Dynamically expandable cannulae and systems and methods for performing percutaneous surgical procedures employing same
US-9211140-B2 · Dec 15, 2015 · US
US12564973B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12564973-B2 |
| Application number | US-202519210595-A |
| Country | US |
| Kind code | B2 |
| Filing date | May 16, 2025 |
| Priority date | Sep 28, 2023 |
| Publication date | Mar 3, 2026 |
| Grant date | Mar 3, 2026 |
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Apparatuses and methods for deploying and/or controlling movement of flexible tubular members such as endoscopes, using a sliding link assembly to support the flexible tubular member. For example, these apparatuses may include a base, a link assembly connected to the base and comprising: a plurality of links that are vertically adjacent to each other, in which adjacent pairs of links are each slidably coupled together by opposing flexible bands that extend around a cylindrical surface of a shuttle. A linear drive may drive extension and retraction of the links by engaging with just one shuttle of the link assembly.
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What is claimed is: 1 . An apparatus for deploying a flexible tubular member, the apparatus comprising: a base; a bidirectional telescoping link assembly connected to the base and comprising: a plurality of links that are adjacent to each other, wherein adjacent pairs of links are configured to move in a coordinated manner so that the plurality of links extend proximally from a compact neutral configuration to a proximal extended configuration and extend distally from the compact neutral configuration to a distal extended configuration, wherein the compact neutral configuration has a length that less than a length of the proximal extended configuration and less a length of the distal extended configuration; a driver configured to drive movement of the links of the telescoping link assembly; and a mount assembly coupled to the link assembly, wherein the mount assembly is configured to couple to the flexible tubular member and further wherein the mount assembly comprises a mounting surface and one or more actuators configured to steer the flexible tubular member. 2 . The apparatus of claim 1 , wherein the plurality of links are vertically adjacent to each other. 3 . The apparatus of claim 1 , further comprising one or more synchronizing members coupled to each link of the plurality of links configured to coordinate movement of all of the links when force is applied to one of the links. 4 . The apparatus of claim 1 , wherein the mount assembly comprises an overtube mount and an endoscope mount, wherein the endoscope mount is configured to move proximally and/or distally relative to the overtube mount. 5 . The apparatus of claim 1 , wherein the link assembly is configured to extend from the compact configuration to a length of 1 m or longer. 6 . The apparatus of claim 1 , wherein a vertical distance from the mount assembly to lowermost surface of the link assembly is less than 20 cm. 7 . The apparatus of claim 1 , wherein the plurality of links are configured so that adjacent pairs of links are each slidably coupled together by a ball screw nut assembly. 8 . The apparatus of claim 1 , wherein the plurality of links are configured so that adjacent pairs of links are each slidably coupled together by a pair of opposing flexible bands that extend around one or more surfaces of shuttle in opposite directions. 9 . The apparatus of claim 8 , further comprising pairs of shuttles between adjacent links of adjacent pairs of links that are coupled together on a synchronization belt. 10 . A method of deploying an endoscope nested with an overtube, the method comprising: advancing and/or retracting the overtube together with the endoscope by moving one or more links of a bidirectional telescoping link assembly, wherein the overtube is coupled to an overtube mount on a first link of the bidirectional telescoping link assembly and wherein the endoscope is coupled to an endoscope mount on the first link, and wherein the bidirectional link assembly comprises a plurality of links, wherein the plurality of links are adjacent to each other, and wherein advancing the overtube comprises extending the one or more links of the bidirectional telescoping link assembly distally from a compact neutral configuration to a distally extended configuration and wherein retracting the overtube comprises retracting one or more links of the bidirectional telescoping link assembly proximally from the compact neutral configuration to a proximally extended configuration; and moving the endoscope into or out of the overtube by changing the relative positions of the endoscope mount and the overtube mount on the first link. 11 . The method of claim 10 , wherein extending the plurality of links comprises using a driver to drive movement of the links of the telescoping link assembly. 12 . The method of claim 10 , further comprising coupling the overtube to the overtube mount. 13 . The method of claim 10 , further comprising coupling the endoscope nested within the overtube to the endoscope mount. 14 . A method of deploying an endoscope nested with an overtube, the method comprising: advancing and/or retracting the overtube together with the endoscope by moving a first link of a bidirectional telescoping link assembly, wherein the overtube is coupled to an overtube mount on the first link and wherein the endoscope is coupled to an endoscope mount on the first link, and wherein the bidirectional link assembly comprises a plurality of links, including the first link, that are slidably coupled together and are adjacent to each other, and wherein advancing the overtube comprises extending one or more of the plurality of links distally from a compact neutral configuration to a distally extended configuration, and wherein retracting the overtube comprises retracting one of or more of the plurality of links proximally from the compact neutral configuration to a proximally extended configuration; and moving the endoscope into or out of the overtube by changing the relative positions of the endoscope mount and the overtube mount on the first link. 15 . The method of claim 14 , wherein advancing and/or retracting comprises extending or retracting the one or more links of the plurality of links using a driver to drive movement of the links of the telescoping link assembly. 16 . The method of claim 14 , further comprising coupling the overtube to the overtube mount. 17 . The method of claim 14 , further comprising coupling the endoscope nested within the overtube to the endoscope mount. 18 . An apparatus, the apparatus comprising: a telescoping link assembly comprising: a plurality of vertical links that are adjacent to each other, wherein the plurality of vertical links comprises one or more adjacent pairs of vertical links and wherein each vertical link of adjacent pairs of vertical links are each configured to move relative to each other and relative to a base link; a first mount coupled to a first link of the plurality of vertical links of the telescoping link assembly, wherein the first mount is configured to engage an overtube; and a second mount coupled to the first link and configured to engage an endoscope nested with the overtube, wherein the overtube and endoscope are configured to be moved axially by distally advancing or proximally retracting one or more of the vertical links of the telescoping link assembly relative to the base link. 19 . The apparatus of claim 18 , further comprising a plurality of supports movably coupled to the telescoping link assembly, wherein each support of the plurality of supports comprises a seating region configured to hold the overtube and endoscope in-line with a distal-to-proximal line extending from the telescoping link assembly. 20 . The apparatus of claim 19 , wherein each support of the plurality of supports are configured to be deflected so that the seating region of each support is moved out of the distal-to-proximal line as the plurality of the links of the telescoping link assembly are extended distally. 21 . The apparatus of claim 19 , wherein at least one of the supports of the plurality of supports is configured to be deflected down and laterally as the plurality of the links of the telescoping link assembly are extended distally. 22 . The apparatus of claim 18 , further comprising a driver configured to drive movement of the vertical links of the telescoping link assembly. 23 . The apparatus of claim 19 , wherein at l
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