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167 results about "Endoscopic manipulation" patented technology

Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy

The present invention relates to methods and devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and similar procedures are accomplished by advancing the device into an endoscope / duodenoscope so that the distal tip of the device exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the device to the desired position for proper cannulation of the duct. Due to inconsistencies in, for example, the sphincterotome, anatomy, and endoscope manipulation, it is difficult to accurately and consistently position the sphincterotome for proper cannulation. The steerable sphincterotome of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to the present invention, the handle to which the cutting wire is attached is freely rotatable relative to the catheter. The handle, secured to the cutting wire but rotatable relative to the shaft of the catheter, provides a mechanism to rotate the wire, transmitting the force to rotate the device tip. With the handle rotating independently of the shaft at the proximal end, the force can be applied directly to the distal tip without twisting the entire shaft. Also a rotation lock to maintain the orientation of the tip and / or a rotation marking, to indicate the amount of rotation may be included.
Owner:BOSTON SCI SCIMED INC

Method and system for guiding operation of electronic endoscope by auxiliary computer

The invention discloses a method and a system for introducing an electronic endoscope into operation with the assistance of a computer. The system comprises an electronic endoscope system, a space orientation system used for tracking a position and a direction of the probe head of the endoscope, an image workstation used for producing a planar or three-dimensional image of a surgery area of a patient according to an input image and blending and displaying an image of the probe head of the endoscope and the planar or three-dimensional image by connecting with the space orientation system, and auxiliary image orientation and processing software. The system tracks the position and the direction of the probe head of the endoscope through a space track technology and a computerized image processing technology, so that by combing the planar image with the image of the endoscope with the assistance of images as CT or X-ray pictures, a doctor can not only see the planar image captured by the probe head of the endoscope, but also see the position of the probe head of the endoscope and the conditions of the peripheral tissue. Therefore, the doctor can fully control the comparative position of the probe head of the endoscope in the body, thereby improving the quality of endoscope surgery and shortening the time of a surgery.
Owner:SHENZHEN GRADUATE SCHOOL TSINGHUA UNIV

Method and apparatus for measuring and controlling blade depth of a tissue cutting apparatus in an endoscopic catheter

InactiveUS20030060842A1Surgical needlesDiagnostic markersPrecut sphincterotomyCommon bile duct dilatation
According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and/or sphincterotomy of the Papilla of Vater and/or the Sphincter of Oddi is accomplished by advancing a sphincterotome (or papillotome or cannulotome) into an endoscope/duodenoscope so that the distal tip of the sphincterotome exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the sphincterotome to the desired position for proper cannulation of the duct. Accurate and consistent control of the length of the exposed blade is made difficult due to a number of factors. These factors include: 1) differences in the inside diameters of the outer tube and the needle knife wire, 2) the orientation of the needle knife wire within the outer tube, 3) the mismatch of tolerance of the needle knife wire and the inside diameter of the extrusion, 4) anatomy, and 5) endoscope manipulation. A sphincterotome incorporating the present invention will provide the user with an indication of the exposed blade length and will allow the physician to control the length of the exposed blade. According to one embodiment of the present invention, various visual indications are presented to the user as the needle knife is advanced from its outer sheath. These visual indications, combined with a mechanical method to hold the knife in position during catheter placement allows the user to perform precise incisions. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
Owner:BOSTON SCI SCIMED INC

Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy

The present invention relates to methods and devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and similar procedures are accomplished by advancing the device into an endoscope / duodenoscope so that the distal tip of the device exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the device to the desired position for proper cannulation of the duct. Due to inconsistencies in, for example, the sphincterotome, anatomy, and endoscope manipulation, it is difficult to accurately and consistently position the sphincterotome for proper cannulation. The steerable sphincterotome of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to the present invention, the handle to which the cutting wire is attached is freely rotatable relative to the catheter. The handle, secured to the cutting wire but rotatable relative to the shaft of the catheter, provides a mechanism to rotate the wire, transmitting the force to rotate the device tip. With the handle rotating independently of the shaft at the proximal end, the force can be applied directly to the distal tip without twisting the entire shaft. Also a rotation lock to maintain the orientation of the tip and / or a rotation marking, to indicate the amount of rotation may be included.
Owner:BOSTON SCI SCIMED INC

Method and Apparatus for Measuring and Controlling Blade Depth of a Tissue Cutting Apparatus in an Endoscopic Catheter

InactiveUS20090005637A1Precise depth controlProviding resistance to movementSurgical needlesEndoscopesPrecut sphincterotomyCommon bile duct dilatation
According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and / or sphincterotomy of the Papilla of Vater and / or the Sphincter of Oddi is accomplished by advancing a sphincterotome (or papillotome or cannulotome) into an endoscope / duodenoscope so that the distal tip of the sphincterotome exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the sphincterotome to the desired position for proper cannulation of the duct. Accurate and consistent control of the length of the exposed blade is made difficult due to a number of factors. These factors include: 1) differences in the inside diameters of the outer tube and the needle knife wire, 2) the orientation of the needle knife wire within the outer tube, 3) the mismatch of tolerance of the needle knife wire and the inside diameter of the extrusion, 4) anatomy, and 5) endoscope manipulation. A sphincterotome incorporating the present invention will provide the user with an indication of the exposed blade length and will allow the physician to control the length of the exposed blade. According to one embodiment of the present invention, various visual indications are presented to the user as the needle knife is advanced from its outer sheath. These visual indications, combined with a mechanical method to hold the knife in position during catheter placement allows the user to perform precise incisions. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
Owner:SCI MED LIFE SYST
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