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    • 4. 发明申请
    • Cardiac tissue ablation instrument with flexible wrist
    • 心脏组织消融仪器具有柔韧的手腕
    • US20050182298A1
    • 2005-08-18
    • US11071480
    • 2005-03-03
    • Michael IkedaDavid RosaThomas CooperS. Anderson
    • Michael IkedaDavid RosaThomas CooperS. Anderson
    • A61B1/00A61B1/005A61B1/008A61B1/018A61B17/00A61B17/42A61B19/00
    • A61B1/008A61B1/00142A61B1/00149A61B1/0055A61B1/0058A61B1/018A61B34/30A61B34/70A61B34/71A61B90/361A61B2017/00243A61B2017/00309A61B2034/305A61B2034/306
    • The present invention is directed to an articulate minimally invasive surgical instrument with a flexible wrist to facilitate the safe placement and provide visual verification of the ablation catheter or other devices in Cardiac Tissue Ablation (CTA) treatments. In one embodiment, the instrument is an endoscope which has an elongate shaft, a flexible wrist at the working end of the shaft, and a vision scope lens at the tip of the flexible wrist. The flexible wrist has at least one degree of freedom to provide the desired articulation. It is actuated and controlled by a drive mechanism located in the housing at the distal end of the shaft. The articulation of the endoscope allows images of hard-to-see places to be taken for use in assisting the placement of the ablation catheter on the desired cardiac tissue. The endoscope may further include couplings to releasably attach an ablation device/catheter or a catheter guide to the endoscope thereby further utilizing the endoscope articulation to facilitate placement of the ablation catheter on hard-to-reach cardiac tissues. In another embodiment, the articulate instrument is a grasper or any other instrument with a flexible wrist and a built-in lumen to allow an endoscope to insert and be guided to the distal end of the instrument.
    • 本发明涉及一种具有柔性手腕的关节微创手术器械,以便于安全放置,并提供消融导管或心脏组织消融(CTA)治疗中的其他装置的视觉验证。 在一个实施例中,仪器是具有细长轴,在轴的工作端的柔性腕部和在柔性腕部的尖端处的视力范围透镜的内窥镜。 柔性手腕具有至少一个自由度以提供所需的铰接。 它由位于轴远端的壳体中的驱动机构致动和控制。 内窥镜的关节运动允许观看难看的位置的图像用于辅助将消融导管放置在期望的心脏组织上。 内窥镜还可以包括联接器以将消融装置/导管或导管引导件可释放地附接到内窥镜,从而进一步利用内窥镜关节以便于将消融导管放置在难以到达的心脏组织上。 在另一个实施例中,关节式器械是具有柔性手腕和内置内腔的抓紧器或任何其它器械,以允许内窥镜插入并被引导到器械的远端。
    • 5. 发明申请
    • FLEXIBLE WRIST FOR SURGICAL TOOL
    • 用于手术工具的柔性手腕
    • US20070239203A1
    • 2007-10-11
    • US11733879
    • 2007-04-11
    • Thomas CooperS. Anderson
    • Thomas CooperS. Anderson
    • A61B17/00
    • A61B34/30A61B1/00142A61B1/00149A61B1/0058A61B1/008A61B1/018A61B17/00A61B17/062A61B17/068A61B17/1285A61B17/29A61B18/1442A61B34/71A61B2017/003A61B2017/00309A61B2017/2901A61B2034/305A61B2034/306
    • The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument comprises an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall of the flexible tube includes a plurality of lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector. A plurality of actuation cables have distal portions connected to the end effector and extend from the distal portion through the lumens of the wall of the wrist member toward the elongate shaft to proximal portions which are actuatable to bend the wrist member in pitch rotation and yaw rotation.
    • 本发明涉及一种具有手腕机构的工具,其提供俯仰和偏转旋转,使得该工具在滚动,俯仰和偏转中没有奇异性。 在一个实施例中,微创手术器械包括细长轴,其具有在工作端和近端之间的工作端,近端和轴线; 和末端执行器。 手腕构件具有柔性管,其包括延伸穿过由壁围成的内部的轴线。 柔性管的壁包括大致平行于柔性管的轴线定向的多个管腔。 手腕构件具有连接到细长轴的工作端的近端部分和连接到端部执行器的远端部分。 多个致动电缆具有连接到末端执行器的远端部分并且从远端部分延伸穿过腕部构件的壁的内腔朝向细长轴到近端部分,该近端部分可以在俯仰旋转和偏转旋转中使手腕构件弯曲 。
    • 6. 发明申请
    • Cardiac tissue ablation instrument with flexible wrist
    • 心脏组织消融仪器具有柔韧的手腕
    • US20060199999A1
    • 2006-09-07
    • US11367836
    • 2006-03-02
    • Michael IkedaDavid RosaThomas CooperS. Anderson
    • Michael IkedaDavid RosaThomas CooperS. Anderson
    • A61B1/00
    • A61B1/0052A61B1/00142A61B1/00149A61B1/0055A61B1/0058A61B1/008A61B1/018A61B34/30A61B34/70A61B34/71A61B90/361A61B2017/00243A61B2017/00309A61B2017/00323A61B2034/301A61B2034/304A61B2034/305A61B2034/306A61B2034/715
    • An articulate minimally invasive surgical instrument with a flexible wrist to facilitate the safe placement and provide visual verification of the ablation catheter or other devices in Cardiac Tissue Ablation (CTA) treatments is described. In one embodiment, the instrument is an endoscope which has an elongate shaft, a flexible wrist at the working end of the shaft, and a vision scope lens at the tip of the flexible wrist. The flexible wrist has at least one degree of freedom to provide the desired articulation. It is actuated and controlled by a drive mechanism located in the housing at the distal end of the shaft. The articulation of the endoscope allows images of hard-to-see places to be taken for use in assisting the placement of the ablation catheter on the desired cardiac tissue. The endoscope may further include couplings to releasably attach an ablation device/catheter or a catheter guide to the endoscope thereby further utilizing the endoscope articulation to facilitate placement of the ablation catheter on hard-to-reach cardiac tissues. In another embodiment, the articulate instrument is a grasper or any other instrument with a flexible wrist and a built-in lumen to allow an endoscope to insert and be guided to the distal end of the instrument.
    • 描述了一种具有柔性手腕的关节微创手术器械,以便于安全放置,并提供消融导管或心脏组织消融(CTA)治疗中的其他装置的视觉验证。 在一个实施例中,仪器是具有细长轴,在轴的工作端的柔性腕部和在柔性腕部的尖端处的视力范围透镜的内窥镜。 柔性手腕具有至少一个自由度以提供所需的铰接。 它由位于轴远端的壳体中的驱动机构致动和控制。 内窥镜的关节运动允许观看难看的位置的图像用于辅助将消融导管放置在期望的心脏组织上。 内窥镜还可以包括联接器以将消融装置/导管或导管引导件可释放地附接到内窥镜,从而进一步利用内窥镜关节以便于将消融导管放置在难以到达的心脏组织上。 在另一个实施例中,关节式器械是具有柔性手腕和内置内腔的抓紧器或任何其它器械,以允许内窥镜插入并被引导到器械的远端。