WO1999033392A1 - Sonde deformable avec detection automatique de la position de ladite sonde - Google Patents
Sonde deformable avec detection automatique de la position de ladite sonde Download PDFInfo
- Publication number
- WO1999033392A1 WO1999033392A1 PCT/AT1998/000320 AT9800320W WO9933392A1 WO 1999033392 A1 WO1999033392 A1 WO 1999033392A1 AT 9800320 W AT9800320 W AT 9800320W WO 9933392 A1 WO9933392 A1 WO 9933392A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- probe
- sensors
- probe according
- deformation
- computer
- Prior art date
Links
- 239000000523 sample Substances 0.000 title claims abstract description 111
- 238000001514 detection method Methods 0.000 title description 2
- 239000004033 plastic Substances 0.000 claims description 4
- 239000012528 membrane Substances 0.000 claims 2
- 239000000203 mixture Substances 0.000 claims 1
- 238000004364 calculation method Methods 0.000 abstract description 3
- 239000000463 material Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 210000000936 intestine Anatomy 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 241000973887 Takayama Species 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 238000013528 artificial neural network Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 238000002052 colonoscopy Methods 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000012067 mathematical method Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 210000000663 muscle cell Anatomy 0.000 description 1
- 230000008855 peristalsis Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 238000004073 vulcanization Methods 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
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
- A61B1/31—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
- 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
- A61B1/00002—Operational features of endoscopes
- A61B1/00057—Operational features of endoscopes provided with means for testing or calibration
-
- 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
- A61B1/009—Flexible endoscopes with bending or curvature detection of the insertion part
-
- 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
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/03—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
- A61B5/036—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
-
- 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 diagnostic devices 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
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
Definitions
- FR 2 732 225 AI (MAZARS) describes a probe that automatically inserts into the hollow body.
- this probe is equipped with bimetallic lamellae or with piezo elements and divided into individual segments, which deform independently of one another, in the same way as the foremost segment specified for the subsequent segments. This is dangerous and not feasible because it would presuppose that the cavity examined did not undergo any natural deformation during the entire examination period. This is not the case in the case of the intestine, since the intestine is equipped with muscle cells and has natural movement due to the peristalsis. This cannot be detected with the device described.
- WO 95/04556 (ACTIVE CONTROL) describes a cardiac catheter, the deformation of which is observed on the X-ray screen, it being possible for piezoelectric elements to produce difficult curvatures which cannot be accomplished with conventional cable pulls.
- EP 0 077 526 A2 (OLYMPUS) describes a servo device for operating an endoscope, the manual rotation of the operating levers being detected by stretching a piezoelectric rubber, as a result of which the servo device is controlled.
- the device cannot detect the position of the probe.
- TKAYAMA the bending of the control head of an endoscope is brought about by an alloy which, when heated, reaches a defined angle. This saves the cables for the endoscope, but the deformation of the probe cannot be detected.
- the object of the present invention is to avoid the disadvantages shown and to create a probe which allows the position of a cavity or a probe (for example an endoscope) which is inserted into this cavity to be recognized from the outside with any loops and loops .
- this object is achieved in that a plurality of deformation sensors are attached over the length of the probe, these sensors either transmitting their signals via electrical lines or by radio to a computer which calculates the exact deformation and position of the probe from the signals of the individual sensors .
- These deformation sensors can either transmit the curvature of the probe to the examining person via electrical lines or also wirelessly, a screen preferably being offered on which the position of the probe with all its windings and loops is displayed.
- Either strain gauges or piezoelectric elements which are distributed over the length of the probe and are attached to the probe, are preferably used as sensors. These strain gauges or piezoelectric elements are connected to a computer outside the body via wires. This computer can preferably graphically display the exact position and curvature of the probe on the screen. The number of sensors required results from the minimum radius of curvature, i.e. from the steepness of the device. The smaller the radius of curvature and the more flexible the device, the more sensors are necessary over the course.
- a flexible probe which can remain in the device during the entire examination process, is preferably inserted into a possible cavity of the probe (eg working channel of an endoscope).
- the outer diameter of this probe is through the Given the diameter of the cavity of the outer probe and is, for example, normally 3 mm for the endoscope.
- This probe is preferably manufactured in such a way that the piezoelectric elements or the strain gauges are completed with the electrical connections and then a thin plastic or rubber skin is placed over the sensors in a vulcanization, shrinking or spraying process. A smooth surface of the device can then be achieved.
- a multiplex circuit is also suitable, with which the sensors are linked to one another, and as is well known from the literature. This means that up to x * (x-l) / 2 sensors can be supplied from x electrical lines (e.g. 28 sensors from 8 lines).
- sensors strain gauges or piezoelectric elements
- the signals from the sensors must indicate the curvature of the probe in three-dimensional space, whereby two sensors offset by approx. 90 degrees from the circumference of the device are sufficient to calculate a three-dimensional deformation.
- sensors are also suitable that can record deformation in more than one plane. In this case, only one sensor would have to be distributed over the respective length of the probe.
- AD converters For the computing process, it is favorable to transmit the analog signals of the individual sensors to the computer in a known manner via AD converters.
- FIG. 1 shows a probe according to the invention
- FIG. 2 shows a section of the probe in the area of the deformation sensors
- FIG. 3 shows a phantom for calibrating the probe
- FIG. 4 shows a circuit diagram (multiplex circuit) for the measurement value acquisition.
- FIG. 1 shows a probe 1 which contains the electrical leads 3 of the deformation sensors 4 in its inner lumen 2. Since the deformation of the probe 1 can be very strong, but the deformation sensors 4 are only slightly expandable, it can be advantageous that the deformation sensors 4 are applied to a rigid medium which has essentially a similar deformability as the sensors themselves Fig. 1 is used as a rigid medium, for example, a short hollow plastic body 5, which is informed of the deformation by the outer probe 1. This hollow plastic body 5 must accordingly be kept short so as not to endanger the deformability of the entire probe.
- the feed lines 3 are connected to a computer 9, which calculates the deformation from the signals from the deformation sensors 4 distributed over the length of the probe 1 and advantageously displays them in three dimensions on the screen 10.
- the probe 1 can be cleaned or washed in the usual manner after use, provision is made for the electrical supply lines 3 to the computer 9 to end in a plug 11, for example, which can be closed with a tight cover 12 or is automatically closed when the computer 9 is removed.
- the examiner knows which part of the probe 1 has already been inserted into the living body, preferably only the inserted part of the probe 1 should be displayed on the screen 10.
- the examiner could only enter the length of the part of the inserted probe 1 into the computer.
- a spacer (not shown) could be attached to the opening of the hollow body, which detects the length of the inserted probe 1. This could be, for example, a mechanical or electronic motion sensor.
- it could prove useful to display the sections of the probe 1 on the screen 10 at equidistant intervals with an indication of cm.
- the wire 8 shown in FIG. 1 is connected to a soft deformable material 13 (for example soft rubber) at the tip of the probe, the wire 8 stretching this deformable material when it is advanced and thus reducing the diameter and shortening the deformable material when it is withdrawn, so that the probe tip can be fixed in the desired position in the cavity of the outer probe (not shown).
- a soft deformable material 13 for example soft rubber
- two deformation sensors 4a and 4b in the example shown strain gauges 4a and 4b, are attached offset by approximately 90 ° to the circumference of the hollow body 5 in order to be able to detect the deformation of the probe 1 in three-dimensional space .
- a third deformation sensor 4c offset by approximately 135 ° from the other two deformation sensors 4a and 4b in order to compensate for fluctuations in measured values.
- the circuit diagram for the measured value acquisition is an analog multiplex circuit.
- the resistance of the strain gauges 4a, 4b, 4c is advantageously determined using the 4-wire measurement method.
- the measuring current is kept low in accordance with the medical regulations (e.g. EN 60-601-1), e.g. in the order of 400 ⁇ A.
- the measuring current is advantageously kept as an alternating current in a medical application, the frequency being approximately 40 kHz.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Optics & Photonics (AREA)
- Robotics (AREA)
- Hematology (AREA)
- Human Computer Interaction (AREA)
- Endoscopes (AREA)
Abstract
L'invention concerne une sonde déformable (1) pouvant être placée dans des cavités ou dans des milieux impossibles à examiner. Ladite sonde présente plusieurs détecteurs de déformation et de torsion (4, 7) répartis sur sa longueur. Les lignes d'alimentation (3) sont guidées vers l'extérieur de préférence dans des circuits de multiplexage et sont raccordées à un ordinateur (9). Le calcul de la déformation et de la position de la sonde s'effectue au moyen d'un procédé de calcul itératif différentiel, et la position de la sonde est affichée sur un écran (10).
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ATA2190/97 | 1997-12-29 | ||
| AT219097 | 1997-12-29 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1999033392A1 true WO1999033392A1 (fr) | 1999-07-08 |
Family
ID=3529644
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/AT1998/000320 WO1999033392A1 (fr) | 1997-12-29 | 1998-12-23 | Sonde deformable avec detection automatique de la position de ladite sonde |
Country Status (1)
| Country | Link |
|---|---|
| WO (1) | WO1999033392A1 (fr) |
Cited By (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6517477B1 (en) | 2000-01-27 | 2003-02-11 | Scimed Life Systems, Inc. | Catheter introducer system for exploration of body cavities |
| EP1530943A1 (fr) * | 2000-04-03 | 2005-05-18 | Neoguide Systems, Inc. | Endoscope orientable et méthode ameliorée d'insertion |
| WO2005084542A1 (fr) * | 2004-03-04 | 2005-09-15 | Agency For Science, Technology And Research | Appareil pour actes medicaux et ou simulation |
| US6974411B2 (en) | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
| US7172552B2 (en) | 2000-01-27 | 2007-02-06 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| WO2008094949A2 (fr) | 2007-01-29 | 2008-08-07 | Neoguide Systems, Inc. | Procédés et appareils pour utiliser un détecteur de forme avec des instruments commandables |
| EP2064984A3 (fr) * | 2007-11-29 | 2009-09-02 | Olympus Medical Systems Corporation | Système de dispositif thérapeutique et système de manipulateur |
| US8083879B2 (en) | 2005-11-23 | 2011-12-27 | Intuitive Surgical Operations, Inc. | Non-metallic, multi-strand control cable for steerable instruments |
| US8182418B2 (en) | 2008-02-25 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Systems and methods for articulating an elongate body |
| US8361090B2 (en) | 2002-01-09 | 2013-01-29 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
| US8517923B2 (en) | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
| US8568299B2 (en) | 2006-05-19 | 2013-10-29 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
| US8721530B2 (en) | 2000-04-03 | 2014-05-13 | Intuitive Surgical Operations, Inc. | Tendon-driven endoscope and methods of use |
| US8758232B2 (en) | 2008-06-30 | 2014-06-24 | Oliver Crispin Robotics Limited | Robotic arm |
| WO2014110118A1 (fr) * | 2013-01-10 | 2014-07-17 | Ohio University | Procédé et dispositif d'évaluation d'une opération de coloscopie |
| US8845524B2 (en) | 2000-04-03 | 2014-09-30 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
| US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
| US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US9220398B2 (en) | 2007-10-11 | 2015-12-29 | Intuitive Surgical Operations, Inc. | System for managing Bowden cables in articulating instruments |
| CN105283115A (zh) * | 2013-05-29 | 2016-01-27 | 奥林巴斯株式会社 | 校正辅助装置、弯曲系统及校正方法 |
| EP3031385A4 (fr) * | 2013-08-06 | 2017-03-22 | Olympus Corporation | Système d'introduction et procédé pour ajuster des caractéristiques de détection de forme d'un capteur de forme |
| US10512392B2 (en) | 2008-02-06 | 2019-12-24 | Intuitive Surgical Operations, Inc. | Segmented instrument having braking capabilities |
| US11096563B2 (en) | 2005-11-22 | 2021-08-24 | Intuitive Surgical Operations, Inc. | Method of determining the shape of a bendable instrument |
| US20220322917A1 (en) * | 2020-03-10 | 2022-10-13 | Hoya Corporation | Endoscope processor, endoscope, and endoscope system |
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|---|---|---|---|---|
| US3643653A (en) * | 1968-12-24 | 1972-02-22 | Olympus Optical Co | Endoscopic apparatus |
| US4366810A (en) * | 1980-08-28 | 1983-01-04 | Slanetz Jr Charles A | Tactile control device for a remote sensing device |
| EP0077526A2 (fr) | 1981-10-15 | 1983-04-27 | Olympus Optical Co., Ltd. | Système endoscopique à articulation commandé électriquement |
| US4873990A (en) * | 1988-09-23 | 1989-10-17 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Circumferential pressure probe |
| EP0342249A1 (fr) * | 1988-05-14 | 1989-11-23 | Hewlett-Packard GmbH | Moniteur de la pression sanguine |
| US4899731A (en) | 1986-10-16 | 1990-02-13 | Olympus Optical Co., Ltd. | Endoscope |
| US4930494A (en) | 1988-03-09 | 1990-06-05 | Olympus Optical Co., Ltd. | Apparatus for bending an insertion section of an endoscope using a shape memory alloy |
| US5060632A (en) * | 1989-09-05 | 1991-10-29 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| WO1995004556A2 (fr) | 1993-07-28 | 1995-02-16 | Active Control Experts, Inc. | Dispositif de catheterisme telecommande |
| FR2732225A1 (fr) | 1995-03-27 | 1996-10-04 | Mazars Paul | Catheter a deformation pilotee |
| WO1997010746A1 (fr) * | 1995-09-20 | 1997-03-27 | University Of Wales College Of Medicine | Mesure de l'angle ano-rectal |
| US5728044A (en) * | 1995-03-10 | 1998-03-17 | Shan; Yansong | Sensor device for spacial imaging of endoscopes |
-
1998
- 1998-12-23 WO PCT/AT1998/000320 patent/WO1999033392A1/fr active Application Filing
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3643653A (en) * | 1968-12-24 | 1972-02-22 | Olympus Optical Co | Endoscopic apparatus |
| US4366810A (en) * | 1980-08-28 | 1983-01-04 | Slanetz Jr Charles A | Tactile control device for a remote sensing device |
| EP0077526A2 (fr) | 1981-10-15 | 1983-04-27 | Olympus Optical Co., Ltd. | Système endoscopique à articulation commandé électriquement |
| US4899731A (en) | 1986-10-16 | 1990-02-13 | Olympus Optical Co., Ltd. | Endoscope |
| US4930494A (en) | 1988-03-09 | 1990-06-05 | Olympus Optical Co., Ltd. | Apparatus for bending an insertion section of an endoscope using a shape memory alloy |
| EP0342249A1 (fr) * | 1988-05-14 | 1989-11-23 | Hewlett-Packard GmbH | Moniteur de la pression sanguine |
| US4873990A (en) * | 1988-09-23 | 1989-10-17 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Circumferential pressure probe |
| US5060632A (en) * | 1989-09-05 | 1991-10-29 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| WO1995004556A2 (fr) | 1993-07-28 | 1995-02-16 | Active Control Experts, Inc. | Dispositif de catheterisme telecommande |
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Cited By (60)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7699771B2 (en) | 2000-01-27 | 2010-04-20 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| US8747301B2 (en) | 2000-01-27 | 2014-06-10 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| US8602973B2 (en) | 2000-01-27 | 2013-12-10 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| US6517477B1 (en) | 2000-01-27 | 2003-02-11 | Scimed Life Systems, Inc. | Catheter introducer system for exploration of body cavities |
| US7066880B2 (en) | 2000-01-27 | 2006-06-27 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| US7172552B2 (en) | 2000-01-27 | 2007-02-06 | Boston Scientific Scimed, Inc. | Catheter introducer system for exploration of body cavities |
| US11026564B2 (en) | 2000-04-03 | 2021-06-08 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
| US6974411B2 (en) | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
| US10736490B2 (en) | 2000-04-03 | 2020-08-11 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US8834354B2 (en) | 2000-04-03 | 2014-09-16 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US8062212B2 (en) | 2000-04-03 | 2011-11-22 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US10327625B2 (en) | 2000-04-03 | 2019-06-25 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
| US10105036B2 (en) | 2000-04-03 | 2018-10-23 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US8226546B2 (en) | 2000-04-03 | 2012-07-24 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US9808140B2 (en) | 2000-04-03 | 2017-11-07 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
| US10893794B2 (en) | 2000-04-03 | 2021-01-19 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US8517923B2 (en) | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
| US9427282B2 (en) | 2000-04-03 | 2016-08-30 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
| US12076102B2 (en) | 2000-04-03 | 2024-09-03 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US9138132B2 (en) | 2000-04-03 | 2015-09-22 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US8641602B2 (en) | 2000-04-03 | 2014-02-04 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
| US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
| US8721530B2 (en) | 2000-04-03 | 2014-05-13 | Intuitive Surgical Operations, Inc. | Tendon-driven endoscope and methods of use |
| EP1530943A1 (fr) * | 2000-04-03 | 2005-05-18 | Neoguide Systems, Inc. | Endoscope orientable et méthode ameliorée d'insertion |
| US8845524B2 (en) | 2000-04-03 | 2014-09-30 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
| US8361090B2 (en) | 2002-01-09 | 2013-01-29 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
| US8696694B2 (en) | 2002-01-09 | 2014-04-15 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
| US10349816B2 (en) | 2002-01-09 | 2019-07-16 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
| US9421016B2 (en) | 2002-01-09 | 2016-08-23 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
| US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
| US9980778B2 (en) | 2003-03-07 | 2018-05-29 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
| US10959807B2 (en) | 2003-03-07 | 2021-03-30 | Intuitive Surgical Operations, Inc. | Systems and methods for determining the state of motion of an instrument |
| WO2005084542A1 (fr) * | 2004-03-04 | 2005-09-15 | Agency For Science, Technology And Research | Appareil pour actes medicaux et ou simulation |
| US11617499B2 (en) | 2005-11-22 | 2023-04-04 | Intuitive Surgical Operations, Inc. | System for determining the shape of a bendable instrument |
| US11096563B2 (en) | 2005-11-22 | 2021-08-24 | Intuitive Surgical Operations, Inc. | Method of determining the shape of a bendable instrument |
| US8083879B2 (en) | 2005-11-23 | 2011-12-27 | Intuitive Surgical Operations, Inc. | Non-metallic, multi-strand control cable for steerable instruments |
| US9357901B2 (en) | 2006-05-19 | 2016-06-07 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
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