Abstract: Electrosurgical handheld devices are used mainly for endoscopic applications in urology or in gynaecology. However, the field of use of these instruments is not limited to these regions of the human body and instead also includes the treatment of further organs in the lower part of the human abdomen. The invention makes available an electrosurgical handheld device and also a handle, a main body and an adapter, which are particularly easy and cost-effective to produce and which at the same time ensure a laminar flow of the irrigation liquid at the distal end of the handheld device. This is achieved by the fact that a feedthrough extending through a handle is funnel-shaped, wherein a cross section of the feedthrough tapers from a distal side to a proximal side of the handle.

Abstract: A method having: sending, to a spatially separately arranged server device, a configuration request having an item of identification information of the electrosurgical generator; receiving an item of operating information indicative of an operating mode, wherein the operating mode is capable of partially controlling the energy supply of the electrosurgical instrument by the electrosurgical generator; and storing the operating information in a data memory of the electrosurgical generator.

Abstract: In order to flush away local bleeding during surgery with a medical instrument, the instruments are commonly provided with a flushing device. In order to be able to control an inflow and outflow of a flushing liquid, the instruments have a stopcock. In order to achieve the sealing action of the stopcock, the plugs of the stopcock have to be formed with a very high degree of precision. The known production processes for such plugs are very cumbersome and cost-intensive. This provides a plug for a stopcock and a stopcock and a method for producing a plug, by way of which the stated problem is eliminated. This is achieved in that a plug, with a grip part and a cone part, is formed in one part and can be produced in a single process step.

Abstract: A fluid distributor for use with a reprocessing device for reprocessing a surgical instrument having a plurality of channels, including: a routing body having a plurality of connections corresponding to the channels; and a switching body movably disposed in the routing body, the switching body having an interior supply line connected to a fluid reservoir for selectively providing a fluid to one or more of the connections. The switching body can be configured such that, in a first position of the switching body relative to the routing body, the connections of the routing body are each in fluid communication with the supply line of the switching body and in at least a second position of the switching body relative to the fluid routing body less than all of the connections of the routing body are in fluid communication with the supply line of the switching body.

Abstract: A method for controlling an excitation light source for endoscopic fluorescence imaging. The method including: one of receiving an excitation light request signal by a switch on an endoscope or generating the excitation light request signal; at least when the excitation light request signal is present, evaluating at least one image detected by the endoscope in real time to determine whether the at least one image originates from inside or from outside of a body; and controlling the excitation light source to only generate excitation light with full power when the excitation light request signal is present and the evaluation indicates that the at least one image originates from inside of the body. Wherein the evaluation of the at least one image is determined by an artificial neural network.

Abstract: A method for generating training data for endoscopic applications, in which stored image data comprising individual images or video data from endoscopic procedures/examinations are prepared as training data for machine learning applications. Wherein the method includes: (a) subjecting the image data to an image recognition algorithm for determining: (i) whether the stored image data was captured inside or outside a body, and (ii) whether text information and faces are contained in the stored image data, and (b) subjecting the image data to an image processing algorithm, with which the image data, depending on the result in (a): (i) are anonymized by obscuring or removing text information and faces when the stored image data is determined to have been captured outside of a body, and (ii) are anonymized by obscuring or removing text information when the stored image data is determined to have been captured inside of a body.

Abstract: A user assistance system for reusable medical devices and a method for monitoring processing. The user assistance system includes data glasses and a data memory in which a plurality of type datasets are saved that each include information relating to an identifying feature of a specific medical device type, and information relating to instructions for reprocessing these medical device types. The user assistance system records a user identifying feature and activates an associated user profile, to record a location identifying feature and to activate an associated location profile, and to display, as visual information, instructions assigned to the active user profile and the active location profile for reprocessing the medical device.

Abstract: An operating method for a medical system for performing a surgical procedure, where the medical system includes at least one artificial intelligence, an intraoperative artificial intelligence and an output unit. The operating method including: supplying the intraoperative artificial intelligence with preoperative output data and intraoperative data; processing the preoperative output data and the intraoperative data by the intraoperative artificial intelligence; and outputting output data from the intraoperative artificial intelligence to the output unit that provides a user output based on the output data from the intraoperative artificial intelligence.

Abstract: An endoscope including an elongated shaft. The elongated shaft including: an inner shaft tube in which an optical system is received; an outer shaft assembly including an outer shaft tube and a tubular support body proximally abutting the outer shaft tube; at least one bundle of optical fibers disposed between the inner shaft tube and the outer shaft tube; and an electrical connector arranged between the inner shaft tube and the support body. Where the support body includes at least a first web and a second web each extending radially between an inner surface of the support body and an outer surface of the inner shaft tube, the first web and the second web also extending in a longitudinal direction of the shaft such that an annular space between the inner shaft tube and the support body is divided into at least two segments.

Abstract: A medical endoscope is an instrument having an elongate, tubular shaft. The instrument is commonly provided with a flushing device. The flushing liquid can be guided through corresponding separate liquid channels. In order to be able to control the flow of the liquid, the liquid channels have a stopcock. The stopcocks here are of complex construction, and for this reason both the production thereof and the cleaning thereof are complicated. The invention includes a stopcock and also a housing and a method for producing the housing, by way of which the production and the cleaning of the housing are simplified. This is achieved in that a housing and at least one spring element for form-fitting fixing of a plug in a position in the interior space of the housing are manufactured integrally from a single part, that is to say in one part.

Abstract: A fluid-tight hose connection for a surgical instrument including: a hose having an inner hose and an outer protective hose surrounding the inner hose, wherein the inner hose has a coiled hose portion at an end portion of the hose; and a sleeve having a wedge-shape in a longitudinal section, the sleeve being arranged between the coiled hose portion of the inner hose and the outer protective hose.

Abstract: A medical instrument is presented having a proximal main body and an elongated shaft disposed distally of the main body, wherein the shaft includes a first shaft tube and a second shaft tube coaxially arranged around the first shaft tube, the interior of the first shaft tube forming a first fluid space, and an annular space between the first shaft tube and the second shaft tube forming a second fluid space. The instrument wherein the proximal ends of the first shaft tube and the second shaft tube are received in a common retaining body arranged in the main body, wherein the retaining body includes a first supply channel to the first fluid space and a second supply channel to the second fluid space and is configured as a one-piece injection moulded body.

Abstract: An electrosurgical handheld devices, and contact bodies of electrosurgical handheld devices, prove very difficult to clean. Cleaning them is very laborious, particularly when they have bores and receptacles of small diameters. Even mechanical cleaning cannot guarantee that the necessary degree of cleaning is achieved. The invention makes available an electrosurgical handheld device and a contact body that can be cleaned particularly easily and thoroughly and in a time-efficient manner. This is achieved by the fact that the contact body for an electrosurgical handheld device has at least one receptacle that is designed as a continuous bore through the contact body.

Abstract: An electrosurgical system includes a liquid feeding device for feeding a quantity of liquid to the distal end of a shaft of a bipolar electrosurgical instrument, an impedance measuring device for measuring the impedance of an object arranged at the distal end of the shaft, and a control device that is connected to the impedance measuring device and the liquid feeding device and is configured to control and/or dose the quantity of liquid fed by the liquid feeding device to the distal end of the shaft as a function of the measurement of the impedance measured by the impedance measuring device.

Abstract: A video endoscope including an elongate shaft having a distal end and a proximal end; a tubular sleeve arranged in the shaft so as to be rotatable about a longitudinal axis of the shaft; a connector arranged at the proximal end of the shaft; an objective arranged at the distal end of the shaft; at least one image sensor arranged in the shaft so as to be proximal to the objective, the at least one image sensor being surrounded by the tubular sleeve; a flexible signal line connecting the at least one image sensor to the connector; and a fastener for detachable fastening the flexible signal line.

Abstract: In known electrosurgical handheld devices, a strengthening tube is firmly connected to a working element or a main body. Before the strengthening tube is connected to the main body, a contact body has to be pushed over the strengthening tube. For this purpose, the contact body has a corresponding bore. When the contact body is replaced for maintenance reasons or because of defects, the strengthening tube has to be removed with difficulty from the main body in order to be able to withdraw the contact body from same. The invention makes available an electrosurgical handheld device and a contact body which is able to be manipulated and maintained in a particularly simple and also time-efficient manner. This is achieved by the fact that a contact body for an electrosurgical handheld device has a slit parallel to a continuous bore and also parallel to a longitudinal axis of the handheld device.

Abstract: A stereoscopic optical system including: left and right channels; an electromagnetic actuator including a stator and rotor; wherein first optical components of the left channel are arranged in a left tube and second optical components of the right channel are arranged in a right tube; the stator is arranged outside the guide tubes; the rotor includes a left rotor, in which one or more of the first optical components is accommodated, and a right rotor, in which one or more of the second optical components is accommodated; the left and right rotors are mounted in one of the left and right tubes to be movable in a longitudinal axial direction; the left and right rotors include paramagnetic and/or ferromagnetic material and are movable by an electromagnetic field; the stator includes distal and proximal permanent magnets oppositely polarized; and the stator includes an electric coil for generating the electromagnet field.

Abstract: The disclosed embodiments relate to an electrosurgical system, to a method for operating an electrosurgical system, and to an electrode for an electric surgical system. An image detection system of the surgical instrument detects an image of the electrode. The corresponding image data is compared with data sets in a database, in which an identifying feature of the electrode and at least one operating parameter for the electrode are assigned to each other. After the electrode type has been identified, the corresponding operating parameters are transmitted to a controller of the surgical instrument.

Abstract: A surgical radiofrequency instruments such as resectoscopes, for example, are used for removing or manipulating body tissue. A particular disadvantage of known instruments has been that the arrangement of an electrode instrument in an inner shaft can influence a flow behavior of an irrigation liquid. The invention makes available an electrode instrument by which the irrigation liquid is not disturbed. This is achieved by the fact that an electrode instrument has two electrode carriers which are arranged parallel to each other and are connected to each other by at least one guide element, and this at least one guide element extends, at least in part, convexly away from a longitudinal axis.

Abstract: A bipolar high-frequency (HF) applicator for an HF surgical instrument, and an HF application system are disclosed. The bipolar HF applicator has a flat main body that is made of an insulating material and has a rounded shape with two side faces opposite each other and an edge delimiting the side faces. The main body includes, on at least one of the two side faces, two electrodes, the electrode surfaces of which are isolated from each other on the side face. The electrodes are connected to supply lines for supplying HF energy.