A medical tool includes, a deflectable distal end, at least a pull wire, and a coupling element. The at least pull wire has a first end coupled to the distal end of the medical tool, and configured to be moved for deflecting the distal end. The coupling element is coupled to a second end of the pull wire and having at least two boreholes configured to receive at least two respective rods traversing therethrough. The coupling element is configured to be moved along a rotation axis of a rotatable element coupled thereto, and the boreholes and the respective rods are configured to prevent rotation of the coupling element.

A medical system may include an insertion device having a handle, a shaft coupled to the handle of the insertion device, and a port positioned on the handle of the insertion device. The port may be in fluid communication with a working channel of the shaft. The port may be a female luer port. The medical system may further include a medical device having a control member terminating in an end effector, a handle having a plurality of circumferential slots along the length of the handle, and a plunger moveable along a longitudinal axis of the handle of the medical device between a first position and a second position. In the first position, the end effector may be positioned within the shaft, and in the second position, the end effector may be positioned distally of the shaft.

Provided herein are expandable devices, rail systems, and motorized devices. In one embodiment, an expandable device comprises an expandable sac having a tool housed therein. The expandable device is optionally configured for operation while inside a body cavity. The expandable device optionally comprises at least one rail in the sac, and at least one railed device coupled to the rail for movement there on. Movement of the railed device on the rail is provided by, for example, a motor such as an electromagnetic motor or an inch-worm type motor. Expandable devices can be used, for example, to perform minimally invasive medical procedures requiring access to a body cavity. Expandable devices can also be used, for example, to provide safe and stable transport of instruments to the body cavity.

A surgical instrument (10), comprising: a surgical execution component (100), a linkage part (200), and a manipulation component (300), the distal end of the linkage part (200) being connected to the surgical execution component (100) and the proximal end of the linkage part (200) being connected to the manipulation component (300). The surgical instrument (10) uses the linkage part (200) having two rotational degrees of freedom, such that when the manipulation component (300) drives, by means of the linkage part (200), the surgical execution component (100) to rotate at a fifth rotational degree of freedom (R5) and/or a sixth rotational degree of freedom (R6), the swing directions of the surgical execution component (100) and the manipulation component (300) at a first rotational degree of freedom (R1) and a second rotational degree of freedom (R2) are consistent. Therefore, the surgical instruction (10) implements technical effects of improving the moving direction accuracy of the surgical execution component (100), improving the accuracy of the action of the surgical instruction (10), and facilitating surgical operations.

A surgical instrument includes a shaft, an end effector, and an articulation mechanism. The end effector is movable between a first position where the end effector is aligned with a longitudinal axis of the shaft, and a second position where the end effector is disposed at an angled relative to the longitudinal axis. The articulation mechanism includes a proximal gear disposed in mechanical cooperation with the shaft, a distal gear disposed in mechanical cooperation with the end effector, a first lateral gear disposed in contact with the proximal gear and the distal gear, and a second lateral gear disposed in contact with the proximal gear and the distal gear.

A steerable guide catheter includes a tip ring at a distal end and one or more pullwires configured to engage with the tip ring when put in tension, the pullwire(s) thereby subjecting the steerable guide catheter to a curving or turning force. The tip ring includes a saddle and one or more pullwire channels allowing the pullwire to be looped over the saddle such that when the pullwire is placed under tension, it abuts against the saddle of the tip ring. Some embodiments include additional catheters axially aligned within or outside of the steerable guide catheter, and include a keying feature aligning the rotation of the multiple catheters. The keys of the keying feature can be formed of a polyamide with a glass microsphere filler, and can be thermally welded to the catheter.

A steerable transseptal punch system and method of using the steerable transseptal punch system to access the left atrium.

The invention relates to a control element for an endoscopic device (A) with a retainer; at least one control wire, which can be moved back and forth in the longitudinal direction of the wire, for control purposes on the endoscopic device (A); a control wire tensioning element guided in the retainer, wherein the control wire is mounted in the control wire tensioning element; and a displacement force application device supported on the retainer, by means of the displacement force application device the control wire tensioning element can be moved relative to the retainer, in order to effect fine adjustment of the control wire. The invention further relates to a control element for an endoscopic device (A), having a housing element with a guide; at least one control wire for control purposes with the endoscopic device (A); a lever element, which can be displaced in the longitudinal direction of the housing element on the guide of the housing element, with the at least one control wire being anchored on the lever element. The anchoring location of the control wire in the lever element is eccentric to the displacement path of the lever element on the guide of the housing element.

A steerable transseptal punch system and method of using the steerable transseptal punch system to access the left atrium.

A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.