Devices and methods for the effective clearing of artificial tubes, especially in-situ clearing of artificial tubes in a living being are covered in this disclosure. The devices and methods provide an elongated clearing member having a first end that is coupled to a driving mechanism and having a second working end that is subjected to repetitive motion for clearing blockages within the artificial tube. The elongated clearing member includes either a fixed or an adjustable element that selectively defines the portion of the elongated clearing member that is insertable within the artificial tube. The proximal end of the clearing member is releasably secured to the driving mechanism and the driving mechanisms may comprise a wide variety of repetitive motion drivers such as voice coil motors, piezoelectric actuators, pneumatic actuators, DC motors, etc. These devices/methods may comprise a free-standing console for hands-free operation or may comprise hand-held versions. The distal working end of the clearing member may comprise tips of differing functions, including an irrigation/aspiration feature.本発明は、人工チューブ（３９）の効果的な異物除去、特に生体内の人工チューブのインサイチュでの異物除去の装置および方法であって、人工チューブ内の閉塞物を除去するために、駆動装置（１）に結合する第1端部と反復運動を受ける第２作動端部を備えた細長い除去部材（２６）を提供し、この細長い除去部材は、人工チューブ内に挿入可能な細長い除去部材の一部を選択的に定義する、固定又は調整可能な構成要素（２２）のいずれかを含む。除去部材の近位端部は、駆動装置と解除可能に固定されており、駆動装置はボイスコイルモータ、圧電アクチュエータ、空気圧式アクチュエータ、直流モータ他などの広範な反復運動ドライバーを備えていてもよい。これらの装置／方法は、ハンズフリー操作のための独立型コンソールや、又は携帯版を備えていてもよい。除去部材の遠位作動端部は、注水／吸引機能を含め、異なる機能の先端を備えていてもよい。
