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 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 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: A cylindrical element with a hinge structure has: a first portion (524; 1124; 522(n?1); 1122(n?1)); a second portion (522(1); 1122(1); 522(n); 1122(n)) which is rotatable relative to the first portion (524; 1124; 522(n?1); 1122(n?1)) about two rotation sections (530(1); 1130(1); 530(n); 1130(n)) arranged at locations 180° rotated relative to one another viewed in a tangential direction of the cylindrical element; an attachment element (502(1); 1006; 502(n)).

Abstract: A steering device for connecting to an elongated instrument comprises a supporting unit comprising a first channel having a first central axis, said first channel extending from a distal side to a proximal side of the supporting unit, wherein the supporting unit is arranged around said first channel, and a steering unit rotationally arranged on said supporting unit, the steering unit arranged to secure/release a plurality of longitudinal elements of an instrument to move with the rotational movement of the steering unit.

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: 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.

Abstract: A steering device for connecting to an elongated instrument comprises a locking plate with a coupling to which a steering plate of the instrument can secure such that the steering plate and the locking plate move together; and a steering unit for moving the locking plate. The elongated instrument comprises a plurality of elongated elements extending along an instrument shaft and secured to a steering plate at a proximal end of the instrument shaft, with the steering plate being movably connected around a support member secured to the shaft.

Abstract: A steerable instrument has a proximal end and a distal end, a steering device (168), and a tubular body (18) extending in a longitudinal direction from said proximal end to said distal end. The tubular body (18) has an intermediate flexible zone (12a) and a distal deflectable zone (17) and a tube element made from a metal. The tube element has a first slotted structure (74) in the flexible zone (12a) and a second slotted structure (72; 106; 136; 156) in the deflectable zone (17). The tubular body (18) has tangential rotation blocking elements which form cable channels (96; 97; 146; 152), each cable channel (96; 97) accommodating one of a plurality of cables (90). The cables (90) are connected at the proximal end to the steering device (168) and at the distal end to the deflectable zone (17) to allow deflection of the deflectable zone (17) by the steering device (168).

Abstract: A steerable instrument (10) has an actuator (14; 15) at a proximal side and a bendable zone (16; 17) at a distal side. The actuator (14; 15) controls bending of the flexible zone (16; 17) by means of one or more longitudinal elements. The instrument has a first cylindrical element (204), a second cylindrical element (206) and a third cylindrical element (208). The second cylindrical element (206) has a zone (14; 15; 16; 17) with a longitudinal element portion (274; 282) with a first height in a radial direction of the instrument. Radial spacers (275; 279) are located at mutual sides of the longitudinal element portion (274; 282), which have, at least locally, a second height in the radial direction larger than the first height.

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.