Abstract: A method of making a steerable instrument for endoscopic and/or invasive type of applications, such as in surgery is provided. The instrument has an elongated tubular body having at least one actuation zone at a proximal side of the steerable instrument and at least one bendable zone at a distal side of the steerable instrument, said at least one actuation zone arranged to control bending of said at least one bendable zone by means of a plurality of longitudinal elements.

Abstract: A steerable instrument for endoscopic and/or invasive, e.g. gastroscopic or colonoscopic, applications, such as in surgery, having: a cylindrical element with a proximal end part, a distal end part including a flexible distal portion, an intermediate part between the proximal and distal end parts, and at least one longitudinal element for transferring forces from the proximal end part to the flexible distal portion to control bending of the latter; a tangential spacer arranged adjacent the longitudinal element; a second cylindrical element coaxial with the cylindrical element, with a proximal end part, a distal end part including a flexible distal portion, and an intermediate part there between; a radial spacer attached to the second cylindrical element and protruding into an aperture in the tangential spacer; wherein movement of the tangential spacer both in a longitudinal direction and in a tangential direction of the instrument is confined by the radial spacer.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.

Abstract: A cylindrical instrument has a tube with a movable element (1677; 16(2)) and first further element (1675; 16(1); 16(3)). The movable element (1677; 16(2)) has a movable element extending portion (1603a; 1702a1; 2002b) adjacent to a movable element indented portion (1603b; 1702b1; 2002a/2002c). In a manufactured state the movable element extending portion (1603a; 1702a1; 2002b) is located opposite a first further element indented portion (1601b; 1701b; 2001b) at a first distance and the movable element indented portion (1603b; 1702b1; 2002a/2002c) is located opposite a first further element extending portion (1601a; 1701a; 1701c; 2001a/2001c) at a second distance.

Abstract: An invasive instrument has a switching element and an actuation element (608; 826; 934, 962; 2) which operates the switching element. The instrument has a. a locking element (416(m); 516, 704; 716; 718; 734/736; 746/748; 756/758; 1002; 1107/1108) to freeze or limits movement of a deflected or non-deflected condition of a flexible portion of the invasive instrument; the switching element switches the locking element (416(m); 516, 704; 716; 718; 734/736; 746/748; 756/758; 1002; 1107/1108) as controlled by the actuation element, or b.

Abstract: A cylindrical instrument has a first tube (1601; 1619), a second tube (1620) surrounding the first tube (1601; 1619), and a third tube (1602; 1621) surrounding the second tube (1620). The instrument has a deflectable tip section (1613), a steering section (1618), a flexible body section (1615) between the tip section (1613) and the steering section (1618), a length compensation section (1617), and one or more steering wires (16(i)) extending from the steering section (1618) to the tip section (1613) such that the tip section (1613) can be deflected by moving the one or more steering wires (16(i)) in a longitudinal direction of the cylindrical instrument. The cylindrical instrument has a Bowden cable arrangement for each steering wire (16(i)) inside the length compensation section (1617), each Bowden cable arrangement has a steering wire (16(i)) surrounded by steering wire guiding portions.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications includes an elongated tubular body and at least one actuation means at a proximal side of the steerable instrument and at least one bendable zone at a distal side of the steerable instrument, the at least one actuation means being arranged to control bending of the at least one bendable zone by means of longitudinal elements. The instrument further includes first, second and third cylindrical elements; at least one tangential spacer; and at least one lip shaped portion formed on at least one of the first cylindrical element or the third cylindrical element.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications includes an elongated tubular body and at least one actuation means at a proximal side of the steerable instrument and at least one bendable zone at a distal side of the steerable instrument, the at least one actuation means being arranged to control bending of the at least one bendable zone by means of longitudinal elements. The instrument further includes first, second and third cylindrical elements; at least one tangential spacer; and at least one lip shaped portion formed on at least one of the first cylindrical element or the third cylindrical element.

Abstract: A steerable instrument has an actuator at a proximal side and a bendable zone at a distal side. The actuator controls bending of the flexible zone by means of one or more longitudinal elements. The instrument has a first cylindrical element, a second cylindrical element and a third cylindrical element. The second cylindrical element has a zone with a longitudinal element portion with a first height in a radial direction of the instrument. Radial spacers are located at mutual sides of the longitudinal element portion, which have, at least locally, a second height in the radial direction larger than the first height.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: An instrument (203; 204) for endoscopic applications. The instrument is able to be guided through a curved shaped tube (201; 202) and has an intermediate cylindrical element (3) with a handling end portion with a flexible portion and actuating means located at an actuating end portion. The intermediate cylindrical element (3) has a first cylindrical part (31; 151) at the handling end portion, a second cylindrical part (35; 155) at the actuating end portion and a number of longitudinal elements (38; 60; 70; 80; 90; 100; 110; 130; 153) for transferring the movement of the actuating means to the handling end portion. The longitudinal elements are separated by longitudinal slits in the intermediate cylindrical element.

Abstract: A tube like member having a first flexible portion comprising a first and a second circumferential slits, the first circumferential slit is arranged opposite to the second circumferential slit and comprises a first end and a second end, the second circumferential slit comprises a third end and a fourth end, wherein the first end and the third end are arranged such that a first bridge is provided between said first and second circumferential slits characterized in that the first flexible portion comprises a first longitudinal slit arranged longitudinally along the tube like member and a second longitudinal slit arranged longitudinally along the tube like member, wherein the first circumferential slit is communicatively connected to the first longitudinal slit, wherein the second circumferential slit is communicatively connected to the second longitudinal slit, the first longitudinal slit and second longitudinal slit being arranged to define longitudinal sides of the first bridge.

Abstract: A steerable instrument for endoscopic and/or invasive type applications includes 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.

Abstract: An instrument for endoscopic applications, including a tubular member having a handling end portion having a flexible portion and actuating devices located at the other end portion, and longitudinal elements for transferring the movement of the actuating devices to the handling end portion resulting in a change of orientation thereof, whereby the handling end portion includes at least two independent flexible portions, whereby the actuating end portion has a corresponding number of actuating devices, and whereby each actuating device is connected by its own set of longitudinal elements to a part of the handling end portion for effecting a change of orientation of one of the flexible portions.