JP4764417B2 - 生体内視覚化システム - Google Patents

生体内視覚化システム Download PDF

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Publication number
JP4764417B2
JP4764417B2 JP2007505103A JP2007505103A JP4764417B2 JP 4764417 B2 JP4764417 B2 JP 4764417B2 JP 2007505103 A JP2007505103 A JP 2007505103A JP 2007505103 A JP2007505103 A JP 2007505103A JP 4764417 B2 JP4764417 B2 JP 4764417B2
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JP
Japan
Prior art keywords
catheter
handle
distal end
endoscope
steering
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.)
Expired - Lifetime
Application number
JP2007505103A
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English (en)
Japanese (ja)
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JP2007530155A (ja
JP2007530155A5 (https=
Inventor
ベンジャミン イー． モリス，
デイビッド ダブリュー． ロバートソン，
デイビッド アイ． フリード，
ジェームス エフ． シューマン，
ジョン ビー． ゴールデン，
ヨゼフ スランダ，
ブライアン キース ウェールズ，
ジェッシー レオナルド ファリス，
マイケル エス． エイチ． チュー，
オスカー アール． ジュニア カリロ，
ジョン オー． マクウィーニー，
トッド エー． ハル，
イエム チン，
マーク エル． アダムス，
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Ltd Barbados
Original Assignee
Boston Scientific Corp
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from US10/914,411 external-priority patent/US7922654B2/en
Application filed by Boston Scientific Corp filed Critical Boston Scientific Corp
Publication of JP2007530155A publication Critical patent/JP2007530155A/ja
Publication of JP2007530155A5 publication Critical patent/JP2007530155A5/ja
Application granted granted Critical
Publication of JP4764417B2 publication Critical patent/JP4764417B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057—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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • 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
    • A61B1/00103—Constructional details of the endoscope body designed for single use
    • 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
    • A61B1/00112—Connection or coupling means
    • A61B1/00117—Optical cables in or with an endoscope
    • 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
    • A61B1/00112—Connection or coupling means
    • A61B1/00119—Tubes or pipes in or with an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/00131—Accessories for endoscopes
    • A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • A—HUMAN NECESSITIES
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    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
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    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
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    • A61B1/008—Articulations
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    • 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
    • A61B1/0125—Endoscope within endoscope
    • A—HUMAN NECESSITIES
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    • 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
    • A61B1/015—Control of fluid supply or evacuation
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/06—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 illuminating arrangements
    • A61B1/0607—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 illuminating arrangements for annular illumination
    • 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
    • A61B1/06—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 illuminating arrangements
    • A61B1/07—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 illuminating arrangements using light-conductive means, e.g. optical fibres
    • 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
    • A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • 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
    • A61B1/307—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 urinary organs, e.g. urethroscopes, cystoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/06—Diaphragms
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • 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
    • A61M25/0136—Handles therefor
    • 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
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biophysics (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Rehabilitation Therapy (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Urology & Nephrology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Mechanical Engineering (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
JP2007505103A 2004-03-23 2005-03-23 生体内視覚化システム Expired - Lifetime JP4764417B2 (ja)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US55535604P 2004-03-23 2004-03-23
US60/555,356 2004-03-23
US10/914,411 US7922654B2 (en) 2004-08-09 2004-08-09 Fiber optic imaging catheter
US10/914,411 2004-08-09
US65680105P 2005-02-25 2005-02-25
US60/656,801 2005-02-25
PCT/US2005/009522 WO2005094665A2 (en) 2004-03-23 2005-03-23 In-vivo visualization system

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2010216234A Division JP5430528B2 (ja) 2004-03-23 2010-09-27 カテーテルハンドル

Publications (3)

Publication Number Publication Date
JP2007530155A JP2007530155A (ja) 2007-11-01
JP2007530155A5 JP2007530155A5 (https=) 2008-08-07
JP4764417B2 true JP4764417B2 (ja) 2011-09-07

Family

ID=34966138

Family Applications (3)

Application Number Title Priority Date Filing Date
JP2007505103A Expired - Lifetime JP4764417B2 (ja) 2004-03-23 2005-03-23 生体内視覚化システム
JP2010216234A Expired - Lifetime JP5430528B2 (ja) 2004-03-23 2010-09-27 カテーテルハンドル
JP2013190117A Expired - Lifetime JP5864496B2 (ja) 2004-03-23 2013-09-13 生体内視覚化システム

Family Applications After (2)

Application Number Title Priority Date Filing Date
JP2010216234A Expired - Lifetime JP5430528B2 (ja) 2004-03-23 2010-09-27 カテーテルハンドル
JP2013190117A Expired - Lifetime JP5864496B2 (ja) 2004-03-23 2013-09-13 生体内視覚化システム

Country Status (7)

Country Link
US (6) US7922650B2 (https=)
EP (2) EP1737335B1 (https=)
JP (3) JP4764417B2 (https=)
AU (1) AU2005228956B2 (https=)
CA (1) CA2558796C (https=)
ES (2) ES2552252T3 (https=)
WO (1) WO2005094665A2 (https=)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPWO2022172321A1 (https=) * 2021-02-09 2022-08-18
WO2022195740A1 (ja) * 2021-03-16 2022-09-22 日本ライフライン株式会社 内視鏡
DE112020006947T5 (de) 2020-03-23 2023-02-02 Japan Lifeline Co., Ltd Endoskop
JP2025007162A (ja) * 2023-06-30 2025-01-17 日本ライフライン株式会社 カテーテルシャフトおよびカテーテル

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US7555333B2 (en) 2000-06-19 2009-06-30 University Of Washington Integrated optical scanning image acquisition and display
JP3987312B2 (ja) * 2001-08-31 2007-10-10 株式会社東芝 半導体装置の製造装置および製造方法ならびに半導体製造装置のクリーニング方法
US20070167681A1 (en) 2001-10-19 2007-07-19 Gill Thomas J Portable imaging system employing a miniature endoscope
US10595710B2 (en) * 2001-10-19 2020-03-24 Visionscope Technologies Llc Portable imaging system employing a miniature endoscope
US7998062B2 (en) * 2004-03-29 2011-08-16 Superdimension, Ltd. Endoscope structures and techniques for navigating to a target in branched structure
US20040199052A1 (en) 2003-04-01 2004-10-07 Scimed Life Systems, Inc. Endoscopic imaging system
DE10351013A1 (de) * 2003-10-31 2005-06-02 Polydiagnost Gmbh Endoskop mit einer flexiblen Sonde
EP1691666B1 (en) 2003-12-12 2012-05-30 University of Washington Catheterscope 3d guidance and interface system
DE102004005709A1 (de) * 2004-02-05 2005-08-25 Polydiagnost Gmbh Endoskop mit einer flexiblen Sonde
ES2552252T3 (es) * 2004-03-23 2015-11-26 Boston Scientific Limited Sistema de visualización in vivo
US8602971B2 (en) * 2004-09-24 2013-12-10 Vivid Medical. Inc. Opto-Electronic illumination and vision module for endoscopy
US8858425B2 (en) * 2004-09-24 2014-10-14 Vivid Medical, Inc. Disposable endoscope and portable display
US8827899B2 (en) 2004-09-24 2014-09-09 Vivid Medical, Inc. Disposable endoscopic access device and portable display
US9033870B2 (en) * 2004-09-24 2015-05-19 Vivid Medical, Inc. Pluggable vision module and portable display for endoscopy
US8878924B2 (en) * 2004-09-24 2014-11-04 Vivid Medical, Inc. Disposable microscope and portable display
EP2684579B1 (en) 2004-10-15 2016-04-27 Bfkw, Llc Bariatric device
US8872906B2 (en) 2005-01-05 2014-10-28 Avantis Medical Systems, Inc. Endoscope assembly with a polarizing filter
US8182422B2 (en) 2005-12-13 2012-05-22 Avantis Medical Systems, Inc. Endoscope having detachable imaging device and method of using
US8797392B2 (en) 2005-01-05 2014-08-05 Avantis Medical Sytems, Inc. Endoscope assembly with a polarizing filter
US8235887B2 (en) 2006-01-23 2012-08-07 Avantis Medical Systems, Inc. Endoscope assembly with retroscope
US8289381B2 (en) 2005-01-05 2012-10-16 Avantis Medical Systems, Inc. Endoscope with an imaging catheter assembly and method of configuring an endoscope
US8137333B2 (en) * 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US20080015569A1 (en) 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US7959601B2 (en) * 2005-02-14 2011-06-14 Biosense Webster, Inc. Steerable catheter with in-plane deflection
US7530948B2 (en) 2005-02-28 2009-05-12 University Of Washington Tethered capsule endoscope for Barrett's Esophagus screening
US20060276690A1 (en) * 2005-05-11 2006-12-07 Farris Jesse L Iii Visualization system
JP4409499B2 (ja) * 2005-10-25 2010-02-03 国立大学法人浜松医科大学 血栓溶解装置
EP1951101A4 (en) * 2005-11-08 2011-09-28 Univ Columbia APPARATUSES AND METHODS FOR RELEASING ONE OR MORE RELEASABLE PRODUCTS IN A BODY
JP2009516568A (ja) 2005-11-23 2009-04-23 ユニヴァーシティ オブ ワシントン 中断される走査共振を使用する可変順次フレーミングを用いたビームの走査
PT1792561E (pt) * 2005-11-30 2014-09-09 Era Endoscopy S R L Dispositivo endoscópico automotor
JP4855059B2 (ja) * 2005-12-08 2012-01-18 オリンパス株式会社 内視鏡装置
JP2007159854A (ja) * 2005-12-14 2007-06-28 Pentax Corp 挿入部および内視鏡
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