| CPC A61B 34/20 (2016.02) [A61M 25/0133 (2013.01)] | 22 Claims |

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1. A catheter steering device configured to steer a sterile catheter through internal body passages, said catheter steering device comprising:
at least one motorized rotary actuator;
at least one motorized steering cable actuator;
said at least one rotary actuator and at least one steering cable actuator connected by at least one slidable coupling;
an axis of rotation;
said catheter steering device configured to reversibly attach to a sterile catheter comprising at least a proximal region, a distal region, and at least one steering cable;
wherein at least one said steering cable actuator is configured to reversibly attach to said at least one steering cable and provide force to said at least one steering cable through at least one steering element;
said at least one steering element configured to connect to said rotary actuator through a slidable coupling about said axis of rotation;
wherein said device is configured so that for said catheter, at least one said rotary actuator, at least one said steering cable, and at least one said steering cable actuator:
said rotary actuator is configured to couple to said proximal region of said catheter;
said rotary actuator is configured to transmit torque, independently of said force provided by said steering cable actuator, about said axis, to rotate said at least one slidable coupling and at least one region of said catheter, thus producing at least one rotated catheter region;
said steering cable actuator is configured to apply said force to said at least one steering element to transmit force to said steering cable, independently of said rotary actuator's said torque, to induce at least a portion of said catheter to flex and unflex; and
wherein, for any rotation caused by said rotary actuator about said axis, said rotary actuator is configured to rotate, through said slidable coupling, at least a portion of said at least one steering cable actuator and at least one said steering cable along with at least one said rotated catheter region.
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