Abstract: A deflection prism assembly for an endoscope having a lateral viewing direction, the deflection prism assembly including: a prism holder; and a deflection prism accommodated in the prism holder; wherein the deflection prism has a light outlet surface and an opposite light inlet surface arranged obliquely to the light outlet surface, the deflection prism further having a lateral surface extending between the light inlet surface and the light outlet surface; and the prism holder accommodates the deflection prism such that the prism holder surrounds less than all regions of the lateral surface of the deflection prism.

Abstract: A medical device is provided. The device includes a body that includes an opening through which a wire is configured to extend. The body further includes an edge and a skirt having only three surfaces surrounding the opening and extending further downwardly in a direction away from the opening than the edge.

Abstract: An endoscope system includes: an endoscope including an insertion section, a distal end member disposed on a distal end portion of the insertion section, and a ring-shaped insulation member disposed on a proximal end side of the distal end member and a distal end cover including an opening that allows exposure of a portion of the distal end member and an inner peripheral surface disposed on a proximal end side with respect to the opening and in close contact with an outer peripheral surface of the insulation member. The outer peripheral surface of the insulation member and the inner peripheral surface of the distal end cover in close contact with the outer peripheral surface are formed in a shape formed by connecting a plurality of curved surfaces having different curvatures about the axis over an entire circumference about the axis.

Abstract: A controller controls a movement of an endoscope to cause the endoscope to follow a surgical instrument. The controller includes a processor. The processor acquires position information including the position of the surgical instrument, acquires scene information associated with a procedure scene to be observed through the endoscope, determines an offset parameter, which determines the position of the target point with respect to a predetermined fiducial point in the field of view of the endoscope, of a target point on the basis of the scene information, sets the position of the target point with respect to the fiducial point on the basis of the offset parameter, and causes the endoscope to follow the surgical instrument such that the surgical instrument is disposed at the target point, by controlling a movement of the endoscope on the basis of the position of the target point and the position of the surgical instrument.

Abstract: An electrosurgical generator which outputs high-frequency AC voltage for an electrosurgical instrument includes a leakage current detecting device for the connected electrosurgical instrument. The leakage current detecting device is embodied as a voltage measuring device, the inputs of which are connected in each case via a capacitive coupling to an active and a neutral line of the output line and which has a bipolar voltage divider having a predetermined fixed ratio. An asymmetry detector connected via a capacitive coupling compares upper and lower voltage at the voltage divider, and outputs a fault signal for leakage current in the case of deviation of the ratio of upper to lower voltage from the predetermined fixed ratio.

Abstract: An information acquisition unit acquires multiple pieces of image information acquired through image analysis of multiple images captured in an endoscopic examination. An image information storage unit stores the acquired multiple pieces of image information. A number evaluation unit derives the number of captured images of each region based on the stored multiple pieces of image information and assigns, when the derived number of captured images of a region is different from an appropriate number of captured images, a first evaluation value to the evaluation result for the region. An image evaluation unit extracts, from the stored multiple pieces of image information, image information indicating that an image is inappropriate and assigns a second evaluation value to the evaluation result for the region corresponding to the extracted image information.

Abstract: A medical system includes an imager configured to pick up an image and output an image signal, a signal processing device configured to generate an observation image from the image signal, a display configured to display the observation image, and a relay device, and the signal processing device derives a processing sequence that minimizes a time duration from when the imager picks up an image until the display displays the observation image, based on a first specification of the image signal at the imager, a second specification of the signal processing device, a third specification of the observation image at the display, and a communication protocol of the relay device, provides instruction of a fourth specification to the imager based on the processing sequence, and provides instruction of a fifth specification to the display based on the processing sequence.

Abstract: A treatment system includes an energy treatment tool and a power supply device. The energy treatment tool includes respective first and second grasps configured to be coupled with one another and are capable of pivoting with respect to one another so as to grip a treatment target therebetween. A plurality of bipolar electrodes is attached to the respective first and second grasps. The plurality of bipolar electrodes receives a high-frequency current to flow through the treatment target so as to develop a first temperature distribution in the treatment target. A treatment energy source is configured to be coupled to one of the respective first and second grasps and receives electric energy to generate treatment energy different from the high-frequency current and to apply the generated treatment energy to the treatment target so as to develop a second temperature distribution in the treatment target.

Abstract: A device that includes a body having an opening through which a wire is configured to extend; a channel defined by an upper wire guiding portion and a lower wire guiding portion; and a wire locking feature configured to immobilize a section of the wire. The channel is configured to guide the wire along a path between the body and the wire locking feature.

Abstract: An imaging system includes a camera unit and a control unit. A control signal transmission circuit of the control unit is configured to set a bias potential of a signal line to one of two or more different potentials at a timing that is set on the basis of a first video synchronization signal so as to output a control signal indicating an imaging condition of an image sensor to the signal line. A signal-processing circuit of the camera unit is configured to receive the control signal and determine the imaging condition from the control signal by determining the bias potential at a timing that is set on the basis of a second video synchronization signal.

Abstract: A flexible-manipulator guide member is provided in an inserted portion of a flexible manipulator including the elongated flexible inserted portion, the movable portion disposed at the distal end of the inserted portion, a drive portion disposed at the base end of the inserted portion, and the elongated driving-force transmitting member that transmits motive power of the drive portion to the movable portion, and is provided with a lumen through which the driving-force transmitting member passes in the longitudinal direction, wherein the lumen has a twisted shape about the longitudinal axis of the inserted portion.

Abstract: It is an object of the present invention to provide an endoscope insertion assistance apparatus, a method and a program that allow an operator of an endoscope to easily grasp an insertion situation of the endoscope to thereby conduct effective insertion assistance. An endoscope insertion assistance apparatus (100) according to the present invention includes an acquisition unit (110) that acquires shape data to identify an insertion shape of an endoscope inserted into a lumen, an estimation unit (120) that estimates any one of a plurality of shape categories for the insertion shape from the shape data and an output unit (130) that outputs display information in chronological order for the estimated shape category.

Abstract: A medical endoscope including: an elongated shaft with a distal end region having a non-circular cross-section and a shaft main section arranged proximally from the distal end region, an at least one light guide having a plurality of individual fibres disposed longitudinally through the shaft, wherein at least a portion of the plurality of individual fibres in the distal end region are bonded over a length of at least 50% of the distal end region with an inflexible adhesive.

Abstract: A medical manipulator includes: an end effector provided at a distal side of the medical manipulator; a proximal housing provided at a proximal side of the medical manipulator; and an elongated portion coupled to both the end effector and the proximal end. The elongated portion includes: a first elongated member coupled to both the end effector and the proximal housing; a second elongated member coupled to only either one of the end effector and the proximal housing, the second elongated member being configured to form by surrounding the first elongated member; and to be slidable in a longitudinal direction relative to the first elongated member; and a third elongated member coupled to both the end effector and the proximal housing, the third elongated member being configured to form an exterior of the elongated portion by surrounding the second elongated member.

Abstract: A rigidity variable apparatus includes: a rigidity variable member having a cylindrical shape, a bending rigidity of the rigidity variable member increasing by being heated; a heater having a cylindrical shape and arranged along the rigidity variable member on an inside of the rigidity variable member in a radial direction, the heater being configured to heat the rigidity variable member; a filler arranged so as to fill a gap between the heater and the rigidity variable member in the radial direction, the filler being configured to transfer heat from the heater to the rigidity variable member; and a tube arranged along the heater on an inside of the heater in the radial direction.

Abstract: An examination device includes a processor, and the processor detects, in swallowing videoendoscopy in which an inflow object is given to a subject and a swallowing action is observed, at least two timings among a swallowing instruction timing at which a swallowing instruction is given, an inflow timing of the inflow object into the pharynx during the swallowing action, and a swallowing reflex triggering timing in the subject.

Abstract: A recording device includes: a memory; and a processor including hardware. The processor is configured to generate, based on temporal change in plural sets of image data that have been generated by an endoscope and arranged chronologically, biological information on a subject, associate the plural sets of image data with the biological information to record the plural sets of image data with the biological information into the memory, and select, based on the biological information, image data from the plural sets of image data that have been recorded in the memory to generate three-dimensional image data.

Abstract: An imaging unit used in an oblique-viewing endoscope in which an endoscope axis along a longitudinal direction of a distal end portion of the endoscope and an optical axis of a lens unit cross along an observation direction includes: a semiconductor package including a light receiving surface arranged perpendicularly to the optical axis of the lens unit, an imaging device converting an optical image formed by the lens unit into an image signal, and a sensor electrode on a rear surface; a first circuit board including a first connecting electrode on a front surface and connected to the sensor electrode, and a second connecting electrode on a rear surface on which an electronic part is mounted; and a second circuit board including a first region including a third connecting electrode connected to the second connecting electrode, and a second region including a cable connecting electrode connected to a cable.

Abstract: An endoscope provides a connector substrate of an endoscope connector to be connected to a processor with a temperature sensor for directly measuring a temperature of the connector substrate, performs control to restrict a power supply (in other words, limit and stop a power supply) from an endoscope power supply circuit according to the measured temperature of the connector substrate (in other words, the endoscope connector), and thereby appropriately manages the temperature of the endoscope connector in the endoscope.

Abstract: An image processing apparatus for endoscope includes a processor. The processor sequentially receives a plurality of observation images of an endoscope, detects one or more lesioned parts from each of the plurality of observation images, analyzes visibility of at least one of a distance from the endoscope, an occupied area, a shape, a size, a position in the observation image, a color, luminance, or an organ part relating to the detected lesioned part, sets a display extension time of a detection result of the lesioned part according to the visibility, and outputs the observation image to which the detection result of the lesioned part is added.

Abstract: An imaging system includes: an imaging unit configured to generate a video signal; a control device configured to control the imaging unit; a first signal line configured to transmit a predetermined power supply voltage to the imaging unit; and a second signal line configured to transmit the video signal to the 284 control device. The imaging unit includes an imaging element including a pixel portion configured to generate the video signal according to a light reception amount and output the generated video signal to the second signal line, and a first detector configured to detect a voltage value of a power supply voltage that has reached the imaging unit via the first signal line as a voltage value of a first power supply voltage and output the voltage value to the second signal line.

Abstract: An endoscope comprises an insertion portion, an operation portion body provided at a proximal end side of the insertion portion, a knob provided in the operation portion body, the knob configured to rotate around a rotation shaft, and a turn locking mechanism provided in the knob. The turn locking mechanism includes a lock button reversibly translatable from a first position to a second position, a lock bar connected to the lock button, the lock bar extending from an inside surface of the lock button, and a fixed member attached to the operation portion body. When the lock button is in the second position, the lock bar engages the fixed member to prevent the knob from rotating around the rotation shaft.

Abstract: An information processing system, including a processor comprising hardware. The processor being configured to: acquire an endoscope image from an endoscope, the endoscope image showing a papillary portion, determine route information of a lumen based on the endoscope image, the lumen being at least one of a biliary duct or a pancreatic duct, generate a display image based on a result of the determination of the route information of the lumen, the display image having a route guide image to provide guidance of a route of the lumen leading to the papillary portion superimposed on the endoscope image, and display the display image on a display.

Abstract: A medical system including: an instrument having a motion that is electrically driven, the motion being forward and backward movement of an insertion section, a bending angle of a bending section of the insertion section, and/or rolling rotation of the insertion section; an operation device performing an operation input of the motion; and a processor. The processor controlling the motion based on the operation input in a motion mode, the motion mode being one of a full auto mode to perform automatic control of the motion and a semi auto mode in which an operator manually controls the motion. When controlling the motion in the semi auto mode, the processor interrupting the semi auto mode by automatic control of the motion to perform intervention, Subsequent to the intervention, the processor switching to one of the full auto mode and the semi auto mode based on a use of the instrument.

Abstract: An endoscopic suturing method includes penetrating an indwelling member into a first portion of a mucous membrane, moving the indwelling member toward a second portion of the mucous membrane while pushing the first portion of the mucous membrane and penetrating the indwelling member into the second portion of the mucous membrane with the indwelling member penetrated into the first portion of the mucous membrane, and leaving the indwelling member in a body in a state in which the indwelling member penetrates the first portion of the mucous membrane and the second portion of the mucous membrane.

Abstract: A medical system including an endoscope configured to electrically drive an endoscopic operation. The endoscopic operation includes at least one of a forward and backward movement of an insertion section, a bending angle of a bending section of the insertion section, and a rolling rotation of the insertion section, the endoscope being configured to capture an endoscope image. The medical system further includes a processor comprising hardware. The processor is configured to control the endoscopic operation to achieve a second positioning subsequent to a first positioning, the first positioning being where the insertion section is positioned with respect to a papillary portion of a duodenum, the second positioning positions a distal end section of the insertion section with respect to a papillary portion of the duodenum based on the endoscope image.

Abstract: A control apparatus includes a processor. The processor selects one scene of a plurality of scenes of a predetermined surgical operation based on user input, changes settings of a surgical apparatus according to the scene selected when each scene is selected, selects surgery-related information according to the scene selected, and displays the surgery-related information on a display unit.

Abstract: A cannulation method includes inserting an endoscope into a duodenum, bringing a distal end section of the endoscope to a position where a duodenal papilla is within a field of view of the endoscope, promoting secretion of pancreatic juice or bile by administering a drainage stimulant, determining an amount of relaxation of the duodenal papilla, and performing cannulation into a biliary duct through the duodenal papilla where the amount of relaxation is greater than a predetermined amount.

Abstract: An endoscope includes a channel tube provided in a direction of a longitudinal axis of an insertion section, and a pipe sleeve provided in the operation section and including a tube insertion hole on a distal end side, the proximal end side of the channel tube being inserted in the tube insertion hole. An inner diameter at a first position on a proximal end side of the pipe sleeve is larger than an inner diameter at a second position in a hole part that communicates with a proximal end of the tube insertion hole, the inner diameter at the second position of the pipe sleeve is smaller than an inner diameter at a third position in the tube insertion hole, and the pipe sleeve includes an abutting surface at the proximal end of the tube insertion hole.

Abstract: An information processing system comprises a processor including hardware. The processor is configured to acquire an evaluation parameter of a procedure performed by a doctor, calculate one or more evaluation items based on the evaluation parameter acquired, evaluate a first skill of the procedure based on the one or more evaluation items calculated, reference a training course based on the one or more evaluation items calculated and the first skill evaluated, and a database storing each of the one or more evaluation items in correspondence with training courses based on weighting coefficients, and perform processing of notifying a proposal of the training course referenced.

Abstract: An endoscope includes an image pickup apparatus, and the image pickup apparatus includes an imager includes an external electrode, a stacked device, a top electrode on a top surface, and a bottom electrode on a bottom surface, a three-dimensional wiring board having a first zone to which the external electrode is bonded, a second zone to which the top electrode or the bottom electrode is bonded, a third zone to which the top electrode or the bottom electrode is bonded, and a fifth zone arranged on a side surface of the stacked device, wherein the top surface, the bottom surface, and at least two side surfaces of the stacked device are covered with the wiring board.

Abstract: An electrosurgical generator with a high-voltage power supply that supplies a DC output voltage receives the DC output voltage of the high-voltage power supply and generates a high-frequency AC output voltage. When generator is operating, a control unit receives signals from an AC output voltage measuring unit and current measuring unit. The control unit limits an increase of DC output voltage of the high-voltage power supply as soon one predefined maximum value is reached or exceeded. When the generator is operating, the control unit configured to receive signals from a DC output voltage measuring unit that represent a respective current value of the DC output voltage, and to compare a respective current value of DC output voltage with a predefined minimum value for DC output voltage, and to cause the DC output voltage of the high-voltage power supply to increase as soon as it falls below the predefined minimum value.

Abstract: A system controller can predict, when a first operation is performed on one device of a plurality of devices including a medical instrument, a subsequent operation that is the operation that occurs most frequently after the first operation based on an operation history information table in which past operation information is recorded for each procedure performed on the plurality of devices. This information can be displayed on an operation screen of an operation panel apparatus.

Abstract: An endoscope apparatus includes: an endoscope including a first operation portion that is coupled to a first insertion portion to be inserted into a subject; a medical device including a second operation portion that is coupled to a second insertion portion to be inserted into the subject through the first insertion portion, the second operation portion including at least one locking member; and a belt-like body having flexibility and including at least three end portions in which at least one end portion includes a locked portion to be locked to the locking portion, the belt-like body being configured to be wound around the endoscope to hold and fix the second operation portion of the medical device in a state where the at least three end portions are connected to the second operation portion.

Abstract: A tubular connector for use with a spiral tube used on an insertion section of an endoscope. The tubular connector including: an outer surface; an inner surface; and a plurality of cams circumferentially spaced on the inner surface to project radially inward from the inner surface, the plurality of cams extending in a longitudinal direction of the tubular connector; wherein each of the plurality of cams have one or more cam surfaces configured to engage a rotating member to rotate the spiral tube. The plurality of cams can alternatively be formed directly on an interior surface of the spiral tube.

Abstract: A focus detection device, comprising an image sensor, and that performs focus detection by calculating evaluation values representing contrast based on an image signal, while executing a scan operation of the image sensor, comprising a positional change detection circuit for detecting positional change of the focus detection device, and a processor having a running time setting section and a control section, wherein the running time setting section sets running time to restrict focus movement range of the scan operation based on the positional change, and the control section performs focus detection by restricting focus movement rage of the scan operation based on the running time.

Abstract: A distal end portion of an endoscope includes: a flexible printed circuit board on which a light-receiving unit mounting section, a first extending section, a light-emitting unit mounting section, and a second extending section are formed continuously; a stand on which the light-receiving unit mounting section is disposed in contact with the stand; a protruding portion including an inner wall surface, a protruding end surface, and an outer wall surface, in which the first extending section is disposed in contact with the inner wall surface, the light-emitting unit mounting section is disposed in contact with the protruding end surface, and the second extending section is disposed in contact with the outer wall surface; and a distal end cover that covers the stand and the protruding portion, with the second extending section being sandwiched between the distal end cover and the protruding portion.

Abstract: A delivery device includes a handle, a first sheath having a proximal end portion connected to the handle, a second sheath through which the first sheath is inserted, the second sheath translatable relative to the handle in a longitudinal direction of the delivery device, a third sheath through which the second sheath is inserted and a length adjustment mechanism. A distance in the longitudinal direction of the delivery device between a proximal end of the first sheath and a distal end of the third sheath defines a separation distance. The length adjustment mechanism adjusts the separation distance between a first length and a second length. The second length is longer than the first length.

Abstract: An order information recording unit records information on an order for a patient. An arrival state recording unit records an arrival state that indicates whether or not a patient has arrived, in association with an order for the patient. An accepting unit accepts patient identification information entered into a portable terminal device. An order retrieval unit retrieves an order related to the patient identification information accepted by the accepting unit. A decision processing unit decides to display an entry screen for medical interview information when the arrival state associated with an order related to the patient identification information indicates that the patient has arrived. A display processing unit displays the entry screen for the medical interview information on the portable terminal device, in response to the decision made by the decision processing unit.

Abstract: A camera head includes an airtight case which includes an image pickup unit having an image pickup device and the like as a heat source in an inner portion and includes a partition wall to secure air-tightness with respect to an outside of the airtight case, a heat transfer sheet which connects the heat source and an inner surface of the partition wall to transfer heat generated at the heat source to the partition wall, a heat sink arranged on an outer side of the partition wall of the airtight case, and a spring member which is interposed between an outer surface corresponding to the inner surface of the partition wall of the airtight case connected to the heat transfer sheet and the heat sink to transfer heat from the outer surface of the partition wall to the heat sink.

Abstract: A processor of an endoscope system detects from the observation images a lesion area which is an observation target of the endoscope, judges a level of an oversight risk which is a risk that an operator may overlook the lesion area, on the basis of the observation images, and controls notification methods of detection of the lesion area on the basis of the level of the oversight risk. The processor displays the marker image indicating the lesion area only in a second image region of the display apparatus when a level of the oversight risk relating to the lesion area is a first level and displays the marker image in both a first image region and the second image region which is smaller than the first image region when a level of the oversight risk relating to the lesion area is a second level higher than the first level.

Abstract: An endoscope treatment tool includes a sheath and an incision device. The sheath includes a distal end portion having a first channel. The first channel extends internal to the distal end portion between a distal opening at a distal end surface of the distal end portion and a proximal opening at a main flow chamber. The incision device is inserted in the first channel and includes a second channel extending between a distal end of the incision device and a proximal end of the incision device. The endoscope treatment tool is switchable between a first mode and a second mode. In the first mode, a first path for fluid is formed between the main flow chamber and the first channel. In the second mode, a second path for fluid is formed between the main flow chamber and the second channel.

Abstract: A treatment tool includes a sheath, a hollow pipe extending in the sheath and an elastically deformable constricting member. The hollow pipe includes a flow channel formed in a direction of a longitudinal axis of the hollow pipe and extending between a distal end of the hollow pipe and a proximal end of the hollow pipe. The elastically deformable constricting member includes a first end that is reversibly insertable into the flow channel.

Abstract: High-frequency electrodes for handheld surgical devices are used above all in urology in electrosurgical work in the bladder, prostate, and urethra. These electrodes are known to be manufactured from a platinum-iridium alloy. The costs of these materials have proven to be particularly disadvantageous. A high-frequency electrode, an electrode instrument, and a resectoscope for which the production costs are reduced and the reliability of the electrode during the treatment is ensured. This is achieved in that the high-frequency electrode consists of a platinum-tungsten alloy, in particular is produced therefrom.

Abstract: An endoscope treatment tool includes a sheath, an electrode and a needle. The sheath includes a first hole opened at a distal end of the sheath. The electrode is inserted into the first hole and includes a second hole opened at a distal end of the electrode. The needle is inserted into the second hole. The needle is movable to protrude from a distal end of the second hole of the electrode. A gap between the electrode and the needle is configured to pass a fluid.

Abstract: An endoscope system includes: a light source configured to emit a pulse light; an imager configured to capture an image on a frame by frame basis; a processor configured to: determine a first Duty target value representing a Duty ratio of the pulse light to make an image that is captured in a next imaging frame have intended brightness; based on a frequency of vocal cords, determine a light emission period at a time when the pulse light is emitted; based on the first duty target value and the light emission period, determine a pulse width of the pulse light that is emitted next; and based on the light emission period and the pulse width, control the light source in light emission.

Abstract: An endoscope treatment tool includes a sheath, a knife, a connecting unit and a body. The sheath includes a first channel opened at a distal end of the sheath. The knife inserted into the first channel, the knife having a second channel extending from a distal end of the knife to a proximal end of the knife. The connecting unit is located inside the sheath, the connecting unit including a cavity internal to the connecting unit and defining a storage path. A cross-sectional area of the cavity is larger than a cross-sectional area of the second channel. The body disposed in the cavity. The body is translatable in the cavity between a first position and a second position. The body forms a passage and, in the first position, the passage is in communication with the second channel.

Abstract: A medical device with a power supply for connecting to an AC power grid in the range of >50 VAC to 264 VAC (wide range) features a circuit for only connecting at least one discharge resistor in parallel to at least one smoothing capacitor if no AC input voltage is present at the power supply. The power supply features a rectifier and at least one smoothing capacitor for smoothing a direct voltage to be supplied by the power supply, as well as at least one discharge resistor for discharging the smoothing capacitor. The power supply features a circuit electrically connected to the discharge resistor and the smoothing capacitor, designed to detect a switched-on state of the medical device with an AC input voltage present at its power supply, and to only connect the discharge resistor in parallel to the smoothing capacitor if the circuit does not detect a switched-on state.

Abstract: A method for reconditioning an endoscope in a reconditioning apparatus, the method including: connecting an interior of the endoscope to a leakage tester of the reconditioning apparatus; supplying the interior with a fluid at a predefined pressure; carrying out a reconditioning process using a rinsing liquid; monitoring the pressure in the interior of the endoscope during the reconditioning process; and identifying the endoscope as defective if a profile of the pressure deviates from a predefined pressure profile; wherein the predefined pressure profile is determined according to process parameters of the reconditioning process.