An intracardiac echocardiography (“ICE”) catheter handle, including a housing having a longitudinal axis, the housing having a proximal end and a distal end. A first actuator can be positioned on a first portion of the housing in a plane aligned with the longitudinal axis, the first actuator coupled to a first controller, the first actuator and first controller configured to control a catheter coupled to the first controller in a first direction and a second direction in the first plane. A second actuator can be positioned on a second portion of the housing in a second plane aligned with the longitudinal axis, the second actuator coupled to a second controller, the second actuator and second controller configured to control a catheter coupled to the second controller in a third direction and a fourth direction in the second plane, wherein first plane is aligned orthogonally to the second plane.

A catheter includes a catheter shaft, an operating portion coupled to a proximal end portion of the catheter shaft, and at least one operating wire. A distal end portion of each operating wire is fixed to a distal end portion of the catheter shaft, and a proximal end portion of each operating wire is fixed to the operating portion or the proximal end portion of the catheter shaft. The operating portion includes a first rotary member. The first rotary member makes relative rotation with respect to the catheter shaft around an axis parallel to an extending direction of the proximal end portion of the catheter shaft to change a tensile force of the operating wire and thus change a degree of bending of the distal end portion of the catheter shaft.

A medical device control handle or catheter includes deflection assembly and at least one of the following: a disk actuator, a lever actuator and a ring actuator for actuating additional puller wires in manipulation of multiple features of the medical device or catheter independently of each other. The disk actuator has a common rotational axis with but is rotationally independent of the deflection assembly. The lever actuator has a separate rotational axis. The ring is mounted outside of the control handle and rotatable relative to the control handle to actuate another puller wire for manipulating another feature of the catheter. Each of the disk, lever and ring actuators are of a design that allows existing control handles and catheters to be readily modified to include these actuators.

A steerable medical device, such as an endoscope of an endoscopic system, including a handle and an elongate shaft extending distally from the handle to a distal tip, a motor control assembly including a motor control housing configured to detachably interface with the handle, wherein the motor control assembly includes a first motor disposed within the motor control housing and a first gear assembly disposed within the motor control housing, and a first drive axle configured to engage the first gear assembly with a first deflection mechanism disposed within the handle, the first deflection mechanism being configured to deflect the distal tip in a first plane.

An implant delivery system includes a catheter, an implant, and a push body. The catheter extends from a first proximal end to a first distal end. The catheter defines an inner lumen extending through the first distal end. The implant includes a second proximal, a second distal end, and a plurality of resilient barbs. The implant is slidably housed within the inner lumen. The implant is compressed in the inner lumen such that the implant bears against an inner diameter of the inner lumen and the implant is retained within the inner lumen by friction. The push body is slidably housed within the inner lumen of the catheter. The push body is adjacent to the second proximal end of the implant.

A catheter having a multilumenal tube surrounded by a slotted hypotube is provided. The catheter has a tube holder that houses the multilumenal tubing and slidably engages the hypotube, and has internal passages configured to receive one of more tubes from the multilumenal tube. The multilumenal tubing separates into one or more tubings, each comprising a lumen, such that the tubings exit the tube holder at different locations. The slotted hypotube slidably engages a key in the tube holder that prevents the multilumenal tubing from rotating relative to the tube holder and the one of more tubings that separate from the multilumenal tubing. Advantages provided by the slotted hypotube/tube holder assembly are described.

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.

Intravascular catheters that include a handle assembly with first and second handle actuators, where the actuators are adapted to separately control inner and outer catheter shafts in at least one of axial displacement, deflection, or rotation. The catheters may also include a medical tool secured to the outer shaft.

A medical system comprising a first device comprising a first handle and a first shaft extending distally from the first handle, wherein the first handle includes a first actuator, a second device comprising a second handle and a second shaft extending distally from the second handle, wherein the second handle includes a second actuator, and a fixture coupling the first device to the second device, wherein a center of the first actuator is within 4.5 inches of a center of the second actuator, and wherein the fixture couples the first device to the second device so that the first handle is configured to be held in a first hand of an operator, while a second hand of the operator traverses between use of the first actuator and the second actuator.

A sheath assembly for use with an endoscope and an endoscope that includes the sheath assembly. The sheath assembly can include an elongate tubular sheath configured to thread onto a shaft of the endoscope. The sheath can include a pliable segment at a distal end of the sheath, and a tensile filament extends along a circumference of the pliable segment. The tensile filament can form a cinching loop at a distal end of the pliable segment. The sheath can be displaceable along the endoscope between a retracted position and an extended position. The pliable segment can extend distally beyond a distal end of the endoscope to form a chamber, and proximal displacement of the tensile filament tightens the cinching loop to convert the chamber from an open configuration to a closed configuration.