A sliding motion transfer member (22) for the kinematic chain of an actuator mechanism of an endoscope. The sliding motion transfer member (22) has a proximal end and a distal end (21). The sliding motion transfer member (22) is adapted to receive motion activation input and to move in a sliding manner in response to said motion activation input, thereby transferring motion to an elongate motion transmission member (27) extending from the distal end (21) of the sliding motion transfer member (20). The sliding motion transfer member (22) comprises a first passage (36) adapted for receiving a proximal section of said elongate motion transmission member (20) and an adhesive.

The embodiments described herein relate to a self-positioning, quick-deployment low profile transvenous electrode system for sequentially pacing both the atrium and ventricle of the heart in the “dual chamber” mode, and methods for deploying the same.

A septal cross system is provided for a cerclage procedure for treating dysfunctional heart. The cerclage septal cross system includes a puncture catheter and a capture catheter. The puncture catheter a puncture catheter comprises a first lumen for a guidewire to be inserted thereinto. A coil element is arranged in the distal portion of the puncture catheter. The distal end of the pull-wire is attached to the distal portion of the coil element. The proximal end of the pull-wire is extended to the distal portion of the puncture catheter. The pull-wire is configured to bend inwardly the distal portion of the puncture catheter. A capture catheter comprises a first lumen for a first guidewire to be inserted thereinto and a second lumen for a second guidewire to be inserted thereinto. The distal end of the second wire has a snare wherein the distal portion is deflectable.

A medical apparatus system (1000) is provided, including a medical apparatus (100) and a fixing plate (900) for fixing the medical apparatus (100). A fixing member (901, 902, 903, 1003, 1004) is formed by cutting along a trajectory (904) on the fixing plate (900); the fixing member (901, 902, 903, 1003, 1004) includes a free end (908, 9031, 10032, 10042) and a connection end (907, 9035, 10031, 10041); the connection end (907, 9035, 10031, 10041) is connected to a fixing plate body (990); the free end (908, 9031, 10032, 10042) can protrude from a plane at which the fixing plate body (990) is located. The fixing member (901, 902, 903, 1003, 1004) can surround an outer surface of the medical apparatus (100) to fix the medical apparatus (100); or the medical apparatus (100) can pass through the fixing member (901, 902, 903, 1003, 1004) and be fixed. The trajectory (904) includes a starting end (905, 1007) and a terminating end (906, 1008). When an outer contour of the fixing member (901, 902, 903, 1001, 1002, 1005, 1006) overlaps the trajectory of the fixing member on the fixing plate, the starting end (905, 1007) rotates outwardly or inwardly with respect to the fixing member (901, 902, 903, 1001, 1002, 1005, 1006) to form a first arc; and the terminating end (906, 1008) rotates outwardly or inwardly with respect to the fixing member (901, 902, 903, 1001, 1002, 1005, 1006) to form a second, arc. The stability of the medical apparatus system (1000) can be ensured under the action of an external force to the medical apparatus system (1000) during transportation.

An instrument driver comprises opposing rotatable gripping pads. Each of the gripping pads includes an outer circular rim and a center hub. The pads are configured for applying a gripping force to an elongated member. The instrument driver further comprises shafts affixed to the center hubs, and a driver assembly configured for rotating at least one of the shafts, thereby causing the pads to rotate in opposite directions to linearly translate the gripped member. Each of the pads further includes a framework for partially collapsing in response to the gripping force, such that portions of the rims flatten to contact each other. Each rim has a concave gripping surface in order to facilitate vertical centering of the member between the pads. Each of the pads further includes a pair of upper and lower sprockets for interlacing with each other to prevent the elongated member from slipping out between the pads.

The endoscope herein described has a unique steering capability allowing the highly flexible distal end of the shaft of the device to be moved to a full range angular positions without rotating the device on its long axis, thus enabling the device to be steered within the cavity of interest. The relative lengths of the control cables used to move the distal end of the bendable shaft can be changed whenever the flexible or malleable shaft is to be re-shaped to a new configuration thus preventing the distal end or the steering mechanism from assuming an undesired angular position. When used as an endotracheal device, a novel tongue retractor is described which forms an internal conduit, allowing passage of the bendable shaft of the endotracheal intubation device and an endotracheal tube therethrough. Methods for performing a tracheal intubation and changing the relative lengths of the cables are disclosed.

A catheter has a body including a proximal region, a neck region, and a distal region. A shaping wire is disposed within the distal region to predispose it into at least a partial loop, which may have a fixed or variable radius of curvature. The shaping wire includes a distal portion having a circular transverse cross-sectional shape and a proximal portion having a non-circular (e.g., rectangular) transverse cross-sectional shape. The proximal portion of the shaping wire can have a width-to-thickness ratio of at least about 4, such as about 4.67. A transition portion can promote a gradual transition from the circular to the non-circular transverse cross-sectional shape, for example by increasing a width of the shaping wire by about 0.001″ and/or by decreasing a thickness of the shaping wire by about 0.001″ for every about 0.004″ in length through the transition portion.

An aspiration catheter useful for intracranial thrombus removal is described, along with methods of using the same. The aspiration catheter includes an adjustable tip having sides that are adjustable by an operator through the use of pull wires that extend along, and protrude from, the aspiration catheter.

An intraluminal guide wire may include an elongated shaft extending between a distal and a proximal end. The guide wire may include a user actuation segment positioned proximal to the proximal end of the shaft and configured for movement relative to the shaft. The guide wire may include a core wire affixed to the user actuation segment and the distal end of the shaft. The guide wire may also include an inner member having a proximal end situated at least partially within and fixed relative to the user actuation segment and a distal end situated partially within the shaft, the core wire passing through the inner member. The guide wire may be configured with a distal segment of the inner member within the shaft exhibiting a friction-based restraint on movement within the shaft. The friction-based restraint on movement may be a frictional force between the inner member and the shaft.

A guiding device is provided. An implantable apparatus includes a member to be anchored. A position-limiting wire is detachably connected to the implantable apparatus. A proximal end of the position-limiting wire is connected to the control handle. A distal end of the guiding catheter is provided with a guiding member. A distal end portion of the guiding catheter is bendable. A proximal end of the delivery catheter and a proximal end of the guiding catheter are respectively connected to the control handle. When the control handle is manipulated to make the guiding member on the guiding catheter move along the position-limiting wire toward the distal end, the distal end portion of the guiding catheter is bent and deformed, such that the distal end of the guiding catheter abuts against the member to be anchored of the implantable apparatus.