Treatment of a disease of the gastrointestinal tract with a jak inhibitor and devices
US-2024252425-A1 · Aug 1, 2024 · US
US9668641B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9668641-B2 |
| Application number | US-201514834717-A |
| Country | US |
| Kind code | B2 |
| Filing date | Aug 25, 2015 |
| Priority date | May 18, 2007 |
| Publication date | Jun 6, 2017 |
| Grant date | Jun 6, 2017 |
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An articulating mechanism for use in a medical device, such as an endoscope or a catheter, includes a series of stacked links disposed adjacent to one another and movable with respect to each other. Each link includes a front face tapered to a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link. Pull-wires provide tension and hold the staked links together while also allowing for controlled bending of the distal portion by movement of one or more of the pull-wires.
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What is claimed is: 1. An articulation mechanism for use in a medical device, comprising: a series of stacked links disposed adjacent to one another and movable with respect to each other, each link extending along a longitudinal link axis and including a front face defining a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link, the wedge shaped recess and pivot points being aligned circumferentially; a base link extending proximally of the series of stacked links, the base link including a proximal end face extending entirely along a plane perpendicular to a longitudinal base link axis and a pair of distally extending projections configured to be received within the wedge shaped recess of a proximal-most link of the series of stacked links; and at least one pull-wire for providing tension to the articulation mechanism, wherein the front face further includes a pair of oppositely arranged engagement surfaces which bisect the entirety of the front face, wherein each engagement surface includes a tapered section tapering proximally away from the pair of pivot points to a position on the engagement surface farthest from the pivot point. 2. The articulation mechanism of claim 1 , further comprising a control cam connected to the at least one pull-wire. 3. The articulation mechanism of claim 1 , further comprising an outer sleeve disposed about the series of stacked links. 4. The articulation mechanism of claim 3 , wherein the outer sleeve comprises a lubricated coating. 5. The articulation mechanism of claim 3 , wherein the outer sleeve comprises a drug coating. 6. The articulation mechanism of claim 1 , further comprising a radiopaque material. 7. The articulation mechanism of claim 1 , wherein the series of stacked links comprises a first articulation section, the articulation mechanism further comprising a second articulation section, the second articulation section including a second series of stacked links disposed adjacent to one another and moveable with respect to each other, each link of the second articulation section including a front face defining a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link, the wedge shaped recess of each link of the second articulation section being circumferentially aligned with the pivot points of a respective link of the second articulation section; wherein the wedge shaped recesses of the first articulation section are radially offset from the wedge shaped recesses of the second articulation section. 8. An articulation mechanism for use in a medical device, comprising: a series of stacked links disposed adjacent to one another and movable with respect to each other, each link extending along a longitudinal link axis and including a front face defining a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link, the wedge shaped recess and pivot points being aligned circumferentially; a base link extending proximally of the series of stacked links, the base link including a proximal end face extending entirely along a plane perpendicular to a longitudinal base link axis; a terminating link extending distally of the series of stacked links, the terminating link including a distal end face extending entirely along a plane perpendicular to the a longitudinal terminating link axis and a rear face defining a wedge shaped recess, the wedge shaped recess of the terminating link configured to receive therein the pair of pivot points of a distal-most link of the series of stacked links; and at least one pull-wire for providing tension to the articulation mechanism, wherein the front face further includes a pair of oppositely arranged engagement surfaces which bisect the entirety of the front face, wherein each engagement surface includes a tapered section tapering proximally away from the pair of pivot points to a position on the engagement surface farthest from the pivot point. 9. The articulation mechanism of claim 8 , further comprising a control cam connected to the at least one pull-wire. 10. The articulation mechanism of claim 8 , further comprising an outer sleeve disposed about the series of stacked links, wherein the outer sleeve comprises at least one of a lubricated coating or a drug coating. 11. The articulating mechanism of claim 8 , wherein a substantially flat wedge surface extends from the rear face flat surface to a rear vertex. 12. The articulation mechanism of claim 11 , wherein each tapered section is oriented at a first angle with respect to the longitudinal link axis. 13. The articulation mechanism of claim 12 , wherein the substantially flat wedge surface is oriented at a second angle relative to the longitudinal link axis, wherein the first angle is different than the second angle, and wherein a radius of deflection between adjacent links is a function of a difference between the first and second angles. 14. The articulation mechanism of claim 8 , further comprising a radiopaque material. 15. An articulation mechanism for use in a medical device, comprising: a series of stacked links disposed adjacent to one another and movable with respect to each other, each link extending along a longitudinal link axis and including a front face defining a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link, the wedge shaped recess and pivot points being aligned circumferentially; a base link extending proximally of the series of stacked links, the base link including a proximal end face extending along a plane perpendicular to a longitudinal base link axis and a pair of distally extending projections configured to be received within the wedge shaped recess of a proximal-most link of the series of stacked links; and a terminating link extending distally of the series of stacked links, the terminating link including a rear face defining a wedge shaped recess, the wedge shaped recess of the terminating link configured to receive therein the pair of pivot points of a distal-most link of the series of stacked links; and at least one pull-wire for providing tension to the articulation mechanism, wherein the front face further includes a pair of oppositely arranged engagement surfaces which bisect the entirety of the front face, wherein each engagement surface includes a tapered section tapering proximally away from the pair of pivot points to a position on the engagement surface farthest from the pivot point. 16. The articulation mechanism of clam 15 , wherein each tapered engagement surface is oriented at a first angle with respect to the longitudinal link axis. 17. The articulation mechanism of claim 16 , wherein a substantially flat wedge surface extends from the rear face flat surface to a rear vertex, and the substantially flat wedge surface is oriented at a second angle relative to the longitudinal link axis, wherein the first angle is different than the second angle. 18. The articulation mechanism of claim 17 , wherein a radius of deflection between adjacent links is a function of a difference between the first and second angles. 19. The articulation mechanism of claim 15 , further comprising a control cam connected to the at least one pull-wire. 20. The articulation mechanism of claim 15 , further comprising a second articulation section, the second articulation section including a second series of stacked links d
the insertion parts being asymmetric, e.g. for unilateral bending mechanisms · CPC title
Insertion part of the endoscope body (A61B1/0055 takes precedence) · CPC title
Constructional details of insertion parts, e.g. vertebral elements · CPC title
having flexible regions as a result of using materials with different mechanical properties · CPC title
with movable mechanical means, e.g. pull wires · CPC title
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