | 2009-08-27 | Neoguide Systems, 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 |
US8246575B2 (en) | 2008-02-26 | 2012-08-21 | Tyco Healthcare Group Lp | Flexible hollow spine with locking feature and manipulation structure |
US9827367B2 (en) | 2008-04-29 | 2017-11-28 | Medtronic Xomed, Inc. | Surgical instrument, system, and method for frontal sinus irrigation |
US20130102846A1 (en) * | 2011-10-21 | 2013-04-25 | Viking Systems, Inc. | Steerable electronic stereoscopic endoscope |
US9044138B2 (en) * | 2011-10-21 | 2015-06-02 | Viking Systems, Inc. | Steerable electronic stereoscopic endoscope |
Also Published As
Publication number | Publication date |
---|---|
JP2005524431A (en) | 2005-08-18 |
EP1499227A2 (en) | 2005-01-26 |
US20020161281A1 (en) | 2002-10-31 |
US20040193008A1 (en) | 2004-09-30 |
ATE483396T1 (en) | 2010-10-15 |
JP4459047B2 (en) | 2010-04-28 |
WO2003092476A3 (en) | 2004-04-15 |
EP1499227B1 (en) | 2010-10-06 |
US20060015009A1 (en) | 2006-01-19 |
US20040210109A1 (en) | 2004-10-21 |
US20070043259A1 (en) | 2007-02-22 |
DE60334449D1 (en) | 2010-11-18 |
AU2003234324A8 (en) | 2003-11-17 |
CN1649537A (en) | 2005-08-03 |
US20040193009A1 (en) | 2004-09-30 |
US6837846B2 (en) | 2005-01-04 |
WO2003092476A2 (en) | 2003-11-13 |
US20050124855A1 (en) | 2005-06-09 |
US20040220450A1 (en) | 2004-11-04 |
US20060015010A1 (en) | 2006-01-19 |
AU2003234324A1 (en) | 2003-11-17 |
EP1499227A4 (en) | 2005-12-14 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US6837846B2 (en) | Endoscope having a guide tube | |
EP1487318B1 (en) | Endoscope with guiding apparatus | |
US6800056B2 (en) | Endoscope with guiding apparatus | |
US6984203B2 (en) | Endoscope with adjacently positioned guiding apparatus | |
JP4758646B2 (en) | Tendon driven endoscope and insertion method thereof | |
US6468203B2 (en) | Steerable endoscope and improved method of insertion |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: NEOGUIDE SYSTEMS, INC., CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:JAFFE, ROSS;TARTAGLIA, JOSEPH M.;BELSON, AMIR;REEL/FRAME:018292/0851;SIGNING DATES FROM 20020524 TO 20020528 |
|
AS | Assignment |
Owner name: VENTURE LENDING & LEASING V, INC., CALIFORNIA Free format text: SECURITY AGREEMENT;ASSIGNOR:NEOGUIDE SYSTEMS, INC.;REEL/FRAME:019366/0663 Effective date: 20070515 Owner name: VENTURE LENDING & LEASING IV, INC., CALIFORNIA Free format text: SECURITY AGREEMENT;ASSIGNOR:NEOGUIDE SYSTEMS, INC.;REEL/FRAME:019366/0663 Effective date: 20070515 |
|
AS | Assignment |
Owner name: NEOGUIDE SYSTEMS, INC, CALIFORNIA Free format text: TERMINATION OF SECURITY AGREEMENT;ASSIGNOR:VENTURE LENDING AND LEASING IV/V, INC.;REEL/FRAME:022668/0204 Effective date: 20090320 |
|
AS | Assignment |
Owner name: INTUITIVE SURGICAL, INC., CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:NEOGUIDE SYSTEMS, INC.;REEL/FRAME:022703/0493 Effective date: 20090320 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |