CA2355115A1 - Endoscope instrument having reduced backlash during insertion - Google Patents

Endoscope instrument having reduced backlash during insertion Download PDF

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Publication number
CA2355115A1
CA2355115A1 CA002355115A CA2355115A CA2355115A1 CA 2355115 A1 CA2355115 A1 CA 2355115A1 CA 002355115 A CA002355115 A CA 002355115A CA 2355115 A CA2355115 A CA 2355115A CA 2355115 A1 CA2355115 A1 CA 2355115A1
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CA
Canada
Prior art keywords
endoscopic instrument
sectional shape
tubular member
circular cross
working channel
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002355115A
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French (fr)
Other versions
CA2355115C (en
Inventor
Kevin W. Smith
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Ltd Barbados
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Individual
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
Application filed by Individual filed Critical Individual
Publication of CA2355115A1 publication Critical patent/CA2355115A1/en
Application granted granted Critical
Publication of CA2355115C publication Critical patent/CA2355115C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
    • A61B1/012—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
    • A61B1/018—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 for receiving instruments
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible

Abstract

An endoscopic instrument has a portion having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the instru-ment by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. Where fins are used, the fins are preferably quite small and only have a minimal effect on the fluid flow cross sec-tional area between the interior of the working channel and the en-doscopic instrument. The resulting instrument has significantly re-duced backlash while maintaining adequate fluid flow in the work-ing channel. According to a second embodiment of the invention, a portion of the interior of the working channel of the endoscope has an interior surface having a non-circular cross-sectional shape by the inclusion of a plurality of radially spaced and inwardly directed ribs or by being polygonally shaped. The resulting endoscope re-duces the backlash of an endoscopic instrument inserted therein while maintaining adequate fluid flow in the working channel.

Claims (23)

1. An endoscopic instrument system, comprising:
a) an endoscope having an elongate flexible distal portion and a proximal handle portion for manipulating said distal portion, said distal portion including an optics channel which receives an imaging means and a working channel having an interior surface and adapted to receive an endoscopic instrument therethrough;
and b) an endoscopic instrument including an elongate flexible tubular member having proximal and distal ends and an outer surface, a control member having proximal and distal ends and extending through said tubular member, an end effector assembly coupled to said distal ends of said tubular member and said control member, and a handle means for moving said control member relative to said tubular member to operate said end effector assembly, wherein at least one of said inner surface of said working channel and said outer surface of said tubular member is provided with a non-circular cross-sectional shape along a portion thereof adapted to reduce backlash when moving said endoscopic instrument relative to said working channel of said endoscope.
2. An endoscopic instrument system according to claim 1, wherein:
said non-circular cross-sectional shape is a polygonal shape.
3. An endoscopic instrument system according to claim 1, wherein;
said non-circular cross-sectional shape includes a plurality radial projections.
4. An endoscopic instrument system according to claim 1, wherein:
said portion is a portion along said tubular member on which a jacket is provided which includes a plurality of fins over said tubular member.
5. An endoscopic instrument system according to claim 1, wherein:
said portion is a portion of said working channel which is provided with an insert having said non-circular cross-sectional shape.
6. An endoscopic instrument system according to claim 1, wherein:
said portion is a portion of said working channel of said endoscope, and said portion includes a plurality of substantially radially inwardly directed ribs.
7. An endoscopic instrument system according to claim 1, wherein:
said proximal end of said tubular member is substantially circular in cross-sectional shape.
8. An endoscopic instrument for insertion through an endoscope having a working channel provided with a circular cross-sectional shape, said endoscopic instrument comprising:
a) an elongate flexible tubular member having proximal and distal ends and an outer surface, said outer surface having a portion having a non-circular cross-sectional shape;
b) a control member having proximal and distal ends and extending through said tubular member;
c) an end effector assembly coupled to said distal ends of said tubular member and said control member; and d) means for moving said control member relative to said tubular member to operate said end effector assembly.
9. An endoscopic instrument according to claim 8, wherein:
said portion of said outer surface provided with said non-circular cross-sectional shape includes a radial dimension which is nearly equal to a radius of the working channel such that when said endoscopic instrument is moved longitudinally relative to the working channel of the endoscope, backlash is reduced.
10. An endoscopic instrument according to claim 8, wherein;
said non-circular cross-sectional shape is defined by a jacket provided over said tubular member, said jacket including a plurality of longitudinal fins.
11. An endoscopic instrument according to claim 10, wherein:
said fins are radially spaced and directed radially outward.
12. An endoscopic instrument according to claim 10, wherein:
said fins are approximately 0.1 mm thick.
13. An endoscopic instrument according to claim 10, wherein:
said fins extend outward approximately 0.4 mm from a surface of said tubular member.
14. An endoscopic instrument according to claim 8, wherein:
said non-circular cross-sectional shape is defined by a plurality of longitudinal fins extending radially outward from said tubular member.
15. An endoscopic instrument according to claim 8, wherein:
said non-circular cross-sectional shape is defined by a jacket provided over said tubular member, said jacket having a substantially polygonal shape.
16. An endoscopic instrument according to claim 8, wherein:
said portion of said outer surface of said tubular member which has said non-circular cross-sectional shape is at least a distal half of a length of said tubular member.
17. An endoscopic instrument according to claim 8, wherein:
said portion of said outer surface of said tubular member which has said non-circular cross-sectional shape is defined by a low friction jacket provided over said portion, said low friction jacket having said non-circular cross-sectional shape.
18. An endoscopic instrument according to claim 8, wherein:
said proximal end of said tubular member is substantially circular in cross-sectional shape.
19. An endoscopic instrument according to claim 8, wherein:
said tubular member is a coil.
20. An endoscope for receiving an endoscopic instrument therein, the endoscopic instrument including a distal tubular portion having a circular cross-sectional shape and having an outer diameter, said endoscope comprising:
a) an elongate flexible distal portion having an optics channel provided with an imaging means and a working channel having an interior surface and adapted to receive the endoscopic instrument therethrough, said working channel having a portion at which said interior surface has a non-circular cross-sectional shape; and b) a proximal handle portion adapted to manipulate said distal portion.
21. An endoscope according to claim 20, wherein:
said working channel of said endoscope includes an insert which defines said portion at which said interior surface of said working channel has said non-circular cross-sectional shape.
22. An endoscope according to claim 20, wherein:
said portion at which said interior surface of said working channel has said non-circular cross-sectional shape has a polygonal shape.
23. An endoscope according to claim 20, wherein:
said portion at which said interior surface of said working channel has said non-circular cross-sectional shape has a plurality of radially inwardly directed longitudinal projections.
CA002355115A 1999-10-14 2000-10-12 Endoscope instrument having reduced backlash during insertion Expired - Fee Related CA2355115C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/418,246 US6454702B1 (en) 1999-10-14 1999-10-14 Endoscope and endoscopic instrument system having reduced backlash when moving the endoscopic instrument within a working channel of the endoscope
US09/418,246 1999-10-14
PCT/US2000/028181 WO2001026537A1 (en) 1999-10-14 2000-10-12 Endoscope instrument having reduced backlash during insertion

Publications (2)

Publication Number Publication Date
CA2355115A1 true CA2355115A1 (en) 2001-04-19
CA2355115C CA2355115C (en) 2009-12-22

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA002355115A Expired - Fee Related CA2355115C (en) 1999-10-14 2000-10-12 Endoscope instrument having reduced backlash during insertion

Country Status (9)

Country Link
US (4) US6454702B1 (en)
EP (1) EP1139853B1 (en)
JP (1) JP4647168B2 (en)
AU (1) AU777658B2 (en)
CA (1) CA2355115C (en)
DE (1) DE60042680D1 (en)
IL (2) IL143602A0 (en)
WO (1) WO2001026537A1 (en)
ZA (1) ZA200104731B (en)

Families Citing this family (73)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6235026B1 (en) * 1999-08-06 2001-05-22 Scimed Life Systems, Inc. Polypectomy snare instrument
US6537205B1 (en) 1999-10-14 2003-03-25 Scimed Life Systems, Inc. Endoscopic instrument system having reduced backlash control wire action
US6454702B1 (en) * 1999-10-14 2002-09-24 Scimed Life Systems, Inc. Endoscope and endoscopic instrument system having reduced backlash when moving the endoscopic instrument within a working channel of the endoscope
US6679264B1 (en) 2000-03-04 2004-01-20 Emphasys Medical, Inc. Methods and devices for use in performing pulmonary procedures
US20030070683A1 (en) * 2000-03-04 2003-04-17 Deem Mark E. Methods and devices for use in performing pulmonary procedures
JP2002112946A (en) * 2000-10-11 2002-04-16 Olympus Optical Co Ltd Hood for endoscope
US6814739B2 (en) 2001-05-18 2004-11-09 U.S. Endoscopy Group, Inc. Retrieval device
EP1434609A2 (en) * 2001-10-12 2004-07-07 Applied Medical Resources Corporation High flow stone basket system
US7625346B2 (en) * 2003-05-30 2009-12-01 Boston Scientific Scimed, Inc. Transbronchial needle aspiration device
US8469993B2 (en) * 2003-06-18 2013-06-25 Boston Scientific Scimed, Inc. Endoscopic instruments
US20040260337A1 (en) 2003-06-18 2004-12-23 Scimed Life Systems, Inc. Endoscopic instruments and methods of manufacture
US8403828B2 (en) * 2003-07-21 2013-03-26 Vanderbilt University Ophthalmic orbital surgery apparatus and method and image-guide navigation system
US7951165B2 (en) * 2003-08-18 2011-05-31 Boston Scientific Scimed, Inc. Endoscopic medical instrument and related methods of use
US7500947B2 (en) * 2004-01-29 2009-03-10 Cannonflow, Inc. Atraumatic arthroscopic instrument sheath
US7435214B2 (en) 2004-01-29 2008-10-14 Cannuflow, Inc. Atraumatic arthroscopic instrument sheath
AU2005228956B2 (en) * 2004-03-23 2011-08-18 Boston Scientific Limited In-vivo visualization system
US20050267448A1 (en) * 2004-05-17 2005-12-01 Richard Wolf Gmbh Endoscopic instrument
US8872906B2 (en) 2005-01-05 2014-10-28 Avantis Medical Systems, Inc. Endoscope assembly with a polarizing filter
US20080021274A1 (en) * 2005-01-05 2008-01-24 Avantis Medical Systems, Inc. Endoscopic medical device with locking mechanism and method
US7762960B2 (en) 2005-05-13 2010-07-27 Boston Scientific Scimed, Inc. Biopsy forceps assemblies
US9962066B2 (en) * 2005-12-30 2018-05-08 Intuitive Surgical Operations, Inc. Methods and apparatus to shape flexible entry guides for minimally invasive surgery
US8728121B2 (en) * 2006-01-13 2014-05-20 Olympus Medical Systems Corp. Puncture needle and medical procedure using puncture needle that is performed via natural orifice
US8721657B2 (en) * 2006-01-13 2014-05-13 Olympus Medical Systems Corp. Medical instrument
US20070219411A1 (en) * 2006-01-13 2007-09-20 Olympus Medical Systems Corp. Overtube and endoscopic treatment system
US20070167676A1 (en) * 2006-01-13 2007-07-19 Olympus Medical Systems Corp. Overtube and medical procedure via natural orifice using the same
WO2007087421A2 (en) 2006-01-23 2007-08-02 Avantis Medical Systems, Inc. Endoscope
US7918783B2 (en) * 2006-03-22 2011-04-05 Boston Scientific Scimed, Inc. Endoscope working channel with multiple functionality
US7927271B2 (en) * 2006-05-17 2011-04-19 C.R. Bard, Inc. Endoscope tool coupling
US8062211B2 (en) 2006-06-13 2011-11-22 Intuitive Surgical Operations, Inc. Retrograde instrument
JP5318783B2 (en) * 2007-01-29 2013-10-16 ユー．エス． エンドスコピー グループ， インコーポレイテッド Endoscope device
DE102007008099B4 (en) 2007-02-19 2021-05-20 Ingoscope Systems Gmbh Tube arrangement for an endoscope
US20080221437A1 (en) * 2007-03-09 2008-09-11 Agro Mark A Steerable snare for use in the colon and method for the same
US20090112064A1 (en) * 2007-03-27 2009-04-30 Levey John M Endoscopic Lubricating and Gripping Device
US8064666B2 (en) 2007-04-10 2011-11-22 Avantis Medical Systems, Inc. Method and device for examining or imaging an interior surface of a cavity
JP2008278968A (en) * 2007-05-08 2008-11-20 Fujinon Corp Insertion assisting tool for endoscope
US8591521B2 (en) 2007-06-08 2013-11-26 United States Endoscopy Group, Inc. Retrieval device
US8226548B2 (en) * 2007-07-07 2012-07-24 Cannuflow, Inc. Rigid arthroscope system
US8280496B2 (en) * 2007-12-13 2012-10-02 Boston Scientific Scimed, Inc. Extended spectral sensitivity endoscope system and method of using the same
US20090177114A1 (en) * 2007-12-13 2009-07-09 Yem Chin Echogenic needle aspiration device
US8366603B2 (en) * 2007-12-21 2013-02-05 Boston Scientific Scimed, Inc. Endoscope including a multifunction conductor
JP5364326B2 (en) * 2008-02-01 2013-12-11 富士フイルム株式会社 Endoscope
JP5412056B2 (en) 2008-05-30 2014-02-12 オリンパスメディカルシステムズ株式会社 Endoscope
US20110015484A1 (en) * 2009-07-16 2011-01-20 Alvarez Jeffrey B Endoscopic robotic catheter system
US10405850B2 (en) 2010-09-10 2019-09-10 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
BR112013005636A2 (en) 2010-09-10 2019-09-24 Pivot Medical Inc suture passing suture passing through an object
US10098631B2 (en) 2010-09-10 2018-10-16 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US9700345B2 (en) 2010-12-30 2017-07-11 Boston Scientific Scimed, Inc. Snare with retractable engaging members
WO2012172885A1 (en) * 2011-06-16 2012-12-20 オリンパスメディカルシステムズ株式会社 Somatic insertion tool
US20130110090A1 (en) 2011-10-31 2013-05-02 Boston Scientific Scimed, Inc. Rotatable medical device
US11076840B2 (en) 2011-12-02 2021-08-03 Interscope, Inc. Surgical console, specimen receiver, and insertable endoscopic instrument for tissue removal
US9204868B2 (en) 2011-12-02 2015-12-08 Interscope, Inc. Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument
US9808146B2 (en) 2011-12-02 2017-11-07 Interscope, Inc. Endoscopic tool for debriding and removing polyps
US8882680B2 (en) 2011-12-02 2014-11-11 Interscope, Inc. Insertable endoscopic instrument for tissue removal
US9668643B2 (en) 2011-12-29 2017-06-06 Cook Medical Technologies Llc Space-optimized visualization catheter with oblong shape
US9307893B2 (en) 2011-12-29 2016-04-12 Cook Medical Technologies Llc Space-optimized visualization catheter with camera train holder in a catheter with off-centered lumens
EP2797491B1 (en) 2011-12-29 2018-05-30 Cook Medical Technologies LLC Space-optimized visualization catheter with camera train holder
DE112013000875T5 (en) 2012-02-07 2014-10-16 Arthrocare Corporation Surgical instrument for laying and performing a suture
EP2891449A4 (en) * 2012-08-31 2016-04-13 Olympus Corp Insertion body, insertion device, rotation unit, and rotational force transmission unit
WO2014157477A1 (en) * 2013-03-29 2014-10-02 富士フイルム株式会社 Endoscopic surgery device
JP6466412B2 (en) * 2013-05-17 2019-02-06 エンドチョイス インコーポレイテッドＥｎｄｏｃｈｏｉｃｅ， Ｉｎｃ． Multiple view element endoscope with two forward service channels
US9572591B2 (en) 2013-09-03 2017-02-21 United States Endoscopy Group, Inc. Endoscopic snare device
MX2014011990A (en) 2013-10-04 2015-05-28 Tidi Products Llc Sheath for a medical or dental instrument.
USD731652S1 (en) 2014-02-19 2015-06-09 Tidi Products, Llc Dental curing light sleeve
US20180001054A1 (en) * 2015-01-19 2018-01-04 Jacek Krzyzanowski Catheter systems and endoscopic systems with reduced backlash
JP1540830S (en) * 2015-04-24 2015-12-28
JP1540831S (en) * 2015-04-24 2015-12-28
WO2018023083A1 (en) 2016-07-28 2018-02-01 Boston Scientific Scimed, Inc. Polypectomy snare devices
US10786277B2 (en) 2017-01-09 2020-09-29 United State Endoscopy Group, Inc. Retrieval device
US11039850B2 (en) 2018-02-28 2021-06-22 Gi Supply Endoscopic tool with suction for facilitating injection of a fluid into a submucosal layer of tissue
US11147434B2 (en) * 2018-10-10 2021-10-19 Titan Medical Inc. Systems, methods, and apparatuses for capturing images during a medical procedure
DE102019111347B4 (en) * 2019-05-02 2023-01-26 Karl Storz Se & Co. Kg Endoscopic device
US20200352598A1 (en) * 2019-05-12 2020-11-12 EvolutionMedVentures LLC Add-on sheath
US11439800B2 (en) 2020-11-15 2022-09-13 EvolutionMedVentures, LLC Sheath stepwise dilation

Family Cites Families (159)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1127948A (en) 1914-12-31 1915-02-09 Reinhold H Wappler Cystoscope.
US2036528A (en) 1934-09-26 1936-04-07 Elmer G Kesling Flexible shaft
US2950609A (en) 1959-09-15 1960-08-30 Metal Textile Corp Flexible coupling
US3554192A (en) 1967-07-24 1971-01-12 Orthopedic Equipment Co Medullary space drill
JPS5216630Y2 (en) * 1971-07-22 1977-04-14
US3895636A (en) 1973-09-24 1975-07-22 William Schmidt Flexible forceps
US3955578A (en) 1974-12-23 1976-05-11 Cook Inc. Rotatable surgical snare
US4046150A (en) 1975-07-17 1977-09-06 American Hospital Supply Corporation Medical instrument for locating and removing occlusive objects
US5133727A (en) 1990-05-10 1992-07-28 Symbiosis Corporation Radial jaw biopsy forceps
US4256113A (en) 1977-12-08 1981-03-17 Chamness Dale L Surgical apparatus
US4294254A (en) 1977-12-08 1981-10-13 Chamness Dale L Surgical apparatus
DE2829159A1 (en) 1978-07-03 1980-01-17 Walz Elektronik Gmbh Electrohydraulic lithotriptor with tubular probe - has probe head with concretion collector cage unfolded by thrust wire
JPS606652B2 (en) 1979-11-16 1985-02-19 オリンパス光学工業株式会社 Flexible tube for endoscope
US4326530A (en) 1980-03-05 1982-04-27 Fleury Jr George J Surgical snare
US4345599A (en) 1980-03-20 1982-08-24 Mccarrell Stuart G Tonsil snare
US4430083A (en) 1981-03-06 1984-02-07 American Hospital Supply Corporation Infusion catheter
DE3247793C2 (en) 1981-12-31 1986-01-09 Harald 7200 Tuttlingen Maslanka High frequency surgical loop electrode
US4493320A (en) 1982-04-02 1985-01-15 Treat Michael R Bipolar electrocautery surgical snare
JPS60148536A (en) 1984-01-17 1985-08-05 オリンパス光学工業株式会社 Endoscope
US4590938A (en) 1984-05-04 1986-05-27 Segura Joseph W Medical retriever device
JPS637218Y2 (en) 1984-09-28 1988-03-01
US4619260A (en) 1984-11-05 1986-10-28 Magill John W Tissue-retrieving means for a surgical snare instrument
DD233302A1 (en) 1984-12-28 1986-02-26 Univ Berlin Humboldt SAFETY BIOPSY FORCEPS
US4742817A (en) 1985-05-15 1988-05-10 Olympus Optical Co., Ltd. Endoscopic apparatus having a bendable insertion section
JPS61259637A (en) 1985-05-15 1986-11-17 オリンパス光学工業株式会社 Endoscope apparatus
US4763668A (en) 1985-10-28 1988-08-16 Mill Rose Laboratories Partible forceps instrument for endoscopy
USD301614S (en) 1986-05-13 1989-06-13 Mill-Rose Laboratories, Inc. Rotatable snare handle
US5066295A (en) 1986-05-13 1991-11-19 Mill-Rose Laboratories, Inc. Rotatable surgical snare
JPH0783749B2 (en) 1986-11-06 1995-09-13 オリンパス光学工業株式会社 Endoscopic treatment tool
US4790831A (en) 1987-03-30 1988-12-13 Baxter Travenol Laboratories, Inc. Torque-control catheter
US4950232A (en) 1987-08-11 1990-08-21 Surelab Superior Research Laboratories Cerebrospinal fluid shunt system
US4872456A (en) 1987-11-12 1989-10-10 Hasson Harrith M Template incision device
US4840623A (en) 1988-02-01 1989-06-20 Fbk International Corporation Medical catheter with splined internal wall
US4945920A (en) 1988-03-28 1990-08-07 Cordis Corporation Torqueable and formable biopsy forceps
US4944287A (en) 1988-03-29 1990-07-31 Asahi Kogaku Kogyo K.K. Flexible tube of endoscope
US4869238A (en) 1988-04-22 1989-09-26 Opielab, Inc. Endoscope for use with a disposable sheath
USRE34110E (en) * 1988-04-22 1992-10-27 Opielab, Inc. Endoscope for use with a disposable sheath
US5266887A (en) * 1988-05-24 1993-11-30 Dallas Semiconductor Corp. Bidirectional voltage to current converter
US5556376A (en) 1988-07-22 1996-09-17 Yoon; Inbae Multifunctional devices having loop configured portions and collection systems for endoscopic surgical procedures and methods thereof
US4846791A (en) * 1988-09-02 1989-07-11 Advanced Medical Technology & Development Corp. Multi-lumen catheter
DE8814573U1 (en) * 1988-11-18 1990-01-11 Effner Gmbh, 1000 Berlin, De
US4973321A (en) 1989-03-17 1990-11-27 Michelson Gary K Cannula for an arthroscope
US5059199A (en) 1989-04-12 1991-10-22 Olympus Optical Co., Ltd. Treating device for endoscopes
US4905691A (en) 1989-04-17 1990-03-06 Everest Medical Corporation Polypectome snare with bipolar electrodes
JPH0724086Y2 (en) 1989-05-01 1995-06-05 株式会社町田製作所 Channel tube for endoscope
DE3919441A1 (en) 1989-06-14 1990-12-20 Wolf Gmbh Richard FLEXIBLE PROBE CHANNEL
US5114403A (en) 1989-09-15 1992-05-19 Eclipse Surgical Technologies, Inc. Catheter torque mechanism
US5176677A (en) 1989-11-17 1993-01-05 Sonokinetics Group Endoscopic ultrasonic rotary electro-cauterizing aspirator
US5084054A (en) 1990-03-05 1992-01-28 C.R. Bard, Inc. Surgical gripping instrument
US5290294A (en) 1990-04-17 1994-03-01 Brian Cox Method and apparatus for removal of a foreign body cavity
US5122125A (en) * 1990-04-25 1992-06-16 Ashridge A.G. Catheter for angioplasty with soft centering tip
US5439478A (en) 1990-05-10 1995-08-08 Symbiosis Corporation Steerable flexible microsurgical instrument with rotatable clevis
US5228451A (en) 1990-05-10 1993-07-20 Symbiosis Corporation Biopsy forceps device having stiff distal end
JP2987452B2 (en) 1990-05-17 1999-12-06 オリンパス光学工業株式会社 Endoscope
US5147317A (en) * 1990-06-04 1992-09-15 C.R. Bard, Inc. Low friction varied radiopacity guidewire
US5026371A (en) 1990-10-01 1991-06-25 Everest Medical Corporation Handle for polypectome snare with bipolar electrodes
US5129913A (en) 1990-10-04 1992-07-14 Norbert Ruppert Surgical punch apparatus
US5147316A (en) 1990-11-19 1992-09-15 Castillenti Thomas A Laparoscopic trocar with self-locking port sleeve
US5183470A (en) 1991-03-04 1993-02-02 International Medical, Inc. Laparoscopic cholangiogram catheter and method of using same
US5176702A (en) 1991-04-04 1993-01-05 Symbiosis Corporation Ratchet locking mechanism for surgical instruments
US5147373A (en) 1991-04-29 1992-09-15 Ferzli George S Laparoscopic instrument
DE4114311A1 (en) 1991-05-02 1992-11-12 Harald Heidmueller EXTRACTOR
US5244619A (en) 1991-05-03 1993-09-14 Burnham Warren R Method of making catheter with irregular inner and/or outer surfaces to reduce travelling friction
US5156590A (en) * 1991-06-24 1992-10-20 Wolfgang Vilmar Uretero-renoscope with catheter body having plural partitioned inner conduits
CA2048039A1 (en) * 1991-07-19 1993-01-20 Steven Derose Data processing system and method for generating a representation for and random access rendering of electronic documents
EP0539084A1 (en) 1991-10-18 1993-04-28 Imagyn Medical, Inc. Apparatus and method for independent movement of an instrument within a linear eversion catheter
US5759187A (en) 1991-11-05 1998-06-02 Wilk & Nakao Medical Technology, Incorporated Surgical retrieval assembly and associated method
US5336227A (en) 1991-11-05 1994-08-09 Wilk & Nakao Medical Technology Incorporated Surgical cauterization snare with polyp capturing web net
US5741271A (en) 1991-11-05 1998-04-21 Nakao; Naomi L. Surgical retrieval assembly and associated method
US5201740A (en) 1991-11-05 1993-04-13 Nakao Naomi L Surgical retrieval assembly and related method
US5486182A (en) 1991-11-05 1996-01-23 Wilk & Nakao Medical Technology Inc. Polyp retrieval assembly with separable web member
US5163942A (en) 1991-12-09 1992-11-17 Everest Medical Corporation Surgical instrument with grasping loop for laparoscopic procedures
US5366443A (en) 1992-01-07 1994-11-22 Thapliyal And Eggers Partners Method and apparatus for advancing catheters through occluded body lumens
US5281220A (en) 1992-01-13 1994-01-25 Blake Joseph W Iii Endoscopic instrument
US5327905A (en) 1992-02-14 1994-07-12 Boaz Avitall Biplanar deflectable catheter for arrhythmogenic tissue ablation
US5201743A (en) 1992-05-05 1993-04-13 Habley Medical Technology Corp. Axially extendable endoscopic surgical instrument
US5254117A (en) 1992-03-17 1993-10-19 Alton Dean Medical Multi-functional endoscopic probe apparatus
US5158561A (en) 1992-03-23 1992-10-27 Everest Medical Corporation Monopolar polypectomy snare with coagulation electrode
US5254130A (en) 1992-04-13 1993-10-19 Raychem Corporation Surgical device
US5417203A (en) 1992-04-23 1995-05-23 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5318564A (en) 1992-05-01 1994-06-07 Hemostatic Surgery Corporation Bipolar surgical snare and methods of use
US5334169A (en) 1992-05-11 1994-08-02 American Interventional Technologies, Inc. Reinforced catheter with thin monolithic walls
JP3231080B2 (en) * 1992-06-03 2001-11-19 テルモ株式会社 Catheter tube
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
CA2109980A1 (en) 1992-12-01 1994-06-02 Mir A. Imran Steerable catheter with adjustable bend location and/or radius and method
US5653690A (en) * 1992-12-30 1997-08-05 Medtronic, Inc. Catheter having a balloon with retention enhancement
US5358493A (en) 1993-02-18 1994-10-25 Scimed Life Systems, Inc. Vascular access catheter and methods for manufacture thereof
US5636634A (en) 1993-03-16 1997-06-10 Ep Technologies, Inc. Systems using guide sheaths for introducing, deploying, and stabilizing cardiac mapping and ablation probes
CA2118886C (en) * 1993-05-07 1998-12-08 Dennis Vigil Method and apparatus for dilatation of a stenotic vessel
US5386818A (en) * 1993-05-10 1995-02-07 Schneebaum; Cary W. Laparoscopic and endoscopic instrument guiding method and apparatus
US5465710A (en) 1993-05-12 1995-11-14 Machida Endoscope Co., Ltd. Endoscope
US5376094A (en) 1993-08-19 1994-12-27 Boston Scientific Corporation Improved actuating handle with pulley system for providing mechanical advantage to a surgical working element
US5404887A (en) * 1993-11-04 1995-04-11 Scimed Life Systems, Inc. Guide wire having an unsmooth exterior surface
US5501692A (en) 1994-01-28 1996-03-26 Riza; Erol D. Laparoscopic suture snare
US5406939A (en) 1994-02-14 1995-04-18 Bala; Harry Endoscope sheath
US5607404A (en) * 1994-04-11 1997-03-04 Medtronic, Inc. Low friction inner lumen
US5591202A (en) 1994-04-28 1997-01-07 Symbiosis Corporation Endoscopic instruments having low friction sheath
US5746747A (en) 1994-05-13 1998-05-05 Mckeating; John A. Polypectomy instrument
US5542948A (en) 1994-05-24 1996-08-06 Arrow Precision Products, Inc. Surgical combination inject and snare apparatus
CA2147800C (en) 1994-05-26 2006-07-11 John Charles Robertson Circular anastomosis device
DE4419894A1 (en) 1994-06-07 1995-12-14 Gip Medizin Technik Gmbh Endoscopic puncture needle with elastic catheter
JP3394327B2 (en) 1994-07-11 2003-04-07 テルモ株式会社 Tube inner surface treatment method
EP0695534B1 (en) * 1994-08-02 2001-11-07 Olympus Optical Co., Ltd. Endoscopic grasping device
US5810802A (en) 1994-08-08 1998-09-22 E.P. Technologies, Inc. Systems and methods for controlling tissue ablation using multiple temperature sensing elements
DE9418834U1 (en) 1994-11-24 1995-01-26 Wolf Gmbh Richard Injection device
US5584843A (en) 1994-12-20 1996-12-17 Boston Scientific Corporation Shaped wire multi-burr rotational ablation device
GB9425781D0 (en) * 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US5593394A (en) * 1995-01-24 1997-01-14 Kanesaka; Nozomu Shaft for a catheter system
US5556380A (en) 1995-04-05 1996-09-17 Duke University Method for removing fibrin sheaths from catheters
US5846248A (en) 1995-04-13 1998-12-08 Boston Scientific Corporation Method and apparatus for severing and capturing polyps
US5851195A (en) 1995-05-17 1998-12-22 Gill; Inderbir S. Direct percutaneous endoscopic jejunostomy method and apparatus
US5792116A (en) 1995-05-17 1998-08-11 Scimed Life Systems, Inc. Catheter having geometrically shaped surface and method of manufacture
US5647846A (en) * 1995-05-17 1997-07-15 Scimed Life Systems, Inc. Catheter having geometrically shaped surface and method of manufacture
US5769841A (en) 1995-06-13 1998-06-23 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5814052A (en) * 1995-06-29 1998-09-29 Nakao; Naomi L. Surgical cauterization snare with ligating suture
US5762631A (en) 1995-07-14 1998-06-09 Localmed, Inc. Method and system for reduced friction introduction of coaxial catheters
US5827272A (en) 1995-08-07 1998-10-27 Medtronic Cardiorhythm Simplified torquing electrode catheter
US6027460A (en) * 1995-09-14 2000-02-22 Shturman Cardiology Systems, Inc. Rotatable intravascular apparatus
JP3225835B2 (en) * 1996-03-14 2001-11-05 富士写真光機株式会社 Endoscope treatment instrument fixing mechanism
US5792044A (en) * 1996-03-22 1998-08-11 Danek Medical, Inc. Devices and methods for percutaneous surgery
US5817111A (en) 1996-03-28 1998-10-06 Riza; Erol D. Open loop suture snare
US5788710A (en) 1996-04-30 1998-08-04 Boston Scientific Corporation Calculus removal
JP3574530B2 (en) * 1996-05-13 2004-10-06 ペンタックス株式会社 Endoscope treatment tool guide
US5906621A (en) * 1996-05-14 1999-05-25 United States Endoscopy Group, Inc. Endoscopic surgical device
US5989247A (en) 1996-05-15 1999-11-23 Smith & Nephew Endoscopy Inc. Electro-surgical instrument with spline connection
US5899892A (en) 1996-05-31 1999-05-04 Scimed Life Systems, Inc. Catheter having distal fiber braid
US5993474A (en) 1996-06-11 1999-11-30 Asahi Kogaku Kogyo Kabushiki Kaisha Treatment accessory for endoscope
US6090129A (en) 1996-06-11 2000-07-18 Asahi Kogaku Kogyo Kabushiki Kaisha Treatment accessory for endoscope
US6296608B1 (en) * 1996-07-08 2001-10-02 Boston Scientific Corporation Diagnosing and performing interventional procedures on tissue in vivo
US5685822A (en) 1996-08-08 1997-11-11 Vision-Sciences, Inc. Endoscope with sheath retaining device
US5984904A (en) * 1996-08-22 1999-11-16 Bausch & Lomb Surgical, Inc. Sleeve for a surgical instrument
NL1003984C2 (en) * 1996-09-09 1998-03-10 Cordis Europ Catheter with internal stiffening bridges.
US5766217A (en) 1996-09-23 1998-06-16 Christy; William J. Surgical loop delivery device and method
US5820464A (en) 1997-01-03 1998-10-13 S.S. White Technologies Inc. Flexible shaft assembly
US5906594A (en) * 1997-01-08 1999-05-25 Symbiosis Corporation Endoscopic infusion needle having dual distal stops
DE19700605B4 (en) 1997-01-10 2007-03-29 Günter Bissinger Medizintechnik GmbH Instrument, in particular for endoscopic surgery
JP3417778B2 (en) 1997-01-17 2003-06-16 ペンタックス株式会社 Endoscope treatment tool
US5827177A (en) 1997-02-18 1998-10-27 Vision-Sciences, Inc. Endoscope sheath assembly with isolating fabric sleeve
US5984920A (en) 1997-05-09 1999-11-16 Medi-Globe Corporation Rotatable sphincterotome/papillotome and method of use
DE19730525A1 (en) 1997-07-16 1999-01-21 Berchtold Gmbh & Co Geb High frequency surgery instrument
US5951579A (en) * 1997-10-06 1999-09-14 Dykes; Ronald E. Incision guide for intra-ocular surgery
JP4121615B2 (en) 1997-10-31 2008-07-23 オリンパス株式会社 Endoscope
JP4157183B2 (en) 1998-02-17 2008-09-24 オリンパス株式会社 Endoscopic treatment tool
JPH11309153A (en) * 1998-04-30 1999-11-09 和郎 ▲高▼野 Treatment implement for endoscope
JP3244660B2 (en) 1998-08-17 2002-01-07 旭光学工業株式会社 Endoscope treatment tool
JP3684085B2 (en) 1998-09-02 2005-08-17 ペンタックス株式会社 Endoscopic wire loop treatment tool
JP2000083963A (en) * 1998-09-14 2000-03-28 Asahi Optical Co Ltd Snare for endoscope
US6050995A (en) 1998-09-24 2000-04-18 Scimed Lifesystems, Inc. Polypectomy snare with multiple bipolar electrodes
US6074408A (en) 1998-10-13 2000-06-13 Freeman; Kenneth V. Modular medical instrument and method of using same
JP2000139933A (en) 1998-11-05 2000-05-23 Asahi Optical Co Ltd Treatment tool for endoscope
US6234958B1 (en) * 1998-11-30 2001-05-22 Medical Access Systems, Llc Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same
US6015415A (en) 1999-03-09 2000-01-18 General Science And Technology Polypectomy snare instrument
US6517539B1 (en) * 1999-08-06 2003-02-11 Scimed Life Systems, Inc. Polypectomy snare having ability to actuate through tortuous path
US6235026B1 (en) * 1999-08-06 2001-05-22 Scimed Life Systems, Inc. Polypectomy snare instrument
US6454702B1 (en) 1999-10-14 2002-09-24 Scimed Life Systems, Inc. Endoscope and endoscopic instrument system having reduced backlash when moving the endoscopic instrument within a working channel of the endoscope
US6537205B1 (en) * 1999-10-14 2003-03-25 Scimed Life Systems, Inc. Endoscopic instrument system having reduced backlash control wire action
US6409727B1 (en) * 1999-10-15 2002-06-25 Scimed Life Systems, Inc. Multifilar flexible rotary shaft and medical instruments incorporating the same
US7160247B2 (en) * 2004-05-12 2007-01-09 Linvatec Corporation Endoscope with large diameter distal end
DE102005010834A1 (en) 2005-03-07 2006-09-14 Südzucker AG Mannheim/Ochsenfurt Isomaltulose in cereal products

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US20030004400A1 (en) 2003-01-02

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