A medical device includes an elongated medical device body; a first operating line and a second operating line inserted in an axial direction of the medical device body; and a bending operating part for performing a bending operation of a distal end part of the medical device body by pulling the first and second operating lines, at an intermediate part and a proximal end part in the axial direction of the medical device body, the first and second operating lines extending in parallel so as to be spaced apart from each other in a circumferential direction of the medical device body, and at the distal end part in the axial direction of the medical device body, the first and second operating lines being curved and joined together so as to approach each other in the circumferential direction of the medical device body gradually toward a distal end side.

A medical tool includes, a deflectable distal end, at least a pull wire, and a deflection assembly. The at least pull wire having a first end coupled to the distal end of the medical tool and configured to be moved for deflecting the distal end. The deflection assembly is coupled to a second end of at least the pull wire and is configured to control a deflection of the distal end. The deflection assembly includes a first gear having a first rotation axis, and a second gear, having a second rotation axis and including a jagged surface for integrating with the first gear. The jagged surface is slanted relative to the second rotation axis, and when the first gear rotates, the second gear is configured to be rotated by the first gear, to move along the second rotation axis and to deflect the distal end by moving the pull wire.

A rigidizing device includes an elongate flexible tube, a braid layer positioned over the elongate flexible tube, an outer layer over the flexible tube and the braid layer, and an inlet between the elongate flexible tube and the outer layer and configured to attach to a source of vacuum or pressure. The braid layer has a plurality of strands braided together at a braid angle of 5-40 degrees relative to a longitudinal axis of the elongate flexible tube when the elongate flexible tube is straight. The rigidizing device is configured to have a rigid configuration when vacuum or pressure is applied through the inlet and a flexible configuration when vacuum or pressure is not applied through the inlet. The braid angle is configured to change as the rigidizing device bends when the rigidizing device is in the flexible configuration.

A pull wire attachment system for a minimally invasive medical instrument comprises an anchoring element fixedly attached to the medical instrument. The anchoring element has a first outer diameter. The system also includes a pull wire assembly comprising an elongate pull wire having a proximal end and a distal end and a securing element coupled to the distal end of the pull wire. The securing element includes a second outer diameter sized smaller than the first outer diameter of the anchoring element. The securing element is coupled to the anchoring element to prevent proximal translation of the distal end of the pull wire along a longitudinal axis of the medical instrument past the anchoring element.

Disclosed is a method for manufacturing a steerable instrument for endoscopic and/or invasive type applications, the instrument including an elongated tubular body having a proximal end part, a distal end part and an intermediate part between proximal and distal end parts, the proximal end part having at least one actuation proximal zone. The distal end part has at least one flexible distal zone, and the elongated tubular body is configured such that a movement of an actuation proximal zone is transferred to a corresponding flexible distal zone for a corresponding movement thereof. The elongated tubular body includes an inner, outer, and intermediate cylindrical elements having longitudinal elements between the inner and outer cylindrical elements. Inner, outer and intermediate cylindrical elements are coupled so movement of an actuation proximal zone is transferred by the longitudinal elements of one of the intermediate cylindrical elements to a corresponding flexible distal zone.

A catheter assembly includes an outer shaft having an outer shaft body forming an outer shaft bore that receives an inner shaft. The outer shaft has a wire transition section. The catheter assembly includes an exit path connector coupled to the outer shaft body at the wire transition section. The exit path connector has a rigid body section separate and discrete from the outer shaft body and coupled to the outer shaft body. The body section defines an exit path connector bore that receives the inner shaft. The body section has a side exit port at a side of the body section being open to the exit path connector bore. The catheter assembly includes a catheter wire passing through the side exit port from an interior to an exterior of the cable exit port.

A steerable device including a flexible axially elongated member, at least one actuating element arranged alongside the periphery of the elongated member, at least one fastening element configured to fasten at least partially the at least one actuating element to the flexible elongated member distal end, the fastening element being in direct contact with the flexible elongated member, at least one anti-return element configured to keep the at least one actuating element from sliding alongside the periphery of the flexible elongated member distal end, wherein the at least one anti-return element and the at least one fastening element are in axial abutting contact.

A rigidizing device includes an elongate flexible tube, a braid layer positioned over the elongate flexible tube, an outer layer over the flexible tube and the braid layer, and an inlet between the elongate flexible tube and the outer layer and configured to attach to a source of vacuum or pressure. The braid layer has a plurality of strands braided together at a braid angle of 5-40 degrees relative to a longitudinal axis of the elongate flexible tube when the elongate flexible tube is straight. The rigidizing device is configured to have a rigid configuration when vacuum or pressure is applied through the inlet and a flexible configuration when vacuum or pressure is not applied through the inlet. The braid angle is configured to change as the rigidizing device bends when the rigidizing device is in the flexible configuration.

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.

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.