Abstract: An endoscope optical connector includes: a sleeve which houses an end portion of an optical fiber inside the sleeve; an inward flange provided on an inner circumference of the sleeve; a glass member arranged inside the sleeve so as to face an end surface of the optical fiber; a cap member which is attached to the sleeve and which fixes the glass member between the cap member and the inward flange; a first O-ring interposed between the cap member and the glass member; a second O-ring interposed between the glass member and the inward flange and having a glass transition point lower than a glass transition point of the first O-ring; and an inert gas filling the inside of the sleeve.

Abstract: A video endoscope including an elongated shaft, a main body, a cable for conducting control signals, video signals and/or illumination light, wherein the cable includes: a core having an optical fiber bundle, a video signal line, and/or a control signal line; a mechanical protective layer; and a sheath tube; a junction body sealingly inserted into the main body on to sealingly receive the sheath tube; an anti-kink sleeve disposed around the sheath tube to engage over the junction body, a clamping ring supported on the junction body pulled towards the main body by a first clamping nut presses the junction body against a round cord seal between the junction body and the main body and presses the anti-kink sleeve against the junction body such to seal a cavity between the anti-kink sleeve and the junction body.

Abstract: An objective optical system includes, in order from an object: a first lens group having a negative refractive power, a second lens group having a positive refractive power, and a third lens group having a positive refractive power. The second lens group includes an aperture stop and moves at a time of changing magnification.

Abstract: An endoscope includes: an insertion section; an operation section; a bending portion; a longitudinal member for maintaining a constant distance from the operation section to a distal end portion of the insertion section along a longitudinal axis of the insertion section; and a flexible tube portion provided in a movable manner with respect to the operation section and the longitudinal member in a longitudinal axis direction, and making the bending portion extend and contract with movement of the flexible tube portion with respect to the operation section in the longitudinal axis direction.

Abstract: A therapeutic light irradiation device including a reflecting surface disposed on a path of a therapeutic light emitted in a first direction from an insertion section of an endoscope, and configured to switch an irradiation direction of the therapeutic light between the first direction and a second direction intersecting the first direction, and a connector configured to detachably connect the reflecting surface to the insertion section.

Abstract: Clip delivery device has a sheath, a wire inserted into the sheath, and a clip detachably connected to the wire and having arms movable between an open position and a closed position. A tube is adjacent the sheath along a longitudinal axis and contains at least part of the clip and has a convex portion on an inner surface. A connector provided in the sheath has a hook detachably connected with the convex portion. The hook is movable between a first position, in which the hook engages the convex portion and is at a first radial distance from a central axis of the sheath, and a second position, in which the hook is disengaged from the convex portion and is at a second radial distance from the central axis of the sheath, where the first radial distance is greater than the second radial distance, by moving the wire.

Abstract: A distal end cover includes a cover body having a cylindrical shape. The cover body includes first and second body portions, a first opening formed in the first body portion and the second body portion, a second opening that can receive a distal end portion of an insertion portion of an endoscope and is formed on a side opposite to the first body portion with respect to the second body portion, a finger hook portion forming a portion of the first opening, a first thin wall portion forming a portion of the first opening, and a second thin wall portion. When a load is applied to the finger hook portion to expand the first opening, a force in a tensile direction is applied to the first thin wall portion, and a force in a shearing direction is applied to the second thin wall portion.

Abstract: An endoscope including an insertion portion including a distal end structure and an active bending section, an image sensor located in the distal end structure, and the image sensor has an optical axis in a first direction, and the first direction intersects a central longitudinal axis of the distal end structure, a treatment instrument channel located in the distal end structure and adjacent the image sensor, and a distal end opening of the treatment instrument channel opens in a second direction, and the second direction intersects the central longitudinal axis, and a suction channel located in the distal end structure, wherein a distal end opening of the suction channel opens in a third direction, and the third direction is different from the second direction.

Abstract: A control device, comprising: a processor including hardware, the processor being configured to: control a laser light source to emit a first instance of a laser light, calculate an overlap information related to an overlap area of an irradiation area of an irradiation target that is irradiated with the first instance of the laser light, and control the laser light source to emit a second instance of the laser light based on the overlap information.

Abstract: An endoscope system of the disclosure includes an endoscope including an insertion section, and a coupling thread extending along the insertion section. The coupling thread includes a coupling portion at a distal end of the coupling thread, and a thread portion extending proximally from the coupling portion. The endoscope system includes a distal end cover on a distal end portion of the insertion section. At least a part of the distal end cover moves on an outer surface of the distal end portion. The distal end cover partially covers the coupling portion.

Abstract: An Albarran deflector can be cleaned or reconditioned particularly thoroughly. This is achieved in that at least one flushing port is arranged on a drive body of the Albarran deflector. During cleaning or reconditioning, a flushing line can be connected to this flushing port. This defined access to the interior of the drive body or gear space allows targeted introduction of the flushing fluid.

Abstract: An ablation device comprises a sheath, a balloon attached to the sheath and being expandable and an electrode located on an outer surface of the sheath. The balloon is located longitudinally adjacent to the electrode.

Abstract: A clip unit comprises a clip and a tube. the clip includes a plurality of arms movable between an open position and a closed position. The tube includes a tube main body configured to contain at least a part of the clip, a first wing, and a second wing. The first wing is connected to the tube main body and the second wing is connected to the first wing. The first wing is elastically deformable relative to the tube main body in a radial direction of the tube main body, and the first wing is biased radially inward toward an inner region of the tube main body. The second wing is elastically deformable relative to the first wing in the radial direction of the tube main body, and the second wing is biased radially outward toward an outside of the tube main body.

Abstract: A phototherapy method comprising: irradiating an affected area that is administered with a phototherapeutic agent with therapeutic light in a first period; and irradiating the affected area with the therapeutic light in a second period after the first period, wherein the second period is a period after the intensity of a first light that is emitted from the phototherapeutic agent has significantly decreased by irradiation with the therapeutic light in the first period, and an irradiation energy dose of the therapeutic light in the second period is determined based on a state of the affected area.

Abstract: A tissue closure method comprises grasping a first portion of a tissue between a first arm and a central arm, restricting a sliding of a first slider while grasping the first portion, the first slider configured to open and close the first arm relative to the central arm, grasping a second portion of the tissue between a second arm and the central arm while restricting the sliding of the first slider, indwelling the first arm, the second arm, and the central arm in a body.

Abstract: An endoscope system, comprising: an endoscope including an insertion portion, an operation portion, and a connector configured to be connected to an external apparatus, wherein the insertion portion includes a bending portion and wherein the operation portion is connected to the insertion portion; a packaging material, wherein the packaging material contains at least the insertion portion or the operation portion in a sterile environment; and a dome-shaped portion formed in the packaging material, wherein the dome-shaped portion defines a space, and at least a distal section of the bending portion is located inside the space, where in a maximum bent position, the distal section of the bending portion does not contact an inner surface of the dome shaped portion, and wherein the connector is disposed outside of the packaging material.

Abstract: A subject observation system includes a light source, a light sensor, an image pickup device, a light source controller configured to cause the light source to alternately perform low-luminance illumination and high-luminance illumination at a predetermined luminance ratio, and a video processor configured to generate an HDR image, and sets a target sensor value S(n) in a temporarily succeeding n frame based on a sensor value S(n?1) in a temporarily preceding (n?1) frame and the luminance ratio.

Abstract: A medical device includes an operation portion, an insertion portion that is insertable into a treatment instrument insertion channel of a mother endoscope, and a mounting portion provided at an operation portion to detachably mount the operation portion onto a bending operation member of the mother endoscope.

Abstract: A joint structure of a manipulator includes: swiveling members that are coupled so as to be able to swivel via a rolling contact; shafts that constitute bending joints between the swiveling members and that are parallel to each other; pulleys that are rotatably supported about the shafts; and a connector attached to the shafts so as to be able to swivel about longitudinal axes of the shafts. The connector includes supports that are disposed on axial ends of the shafts so as to sandwich the pulleys therebetween in a direction of the longitudinal axis, and a beam that extends in between the supports to couple the supports to each other.

Abstract: A suction attachment includes a plug including a plug conduit, a first tube including a first conduit having a first end portion and a second end portion, a second tube having a second conduit including a third end portion and a fourth end portion, and a pressure regulator including a body with an interior cavity, a first opening, a second opening, and an actuator. The pressure regulator is connected to the fourth end portion and the interior cavity is in fluid communication with second conduit via the first opening in the body, and the second opening in the body connects the interior cavity to atmosphere. The actuator is movable between a first position and a second position, when the actuator is in the first position, the second opening is open and, when the actuator is in the second position, the second opening is closed.

Abstract: An objective optical system includes a front group FG, an aperture stop S, and a rear group RG in order from an object side. The front group FG includes a first lens L1 having a negative refractive power with a concave surface facing an image side, a meniscus-shaped second lens L2 having a negative refractive power with a convex surface facing the image side, and a third lens L3 having a positive refractive power. The rear group RG includes a fourth lens L4 having a positive refractive power and a fifth lens L5 having a positive refractive power. The fifth lens L5 is a cemented lens. The following Conditional Expression (1) is satisfied: 2.3<f3/f5<20 (1), where f3 is a focal length of the third lens L3, and f5 is a focal length of the fifth lens L5.

Abstract: A system for determining orientation of a distal end of a catheter. The system includes a radial ultrasound system configured to generate images based on data received from a radial ultrasound probe. The system also includes a display device to present the generated images, a medical device, and a catheter system. The catheter system includes a flexible shaft having a first lumen configured to receive the radial ultrasound probe and a second lumen configured to receive the medical device, a cap portion having a longitudinal axis, and at least one orientation pin. The cap portion includes a third lumen configured to align with the first lumen, a fourth lumen configured to align with the second lumen, an exit port, and a ramp disposed between the fourth lumen and the exit port.

Abstract: The disclosed technology is directed to a surgical instrument comprises a sheath having respective opposed proximal and distal ends. A pair of grasps is disposed on the distal-end portion of the sheath gripping a treatment target therebetween. A drive shaft is coupled to at least one of the pair of grasps to open or to close the pair of grasps by being moved along the longitudinal axis with respect to the sheath. Electric elements are used to apply treatment energy to the treatment target. A first operating device supplies the electric energy to the electric elements in a first supply state. A first member produces a force to open or close the pair of grasps and applies the force to the drive shaft. A second member is disposed in line with the first member and applies a force to the drive shaft in response to the operation input.

Abstract: The treatment tool including: a tube including a lumen extending in a longitudinal axis of the tube; a wire inserted into the lumen and extending along the longitudinal axis of the tube; a first handle connected to a proximal end portion of the wire; a second handle attached to a proximal end portion of the tube. In a first configuration, the first handle is rotatable relative to the second handle about a rotation axis. In a second configuration, the first handle is non-rotatable relative to the second handle when an applied force applied to the first handle in a rotation direction is equal to or less than a predetermined amount. The first handle is rotatable relative to the second handle when the applied force is greater than the predetermined amount.

Abstract: An endoscope system includes an endoscope and a suction unit. The endoscope includes an insertion portion configured to be inserted into a subject, an operation portion provided on a proximal end side of the insertion portion, and an angle knob provided on the operation portion for operating the bending portion; and an opening provided in the operation portion, wherein the opening is connected to a lumen provided in the endoscope. The suction unit includes a suction conduit, a protrusion inserted into the opening, and a suction button. In a side view perpendicular to an axis of rotation of the angle knob, a center of a top surface of the suction button, a center of the opening, and the angle knob are arranged along an imaginary straight line with the center of the opening located between the center of the top surface of the suction button and the angle knob.

Abstract: An image pickup apparatus includes a lens, an image pickup device, and a processor. The processor acquires a plurality of pieces of first image data and second image data with an exposure time period longer than an exposure time period of the first image data from the image pickup device, detects a motion region by using the first image data and the second image data, and acquires motion detection information by using the plurality of pieces of first image data. The processor changes a synthesis method in accordance with whether the motion region is detected and generates one piece of synthesized image data.

Abstract: In a phase adjustment circuit, a binary circuit is configured to output a binary signal on the basis of an edge of a video signal. A phase-delayed clock signal generation circuit is configured to generate a phase-delayed clock signal having a later phase than a phase of a clock signal by a first delay amount. A delay time control circuit is configured to cause a phase of the binary signal and the phase of the phase-delayed clock signal to match each other by adjusting the first delay amount. A sampling signal generation circuit is configured to generate a sampling signal having a later phase than the phase of the clock signal by a second delay amount. The second delay amount is in accordance with both a phase shift amount, which is based on the clock signal, and the first delay amount.

Abstract: An endoscope is provided with: a wire; a distal end nodal ring, in which the wire is arranged immediately below a first through hole including openings at predetermined positions on the inner circumferential face and an outer circumferential face of the distal end nodal ring; a distal end member including a small diameter portion arranged to be fitted in a distal end side inner circumferential face of the distal end nodal ring and a large diameter portion provided on a distal end side of the small diameter portion, the large diameter portion having a diameter larger than a diameter of the small diameter portion; an accommodating portion formed on an outer circumferential face side of the small diameter portion, the first end portion of the wire being accommodated in the accommodating portion; and a relief portion formed by the accommodating portion extending to the large diameter portion.

Abstract: An endoscope treatment tool includes: a cylindrical cap attached to an outer side of a distal-end section of an endoscope and having first and second radial directions intersecting each other; a treatment tool supported at an outer side of the cap in the first radial direction to be movable in the longitudinal direction; and a linear flexible coupling member coupling the treatment tool with the cap such that the grasper reaches a position where the grasper protrudes from a distal end of the cap. A swing section of the coupling member couples the cap with the treatment tool to allow relative movement in the second radial direction, and, in response to pressed forward in the longitudinal direction by the treatment tool, swings about a swing axis extending in the second radial direction while generating a tensile force and bending the treatment tool inward in the first radial direction.

Abstract: An endoscope includes a plurality of illuminating optical systems, an objective optical system, and an optical-path splitting member. The optical-path splitting member has an optical element which forms a first optical path and a second optical path, and an optical-path length of the first optical path differs from an optical-path length of the second optical path. Illumination light is irradiated to an object from the plurality of illuminating optical systems. The objective optical system has an object-side incidence surface which is located nearest to the object, and each of the plurality of illuminating optical systems has an object-side emergence surface which is located nearest to the object. Each of the object-side emergence surfaces is located on an image side of the object-side incidence surface, and following conditional expression (1) is satisfied: 2.0<Dmin/OPLdiff<50??(1).

Abstract: A fluid feeding and suction apparatus includes a common conduit including an endoscopic connection end and a second end, a fluid feeding conduit in fluid communication with the common conduit via the branching connector, a fluid suction conduit in fluid communication with the common conduit via the branching connector, a fluid feeding container connected to the fluid feeding conduit, a fluid suction container connected to the fluid suction conduit, a gas feeding conduit connected to the fluid feeding container, a gas suction conduit connected to the fluid suction container, and a pump connected to the gas feeding conduit and the gas suction conduit. The second end connected to a branching connector. The pump is configured to feed a supply gas to the gas feeding conduit and to suction a suction gas from the gas suction conduit.

Abstract: The information processing system includes: a memory storing a first trained model and a second trained model; and a processor. The first trained model is trained to perform a detection process on a first training image at a normal magnification. The second trained model is trained to perform a diagnosis process on a second training image at a greater magnification. To the processor, magnification change information acquired by an operation device of an endoscope system that changes magnification of a target image is input. When the magnification change information indicates the normal magnification, the processor performs the detection process of detecting a lesion from the target image through processing based on the first trained model, and when the magnification change information indicates the greater magnification, the processor performs the diagnosis process of diagnosing a type of the lesion from the target image through processing based on the second trained model.

Abstract: An ultrasonic treatment tool comprises: a blade including a treatment portion at a distal side of the blade, the blade configured to transmit an ultrasonic vibration from a proximal side of the blade to the treatment portion and the treatment portion configured to treat a body tissue, a grasper movable relative to the treatment portion between an open position and a closed position to grasp the body tissue between the grasper and the treatment portion, a coating provided on the grasper, the coating is formed by a first resin, when the grasper is in the closed position, the coating contacts the treatment portion.

Abstract: An endoscope includes an insertion portion configured to be inserted into a subject; a channel tube forming a first portion of a channel in the insertion portion, and a coil wound around at least a portion of the channel tube. The channel tube includes a first magnetic material, and the coil generates a magnetic field in response to a supplied electric current to magnetize the first magnetic material.

Abstract: A sterile medical device package includes a packaging member having an interior space, and a disinfectant solution package located in a first section of the interior space. A second section of the interior space is configured to contain a sterile medical device. The disinfectant solution package is configured to contain a disinfectant solution. The packaging member is configured to form a first opening and the disinfectant solution package is configured to form a second opening. A part of the disinfectant solution package is fixed to the packaging member such that the second opening is formed in conjunction with forming the first opening.

Abstract: A medical device includes: a medicinal agent storage device connected to the catheter, a flow control device, and a package. The medicinal agent storage device includes a storage part and a second channel, the storage part is configured to store a medicinal agent, and wherein the second channel provides fluid communication between the storage part and the first channel. The package encloses the catheter, the medicinal agent storage device, and the flow control device in a sterilized state. In a first state, the flow control device is configured to prevent the medicinal agent from flowing from the storage part into the first channel. The flow control device is included in the catheter or included in the medicinal agent storage device.

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: An endoscope system includes a controller configured to receive a detection result relating to insertion of an insertion section of an endoscope into a subject, and record information indicating use of the endoscope based on the detection result in the memory.

Abstract: An imaging system includes: an optical system configured to form a subject image; a driver configured to drive the optical system; an imaging element configured to capture the subject image and generate image data; and a processor configured to control the imaging element and the driver. The imaging element includes: a first imaging portion configured to capture an image of a first light beam that travels through a first optical path in the optical system; a second imaging portion configured to capture an image of a second light beam that travels through a second optical path shorter than the first optical path; and plural phase difference pixels for phase difference autofocus, the plural phase difference pixels being arranged in at least one of the first imaging portion and the second imaging portion, the plural phase difference pixels being configured to output phase difference signals.

Abstract: An ultrasonic treatment tool comprises: a blade including a treatment portion, the treatment portion is configured to treat a treatment target and the blade is configured to transmit an ultrasonic vibration to the treatment portion, a pattern on at least part of an outer surface of the treatment portion, the pattern including a plurality of protrusions, each protrusion includes at least one side surface intersecting with a vibration direction of the ultrasonic vibration, the at least one side surface defining a cavitation surface, at least one cavitation surface is located within a pitch width in the vibration direction, an amplitude of the ultrasonic vibration defines the pitch width.

Abstract: A computer aided assistance system for use in endoscopic colonoscopy procedures. The computer aided assistance system including: at least one videoendoscopic instrument configured to capture image data; a controller comprising hardware, the controller being connected with the at least one videoendoscopic instrument; and a display connected or integral with the controller, wherein the controller being configured to automatically select a treatment guideline based on a combination of both a size and a classification of a lesion shown in the image data and to display the selected treatment guideline on the display.

Abstract: A method of handling medical equipment status information. The method includes: receiving status information data from two or more pieces of medical equipment, wherein the status information data is received in a data format specific for each of the pieces of medical equipment; determining that the status information data indicate an error state of the pieces of medical equipment; assigning to each error state one or more global error categories of a predetermined list of global error categories, the global error categories not being specific to a certain piece of medical equipment among the pieces of medical equipment; and outputting error information data. The error information date including: identification data identifying a specific piece of medical equipment among the pieces of medical equipment, status information data received from the specific piece of medical equipment, and the one or more global error categories assigned to the detected error status.

Abstract: An endoscope system includes a light source apparatus to generate an illumination light including a first light in a red to near infrared region, a second light in a green region, and a third light in a blue region, an image pickup device to pick up an image of an object and output an image pickup signal, and a processor to generate a first to third color components corresponding to the first to third lights based on an image generated according to the image pickup signal. The processor generates two of three color components that are blue, green, and red included in an observation image by using a second color component, and generates one remaining color component by using a first color component, and generates respective color components of red, green, and blue included in a white light observation image by using the first to third color components.

Abstract: Provided is an ultrasound imaging system configured to generate data of an ultrasound image based on an echo signal received by each of a plurality of elements included in an ultrasound transducer that transmits and receives ultrasound. The ultrasound imaging system includes: a determining circuit configured to determine, using a signal corresponding to the echo signal received by each of the plurality of elements, whether each of the plurality of elements has a sensitivity decrease; a region specifying circuit configured to specify a region where sensitivity decreases in the ultrasound image, based on a contribution degree indicating a ratio of transmission intensity contributing to an ultrasound beam by an element that has been determined as having the sensitivity decrease by the determining circuit; and a sensitivity display circuit configured to generate data for displaying the region specified by the region specifying circuit.

Abstract: An endoscope of the disclosure includes an insertion section including a conduit having an inner surface. The inner surface comprises a first projecting portion provided at a first position, and a second projecting portion provided at a second position. In a longitudinal direction of the insertion section, the first position is different from the second position.

Abstract: A medical device includes: a first sterilized insertion device including an insertion portion configured to be inserted into a subject, and a cover surrounding a distal end portion of the insertion portion. The cover is configured to be teared by receiving external force so as to make an opening in the cover for exposing the distal end portion.

Abstract: An insertion device includes an insertion portion having an outer peripheral surface and configured to be inserted into a subject, and a suction pipeline provided on the outer peripheral surface of the insertion portion. The suction pipeline is switchable from a first state to a second state and the suction pipeline is configured to maintain the second state. In the first state, a distal end of the suction pipeline is folded, and in the second state, the distal end of the suction pipeline is unfolded.

Abstract: An endoscope includes: a connection member that has an attaching and detaching direction defined to be orthogonal to a central axis of a distal end rigid portion in a longitudinal direction and is engaged with a wire connection portion of a movable member: and a rigid guide including a wire insertion path that guides a pulling wire, a distal end opening of the wire insertion path being disposed on a proximal end side of the movable member. The distal end opening of the wire insertion path of the rigid guide is disposed at a position closer to the central axis of the distal end rigid portion in an attaching direction of the connection member than a position in a plane formed by a rotation trajectory of the connection member.

Abstract: A treatment method includes: inserting a first closure and a second closure into a tubular organ, wherein the tubular organ includes at least one affected site; contacting an inner wall of the tubular organ with the first closure and the second closure to close the tubular organ with the at least one affected site located between the first closure and the second closure; with the tubular organ closed by the first closure and the second closure, aspirating a gas located in the tubular organ between the first closure and the second closure; and with the tubular organ closed by the first closure and the second closure, delivering a liquid medicine into the tubular organ between the first closure and the second closure.