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    • 1. 发明申请
    • STEERABLE SPHINCTEROTOME AND METHODS FOR CANNULATION, PAPILLOTOMY AND SPHINCTEROTOMY
    • 可调节的支架和方法,用于肛门,造口和球囊
    • WO02056784A3
    • 2003-05-30
    • PCT/US0201312
    • 2002-01-18
    • BOSTON SCIENT LTD
    • GREIGO JOHN ACHIN YEM
    • A61B17/32A61B1/00A61B17/00A61B18/12A61B18/14A61M25/01
    • A61B18/1492A61B17/320016A61B17/32056A61B2017/003A61B2017/320032A61B2018/00166A61B2018/00553A61B2018/00601A61B2018/1407A61B2018/1437A61B2018/144A61B2018/1861
    • The present invention relates to methodology of an apparatus for accurately positioning devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. The sphincterotome with a steerable or adjustable distal segment of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to one embodiment of the present invention, a threaded portion of a cable assembly cooperates with a torque transmission element and a cog to enable the operator to rotate a cutting wire into a desired position relative to the catheter. Alternate embodiments allow the operator to fix the depth of a needle knife while allowing, if desired, accurate rotational positioning of the associated catheter. Threaded stabilizing elements, pivot elements and a steering wire may be used together or individually to accomplish these features. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
    • 本发明涉及准确定位用于进行内窥镜插管,乳头切开术和括约肌切开术的装置的方法。 具有本发明的可转向或可调节的远端段的括约肌切片机允许医师独立于内窥镜来控制装置的远侧末端的位置,并且针对装置和解剖结构中的不一致性进行调整。 根据本发明的一个实施例,电缆组件的螺纹部分与转矩传递元件和齿轮协作,以使操作者能够将切割线相对于导管旋转到期望的位置。 替代实施例允许操作者固定针刀的深度,同时允许相关导管的精确的旋转定位。 螺纹稳定元件,枢转元件和操纵线可以一起使用或单独使用以实现这些特征。 目前可以根据本发明进行修改的产品包括但不限于波士顿科学耳鼻喉科和针刀。