JP5023298B2 - 方向付け可能な内視鏡 - Google Patents
方向付け可能な内視鏡 Download PDFInfo
- Publication number
- JP5023298B2 JP5023298B2 JP2001571983A JP2001571983A JP5023298B2 JP 5023298 B2 JP5023298 B2 JP 5023298B2 JP 2001571983 A JP2001571983 A JP 2001571983A JP 2001571983 A JP2001571983 A JP 2001571983A JP 5023298 B2 JP5023298 B2 JP 5023298B2
- Authority
- JP
- Japan
- Prior art keywords
- instrument body
- endoscope
- section
- along
- path
- 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
Links
- 210000001072 colon Anatomy 0.000 claims description 46
- 210000003484 anatomy Anatomy 0.000 claims description 8
- 239000000835 fiber Substances 0.000 claims description 8
- 238000003780 insertion Methods 0.000 claims description 8
- 230000037431 insertion Effects 0.000 claims description 8
- 238000003384 imaging method Methods 0.000 claims description 6
- 230000008859 change Effects 0.000 claims description 3
- 238000013178 mathematical model Methods 0.000 claims description 3
- 230000007246 mechanism Effects 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 26
- 238000002052 colonoscopy Methods 0.000 description 16
- 230000003902 lesion Effects 0.000 description 6
- 230000005540 biological transmission Effects 0.000 description 5
- 238000001839 endoscopy Methods 0.000 description 4
- 238000005286 illumination Methods 0.000 description 4
- 210000000056 organ Anatomy 0.000 description 4
- 230000000644 propagated effect Effects 0.000 description 4
- 210000001599 sigmoid colon Anatomy 0.000 description 4
- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 3
- 210000000436 anus Anatomy 0.000 description 3
- 238000001574 biopsy Methods 0.000 description 3
- 238000013276 bronchoscopy Methods 0.000 description 3
- 238000004140 cleaning Methods 0.000 description 3
- 210000001731 descending colon Anatomy 0.000 description 3
- 238000002405 diagnostic procedure Methods 0.000 description 3
- 210000003405 ileum Anatomy 0.000 description 3
- 238000002357 laparoscopic surgery Methods 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 210000004534 cecum Anatomy 0.000 description 2
- 230000000112 colonic effect Effects 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 210000003767 ileocecal valve Anatomy 0.000 description 2
- 238000013152 interventional procedure Methods 0.000 description 2
- 206010022694 intestinal perforation Diseases 0.000 description 2
- 238000002595 magnetic resonance imaging Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000003393 splenic effect Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 238000003325 tomography Methods 0.000 description 2
- 238000013022 venting Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 238000005273 aeration Methods 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 210000001815 ascending colon Anatomy 0.000 description 1
- 230000001174 ascending effect Effects 0.000 description 1
- 229910052788 barium Inorganic materials 0.000 description 1
- DSAJWYNOEDNPEQ-UHFFFAOYSA-N barium atom Chemical compound [Ba] DSAJWYNOEDNPEQ-UHFFFAOYSA-N 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 238000013170 computed tomography imaging Methods 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000010894 electron beam technology Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000001902 propagating effect Effects 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 210000003384 transverse colon Anatomy 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
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
-
- 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
- A61B1/00147—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
- A61B1/0058—Flexible endoscopes using shape-memory 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
- A61B1/008—Articulations
-
- 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
- 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 diagnostic devices 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
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/74—Manipulators with manual electric input means
- A61B2034/741—Glove like input devices, e.g. "data gloves"
-
- 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
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/74—Manipulators with manual electric input means
- A61B2034/742—Joysticks
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biophysics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Animal Behavior & Ethology (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Rehabilitation Therapy (AREA)
- Human Computer Interaction (AREA)
- Endoscopes (AREA)
- Instruments For Viewing The Inside Of Hollow Bodies (AREA)
- Biological Depolymerization Polymers (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US19414000P | 2000-04-03 | 2000-04-03 | |
| US60/194,140 | 2000-04-03 | ||
| US09/790,204 US6468203B2 (en) | 2000-04-03 | 2001-02-20 | Steerable endoscope and improved method of insertion |
| US09/790,204 | 2001-02-20 | ||
| PCT/US2001/010907 WO2001074235A1 (en) | 2000-04-03 | 2001-04-03 | Steerable endoscope and improved method of insertion |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2003528677A JP2003528677A (ja) | 2003-09-30 |
| JP2003528677A5 JP2003528677A5 (enExample) | 2008-05-22 |
| JP5023298B2 true JP5023298B2 (ja) | 2012-09-12 |
Family
ID=26889722
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2001571983A Expired - Lifetime JP5023298B2 (ja) | 2000-04-03 | 2001-04-03 | 方向付け可能な内視鏡 |
Country Status (11)
| Country | Link |
|---|---|
| US (11) | US6468203B2 (enExample) |
| EP (2) | EP1267701B1 (enExample) |
| JP (1) | JP5023298B2 (enExample) |
| AT (1) | ATE375748T1 (enExample) |
| AU (2) | AU5129201A (enExample) |
| CA (1) | CA2406850A1 (enExample) |
| DE (1) | DE60130975T2 (enExample) |
| ES (1) | ES2293984T3 (enExample) |
| IL (1) | IL152066A0 (enExample) |
| NO (1) | NO20024744L (enExample) |
| WO (1) | WO2001074235A1 (enExample) |
Families Citing this family (310)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8574243B2 (en) | 1999-06-25 | 2013-11-05 | 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 |
| US6858005B2 (en) | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
| US6974411B2 (en) * | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
| US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US6837846B2 (en) * | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
| US6610007B2 (en) * | 2000-04-03 | 2003-08-26 | Neoguide Systems, Inc. | Steerable segmented endoscope and method of insertion |
| US6468203B2 (en) * | 2000-04-03 | 2002-10-22 | Neoguide Systems, Inc. | Steerable endoscope and improved method of insertion |
| US6800056B2 (en) * | 2000-04-03 | 2004-10-05 | Neoguide Systems, Inc. | Endoscope with guiding apparatus |
| US6984203B2 (en) * | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
| 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 |
| WO2005018428A2 (en) * | 2000-04-03 | 2005-03-03 | Neoguide Systems, Inc. | Activated polymer articulated instruments and methods of insertion |
| DE10118797A1 (de) * | 2001-04-05 | 2002-10-17 | Biotronik Mess & Therapieg | Elektrodenleitung |
| US8219246B2 (en) * | 2001-06-13 | 2012-07-10 | Oliver Crispin Robotics Limited | System and method for controlling a robotic arm |
| JP2003010099A (ja) * | 2001-06-29 | 2003-01-14 | Olympus Optical Co Ltd | 内視鏡 |
| US6632227B2 (en) * | 2001-08-24 | 2003-10-14 | Scimed Life Systems, Inc. | Endoscopic resection devices |
| US6835173B2 (en) * | 2001-10-05 | 2004-12-28 | Scimed Life Systems, Inc. | Robotic endoscope |
| US6770027B2 (en) * | 2001-10-05 | 2004-08-03 | Scimed Life Systems, Inc. | Robotic endoscope with wireless interface |
| AU2002360767A1 (en) * | 2002-01-09 | 2003-07-30 | Neoguide Systems, Inc | Apparatus and method for spectroscopic examination of the colon |
| WO2003059151A2 (en) * | 2002-01-09 | 2003-07-24 | Neoguide Systems, Inc. | Apparatus and method for endoscopic colectomy |
| US8721655B2 (en) * | 2002-04-10 | 2014-05-13 | Stereotaxis, Inc. | Efficient closed loop feedback navigation |
| US20060058582A1 (en) * | 2002-06-13 | 2006-03-16 | Usgi Medical Inc. | Disposable shapelocking system |
| US7041052B2 (en) | 2002-06-13 | 2006-05-09 | Usgi Medical Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
| US20050137455A1 (en) * | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | 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 |
| US6679836B2 (en) * | 2002-06-21 | 2004-01-20 | Scimed Life Systems, Inc. | Universal programmable guide catheter |
| US9808597B2 (en) | 2002-09-12 | 2017-11-07 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
| US8298161B2 (en) | 2002-09-12 | 2012-10-30 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
| US20040068161A1 (en) * | 2002-10-02 | 2004-04-08 | Couvillon Lucien Alfred | Thrombolysis catheter |
| 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 |
| US20040186350A1 (en) * | 2003-01-13 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for guiding an endoscope via a rigidizable wire guide |
| US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
| US20040176683A1 (en) * | 2003-03-07 | 2004-09-09 | Katherine Whitin | Method and apparatus for tracking insertion depth |
| US20040199052A1 (en) * | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
| US20050245789A1 (en) | 2003-04-01 | 2005-11-03 | Boston Scientific Scimed, Inc. | Fluid manifold for endoscope system |
| US7578786B2 (en) | 2003-04-01 | 2009-08-25 | Boston Scientific Scimed, Inc. | Video endoscope |
| US7591783B2 (en) | 2003-04-01 | 2009-09-22 | Boston Scientific Scimed, Inc. | Articulation joint for video endoscope |
| US8118732B2 (en) | 2003-04-01 | 2012-02-21 | Boston Scientific Scimed, Inc. | Force feedback control system for video endoscope |
| US7736300B2 (en) * | 2003-04-14 | 2010-06-15 | Softscope Medical Technologies, Inc. | Self-propellable apparatus and method |
| US7294102B2 (en) * | 2003-04-14 | 2007-11-13 | Pentax Corporation | Method and apparatus for providing depth control or z-actuation |
| JP3854946B2 (ja) * | 2003-05-30 | 2006-12-06 | オリンパス株式会社 | 内視鏡 |
| JP2005021354A (ja) * | 2003-07-01 | 2005-01-27 | Olympus Corp | 遠隔手術支援装置 |
| US7126303B2 (en) * | 2003-07-08 | 2006-10-24 | Board Of Regents Of The University Of Nebraska | Robot for surgical applications |
| 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 |
| US7042184B2 (en) * | 2003-07-08 | 2006-05-09 | Board Of Regents Of The University Of Nebraska | Microrobot for surgical applications |
| CN1870930A (zh) * | 2003-08-20 | 2006-11-29 | 新引导系统公司 | 活化聚合物关节连接的器械及插入方法 |
| JP4540328B2 (ja) * | 2003-11-19 | 2010-09-08 | カール事務器株式会社 | 多機能孔明け装置 |
| JP2005168672A (ja) * | 2003-12-09 | 2005-06-30 | Olympus Corp | 内視鏡装置 |
| DE102004003166B4 (de) * | 2004-01-21 | 2011-09-15 | Siemens Ag | Katheter |
| US20050171467A1 (en) * | 2004-01-30 | 2005-08-04 | Jaime Landman | Multiple function surgical device |
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| US7744619B2 (en) | 2004-02-24 | 2010-06-29 | Boston Scientific Scimed, Inc. | Rotatable catheter assembly |
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| DE102004017834B4 (de) * | 2004-04-13 | 2011-01-27 | Siemens Ag | Kathetereinrichtung |
| US7918869B2 (en) | 2004-05-07 | 2011-04-05 | Usgi Medical, Inc. | Methods and apparatus for performing endoluminal gastroplasty |
| US8628465B2 (en) | 2004-06-14 | 2014-01-14 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
| ES2433664T3 (es) | 2004-06-25 | 2013-12-12 | Carnegie Mellon University | Dispositivo guiador dirigible |
| US7465264B2 (en) * | 2004-07-12 | 2008-12-16 | Rohm And Haas Denmark Finance A/S | Axially compliant pressure roller utilizing non-newtonian fluid |
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| US7771411B2 (en) | 2004-09-24 | 2010-08-10 | Syntheon, Llc | Methods for operating a selective stiffening catheter |
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| GB2425764B (en) * | 2005-05-03 | 2007-08-22 | Surgical Innovations Ltd | Endoscope for inspecting turbines |
| US20060258935A1 (en) * | 2005-05-12 | 2006-11-16 | John Pile-Spellman | System for autonomous robotic navigation |
| JP4679241B2 (ja) * | 2005-05-24 | 2011-04-27 | オリンパスメディカルシステムズ株式会社 | 内視鏡 |
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| US8726909B2 (en) | 2006-01-27 | 2014-05-20 | Usgi Medical, Inc. | Methods and apparatus for revision of obesity procedures |
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| US8435229B2 (en) * | 2006-02-28 | 2013-05-07 | Olympus Endo Technology America Inc. | Rotate-to-advance catheterization system |
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