КОЖУХ ТУБУСА ДЛЯ МЕДИЦИНСКОГО ЭНДОСКОПИЧЕСКОГО УСТРОЙСТВА И СОДЕРЖАЩЕЕ ЕГО МЕДИЦИНСКОЕ ЭНДОСКОПИЧЕСКОЕ УСТРОЙСТВО

Изобретение относится к медицине. Кожух медицинского эндоскопического устройства содержит множество подвижных внешних расположенных под углом выступающих элементов, предназначенный для использования с гибкими медицинскими эндоскопическими устройствами, такими как эндоскопы или энтероскопы. Кожух имеет верхнюю манжету и может быть одноразовым и съемным при проведении медицинских эндоскопических процедур или обследований. Аппликатор предназначен для содействия при установке кожуха поверх медицинского эндоскопического устройства. 2 н. и 15 з.п. ф-лы, 12 ил.

УСТРОЙСТВО ДЛЯ ЗАЩИТЫ КОНЧИКА ИНСТРУМЕНТА

ЭНДОСКОП, ИМЕЮЩИЙ КОРПУС КАМЕРЫ, И СПОСОБ ИЗГОТОВЛЕНИЯ КОРПУСА КАМЕРЫ

... 1. Способ сборки эндоскопа (1), причем упомянутый способ содержит этапы, на которых:а. помещают устройство (103) камеры и источник (111) света в полость (21) литейной формы, причем упомянутая полость литейной формы имеет, по существу, цилиндрическую форму, и удерживается на месте так, что она имеет, по существу, вертикальную продольную ось,b. вводят полимерный материал (42) в состоянии текучей среды в полость литейной формы со стороны днища полости литейной формы так, чтобы поднять материал контролируемым образом в полости литейной формы,с. отверждают материал иd. извлекают отвержденный корпус камеры из полости литейной формы.2. Способ по п.1, отличающийся тем, что количество полимерного материала (101), вводимое в полость (21) литейной формы, определяют заранее.3. Способ по п.1, отличающийся тем, что упомянутый этап отверждения полимерного материала (42) содержит этап применения к материалу ультрафиолетового света (45).4. Способ по п.1, отличающийся тем, что упомянутый способ дополнительно ...

ЧУВСТВИТЕЛЬНЫЙ К ДАВЛЕНИЮ ЗОНД С ВЫСОКОЙ ЧУВСТВИТЕЛЬНОСТЬЮ

... 1. Медицинский зонд, содержащий: ! вводимую трубку, имеющую продольную ось и имеющую дистальный конец; ! дистальный кончик, который расположен на дистальном конце вводимой трубки и сконфигурирован для введения в контакт с тканью тела; ! стык, который соединяет дистальный кончик с дистальным концом вводимой трубки; и ! датчик стыка, заключенный внутри зонда, для распознавания положения дистального кончика относительно дистального конца вводимой трубки, причем датчик стыка содержит первый и второй подузлы, которые расположены внутри зонда на противоположных соответствующих сторонах стыка, и каждый подузел содержит один или более магнитных измерительных преобразователей. ! 2. Зонд по п.1, в котором магнитный измерительный преобразователь содержит катушки, и где первый подузел содержит первую катушку, имеющую ось первой катушки, параллельную продольной оси вводимой трубки, и где второй подузел содержит две или более вторых катушек в разных соответствующих радиальных местоположениях в пределах ...

Schlauchförmiges Element für die Durchführung eines medizinisch technischen Verfahrens

Schlauchförmiges Element für die Durchführung eines medizinisch technischen Verfahrens mit seilförmigen Elementen (4) dadurch gekennzeichnet, dass es wenigstens einen zentral angeordneten Kanal (9) aufweist, in dessen Wand (2) wenigstens zwei Kanäle (8) zur Führung des seilförmigen Elements (4) angeordnet sind.

Endoskop mit Widerstandsheizung

Medizinisches Endoskop mit einem Außenrohr (2), mit einem einen Bildleiter (8, 9) aufnehmenden Faserrohr (3), mit zwischen dem Außenrohr (2) und dem Faserrohr (3) angeordneten Lichtleitfasern (4) und mit einem die distale Öffnung des Faserrohres (3) verschließenden Fenster (6), wobei eine elektrische Widerstandsheizung (10) zum Heizen des Fensters (6) in dessen Nähe angeordnet ist, dadurch gekennzeichnet, dass die Heizung als auf der Außenfläche des Faserrohres (3), dieses umlaufend, angeordnete Heizfolie (10) ausgebildet ist, deren Wärme über das Faserrohr (3) und eine Randverlötung zwischen dem Faserrohr (3) und dem Fenster (6) an letzteres abgegeben wird, und dass der distale Rand der Heizfolie (10) im Abstand zur Stirnfläche (5) des Endoskopes (1) angeordnet ist und gemeinsam mit den Lichtleitfasern (4) durch Vergießen gegen Berührung und Feuchtigkeit geschützt ist.

Optical cap

Vaginal speculum

A vaginal speculum comprising a pair of pivotally connected components A, B each of which comprises a handle 11, 13 and a beak element 12, 14. The presented surface of each of the beak elements 12, 14 is formed with a plurality of indents 30 for the retention of water or a lubricant. The indents may be generally elliptical with atraumatic radiused margins. The beak elements may have a contoured profile.

Medical visual examination and sampling device

INSTRUMENT WITH A CABLE OR A HOSE WITH IMPULSE DEVICE

OPTICAL BIO PSI INSTRUMENT

ENDOSCOPE

ENDOSCOPIC EQUIPMENT

Endoscopic rotation

Devices and methods are provided for positioning a tool. In one embodiment, an endoscopic rotation device is provided having a rotatable collet, a flexible elongate translating mechanism, and an actuating mechanism. The rotatable collet can be configured to receive and engage a tool disposed therethrough, and the translating mechanism can be coupled to the collet. The actuating mechanism can be operatively associated with the translating mechanism and can be effective to cause the translating mechanism to apply a rotational force to the collet to rotate the tool disposed therethrough. 2 -a \n0 ...

Scope warming device

Optically guided feeding tube assemblies, feeding tube tips, and related methods

A feeding tube assembly and feeding tube tip secure a viewing lens proximal of the distal end of the feeding tube tip. The feeding tube tip can include a plurality of protrusions that extend radially inward to secure the viewing lens. The feeding tube assembly and feeding tube tip can be used to improve image quality by keeping tissue from abutting the viewing lens as the feeding tube tip is inserted into a patient.

Medical systems, devices and methods for suturing perforations

Medical systems, and devices are disclosed for suturing a perforation in tissue, as well as method for using the systems and devices. The systems and devices may be employed endoscopically and/or laparoscopically, and offer simple, reliable and controllable placement of sutures around a perforation for complete closure thereof.

METHODS AND SYSTEMS FOR CORRECTING IMAGE MISALIGNMENT

The invention provides methods of determining a correction for a misalignment between at least two images in a sequence of images due at least in part to sample movement. The methods are applied, for example, in the processing and analysis of a sequence of images of biological tissue in a diagnostic procedure. The invention also provides methods of validating the correction for a misalignment between at least two images in a sequence of images of a sample. The methods may be applied in deciding whether a correction for misalignment accurately accounts for sample motion.

ENDOSCOPE ENDCAP FOR SUTURING TISSUE

Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical device generally includes an endcap for use with an endoscope to suture an opening in tissue using a tissue anchor. The endcap has a tubular shape defined by an annular sidewall, and the sidewall defines an interior space. A side port is further defined by the annular sidewall and is in communication with the interior space. The side port is sized to receive and locate the tissue within the interior space for suturing. A support rib is positioned within the interior space and distal to the side port. The support rib and sidewall define a piercing aperture therebetween that supports the tissue being sutured.

DEVICE FOR SCANNING A SURFACE, AND MICROENDOSCOPE COMPRISING SUCH A DEVICE

INSTRUMENT TIP PROTECTOR

This invention relates to a tip protector for an instrument such as an endoscope or borescope,the instrument comprising an elongate shaft having a distal tip and said tip including an end face. A tip protector device comprises a guard portion including an elongate tubular portion and a cap arranged to extend over the end face of the instrument; first and second connection members extending from the tubular portion and being movable relative to each other between a first, disengaged position in which said tip of the instrument can be inserted into and removed from the guard portion, and a second, gripping position in which the tip protector grips the shaft of the instrument, the first and second connection members being biased in the first position; and complementary engagement features on the first and second connection members configured to retain the first and second connection members in the gripping position.

OBLIQUE TIP ENDOSCOPE WITH ZERO DEGREE FIELD ANGLE

Systems, apparatuses, and methods are discussed herein for an endoscope. The endoscope has a distal tip with an oblique portion and a flat portion, the oblique portion defines a plane that forms an angle between and including 20 and 40 degrees to a central axis of the endoscope. A related sheath may have similar features at the distal tip.

OPTICALLY GUIDED FEEDING TUBE ASSEMBLIES, FEEDING TUBE TIPS, AND RELATED METHODS

A feeding tube assembly and feeding tube tip secure a viewing lens proximal of the distal end of the feeding tube tip. The feeding tube tip can include a plurality of protrusions that extend radially inward to secure the viewing lens. The feeding tube assembly and feeding tube tip can be used to improve image quality by keeping tissue from abutting the viewing lens as the feeding tube tip is inserted into a patient.

RIGID ENT TOOL

Apparatus, including a rigid tube enclosing a lumen, configured to be inserted into a cavity of a human patient. A groove is formed in a distal end of the tube, and a conductive coil of insulated wiring is wound in the groove. A sleeve covers the rigid tube so as to completely enclose the conductive coil.

ACCESS CATHETER AND METHOD FOR MAINTAINING SEPARATION BETWEEN A FALLOPOSCOPE AND A TUBAL WALL

A method and apparatus are provided for imaging a narrow body lumen (16), the method comprising maintaining separation between a distal end (20) of an optical viewing scope (14) and a lumen wall (16) with a spacing structure (74) which extends distally from the distal end of an access catheter (72). Optional spacing structures include distal cages (74) and a guidewire (122) which is fixed to and extends distally from the access catheter body. The invention is beneficial during retrograde imaging of the fallopian tube, and also allows antigrade imaging and advancing the access catheter and scope under the direction of the image provided, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.

HAND-HELD, PORTABLE ENDOSCOPIC CAMERA AND KIT

A portable, handheld endoscopic camera (10) having all of the necessary components for performing endoscopic procedures comprises power source means (179), lens means (88), light source means (94), and vide o camera means (67). The portable endoscopic camera (10) is adaptable to a wide variety of systems and includes a low wattage light source means (94). The camera {10) is self-contained. A kit (600) is also provided, the kit (600) having all of the components necessary for performing endoscopic procedures.

Percutaneous transhepatic gallbladder endoscope system

For endoscope hinged end part

ENDOSCOPE

L'invention concerne un endoscope.Dans cet endoscope comportant une tige creuse (1) pourvue d'un regard distal latéral dans laquelle sont prévus des moyens optiques et un espace pour le passage d'un instrument auxiliaire (8), un conduit ajustable (6) pour l'instrument auxiliaire (8) est prévu dans l'espace de passage de la tige creuse et comporte, côté distal, un tronçon cintré flexible (6b) et un tronçon d'extrémité (6a) qui s'y raccorde et s'étend vers le côté, et dont l'extrémité (6c) est retenue d'une manière articulée dans un passage radial (12) formé dans la paroi périphérique distale (13) de la tige creuse (1).Application notamment aux endoscopes pour examens techniques et aux endoscopes médicaux.

OPTICAL FIBER END FUNCTIONALIZED EXPLORATION

Fibre optique (1) à extrémité distale d'exploration (12) fonctionnalisée comportant une gaine (10), et une férule (3) solidaire de la gaine (10) à l'extrémité distale d'exploration, caractérisée en ce que l'extrémité distale d'exploration (12) comporte une tête fonctionnalisée (2) qui est rapportée de manière amovible sur la férule (3).

심외막 접근 시스템 및 방법

... 심장의 심막강에 접근하기 위한 니들에 대한 방법 및 장치가 개시된다. 니들은 루멘과 상기 루멘과 소통하는 측면 포트를 형성하는 세장형 부재(예를 들어, 주축; 조직을 천공하도록 에너지 전달을 위한 블런트 비 외상 팁; 및 측면 포트를 통해 장치(예를 들어, 가이드 와이어)를 배향하는 안내 표면(예를 들어, 램프)을 포함한다. 상기 방법은 심막을 텐팅하고 심막을 천공하기 위한 에너지를 전달하기 위해 니들을 사용하고, 니들을 통해 심막강 내에 가이드 와이어 또는 다른 장치를 전진시키는 단계를 포함한다.

ENDOSCOPIC SHEATH ASSEMBLY

A sheath assembly for an endoscope includes an elongate tubular body and a plug. The endoscope has a handle portion and a scope portion extending therefrom to a tip. The body includes first and second wall sections and extends along a longitudinal axis between first and second distal openings located at distal and proximal ends thereof, respectively. The first wall section extends radially about the longitudinal axis to define a scope lumen. The scope portion is receivable in the scope lumen with the distal and proximal ends. The second wall section extends radially about a portion of the first wall section and longitudinally between second distal and proximal end openings. The first and second wall sections define an integral suction lumen in fluid communication with a first source of negative pressure. The plug is mated with the distal end opening and includes a lens surface through which energy is transmissible.

JOINT RING, BENDABLE TUBE FOR ENDOSCOPE, ENDOSCOPE, AND METHOD FOR MANUFACTURING JOINT RING FOR ENDOSCOPE BENDABLE TUBE

A joint ring (8) for an endoscope bendable tube (9) is configured so as to be fitted and affixed, at the axial distal end thereof, to a distal end hard member (21). The joint ring (8) is formed by plastically deforming a tube material and comprises: a joint ring protrusion (8a) which is fitted to a distal end hard recess (21a) provided in the distal end hard member (21), is used for positioning, and protrudes to the axial distal end side; and a joint ring recess (8d) which prevents the deformation of the joint ring protrusion (8a) when plastically deforming the tube material having the joint ring protrusion (8a) provided thereto and which is provided in the vicinity of the joint ring protrusion (8a) prior to the plastic deformation.

ENDOSCOPE CAP WITH APERTURE FOR PASSING GUIDEWIRE

An end cap for an endoscope. The end cap is configured to allow the endoscope to be introduced into a patient body by a short-wire type of operation.

SYSTEM AND METHOD FOR MEASURING SOLID STRESS IN TISSUES

A system and method is configured for use with an endoscope, a biopsy needle, and a data acquisition system. The system includes a sensor tip and a pressure sensor coupled to the sensor tip and having at least one piezo-resistor component with an internal-facing side and an external-facing side, and an opening adjacent to the at least one piezo-resistor component to allow fluid access to the internal-facing side and the external-facing side. The system also includes a tubing member with a distal end and a proximal end, the sensor tip coupled to the distal end, the sensor tip and the tubing member configured to be routed through the biopsy needle and connection elements coupled to the proximal end of the tubing member, the connection elements configured to mount the tubing member relative to the biopsy needle and to couple the pressure sensor to the data acquisition system.

ULTRASONIC ENDOSCOPE

An ultrasonic endoscope is provided with: a vibrator unit (2) which has an upper surface, a bottom surface, and side surfaces connecting the upper surface and the bottom surface and which performs the transmission and reception of an ultrasonic wave on the upper surface side; a cable (4a) which transmits and receives an electric signal from the vibrator unit (2) and which is connected to a side surface; an electrically conductive sealed case (5) which covers the side surfaces and the bottom surface, the electrically conductive sealed case (5) having an outlet opening (17), out of which the cable (4a) is led, and also having a flexible extended section (18) which is extended from at least the upper surface side of the outlet opening (17); and a housing (3) which holds the vibrator unit (2) through the sealed case (5) and which has a cable insertion path (21) into which the cable (4a) and the extended section (18) are inserted.

SCANNED BEAM IMAGER AND ENDOSCOPE CONFIGURED FOR SCANNING BEAMS OF SELECTED BEAM SHAPES AND/OR PROVIDING MULTIPLE FIELDS-OF-VIEW

Scanned beam imagers and endoscopes are disclosed. In one embodiment, a scanned beam imager includes a first light source operable to provide a first beam and a second light source operable to provide a second beam. The scanned beam imager includes a scanner positioned to receive the first and second beams. The scanner is operable to scan the first beam across a FOV as a first scanned beam having a first beam waist distance and the second beam across the FOV as a second scanned beam having a second beam waist distance not equal to the first beam waist distance. A detector is configured to collect reflected light from the FOV. In another embodiment, a scanned beam imager is configured to scan the first and second beams across different FOVs. Such scanned beam imagers may also be incorporated into endoscope tips and bar code scanners.

METHODS AND APPARATUS FOR OBTAINING ENDOLUMINAL ACCESS

The present invention provides methods and apparatus for obtaining endoluminal access. An elongate body is configured for insertion within a body lumen, conduit, organ, orifice, passageway or cavity, the elongate body having a working axis and a distal region, and an articulating element disposed near the distal region, the articulating element configured to articulate off-axis from the working axis of the elongate body. The elongate may achieve access in an endoluminal or a laparoscopic fashion. Methods of using the apparatus are also provided.

RETROFIT STERILIZATION KIT FOR ENDOSCOPES

The invention relates to a retrofit sterilization kit for endoscopes comprising at least one channel (4, 7) for conducting air or water, for example, which ends at a distal head (1) of the endoscope. Said retrofit sterilization kit encompasses a covering element (10) that envelops the distal head (1) of an endoscope and is provided with at least one transparent translucent zone (15, 16, 19) within a covering face (11), said transparent translucent zone (15, 16, 19) covering a light-emitting zone (6a, 6b) and an optical zone (5) located on the head (1) of the endoscope. At least one continuous hole (18) that is embodied with a hollow joining piece (21) for a conduit section (32) is provided in the covering face (11). The inventive retrofit sterilization kit further comprises a conduit section that can be connected to the joining piece (21) and has a length which corresponds at least to the length between the distal head (1) of the endoscope and a proximal discharge point (71) of the conducting ...

ENDOSCOPE ENDCAP FOR SUTURING TISSUE

Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical device generally includes an endcap for use with an endoscope to suture an opening in tissue using a tissue anchor. The endcap has a tubular shape defined by an annular sidewall, and the sidewall defines an interior space. A side port is further defined by the annular sidewall and is in communication with the interior space. The side port is sized to receive and locate the tissue within the interior space for suturing. A support rib is positioned within the interior space and distal to the side port. The support rib and sidewall define a piercing aperture therebetween that supports the tissue being sutured.

ACCESS CATHETER AND METHOD FOR MAINTAINING SEPARATION BETWEEN A FALLOPOSCOPE AND A TUBAL WALL

A method and apparatus are provided for imaging a narrow body lumen (16), the method comprising maintaining separation between a distal end (20) of an optical viewing scope (14) and a lumen wall (16) with a spacing structure (74) which extends distally from the distal end of an access catheter (72). Optional spacing structures include distal cages (74) and a guidewire (122) which is fixed to and extends distally from the access catheter body. The invention is beneficial during retrograde imaging of the fallopian tube, and also allows antigrade imaging and advancing the access catheter and scope under the direction of the image provided, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.

Adaptive laryngoscope and adaptive blade for a laryngoscope

An adaptive blade for a laryngoscope includes a proximal end, which is mechanically connectable or connected to a handle in order to form an adaptive laryngoscope, a first flexible bar, which extends from the proximal end of the adaptive blade to the distal end thereof, and a second flexible bar, which extends from the proximal end of the adaptive blade to the distal end thereof. At the distal end of the adaptive blade, the flexible bars are connected to each other mechanically rigidly or in an articulated manner. In the proximal direction from the distal end of the adaptive blade, the flexible bars are mechanically connected to each other in such a way that they are movable relative to each other substantially in their longitudinal directions.

Methods and apparatus for performing endoluminal procedures

Methods and apparatus for performing endoluminal procedures are described herein. An endoluminal tissue manipulation assembly is disclosed which provides for a stable endoluminal platform and which also provides for effective triangulation of tools. Such an apparatus may comprise an optionally shape-lockable elongate body defining a longitudinal axis and adapted for endoluminal advancement in a patient body, at least one articulatable visualization lumen disposed near or at a distal region of the elongate body, the at least one articulating visualization lumen being adapted to articulate off-axis relative to a longitudinal axis of the elongate body, and at least one articulatable tool arm member disposed near or at the distal region of the elongate body, the at least one articulatable tool arm member being adapted to articulate off-axis and manipulate a tissue region of interest.

Endoscope distal end cover, endoscope including the same, and method for removing endoscope distal end cover

An endoscope distal end cover includes a cover portion provided with a coupling port for covering at least a part of an outer circumferential portion of a distal end portion main body configuring an insertion portion of an endoscope; an opening portion for allowing a surface of the distal end portion main body to be in communication with outside when the cover portion is disposed on the distal end portion main body; a finger-hooking portion provided on the cover portion and located away from an edge portion of the coupling port by a predetermined distance; a plastic-deformation portion formed adjacent to the finger-hooking portion and along a predetermined direction of the cover portion; and convex portion engaged with an engaging portion provided to the distal end portion main body, the convex portion being provided on an inner surface of the cover portion adjacent to the plastic-deformation portion.

Liner for endoscope working channel

A flexible endoscope insertion tube having at least one working channel extending in the axial direction of the flexible tube. One or more liners are in coaxial alignment with the distal end working channel of the tube. At least one ceramic tip liner may be disposed on the interior distal end of the endoscope working channel which protects the working channel from operational wear and tear.

Surgical instrument and method for producing a surgical instrument

A surgical instrument including: a main body; an elongated shaft tube connected to the main body, the shaft tube having at least one working channel tube arranged in an interior of the shaft tube, the at least one working channel tube extending in a longitudinal direction of the shaft tube; and a connection body coupled to a proximal end region of the main body; wherein a proximal end region of the at least one working channel tube is accommodated inside the connection body and is sealed with respect to the connection body.

Protective caps of tips for surgical laser fibers

A distal end of an optical fiber may be protected by a variety of alternative protective caps, tips, and/or sleeves. In one example, a generally cylindrical soft tip is arranged to fit over the end of the fiber, and to compress in an axial direction when pressed against a stone to allow a recessed tip of the fiber to contact the stone or to be maintain a minimum spacing between the fiber tip and the stone and thereby limit erosion of the fiber tip.

Endoscope

An endoscope comprises a hollow shank, optic viewing means positioned in the hollow shank for observing a body cavity, and a separate adjustable instrument channel which is axially, slidably arranged in an internal guiding region of the hollow shank. The instrument channel has a flexible curvature section and a laterally running end section with an end portion that is pivotably and articulably mounted in a radial passage in the distal circumferential wall region of the hollow shank. Sliding the instrument channel axially in the hollow shank results in flexing of the curvature section and pivoting of the end portion, such that an auxiliary instrument provided in the instrument channel is laterally deflected when guided through the hollow shank.

Endoscope Tip Protector

The invention provides an endoscope tip protector for protecting the distal tip of an endoscope and an endoscope assembly including the tip protector affixed thereto. The endoscope tip protector can include a main body with an opening through the main body sized to accept an endoscope sheath and a white surface arranged to face a distal end of an endoscope sheath when the sheath is placed in the endoscope tip protector. Methods of making and using the tip protector and assembly are also provided.

ENDOSCOPE AND HELICAL ROTATION MEMBER ATTACHED TO INSERTION UNIT OF THIS ENDOSCOPE

An insertion apparatus includes insertion unit, a rotation drive mechanism, a first rotation member which is arranged inside the insertion unit and rotates by the rotation drive mechanism, a second rotation member which is attached to an outer peripheral surface of the insertion unit and is adjacent to the first rotation member, and a helical rotation member which is rotatable in accordance with rotation of the second rotation member. The insertion apparatus include a magnetic force generation mechanism which generates a magnetic force that enables the first rotation member and the second rotation member to be attracted to and coupled and enables the second rotation member to rotate follow rotation of first rotation member. The magnetic force generation mechanism is arranged at a tubular end portion of the first rotation member and a tubular end portion of the second rotation member adjacent to the end portion.

ENDOSCOPE AND METHOD OF USE

An endoscope includes a shaft having proximal and distal ends and a longitudinal axis therebetween. A handle is coupled to the proximal end of the shaft, and an image sensor is carried on the distal end of the shaft. A channel extends through at least a distal shaft portion and has a channel diameter, and a section of the channel is re-configurable between a constricted shape and a non-constricted shape to accommodate tools introduced therethrough. The combined diagonal dimension and channel diameter is usually greater than the outer shaft diameter. The image sensor may be connected to a connector on the housing by a first slack flex circuit and a lights source on the shaft may be connected to a connector on the housing by a second slack flex circuit.

Suturing device for endoscope

A suturing device for an endoscope includes a curved needle rotatably attached on the distal end of the suturing device. A rotary member is provided on the rotation axis of the curved needle for rotating said curved needle and a connecting arm connects the curved needle to the rotary member. The center of curvature of the curved needle is aligned with the rotation axis of the curved needle and engaging means are provided at least at the pointed end of the curved needle for receiving thread.

ENDOSCOPIC CLEANER

A cleaning device for use with a percutaneous visualization device includes a cannula and a cleaning swab. The cannula has a first section pivotably connected to a second section. The cleaning swab is positioned at a distal end of the cannula and is configured to pivot into a position to clean at least a portion of a percutaneous visualization device upon insertion into the cannula. In an alternative embodiment, the cleaning device includes a cannula and a seal. The seal is disposed within the cannula and configured to clean at least a portion of a percutaneous visualization device upon insertion and retraction in the cannula. Further, the cannula has a cleaning surface on at least a portion of an inner surface thereof. The cleaning surface is also configured to clean at least a portion of said percutaneous visualization device upon insertion and retraction in the cannula.

INSERTION DEVICE AND ENDOSCOPE

An insertion device and an endoscope which are inserted and extracted through a small incision and have multiple functions. A device body has grip forceps as a treatment means. A first folding back section and a second folding back section are provided at a distal portion of the device body such that the first and second folding back sections are aligned in a row in the longitudinal direction of the device body. The first folding back section and the second folding back section respectively have image obtaining means. An operation means can move the first folding back section to a folded back position in which the first folding back section is folded back relative to the second folding back section, and can also move the second folding back section to a position in which the second folding back section is folded back relative to the device body.

COVERING FOR A MEDICAL SCOPING DEVICE

The present invention relates to a cover having a plurality of moveable, external, angled projecting elements for use with flexible medical scoping devices such as endoscopes or enteroscopes. The invention includes the cover with an over cuff and use of the disposable removable covering in methods of medical scoping procedures or examinations. The invention also includes an applicator for assisting in placing the covering about or over a medical device and a kit of parts.

Rotate-to-advance catheterization system

A system of rotate-to-advance medical devices including catheters, dilators, occluders, stents, suprapubic catheters and camera introducers configured with external screw threads and depending substantially on rotation for means of advancement and emplacement in mammalian genitourinary and gastrointestinal passages and organs.

SURGICAL TROCARS AND IMAGE ACQUISITION METHOD USING THE SAME

Surgical trocars, and image acquisition method using the same, include a body having a passage configured to receive at least one surgical instrument, and at least one camera movably coupled to an outer wall of the body.

Endoscope

The insertion part of the endoscope has a cap fixed to the distal end face of a distal end body. A projecting part of the cap is inserted in a receiving hole formed on the distal end face. The inserted projecting part is fixed to the distal end body with a screw inserted in an attachment hole, which is formed on the periphery of the distal end body and connects with the receiving hole. Bending rubber covers the attachment hole as well as the outer periphery of the distal end body.

INTEGRAL ELECTRODE PLACEMENT AND CONNECTION SYSTEMS

Electrode placement and connection systems are described which allow for the electrical connection and maintenance of one or more electrodes positioned on a substrate which is subjected to a variety of mechanical stresses. Electrodes may also be formed on flexible circuit assemblies integrated within or along the hood. The circuit assemblies may also provide structural support to the hood during delivery and/or deployment. Such a system may include an imaging hood having an aperture through which transparent fluid is flowed and one or more electrodes positioned along or about the hood. As the hood is configured between a low-profile and opened configuration, these electrodes may remain electrically coupled despite the mechanical stresses subjected to the electrodes and the connections thereto.

Optically guided feeding tube assemblies, feeding tube tips, and related methods

A feeding tube assembly and feeding tube tip secure a viewing lens proximal of the distal end of the feeding tube tip. The feeding tube tip can include a plurality of protrusions that extend radially inward to secure the viewing lens. The feeding tube assembly and feeding tube tip can be used to improve image quality by keeping tissue from abutting the viewing lens as the feeding tube tip is inserted into a patient.

MEDICAL DEVICE INCLUDING A TUBE

A medical device including a main tube having an outer wall, a first lumen, and a camera lumen; a tip housing separately manufactured from the main tube and including a tubular housing part extending from a proximal end to a distal end, a first lumen extension, a camera lumen extension, the tubular housing part enclosing the first lumen extension and the camera lumen extension, and the proximal end of the tip housing mounted at the distal end of the main tube; a camera module; a camera housing positioned in the camera lumen extension and affixing the camera module to the tip housing, the camera housing having a tubular housing part having an inner face; and a support structure including a tubular end part having an outer face adhesively bonded to the inner face of the tubular housing part to secure the camera module to the camera housing.

Optical probe and optical tomography system

A support member (12) and an optical fiber (13) are disposed side by side inside a tubular outer envelope (11) of an optical probe (10) to extend in the longitudinal direction of the outer envelope. A light deflectors (17) which deflects light emitted from the front end of the optical fiber (13) in the circumferential direction of the outer envelope (11) is provided and the light deflector (17) is rotated in response rotation of the support member (12) by a drive means such as a motor (14), whereby an optical probe (10) which can deflect light emitted from the circumferential surface of the outer envelope (11) in the circumferential direction of the outer envelope (11) and is easy to make thinner and down its cost can be obtained.

Endoscope

An endoscope includes an insertion portion (3), a resin tubular covering member (62), a fastening member (73) and a contact surface (77). The insertion portion (3) includes a bending portion (22). The resin tubular covering member (62) is covering a covering target part in the insertion portion including the bending portion. The fastening member (73) is wound around the outer periphery of at least one end (74) of the covering member and fastens the end to the covering target part. The contact surface (77) is provided on the side of the covering target part covered with the end, is placed in contact with the end face of the covering member and becomes thinner toward the side of the covering member.

ENDOSCOPE

An endoscope includes: a distal end rigid portion made of metal and configuring a distal end portion of an endoscope insertion portion; and a distal end cover fixed by bonding to the distal end rigid portion and including: a transparent first resin member which configures a first molded portion, the first molded portion including: an illumination window forming portion which includes a predetermined-shaped emission surface from which the illumination light is emitted and one surface which configures an incident surface on which the illumination light emitted from an illuminating portion is made incident; a predetermined-shaped eaves portion projecting from a side surface of the illumination window forming portion by a predetermined amount, and including a first surface and a second surface located at positions separated from the emission surface by a predetermined distance; and a convex portion projected from a second surface side of the eaves portion; and a colored second resin member ...

TIP STRUCTURE PART OF ENDOSCOPE

An endoscope whose distal end forming portion can be readily manufactured and whose manufacturing cost is reduced is provided. This endoscope includes a hollow distal end member (24) provided at a distal end of an endoscope insertion portion (14), a built-in component accommodating portion (25) that is formed of an inside of the distal end member (24) and accommodates a distal end of an elongated built-in component (26, 27) which is inserted through the insertion portion (14), a built-in component holding portion (42a, 42b, 42c, 42d) that holds a distal end of the built-in component (26, 27) to be positioned with respect to the distal end member (24), a filler accommodating portion (44) that is provided in the distal end member (24), a first and a second communicating portions (46a and 46b) that allow the outside of the distal end member (24) to communicate with the filler accommodating portion (44), and a filler that is accommodated in the filler accommodating portion (44) from the first ...

PROBING SYSTEM FOR MEASURING THE DIRECTION AND SPEED OF MUCUS FLOW IN VIVO

Medical tube inserted in body cavity of patient and medical device set using the same

The medical tube inserted into a body cavity of a patient includes a flexible tube (1) and a magnet (3) provided at the tip end portion of the tube (1) for electromagnetically detecting the position of the tip end portion of the tube (1) inserted in the body cavity, from outside the body. This magnet (3) includes a plurality of magnet pieces (4) arranged in the length direction of the tube (1) to have a column-like shape as a whole. The direction of magnetic pole of the magnet (3) is set to the length direction of the tube (1). Therefore, since the magnet (3) is divided into a plurality of magnet pieces (4), even a magnet (3) increased in size can be inserted smoothly into a body cavity of a patient.

MEDICAL DEVICE

A medical instrument 1 includes image pickup means 10 incorporated in a medical instrument body 2 and movably provided in the medical instrument body that picks up an image of the object to be examined from an observation window 14, covering means 3 movably provided at the medical instrument body so as to cover the observation window and in which an opening portion 3a is formed, drive means 8 that drives the covering means or the image pickup means, and control means 5 that controls the drive means so as to drive the covering means or the image pickup means by synchronizing a timing for the image pickup means to pick up the object image with a timing at which the opening portion and the observation window match, and can thereby prevent sticking of deposits to the observation window and obtain a clear observation image.

Exploration of a cavity with an image sensor

IMAGING APPARATUS

PROBLEM TO BE SOLVED: To provide an imaging apparatus arranged so that the compaction of a package section can be achieved while preventing the mutual contact of electronic components mounted to an FPC and joints of lead wires, and assembling performance can be enhanced by making the electronic component not to be removed from the FPC easily. SOLUTION: The imaging apparatus comprises a solid-state image sensor chip 32, an FPC 43 having a terminal connected with the solid-state image sensor chip 32, and a plurality of electronic components 70, 71 and 72 mounted on the surface 43i of the FPC 43, wherein the FPCs 43 are arranged while being so folded that mounting surfaces of the plurality of electronic components 70, 71 and 72 constitute a plurality of layers in the rear of the backside 32h of the solid-state image sensor chip 32, and the electronic components 70, 71 and 72 are superimposed through the FPC 43. COPYRIGHT: (C)2008,JPO&INPIT ...

MEDICAL DEVICE SYSTEM

PROBLEM TO BE SOLVED: To provide a medical device system 1 for detecting contact between medical devices 21, 22 used in a body cavity at an early point to prevent the damage or the like of the medical devices. SOLUTION: The medical device system has the first and second medical devices 21, 22 which are used in a body cavity and have conductivity on their surfaces, a first electrode 21E electrically connected to the surface of the first medical, a second electrode 22E electrically connected to the surface of the second medical device, resistance measuring means 37 for measuring an inter-device resistance value between the first electrode 21E and the second electrode 22E, threshold value storage means 36 for storing the lower limit threshold value of the inter-device resistance value, determining means 34 for determining that the medical devices are brought into contact with each other when a resistance value between the devices is lower than a threshold value between the devices, and warning ...

PORTABLE ENDOSCOPIC HAND CAMERA

ENDOSCOPE HEAD

TO THE USE AT WITH DIFFICULTY ACCESSIBLE ONE PLACES SUITABLE DEVICE

ENDOSCOPE APPARATUS.

ENDOSKOPIEGERAET.

ENDOSCOPE SHANK WITH MOBILE FINAL SECTION

Systems and methods for providing gastrointestinal pain management

ENDOSCOPIC IMAGING SYSTEM

Methods and apparatus for facilitating direct visualized rhizotomy

Methods and apparatus for direct visual rhizotomy using an elongated tubular sheath. The sheath includes: a proximal end configured to removably receive a cannula; a distal end; a horizontal shaft having a longitudinal axis extending between the proximal end and the distal end; a first cut-away generally defining a first plane at the distal end, the first cut-away characterized by a first angle relative to a vertical plane; and a second cut-away generally defining a second plane at the distal end, the second cut-away characterized by a second angle relative to a horizontal plane. The sheath further includes an endoscope camera disposed at the distal end, the camera having a line of sight substantially orthogonal to the first plane.

Automated control of irrigation and aspiration in a single-use endoscope

Single-use, port deployable articulating endoscope

The multi-section deployable and articulating endoscope is designed with tubing and flat cables that are small enough that the endoscope becomes a thin stick that is minimally invasive and usable with other devices in a common port. The endoscope includes very thin flat cables that are used for electrical connectivity and threaded above and below an articulation and deployment hinge for opening the endoscope passively using an adjustable tension spring, or by pulling on a first cable and closing the endoscope by pulling on a second cable, When in a tubular configuration the endoscope may be inserted into the port and an insufflation membrane inside the port forms an air seal with the endoscope, which aids in insufflation and desufflation. The endoscope includes one or more tubes for creating an air jet stream above the camera to act as a shield for keeping the camera clean.

Oblique tip endoscope with zero degree field angle

Systems, apparatuses, and methods are discussed herein for an endoscope. The endoscope has a distal tip with an oblique portion and a flat portion, the oblique portion defines a plane that forms an angle between and including 20 and 40 degrees to a central axis of the endoscope. A related sheath may have similar features at the distal tip.

LOCATING A CATHETER SHEATH END POINT

Apparatus, including a sheath, consisting of a lumen having a sheath distal end which is configured to be inserted into a human patient. A magnetic structure is fixedly attached to the sheath distal end. The apparatus includes a probe, having a probe distal end which is configured to be inserted through the lumen into the human patient. The probe includes a magnetic transducer which is disposed in the probe distal end and which is configured to generate a signal in response to a magnetic field. The apparatus further includes a processor which is configured to sense a change in the signal due to proximity of the magnetic structure to the transducer. co C'J Co~ C'JD C\Jl ...

System and method for removing speckle from a scene lit by a coherent light source

The disclosure extends to methods, devices, and systems for removing speckle from a coherent light source, such as laser light. The methods, devices, and systems help eliminate or reduce speckle introduced from a coherent light source, such as laser light, by utilizing the teachings and principles of the disclosure. With increasing use of laser technology in various applications, the occurrence of speckle effect has increased. The speckle effect refers to a pattern in which there is a random distribution of varying light intensity levels and may occur with coherent light sources.

IMPROVED RF BIPOLAR END EFFECTOR FOR USE IN ELECTROSURGICAL INSTRUMENTS

A surgical device for use with a video display and for retracting, viewing, and accessing tissue is described. The surgical device comprises an elongated platform and a concave head connected to a distal end of the platform. The concave head defines a cavity that provides a working space for an end-effector of an instrument. The surgical device further comprises an image sensor attached to the inside of the concave head so that tissue within the working space may be imaged by the image sensor to provide an electrical signal for a video display. The surgical device further comprises an illumination means for illuminating tissue within and adjacent to the cavity of the concave head. A power source is provided for powering the image sensor and the illumination means. A handle is attached to the proximal end of the platform.

ENCAPSULATED COMPONENTS OF MEDICAL DEVICES, AND METHODS THEREFOR

A distal end portion of a medical device may comprise an image capturing component; a Sight source; and an encapsulation having inner surfaces contacting and at least partially encompassing the image capturing component and the Sight source. A shape of the inner surfaces may be mirror image of a shape of exterior surfaces of the image capturing component and the Sight source that are contacted by the inner surfaces.

SCOPE WARMING DEVICE

A warming device (30) for warming the lens portion (2) of an optical instrument (1), such as a laparoscope, to a temperature above ambient to prevent lens fogging comprising: a double walled cylindrical tube (3) having an internal wall (3b), and an external wall (3a), an upper surface and an open distal portion (7) with a central cavity (4) therebetween; a protrusion (9) extending from said upper surface, sized and shaped to receive the lens portion; a circular cap (5) sized to attach to said distal portion of said double walled cylindrical tube; and, a heating element (15) enclosed within said central cavity and thermally coupled to said insulation layer.

IMAGE ACQUISITION WITH DEPTH ENHANCEMENT

A minimally invasive, medical, image acquisitions system outputs a light beam (30, 32) or pulse which illuminates a precise spot size. A plurality of photon detectors (14) detect returning photons (44) from the object, including the spot. Pixel resolution is determined by the area of the illumination spot (and thus the lens configuration), rather than an area sensed by the detector. Depth enhancement is determined by correlating images detected by the respective detectors, or alternatively by a range finding method based on phase difference, time of light, frequency or interferometry.

LUMINOUS OPTICAL LARYNGOSCOPE

The invention relates to a luminous optical laryngoscope having a heating device built into the end that is inserted into the patient or the distal end thereof in order to prevent the formation of condensation and to facilitate viewing inside the patient through the laryngoscope.

ENDOSCOPE SHEATH

An endoscope sheath is provided for advancing medical devices into the anatomy of a patient. The endoscope sheath includes at least one lumen that may be used to advance devices alongside an endoscope. The endoscope sheath may include an endoscope cap configured to mate with the lumen. The endoscope may include one or more coupling members configured to mate with the openings of the lumen.

ULTRASOUND DEVICE, AND ASSOCIATED CABLE ASSEMBLY

An ultrasound device including an ultrasonic transducer device having a plurality of transducer elements forming a transducer array is provided. Each transducer element includes a piezoelectric material disposed between a first electrode and a second electrode. One of the first and second electrodes is a ground electrode and the other of the first and second electrodes is a signal electrode. The ultrasound device further includes a cable assembly having a plurality of connective signal elements and a plurality of connective ground elements extending in substantially parallel relation therealong. Each connective element is configured to form an electrically-conductive engagement with respective ones of the signal electrodes and the ground electrodes of the transducer elements in the transducer array. The connective ground elements are alternatingly disposed with the connective signal elements across the cable assembly, to provide shielding between the connective signal elements.

Endoscope

Including monitoring for hollow for cervical screening part of the conduit and the conduit containing the detector

OPTICAL CONFOCALE, IN PARTICULAR MINIATURE HEAD, HAS JUST SWEEPING AND SYSTEMED' IMAGERY CONFOCALE IMPLEMENTING THE AFOREMENTIONED HEAD

TETHERED CAPSULE ENDOSCOPE FOR BARRETT'S ESOPHAGUS SCREENING

Capsule is coupled to a tether that is manipulated to position the capsule and a scanner included within the capsule at desired location within a lumen in a patient's body. Images produced by scanner can be used to detect Barrett's Esophagus (BE) and early (asymptomatic) esophageal cancer after capsule is swallowed and positioned with the tether to enable the scanner in the capsule to scan a region of the esophagus above the stomach to detect a characteristic dark pink color indicative of BE. The scanner moves in a desired pattern to illuminate a portion of the inner surface. Light from the inner surface is then received by detectors in the capsule, or conveyed externally through a waveguide to external detectors. Electrical signals are applied to energize an actuator that moves the scanner. The capsule can also be used for diagnostic and/or therapeutic purposes in other lumens.

Cover-adapted treatment endoscope and endoscope cover

An endoscope cover of a cover-adapted treatment includes a cover insertion portion main body, the cover insertion portion main body including a cover bending portion which is provided to a proximal side of a cover distal end portion and which is configured to be bent in response to a bending of a main body bending portion of an endoscope main body in an attached condition where the endoscope main body is inserted in an insertion passage. The endoscope cover includes a positioning section configured to determine an insertion position of the endoscope main body where the main body distal portion does not project from a distal end of the cover insertion portion main body in the attached condition, and one or more treatment arm/arms which projects/project from the distal end of the cover insertion portion main body toward a distal side.

Locatable Expandable Working Channel And Method

A method and device is provided for accessing a target location within a branched network. The device may be passed through the working channel of a standard endoscope and includes a three-dimensional location sensor at its distal tip and an expandable extended working channel. The device has a very thin body proximal of the distal sensor such that, once the sensor is extended outside of the working channel of the endoscope, nearly all of the working channel may be used to pass tools through the extended working channel of the device.

Optical Cap for Use With Arthroscopic System

An optical cap for use with an arthroscope system and its features.

Endoscopic system for resection of tissue

The present embodiments provide apparatus for facilitating endoscopic resection of tissue. The apparatus comprises proximal and distal barrels. The proximal barrel is adapted to be coupled to an endoscope. A cutting member is disposed within a lumen of the distal barrel and configured to resect a segment of tissue. In one embodiment, a central longitudinal axis of the proximal barrel is radially offset from a central longitudinal axis of the distal barrel, thereby allowing the cutting member to be centered relative to the working lumen of the endoscope. Additionally, the cutting member may comprise at least one viewing window that permits endoscopic visualization of tissue distal to the distal barrel when the cutting member is disposed within the distal barrel.

Atraumatic Arthroscopic Instrument Sheath and Method

A removable, resilient atraumatic sheath for arthroscopic instruments. The sheath covers sharp edges on the arthroscopic instrument, particularly the distal tip of the rigid cannula, and thereby protects tissue and objects near a surgical site from accidental trauma. The sheath may be provided in the form of an inflow/outflow sheath that allows a surgeon to irrigate and drain a surgical field without the use of a separate irrigation instrument.

Self propelling device

A self propelling device is attached to a front end side of an insert section of an endoscope and propels the front end side in a body. The self propelling device has an internal cylinder into which the front end side is inserted and an external cylinder surrounding the internal cylinder. A rotating body is rotatably attached to the external cylinder in an axis direction along the inner periphery and the outer periphery of the external cylinder, and the self propelling device propels by rotation of the rotating body. The inner diameter of the internal cylinder is large, and the front end side can be bendable in the internal cylinder. A coil spring formed in a circular truncated cone shape is located in the internal cylinder. The coil spring has a bottom having large diameter which is fixed to the internal cylinder and has a top having small diameter which is fit on the front end side of the insert section. The self propelling device and the front end side of the insert section are connected via the coil spring so that they can relatively move.

Rotate-to-advance catheterization system

A system of rotate-to-advance medical devices including catheters, dilators, occluders, stents, suprapubic catheters and camera introducers configured with external screw threads and depending substantially on rotation for means of advancement and emplacement in mammalian genitourinary and gastrointestinal passages and organs.

Attachment/detachment mechanism and operation tool system

According to one embodiment, an attachment/detachment mechanism detachably fixes an insertion member and an outer sheath member. The mechanism includes a removal preventing member and a rotation preventing member. The removal preventing member is configured to restrict movement of the insertion member inserted in the outer sheath member relative thereto in a removing direction. The rotation preventing member is configured to restrict movement of the insertion member inserted in the outer sheath member relative thereto in a rotating direction.

Biliary Catheter Systems Including Stabilizing Members

Medical devices including devices and systems for endoscopic interventions that may access the biliary tree. An example biliary catheter system may include an endoscope having a working channel formed therein. An endoscopic instrument may be disposed in the channel. The endoscopic instrument may have a tool channel formed therein, a distal end, and a plurality of stabilizing members extending from the distal end. The plurality of stabilizing members may be configured to surround the ampulla of Vater during a biliary tract intervention.

Video cricothyrotomy camera and cannula system

A substantially rigid cannula having a channel configured to sequentially house a slidably removable video camera and to provide a ventilating airway upon sealable engagement of a ventilation extension with the channel after the camera is removed. The camera is connected with a monitor to guide the placement of the cannula and its placement within the tracheal lumen. Upon engagement with the channel and a ventilating source, a breathable airway is established through the cannula.

Method for affixing endoscope curved section protective sheath

The protective sheath front end of the disclosed curved section protective sheath for covering the curved section of an endoscope covers the outer periphery of the front end of the endoscope. A filamentous member is wound around the outer periphery of the protective sheath front end, affixing the protective sheath front end to the front end of the endoscope. An adhesive agent is layered on the outer periphery of the protective sheath front end so as to cover the filamentous member. A ring member is fitted to the protective sheath front end so as to cover the adhesive agent. The inner surface of the ring member is bonded to the filamentous member with the adhesive agent therebetween.

Hair restoration surgery

A surgical apparatus includes an elongated member ( 1 ), a dissection module ( 10 ), and an extraction module ( 701 ). The dissection module is removably attachable to a first end of the elongated member and includes a tissue separating device ( 10 ). The extraction module is removably attachable to the first end of the elongated member and includes a suction port and a tissue removal implement ( 13,14 ) disposed within the suction port.

Endoscope

An endoscope including a catheter, a steering handle for controlling the bending of the catheter, and a pipe connector. The catheter includes an outer tube and an inner tube. The outer tube is sleeved outside the inner tube. The steering handle includes a handle sleeve and a handle cover. The handle sleeve is sleeved outside the handle cover. An axial guide rail and a sliding block are arranged between the handle sleeve and the handle cover. The guide rail and the sliding block are fixed on the handle sleeve or the handle cover respectively. The outer tube is fixedly connected with the handle sleeve. The inner tube penetrates a through hole in the center of the handle sleeve, is connected with a port of the pipe connector and fixed therein. The pipe connector is positioned in the handle cover and fixedly connected therewith.

Otorhinolaryngological treatment device and method

A sinusitis treatment device includes: a flexible first elongated body to be guided into an accessory; an imaging unit which is provided on the first elongated long body, for obtaining an image on the front side of a distal end of the first elongated body; a flexible second elongated body having a lumen in which the first elongated body is inserted; an expansive body which is provided on the second elongated body and which has an effective expansive section capable of radial expansive deformation within a natural ostium located between a nasal cavity and an accessory nasal cavity to push open a stenosed part of the natural ostium; and a positioning unit which is provided on the second elongated body, for positioning the effective expansive section of the second elongated long body moved along the first elongated body relative to the first elongated body.

Imaging device for use with a surgical device

a surgical imaging device is provided, including a housing configured to couple to an outer surface of a surgical device and an image capture arrangement configured to generate image data; the surgical imaging device may also include a circuit arrangement disposed within the housing and electrically coupled to the camera arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.

Flexible forceps with improved torsional rigidity

An improved medical transmission apparatus for transmitting a flexible forceps through one of a plurality of lumens associated with an elongated composite scope assembly towards a surgical site presenting an increased torsional rigidity region for increased deflectional resistance of the forceps and being defined by a junction between a sheath associated with the forceps and a lumen extending cylindrically along the elongated composite scope assembly; a portal entry associated with the elongated composite scope assembly having a diameter sized for receiving and transmitting a distal tip section associated with said forceps therethrough and a cylindrical clearance positioned between an outer sidewall associated with said sheath and an inner surface associated with said lumen, the cylindrical clearance directing said forceps towards the surgical site.

Cap for Attachment to an Endoscope

A cap for attachment to a distal end of an endoscope and a method of positioning the cap on the endoscope are provided. The cap includes a tubular body having a proximal portion, a distal portion and a lumen extending therethrough. The proximal portion includes a first portion and a second portion where at least one of the first portion and the second portion includes a connector for operably connecting the first portion and the second portion. The cap has in open configuration wherein at least a portion of the first portion and the second portion are spaced apart and movable relative to each other. The cap also has a closed configuration wherein the first and second portions are connected and the lumen if formed therethrough. The cap in the closed configuration is sized and shaped to be positionable on the distal end of the endoscope.

Tracheal tube with visualization device and integrated flushing system

The present disclosure describes systems and methods that utilize a multi-lumen tube with an integral visualization apparatus, such as a camera. The multi-lumen tracheal tube system may include a camera apparatus that is positioned to facilitate left or right bronchial intubation. In addition, the camera apparatus may be a unitary assembly that functions to hold and position the camera relative to the tube and provides an acceptable profile for comfortable intubation. The camera apparatus may include additional components, such as integral light sources and flushing or cleaning devices to remove any buildup from the camera or optical components.

ENDOSCOPIC LEAD IMPLANTATION METHOD

A method of implanting electrically conductive leads in the gastrointestinal musculature for stimulation of target tissues involves an endoscopic approach through the esophagus. An endoscope is inserted into the esophagus of a patient. The mucosal surface of the anterior esophagus is punctured in the region encompassing the lower esophageal sphincter (LES). A tunnel is created through the submucosa and exits at the muscularis propria, adventitia, or serosal side of the stomach. The lead is navigated further to the anterior abdominal wall. A first end of the lead remains within the gastrointestinal musculature while a second end of the lead is positioned just outside the anterior abdominal wall. The first end of the lead comprises at least one electrode. An implantable pulse generator (IPG) is implanted and operably connected to the second end of the lead to provide electrical stimulation to target tissues. 1. A method of implanting electrically conductive leads in gastrointestinal musculature of a patient utilizing an endoscopic approach , comprising the steps of:inserting an endoscope into an esophagus of a patient;identifying a lower esophageal sphincter (LES);entering a gastrointestinal (GI) wall with a lead from a mucosal side by puncturing a mucosa of an anterior segment of a region encompassing the LES;creating a tunnel in a submucosa of the anterior segment of the region encompassing the LES;exiting the GI wall through a muscularis propria, adventitia, or serosal side of a stomach of the patient;navigating the lead to an anterior abdominal wall; andexiting a second end of the lead through the anterior abdominal wall while leaving a first end in the gastrointestinal musculature of the patient, wherein the region encompassing the LES comprises an area 3 cm above and 3 cm below the LES.2. The method of implanting electrically conductive leads in the gastrointestinal musculature utilizing an endoscopic approach of claim 1 , wherein said tunnel created in the ...

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods. 1. A multi-functional tool useful in a transvaginal procedure for installing a pelvic implant , the tool comprisinga proximal end and a distal end, the proximal end comprising a handle,a shaft extending from the handle to the distal end, illuminating a surgical site at the distal end,', 'transmitting images of a surgical site from the distal end to the proximal end for viewing,', 'dissecting tissue at the distal end by a first dissection mechanism,', 'dissecting tissue at the distal end by a second dissection mechanism,', 'delivering fluid at the distal end,', 'distending tissue by expanding an expandable structure,', 'removing fluid from a surgical site at the distal end,', 'steering the shaft at the distal end, and', 'placing an anchor at tissue at a surgical site at the distal end., 'the multi-functional tool being capable of performing two or more of2. A multi-functional tool according to capable of:dissecting tissue at the distal end by a first dissection mechanism comprising hydrodissection,dissecting tissue at the distal end by a second dissection mechanism comprising a mechanical cutting ...

Laryngoscope Blade

A laryngoscope includes an elongated blade body having a proximal end and a distal end. The distal end of the blade body includes a plurality of arcuate slots therein. A movable tip extension is movably supported by the plurality of arcuate slots and movable in a forward and sideward direction beyond the distal end of the blade body. A guide member is attached to the movable tip extension for selectively moving the movable tip extension along the arcuate slots.

Anchored Working Channel

An anchored working channel includes an elongated shaft with a proximal end and a distal end, and at least one inflatable balloon positioned at the distal end of the elongated shaft and having an outer wall having an outer surface for contacting surrounding tissue, wherein the elongated shaft has a first lumen through which fluid is supplied to inflate the at least one inflatable balloon such that the balloon anchors the shaft to surrounding tissue, wherein the elongated shaft has a second lumen that accommodates at least one medical instrument and/or device inserted therein, and wherein the outer surface of the at least one inflatable balloon comprises a textured surface for preventing slippage of the outer surface on surrounding tissue. 1. An anchored working channel comprising:an elongated shaft with a proximal end and a distal end; andat least one inflatable balloon positioned at the distal end of the elongated shaft and having an outer wall, said outer wall comprising an outer surface for contacting surrounding tissue;wherein the elongated shaft has a first lumen through which fluid is supplied to inflate said at least one inflatable balloon such that said at least one balloon anchors the shaft to surrounding tissue;wherein the elongated shaft has a second lumen that accommodates at least one medical instrument and/or device inserted therein; andwherein said outer surface of said at least one inflatable balloon comprises a textured surface for preventing slippage of the outer surface on surrounding tissue.2. The anchored working channel of claim 1 , wherein said textured surface of said at least one inflatable balloon comprises a mesh disposed on the outer wall of said balloon.3. The anchored working channel of claim 2 , wherein the mesh is a weft knit mesh.4. The anchored working channel of claim 2 , wherein the mesh comprises polyethylene.5. The anchored working channel of claim 2 , wherein the mesh comprises elastane.6. The anchored working channel of claim ...

ENDOSCOPIC OVERTUBE ASSEMBLY

An endoscopic overtube assembly comprises: an inflatable overtube; and a subassembly configured for insertion into an orifice of a patient, said subassembly defining a central passageway, and said subassembly including an internal cassette for receiving and securing the inflatable overtube, wherein the internal cassette of said subassembly can be manipulated from a closed position to an open position in which the inflatable overtube can be readily extended and deployed from said subassembly. The inflatable overtube travels with the endoscopic device. Once appropriately positioned, the inflatable overtube is detached from the endoscopic device and inflated to become a substantially rigid conduit defining an instrument channel that provides ready access to a particular body cavity. 1. An endoscopic overtube assembly , comprising:an inflatable overtube; anda bite block subassembly adapted for insertion into a mouth of a patient, said bite block subassembly defining a central passageway allowing for passage of a endoscopic device through said bite block subassembly, and said bite block subassembly including an internal cassette for receiving and securing the inflatable overtube;wherein the internal cassette of said bite block subassembly can be manipulated from a closed position to an open position in which the inflatable overtube can be readily extended and deployed from said bite block subassembly.2. The endoscopic overtube assembly as recited in claim 1 , in which said bite block subassembly further includes:a bite block for insertion into the mouth of the patient;a bite block sleeve secured to the bite block, with the internal cassette received in and adapted for movement relative to the bite block sleeve along a longitudinal axis of said bite block subassembly; anda locking ring fitting over and engaging an upper edge of the bite block sleeve and controlling the movement of the internal cassette relative to the bite block sleeve, such that the internal cassette of ...

FLOW REDUCTION HOOD SYSTEMS

Flow reduction hood systems are described which facilitate the visualization of tissue regions through a clear fluid. Such a system may include an imaging hood having one or more layers covering the distal opening and defines one or more apertures which control the infusion and controlled retention of the clearing fluid into the hood. In this manner, the amount of clearing fluid may be limited and the clarity of the imaging of the underlying tissue through the fluid within the hood may be maintained for relatively longer periods of time by inhibiting, delaying, or preventing the infusion of surrounding blood into the viewing field. The aperture size may be controlled to decrease or increase through selective inflation of the membrane or other mechanisms. 1. An apparatus configured to control fluid flow for visualization , comprising:a barrier projecting distally from a deployment catheter and defining an open area therein, wherein the open area is in fluid communication with at least one lumen defined through the catheter;at least one membrane extending over a distal opening defined by the barrier such that the membrane partially covers the open area and further defines at least one aperture through the membrane, wherein the aperture has a size which is less than a diameter of the membrane to control a flow of a clearing fluid through the aperture and to an environment external to the barrier, the fluid being infused within the open area via the at least one lumen; andan imaging element positioned to image the open area through the clearing fluid.2. The apparatus of further comprising an energizable element positioned proximal to the aperture.3. The apparatus of wherein the energizable element is advanceable through the open area.4. The apparatus of wherein the energizable element positioned within the open area.5. The apparatus of wherein the energizable element is energized via RF energy.6. The apparatus of wherein the aperture is controllable to variably alter ...

Surgical method and apparatus

An apparatus for use in connection with an endoscopic surgery comprises an elongated body adapted to be placed at least partially in the vagina of a female patient partially passing through the wall of the vagina such that an end portion of said elongated element is introduced into rectouterine pouch; the elongated body comprises at least an attachment means for accommodating at least a part of at least a surgical instrument comprising an end portion adapted to be received inside the vagina, the surgical instrument and the apparatus are movable to each other. An endobag having an elongated port is provided through the vagina into the pelvis. A method for use in a pelvic or peritoneal surgery is provided wherein at least an elongated end portion of a surgical instrument is provided in the cavity of the uterus through the vagina of a female patient such that the uterus can be repositioned by manipulating the surgical instrument and an incision is performed on the vaginal wall for accessing to the rectouterine pouch, a flexible element is provided in pelvis wherein the flexible element is looped around the uterus such that the flexible element encircles the uterus.

Substaintially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion

Exemplary embodiments of devices and method for affecting at least one anatomical tissue can be provided. A configuration can be provided that includes a structure which is expandable (i) having and/or (ii) forming at least one opening or a working space through which the anatomical tissue(s) is placed in the structure. For example, the structure, prior to being expanding, can have at least one partially rigid portion. In addition, or as an alternative, upon a partial or complete expansion thereof, the structure can be controllable to have a plurality of shapes. Further, the structure can be controllable to provide the working space with multiple shapes and/or multiple sizes.

Endoscope

An endoscope of an embodiment includes: a distal end rigid member made of resin; a channel tube connecting member which has a distal end side fitted and fixed in the distal end rigid member and is formed in a tubular shape using a conductive member, and which includes a stepped portion on a part of an outer circumferential surface in a longitudinal direction; and a bending piece member which is formed in a tubular shape using a conductive member and arranged just behind a rear end side of the distal end rigid member, and which has a protruding portion protruding and elastically-deformed toward an inner circumferential surface side, wherein when the bending piece member is fixed to the distal end rigid member with the channel tube connecting member being housed inside thereof, the protruding portion contacts the outer circumferential surface of the channel tube connecting member to establish conduction.

SURGICAL TISSUE MONITORING SYSTEM

A tissue monitoring system includes an introducer having an inflatable section and a plurality of electrodes disposed thereon. The electrodes are alternatively connected to an electrode contact system which includes at least one signal line and at least one measurement line for taking readings about a circumferential segment of tissue encompassed by the electrodes. 1. A method of monitoring tissue comprising:placing an introducer having an inflatable section and a plurality of electrodes disposed about the inflatable section adjacent to a section of tissue;distending the first inflatable section of the introducer;imposing an electrical signal on the tissue using a subset of the plurality of electrodes selected for an electrode contact system;measuring a resulting potential with the subset of the plurality of electrodes of the electrode contact system; andshifting the electrode contact system to alternate placement of the electrode contact system within the tissue.2. The method of claim 1 , wherein the step of shifting the electrode contact system includes electronically shifting each contact of the electrode contact system to encompass a different subset of the plurality of electrodes.3. The method of claim 2 , wherein electronically shifting each contact includes shifting each contact to an adjacent electrode on the inflatable section of the introducer.4. The method of claim 1 , wherein the introducer further includes a shaft extending through the introducer claim 1 , and wherein the step of shifting the electrode contact system includes rotating the shaft to shift the electrode contact system clockwise or counterclockwise around a circumferential segment of the tissue.5. The method of claim 1 , further comprising repeating the step of shifting the electrode contact system until an entire circumference of the tissue is characterized.6. The method of claim 1 , wherein the step of imposing an electrical signal includes attaching two electrodes of the subset of the ...

MAPPING SYSTEM AND METHOD FOR MEDICAL PROCEDURES

A system and method for mapping interluminal structures includes an elongated flexible instrument (). An optical shape sensing device () is disposed within the flexible instrument and is configured to determine a shape of the flexible instrument relative to a reference. The shape sensing device is configured to collect information based on its configuration to map an interluminal structure during a procedure. An imaging enabled ablation device () is mounted at or near a distal end portion of the flexible instrument. 1. A system for mapping interluminal structures , comprising:{'b': '102', 'an elongated flexible instrument ();'}{'b': 152', '154, 'an optical shape sensing device (, ) disposed within the flexible instrument and configured to determine a shape of the flexible instrument relative to a reference, the shape sensing device configured to collect information based on its configuration to map an interluminal structure during a procedure; and'}{'b': '117', 'an imaging enabled ablation device () mounted at or near a distal end portion of the flexible instrument.'}2152154154. The system as recited in claim 1 , wherein the optical shape sensing device includes an optical fiber () having at least one of Fiber Bragg Gratings (FBGs) () and a Rayleigh scatter interrogation setup () for sensing strain in the fiber.3152154. The system as recited in claim 1 , wherein the optical shape sensing device includes an area of higher sensitivity by including an area with a higher number of optical fibers () having optical strain sensors ().4. The system as recited in claim 1 , wherein the optical shape sensing device includes one of a spiral shape claim 1 , a ring shape and a loop shape.5. The system as recited in claim 1 , wherein the reference includes one of a position on the flexible instrument and an anatomical reference.6102. The system as recited in claim 1 , wherein the flexible instrument () includes one of a catheter and an endoscope.7. A system for mapping ...

Devices and Methods for the Treatment of Endometriosis

A tissue treatment device comprises an insertion section sized and shaped for insertion into the body via a trocar and a diagnostic element coupled to the insertion section, the diagnostic element illuminating tissue with light of a wavelength selected to facilitate identification of target tissue in combination with an ultrasound element coupled to the insertion section for delivering to a portion of tissue illuminated by the diagnostic element ultrasound energy. 120.-. (canceled)21. A tissue treatment device , comprising:an insertion section sized and shaped for insertion into a body;a diagnostic element coupled to the insertion section, the diagnostic element configured to illuminate a target area with a first light of a first wavelength and a second light of a second wavelength selected to facilitate identification of a select portion of a target tissue; andan ultrasound element coupled to the insertion section, the ultrasound element including a generating component that generates ultrasound energy for delivery to the select portion of the target tissue,wherein the diagnostic element and the ultrasound element are positioned and oriented within the insertion section such that the second light from the diagnostic element and the ultrasound energy from the generating component converge on a target spot.22. The device according to claim 21 , further comprising a control unit coupled to the diagnostic element and the ultrasound element claim 21 , the control unit remaining outside the body while the insertion section is inserted into the body.23. The device according to claim 22 , wherein the ultrasound element is coupled to an ultrasound controller located in the control unit.24. The device according to claim 23 , wherein the diagnostic element comprises a first illuminating component configured to generate the first light and a second illuminating component configured to generate the second light.25. The device according to claim 24 , wherein the first and second ...

Rotate-to-Advance Catheterization System

An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor. 1. An apparatus configured to access a passageway comprising:a visualization apparatus configured to visualize an interior surface of the passageway;a tube being configured to receive the visualization apparatus;a helically-wound thread disposed on an outer wall of the tube and configured such that rotation of the tube causes the tube with the visualization apparatus to move along the passageway;an inner rotor disposed in the visualization apparatus;a watertight cover being configured to cover an outer surface of the inner rotor such that the watertight cover separates inside and outside of the visualization apparatus, the inner rotor being configured to contact with an interior surface of the watertight cover, wherein one or more projections are configured to form on an outer surface of the watertight cover; andan outer rotor configured to engage the one or more projections such that rotary motion of the inner rotor is transferred to the outer rotor across the one or more projections, the tube being configured such that the tube is coupled with the ...

Ultrasonic irradiation device

An ultrasonic irradiation device includes a sound source, a holding member, a first support member and a second support member. The sound source is configured to be placed in a space at least a part of which is covered with a wall surface and emit an ultrasonic wave toward a target area. The holding member is configured to hold the sound source. The first support member is configured to push a first area of the wall surface so that a distance between the sound source and the target area is kept at a predetermined value, the first supporting member being disposed on the holding member. The second support member is configured to push a second area of the wall surface including an area other than the first area so that the sound source is fixed to the wall surface together with the first support member.

Rotate-to-Advance Catheterization System

An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor.

ENDOSCOPE INSERTION ASSISTING DEVICE

If an instruction indicating advance is input, first and second motors are driven to rotate first and second torque wires. A rotary body is circulated by the rotation of the first and second torque wires, and a propelling unit advances. The first and second TGs detect the rotating speeds of the first and second torque wires. If disconnection of the first torque wire is detected by a disconnection detecting section, a motor control section stops driving of the first motor coupled to the disconnected first torque wire, and rotates the second motor coupled to the second torque wire that is not disconnected at a low speed to rotate the second torque wire at a low speed. Through the low-speed rotation of the second torque wire, the propelling unit advances at a low speed or retreats at a low speed. 1. An endoscope insertion assisting device for assisting insertion of an insertion part of an endoscope into a test subject , comprising:a propelling unit having a mounting cylinder detachably mounted on a tip end portion of the insertion part, a transmission gear cylinder rotatably fitted on an outside of the mounting cylinder, a plurality of rotary gears that mesh with the transmission gear cylinder to rotate the transmission gear cylinder, a supporting cylinder arranged outside the transmission gear cylinder, a circulating body wound between an inner peripheral surface and an outer peripheral surface of the supporting cylinder and supported by the supporting cylinder so as to circulate along an axial direction of the mounting cylinder, and a circulation driving section that drives the circulating body to circulate through the rotation of the transmission gear cylinder to propel the tip end portion within the test subject;a plurality of rotatable wires coupled to the respective rotary gears;a plurality of motors coupled to the respective wires;a disconnection detecting unit for detecting disconnection of the respective wires; anda control unit for stopping driving of a motor ...

System, method and apparatus for optical imaging of luminal organs, and for centering within and contacting a luminal organ

Exemplary apparatus and method can be provided for obtaining data for at least one portion within at least one luminal or hollow sample. It is possible, e.g., using a first optical arrangement, to transceive at least one electromagnetic radiation to and from the portion(s). Further, it is possible, e.g., to actuate an expandable second basket arrangement so as to position the first arrangement at a predetermined location within the luminal or hollow sample(s). The second arrangement can have at least one prong or strip that has a flat shape on at least one side thereof.

Brachytherapy apparatus and method for use with minimally invasive surgeries of the lung

Brachytherapy treatment of a patient's lung tissue following resection is effected using a balloon applicator which is inserted, normally through the same opening used for the surgery, through the chest wall and into the cavity. The lung and chest openings are closed around the applicator and generally sealed around the applicator. A suction port is provided, in a suction circuit of the applicator, to withdraw fluid from the pleural cavity, at intervals as needed, to assure that the lung can be inflated. Different embodiments of suction circuits are disclosed. A bronchial applicator and method are also disclosed.

Brachytherapy apparatus and method for use with minimally invasive surgeries of the lung

Brachytherapy treatment of a patient's lung tissue following resection is effected using a balloon applicator which is inserted, normally through the same opening used for the surgery, through the chest wall and into the cavity. The lung and chest openings are closed around the applicator and generally sealed around the applicator. A suction port is provided, in a suction circuit of the applicator, to withdraw fluid from the pleural cavity, at intervals as needed, to assure that the lung can be inflated. Different embodiments of suction circuits are disclosed. A bronchial applicator and method are also disclosed.

APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.

Hermetic endoscope assemblage

Hermetically sealed enclosures and constructions are disclosed for use in endoscopic systems, particularly endoscope systems with electronic imaging and illumination systems in the enclosures. Compound optical windows are also disclosed for use in the systems. The compound optical windows may have separate panes for an imaging system and an illumination system, and contrast-reducing optical boundaries are between panes.

Arthroscopic Surgical Planning and Execution with 3D Imaging

A method includes obtaining a first three-dimensional (3-D) image of a bone structure, generating a surgical plan based on the first 3-D image and registering the surgical plan to the bone structure to generate a registered surgical plan by obtaining a first 2-D real-time video image of the bone structure and a second 3-D image of the bone structure, and correlating structures from the first 2-D real-time video image and the second 3-D image with the surgical plan. The method also includes obtaining a second 2-D real-time image of the bone structure and overlaying the registered surgical plan onto the second 2-D real-time video image. 1. A method comprising:obtaining a first three-dimensional (3-D) image of a bone structure;generating a surgical plan based on the first 3-D image; obtaining a first 2-D real-time video image of the bone structure and a second 3-D image of the bone structure, and', 'correlating structures from the first 2-D real-time video image and the second 3-D image with the surgical plan;, 'registering the surgical plan to the bone structure to generate a registered surgical plan byobtaining a second 2-D real-time image of the bone structure; andoverlaying the registered surgical plan onto the second 2-D real-time video image.2. The method of claim 1 , wherein the three-dimensional image is generated by at least one of a magnetic resonance imaging (MRI) device and a computed tomography x-ray device.3. The method of claim 1 , wherein generating the surgical plan includes generating a three-dimensional representation of the bone structure.4. The method of claim 3 , wherein the three-dimensional representation of the bone structure includes data distinguishing a portion of the bone structure identified for removal.5. The method of claim 1 , wherein obtaining the first and second real-time images includes inserting an arthroscope into a body at a location corresponding to the bone structure.6. The method of claim 1 , wherein the second 3-D image is ...

Apparatus and method for minimally invasive length measurement within a hollow organ

An apparatus for minimally invasive length measurement within a hollow organ is provided. The apparatus has an endoscopic instrument, an ultrasound head having an ultrasound transmitter and ultrasound receiver, an ultrasound reflector, an electrical connection, a control and display device and a mechanical connection. The ultrasound reflector is arranged at one end of the endoscopic instrument. The ultrasound head is arranged at one end of the mechanical connection extending into a channel of the endoscopic instrument and is guided herein. The ultrasound head is aligned with the ultrasound reflector and the distance between the two can be changed. The ultrasound head and the control and display device are connected by the electrical connection to exchange electrical signals. The control and display device generates an ultrasound wave and detects the wave reflected at the ultrasound reflector using the ultrasound receiver and determines the delay time of the wave. 1. An apparatus for minimally invasive length measurement within a hollow organ , comprising:an endoscopic instrument;an ultrasound head comprising an ultrasound transmitter and ultrasound receiver;an ultrasound reflector;an electrical connection;a control and display device; anda mechanical connection,wherein the ultrasound reflector or the ultrasound head is arranged at one end of the endoscopic instrument or at one end of the mechanical connection,wherein the mechanical connection extends at least partially into a channel of the endoscopic instrument and is guided herein,wherein distance of the ultrasound head relative to the ultrasound reflector can be changed,wherein the ultrasound head is aligned with the ultrasound reflector,wherein the electrical connection connects the ultrasound head and the control and display device to exchange electrical signals, andwherein the control and display device is designed to generate an ultrasound wave by the ultrasound transmitter, to detect the ultrasound waves ...

ENDOSCOPE AUXILIARY INSTRUMENT AND ENDOSCOPE

An endoscope auxiliary instrument includes a hood, a hood cover that is provided at a distal end portion of an insertion portion of an endoscope and that movably holds the hood along an axial direction of the insertion portion, and a wire fixing portion. The wire fixing portion causes the hood to protrude/retract at the distal end portion in a direction parallel to an axis of the hood that is a direction along an axial direction of the insertion portion, and fixes a wire that, when the hood receives a force in a proximal end direction in a state in which the hood protrudes in a distal end direction of the distal end portion, generates a return force that causes the hood to returns to the protruding state. 1. An endoscope auxiliary instrument , comprising:a cylindrical member;a holding portion that is provided at a distal end portion of an insertion portion of an endoscope, and that movably holds the cylindrical member along an axial direction of the insertion portion;a return force generation member that has a distal end portion and a proximal end portion, in which the distal end portion is fixed to the cylindrical member, and that causes the cylindrical member to protrude/retract at the distal end portion in a direction that is parallel to an axis of the cylindrical member and is along the axial direction of the insertion portion, and when the cylindrical member receives a force in a proximal end direction in a state in which the cylindrical member protrudes in a distal end direction of the distal end portion, generates a return force that causes the cylindrical member to returns to the protruding state; anda fixing portion that is fixed to an opening portion in an insertion channel provided inside the insertion portion and extending from an insertion port provided in a distal end face of the distal end portion of the insertion portion and comprising the opening portion on a proximal end side of the insertion portion, and that is capable of switching the return ...

Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

DEVICES, SYSTEMS, AND METHODS FOR VISUALIZING AND MANIPULATING TISSUE

One aspect of the present disclosure relates to a tissue imaging device that includes a catheter body, a hood, and a visualization assembly. The catheter body includes a distal end portion, a proximal end portion, and at least one lumen extending between the distal and proximal end portions. The catheter body includes at least one drainage port having a first opening and at least one infusion port having a second opening. The first and second openings are located about a lateral aspect of the catheter body. The hood projects distally from the distal end portion and is configured to self-expand into an expanded deployment state that defines an open area therein. The visualization assembly is disposed within the open area and extends distally from the distal end portion of the catheter body. 1. A tissue imaging device comprising:a catheter body having a distal end portion, a proximal end portion, and at least one lumen extending between said distal and proximal end portions, said catheter body including at least one drainage port having a first opening and at least one infusion port having a second opening, said first and second openings being located about a lateral aspect of said catheter body;a hood projecting distally from said distal end portion and being configured to self-expand into an expanded deployment state defining an open area therein; anda visualization assembly disposed within said open area and extending distally from said distal end portion of said catheter body.2. The device of claim 1 , wherein said distal end portion of said catheter body includes said at least one infusion port claim 1 , said at least one infusion port being in fluid communication with said open area.3. The device of claim 1 , further comprising a delivery catheter through which said catheter body is deliverable.4. The device of claim 1 , wherein said distal end portion of said catheter body is bi-directionally steerable.5. The device of claim 4 , wherein the wherein said distal ...

SURGICAL POWER TOOL

A surgical power tool has a head portion having a tool with a tool axis, a shaft which is connected to the head portion for guiding the head portion to the surgical site and a handle portion for exerting pressure to the head portion along the tool axis. The shaft has a longitudinal axis that is angled with respect to the tool axis. A second handle is coupled to the shaft intermediate the head portion and a gripping portion of the shaft for applying a force along the tool axis. 1. A surgical power tool comprisinga head portion having a tool with a tool axis,a shaft which is connected to the head portion for guiding the head portion to a surgical site, the shaft having a longitudinal axis and the tool axis being angled with respect to the longitudinal axis of the shaft, anda handle portion for exerting pressure to the head portion along the tool axis.2. The surgical power tool according to claim 1 , wherein the tool axis is angled with an angle of 60 to 120 degrees with respect to the longitudinal axis of the shaft.3. The surgical power tool according to claim 1 , wherein the handle portion comprises a handle having a longitudinal axis that is substantially parallel with the tool axis.4. The surgical power tool according to claim 3 , wherein the longitudinal axis of the handle is substantially coaxial with the tool axis.5. The surgical power tool according to wherein the handle is angled with respect to the shaft.6. The surgical power tool according to claim 1 , wherein the handle portion is configured to be releasably secured to the shaft.7. The surgical power tool according to claim 1 , wherein the handle portion comprises a clamping element to releasably secure the handle portion to the shaft.8. The surgical power tool according to claim 7 , wherein the clamping element is secured to the shaft at a distance from the head portion.9. The surgical power tool according to claim 1 , wherein the handle portion is adjustable relative to the longitudinal axis of the shaft. ...

Apparatus and methods for coronary sinus access

Apparatus and methods for locating features within a body cavity using a catheter including proximal and distal ends, a transparent balloon carried on the distal end, and an optical imaging assembly carried on the distal end for imaging through the balloon. The balloon includes a channel extending therethrough to a lumen extending through the catheter. A guidewire or other localization member is received in the lumen that is extendable through the channel. During use, the catheter is inserted into a right atrium of a heart, and the balloon is expanded and placed against the wall of the heart to locate the coronary sinus. Sufficient force is applied to clear blood between the surface and the wall and clear the field of view of the imaging assembly. The catheter is manipulated to locate the coronary sinus, whereupon the localization member is advanced into the coronary sinus.

Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

Articulation joint for video endoscope

A video endoscope system includes a reusable control cabinet and an endoscope that is connectable thereto. The endoscope may be used with a single patient and then disposed. The endoscope includes an illumination mechanism, an image sensor, and an elongate shaft having one or more lumens located therein. An articulation joint at the distal end of the endoscope allows the distal end to be oriented by the actuators in the control cabinet or actuators in a control handle of the endoscope. Fluidics, electrical, navigation, image, display and data entry controls are integrated into the system along with other accessories.

Side Port Catheter Device With Imaging System and Method For Accessing Side Branch Occlusions

A medical device and method are provided for accessing a side branch in an artery utilizing an on-board imaging device. The device includes a catheter having a sidewall, an internal lumen, and a side port formed through the sidewall. A perforating guide wire has a proximal portion within the internal lumen and a distal portion arranged to be movable out of the side port. The guide wire can be delivered through the side port to a side branch artery when the catheter is deployed to a location with the side port aligned with the side branch artery. In one embodiment, the catheter includes an on-board imaging system disposed adjacent the side opening. The imaging system images tissue adjacent the side opening to assist with alignment of the guide wire to enter a side branch and/or cross an occlusion within the side branch. 1. A method of crossing an occlusion within a vessel , comprising:positioning a catheter within a vessel of a patient, the catheter including an imaging element, a steering assembly and an occlusion crossing wire extendible through an exit opening in the catheter;advancing the imaging element through a main vessel to a position adjacent an occlusion of a side vessel;imaging the occlusion along with a portion of the side vessel;aligning the exit opening with the occlusion;changing an orientation of the crossing wire with the steering assembly; andadvancing the crossing wire through the exit opening and into the occlusion.2. The method of claim 1 , wherein imaging includes evaluating tissue characteristics of at least one of the occlusion and the side vessel.3. The method of claim 1 , wherein the catheter includes a marker detectible by the imaging element claim 1 , and the aligning further includes rotationally aligning the marker with the side vessel.4. The method of claim 1 , wherein the imaging includes activating at least one ultrasound transducer.5. The method of claim 1 , wherein the imaging includes activating an optical coherence tomography ...

Device and Method for Treatment of Gastroesophageal Reflux Disease

A lower esophageal sphincter tightening device for treating gastro esophageal reflux disease which includes an insertion device, an energy source, and an energy transmitting device. The insertion device, by insertion through a body opening, positions the energy transmitting device in the proximity of the lower esophageal sphincter. The energy generates and transmits energy via the insertion device to the energy transmitting device which directs the transmitted energy onto the lower esophageal sphincter which is comprised largely of collagen. The energy source transmits energy at a level sufficient to cause heating of the sphincter's collagen resulting in a shrinkage of the collagen and a tightening of the sphincter.

Retraction of tissue for single port entry, robotically assisted medical procedures

A single port entry surgical instrument has an elongated structure with lumens through which surgical tools and an image capturing device may be inserted and controllably extended out of its distal end for performing a medical procedure, a tubular-shaped balloon disposed around the elongated structure, and an expandable retractor disposed around the balloon so that when the balloon is inflated, the retractor expands and locks in an expanded configuration to retract extraneous tissue. The port entry may be secured using the expandable retractor or sealed using another inflatable balloon disposed around the proximal end of the elongated structure and centered in the port entry.

METHOD FOR MANUFACTURING VISIBLE PUNCTURE OUTFIT FOR DISPOSABLE LAPAROSCOPE AND PUNCTURE OUTFIT USING THE METHOD

This invention discloses a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method comprises the following steps: 1) preparing a camera shooting module; 2) preparing a puncture needle; 3) preparing a positioning puncture casing pipe; 4) mounting the camera shooting module on the puncture needle; 5) inserting the puncture needle in the positioning puncture casing pipe, and making a transparent cover slightly extend out of the positioning puncture casing pipe. This invention also discloses a puncture outfit made with a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method provided by this invention has a simple process, is easy to implement, and has high production efficiency. The puncture outfit provided by this invention has a reasonable structure, can be used for visible surgical procedures through the camera shooting module, and can effectively improve the safety of the puncture surgery and reduce the medical negligence. Moreover, the operation becomes simple in a visible state, relies less on the skill of a surgeon, and the accuracy and success rate of the surgery can be increased. 1. A method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations , characterized in that it comprises the following steps:(1) Prepare a camera shooting module with light source;(2) Prepare a puncture needle;(3) Prepare a positioning puncture casing pipe that matches with the said puncture needle;(4) Mount the camera shooting module at the head end of the puncture needle. The head end of the said puncture needle is sheathed with a transparent cover that can cover camera shooting module;(5) Insert the puncture needle in the positioning puncture casing pipe, and make a transparent cover at the head end of the said puncture needle slightly extend out of the said positioning puncture casing pipe to manufacture a disposable endoscopic ...

LUMEN PROBE APPARATUSES AND METHODS FOR USING THE SAME

A probe apparatus adapted for movement through a lumen, comprising: a linearly extendible and retractable element adapted for selective extension and retraction to provide the movement; a front balloon positioned forward of the linearly extendible and retractable element and adapted for selective inflation and deflation; a rear balloon positioned backward of the linearly extendible and retractable element and adapted for selective inflation and deflation; and, a twisting element adapted to twist at least one of the linearly extendible and retractable element, front balloon and rear balloon during inflation and deflation of the advancement balloon. 1. A probe apparatus adapted for movement through a lumen , comprising:a piston adapted for selective extension and retraction;a front balloon positioned forward of the piston and adapted for selective inflation and deflation;a rear balloon positioned backward of the piston and adapted for selective inflation and deflation; and,a twisting element adapted to twist at least one of the piston, front balloon and rear balloon during extension and retraction of the piston,wherein cyclic extension and retraction of the piston in combination with selective inflation and deflation of the front and rear balloons provides movement to the apparatus.2. A probe apparatus according to claim 1 , wherein the twisting device comprises a spring or at least one elastic band.3. A probe apparatus according to claim 1 , wherein the probe apparatus is adapted with an instrument channel for accommodating the insertion of at least one medical instrument.4. A probe apparatus according to claim 3 , wherein the instrument channel twists independently of the piston claim 3 , front balloon and rear balloon.5. A probe apparatus according claim 1 , wherein the probe apparatus is provided with at least one supply line.6. A probe apparatus according to claim 1 , wherein at least one of the front balloon and rear balloon is comprised of a plurality of ...

INFRARED ENDOSCOPIC BALLOON PROBES

Balloon probes, adapted for use in endoscopy and other medical procedures, are useful to obtain spectroscopic information reflected or emitted from a tissue of interest in the infrared spectral region. The information collected by the probe is useful in the diagnosis and treatment of disease. The invention also relates to methods utilizing these probes to analyze a surface of interest, in a minimally invasive manner, in connection with the diagnosis and treatment of disease. 175to . (canceled)76. A probe device , comprising: i.) a proximal end;', 'ii.) a distal collection end opposite said proximal end of the collection fiber, the distal collection end adapted to collect radiation; and', 'iii.) a conductive core located between said proximal end of the collection fiber and said distal collection end;, 'a.) a collection fiber, said collection fiber comprisingb.) a sheath; andc.) an anchoring balloon disposed along said sheath;wherein said collection fiber is in apposition with an exterior surface of the anchoring balloon, without extending into the anchoring balloon, such that the distal collection end of said collection fiber extends away from the anchoring balloon.77. The probe device of claim 76 , wherein said conductive core comprises a bend proximate to said distal collection end.78. The probe device of claim 76 , wherein the conductive core comprises a reflector that is configured to redirect light from the distal collection end to the proximal end of the collection fiber.79. The probe device of claim 76 , further comprising a spectrometer optically coupled to the proximal end of said collection fiber and a detector optically coupled to said spectrometer.80. The probe device of claim 79 , wherein the detector comprises a detector array.81. The probe device of claim 79 , further comprising a diagnostic processor having an image acquisition interface responsive to said detector.82. The probe device of claim 76 , further comprising an illumination fiber claim 76 , ...

Micro laparoscopy devices and deployments thereof

An apparatus for reversely deactivating a port seal in a laparoscopic port and providing a continuous passage between the laparoscopic port and a remote location in a body cavity.

Vacuum System and Endoscopy Arrangement for Endoscopic Vacuum Therapy

A vacuum system is described for endoscopic intracavity, intraluminal or intracorporeal vacuum therapy, for aspirating body fluids, wound secretions or gases from a hollow volume, such as a body cavity, a hollow organ, a tissue abscess or an intestinal lumen, particularly in the production of a temporary endoscopic closure of an intestinal lumen. Based on this, many embodiments of an endoscopy arrangement are described. 1. Vacuum system for endoscopic intracavitary intraluminal or intracorporeal vacuum therapy for aspirating body fluids , wound secretions or gases from a hollow space , such as a body cavity , a hollow organ , a tissue abscess or an intestinal lumen , in particular in creating of a temporary endoscopic closure of an intestinal lumen , the vacuum system comprising:a vacuum pump having a control input for receiving a control signal for control of its vacuum and having, on its negative pressure side, a connection for a vacuum drainage arrangement, andconnected or connectable to the control input of the vacuum pump, a pressure regulating unit,having a test signal input for receiving at least one pressure test signal, which provides a measure for a pressure or negative pressure prevailing at the hollow space to be treatedand which is designed,upon specificationa) of a negative pressure value at the hollow space to be treated, being selectable from a predefined negative pressure value interval, and i) figuring in a predetermined dead volume of the vacuum drainage device arrangement that is connectable to the vacuum pump, to determine a first suction capacity of the vacuum pump, required for generating the specified negative pressure at the hollow space to be treated within the specified evacuation period, and to transmit a corresponding first control signal to the control input of the vacuum pump,', 'ii) upon generating the specified negative pressure at the hollow space to be treated, to monitor the pressure test signal and to determine, as a function of ...

Endoscopic Cannulas and Methods of Using the Same

Endoscopic cannulas and methods of their use are disclosed. In some embodiments, an endoscopic cannula may include an elongated body having a proximal end and a distal end. A viewing channel and a working channel may extend through the elongated body. The viewing channel can be configured for passing therethrough an endoscope to the distal end of the elongated body for viewing outside the elongated body, while the working channel can be configured for passing therethrough an injection needle distally of the elongated body. The cannula may also include a suction pod disposed on a bottom surface of the elongated member, the suction pod being in communication with a suction channel extending through the elongated body to create suction between the suction pod and a tissue surface to temporary attach the elongated body to the tissue surface.

ENDOSCOPE DEVICE

To facilitate the operation performed when an endoscope and a treatment tool are inserted into a single hole, an insertion member having a movable imaging unit disposed at a distal end thereof is integrally provided with a tubular portion that receives an operation member for remotely operating the imaging unit and a guide hole that guides the treatment tool. Since the guide portion that guides the treatment tool is formed integrally with the insertion member that movably supports the imaging unit at the distal end thereof, mere insertion of the endoscope device through a single hole enables capturing of an image of any part within a predetermined range without need for rotation of the endoscope, while preventing a change in the shape of the hole and facilitating access of the treatment tool to a target part. 110-. (canceled)11. An endoscope device , comprising:an imaging unit capturing an image of an object; andan insertion member movably supporting the imaging unit at a distal end thereof,wherein the insertion member includes:a tubular portion that receives an operation member coaxially with the imaging unit, the operation member being configured to set an angle of an image capturing direction of the imaging unit relative to an axial direction of the insertion member; anda guide portion formed integrally with the tubular portion to guide a treatment tool for accessing the object such that the treatment tool is displaceable in a longitudinal direction of the tubular portion on a lateral side of the tubular portion.12. The endoscope device according to claim 11 , wherein the guide portion is formed of a groove having an opening of a size determined so as to be capable of preventing the treatment tool from coming off from the groove sideways.13. The endoscope device according to claim 11 , wherein the guide portion includes a pair of guide portions radially interposing the tubular portion therebetween.14. The endoscope device according to claim 12 , wherein the guide ...

Colonoscope closure device

The present application is directed to a colonoscope closure device. The colonoscope closure device includes an inner tubular member that defines an entry way sized to accommodate a colonoscope, an intermediate tubular member surrounding the inner tubular member, and an expandable sealing member at least partially surrounding the intermediate tubular member. The colonoscope closure device serves to prevent the escape of air during a colonoscopy procedure.

RESECTOSCOPE

A resectoscope includes an electrode arrangement having at least one electrode and being connected to a contact at a proximal end region of the electrode arrangement; a retaining body mounted on the resectoscope that is movable in the direction of movement of the electrode arrangement and includes an electrode mounting for accommodating the end region of the electrode arrangement; and a cable with a plug body for fixing to the retaining body while making contact with the contacts. The retaining body has a plug receptacle for fixing the plug body by an insertion movement aligned at right angles to the direction of movement of the electrode arrangement. In the position which is reached at the end of the insertion movement, the plug body can be turned into an end position where it is blocked by the plug receptacle against a movement in the opposite direction to the insertion movement. 1. A resectoscope comprising:an electrode arrangement which has at least one electrode which is designed for the application of high frequency and which is connected to a contact at a proximal end region of the electrode arrangement,a retaining body which is mounted on the resectoscope such that it can be moved in the direction of movement of the electrode arrangement and which is designed with an electrode mounting for accommodating the end region of the electrode, arrangement, anda cable with a plug body which is designed for fixing to the retaining body while making contact with the contacts, whereinthe retaining body has a plug receptacle which is designed for fixing the plug body by means of an insertion movement which is aligned at right angles to the direction of movement of the electrode arrangement, andthe plug body and the plug receptacle are designed in such a way that, in the position which is reached at the end of the insertion movement, the plug body can be turned into an end position in which it is blocked by the plug receptacle against a movement in the opposite direction ...

ENDOBRONCHIAL TUBE WITH INTEGRATED IMAGE SENSOR AND A CLEANING NOZZLE ARRANGEMENT

An endobronchial tube which contains an integrated camera and light source and a cleaning nozzle arrangement disposed within dedicated peripheral lumen within the tube's wall. 1. An endobronchial tube comprising at least two lumen of different lengths for selectively associating with a patient about at least two locations relative to the Tracheal Carina , said tube comprising:a. a first lumen having an open distal end that associates proximally to the Carina within the Trachea, with a first inflatable cuff; andb. a second lumen having an open distal end that extends distally, past the Carina and associates within one of the Left Bronchial branch or Right Bronchial branch with a second inflatable cuff; andc. a dedicated image sensor lumen spanning the length of said first lumen comprising an image sensor and illumination source disposed adjacent to the distal end of said first lumen, and configured to provide an image of the Tracheal bifurcation of the Tracheal Carina, the openings of the Left Bronchial branch, and the opening Right Bronchial branch; 'characterized in that said cleaning nozzle arrangement comprises a plurality of cleaning nozzles including a primary cleaning nozzle and a plurality of secondary cleaning nozzles.', 'd. at least one dedicated cleaning lumen disposed parallel with said dedicated image sensor lumen along the length of said endobronchial tube and wherein said cleaning lumen is configured to form a cleaning nozzle arrangement at the distal end, wherein said cleaning nozzle arrangement is directed toward said image sensor lumen at its distal end providing for ensuring a clear viewing field; and'}2. The tube of wherein said cleaning nozzle arrangements is configured such that the diameter of said primary cleaning nozzle is larger than said plurality of secondary cleaning nozzles.3. The tube of wherein said cleaning nozzle arrangement is configured such that said primary cleaning nozzle has a nozzle diameter of about 0.8 mm and said secondary ...

TWO-WAY PHOTODYNAMIC THERAPY STEREO COLPOSCOPE FOR DIAGNOSING AND TREATING DISEASES OF THE FEMALE GENITAL TRACT

A stereo colposcope having variable linearity filter systems for both the excitation step and the suppression step, and can be used universally with any fluorescent compound or drug, as is the case of photodynamic diagnosis (PDD). The colposcope is a two-way colposcope because the treatment can be administered by an optical system or by a light-producing radio-frequency electrical current with a diathermic effect which facilitates photodynamic treatment. The colposcope produces ozone, which has an antiseptic effect when applied to the genital tract. A monitor provides for three-dimensional viewing through the use of two video cameras with the DLP (Digital Light Processing) and HDTV (High Definition Television) systems with the use of active lenses. 1. A two way photodynamic therapy stereocolposcope for diagnosis and treatment of female genital tract diseases , comprising:a lighting system in the head having a variable linear type excitation filter system, two suppressors or barrier filters being placed on said head, one for each observation optical axis; two diaphragms have been placed on the head, one on each optical axis with a manual opening controller.2. The two way photodynamic therapy stereocolposcope for diagnosis and treatment of female genital tract diseases according to claim 1 , further comprising a lighting system in the head having a variable linear type excitation filter system capable of selecting any light frequency range to send a light beam to any fluorescent compound placed in the female genital tract claim 1 , the compounds including one of fluorophores claim 1 , fluorescent proteins of any color for in vivo use claim 1 , or chemical dyes for fluorescence.3. The two way photodynamic therapy stereocolposcope for diagnosis and treatment of female genital tract diseases according to claim 1 , further comprising two variable linearity barrier or suppressor filters in the head claim 1 , one for each observation optical axis to analyze the frequency ...

Optically Guided Feeding Tube, Catheters and Associated Methods

The present invention provides devices and methods for safe, easy and cost effective means of placing and verifying proper placement of nasogastric and nasoenteric feeding tubes. Specifically, an integrated feeding device including a tube operable to deliver a nutritional and/or medicinal substance to the gastrointestinal tract, an optical system including a light source, flexible optical fibers or a camera, and a lens, and a steering system is disclosed. The components of the system, namely the optical system and the steering system, may be integrated into the tube. 149.-. (canceled)50. A method for draining fluid in the gastrointestinal tract , the method comprising:selecting a catheter having a distal end, a first port disposed in the distal end and a second port disposed proximal from the distal end and in fluid communication with the first port, and an optical system extending substantially the length of the catheter;advancing the catheter through the nasal canal, the esophagus and the stomach while at least periodically observing images relayed by the optical system; andadvancing the distal end of the catheter into a duct of the gastrointestinal system such that the second port is disposed in the intestine so as to allow fluid to drain through the lumen extending from the first port to the second port.51. The method according to claim 50 , wherein the catheter is left in place more than 24 hours and wherein the method comprises periodically viewing tissue and/or fluid in the duct through the optical system.5255.-. (canceled)56. An optically guidable feeding tube comprising:a tube comprising an elongate body, the elongate body being of sufficient length that the proximal end may be disposed outside of a patient adjacent a nasal or oral cavity of the patient while the elongate body extends through the nasal or oral cavity of the patient, though the patient's esophagus and at least into the stomach, the elongate body including at least one lumen having an opening ...

SYSTEM AND METHOD FOR DIAGNOSING AND TREATING DISEASE

A method and system for diagnosing and treating infection or disease, in which an individual takes a photograph of an infected or diseased area of a body using a camera connected to a microprocessor. The photograph is sent to a diagnosing center having a server with a second microprocessor and a database of photographs correlated with different diseases and infections. The second microprocessor scans the image received from the camera and compares it to the photographs in the database. If a match is found, the second microprocessor then notes the disease or bacteria corresponding to the matching photograph. The second microprocessor then searches an additional database correslated to the match, to further refine the diagnosis. The second microprocessor then searches the second database for a treatment corresponding to the identified disease or bacteria. Once a treatment is identified, information regarding this treatment is automatically sent to the individual's microprocessor. 1. A method for diagnosing and treating infection or disease , comprising:inserting an endoscope into a patient's body, the endoscope having a light source and an extension on a distal end thereof;placing the extension underneath a layer of tissue in the patient;taking a photograph of said layer of tissue using a camera connected to a first microprocessor, the camera being connected to an endoscope;sending the photograph via the first microprocessor to a a server with a second microprocessor and a first database of photographs correlated with different diseases and infections, the photographs showing individual diseased cells or bacteria;enlarging and enhancing the photograph sent to the server via software so that individual cells or bacteria can be seen in the enhanced photograph;comparing the enhanced photograph with the photographs in the first database to identify the disease or infection, the step of comparing being undertaken by the second microprocessor using visual comparison ...

Surgical Method Utilizing Transluminal Endoscope and Instruments

A method of transluminal surgery is provided, which utilizes an endoscopic surgery apparatus having pivotable arms attached by hinges on its distal end. The arms are interchangeable with arms of various configurations. The method includes the steps of inserting an endoscopic surgery apparatus into a body cavity of a patient, making an incision in the body cavity wall to allow access to the patient's abdominal cavity, and further inserting the apparatus through the incision. Surgery is performed at the desired surgical site and the apparatus is withdrawn into the body cavity where the incision is closed. Finally, the apparatus is withdrawn from the patient's body. 1. A method of transluminal surgery , comprising the steps of:providing an endoscopic surgery apparatus including a tubular member having a plurality of channels along its longitudinal axis, a handle located on a proximal end of the tubular member;selecting two arms having a desired configuration from a group of interchangeable arms of different configurations, to be pivotably connected to a distal end of the tubular member by hinges, wherein said arms have guiding channels passing therethrough adapted to receive endoscopic surgical tools;inserting the distal end of the tubular member through a natural body orifice into a body cavity with the arms in a closed position;creating an incision in the body cavity wall sized to accommodate the tubular member using at least one endoscopic surgical tool;advancing the distal end of the tubular member through the incision and to a desired surgical site;pivoting the arms about the hinges into an open position using a mechanism on the handle such that the guiding channels passing through the arms create a desired degree of triangulation for endoscopic surgical tools disposed in the guiding channels;performing at least one surgical task at the surgical site; andpivoting the arms about the hinges into a closed position using a mechanism on the handle.2. The method of ...

Lifting cap

An endoscope procedure instrument provided with: a tube part that is cylindrical in shape and attaches to the front end of the endoscope, the tube part having a slit provided to the side surface thereof extending along the direction of the central axis; and a grasping member that is disposed to the tube part extending along the slit, for holding a biologic tissue with respect to the endoscope.

Endoscope cap for catheter deployment

A surgical system is provided that includes a sleeve having an inner surface defining a first channel that extends along a first longitudinal axis and an inner surface defining a second channel that extends along a second longitudinal axis. The second channel is spaced apart from the first channel. A first surgical instrument is configured for disposal in the first channel. The first surgical instrument includes an optical probe configured for imaging. A second surgical instrument is configured for disposal in the second channel. The second surgical instrument includes an inflatable balloon. Methods and kits are also provided.

DEVICES AND METHODS FOR VISUALIZATION AND THREE-DIMENSIONAL RECONSTRUCTION IN ENDOSCOPY

Example devices and methods for visualization and three-dimensional reconstruction of an area of interest are disclosed. An example device includes a first light source able to send quasi-monochromatic light through a monomode optical fibre and a second light source able to send light through a set of optical fibres. The example device also includes a diffractive element that induces a pattern to be projected on an area of interest when the first light source is switched on. In addition, the example device includes a camera that has a spatiotemporal resolution such that it is able to visualize the pattern created by the first light source and the area of interest illuminated by the second light source that appears uniformly illuminated even if diffractive element covers at least partially the second cross-section of the set of optical fibres. 1. A device comprising:a tubular shell having a proximal end and a distal end; a first light source that is quasi-monochromatic;', 'at least one monomode optical fibre positioned in the tubular shell, having a first extremity, a second extremity, and a first cross-section, and able to transport light through the first cross-section, the first extremity disposed at the proximal end, the second extremity disposed at the distal end; and', 'a first optical path between the first light source and the first extremity;, 'a pattern projection optical group comprising a second light source;', 'a set of optical fibres positioned in the tubular shell, the set of optical fibres having a third extremity and a fourth extremity and a second cross-section, the third extremity disposed at the proximal end, the fourth extremity disposed at the distal end; and', 'a second optical path between the second light source and the third extremity;, 'an illumination optical group comprisinga diffractive element covering the first cross-section at the distal end; anda camera having a spatiotemporal resolution;{'sub': 'bundle', 'wherein the at least one ...

Catheter With Imaging Assembly With Placement Aid And Related Methods Therefor

A feeding tube assembly having a feeding tube, an imaging assembly having a rigid axis and a bending axis transversely oriented relative to the rigid axis is disclosed. The imaging assembly can be preferentially deformable along the bending axis relative to the rigid axis. A marking disposed on at least one of the imaging assembly and the feeding tube can provide an indication of the bending axis. A packaging comprising a curvilinear cavity and a circular cavity can respectively contain the imaging assembly and the feeding tube, in a coiled configuration, which induces the feeding tube assembly into a pre-set, arcuate shape. 1. A feeding tube assembly having a feeding outlet for delivering enteral feeding liquid , comprising:a feeding tube having opposite first and second longitudinal ends, and a feeding passage extending along a longitudinal axis defined between the first and second longitudinal ends of the feeding tube; andan imaging assembly secured to the feeding tube proximate the first longitudinal end of the feeding tube, the imaging assembly having a rigid axis and a bending axis transversely oriented relative to the rigid axis, the imaging assembly preferentially deformable along the bending axis relative to the rigid axis.2. The feeding tube assembly of claim 1 , further comprising a marking disposed proximate the first longitudinal end on at least one of the imaging assembly and the feeding tube claim 1 , the marking configured to provide an indication of the bending axis.3. The feeding tube assembly of claim 1 , wherein the imaging assembly comprises a deformable circuit element that is preferentially deformable with the bending axis relative to the rigid axis claim 1 , and an imaging device mounted on the deformable circuit element.4. The feeding tube assembly of claim 2 , wherein the imaging assembly further comprises a light source and housing enclosing the deformable circuit element claim 2 , the imaging device claim 2 , and the light source claim 2 ...

Small diameter laparoscopic tool having releasable tip

A laparoscopy tool includes a sheath and a control wire slideably disposed within a lumen of the sheath. The sheath has a diameter of less than 1.6 mm and is introduced through an abdominal incision. A handle axially displaces the control wire within the lumen and operates a conventional tip with wire-controlled opposing jaws that is introduced through the umbilicus and has a bore formed in its trailing end. A first set of blades in the bore engage grooves formed in the leading end of the control wire and a second set of blades engages the sheath to prevent sheath retraction. A cam displaces the second set of blades away from the sheath for sheath introduction and removal, and toward the sheath to prevent sheath retraction. The tip is removed through the umbilicus and the tool is removed through the abdominal incision when the surgery is completed.

Medical Tubes for Selective Mechanical Ventilation of the Lungs

A single lumen endobronchial tube for selective mechanical ventilation of the lungs can include a medical tube having a single lumen with an opening at each of opposed distal and proximal ends of the tube, the opening at the proximal end of the tube being adapted for connection to an external mechanical ventilation device, and the opening at the distal end of the tube being adapted for delivery of a medical gas; a wall extending throughout the tube's entire length having an internal wall surface, an external wall surface and a thickness therebetween, a portion of the wall having an aperture and a shaft adapted to house a mechanism for sealing the aperture; a distal bronchial cuff positioned along the external wall surface and adapted to expand radially outward; and at least a first proximal tracheal cuff positioned along the external wall surface and adapted to expand radially outward.

ENDOSCOPIC HOOK BLADE AND USE THEREOF

An endoscopic surgical blade is disclosed. The blade is of a hook design, having an upper cutting surface located on the trailing edge of an arm and a lower cutting surface on the upper edge of the main body of the blade. The blade is part of an endoscopic knife assembly which also contains a knife tube and alignment ring. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly through a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. A method for a performing an operative procedure on a target tissue in a subject using an endoscopic knife assembly having a hook blade is also described. 118-. (canceled)19. An instrument kit for implementing an endoscopic surgical procedure comprising:an endoscopic knife assembly comprising a hook blade, a knife tube and an alignment ring, wherein the blade comprises an upper cutting surface located on a trailing edge of an arm and a lower cutting surface located on an upper edge of a main body of the blade, the cutting surfaces meeting at an angle at a crotch; anda slotted cannula for endoscopic surgical procedures,wherein the endoscopic knife assembly is insertable into the slotted cannula.20. The instrument kit of claim 19 , wherein the main body of the blade comprises a notch on a lower edge of the main body to engage with the knife tube.21. A method for a performing a operative procedure on a target tissue in a subject claim 19 , comprising:establishing an entry portal,inserting a cannula having open proximal and distal ends,inserting an endoscope into the cannula, said endoscope comprising an endoscopic knife assembly having a hook blade,advancing said endoscope so that the hook blade moves distal to and is in contact with the target tissue, andoperatively engaging the target tissue with the hook blade.22. The method of claim 21 , wherein said operative procedure is an endoscopic surgical procedure selected from the ...

CATARACT REMOVAL DEVICE AND INTEGRATED TIP

The present invention is directed to an apparatus and method for assisted removal of the cortex, capsule polishing and destruction and/or removal of other intraocular structures. More particularly, the present invention is directed to a surgical apparatus configurable for removal of the cortex and the polishing of the capsule during cataract extraction surgery. 1. An ophthalmic surgical instrument for use at a surgical site , comprising:an endpiece configured to be operable with a handpiece having at least one axis, said endpiece configured to oscillate about the at least one axis;wherein the endpiece is configured with at least one polishing surface and at least one emulsification surface;wherein said emulsification surface is configured to emulsify intraocular structures; andwherein said primary polishing surface is configured to polish the lens capsule of the eye.2. The ophthalmic instrument of claim 1 ,wherein the endpiece is further configured with an inlet positioned to direct material present at the surgical site into an interior channel configured within the endpiece, the inlet being recessed from the surface of the endpiece and configured with a plurality of structures to prevent complete occlusion by, and ensuing damage to, the capsule, iris or other eye tissues.3. The ophthalmic instrument of claim 1 , wherein said endpiece is configured to oscillate so as to induce cavitation within a fluid present in the surgical site.4. The ophthalmic instrument of claim 2 , wherein said apparatus has the ability to selectively extract material from the eye.5. The ophthalmic instrument of claim 1 , wherein the endpiece having at least one of said polishing surface and emulsification surface is configured to selectively oscillate along three axis.6. The ophthalmic instrument of claim 5 , wherein at least one of said polishing surfaces and emulsification surfaces has the ability to rotate around a central axis of the endpiece.7. The ophthalmic instrument of claim 6 , ...

SLOTTED CLEAR CANNULA

A slotted cannula for endoscopic surgical procedures is disclosed. The slotted cannula has a tubular body having a distal end, a proximate end, an open slot extending longitudinally from the beginning of the proximate end to the proximity of the distal end, and a pair of wings integrally formed on the proximate end. The tubular body is made from a transparent material and has an inner diameter large enough to accommodate an endoscope. 129-. (canceled)30. A cannula for a surgical procedure , comprising:an elongated body comprising:a bore having an open distal end and an open proximate end;an open slot extending longitudinally along the elongated body and communicating with the open proximate end and distal end of the bore; andan integrally formed outwardly extending curvilinear flange portion on the proximate end of the bore,wherein the elongated body is made from a transparent polymer material, andwherein the transparent polymer material allows the observation of anatomical structure around an insertion path of the cannula.31. The cannula of claim 30 , wherein the elongated body is tubular.32. The cannula of claim 30 , wherein the elongated body has an inner diameter in the range about 1-10 mm.33. The cannula of claim 30 , wherein the elongated body has an outer diameter in the range about 2-12 mm.34. The cannula of claim 30 , wherein the elongated body has a length in the range about 5-25 cm.35. The cannula of claim 30 , wherein the elongated body has an inner diameter that accommodates an endoscope.36. The cannula of claim 30 , wherein the surgical procedure is an endoscopic surgical procedure.37. An instrument kit for implementing an surgical procedure claim 30 , said instrument kit comprising:a cannula for surgical procedures, comprising:an elongated body comprising:a bore having an open distal end and an open proximate end;an open slot extending longitudinally along the elongated body and communicating with the open proximate and distal ends of the bore; andan ...

Balloon-equipped endoscopic devices and methods thereof

An endoscopy system including a balloon-equipped endoscope including a balloon which is configured for slidable frictional engagement with an interior wall of a body passageway and axial stretching of the interior wall when inflated to a slidable frictional engagement pressure and displaced axially along the body passageway and a balloon inflation subsystem operative to selectably inflate the balloon to the slidable frictional engagement pressure.

METHODS OF USING AN ADJUSTABLE VARIABLE STIFFNESS MEDICAL DEVICE

A transluminal device may include an elongate section extending between a proximal end and a distal end of the device. The elongate section may be configured to be inserted into a body cavity. The device may include a balloon within the elongate section between the proximal end and the distal end. 17-. (canceled)8. A method of using a transluminal device comprising:inserting a distal end of the device into a body cavity, the device including a lumen extending from a proximal end of the device to the distal end;positioning a balloon at a first location within the lumen, the first location being a location between the proximal end and the distal end; andmoving the balloon from the first location to a second location in the lumen between the proximal end and the distal end; andinflating the balloon by admitting a fluid therein.9. The method of claim 8 , further including inserting the balloon into the lumen claim 8 , and wherein the step of inflating the balloon is performed after positioning the balloon at the first location.10. The method of claim 8 , wherein the step of inflating the balloon is performed before positioning the balloon at the first location.11. The method of claim 8 , further including deflating the balloon by removing the fluid therefrom claim 8 , and wherein deflating the balloon increases a flexibility of the device.12. The method of claim 8 , wherein inflating the balloon includes inflating a first section of the balloon independent of a second section of the balloon by admitting fluid into the first section while not admitting fluid into the second section claim 8 , the first section and the second sections being different sections of the balloon claim 8 , and wherein inflating the balloon decreases a flexibility of the device.1320-. (canceled)21. A method of using a medical device comprising:inserting an elongate section of the medical device into a body cavity, the elongate section having a distal end and a proximal end;positioning a balloon ...

CONDITION CHECKING DEVICE FOR ENDOSCOPE

An endoscope system includes an endoscope, having a tip device for entry in a body cavity, and a viewing window portion formed in the tip device. A sleeve-shaped condition checking device is disposed on a distal side in an axial direction, for resiliently deforming in a transverse direction crosswise to the axial direction when pushed on an inner wall of the body cavity, to enter a viewing area of the viewing window portion. Furthermore, a propulsion assembly constitutes the condition checking device, and exerts force of propulsion to the tip device, for assistance to entry in the body cavity. The condition checking device includes a resilient end ring, disposed distally of a support sleeve, covered by a propulsion assembly, and having a tapered wall of which a diameter decreases in the axial direction from the support sleeve. 1. A condition checking device for an endoscope having a tip device for entry in a body cavity , and a viewing window portion formed in said tip device , comprising:a sleeve-shaped view segment, disposed on a distal side in an axial direction, for resiliently deforming in a transverse direction crosswise to said axial direction when pushed on an inner wall of said body cavity, to enter a viewing area of said viewing window portion.2. A condition checking device as defined in claim 1 , comprising a propulsion assembly for constituting said view segment claim 1 , and exerting force of propulsion to said tip device claim 1 , for assistance to entry in said body cavity.3. A condition checking device as defined in claim 2 , wherein said propulsion assembly includes:a coupling device for mounting on said tip device;a support sleeve disposed around said coupling device;a resiliently deformable endless track device for endlessly moving in said axial direction of said support sleeve by extending along inner and outer surfaces of said support sleeve.4. A condition checking device as defined in claim 3 , wherein said view segment includes a resilient end ...

ENDOSCOPIC FULL THICKNESS RESECTION USING SURGICAL COMPRESSION CLIPS

An endoscope cap assembly for use with an endoscope having a distal and a proximal end, the assembly including: a hollow body having an orifice with a lip; a compression clip including a pair of compression elements the clip having an open configuration when the compression elements are spaced apart and a closed configuration when the compression elements are adjacent to each other, the clip positioned in its open configuration adjacent to the lip of the orifice; a severing element positioned in a groove between the compression elements and the hollow body, the severing element operable for severing tissue; and one or more restraining elements in mechanical communication with the clip, the restraining elements operable to allow the clip to transition from its open to its closed configuration. An endoscope system using the above defined endoscope cap assembly and a method for using the endoscope cap assembly. 1. An endoscope cap assembly for use with an endoscope having a distal and a proximal end , said assembly comprising:a hollow body having an orifice with a lip;a compression clip comprised of a pair of compression elements said clip having an open configuration when said compression elements are spaced apart and a closed configuration when said compression elements are adjacent to each other, said clip positioned in its open configuration adjacent to said lip of said orifice;a severing element for severing tissue positioned in a groove located within said clip or substantially at said lip of said orifice so that said severing element is positioned between said hollow body and a compression line formed by said compression elements; andat least one restraining element in mechanical communication with said clip, said restraining element operable to allow said clip to transition from its open to its closed configuration.2. An endoscope cap assembly according to claim 1 , wherein said at least one restraining element has an extended first and a retracted second ...

SINGLE USE DEVICES WITH INTEGRATED VISION CAPABILITIES

An integrated single use device with vision capabilities is provided. The device may comprise: an endoscope comprising: i) a disposable elongate member comprising a proximal end and a distal end and ii) a camera module located at the distal end, and the proximal end is removably attached to a supporting member; and one or more disposable instruments integrated to the endoscope, and the device is configured to perform functions of both the endoscope and the one or more disposable instruments. 1. A device comprising:(a) an endoscope comprising: i) a disposable elongate member comprising a proximal end and a distal end and ii) a camera module located at the distal end, wherein the proximal end is removably attached to a supporting member; and(b) one or more disposable instruments integrated to the endoscope,wherein the device is configured to perform functions of both the endoscope and the one or more disposable instruments.2. The device of claim 1 , wherein the distal end is articulated in two or more degrees of freedom.3. The device of claim 1 , wherein at least one of the one or more disposable instruments is integrated to the endoscope through a permanent connection at the distal end.4. The device of claim 1 , wherein the one or more disposable instruments are one or more instruments selected from the group consisting of a morcellator claim 1 , scissors claim 1 , a needle claim 1 , an illumination source claim 1 , a laser claim 1 , a balloon claim 1 , an implant/stent delivery device claim 1 , a stitching device claim 1 , laser fibers claim 1 , a grasper claim 1 , snares claim 1 , a loop claim 1 , and a bucket.5. The device of claim 1 , wherein the camera module and the one or more disposable instruments are permanently integrated to the endoscope claim 1 , and wherein there is substantially no relative movement between the camera module and the one or more disposable instruments.6. The device of any one of claim 1 , wherein the camera module is configured to ...

DEVICE AND METHOD FOR ENHANCED VISUALIZATION OF THE SMALL INTESTINE

A device for distending a body lumen for enhanced visualization with a capsule endoscope that includes a camera lens includes an attachment element configured to attach to the capsule endoscope and a plurality of struts extending from the attachment element and meeting at an apex. The plurality of struts are configured to extend both axially and radially away from the camera lens so as to form a frame therearound. 1. A device for visualization of a body lumen , comprising:a capsule endoscope;a plurality of struts extending from the capsule endoscope and meeting at an apex,wherein the plurality of struts extend both axially and radially away from the camera lens so as to form a frame therearound.2. The device of claim 1 , wherein the plurality of struts is configured to distend tissue as the capsule endoscope travels through the body lumen.3. The device of claim 1 , further comprising an attachment element configured to attach to the capsule endoscope claim 1 , wherein the plurality of struts extend from the attachment element.4. The device of claim 1 , wherein there are between 4 and 6 struts in the plurality of struts.5. The device of claim 1 , wherein each of the plurality of struts is self-expandable.6. The device of claim 5 , wherein each of the plurality of struts is formed of a shape memory material.7. The device of claim 1 , wherein the frame includes a biodegradable portion.8. The device of claim 1 , wherein the frame includes a tapered tip.9. The device of claim 8 , wherein an angle of the taper is between 30° and 60°.10. A device for visualization of a body lumen claim 8 , comprising:a capsule endoscope comprising a camera lens;a plurality of struts extending from the capsule endoscope and forming a frame therearound, the plurality of struts configured to distend tissue as the capsule endoscope travels through the body lumen.11. The device of claim 10 , wherein the plurality of struts meet at an apex.12. The device of claim 10 , further comprising an ...

Endoscope proximity sensor

An endoscope (1) with a shaft (2), a grip (3) connected to the shaft (2) at a proximal end region of the shaft (2), and a viewing region (4) formed in a distal end region of the shaft (2) by optical elements. The shaft (2) has at least one proximity sensor (5), of which the measuring region lies at least outside the viewing region (4), preferably in such a way that the measuring region of the proximity sensor (5) covers at least the distance of the lateral region of the distal end region. The endoscope has an evaluation device (6) which is configured to generate a warning signal when a definable distance threshold value is undershot.

Fully integrated, disposable tissue visualization device

The present invention relates to a fully integrated sterilizable one time use disposable tissue visualization device and methods for using such devices. Preferred embodiments of the invention facilitate the visualization of an internal tissue site while causing a minimum of damage to the surrounding tissue. Further preferred embodiments may allow for the delivery of fluids and other treatment to an internal tissue site.

ENDOSCOPIC GUIDE, IN PARTICULAR FOR COLONONSCOPY, AND SYSTEM FOR ENDOSCOPY COMPRISING SUCH A GUIDE

An endoscopic guide for catheters and or endoscopes, comprising a tubular guiding element, an anchoring head, said anchoring head being provided at least with a container for accommodating a magnetic agent, the container being connected to said guiding element's longitudinal cavity, a magnetic agent which can move in said a longitudinal cavity in order to fill/empty the container and a manually maneuverable magnetic field source. 1. A method for introducing a colono scope into a colon of a patient , the method comprising: a distal end configured to be introduced into the colon, and', 'a proximal end connected to a maneuver and control manipulator;, 'providing a colonoscope comprising [ a proximal end,', 'a distal end,', a body having a diameter between 2 mm and 3.5 mm and comprising a single lumen having an inner diameter between 1 mm and 3 mm,', 'a longitudinal cavity,, 'a tubular guiding element comprising, 'an anchoring head comprising an endoscopic balloon configured to accommodate a magnetic or ferromagnetic agent, the endoscopic balloon expandable and retractable between a retracted condition, in which the endoscopic balloon is adherent to the body of the tubular guiding element, to an expanded condition, in which the endoscopic balloon protrudes externally from the body of the tubular guiding element, the endoscopic balloon being in communication with the longitudinal cavity of the tubular guiding element, the endoscopic balloon having an expanded volume between 20 mL and 40 mL, and', 'a magnetic or ferromagnetic agent movable in the longitudinal cavity of the tubular guiding element and configured to fill and empty the endoscopic balloon, the magnetic or ferromagnetic agent comprising a liquid and a plurality of magnetizable bodies in dispersion in the liquid, wherein the magnetic or ferromagnetic agent comprises an aqueous suspension of magnetite or maghemite or a ferrofluid, and wherein the magnetic or ferromagnetic agent comprises a suspension of 30% to ...

SIDE LOOKING MINIMALLY INVASIVE SURGERY INSTRUMENT ASSEMBLY

A surgical instrument is inserted through a guide tube. The surgical instrument exits at an intermediate position of the guide tube and is oriented to be substantially parallel to the guide tube's longitudinal axis as it exits. A stereoscopic image capture component is on the guide tube between the intermediate position and the guide tube's distal end. The image capture component's field of view is generally perpendicular to the guide tube's longitudinal axis. The guide tube is jointed to allow the image capture component to be moved. The surgical instruments and the guide tube are telemanipulatively controlled. 1. A surgical instrument assembly comprising:a guide tube comprising a proximal end, a distal end, and an intermediate position between the proximal and distal ends; anda surgical instrument, wherein the surgical instrument is configured to pass through the guide tube, and wherein the surgical instrument is configured to exit the guide tube at the intermediate position; the surgical instrument comprises a parallel motion mechanism, the entire parallel motion mechanism of the surgical instrument being distal to the intermediate position in a first configuration; and', 'the parallel motion mechanism of the surgical instrument heaves and sways a distal end of the surgical instrument without changing pitch and yaw of the distal end of the surgical instrument., 'wherein2. The surgical instrument assembly of claim 1 , wherein the surgical instrument comprises an end effector.3. The surgical instrument assembly of claim 1 , wherein the surgical instrument comprises an endoscopic image capture component.4. The surgical instrument assembly of claim 1 , wherein:the surgical instrument comprises a first body segment;the parallel motion mechanism comprises a first joint, a second joint, and a rigid second body segment;the first joint, the second body segment, and the second joint being connected in series;the first joint comprises a first hinge and a second hinge, the ...

IN-VIVO VISUALIZATION SYSTEMS

A computer implemented method comprises receiving a model of a tissue region, steering a distal end of a catheter within a body to a first area of a tissue region, and obtaining a first image from the distal end of the catheter of the first area of the tissue region. The method further comprises mapping the first image of the first area of the tissue region to the model of the tissue region and displaying the first image of the first area of the tissue region on the model of the tissue region. 120-. (canceled)21. A computer implemented method comprising:receiving a model of a tissue region;steering a distal end of a catheter within a body to a first area of a tissue region;obtaining a first image from the distal end of the catheter of the first area of the tissue region;mapping the first image of the first area of the tissue region to the model of the tissue region; anddisplaying the first image of the first area of the tissue region on the model of the tissue region.22. The computer implemented method of wherein the model is three-dimensional.23. The computer implemented method of further comprising steering the distal end of the catheter from the first area to a second area of the tissue region;obtaining a second image from the distal end of the catheter of the second area of the tissue region;mapping the second image of the second area of the tissue region to the model of the tissue region; anddisplaying the second image of the second area of the tissue region on the model of the tissue region.24. The computer implemented method of further comprising projecting a graphic representation of the distal end of the catheter on the model of the tissue region.25. The computer implemented method of wherein obtaining the first image includes obtaining the first image through an open area created by an expanded hood extending from the distal end of the catheter.26. The computer implemented method of wherein obtaining the first image includes obtaining the image through a ...

MUTLI-VIEWING ELEMENT ENDOSCOPE

There is provided herein a tip section of a multi-viewing element endoscope, the tip section comprising: two or more side-pointing viewing elements positioned at or in proximity to a distal end of said tip section, wherein each of said two or more side-pointing viewing elements having a discrete illuminator associated therewith, wherein the field of view provided by the two or more side-pointing viewing elements covers a front and side views; a working channel configured for insertion of a surgical tool; and a pathway fluid injector for inflating and/or cleaning a body cavity into which the endoscope is inserted. 120-. (canceled)21. An endoscope system comprising:a front-pointing viewing element positioned at a distal tip section, said front-pointing viewing element comprising a camera;a first side-pointing viewing element positioned at the distal tip section, said first side-pointing viewing element comprising a lens assembly located at the distal tip section and a fiber optic, wherein said lens assembly is configured to receive light from an area of interest, and the received light is transferred through said fiber optic;a first side fluid injector positioned on a first surface of the distal tip section; anda first depression on the first surface, wherein the first side-pointing viewing element and the first side fluid injector are positioned within the first depression.22. The system of claim 21 , wherein a first field of view of the front-pointing viewing element partially overlaps with a second field of view of the first side-pointing viewing element.23. The system of claim 21 , further comprising:a second side-pointing viewing element positioned on a second surface of the distal tip section, the second side-pointing viewing element comprising a camera located at the distal tip section,a second side fluid injector positioned on the second surface; anda second depression on the second surface, wherein the second side-pointing viewing element and the second side ...

MONITORING DISPOSITION OF TETHERED CAPSULE ENDOSCOPE IN ESOPHAGUS

A scanning flexible endoscope includes a tether attached to a capsule. The tether controls a disposition of the capsule within a body lumen such as the esophagus. A scanning device in the capsule optically scans the adjacent tissue on the inside surface of the body lumen as the capsule is moved axially through the body lumen. A non-contact sensor responds to indicia on the tether to measure a relative position of the tether and the capsule in the body lumen. The indicia can be analog or digital in form and the sensor can be either magnetic, or optical. A wiper is optionally provided to remove bodily fluids from the tether when pulled from the body lumen past the sensor. A pulse of fluid can be delivered to the distal end of the tether to cause the body lumen to distend, facilitating free movement of the capsule in the lumen. 1. A method for imaging a body lumen of a patient , the method comprising:providing an imaging apparatus comprising a scanning capsule coupled to a flexible tether, the scanning capsule comprising a scanning device disposed within a capsule housing;introducing the scanning capsule and at least a portion of the flexible tether into the body lumen of the patient by swallowing, wherein the scanning capsule advances along the body lumen with normal peristalsis;scanning light onto a portion of the body lumen using the scanning device;detecting light from the portion of the body lumen using a light sensor;generating one or more images of the portion of the body lumen in response to the detected light;determining a rate for withdrawing the scanning capsule from the body lumen based on the one or more images; andwithdrawing the scanning capsule from the body lumen according to the determined rate.2. The method of claim 1 , further comprising stitching the one or more images together so as to generate a panoramic image of the portion of the body lumen.3. The method of claim 2 , wherein the stitching is performed using automated image stitching software.4 ...

SYSTEM AND METHOD FOR CLEANSING SEGMENTS OF A LUMINAL NETWORK

A method and system for instilling a medium into portions of a luminal network is provided. The method includes generating a model of a luminal network based on images of the luminal network, determining a location of a treatment target in the luminal network, navigating a bronchoscope through the bronchial tree to a target, guiding a catheter through the bronchoscope, dispensing medium to the target from a distal end of the catheter, and removing a quantity of medium from the luminal network. 1. A method of instilling a medium into portions of a luminal network comprising:generating a model of a luminal network based on images of the luminal network;determining a location of a treatment target in the luminal network;navigating a bronchoscope through the bronchial tree to a target;guiding a catheter through the bronchoscope;dispensing a medium to the target from a distal end of the catheter; andremoving a volume of the medium from the luminal network.2. The method of claim 1 , further comprising claim 1 ,generating an electromagnetic field about the luminal network; andinserting a location sensor into the electromagnetic field,tracking a location of the location sensor coupled to the bronchoscope while the location sensor is navigated within the luminal network; anddisplaying guidance for navigating the location sensor within the luminal networkwherein the location sensor includes magnetic field sensors configured to sense the magnetic field and to generate position signals in response to the sensed magnetic field.3. The method of claim 1 , further comprising:measuring the volume of medium removed from the luminal network; anddetermining whether the volume of the medium removed from the luminal network equals or exceeds a threshold volume based on a volume of the dispensed medium.4. The method of claim 1 , further comprising:inflating a first balloon coupled to the distal end of the catheter until the first balloon contacts walls of the luminal network creating a ...

Direct Vision Cryosurgical Probe and Methods of Use

A direct vision cryosurgical and methods of use are described herein where the device may generally comprise an elongated rigid structure with a distal end, a proximal end, and a central lumen. The distal end may comprise a non-coring optically transparent needle tip with at least one lateral fenestration in communication with the central lumen. The distal end may also house at least one imaging device configured for distal imaging. A proximal end of the device may comprise a handle with a means for connecting the imaging device(s) to an imaging display(s), and a means for accessing bodily tissue in the vicinity of the distal end with a cryo-ablation probe through the central lumen and the lateral fenestration(s) for diagnostic or therapeutic purposes.

Real-Time Sampling Device

An elongated access device used in a medical system. The elongated access device slidably receives a medical tool and an ultrasound probe. The elongated access device includes a sheath and an intraluminal tip attached to the distal end of the sheath. The intraluminal tip includes ramp and nose donuts being spaced apart from one another and configured to be attached to one or more elongated sleeves. One or more orientation pins are engaged with the respective ramp and nose donuts and may be anchored within the sheath. The medical tool is engaged with a ramp formed in the ramp donut or a ramp received within the ramp donut. The ultrasound probe is configured to engage with the intraluminal tip so as to ensure that the medical tool directionality is oriented toward a target during a procedure. 1. An elongated access device having respective proximal and distal ends and being used in a medical system , the elongated access device having a medical tool and an ultrasound probe disposed therein , the elongated access device comprising: a first lumen configured to receive the ultrasound probe;', 'a second lumen configured to receive the medical tool; and', 'a lumen liner configured to extend beyond a distal face of the sheath; and, 'a sheath comprising at least one coupling device;', a probe lumen; and', 'a ramp lumen;, 'a hub comprising, 'a nose device; and', 'a ramp device configured to be received within the ramp lumen and configured to receive at least a portion of the lumen liner., 'a tip configured to be attached to the sheath, the tip comprising2. The device of claim 1 , wherein the ramp device comprises:a proximal end comprising a lumen;a distal end; anda ramp section located between the proximal end and the distal end, the ramp section comprising exit port and a ramp being in fluid communication with the lumen of the proximal end.3. The device of claim 2 , wherein the hub comprises:a proximal end;a distal end; andan exit port located between the proximal end and ...

Real-Time Sampling Device

An elongated access device used in a medical system. The elongated access device slidably receives a medical tool and an ultrasound probe. The elongated access device includes a sheath and an intraluminal tip attached to the distal end of the sheath. The intraluminal tip includes ramp and nose donuts being spaced apart from one another and configured to be attached to one or more elongated sleeves. One or more orientation pins are engaged with the respective ramp and nose donuts and may be anchored within the sheath. The medical tool is engaged with a ramp formed in the ramp donut or a ramp received within the ramp donut. The ultrasound probe is configured to engage with the intraluminal tip so as to ensure that the medical tool directionality is oriented toward a target during a procedure.

WIDE FIELD RAMAN IMAGING APPARATUS AND ASSOCIATED METHODS

Apparatus and methods are presented herein that permit real-time, accurate detection of residual tumor in the operating room. The Raman-based wide-field imaging apparatus and methods described herein permit real-time imaging of tumor-targeted R-MR nanoparticles over a wide field. 1. A wide field Raman imaging apparatus comprising:at least one light source for producing excitation light;optics for directing the excitation light onto and/or into a target tissue;a detector for detecting Raman scattered photons emanating from the target tissue following illumination by the excitation light, the Raman scattered photons indicative of the presence of a Raman reporter in and/or upon the target tissue; anda processor configured to process data corresponding to the Raman scattered photons detected from the target tissue and to produce an image depicting a wide field corresponding to the target tissue, the image visually indicating position and/or intensity of the Raman reporter within the wide field.2. The apparatus of claim 1 , wherein the at least one light source claim 1 , the detector claim 1 , and the processor are configured to produce a substantially real-time series of images visually indicating position and/or intensity of the Raman reporter within the wide field.3. The apparatus of claim 2 , wherein the processor is configured to produce each image of the real-time series of images by obtaining one or more monochromatic images within a given short interval of time (e.g. claim 2 , 500 milliseconds or less claim 2 , e.g. claim 2 , 50 milliseconds or less) claim 2 , each monochromatic image obtained at a wavelength corresponding to a spectral peak characteristic of the Raman reporter claim 2 , and to use the one or more monochromatic images to produce the image in the real-time series indicating the position and/or intensity of the Raman reporter within the wide field during the given short interval of time.4. The apparatus of any one of the preceding claims claim 2 , ...

METHODS AND APPARATUS FOR TREATMENT OF ATRIAL FIBRILLATION

A manipulation assembly includes a delivery catheter having a lumen extending therethrough and a deployment catheter positioned within the delivery catheter. The deployment catheter is independently manipulatable with respect to the delivery catheter. The assembly further includes a visualization element extendable distally beyond the deployment catheter and an ablation probe comprising an energy transmitting surface positionable to ablate tissue adjacent to a distal end of the ablation probe. The ablation probe is extendable distally beyond the deployment catheter. 197-. (canceled)98. A manipulation assembly comprising:a delivery catheter having a lumen extending therethrough;a deployment catheter positioned within the delivery catheter, the deployment catheter being independently manipulatable with respect to the delivery catheter;a visualization element extendable distally beyond the deployment catheter; andan ablation probe, the ablation probe being extendable distally beyond the deployment catheter.99. The manipulation assembly of claim 98 , wherein the deployment catheter is steerable.100. The manipulation assembly of claim 99 , wherein the deployment catheter is steered via pulling at least one wire.101. The manipulation assembly of claim 100 , wherein the deployment catheter is steered via computer control.102. The manipulation assembly of claim 98 , further comprising a conical membrane projectable distally from the deployment catheter claim 98 , the conical membrane defining an open area.103. The manipulation assembly of claim 102 , wherein the open area is in fluid communication with at least one lumen extending through the deployment catheter and with an environment external to the conical membrane.104. The manipulation assembly of claim 102 , further comprising a distal membrane positioned along a plane that is orthogonal to a longitudinal axis of the delivery catheter claim 102 , the distal membrane having an aperture.105. The manipulation assembly of ...

ENDOSCOPE

Provided is an endoscope that can connect proximal ends of the first signal lines and a signal relay part together without securing an extra length for the first signal lines. An airtight casing is disposed inside an outer tube of an insertion part, an imaging device and first signal lines are accommodated inside the airtight casing, a distal end of the airtight casing is airtightly sealed by a cover glass, and a proximal end of the airtight casing is airtightly sealed by a partition wall part. The airtight casing is constituted of a first tubular body and a second tubular body, and the second tubular body is disposed in a nested shape with respect to the first tubular body. During the connection between the proximal ends of the first signal lines and the terminal part, the second tubular body is advanced toward the first tubular body. 1. An endoscope comprisingan insertion part inserted into the body,wherein the insertion part includesan outer tube that forms an outer peripheral wall of the insertion part,an optical member disposed at a distal end of the insertion part,an imaging device that picks up an observation image obtained through the optical member,a first signal line that has a distal end connected to the imaging device and transmits a signal output from the imaging device,a signal relay part connected to the proximal end of the first signal line,a second signal line that has a distal end connected to the signal relay part and transmits a signal relayed from the first signal line via the signal relay part,a partition wall part that holds the signal relay part, andan airtight casing that is disposed inside the outer tube, has a distal end, a proximal end, and a longitudinal axis, and has a tubular shape of which the inside is hollow, the distal end being airtightly sealed by the optical member, the proximal end being airtightly sealed by the partition wall part, and the imaging device and the first signal line being accommodated in an airtight state therein ...

METHODS AND APPARATUS TO SHAPE FLEXIBLE ENTRY GUIDES FOR MINIMALLY INVASIVE SURGERY

In one embodiment of the invention, an apparatus for performing surgical procedures is disclosed including a flexible entry guide tube, and a first steering device. The flexible entry guide tube has one or more lumens extending along its length from a proximal end to substantially at or near a distal end. At least one of the one or more lumens is an instrument lumen with open ends to receive a flexible shaft of a surgical tool to perform surgery near the distal end of the flexible entry guide tube. The first steering device is insertable into the instrument lumen to shape the flexible entry guide tube as it is inserted through an opening in a body and along a path towards a surgical site. The apparatus may further include a flexible locking device to couple to the flexible entry guide tube and selectively rigidize the flexible entry guide tube to hold its shape. The flexible entry guide tube may be steered by remote control with one or more actuators. 1. An apparatus for surgical procedures , the apparatus comprising:a flexible entry guide tube having one or more lumens extending along its length from a proximal end to substantially at or near a distal end, wherein at least one of the one or more lumens is a first instrument lumen with open ends to receive a surgical tool with a flexible shaft to perform surgery near the distal end of the flexible entry guide tube; anda first steering device insertable into the first instrument lumen, the first steering device to shape the flexible entry guide tube as the flexible entry guide tube is inserted through an opening in a body and guided towards a surgical site.2. The apparatus of claim 1 , whereinthe flexible entry guide tube includesa flexible locking device to couple to the flexible entry guide, the flexible locking device to selectively rigidize the flexible entry guide tube to hold its shape.3. The apparatus of claim 1 , whereinthe first steering device is a first surgical tool with control cables to move a steerable ...

Optically guided feeding tube assemblies, feeding tube tips, and related methods

A feeding tube assembly and feeding tube tip secure a viewing lens proximal of the distal end of the feeding tube tip. The feeding tube tip can include a plurality of protrusions that extend radially inward to secure the viewing lens. The feeding tube assembly and feeding tube tip can be used to improve image quality by keeping tissue from abutting the viewing lens as the feeding tube tip is inserted into a patient.

Sheath for hand-held and robotic laparoscopes

A sheath for providing a dynamic air shield relative to a distal portion of a laparoscope disposed within the sheath includes a sheath elongate body having an inner surface and an outer surface, a plurality of lumens, and a distal portion configured to deflect air from the lumens across the surface of a laparoscope. The sheath can include a registration and alignment feature configured to align the sheath with a laparoscope. Further, the sheath can be configured to work with robotic laparoscope systems.

Clot evacuation and visualization devices and methods of use

An integrated clot evacuation device having visualization for use in neurosurgical applications, particularly for the evacuation of clots formed as a result of intracranial hemorrhage (ICH). The device may further include an integrated camera and light for visualizing the interior of the brain and the clot itself. Further, the device is configured to evacuate clots through aspiration and irrigation.