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Flexible ureteropyeloscope

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Publication number
USRE41475E1
USRE41475E1 US11186015 US18601505A USRE41475E1 US RE41475 E1 USRE41475 E1 US RE41475E1 US 11186015 US11186015 US 11186015 US 18601505 A US18601505 A US 18601505A US RE41475 E1 USRE41475 E1 US RE41475E1
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Prior art keywords
section
deflection
active
end
frame
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Active
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US11186015
Inventor
Edward A. Grabover
Gregory S. Konstorum
Demetrius H. Bagley, Jr.
Michael J. Conlin
Anup Patel
Peter Gerard Schulam
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Olympus Surgical Technologies America
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Olympus Surgical Technologies America
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    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS, OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
    • G02B23/2476Non-optical details, e.g. housings, mountings, supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055Constructional details of insertion parts, e.g. vertebral elements
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS, OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part

Abstract

A flexible ureteropyeloscope having a control section and a shaft extending from the control section. The shaft has a front end with a first active deflection section connected in series with a second active deflection section. The control section is adapted to independently deflect the first and second defection sections. The first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope can be placed in a calyx of a lower pole of a kidney without the need to passively deflect the front end of the shaft against kidney tissue of a patient to reach the calyx of the lower pole.

Description

CROSS-REFERENCE TO RELATED APPLICATION

This application is a continuation-in-part application of U.S. application Ser. No. 09/427,164 filed Oct. 26, 1999 which is hereby incorporated by reference in its entirety.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to medical instruments and, more particularly, to an endoscope.

2. Brief Description of Prior Developments

U.S. Pat. No. 4,873,965 discloses a flexible endoscope with two articulated lengths. U.K. patent application No. 2130885 discloses a flexible distal end portion for an endoscope. The end portion is made from plastic material with vertebrae connected by an elongate member or spine. U.S. Pat. No. 5,938,588 discloses an endoscope with wire sheaths made as solid tubes from a superelastic alloy material. Endoscopes are also known in the art which comprise an active deflection section and a passive deflection section.

SUMMARY OF THE INVENTION

In accordance with one aspect of the present invention, a flexible ureteropyeloscope is provided having a control section and a shaft extending from the control section. The shaft has a front end with a first active deflection section connected in series with a second active deflection section. The control section is adapted to independently deflect the first and second deflection sections. The first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope can be placed in a calyx of a lower pole of a kidney without passively deflecting the front end of the shaft against tissue in the kidney of a patient to reach the calyx of the lower pole.

In accordance with another aspect of the present invention, a flexible ureteropyeloscope is provided comprising a control section; and a shaft extending from the control section. The shaft comprises a front end with two superelastic tube frame pieces connected in series. A first one of the frame pieces forms a first active deflection section adapted to deflect in a first direction about 155°-190° with a radius of curvature of about 9-12 mm. A second one of the frame pieces forms a second active deflection section adapted to deflect in the first direction about 125°-165° with a radius of curvature of about 9.5-13 mm.

In accordance with one method of the present invention, a method of positioning a distal tip of a flexible ureteropyeloscope in a calyx of a lower pole of a kidney is provided comprising steps of bending a first active deflection section of a front end of the flexible ureteropyeloscope; and bending a second active deflection section of the front end. The second active deflection section is located behind the first active deflection section. The first and second active deflection sections are independently controllably deflectable to locate the distal tip in the calyx of the lower pole without passively deflecting the front end against kidney tissue of the patient.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing aspects and other features of the present invention are explained in the following description, taken in connection with the accompanying drawings, wherein:

FIG. 1 is a side elevational view of an endoscope incorporating features of the present invention;

FIG. 2 is a cross sectional view of a kidney having the front end of the endoscope shown in FIG. 1 located therein;

FIGS. 3A-3D show a fitting used to couple two frame members of the front end of the endoscope shown in FIG. 1;

FIG. 4A is a side elevational view of a first one of the frame members located at the front end of the endoscope shown in FIG. 1;

FIG. 4B is a cross sectional view of the first frame member shown in FIG. 4A taken along line 4B—4B;

FIG. 5A is a side elevational view of a second one of the frame members located at the front end of the endoscope shown in FIG. 1;

FIG. 5B is a cross sectional view of the second frame member shown in FIG. 5A taken along line 5B—5B;

FIG. 6 is a partial cross sectional view of some of the components in the shaft of the endoscope shown in FIG. 1 at a junction between the first and second frame members shown in FIGS. 4A-5B;

FIG. 7 is a schematic diagram showing possible shapes of the front end of the endoscope shown in FIG. 1;

FIG. 8 is a schematic view of portions of frame sections and control wires of an alternate construction of the first and second active deflection sections incorporating features of the present invention; and

FIG. 9 is an elevational side view of the front end of an alternate embodiment of a shaft incorporating features of the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

Referring to FIG. 1, there is shown a side elevational view of an endoscope 10 incorporating features of the present invention. Although the present invention will be described with reference to the embodiments shown in the drawings, it should be understood that the present invention can be embodied in many alternate forms of embodiments. Features of the present invention can be embodied in various different types of flexible, deflectable endoscopes. In addition, any suitable size, shape or type of elements or materials could be used.

The endoscope 10, in this embodiment, is a flexible ureteropyeloscope. The endoscope 10 generally comprises a handle 12, a flexible shaft 14 connected to the handle 12, and a front end 18 of the shaft which has an active deflection capability.

The handle 12 is part of a control system to control the active deflection capability of the front end 18. The control system generally comprises the handle 12, two actuators 16, 17, a brake actuator 22, and three control wires 24, 25, 26 (see FIG. 6). However, in alternate embodiment, the control system could comprise additional or alternative components. The three actuators 16, 17, 22 are movably attached to the handle 12. Proximal ends of the wires 24, 25, 26 are connected to the two control actuators 16, 17. The brake actuator 22 is connected to a braking mechanism for locking the second control actuator 17 at a fixed position. However, in an alternate embodiment, any suitable type of brake or locking mechanism could be provided. In one type of alternate embodiment, the endoscope might not comprise a control actuator brake. In the embodiment shown, the first control actuator 16 does not comprise a brake.

The handle 12 also comprises a light source post 28, an eyepiece 30, and working instrument/irrigation inlets 32. However, in alternate embodiments, the handle 12 could comprise additional or alternative components. The instrument includes a fiber-optic illumination bundle which extends through the shaft 14 between the light post 28 and the distal end 20. A fiber optic image bundle extends through the shaft 14 between the eyepiece 30 and the distal end 20. A working channel extends through the shaft 14 between the working instrument inlet 32 and the distal end 20.

The flexible shaft 14 behind the front end 18 could comprise any suitable type of flexible shaft, such as the shaft disclosed in U.S. patent application Ser. No. 09/547,686 which is hereby incorporated by reference in its entirety. The front end 18 comprises a first active deflection section 34 and a second active deflection section 36. Referring also to FIG. 2, a cross sectional view of a kidney K is shown with the front end 18 located therein. The two active deflection sections 34, 36 are adapted to allow the distal end 20 of the endoscope to project into a calyx LPC of the kidney in the lower lobe or lower pole LP. More specifically, the two active deflection sections 34, 36 are adapted to allow the distal end 20 to project into the calyx LPC in the lower lobe LP without passively deflecting the front end 18 off of kidney tissue of the patient. The front end 18 does not comprise a passive deflection section. Instead, the front end 18 comprises the two active deflection sections as described herein.

Referring now to FIGS. 3A-3D, 4A-4B, 5A-5B and 6, components of the front end 18 will be described. The front end 18 generally comprises a distal end member 38, a first frame member 40, a second frame member 42 and a fitting 44. The front end 18 also comprises an elastomeric cover 45 which is attached at a sealed joint 47 to a cover 46 which extends the entire length of the shaft 14. The distal end member 38 is connected to a front end of the first frame member 40. The front ends of the second and third control wires 25, 26 are fixedly attached to the distal end member 38.

The first frame member 40 generally comprises a single one-piece generally tubular shaped member. However, in alternate embodiments, the first frame member 40 could be comprised of more than one tube, such as multiple tubes connected in series, and could comprise additional members. The first frame member 40 is preferably comprised of a shape memory alloy material, such as Tinel or Nitinol. However, any suitable type of shape memory alloy material could be used. The shape memory alloy material is used for its superelastic properties exhibited by the material's ability to deflect and resiliently return to its natural or predetermined position even when material strains approach 4%, or an order of magnitude greater than the typical yield strain of 0.4% giving rise to plastic deformation in common metals. Thus, the term “superelastic material” is used to denote this type of material.

The first frame member 40 has a center channel 49 with open front and rear ends 48, 50, and slots 52 therein. The first frame member 40 forms the frame for the first active deflection section 34. The slots 52, in the embodiment shown, extend into the first frame member 40 in two opposite directions. However, in alternate embodiments, the slots 52 could extend into the first frame member in more or less than two directions. The slots 52 extend into the first frame member 40 along a majority of the length of the first frame member, and also extend into the first frame member a distance more than half the diameter. However, in alternate embodiments, the slots 52 could be arranged in any suitable type of array or shape. A similar superelastic frame member is described in U.S. patent application Ser. No. 09/427,164 which is hereby incorporated by reference in its entirety.

The rear end 50 of the first frame member 40 is fixedly attached to the fitting 44. The fitting 44 is comprised of a one-piece member made of a suitable material, such as metal. However, in alternate embodiments, the fitting 44 could be comprised of more than one member, or could be incorporated into one or both of the frame members, and could be comprised of any suitable type of material(s). The fitting 44 generally comprises a center section 54 and two end sections 56, 58. The rear end 50 of the first frame member 40 is fixedly attached to the exterior of the first end section 56.

The center section 54 forms a raised annular ring around the fitting 44. This raised annular ring forms stop surfaces for the ends 50, 70 of the two frame members. In alternate embodiments, any suitable type of positioning system for positioning the frame members on the fitting could be provided.

The inside of the fitting 44 generally comprises two pass-through holes 60, 62 and a mounting section 64 for mounting an end of the first control cable 24 thereto. The two pass-through holes 60, 62 are sized and shaped to allow the second and third control cables 25, 26 to slidably pass therethrough. The mounting section 64 comprises an aperture 66. The aperture 66 is sized and shaped to receive the front end 24a of the cable 24, such that the front end 24a can the fixedly mounted therein. However, in alternate embodiments, any suitable means could be used to attach the front end of the cable 24 to the fitting 44. In addition, in an alternate embodiment, the fitting 44 could be adapted to have more than one control cable fixedly mounted thereto. In addition, in another alternate embodiment, the fitting 44 could be adapted to have more or less than two control cables pass therethrough.

The second frame member 42 generally comprises a single one-piece generally tubular shaped member. However, in alternate embodiments, the second frame member 42 could be comprised of more than one tube, such as multiple tubes connected in series, and could comprise additional members. The second frame member 42 could also be comprised of a front portion of a member which extends along the length of the shaft 14, similar to that disclosed in U.S. patent application Ser. No. 09/427,164. The second frame member 42 is preferably comprised of a shape memory alloy material, similar to that described above with reference to the first frame member 40.

The second frame member 42 has a center channel 68 with open front and rear ends 70, 72, and slots 74 therein. The second frame member 42 forms the frame for the second active deflection section 36. The slots 74, in the embodiment shown, extend into the second frame member 42 is only one direction. However, in alternate embodiments, the slots 74 could extend into the second frame member in more than one direction. The slots 74 extend into the second frame member 42 along a majority of the length of the second frame member, and also extend into the second frame member a distance of about three-quarters of the diameter. However, in alternate embodiments, the slots 74 could be arranged in any suitable type of array, or shape, or depth of extension into the lateral side of the frame member.

In the embodiment shown, the second frame member 42 comprises a curved pre-shaped home position as shown in FIG. 5A. However, in an alternate embodiment, the second frame member 42 could comprise any suitable type of pre-shaped home position, including a straight home position similar to the first frame member 40 shown in FIG. 4A. In an alternate embodiment, the first frame member 40 could comprise a curved pre-shaped home position. The front end 70 of the second frame member 42 is fixedly attached to the rear section 58 of the fitting 44. The rear end 72 of the second frame member 42 is fixedly attached to the frame of the shaft 14 located behind the front end 18.

In alternate embodiments, the first frame member 40 and/or the second frame member 42 could be comprised of any suitable material(s) and/or members. For example, the members could be comprised of metal rings connected by flexible members (such as rods of superelastic material or other flexible material), or could merely comprise metal rings pivotably connected to each other. Features of the present invention are not necessarily limited to use of only two tube shaped frame members comprised only of superelastic material. For example, one type of alternate embodiment is shown in FIG. 8. In this alternate embodiment the first and second active deflection sections comprise ring members 80. The ring members 80 are pivotably connected to each other in series at joints 82. First control wire 24 has its distal end connected to one of the ring members 84. The other control wires 25, 26 pass through the ring members. The metal rings could be comprised of stainless steel. Various different types of flexible, deflectable endoscope shaft constructions are known in the art which could be adapted or modified to practice the present invention.

In the embodiment shown, the lateral side 76 of the second frame member 42, which the slots 74 extend into, is aligned with the mounting section 64 of the fitting 44. The first control cable 24, when set by the actuator 16 to a predetermined position, applies tension to the fitting 44 such that the second frame member 42 is maintained in a substantially straight configuration. When the first control cable 24 is pulled rearward by the actuator 16, the second frame member 42 is adapted to bend inward along the lateral side 76. When the first control cable 24 is released, internal stresses from the curved pre-shaped of the second frame member 42 cause the second active deflection section 36 to return to its home straight position.

Referring now also to FIG. 7, certain features provided by the present invention will be described. FIG. 7 shows the front end 18 in three possible positions. The first position A shows the front end 18 in a straight configuration. The front end 18 has a length L1. In a preferred embodiment, the length L1 is about 7 cm. In alternate embodiments, the length L1 could comprise any suitable length. The first active deflection section 34 preferably has a length of about 3.6 cm. The second active deflection section 36 preferably has a length of about 2.8 cm. However, in alternate embodiments, the lengths of the first and second active deflection sections could have any suitable type of length. The front end 18 also comprises two non-bendable sections 33, 35 formed by the front end member 38 and the fitting 44, respectively.

The positions B and C show the front end 18 at two different maximum deflected positions. In both of these two deflected positions B, C the second active deflection section 36, because it is deflectable in only one direction, has the same curved shape 36′. The curved deflection of the second active deflection section 36 preferably has a maximum curvature of about 125°-165° with a radius of curvature R2 of about 9.5-13 mm. In a preferred embodiment, the maximum curvature is about 135°, and the radius of curvature R2 is about 10.6 mm.

However, in alternate embodiments, any suitable type of maximum curvature or radius of curvature could be provided.

The first active deflection section, in the embodiment shown, is two-way deflectable such that it can be deflected into either one of the configurations B, C. In the first deflected configuration B, the first active deflection section 34 has the curved shape 34′ with a maximum curvature of about 155°-190°, with a radius of curvature R1′ of about 9-12 mm. In a preferred embodiment, the maximum curvature is about 180° each way and the radius of curvature R1′ is about 10.6 mm. However, in alternate embodiments, any suitable type of maximum curvature and radius of curvature as could be provided.

In the second deflected configuration C, the active deflection section 34 has the curved shape 34″, the curved shape 34″ has a maximum curvature of about 155°-190°, with a radius of curvature R1″ of about 9-12 mm. In a preferred embodiment, the maximum curvature is the about 175° and the radius of curvature R1″ is about 11.3 mm. However, in alternate embodiments, any suitable type of maximum curvature and radius of curvature could be provided. Because of the construction of the instrument, all of these deflections can be limited to a same plane. However, in alternate embodiments, the front end of the instrument might be adapted to deflect in more than one plane.

In the embodiment shown, the first control wire 24 is slightly offset from the plane having the second and third control wires 25, 26. Therefore, the second active deflection section 36 deflects in a plane slightly offset from the plane of deflection of the first active deflection section 34. The difference in the two planes should be less than 45° and preferably closer to 0°, such as only about 5°-10° for example. In an alternate embodiment, the two active deflection sections could be limited to deflection in a same plane.

Referring to FIGS. 1, 2 and 7 the control section of the endoscope 10 is adapted to independently deflect the first and second active deflection sections. The first and second active deflection sections are adapted to deflect such that the distal end 20 of the ureteropyeloscope can be placed in the calyx LPC of the lower pole LP of the kidney K without passively deflecting the front end 18 of the shaft against tissue of the kidney to reach the calyx.

For a normal shape and size kidney, a ureteropyeloscope having a front end with an active deflection section and a passive deflection section might be able to reach the calyx of the lower pole of the kidney. However, with kidneys that are unusually large or otherwise misshaped, a ureteropyeloscope having a passive deflection section at its front end is not able to use its passive deflection section effectively in order to place the distal end of the shaft at an operable position in the kidney. The distal end of the prior art ureteropyeloscope simply can't go down low enough because the location where passive deflection is occurring is to far up relative to the lower pole calyx. The present invention overcomes this problem. By providing the front end of the ureteropyeloscope with two active deflection sections, which are independently deflectable, the front end of the ureteropyeloscope is able to locate the distal end 20 in the calyx of a lower pole of a kidney regardless of the size or shape of the kidney.

The ureteropyeloscope 10 is not dependent upon use of passive deflection against tissue of the kidney in order to properly position the distal end 20 at a desired position. The amount of space or real estate and the small radius turn into the calyx in the lower pole (from the Ureter U) inside the kidney for manipulating the front end of the ureteropyeloscope 10 is very limited. The present invention, by using two separate shape memory frame members 40, 42 provides the ability to manipulate the front end 18 in this limited space and sharp turn path environment. The shape memory frame members 40, 42 provide superelastic properties to allow the frame members to deflect in this limited space and sharp turn path environment and be able to resiliently return to their home positions. The ability to independently deflect the two active deflection sections 34, 36 combined with the superelastic properties of the shape memory frame members allow the frame members to navigate a path through this limited space and sharp turn path environment. If only a single active deflection section was provided, it would be too long in length in order to operate properly to reach the calyx in the lower pole. Such a single active deflection section would still be in the ureter U and, thus, be prevented from being properly manipulated by the kidney K itself; prevented from shaping the end section such that the distal end can reach its desired position in the calyx of the lower pole. Thus, this is why the front end 18 in the endoscope 10 has two independently deflectable active deflection sections.

The first active deflection section 34 can be deflected before the second active deflection section 36, and the second active deflection section 36 can be deflected as it is exiting the ureter U. This ability to provide a sequential deflecting of the active deflection sections 34, 36 as they exit the ureter U allows access to the lower pole calyx LPC without the use of passive deflection. The present invention provides the ability to reach previously unavailable areas in a kidney.

In alternate embodiments of the present invention, the front end 18 could comprise more than two active deflections sections. The first active deflection section 34 has been described above as being two-way deflectable in a same plane. In another alternate embodiment, the first active deflection section 34 could be deflectable in more or less than two ways. In such an alternate embodiment, the control system could comprise more or less than two control cables for the first active deflection section. The second active deflection section 36 has been described above as being one way deflectable. In another alternate embodiment, the second active deflection section 36 could be deflectable in more than one way in a substantially same plane. In such an alternate embodiment, the control system could comprise more than one control cable for the second active deflection section.

Referring now to FIG. 9, another alternate embodiment of the front end of the shaft is shown. In this embodiment the shaft comprises a distal objective head 92, a first active deflection section 94, a second active deflection section 96, and a non-active deflection section 98. The non-active deflection section 98 is preferably located between the first and second active deflection sections 94, 96. The non-active deflection section 98 is preferably a passive deflection section similar to that disclosed in U.S. patent application Ser. No. 09/427,164. However, in alternate embodiments, any suitable type of construction of the passive deflection section could be provided. With this type of construction, the front end of the shaft can be passively deflected off of tissue of the patient at the section 98 if desired. However, the shaft does not need to be passively deflected off of tissue because of the two separate active deflections at the sections 94, 96. In another type of alternate embodiment, the section 98 might not be a passive deflection section.

It should be understood that the foregoing description is only illustrative of the invention. Various alternatives and modifications can be devised by those skilled in the art without departing from the invention. Accordingly, the present invention is intended to embrace all such alternatives, modifications and variances which fall within the scope of the appended claims.

Claims (34)

1. In a flexible ureteropyeloscope having a control section and a shaft extending from the control section, the improvement comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, the control section being adapted to independently deflect the first and second deflection sections, wherein the first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope can be placed in a calyx of a lower pole of a kidney without the need to passively deflecting the front end of the shaft against tissue of the kidney of a patient to reach the calyx of the lower pole, wherein the a first frame member of the first active deflection section has a first array of slots therein and the a second frame member of the second active deflection section has a second different array of slots therein.
2. A flexible ureteropyeloscope as in claim 1 wherein the slots of the first array extend into the first frame member in two opposite directions.
3. In a flexible ureteropyeloscope having a control section and a shaft extending from the control section, the improvement comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, the control section being adapted to independently deflect the first and second deflection sections, wherein the first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope can be placed in a calyx of a lower pole of a kidney without the need to passively deflecting the front end of the shaft against tissue of the kidney of a patient to reach the calyx of the lower pole, wherein the first active deflection section comprises a first shape-memory frame member having a general tubular shape comprised of superelastic material, and wherein the second active deflection section comprises a second shape-memory frame member having a general tubular shape comprised of superelastic material, and wherein the first and second frame members are connected to each other by a fitting, and an end of the control wire from the control section is fixedly connected to the fitting.
4. In a flexible ureteropyeloscope having a control section and a shaft extending from the control section, the improvement comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, the control section being adapted to independently deflect the first and second deflection sections, wherein the first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope can be placed in a calyx of a lower pole of a kidney without the need to passively deflecting the front end of the shaft against tissue of the kidney of a patient to reach the calyx of the lower pole, wherein the first active deflection section comprises a first shape-memory frame member having a general tubular shape comprised of superelastic material, and wherein the second active deflection section comprises a second shape-memory frame member having a general tubular shape comprised of superelastic material, and wherein the second frame member has a curved preshaped home position.
5. A flexible ureteropyeloscope as in claim 4 wherein the second frame member is maintained in a straight position by tension from a control wire from the control section.
6. A flexible ureteropyeloscope having a control section and a shaft extending from the control section, comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, the control section being adapted to independently deflect the first and second deflection sections, wherein the first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope is sized and shaped to be placed in a calyx of a lower pole of a kidney without passively deflecting the front end of the shaft against tissue of the kidney of a patient to reach the calyx of the lower pole,
wherein the first active deflection section is adapted to deflect in at least two opposite directions about 155°-190° with a radius of curvature of about 9-12 mm, and wherein a frame piece of the shaft which forms the second active deflection section is adapted to deflect in at least one direction about 125°-165° with a radius of curvature of about 9.5-13 mm.
7. A flexible ureteropyeloscope as in claim 6 wherein the first active deflection section is adapted to deflect in a first one of the at least two opposite directions a maximum of about 185° with a radius of curvature of about 10.6 mm, and is adapted to deflect in a second one of the at least two opposite directions a maximum of about 175° with a radius of curvature of about 11.3 mm.
8. A flexible ureteropyeloscope as in claim 7 wherein the second active deflection section is adapted to deflect a maximum of about 135° with a radius of curvature of about 10.6 mm.
9. A flexible ureteropyeloscope as in claim 8 wherein the first active deflection section has a length of about 3.6 cm and the second active deflection section has a length of about 2.8 cm.
10. A flexible ureteropyeloscope comprising:
a control section; and
a shaft extending from the control section, the shaft comprising a front end with two superelastic tube frame pieces connected in series, wherein a first one of the frame pieces forms a first active deflection section adapted to deflect in a first direction about 155°-190° with a radius of curvature of about 9-12 mm, and wherein a second one of the frame pieces forms a second active deflection section adapted to deflect in a direction substantially the same as the first direction about 125°-165° with a radius of curvature of about 9.5-13 mm.
11. A flexible ureteropyeloscope as in claim 10 wherein the first active deflection section is adapted to deflect in an opposite second direction about 90°-190°.
12. A flexible ureteropyeloscope as in claim 10 wherein the first active deflection section is adapted to deflect in a first one of the at least two opposite directions about 185° with a radius of curvature of about 10.6 mm, and is adapted to deflect in a second one of the at least two opposite directions about 175° with a radius of curvature of about 11.3 mm.
13. A flexible ureteropyeloscope as in claim 12 wherein the second active deflection section is adapted to deflect about 135° with a radius of curvature of about 10.6 mm.
14. A flexible ureteropyeloscope as in claim 13 wherein the first active deflection section has a length of about 3.6 cm and the second active deflection section has a length of about 2.8 cm.
15. A flexible ureteropyeloscope as in claim 10 wherein the first frame member has a first array of slots therein and the second frame member has a second different array of slots therein.
16. A flexible ureteropyeloscope as in claim 15 wherein the slots of the first array of slots extend into the first frame member in two opposite directions.
17. A flexible ureteropyeloscope comprising:
a control section; and
a shaft extending from the control section, the shaft comprising a front end with two superelastic tube frame pieces connected in series, wherein a first one of the frame pieces forms a first active deflection section adapted to deflect in a first direction about 155°-190° with a radius of curvature of about 9-12 mm, and wherein a second one of the frame pieces forms a second active deflection section adapted to deflect in a direction substantially the same as the first direction about 125°-165° with a radius of curvature of about 9.5-13 mm, wherein the first and second frame members are connected to each other by a fitting, an end of a control wire from the control section being fixedly connected to the fitting.
18. A flexible ureteropyeloscope comprising:
a control section; and
a shaft extending from the control section, the shaft comprising a front end with two superelastic tube frame pieces connected in series, wherein a first one of the frame pieces forms a first active deflection section adapted to deflect in a first direction about 155°-190° with a radius of curvature of about 9-12 mm, and wherein a second one of the frame pieces forms a second active deflection section adapted to deflect in a direction substantially the same as the first direction about 125°-165° with a radius of curvature of about 9.5-13 mm,
wherein the second frame member has a curved pre-shaped home position.
19. A flexible ureteropyeloscope as in claim 18 wherein the second frame member is maintained in a straight position by tension from a control wire from the control section.
20. A method of positioning a distal tip of a flexible ureteropyeloscope in a calyx of a lower pole of a kidney comprising steps of:
bending a first active deflection section of a front end of a shaft of the flexible ureteropyeloscope; and
bending a second active deflection section of the front end of the shaft, the second active deflection section being located behind the first active deflection section,
wherein the first and second active deflection sections are independently, controllably deflectable to locate the distal tip in the calyx of the lower pole without the need to passively deflect the front end against kidney tissue of the patient.
21. A method as in claim 20 wherein the first active deflection section comprises a first frame member having a general tube shape comprised of superelastic material, the second active deflection section comprises a second frame member having a general tube shape comprised of superelastic material, wherein the steps of bending the first and second active deflection sections comprise moving different control wires of a control section of the flexible ureteropyeloscope.
22. A method as in claim 20 wherein the step of bending the first active deflection section comprises bending the first active deflection section about 155°-190° with a radius of curvature of about 9-12 mm, and wherein the step of bending the second active deflection section comprises bending the second active deflection section about 125°-155° with a radius of curvature of about 9.5-13 mm.
23. In a flexible ureteropyeloscope having a control section and a shaft extending from the control section, the improvement comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, the control section being adapted to independently deflect the if first and second deflection sections, wherein the first and second active deflection sections are adapted to deflect such that a distal end of the ureteropyeloscope is adapted to be placed in a calyx of a lower pole of a kidney without passively deflecting the front end of the shaft against tissue of the kidney of a patient to reach the calyx of the lower pole, wherein the first active deflection section comprises a shape-memory frame member having a general tubular shape comprised of superelastic material, and wherein the shape-memory frame member is connected to another frame member in the second active deflection section by a fatting, and an end of a control wire from the control section is fixedly connected to the fitting.
24. A flexible ureteropyeloscope comprising:
a control section; and
a shaft extending from the control section, the shaft comprising a front end with at least one deflectable superelastic tube frame piece forming a first active deflection section connected in series to a second active deflectable section, wherein the frame piece forms the first active deflection section adapted to deflect in a first direction about 155°-190° with a radius of curvature of about 9-12 mm, and wherein the second active deflection section is adapted to deflect in a direction substantially the same as the first direction about 125°-165° with a radius of curvature of about 9.5-13 mm or less , wherein the first and second active deflection sections are connected to each other by a fitting, an end of a control wire from the control section being fixedly connected to the fitting for controlling deflection of the second active deflection section.
25. A flexible ureteropyeloscope having a control section and a shaft extending from the control section, comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, wherein the control section is adapted to independently deflect the first and second deflection sections, and wherein, when the shaft is at least partially located in a ureter of a patient, the first and second active deflection sections are adapted to deflect with at least a portion of the front end of the shaft being sized and shaped to be placed at a calyx of a lower pole of a kidney of the patient,
wherein the first active deflection section is adapted to deflect in at least two opposite directions with a radius of curvature of about 9-12 mm, and wherein the second active deflection section is adapted to deflect in at least one direction with a radius of curvature of about 9.5-13 mm.
26. A flexible ureteropyeloscope as in claim 25 wherein the first active deflection section is adapted to deflect in a first one of the two opposite directions with a radius of curvature of about 9 mm.
27. A flexible ureteropyeloscope as in claim 26 wherein the first active deflection section is adapted to deflect in a second one of the two opposite directions with a radius of curvature of about 9 mm.
28. A flexible ureteropyeloscope as in claim 26 wherein the first active deflection section is adapted to deflect in a first one of the two opposite directions about 155°-190°.
29. A flexible ureteropyeloscope as in claim 28 wherein the second active deflection section is adapted to deflect at least 90° in a third direction.
30. A flexible ureteropyeloscope as in claim 25 wherein the first active deflection section is adapted to deflect in a first one of the two opposite directions about 155°-190°.
31. A flexible ureteropyeloscope as in claim 25 wherein the second active deflection section is adapted to deflect at least 90° in a third direction.
32. A flexible ureteropyeloscope as in claim 31 wherein the third direction is the same direction as one of the two opposite directions.
33. A flexible ureteropyeloscope as in claim 25 wherein the shaft comprises a fitting connecting the first active deflection section to the second active deflection section.
34. A flexible ureteropyeloscope having a control section and a shaft extending from the control section, comprising:
the shaft comprising a front end with a first active deflection section connected in series with a second active deflection section, wherein the control section is adapted to independently deflect the first and second deflection sections, wherein the shaft comprises means to deflect such that at least a portion of the front end of the shaft is placed at a calyx of a lower pole of a kidney of a patient when the shaft is at least partially located in a ureter of the patient,
wherein the means to deflect comprises the first active deflection section being adapted to deflect in at least two opposite directions with a radius of curvature of about 9-12 mm.
US11186015 1999-10-26 2005-07-19 Flexible ureteropyeloscope Active USRE41475E1 (en)

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US10087622 US6780151B2 (en) 1999-10-26 2002-03-01 Flexible ureteropyeloscope
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140275779A1 (en) * 2013-03-12 2014-09-18 Covidien Lp Flexible Shaft with Multiple Flexible Portions

Families Citing this family (283)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6780151B2 (en) 1999-10-26 2004-08-24 Acmi Corporation Flexible ureteropyeloscope
US20050256452A1 (en) * 2002-11-15 2005-11-17 Demarchi Thomas Steerable vascular sheath
US20040225186A1 (en) * 2003-01-29 2004-11-11 Horne Guy E. Composite flexible endoscope insertion shaft with tubular substructure
DE602004018903D1 (en) 2003-02-14 2009-02-26 Depuy Spine Inc intervertebral fusion device prepared in situ
US8118732B2 (en) 2003-04-01 2012-02-21 Boston Scientific Scimed, Inc. Force feedback control system for video endoscope
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
US20040199052A1 (en) 2003-04-01 2004-10-07 Scimed Life Systems, Inc. Endoscopic imaging system
US7591783B2 (en) 2003-04-01 2009-09-22 Boston Scientific Scimed, Inc. Articulation joint for video endoscope
ES2487893T3 (en) * 2003-04-22 2014-08-25 Jorge A. Campos Apparatus for observing a visually obscured portion of a cavity
JP4323209B2 (en) * 2003-04-25 2009-09-02 オリンパス株式会社 Electric bending endoscope
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20050015072A1 (en) * 2003-07-15 2005-01-20 Medtronic, Inc. Cannula having buckle resistant apertures
EP1607036A1 (en) * 2004-06-18 2005-12-21 Universite Libre De Bruxelles Toolholder mountable on an endoscope and comprising a ring
JP4490187B2 (en) * 2004-06-22 2010-06-23 富士フイルム株式会社 Endoscope
JP2008514363A (en) 2004-09-30 2008-05-08 ボストン サイエンティフィック リミテッドBoston Scientific Limited Multifunctional endoscopic system for use in electrosurgery applications
US8083671B2 (en) 2004-09-30 2011-12-27 Boston Scientific Scimed, Inc. Fluid delivery system for use with an endoscope
US7479106B2 (en) 2004-09-30 2009-01-20 Boston Scientific Scimed, Inc. Automated control of irrigation and aspiration in a single-use endoscope
WO2006039522A3 (en) 2004-09-30 2006-07-27 Boston Scient Scimed Inc Adapter for use with digital imaging medical device
US7241263B2 (en) 2004-09-30 2007-07-10 Scimed Life Systems, Inc. Selectively rotatable shaft coupler
EP1799096A2 (en) 2004-09-30 2007-06-27 Boston Scientific Scimed, Inc. System and method of obstruction removal
US8585584B2 (en) * 2004-10-11 2013-11-19 Nitesh Ratnakar Dual view endoscope
US20090118577A9 (en) * 2005-12-13 2009-05-07 Gyrus Acmi, Inc. Medical device made with a super alloy
US7410462B2 (en) * 2004-12-13 2008-08-12 Gyrus Acmi, Inc. Hermetic endoscope assemblage
US8050746B2 (en) 2005-02-02 2011-11-01 Voyage Medical, Inc. Tissue visualization device and method variations
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US8221310B2 (en) 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
JP4477519B2 (en) * 2005-02-14 2010-06-09 オリンパス株式会社 Endoscope
US7907991B2 (en) * 2005-03-02 2011-03-15 C. R. Bard, Inc. System and method for marking body cavities
US8097003B2 (en) 2005-05-13 2012-01-17 Boston Scientific Scimed, Inc. Endoscopic apparatus with integrated variceal ligation device
US7846107B2 (en) 2005-05-13 2010-12-07 Boston Scientific Scimed, Inc. Endoscopic apparatus with integrated multiple biopsy device
US8366773B2 (en) * 2005-08-16 2013-02-05 Benvenue Medical, Inc. Apparatus and method for treating bone
US7785368B2 (en) 2005-08-16 2010-08-31 Benvenue Medical, Inc. Spinal tissue distraction devices
US8052597B2 (en) 2005-08-30 2011-11-08 Boston Scientific Scimed, Inc. Method for forming an endoscope articulation joint
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20130334284A1 (en) 2005-08-31 2013-12-19 Ethicon Endo-Surgery, Inc. Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US8231524B2 (en) * 2005-09-20 2012-07-31 Ai Medical Devices, Inc. Endotracheal intubation device
US8092371B2 (en) * 2006-01-13 2012-01-10 Olympus Medical Systems Corp. Medical treatment endoscope
US8439828B2 (en) * 2006-01-13 2013-05-14 Olympus Medical Systems Corp. Treatment endoscope
US9173550B2 (en) * 2006-01-13 2015-11-03 Olympus Corporation Medical apparatus
US8617054B2 (en) * 2006-01-13 2013-12-31 Olympus Medical Systems Corp. Medical treatment endoscope
US9308049B2 (en) * 2006-01-13 2016-04-12 Olympus Corporation Medical treatment endoscope
US9289112B2 (en) * 2006-01-13 2016-03-22 Olympus Corporation Medical treatment endoscope having an operation stick formed to allow a procedure instrument to pass
US8556805B2 (en) * 2006-01-13 2013-10-15 Olympus Medical Systems Corp. Rotational force transmission mechanism, force-attenuating apparatus, medical device, and medical instrument-operation mechanism
US8021293B2 (en) * 2006-01-13 2011-09-20 Olympus Medical Systems Corp. Medical treatment endoscope
US7967759B2 (en) 2006-01-19 2011-06-28 Boston Scientific Scimed, Inc. Endoscopic system with integrated patient respiratory status indicator
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
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
US8888684B2 (en) 2006-03-27 2014-11-18 Boston Scientific Scimed, Inc. Medical devices with local drug delivery capabilities
US7955255B2 (en) 2006-04-20 2011-06-07 Boston Scientific Scimed, Inc. Imaging assembly with transparent distal cap
US8202265B2 (en) 2006-04-20 2012-06-19 Boston Scientific Scimed, Inc. Multiple lumen assembly for use in endoscopes or other medical devices
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
JP2010502313A (en) 2006-09-01 2010-01-28 ボエッジ メディカル, インコーポレイテッド Method and apparatus for the treatment of atrial fibrillation
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
US8131350B2 (en) 2006-12-21 2012-03-06 Voyage Medical, Inc. Stabilization of visualization catheters
US8758229B2 (en) 2006-12-21 2014-06-24 Intuitive Surgical Operations, Inc. Axial visualization systems
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
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
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
EP2124777A4 (en) 2007-02-21 2013-06-05 Benvenue Medical Inc Devices for treating the spine
EP2124778A4 (en) 2007-02-21 2013-03-20 Benvenue Medical Inc Devices for treating the spine
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
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
JP2010524651A (en) 2007-04-27 2010-07-22 ボエッジ メディカル, インコーポレイテッド Steerable tissue visualization and manipulation the catheter with a complex shape
US8657805B2 (en) 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
EP2155036B1 (en) 2007-05-11 2016-02-24 Intuitive Surgical Operations, Inc. Visual electrode ablation systems
WO2008144401A1 (en) 2007-05-18 2008-11-27 Boston Scientific Scimed, Inc. Articulating torqueable hollow device
WO2008150767A3 (en) * 2007-05-31 2009-01-29 Boston Scient Scimed Inc Active controlled bending in medical devices
US7905380B2 (en) 2007-06-04 2011-03-15 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
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate 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
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US8590762B2 (en) 2007-06-29 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US8235985B2 (en) 2007-08-31 2012-08-07 Voyage Medical, Inc. Visualization and ablation system variations
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8845522B2 (en) * 2007-09-10 2014-09-30 Boston Scientific Scimed, Inc. Medical instrument with a deflectable distal portion
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
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
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US9462932B2 (en) * 2008-01-24 2016-10-11 Boston Scientific Scimed, Inc. Structure for use as part of a medical device
US8858609B2 (en) 2008-02-07 2014-10-14 Intuitive Surgical Operations, Inc. Stent delivery under direct visualization
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
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
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
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
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
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US20130153636A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Implantable arrangements for surgical staple cartridges
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US20090240699A1 (en) * 2008-03-18 2009-09-24 Morgan Christopher B Integration for intelligence data systems
EP2268187B1 (en) * 2008-03-24 2016-09-14 Boston Scientific Scimed, Inc. Flexible endoscope with core member
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
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
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US9101735B2 (en) * 2008-07-07 2015-08-11 Intuitive Surgical Operations, Inc. Catheter control systems
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8262563B2 (en) * 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
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
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
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
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
US8894643B2 (en) * 2008-10-10 2014-11-25 Intuitive Surgical Operations, Inc. Integral electrode placement and connection systems
US8333012B2 (en) 2008-10-10 2012-12-18 Voyage Medical, Inc. Method of forming electrode placement and connection systems
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems
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
US8348834B2 (en) * 2008-12-18 2013-01-08 Ethicon Endo-Surgery, Inc. Steerable surgical access devices and methods
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
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8252057B2 (en) * 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
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
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
US20100249700A1 (en) * 2009-03-27 2010-09-30 Ethicon Endo-Surgery, Inc. Surgical instruments for in vivo assembly
US8366604B2 (en) 2009-06-03 2013-02-05 Gyrus Acmi Inc. Endoscope combined deflection control and lock
CN104936502A (en) 2013-01-22 2015-09-23 捷锐士阿希迈公司 Endoscope combined deflection control and lock
US8864656B2 (en) 2009-06-03 2014-10-21 Gyrus Acmi, Inc. Endoscope combined deflection control and lock
US20110112365A1 (en) * 2009-06-03 2011-05-12 Gyrus Acmi, Inc. Endoscope shaft
US20100331618A1 (en) * 2009-06-24 2010-12-30 Gyrus Acmi, Inc. Endoscope shaft frame member with wavy slot
US20110034771A1 (en) * 2009-08-07 2011-02-10 Gyrus Acmi, Inc. Endoscope resilient deflection section frame
CN102481090B (en) * 2009-09-09 2015-07-01 奥林巴斯株式会社 Endoscope device
US8888687B2 (en) * 2009-10-28 2014-11-18 Boston Scientific Scimed, Inc. Method and apparatus related to a flexible assembly at a distal end portion of a medical device
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US20110144576A1 (en) * 2009-12-14 2011-06-16 Voyage Medical, Inc. Catheter orientation control system mechanisms
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
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8694071B2 (en) 2010-02-12 2014-04-08 Intuitive Surgical Operations, Inc. Image stabilization techniques and methods
JP4914952B2 (en) * 2010-03-15 2012-04-11 オリンパスメディカルシステムズ株式会社 Endoscope
US20110230717A1 (en) * 2010-03-18 2011-09-22 Gyrus Acmi, Inc. Flexible endoscope external joint
US9814522B2 (en) 2010-04-06 2017-11-14 Intuitive Surgical Operations, Inc. Apparatus and methods for ablation efficacy
EP2537452B1 (en) * 2010-05-21 2014-02-26 Olympus Medical Systems Corp. Endoscope with second bending part
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
US20120041533A1 (en) * 2010-08-10 2012-02-16 Boston Scientific Scimed, Inc. Stent delivery device
DE102010034378A1 (en) 2010-08-13 2012-02-16 Karl Storz Gmbh & Co. Kg Stem element for an endoscope
US9737687B2 (en) * 2010-09-22 2017-08-22 The Johns Hopkins University Cable-driven morphable manipulator
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
RU2013119928A (en) 2010-09-30 2014-11-10 Этикон Эндо-Серджери, Инк. Crosslinking system comprising a retaining matrix and an alignment matrix
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
RU2604397C2 (en) 2011-04-29 2016-12-10 Этикон Эндо-Серджери, Инк. Tissue thickness compensator for surgical suturing instrument comprising adjustable support
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
RU2606493C2 (en) 2011-04-29 2017-01-10 Этикон Эндо-Серджери, Инк. Staple cartridge, containing staples, located inside its compressible part
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
RU2014143342A (en) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Node limitation, tissue thickness compensator comprising
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US20120080340A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a variable thickness compressible portion
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US8702594B2 (en) * 2010-10-21 2014-04-22 Avram Allan Edidin Imaging system having a quick connect coupling interface
WO2012064817A1 (en) 2010-11-09 2012-05-18 Benvenue Medical, Inc. Devices and methods for treatment of a bone fracture
EP2472820B1 (en) 2010-12-31 2016-04-20 Regify S.A. Network, node and method for anonymizing and routing a user request
EP3210522A1 (en) 2011-01-31 2017-08-30 Boston Scientific Scimed, Inc. Articulation section with locking
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
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
WO2012125785A1 (en) 2011-03-17 2012-09-20 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US8814873B2 (en) 2011-06-24 2014-08-26 Benvenue Medical, Inc. Devices and methods for treating bone tissue
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9585546B2 (en) * 2011-11-21 2017-03-07 Cook Medical Technologies Llc Endoscope stabilization system
US20130178703A1 (en) * 2012-01-05 2013-07-11 Gyrus Acmi, Inc. Endoscope Shaft With Malleable Section
US20130190561A1 (en) * 2012-01-10 2013-07-25 Boston Scientific Scimed, Inc. Steerable medical device having an imaging system
US8419720B1 (en) 2012-02-07 2013-04-16 National Advanced Endoscopy Devices, Incorporated Flexible laparoscopic device
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
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
RU2639857C2 (en) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Tissue thickness compensator containing capsule for medium with low pressure
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
WO2013190910A1 (en) 2012-06-22 2013-12-27 オリンパスメディカルシステムズ株式会社 Bending tube and medical instrument
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US8967204B2 (en) 2012-08-24 2015-03-03 Olympus Medical Systems Corporation Curved pipe for endoscopes
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
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
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
DE102013207109A1 (en) * 2013-04-19 2014-11-06 Henke-Sass, Wolf Gmbh An endoscope with a rigid bent shaft as well as methods for producing such endoscope
US9357984B2 (en) 2013-04-23 2016-06-07 Covidien Lp Constant value gap stabilizer for articulating links
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US20140166724A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
JP2017513567A (en) 2014-03-26 2017-06-01 エシコン・エンド−サージェリィ・エルエルシーEthicon Endo−Surgery, LLC Power management with segmentation circuit and variable voltage protection
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US20150272572A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Interface systems for use with surgical instruments
US20150297234A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. End effector comprising an anvil including projections extending therefrom
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US20160066915A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US20160089143A1 (en) 2014-09-26 2016-03-31 Ethicon Endo-Surgery, Inc. Surgical stapling buttresses and adjunct materials
US20160096004A1 (en) * 2014-10-06 2016-04-07 Lawrence J. Gerrans Steerable Catheter With Flexing Tip Member
EP3175768A1 (en) * 2014-10-06 2017-06-07 Olympus Corporation Endoscope
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument

Citations (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6171316B2 (en)
US3557780A (en) 1967-04-20 1971-01-26 Olympus Optical Co Mechanism for controlling flexure of endoscope
JPS4830991A (en) 1971-08-25 1973-04-23
JPS4841631A (en) 1971-09-27 1973-06-18
GB2130885A (en) * 1982-11-16 1984-06-13 Elven Precision Limited Flexible distal end portion for endoscope
US4580551A (en) 1984-11-02 1986-04-08 Warner-Lambert Technologies, Inc. Flexible plastic tube for endoscopes and the like
US4802461A (en) 1987-08-26 1989-02-07 Candela Laser Corporation Rigid endoscope with flexible tip
US4873965A (en) 1987-07-31 1989-10-17 Guido Danieli Flexible endoscope
US5025804A (en) 1989-07-12 1991-06-25 Fuji Photo Optical Co., Ltd. Endoscope angling mechanism
US5178129A (en) 1989-12-28 1993-01-12 Kabushiki Kaisha Machida Seisakusho Method of producing bending device
US5179935A (en) 1990-05-17 1993-01-19 Olympus Optical Co., Ltd. Endoscope provided in the insertable section with a flexible part which can be made linear
US5325845A (en) 1992-06-08 1994-07-05 Adair Edwin Lloyd Steerable sheath for use with selected removable optical catheter
US5334145A (en) 1992-09-16 1994-08-02 Lundquist Ingemar H Torquable catheter
US5381782A (en) 1992-01-09 1995-01-17 Spectrum Medsystems Corporation Bi-directional and multi-directional miniscopes
US5383852A (en) 1992-12-04 1995-01-24 C. R. Bard, Inc. Catheter with independent proximal and distal control
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5448989A (en) 1993-02-22 1995-09-12 Richard Wolf Gmbh Medical instrument shaft capable of positive and non-positive linking of segments
US5482029A (en) 1992-06-26 1996-01-09 Kabushiki Kaisha Toshiba Variable flexibility endoscope system
US5483951A (en) 1994-02-25 1996-01-16 Vision-Sciences, Inc. Working channels for a disposable sheath for an endoscope
JPH0924019A (en) 1995-07-12 1997-01-28 Piolax Inc Test and treatment device for tube
US5624380A (en) 1992-03-12 1997-04-29 Olympus Optical Co., Ltd. Multi-degree of freedom manipulator
US5681263A (en) 1994-02-25 1997-10-28 Vermon Endoscope for ultrasonic echography
US5704898A (en) 1995-11-17 1998-01-06 Circon Corporation Articulation mechanism for an endoscope
US5873817A (en) 1997-05-12 1999-02-23 Circon Corporation Endoscope with resilient deflectable section
US5873866A (en) 1995-01-13 1999-02-23 Fuji Photo Optical Co., Ltd. Flexible sheathing tube construction, and method for fabrication thereof
US5927345A (en) 1996-04-30 1999-07-27 Target Therapeutics, Inc. Super-elastic alloy braid structure
US5938588A (en) 1997-06-25 1999-08-17 Circon Corporation Superelastic control wire sheath for flexible endoscope
US6012494A (en) 1995-03-16 2000-01-11 Deutsche Forschungsanstalt Fur Luft- Und Raumfahrt E.V. Flexible structure
JP2000342525A (en) 1999-06-07 2000-12-12 Asahi Optical Co Ltd Swallow type endoscopic device
US6171316B1 (en) 1997-10-10 2001-01-09 Origin Medsystems, Inc. Endoscopic surgical instrument for rotational manipulation
JP2001161631A (en) 1999-10-26 2001-06-19 Circon Corp Endoscope shaft with tube having slot
JP2002177202A (en) 2000-10-02 2002-06-25 Olympus Optical Co Ltd Endoscope
US20020091304A1 (en) 2000-10-02 2002-07-11 Takeshi Ogura Endoscope
US6547723B1 (en) 1999-06-07 2003-04-15 Pentax Corporation Fully-swallowable endoscopic system
US6780151B2 (en) 1999-10-26 2004-08-24 Acmi Corporation Flexible ureteropyeloscope

Patent Citations (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6171316B2 (en)
US3557780A (en) 1967-04-20 1971-01-26 Olympus Optical Co Mechanism for controlling flexure of endoscope
JPS4830991A (en) 1971-08-25 1973-04-23
JPS4841631A (en) 1971-09-27 1973-06-18
GB2130885A (en) * 1982-11-16 1984-06-13 Elven Precision Limited Flexible distal end portion for endoscope
US4580551A (en) 1984-11-02 1986-04-08 Warner-Lambert Technologies, Inc. Flexible plastic tube for endoscopes and the like
US4873965A (en) 1987-07-31 1989-10-17 Guido Danieli Flexible endoscope
US4802461A (en) 1987-08-26 1989-02-07 Candela Laser Corporation Rigid endoscope with flexible tip
US5025804A (en) 1989-07-12 1991-06-25 Fuji Photo Optical Co., Ltd. Endoscope angling mechanism
US5178129A (en) 1989-12-28 1993-01-12 Kabushiki Kaisha Machida Seisakusho Method of producing bending device
US5179935A (en) 1990-05-17 1993-01-19 Olympus Optical Co., Ltd. Endoscope provided in the insertable section with a flexible part which can be made linear
US5381782A (en) 1992-01-09 1995-01-17 Spectrum Medsystems Corporation Bi-directional and multi-directional miniscopes
US5624380A (en) 1992-03-12 1997-04-29 Olympus Optical Co., Ltd. Multi-degree of freedom manipulator
US5325845A (en) 1992-06-08 1994-07-05 Adair Edwin Lloyd Steerable sheath for use with selected removable optical catheter
US5482029A (en) 1992-06-26 1996-01-09 Kabushiki Kaisha Toshiba Variable flexibility endoscope system
US5334145A (en) 1992-09-16 1994-08-02 Lundquist Ingemar H Torquable catheter
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5383852A (en) 1992-12-04 1995-01-24 C. R. Bard, Inc. Catheter with independent proximal and distal control
US5448989A (en) 1993-02-22 1995-09-12 Richard Wolf Gmbh Medical instrument shaft capable of positive and non-positive linking of segments
US5483951A (en) 1994-02-25 1996-01-16 Vision-Sciences, Inc. Working channels for a disposable sheath for an endoscope
US5681263A (en) 1994-02-25 1997-10-28 Vermon Endoscope for ultrasonic echography
US5873866A (en) 1995-01-13 1999-02-23 Fuji Photo Optical Co., Ltd. Flexible sheathing tube construction, and method for fabrication thereof
US6012494A (en) 1995-03-16 2000-01-11 Deutsche Forschungsanstalt Fur Luft- Und Raumfahrt E.V. Flexible structure
JPH0924019A (en) 1995-07-12 1997-01-28 Piolax Inc Test and treatment device for tube
US5704898A (en) 1995-11-17 1998-01-06 Circon Corporation Articulation mechanism for an endoscope
US5927345A (en) 1996-04-30 1999-07-27 Target Therapeutics, Inc. Super-elastic alloy braid structure
US5873817A (en) 1997-05-12 1999-02-23 Circon Corporation Endoscope with resilient deflectable section
US5938588A (en) 1997-06-25 1999-08-17 Circon Corporation Superelastic control wire sheath for flexible endoscope
US6171316B1 (en) 1997-10-10 2001-01-09 Origin Medsystems, Inc. Endoscopic surgical instrument for rotational manipulation
JP2000342525A (en) 1999-06-07 2000-12-12 Asahi Optical Co Ltd Swallow type endoscopic device
US6547723B1 (en) 1999-06-07 2003-04-15 Pentax Corporation Fully-swallowable endoscopic system
JP2001161631A (en) 1999-10-26 2001-06-19 Circon Corp Endoscope shaft with tube having slot
US6780151B2 (en) 1999-10-26 2004-08-24 Acmi Corporation Flexible ureteropyeloscope
JP2002177202A (en) 2000-10-02 2002-06-25 Olympus Optical Co Ltd Endoscope
US20020091304A1 (en) 2000-10-02 2002-07-11 Takeshi Ogura Endoscope

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Translation of Kato, Jap. Pat. 9-24019. *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140275779A1 (en) * 2013-03-12 2014-09-18 Covidien Lp Flexible Shaft with Multiple Flexible Portions

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