Abstract: A bending piece of a bending portion for endoscope is provided with: an annular wall portion; a plurality of wire inserting portions in which the wall portion has a first wall thickness; thin wall portions having a second wall thickness thinner than the first wall thickness; and a thick wall portion that is a part of the wall portion different from the thin wall portions between the plurality of wire inserting portions around a longitudinal axis, the thick wall portion formed to have a third wall thickness that is equal to or less than the first wall thickness and is thicker than the second wall thickness.

Abstract: Endoscope window assembly designs and methods of assembling sub-millimeter imaging endoscopes are disclosed. An endoscope apparatus comprises an elongated cylindrical probe having rotating illumination optics in the middle and at least one detection fiber and a spectrometer connected to the detection fiber and a light source connected to the illumination optics and a processor for imaging. An optically transparent window is attached to the cylindrical probe at the distal end thereof, the window seals the rotating illumination optics inside the cylindrical probe, and the at least one detection fiber is located on the outer surface of the cylindrical probe. The present disclosure provides various embodiments of a window component that covers only the illumination component of the optical probe.

Abstract: Provided are a surgery system that can ensure insulation between an endoscope and a treatment tool. The endoscope has an insertion part that is insertable into an overtube and has a distal end, a proximal end, and a longitudinal axis, and is locked to the movable body by an endoscope holding part. The endoscope has a first insertion part that is provided on a distal end side of the insertion part, a second insertion part that is provided on a proximal end side of the first insertion part and has an external diameter larger than that of the first insertion part, and a held part that is provided from a distal end of the second insertion part toward a proximal end side thereof, is held by the endoscope holding part, and has at least a surface formed of an insulating member having an insulation property.

Abstract: A method for deploying a medical device such as a heart valve to a desired location in a blood vessel comprising first deploying a tubular filter adjacent to at least one tributary vessel location with a filter deployment member, disengaging said deployment member and removing it, inserting an expandable sheath into the blood vessel, passing a medical device through said sheath to deploy its removing said sheath and removing said filter.

Abstract: One embodiment of the present invention is a flexible tube insertion apparatus including a flexible insertion section to be inserted into a subject. The flexible tube insertion apparatus includes an insertion section state detecting device that detects a state of the insertion section necessary for insertion prediction as detection information when the insertion section is inserted into a subject, and at least one circuit that predicts, using the detection information detected by the insertion section state detecting device, a propulsion state of a distal end of the insertion section and a state of the subject when the insertion section is further inserted from the state of the insertion section, and produces an output based on the prediction.

Abstract: A deflectable medical device incorporates a strut that is configured to reduce or eliminate axial shortening of the deflectable portion of the medical device, for example, the deflectable distal end portion of a catheter or access sheath. The strut may is coaxially disposed in the medical device in the section that is contemplated to undergo the repeated deflection. The strut provides improved column strength and axial restoration. The strut may be stent-like device, an elongate device having opposing ends coupled by a connecting lattice involving a plurality of helical connecting elements or a tube having a plurality of circumferentially-extending slots arranged in longitudinally-extending rows.

Abstract: An endoscope includes a flexible portion, a surface of which is covered by an outer covering, the outer covering including a resin layer as an outermost layer and a laminated barrier film that is arranged on an inner side of the resin layer, and the laminated barrier film including a first barrier layer made from a metal oxide, and a second barrier layer made from a metal that is arranged on an inner side of the first barrier layer.

Abstract: A hydraulic jetting assembly is provided herein. The jetting assembly includes a jetting hose, with a jetting nozzle at its distal end. The jetting nozzle comprises a tubular stator body having a fluid discharge slot, and a tubular rotor body residing within a bore of the stator body. The jetting nozzle has one or more bearings residing between the rotor body and the surrounding stator body to accommodate relative rotational movement. The jetting nozzle includes a proximal end configured to sealingly connect to an end of a jetting hose, and to receive a high pressure jetting fluid. Preferably, the nozzle has an outer diameter that is equivalent to or slightly larger than an outer diameter of the jetting hose. Preferably, the jetting assembly has at least three actuator wires configured to induce a controlled bending moment at its distal end, thereby providing for a steerable downhole tool.

Abstract: An imaging apparatus that includes a scanning mirror arrangement, optics, and a detector arrangement comprising a plurality of detectors. The plurality of detectors are capable for detecting submillimeter-/millimeter-range electromagnetic radiation and arranged within a region defined by an outer periphery and an inner periphery of the detector arrangement. The outer and inner peripheries are substantially circular in shape.

Abstract: A method for predicting remaining useful life of a wind or water turbine or component determines in step (116) an EOH for the turbine or component and compares this in step (118) to an EOH limit obtained in step (114). This provides a simple approach to estimating remaining useful life, giving the turbine operator an indication of the condition of turbines or farms under management.

Abstract: A dongle couples an electrophysiologic catheter and a navigational system, including a patient interface unit (PIU). The dongle permits hardware normally carried on catheter control handle to be relocated onto the dongle to render catheter “greener” and less costly to manufacture use. The dongle having a support portion with flexibility, shape memory and/or varying degrees of stiffness also advantageously allows a user more control over the placement, position and orientation of the dongle. The dongle has a body with a first electrical interface unit, and a support portion with a second electrical interface unit, the support portion having an outer flexible tubular member with shape memory. In one embodiment, the support portion comprises a gooseneck tubing. In another embodiment, the support portion comprises a coiled spring.

Abstract: Mechanisms for altering the shape of a cell or chamber of a shaft or an actuation drive of an instrument are provided. The mechanisms may selectively rigidize the shaft of surgical or diagnostic instruments. The shaft assembly includes a shaft operatively connectable to a control member, at least one cell or a set of cells defined within the shaft, a shape altering material contained within the cell or cells, and, an activation link operatively connectable to a source of activation energy for delivering activation energy to each cell for activating the shape altering material to selectively rigidize or unrigidize the shaft. An actuator for producing work is also provided that includes an element within a housing that defines a cell or a set of cells. The shape altering material is contained within the cells, and a source of activation energy operatively connected to each cell for activating the shape altering material to expand or contract the cell.

Abstract: A flexible tube for an endoscope includes a flexible tube base, an outer coating layer including a soft resin layer and a hard resin layer, a ratio changing portion, and a tapered portion. In the ratio changing portion, a percentage of a thickness of the hard resin layer decreases and a percentage of a thickness of the soft resin layer increases toward a distal side from a proximal side of the base. In the tapered portion, a ratio between the thickness of the hard resin layer and the thickness of the soft resin layer is maintained, which ratio is the same as that at a position in the ratio changing portion where the percentage of the thickness of the hard resin layer is a lower limit. In the tapered position, an outer diameter of the outer coating layer decreases toward a distal end of the flexible tube base.

Abstract: Guidewires are disclosed being configured to achieve variable rigidity to facilitate percutaneous exploration and the traversal of overlying elements such as catheters, for instance in performing the Seldinger technique. Embodiments of guidewires comprise sheaths and cores configured to be tightened together to achieve stiffness of the guidewire. Embodiments further include cores having an axial passage, along with one or more sections capable of independent activation to achieve variable rigidity. Embodiments also include guidewires comprising combinations of solid, wound metallic, or polymeric coils, or woven meshes, with attached or detached polymer coatings. Cores may be configured to increase or decrease pressure, pass acoustic, ultrasonic or other mechanical energy, pass one or more metallic cores to interact with the distal mechanical elements, or as a channel to pass wires to activate the distal materials in the sections and distal tip.

Abstract: Disclosed herein is a variably flexible pipe including at least one flap member having variable flexibility and a tube formed of an elastically deformable material and accommodating the at least one flap member, and a manipulator having the same. The at least one flap member may include a plurality flap parts and a connection part to which one side of each of the plurality of flap parts is connected, and the tube changes pressure applied to the plurality of flap parts according to a controlled change of the inner pressure of the tube, thereby causing the variably flexible pipe to be effectively selectively maintained in a deformed state.

Abstract: A flexible tube for an endoscope includes a helical tube, a cover, and an inhibition mechanism. The inhibition mechanism enables movement of a densely wound portion to the cover in a direction of a central axis of the helical tube and inhibits movement of a loosely wound portion to the cover in the central axis direction of the helical tube.

Abstract: An active catheter device is provided. At least one elongate catheter segment includes an elongate flexible tube member defining an axis, and a pair of ferrule members operably engaged with and spaced apart along the tube member. The ferrule members are not rotatable about the axis relative to each other. At least one articulation member is operably engaged with and extends at least between the ferrule members along the tube member. Each articulation member is configured to be actuatable to cause a change in a distance between the ferrule members so as to articulate the tube member. Associated systems and methods are also provided.

Abstract: A device includes first and second sheets of first and second elastic materials, respectively, and a control wire. The first sheet has a first thickness and a first length and is shaped to have a first cross-section having a first inner periphery and a first outer periphery. The second sheet has a second thickness and a second length and is shaped to have a second cross-section having a second inner periphery and a second outer periphery. One of the first sheet and the second sheet has a spacing disposed in along one of the first length and the second length, respectively. The first outer periphery is less than or equal to the second inner periphery. The second sheet surrounds the first sheet. The control wire has an end constrained to one of the first sheet the first material and the second sheet. The control wire is disposed within the spacing.

Abstract: An apparatus, method and system for detecting a position within a body are provided. A dipole that is free to rotate or oscillate within a capsule is inserted at a target location within the body. The dipole can be either electric or magnetic, and the dipole rotates or oscillates within the capsule when an alternating or rotating electric or magnetic field is applied in the vicinity of the dipole. Ultrasound energy is impinged upon the target location and a position of the dipole is determined based on detected ultrasound reflections.

Abstract: An insertion portion rigidity changeable catheter with a balloon has an insertion portion including a coil-shaped member which is extensible and contractible, with a compression length set to be a predetermined length, and a sheath which is a tube body with flexibility having a fluid conduit, includes a sheath main body surrounded by the coil-shaped member, and a sheath end portion provided at one end side of the sheath main body, and having a contact surface which one end surface of the coil-shaped member contacts, has one opening of the fluid conduit in the sheath end portion and has another opening of the fluid conduit at another end side of the sheath main body, an inflatable/deflatable balloon which is inflated by being supplied with a fluid via the one opening of the fluid conduit to expand to a diameter larger than an outside diameter of the sheath end portion, and is deflated by the fluid being discharged via the one opening to be brought into close contact with an outer circumferential face of the sh

Abstract: An assembly for implanting a medical device such as an electrode array. The assembly includes a sheath that is disposed over the medical device and a core that supports the device. The sheath and core are connected to, respectively, first and second slides in a handpiece. An single actuator first moves one slide, typically the slide to which the sheath is attached. Once the first slide at least partially displaced both slides are moved to simultaneously retract the sheath and core away from the implantable medical device. The assembly includes a steering assembly for steering the sheath and implantable medical device. Some of the components forming the steering assembly are disposed on at least one of the slides. Tensioners prevent the steering cables of the steering assembly from being exposed to excessive force.

Abstract: A deflectable medical device incorporates a strut that is configured to reduce or eliminate axial shortening of the deflectable portion of the medical device, for example, the deflectable distal end portion of a catheter or access sheath. The strut may is coaxially disposed in the medical device in the section that is contemplated to undergo the repeated deflection. The strut provides improved column strength and axial restoration. The strut may be stent-like device, an elongate device having opposing ends coupled by a connecting lattice involving a plurality of helical connecting elements or a tube having a plurality of circumferentially-extending slots arranged in longitudinally-extending rows.

Abstract: An active catheter device is provided. At least one elongate catheter segment includes an elongate flexible tube member defining an axis, and a pair of ferrule members operably engaged with and spaced apart along the tube member. The ferrule members are not rotatable about the axis relative to each other. At least one articulation member is operably engaged with and extends at least between the ferrule members along the tube member. Each articulation member is configured to be actuatable to cause a change in a distance between the ferrule members so as to articulate the tube member. Associated systems and methods are also provided.

Abstract: An endoscope includes an active bending portion provided in an insertion portion and bendable according to a bending operation, the active bending portion including bending pieces adjacent to each other and pivotably connected together via a plurality of rotation shafts, the rotation shafts being located at positions differing by 90° in a circumferential direction J of the bending pieces, and a passive bending portion provided closer to the proximal end side than the active bending portion and passively bendable when an external force is applied thereto, the passive bending portion including bending pieces adjacent to each other and pivotably connected together via a plurality of rotation shafts, the rotation shafts being located at positions differing by 60° in the circumferential direction J.

Abstract: A sheath useful for remote steering, guidance and/or manipulation of a flexible instrument, including e.g. an endoscope, received through the sheath.

Abstract: A method of fabricating an elongate structure having a steerable end, the structure including a flexible longitudinal body associated with at least one actuator member having at least one shape memory alloy wire or “SMAW” extending along the body and anchored thereto at its ends, and associated with a mechanism for heating it in controlled manner. The method includes the following steps: inserting at least one of the ends of the SMAW in tubes; crimping the tubes onto the ends of the SMAW; and securing the tubes to the body in such a manner that the wire extends along the body.

Abstract: Methods for easy, atraumatic access to areas of the vasculature that are otherwise difficult to access, using steerable guide catheters constructed with components that are selected to provide optimal navigability, torque transfer, and push ability for a variety of typical percutaneous access routes. The catheter wall thickness in the deflecting segment of the guide catheter is about 1 French (? mm) or less, and includes a slotted deflection tube, and this construction allows a very tight turning radius which in turn enables guide catheter access to regions of the vasculature that are otherwise inaccessible.

Abstract: A flexible tube 10 is constituted of a flexible tube material 14 and a covering layer 15 of two-layers of constitution having an inner layer 17 which covers the entire peripheral surface of the flexible tube material 14 and an outer layer 18 which covers the entire peripheral surface of the inner layer 17. The covering layer 15 is two-layer molded to have the inner layer 17 and the outer layer 18, by supplying two kinds of resins into one molding die at the same time, with being overlapped each other. As resins for molding the inner layer 17 and the outer layer 18, a combination of the soft resin and the hard resin is selected to be in conditions that the difference at the 100% modulus value, which is an index of a hardness after molding, is equal to or more than 10 MPa, and that the difference of the melt viscosity in the molding temperature of 150° C. to 200° C., which is an index of the fluidity in the molten state, is equal to or less than 2500 PaS.

Abstract: A catheter wire includes a core bundle formed by twisting a plurality of core wires each including a solid conductor covered with an insulation, a tape layer formed by spirally winding a binding tape on an outer periphery of the core bundle, a shield layer formed by spirally winding a metal wire on an outer periphery of the tape layer, and a sheath layer formed on an outer periphery of the shield layer. The binding tape is wound in a direction opposite to a twisting direction of the core wires. The solid conductor and the metal wire have a tensile strength of not less than 900 MPa and an elongation percentage of not more than 2%.

Abstract: A guide sheath includes: an elongated member extending along a longitudinal axis; a manipulation wire extending along the longitudinal axis of the elongated member so as to be capable of advancing and retracting; a bent section formed of a thermoplastic resin in a tubular shape and configured to be bent in accordance with advance or retraction of the manipulation wire; and a first hard section provided at a distal end surface of the bent section and formed by cross-linking the thermoplastic resin to which a distal end section of the manipulation wire is fixed.

Abstract: A wire-operated selective compliance mobile platform (100), in particular for endoscopic surgery devices, obtains a perfect and precise mobility and thus it allows to handle, in the most effective way, the supported instruments, and comprises a mobile surface (1), a connecting base (2) apt to be connected to a flexible tubular duct (4) for endoscopic uses, a plurality of supporting elements (3), apt to permit the motion of said mobile surface (1) relative to said base (2), characterized in that said supporting elements (3) have at least a selective compliance turning pair (31) and a number of joints (32, 34) so as to provide a predetermined number of degrees of freedom to said platform (100), neither determining any over-constraining, nor forcing the system to be deformed in unselected directions, each supporting element (3) being operated by moving means (51, 52) so as to move said mobile surface (1).

Abstract: A sheath apparatus includes, a plurality of node rings configured to be tilted with respect to each other, each node ring defining a substantially cylindrical wall and having at least one hole passing through said cylindrical wall, the plurality of node rings being arranged next to each other along a linear axis such that consecutive node rings contact each other at a contact plane; a manipulating wire going through the holes in said stacked node rings; and a position restoring component configured to restore said stacked node rings from a tilted position to an original position, wherein said position restoring component is located inside or outside of the stacked node rings.

Abstract: An endoscope includes an endoscope insertion portion having a bendable bending portion and a bending mechanism configured to bend the bending portion. The bending mechanism includes a pulley, at least one annular member, a pulling member, and a pulling operation member. The pulley is rotatably driven. The annular member is formed into a C-shape with a cut-out, and can be elastically deformed. The annular member is externally fitted to the pulley with a gap. The pulling member has an intermediate portion wound around the annular member. The distal end portion of the pulling member is connected to the bending portion, and the proximal end portion of the pulling member is connected to the pulling operation member which pulls the pulling member. The width direction position at the winding start position of the pulling member wound around the annular member is made different from the width direction position at the winding end position of the pulling member.

Abstract: A flexible tube portion of an insertion portion of an electronic endoscope and a universal cable each includes a laminated tube member and a corrugated tube connection member. The laminated tube member includes a conductive tube member and an insulating cover covering the conductive tube member. The corrugated tube connection member includes a fixing hole where an end portion of the laminated tube member is inserted. The end portion of the laminated tube member is adhesively fixed. The end portion of the laminated tube member is an electrical connection portion, and the conductive tube member is exposed. The corrugated tube connection member includes a conductive elastic member in the fixing hole. The conductive elastic member electrically connects the electrical connection portion to the corrugated tube connection member. The conductive elastic member is elastically deformable radially and contacts an outer surface of the conductive tube member with a predetermined pressing force.

Abstract: A drive system for controlling movement of an elongate member includes a base unit having a first rotatable knob and a second rotatable knob, a follower assembly including a follower slidably coupled to a guide rail, a longitudinal movement wire, and a rotational movement wire. The follower includes a longitudinal movement pulley, a rotational movement pulley, and an alignment element structured to receive an elongate member such that the elongate member is attachable thereto. The longitudinal movement wire operably couples the first rotatable knob to the longitudinal movement pulley such that rotation of the first knob drives the follower in a longitudinal direction along the guide rail. The rotational movement wire operably couples the second rotatable knob to the rotational movement pulley such that rotation of the second knob rotates the alignment element and attached elongate member.

Abstract: The flexible endoscope 20 has a flexible insertion portion 22 to be inserted in an observation zone 11 of a MRI apparatus 10. The insertion portion 22 has an inner tube 71 made of resin, triple helical tubes 72 covering the inner tube 71 and an outer tube 73 made of resin and covering the triple helical tubes 72. The triple helical tubes 72 include a first helical band 721 helically wound around an outer peripheral surface of the inner tube 71, a second helical band 722 helically wound around an outer periphery of the first helical band 721 in a direction opposite to a winding direction of the first helical band 721 and a third helical band 723 helically wound around an outer periphery of the second helical band 722 in a direction opposite to the winding direction of the second helical band 722. The first to third helical bands 721, 722, 723 are made of phosphor bronze or copper-silver alloy, which are materials having low magnetic susceptibility.

Abstract: An endoscopic instrument has a portion having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the instrument by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. The resulting instrument has significantly reduced backlash while maintaining adequate fluid flow in the working channel.

Abstract: An endoscopic device capable of autonomous locomotion through a body cavity in a pre-established direction of displacement is described. The endoscopic device comprises a tubular body that extends between a front end portion and a rear end portion and a reinforcement structure distributed along the length of the tubular body. Each end portion includes an anchoring means for temporarily and alternately attaching the end portions to a wall of the body cavity.

Abstract: An endoscopic instrument has a control member, a portion of the member having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the control member by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. Where fins are used, the fins are preferably quite small and only have a minimal effect on the fluid flow cross-sectional area between the interior of the endoscope instrument shaft and the central control member. The resulting instrument has significantly reduced backlash in end effector assembly manipulation, while maintaining adequate fluid flow in the endoscope shaft.

Abstract: An endoscope shaft made of a composite tube comprises an external tube and an internal tube which is softer and more resilient compared to the external tube as well as a helical spring for stiffening the composite tube. According to the invention, the helical spring in the relaxed state has an outer diameter which is larger than the inner diameter of the internal tube. Furthermore the helical spring is inserted in the internal tube preferably loosely at a spring bias, whereby it is radially pressed against the internal tube.

Abstract: A flexible tube portion includes a spiral tube, a first connecting tube which is arranged on a distal end portion side of the spiral tube and a second connecting tube which is arranged on a proximal end portion side of the spiral tube. The spiral tube is movable along an axial direction of the spiral tube with respect to at least one of the first connecting tube and the second connecting tube.

Abstract: A clip device 1 that has a coil-shaped tubular body 6 that is inserted through a curvable treatment instrument insertion channel of an endoscope, the tubular body 6 includes a proximal side coil (first coil) 10 that has a spring constant per unit length of 15 N/mm to 500 N/mm and is disposed on the proximal end side of the tubular body 6; and a distal end side coil 11 that is connected to the distal end of the proximal side coil 10, has a greater inner diameter than the inner diameter of the proximal side coil 10, has a spring constant per unit length of 15 N/mm to 500 N/mm, and has a spring constant that differs from the spring constant of the proximal side coil 10, with the ratio of the spring constants of the proximal side coil 10 and the distal end side coil 11 is greater than 1.0 and less than or equal to 2.0.

Abstract: An image data correcting device has a movement information acquiring section, a correcting section and a synthesizing section. The movement information acquiring section acquires movement information showing spatial distribution of the magnitude of a movement in the real space of an image pickup part of a detected body. The correcting section makes a correction different from that of a second area in a first area of image data collected by a scan of magnetic resonance imaging on the basis of the movement information. The synthesizing section synthesizes respective image data of the first area and the second area corrected by the correcting section.

Abstract: Embodiments of the disclosure may include a medical device comprising an elongate member and a handle assembly connected to the elongate member. The handle housing may house a steering mechanism movable relative to the handle assembly and configured to steer the elongate member along a first plane and a second plane different from the first plane, a camera system configured to capture images from a distal end of the elongate member, and an illumination system configured to provide illuminating light from the distal end of the elongate member.

Abstract: A system for releasably attaching a steerable disposable multi-linked device to a durable device may include a disposable portion and a durable portion. The disposable portion may include a connecting member connected to the disposable portion and the durable portion and a steerable multi-linked device. The steerable multi-linked device may include a first link, a plurality of intermediate links, a second link movably coupled to a second one of the intermediate links, and a cable which passes through the first link and intermediate links and extends beyond a first end of the first link. A first one of the intermediate links may be movably coupled to the first link. The durable portion may include an axial member which defines an opening therethrough and a feeder mechanism.

Abstract: A steerable multi-linked device may include a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first multi-linked mechanism and the second multi-linked mechanism may include a first link, a plurality of intermediate links, a second link movably coupled to a second one of the intermediate links and a reinforcing member. A first one of the intermediate links may be movably coupled to the first link, and the reinforcing member may extend from a first end of a third one of the intermediate links toward a second end of the third one of the intermediate links.

Abstract: A flexible tube unit of an endoscope includes a metal spiral tube, a mesh tube which covers the metal spiral tube and is formed by braiding a wire bundle obtained by bundling wires, an envelope which covers the mesh tube and a regulating portion which regulates movement of the wires of the mesh tube. A ratio of a surface area of the regulating portion with respect to a surface area of the mesh tube differs in an axial direction of the mesh tube.

Abstract: A cannula assembly having a hollow elongate cannula with a proximal end, a distal end, and a central axis. A coiled reinforcing member is disposed along a portion of the hollow elongate cannula and is adapted to provide structural support to the elongate cannula. An intermediate reinforcing band is disposed on the elongate cannula between the proximal end and the distal end to reinforce a perforated section in the wall of the cannula and includes a forward edge, a rearward edge, at least one rib and at least one protrusion extending orthogonally from the forward edge and at least one protrusion extending from the rearward edge. A distal reinforcing band is disposed at the distal end of the elongate cannula and has a plurality of fingers that taper slightly inwardly toward the central axis of the hollow elongate cannula.

Abstract: A molded elastomer for an endoscope is provided, which includes a fluorine-containing elastomer and a filler. The filler includes thermal black in a content of 1 to 10 parts by mass based on 100 parts by mass of the fluorine-containing elastomer, and plate alumina in a content of 2 to 10 parts by mass based on 100 parts by mass of the fluorine-containing elastomer.

Abstract: Methods and devices are provided for controlling movement of a working end of a surgical device configured to be introduced into a body. In one embodiment, a surgical device is provided including a cannulated elongate shaft having a distal working end with a flexible steering platform. The flexible steering platform can includes a plurality of axially aligned links and a plurality of flexible connector elements. Adjacent links can be connected using at least two of the connector elements such that flexing one or more connector elements can bend the steering platform in one or more directions. The surgical device's shaft can be configured to receive a flexible surgical instrument therein such that a working end of the surgical instrument can be received within the steering platform, thereby allowing movement of the surgical instrument's working end to be controlled through movement of the steering platform.