Abstract: In a laparoscopic surgery or the like, access is provided to an opening in a body cavity that contains insufflation gas at an insufflation pressure. The flow of insufflation gas from the body cavity through the opening is limited in response to the sensed insufflation pressure in the cavity.

Abstract: An apparatus for viewing a region comprises a hollow member elongated between a proximal end and a distal end configured to be inserted into the region, an optical element disposed in the distal end, and an image detector disposed adjacent to the optical element. The optical element and the image detector are arranged for relative rotation. The apparatus is particularly well-suited for use in an endoscope, and in particular with an endoscope having an off-axis field of view.

Abstract: A surgical instrument in which a surgical tool is carried distally of a bend region in a stationary support member by an assembly that transmits proximally applied forces through the bend region to both operate the surgical tool and selectively change the rotational orientation of the surgical tool with respect to the stationary member. In another aspect, in which the stationary member does not include a bend region, a rotatable member supported by the stationary member transmits rotational force to the surgical tool to selectively change the rotational orientation of the tool, and a driver member supported by the stationary member transmits axial force to the surgical tool to operate it.

Abstract: An endoscope includes an insertion member rotatably mounted to a handle. A first set of optical fibers carried by the handle meets a second set of optical fibers disposed within the insertion member at a joint constructed to allow relative rotation between the sets of optical fibers about the longitudinal axis of the insertion member.

Abstract: A surgical instrument in which a surgical tool is carried distally of a bend region in a stationary support member by an assembly that transmits proximally applied forces through the bend region to both operate the surgical tool and selectively change the rotational orientation of the surgical tool with respect to the stationary member. In another aspect, in which the stationary member does not include a bend region, a rotatable member supported by the stationary member transmits rotational force to the surgical tool to selectively change the rotational orientation of the tool, and a driver member supported by the stationary member transmits axial force to the surgical tool to operate it.

Abstract: An endoscope includes a focusing mechanism having a focus control element at a proximal end of the endoscope and a mechanical coupling connecting the focus control element to an image transmitting device (e.g., an electro-optical sensor or one or more optical fibres) mounted at a distal end of an elongated insertion section of the endoscope. Rotation of the focus control element moves the image transmitting device with respect to a lens assembly of the endoscope to focus the image received by the lens assembly. The focus control element may be disengaged from the mechanical coupling by pulling it axially along the length of the insertion section whereby the focusing mechanism may be easily disassembled.