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Cardiac tissue ablation instrument with flexible wrist

InactiveUS20060199999A1Promotes convenient, simplified manufacturing and assembly processesShorten the counting processEndoscopesSurgical manipulatorsWristInstrumentation
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.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Cardiac Tissue Ablation Instrument with Flexible Wrist

InactiveUS20110028991A1Promotes convenient, simplified manufacturing and assembly processesShorten the counting processEndoscopesSurgical manipulatorsInstrumentationWrist
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.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Device for determining position

An arrangement for determining position and fixation of an element in a vertical direction and a transverse direction in relation to a part in or on a bone or a model of a bone. A sleeve includes an inner surface. An expansion spacer extends through the sleeve and includes an outer sleeve engaging surface and an inner conical expansion surface. The expansion spacer includes a first flange configured to engage a first end of the sleeve and a second flange configured to engage a second end of the sleeve when the expansion spacer is expanded to vertically fix the expansion spacer with respect to the sleeve. An expansion screw extends through the expansion spacer and includes an outer conical expansion surface configured to cooperate with the inner conical expansion surface on the expansion spacer to radially expand the expansion spacer causing the outer sleeve engaging surface on the expansion spacer to engage the inner surface of the sleeve, thereby determining the position of the sleeve relative to the part and fixing the sleeve causing the expansion spacer to engage the sleeve. Radial expansion of the expansion spacer causes an outer surface of the expansion spacer to be positioned substantially parallel to the inner surface of the sleeve. An assembly template is configured to be arranged on soft tissue overlying the bone and includes a through hole extending therethrough, wherein the sleeve is arranged in the through hole.
Owner:NOBEL BIOCARE SERVICES AG
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