JP6629230B2 - 最小侵襲的システム - Google Patents

最小侵襲的システム Download PDF

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Publication number
JP6629230B2
JP6629230B2 JP2016560463A JP2016560463A JP6629230B2 JP 6629230 B2 JP6629230 B2 JP 6629230B2 JP 2016560463 A JP2016560463 A JP 2016560463A JP 2016560463 A JP2016560463 A JP 2016560463A JP 6629230 B2 JP6629230 B2 JP 6629230B2
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Prior art keywords
stylet
needle
actuation
flexible
minimally invasive
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Japanese (ja)
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JP2017511187A (ja
JP2017511187A5 (enExample
Inventor
マリア プリスコ，ジュゼッペ
マリア プリスコ，ジュゼッペ
シミ，マッシミリアーノ
Original Assignee
インテュイティブ サージカル オペレーションズ， インコーポレイテッド
インテュイティブ サージカル オペレーションズ， インコーポレイテッド
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • 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
    • 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
    • A61B1/01—Guiding arrangements therefore
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • 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
    • A61B34/35—Surgical robots for telesurgery
    • 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
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • 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
    • A61B1/267—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 respiratory tract, e.g. laryngoscopes, bronchoscopes
    • A61B1/2676—Bronchoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A61B2010/045—Needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2065—Tracking using image or pattern recognition
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Surgical Instruments (AREA)
  • Pulmonology (AREA)
  • Endoscopes (AREA)
  • Otolaryngology (AREA)
  • Physiology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2016560463A 2014-04-02 2015-03-23 最小侵襲的システム Active JP6629230B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201461974113P 2014-04-02 2014-04-02
US61/974,113 2014-04-02
PCT/US2015/022006 WO2015153174A1 (en) 2014-04-02 2015-03-23 Devices, systems, and methods using a steerable stylet and flexible needle

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2019219607A Division JP6816243B2 (ja) 2014-04-02 2019-12-04 スタイレット及び最小侵襲システム

Publications (3)

Publication Number Publication Date
JP2017511187A JP2017511187A (ja) 2017-04-20
JP2017511187A5 JP2017511187A5 (enExample) 2018-04-26
JP6629230B2 true JP6629230B2 (ja) 2020-01-15

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JP2016560463A Active JP6629230B2 (ja) 2014-04-02 2015-03-23 最小侵襲的システム
JP2019219607A Active JP6816243B2 (ja) 2014-04-02 2019-12-04 スタイレット及び最小侵襲システム

Family Applications After (1)

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Country Status (6)

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US (2) US10779803B2 (enExample)
EP (1) EP3125983B1 (enExample)
JP (2) JP6629230B2 (enExample)
KR (1) KR102337419B1 (enExample)
CN (2) CN110833382B (enExample)
WO (1) WO2015153174A1 (enExample)

Families Citing this family (119)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9232959B2 (en) 2007-01-02 2016-01-12 Aquabeam, Llc Multi fluid tissue resection methods and devices
US12290277B2 (en) 2007-01-02 2025-05-06 Aquabeam, Llc Tissue resection with pressure sensing
EP3622910B1 (en) 2008-03-06 2024-07-10 AquaBeam LLC Tissue ablation and cautery with optical energy carried in fluid stream
US20120191086A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
CN104203078B (zh) 2012-02-29 2018-04-20 普罗赛普特生物机器人公司 自动化图像引导的组织切除和处理
US10231867B2 (en) 2013-01-18 2019-03-19 Auris Health, Inc. Method, apparatus and system for a water jet
US10744035B2 (en) 2013-06-11 2020-08-18 Auris Health, Inc. Methods for robotic assisted cataract surgery
US10426661B2 (en) 2013-08-13 2019-10-01 Auris Health, Inc. Method and apparatus for laser assisted cataract surgery
JP6629230B2 (ja) * 2014-04-02 2020-01-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 最小侵襲的システム
US20160287279A1 (en) 2015-04-01 2016-10-06 Auris Surgical Robotics, Inc. Microsurgical tool for robotic applications
WO2016187056A1 (en) * 2015-05-15 2016-11-24 The Johns Hopkins University Manipulator device and therapeutic and diagnostic methods
JP6476293B2 (ja) * 2015-06-12 2019-02-27 オリンパス株式会社 可撓管挿入装置
CN107249831B (zh) * 2015-07-17 2020-06-30 奥林巴斯株式会社 机械手
US10575754B2 (en) 2015-09-23 2020-03-03 Covidien Lp Catheter having a sensor and an extended working channel
US10231793B2 (en) 2015-10-30 2019-03-19 Auris Health, Inc. Object removal through a percutaneous suction tube
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
GB2557852B (en) * 2015-11-25 2021-02-17 Gyrus Acmi Inc Sheaths for needle delivery
EP3216415A1 (en) * 2016-03-07 2017-09-13 Deutsches Krebsforschungszentrum Stiftung des Öffentlichen Rechts A system for navigated punction, biopsy or ablation comprising a needle-like instrument and a removable sensor carrier
AU2017268213B2 (en) * 2016-05-16 2021-03-04 TrackX Technology, LLC System and method for image localization of effecters during a medical procedure
US10825177B2 (en) * 2016-05-16 2020-11-03 TrackX Technology, LLC Imaging system and method for image localization of effecters during a medical procedure
CN115429337A (zh) * 2016-05-31 2022-12-06 直观外科手术操作公司 顺从性活检针系统
CN116115337A (zh) 2016-07-01 2023-05-16 直观外科手术操作公司 一种计算机辅助医疗系统及其控制方法
US10682192B2 (en) * 2016-09-30 2020-06-16 Intuitive Surgical Operations, Inc. Variable-length guide apparatus for delivery of a flexible instrument and methods of use
US11648031B2 (en) 2016-10-05 2023-05-16 The Trustees Of The University Of Pennsylvania Sharp turning steerable needle
CN109618553B (zh) * 2016-10-12 2022-04-12 直观外科手术操作公司 外科手术穿刺装置插入系统和相关方法
US11529190B2 (en) 2017-01-30 2022-12-20 Covidien Lp Enhanced ablation and visualization techniques for percutaneous surgical procedures
US10973499B2 (en) * 2017-02-28 2021-04-13 Boston Scientific Scimed, Inc. Articulating needles and related methods of use
CN110461246B (zh) * 2017-03-16 2023-08-08 波士顿科学国际有限公司 用于接近周边肺结节的活检针
CN110709017A (zh) * 2017-03-24 2020-01-17 罗伯特·J·科顿 用于组织移位的系统和方法
JP7159192B2 (ja) 2017-03-28 2022-10-24 オーリス ヘルス インコーポレイテッド シャフト作動ハンドル
CN110461261A (zh) * 2017-04-03 2019-11-15 堃博生物科技公司 电手术接入鞘
WO2018185817A1 (ja) * 2017-04-03 2018-10-11 オリンパス株式会社 オーバーチューブおよび医療システム
EP3606592B1 (en) 2017-04-07 2025-01-08 Bard Access Systems, Inc. Optical fiber-based medical device tracking and monitoring system
US10285574B2 (en) * 2017-04-07 2019-05-14 Auris Health, Inc. Superelastic medical instrument
EP4032459B1 (en) 2017-04-07 2025-12-10 Auris Health, Inc. Patient introducer alignment
IT201700042116A1 (it) * 2017-04-14 2018-10-14 Medical Microinstruments Spa Assieme robotico per chirurgia
CN106943183B (zh) * 2017-04-26 2023-09-08 郑明辉 微创柔性穿刺管、微创通道穿刺组件
CA3068527C (en) * 2017-07-13 2022-07-05 Tendyne Holdings, Inc. Prosthetic heart valves and apparatus and methods for delivery of same
EP3672491B1 (en) * 2017-08-22 2020-11-11 Koninklijke Philips N.V. Adjustable flexibility/stiffness intraluminal device
US11179203B2 (en) * 2017-10-26 2021-11-23 Biosense Webster (Israel) Ltd. Position-tracking-enabling connector for an ear-nose-throat (ENT) tool
CN111447878B (zh) * 2017-12-08 2024-01-02 皇家飞利浦有限公司 用于腔内超声成像装置的具有集成窗口的卷式柔性衬底
US10456556B2 (en) * 2018-02-19 2019-10-29 Bendit Technologies Ltd. Steering tool with enhanced flexibility and trackability
JP6990292B2 (ja) * 2018-02-21 2022-01-12 オリンパス株式会社 医療システムおよび医療システムの作動方法
US10872449B2 (en) 2018-05-02 2020-12-22 Covidien Lp System and method for constructing virtual radial ultrasound images from CT data and performing a surgical navigation procedure using virtual ultrasound images
CN112218596B (zh) 2018-06-07 2025-05-16 奥瑞斯健康公司 具有高力器械的机器人医疗系统
MX2020013783A (es) 2018-06-28 2021-03-02 Auris Health Inc Sistemas medicos que incorporan polea compartida.
US11071591B2 (en) 2018-07-26 2021-07-27 Covidien Lp Modeling a collapsed lung using CT data
WO2020036685A1 (en) 2018-08-15 2020-02-20 Auris Health, Inc. Medical instruments for tissue cauterization
EP3806758A4 (en) 2018-08-17 2022-04-06 Auris Health, Inc. BIPOLAR MEDICAL INSTRUMENT
WO2020068303A1 (en) 2018-09-26 2020-04-02 Auris Health, Inc. Systems and instruments for suction and irrigation
US11553831B2 (en) * 2018-10-04 2023-01-17 Biosense Webster (Israel) Ltd. Malleable suction device
WO2020076447A1 (en) 2018-10-08 2020-04-16 Auris Health, Inc. Systems and instruments for tissue sealing
CN112842533B (zh) * 2018-10-09 2023-09-05 北京术锐机器人股份有限公司 柔性手术工具及血管介入手术机器人系统
CN109316654A (zh) * 2018-10-23 2019-02-12 中国福利会国际和平妇幼保健院 语音识别智能气管导管
US12419713B2 (en) 2018-11-15 2025-09-23 Intuitive Surgical Operations, Inc. Surgical instrument with sensor aligned cable guide
WO2020131529A1 (en) 2018-12-20 2020-06-25 Auris Health, Inc. Shielding for wristed instruments
WO2020154100A1 (en) 2019-01-25 2020-07-30 Auris Health, Inc. Vessel sealer with heating and cooling capabilities
CN113613566B (zh) 2019-03-25 2024-10-11 奥瑞斯健康公司 用于医疗缝合的系统和方法
US11975157B2 (en) 2019-04-12 2024-05-07 Covidien Lp Method of manufacturing an elongated catheter having multiple sensors for three-dimensional location of the catheter
KR20220004073A (ko) * 2019-05-02 2022-01-11 인터섹트 엔트 인터내셔널 게엠베하 센서 캐리어
US12138003B2 (en) 2019-06-25 2024-11-12 Auris Health, Inc. Medical instruments including wrists with hybrid redirect surfaces
US11369386B2 (en) 2019-06-27 2022-06-28 Auris Health, Inc. Systems and methods for a medical clip applier
CN114040727A (zh) 2019-06-28 2022-02-11 奥瑞斯健康公司 包括具有混合重定向表面的腕部的医疗器械
EP4005609B1 (en) * 2019-07-29 2024-05-29 Sam Youl Yoon Biliary drainage device for negative-pressure retrograde percutaneous transhepatic biliary drainage
US11931112B2 (en) 2019-08-12 2024-03-19 Bard Access Systems, Inc. Shape-sensing system and methods for medical devices
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
EP4034349A1 (en) 2019-09-26 2022-08-03 Auris Health, Inc. Systems and methods for collision detection and avoidance
CN114449971A (zh) 2019-09-26 2022-05-06 奥瑞斯健康公司 使用对象模型来避免碰撞的系统和方法
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
US11737835B2 (en) 2019-10-29 2023-08-29 Auris Health, Inc. Braid-reinforced insulation sheath
EP4061273A1 (en) 2019-11-21 2022-09-28 Auris Health, Inc. Systems and methods for draping a surgical system
CN112826480B (zh) 2019-11-25 2025-04-18 巴德阿克塞斯系统股份有限公司 具有滤波器的形状感测系统及其方法
WO2021108697A1 (en) 2019-11-25 2021-06-03 Bard Access Systems, Inc. Optical tip-tracking systems and methods thereof
US11439419B2 (en) 2019-12-31 2022-09-13 Auris Health, Inc. Advanced basket drive mode
WO2021137104A1 (en) 2019-12-31 2021-07-08 Auris Health, Inc. Dynamic pulley system
WO2021198801A1 (en) 2020-03-30 2021-10-07 Auris Health, Inc. Workspace optimization for robotic surgery
US12239393B2 (en) * 2020-05-18 2025-03-04 Intuitive Surgical Operations, Inc. Hard stop that produces a reactive moment upon engagement for cantilever-based force sensing
US12064191B2 (en) 2020-06-03 2024-08-20 Covidien Lp Surgical tool navigation using sensor fusion
US11701492B2 (en) 2020-06-04 2023-07-18 Covidien Lp Active distal tip drive
EP4167892A4 (en) 2020-06-19 2024-10-30 Remedy Robotics, Inc. SYSTEMS AND METHODS FOR GUIDING INTRALUMINAL DEVICES IN THE VASCULAR SYSTEM
US11622816B2 (en) 2020-06-26 2023-04-11 Bard Access Systems, Inc. Malposition detection system
WO2022003485A1 (en) 2020-06-29 2022-01-06 Auris Health, Inc. Systems and methods for detecting contact between a link and an external object
WO2022005870A1 (en) 2020-06-29 2022-01-06 Bard Access Systems, Inc. Automatic dimensional frame reference for fiber optic
US12402955B2 (en) * 2020-06-29 2025-09-02 Regents Of The University Of Minnesota Extended-reality visualization of endovascular navigation
EP4171428A4 (en) 2020-06-30 2024-10-30 Auris Health, Inc. ROBOTIC MEDICAL SYSTEM WITH COLLISION PROXIMITY INDICATORS
US11357586B2 (en) 2020-06-30 2022-06-14 Auris Health, Inc. Systems and methods for saturated robotic movement
US11020099B1 (en) * 2020-07-01 2021-06-01 Verix Health, Inc. Lung access device
CN113907705B (zh) 2020-07-10 2025-11-04 巴德阿克塞斯系统股份有限公司 连续光纤功能监测和自诊断报告系统
US12478764B2 (en) * 2020-07-16 2025-11-25 Canon U.S.A., Inc. Medical apparatus and method of use thereof
CN114052658B (zh) 2020-08-03 2025-12-16 巴德阿克塞斯系统股份有限公司 布拉格光栅光纤波动感测与监测系统
US12383352B2 (en) 2020-08-13 2025-08-12 Covidien Lp Endoluminal robotic (ELR) systems and methods
US12256923B2 (en) 2020-08-13 2025-03-25 Covidien Lp Endoluminal robotic systems and methods for suturing
US12161309B2 (en) 2020-09-24 2024-12-10 Covidien Lp Articulating mechanism for the laparoscopic ablation device for blunt dissection
CN217525118U (zh) 2020-09-25 2022-10-04 巴德阿克塞斯系统股份有限公司 用于将医疗器械插入患者体内的医疗器械系统
CN112370125B (zh) * 2020-11-13 2022-08-05 哈尔滨理工大学 一种缠绕式柔性针穿刺机构
CN116744847A (zh) * 2020-12-07 2023-09-12 富朗德医疗公司 用于身体内腔医疗设备定位的方法和系统
US12232821B2 (en) * 2021-01-06 2025-02-25 Bard Access Systems, Inc. Needle guidance using fiber optic shape sensing
EP4280995A1 (en) 2021-01-26 2023-11-29 Bard Access Systems, Inc. Fiber optic shape sensing system associated with port placement
WO2022245987A1 (en) 2021-05-18 2022-11-24 Bard Access Systems, Inc. Anatomical oscillation and fluctuation sensing and confirmation system
US11707332B2 (en) 2021-07-01 2023-07-25 Remedy Robotics, Inc. Image space control for endovascular tools
CA3222522A1 (en) 2021-07-01 2023-01-05 David James Bell Vision-based position and orientation determination for endovascular tools
US12121307B2 (en) 2021-07-01 2024-10-22 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
EP4418994A1 (en) 2021-10-25 2024-08-28 Bard Access Systems, Inc. Reference plane for medical device placement
FR3129601A1 (fr) 2021-12-01 2023-06-02 Universite De Lille Dispositif de chargement et de poussée de grains radioactifs
US12303220B2 (en) 2022-01-26 2025-05-20 Covidien Lp Autonomous endobronchial access with an EM guided catheter
CN114795411B (zh) * 2022-04-15 2024-07-19 哈尔滨理工大学 一种具有开槽支撑的柔性针穿刺机构
CN115211908B (zh) * 2022-06-17 2024-07-02 清华大学 基于弹簧的多用途柔性可控器械
US12343117B2 (en) 2022-06-28 2025-07-01 Bard Access Systems, Inc. Fiber optic medical systems and methods for identifying blood vessels
US12349984B2 (en) 2022-06-29 2025-07-08 Bard Access Systems, Inc. System, method, and apparatus for improved confirm of an anatomical position of a medical instrument
CN115444573B (zh) * 2022-08-10 2024-10-29 上海优医基医学科技有限公司 柔性器械的控制方法、系统及手术机器人
CN115869508A (zh) * 2022-11-17 2023-03-31 同济大学 可弯曲介入手术导管、导管系统及其使用方法
EP4648664A1 (en) * 2023-01-12 2025-11-19 Magnisity Ltd. Camera module and flexible circuit board for an elongated interventional device
US20250040961A1 (en) * 2023-08-04 2025-02-06 Boston Scientific Medical Device Limited Steerable endoscopic needle
CN117017453B (zh) * 2023-09-12 2024-05-10 哈尔滨工业大学 用于医学检测与治疗的可操纵柔性针
KR102875760B1 (ko) * 2024-02-23 2025-10-23 주식회사 메디인테크 하부 위장관 이미지 획득을 위한 내시경 장치 및 제어 방법
KR102875761B1 (ko) * 2024-02-23 2025-10-23 주식회사 메디인테크 상부 위장관 이미지 획득을 위한 내시경 장치 및 제어 방법
WO2026006697A1 (en) * 2024-06-28 2026-01-02 Avent, Inc. Intelligent catheter system
CN119184768B (zh) * 2024-09-25 2025-04-11 江苏省肿瘤医院 微创手术模块式变形缝合针及其形态控制方法

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4651718A (en) * 1984-06-29 1987-03-24 Warner-Lambert Technologies Inc. Vertebra for articulatable shaft
US5833632A (en) 1995-12-07 1998-11-10 Sarcos, Inc. Hollow guide wire apparatus catheters
US6123699A (en) * 1997-09-05 2000-09-26 Cordis Webster, Inc. Omni-directional steerable catheter
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6817974B2 (en) * 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US6616628B2 (en) 2001-11-16 2003-09-09 Cardiac Pacemakers, Inc. Steerable catheter with a longitudinally adjustable curved core
WO2003101308A1 (en) 2002-06-04 2003-12-11 Office Of Technology Licensing Stanford University Device and method for rapid aspiration and collection of body tissue from within an enclosed body space
US7662128B2 (en) 2002-12-23 2010-02-16 Salcudean Septimiu E Steerable needle
US7678117B2 (en) 2004-06-07 2010-03-16 Novare Surgical Systems, Inc. Articulating mechanism with flex-hinged links
US9125639B2 (en) * 2004-11-23 2015-09-08 Pneumrx, Inc. Steerable device for accessing a target site and methods
US8852208B2 (en) * 2010-05-14 2014-10-07 Intuitive Surgical Operations, Inc. Surgical system instrument mounting
US8166967B2 (en) 2007-08-15 2012-05-01 Chunyuan Qiu Systems and methods for intubation
JP2009056054A (ja) * 2007-08-31 2009-03-19 Hoya Corp 内視鏡案内管装置
US20090062606A1 (en) * 2007-08-31 2009-03-05 Hoya Corporation Endoscope guiding tube device
US8649847B1 (en) * 2009-05-04 2014-02-11 Intelligent Fiber Optic Systems, Inc. Steerable shape sensing biopsy needle and catheter
US9055960B2 (en) * 2010-11-15 2015-06-16 Intuitive Surgical Operations, Inc. Flexible surgical devices
EP2654583A2 (en) * 2010-12-20 2013-10-30 Spine View, Inc. Articulating tissue removal systems and methods
WO2013116140A1 (en) * 2012-02-03 2013-08-08 Intuitive Surgical Operations, Inc. Steerable flexible needle with embedded shape sensing
US20130225997A1 (en) * 2012-02-28 2013-08-29 Spiration, Inc. Lung biopsy needle
EP2852428A4 (en) * 2012-05-23 2016-01-20 Veritract EXTENDED MEDICAL INSTRUMENT HAVING A SHEATH
US9011429B2 (en) * 2012-06-07 2015-04-21 Smith & Nephew, Inc. Flexible probe with adjustable tip
US10029073B2 (en) * 2012-11-13 2018-07-24 Abbott Cardiovascular Systems, Inc. Steerable assembly for surgical catheter
JP6518671B2 (ja) 2013-12-13 2019-05-22 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 入れ子式生検針
JP6629230B2 (ja) * 2014-04-02 2020-01-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 最小侵襲的システム

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US20170095234A1 (en) 2017-04-06
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