WO2003073920A3 - Endoscope with guiding apparatus - Google Patents

Endoscope with guiding apparatus Download PDF

Info

Publication number
WO2003073920A3
WO2003073920A3 PCT/US2003/006078 US0306078W WO03073920A3 WO 2003073920 A3 WO2003073920 A3 WO 2003073920A3 US 0306078 W US0306078 W US 0306078W WO 03073920 A3 WO03073920 A3 WO 03073920A3
Authority
WO
WIPO (PCT)
Prior art keywords
endoscope
guide
curve
flexible
rigidized
Prior art date
Application number
PCT/US2003/006078
Other languages
French (fr)
Other versions
WO2003073920A2 (en
Inventor
Joseph M Tartaglia
Amir Belson
Robert Matthew Ohline
Original Assignee
Neoguide Systems Inc
Joseph M Tartaglia
Amir Belson
Robert Matthew Ohline
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/087,100 external-priority patent/US6800056B2/en
Application filed by Neoguide Systems Inc, Joseph M Tartaglia, Amir Belson, Robert Matthew Ohline filed Critical Neoguide Systems Inc
Priority to EP03713758A priority Critical patent/EP1487318B1/en
Priority to AU2003217794A priority patent/AU2003217794A1/en
Priority to DE60319966T priority patent/DE60319966T2/en
Publication of WO2003073920A2 publication Critical patent/WO2003073920A2/en
Publication of WO2003073920A3 publication Critical patent/WO2003073920A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/00078—Insertion part of the endoscope body with stiffening means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • A61B1/0053—Constructional details of control elements, e.g. handles using distributed actuators, e.g. artificial muscles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/008—Articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015—Control of fluid supply or evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M2025/0063—Catheters; Hollow probes characterised by structural features having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body

Abstract

An endoscope with guiding apparatus is described herein. A steerable endoscope (20) is described having an elongate body (21) with a manually or selectively steerable distal portion (24), an automatically controlled portion (28), a flexible and passively manipulated proximal portion (22), and an externally controlled and manipulatable tracking rod or guide (36). The tracking rod or guide (36) is positioned within a guide channel (37) within the endoscope and slides relative to the endoscope. When the guide (36)is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope (20) can be advanced over the rigidized guide (36) in a monorail or 'piggy-back' fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.
PCT/US2003/006078 2002-03-01 2003-02-26 Endoscope with guiding apparatus WO2003073920A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP03713758A EP1487318B1 (en) 2002-03-01 2003-02-26 Endoscope with guiding apparatus
AU2003217794A AU2003217794A1 (en) 2002-03-01 2003-02-26 Endoscope with guiding apparatus
DE60319966T DE60319966T2 (en) 2002-03-01 2003-02-26 ENDOSCOPE WITH GUIDE

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/087,100 2002-03-01
US10/087,100 US6800056B2 (en) 2000-04-03 2002-03-01 Endoscope with guiding apparatus
US10/229,814 2002-08-27
US10/229,814 US6974411B2 (en) 2000-04-03 2002-08-27 Endoscope with single step guiding apparatus

Publications (2)

Publication Number Publication Date
WO2003073920A2 WO2003073920A2 (en) 2003-09-12
WO2003073920A3 true WO2003073920A3 (en) 2004-03-04

Family

ID=27791175

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/006078 WO2003073920A2 (en) 2002-03-01 2003-02-26 Endoscope with guiding apparatus

Country Status (7)

Country Link
US (6) US6974411B2 (en)
EP (1) EP1487318B1 (en)
AT (1) ATE390077T1 (en)
AU (1) AU2003217794A1 (en)
DE (1) DE60319966T2 (en)
ES (1) ES2301786T3 (en)
WO (1) WO2003073920A2 (en)

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US20060089529A1 (en) 2006-04-27
ATE390077T1 (en) 2008-04-15
US20060089531A1 (en) 2006-04-27
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US20060089528A1 (en) 2006-04-27
EP1487318B1 (en) 2008-03-26
ES2301786T3 (en) 2008-07-01
US6974411B2 (en) 2005-12-13
DE60319966D1 (en) 2008-05-08
DE60319966T2 (en) 2009-04-16
US20060089530A1 (en) 2006-04-27
US20030032859A1 (en) 2003-02-13
US20060089532A1 (en) 2006-04-27
EP1487318A4 (en) 2005-12-14
WO2003073920A2 (en) 2003-09-12
EP1487318A2 (en) 2004-12-22

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