Abstract: An ostomy siting device for determining and marking the position of a possible stoma comprising a stoma simulating first element and a second element simulating an adhesive wafer of an ostomy appliance and an optionally separately detachable collecting bag, said ostomy siting device having on the proximal side an adhesive surface for removable adhering to the abdominal skin of an ostomate to be provided a readily repositionable and reusable system for simulating the placement and physical configuration of the stoma and the collection system and for marking the optimum position of the stoma to be.

Abstract: A hand access device for use as a seal for sealing a surgeon's forearm on entry through a wound opening, for example, in an abdominal wall contains a substantially tubular sleeve of pliable gas tight material. The tube is turned axially back on itself to define an outer sleeve section and an inner sleeve section which define therebetween a sealed inflatable chamber. The inner sleeve section is engaged by the forearm which, on insertion, causes the sleeve to evert. The device has eversion limiting means in the form of inner and outer rings which are of elastomeric material.

Abstract: A flexible tube for an endoscope which has excellent insertion operability is disclosed. The flexible tube includes and an elongated flexible tubular body constructed from a core body having a hollow space and an outer cover which is provided over the outer periphery of the core body and formed into a laminated structure having a plurality of layers. The tubular body is formed with a plurality of easily bendable portions which are provided in a spaced apart manner along the longitudinal direction thereof, each of these easily bendable portion being adapted to bend locally with a smaller curvature radius when the flexible tube is bent in one direction. The average interval between the adjacent easily bendable portions is preferably in the range 50-400 mm. The easily bendable portions is formed by locally changing the flexural rigidity of the outer cover.

Abstract: The present invention relates to the field of medical devices used in the procedures of orotracheal or nasotracheal intubation. Oral or nasal endotracheal intubation procedures are commonly employed to secure a controlled airway and to deliver inhalant oxygen, anesthetic gases, and other therapeutic agents into the trachea and lungs of human and veterinary patients. Such intubation procedures carry a significant risk of dental injury resulting from contact between the laryngoscope blade used for visualization during intubation. The present invention provides an apparatus to reduce dental injury including a modified laryngoscope blade and a disposable insert which is designed to be received and retained in a single step by the modified laryngoscope blade. The disposable insert may be quickly secured by the user, and reduces both direct pressure and shear forces on the maxillary incisor teeth when the laryngoscope blade is placed in a patient's mouth during intubation.

Abstract: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body allowing it to negotiate tortuous curves along a desired path through or around and between organs within the body.

Abstract: A shapeable, glycerine-free cold pack for providing cold therapy, and a method of producing the same, are provided. The pack comprises a plurality of encapsulated units, wherein a mixture of an NaCl based salt dissolved in water is encapsulated in polyacrylamide. An impermeable enclosure contains the encapsulated units or mini-gels to form the pack, which is pliable over a range of temperatures applicable to cold therapy.

Abstract: 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.

Abstract: A catheter for intravascular corporeal cooling comprises an elongated tubular member having at least one lumen extending therethrough for providing cooled blood, an inflatable annular balloon positioned on the outer surface of the elongated tubular member, and a pressure reliever positioned in the external wall of the elongated tubular member and proximal to the annular inflatable balloon, wherein when the pressure of blood within a lumen reaches a predetermined value, the pressure reliever opens to permit fluid to be released from the elongated tubular member. In other embodiments of the invention the catheter may have two or more inflatable annular balloons that are separately inflatable and/or the catheter has an insulative outer annular member.

Abstract: Methods and devices for manipulating the thermoregulatory status of a mammal are provided. In the subject methods, thermal energy is transferred between the environment and both the thoracic/abdominal core body and head of the mammal. In general, such thermal energy transfer occurs under negative pressure conditions. The subject methods and devices find use in a variety of applications.

Abstract: In an endoscope of the present invention having a feature in a flexible tube section constituting an insertion section, the flexible tube section includes a spiral tube formed by spirally winding a metal strip, a mesh-like tube covering the outside periphery of the spiral tube; and an outer sheath layer composed of resin for covering the outside of the mesh-like tube, wherein when the outer sheath layer is softened by being subjected to a thermal load caused in a high temperature/high pressure steam sterilization process, the outside diameter of the flexible tube section is the same as or smaller than the outside diameter thereof before it is subjected to the thermal load.

Abstract: A jet nozzle for spurting a wash fluid toward an observation window of an optical image pickup system fitted in a rigid tip end section of the insertion instrument for cleaning the observation window. The jet nozzle includes an inlet passage portion which is provided at a proximal end of the jet nozzle coaxially in communication with an axial wash fluid passage in the rigid tip end section of the insertion instrument, a jet spout passage portion which is located on a distal end face of the rigid tip end section and terminating with a jet spout opening of a predetermined width. The jet spout passage portion is provided with a straight flow rectifying passage of a predetermined length toward the jet outlet opening.

Abstract: A laparoscopic assembly includes a body, an elongated shaft, and optionally, a removable or non-removable surgical tip. The body includes a casing manually manipulating tip actuating means, a tip actuating rod, a collet, a collet closer, and one or more collet detent members. The shaft is operably and removably gripped by the body and extends from the body to interconnect the body with a surgical tip. The collet closer is shaped and sized to, on tightening of the collet closet, radially compress the collet to grip the sheath. Each collet detent member is disposed in one collet radial bore, and is shaped and sized to permit only partial entry into the collet axial bored to engage the sheath depression during assembly, and be freely movable radially within the collet radial bore in response to urging inwardly by the tightening of the collet closer, or outwardly by the sheath depression wall when the collet closer is loosened.

Abstract: A pressurized ventilation system for providing air to the body of an individual wearing the ventilation system to regulate the individual's body temperature is provided. The ventilation system includes the use of an air bladder defining an enclosed volume wherein there is located a plurality of channels for permitting airflow throughout the air bladder. The channels include a plurality of spaced apart apertures, which permit the escape of air out of the air bladder to the body of the individual wearing the ventilation system.

Abstract: A heart stabilizer includes a shaft and two articulating arms coupled to a distal end of the shaft. At the end of each arm is a rotatable foot adapted to be angled relative to the heart wall contour and apply pressure against the wall of the heart to effectively eliminate motion of the heart wall between the feet. The stabilizer is adapted to be collapsible (foldable) to be inserted through the port device and locked longitudinally relative thereto. The stabilizer is also adapted to be deployed into an open configuration and then manipulated by actuation of a proximal control and actuation handle into a selected orientation.

Abstract: An endoscope where problems due to a difference of deformation amount in the longitudinal direction generated between the flexible tube and the integrated object during autoclave sterilization are prevented, wherein the insertion part is comprised of a hard tip part and a flexible tube which is linked to the base of the hard tip part via a curving part, the tip of a treatment instrument tube is secured to a metal pipe disposed in a through hole of the hard tip part, the base part is secured to a branch pipe, and the treatment instrument tube has a shrinkage factor x having a characteristic x<1, that is, shrinking after a predetermined thermal load is applied, whereas the flexible tube 15 has shrinkage a factor y having a characteristic y<1, that is, shrinking after a predetermined thermal load is applied, in other words, the deforming directions of the flexible tube and the treatment instrument tube are set to the same direction with respect to the longitudinal direction, so that the flexible tube and t

Abstract: When washing the electronic endoscope, a cleaning liquid that has flowed into a space between a shell of an electric connector and an external cylinder of a watertight cap does not reach a connector pin that resides inside the shell since an O-ring seals an internal cylinder of the watertight cap and the shell. The cleaning liquid is discharged to the outside of the watertight cap through discharge holes, which are formed between the external cylinder and the internal cylinder.

Abstract: A port device includes a tubular body sized to be inserted through a pair of ribs in a chest wall of a patient, a ball provided about the body, and a base defining a socket in which the ball is provided. Detent structure permits but limits longitudinal movement of the body relative to the ball. The base includes a clamping system which compresses the ball to lock the ball at a selected orientation within the socket and also immobilizes the port body relative to the ball. The distal end of the body includes a pair of swivels rotatably attached thereto. An obturator is extendable within the body maneuvers the swivels between a closed position (in which the swivels are oriented substantially parallel to the axis of the body), and an open position (in which the swivels are directed outward from the port).

Abstract: A tip component is provided at an extremity of an insertion part of an endoscope. The tip component includes a body member, in which a forceps aperture is formed. A forceps tube is arranged inside the insertion part. A hard part is formed at the end of the forceps tube, at which the forceps tube is sandwiched between an inner cylinder and an outer cylinder. The hard part is inserted into the forceps aperture of the body of the tip component and is fixed with a screw. A connecting part between the forceps tube and the forceps aperture is thus formed in the body of the tip component, and the length of the tip component is reduced as a result.

Abstract: An instrument stabilizer minimizes unwanted motion at the distal end of a surgical instrument by applying a damping force to the instrument. According to one embodiment, the instrument stabilizer preferably includes a cannula through which an instrument can extend, and a distal bushing adapted to contact the instrument. The instrument stabilizer also includes a proximal housing which includes a mechanism which applies a stabilizing or damping force to the proximal portion of the cannula. The mechanism which applies the force may be, by way of example, one or more of elastic bands, springs, struts, etc. When a surgical instrument is extended through the cannula and contacts the bushing, movement of the cannula and consequently the surgical instrument is damped by the stabilization force on the proximal portion of the cannula. In addition, a swivel device for angularly orienting the instrument stabilizer relative to a body of patient is also provided.

Abstract: A hand access device for use in hand assisted laparoscopic surgery comprises a substantially tubular inflatable sleeve of pliable gas tight material having a twisted inner sleeve section and an outer sleeve section. The device has an inner O-ring for insertion through a wound opening in the abdominal wall and an outer O-ring for location outside of the wound opening. On insertion of a surgeon's arm the sleeve everts while monitoring a reduced lumen seal to the arm and a seal to the wound openings.