Abstract: A uterine manipulator includes a housing configured to be coupled to an instrument drive unit of a robotic system, a shaft extending distally from the housing, a tip hub pivotably coupled to a distal end portion of the shaft, an articulation disposed within the housing, and a handle operably coupled to either the housing or the shaft. The articulation assembly is configured to pivot the tip hub relative to the shaft and includes a drive cable operably coupled to the tip hub. The articulation assembly is actuatable manually by a user and robotically by the robotic system to pivot the tip hub relative to the shaft. The handle is configured to be manually gripped by a user for manual use of the uterine manipulator.

Abstract: An axial support structure for a flexible elongate device may comprise a plurality of rigid links coupled by pin joints. Each of the plurality of rigid links may comprise a shaft, a pair of male joint connectors, and a pair of female joint connectors. Each male joint connector may comprise a male tab including an inner surface coplanar with an inner surface of the shaft and extending axially from a first end of the shaft. Each of the male joint connectors may include a pin extending radially. Each female joint connector may comprise a female tab having an outer surface coplanar with an outer surface of the shaft and extending axially from a second end of the shaft. The pair of female joint connectors may be rotated by 90 degrees relative to the pair of male joint connectors. Each female tab may define an aperture.

Abstract: A wire-driven manipulator includes a first member and a second member into both of which a flexible member is inserted, the second member being disposed more on a base end side than the first member, wherein the first and the second members are bent by a drive of the flexible member, wherein the first member includes a bonding portion mechanically bonded with the member, wherein the second member is independent of the first member and the member, and wherein a variation of an average curvature of the first member caused by a drive of the members is larger than a variation of an average curvature of the second member.

Abstract: An endoscope includes an insertion portion provided with a controllable curved tube. The controllable curved tube includes a plurality of circular tube sections connected in series. A first C-shaped engaging portion is arranged at one end of each tube section. A first included angle is formed between the opening direction of the first C-shaped engaging portion and the axial direction of the tube section to which the first C-shaped engaging portion belongs. A first C-shaped notch is arranged around the outside of the first C-shaped engaging portion. The other end of the tube section is provided with a second C-shaped engaging portion that is engaged with the first C-shaped notch of another tube section. The inner side of the second C-shaped engaging portion is provided with a second C-shaped notch and a spherical protrusion which are engaged with a first C-shaped engaging portion of another tube section.

Abstract: A wire-driven manipulator includes a first member and a second member into both of which a flexible member is inserted, the second member being disposed more on a base end side than the first member, wherein the first and the second members are bent by a drive of the flexible member, wherein the first member includes a bonding portion mechanically bonded with the member, wherein the second member is independent of the first member and the member, and wherein a variation of an average curvature of the first member caused by a drive of the members is larger than a variation of an average curvature of the second member.

Abstract: A stiffening member for a protective housing assembly which defines a bore for receiving a utility line. The housing assembly includes a first body member, and a second body member arranged adjacent to one another to define immediately adjacent sections of the bore which surrounds the utility line. The stiffening member includes a first side for engagement with the first body member, and a second side for engagement with the second body member wherein pedestals extend from the first side of the stiffening member in a first direction away from the second side.

Abstract: A laparoscopic imaging apparatus has a shaft having a proximal end opposite a distal end, wherein the proximal end is configured for attachment to an actuator, wherein a longitudinal axis extends through the shaft, between the proximal and distal ends, wherein the distal end is configured for insertion into patient anatomy and for attachment of one or more laparoscopic tools, wherein at least a first laparoscopic tool at the distal end pivots on a first gimbal apparatus that is actuable, from the actuator at the proximal end of the shaft, to rotate the at least the first laparoscopic tool about the longitudinal axis of the shaft and, further, to rotate the at least the first laparoscopic tool about at least a second axis, orthogonal to the longitudinal axis.

Abstract: A flexible drive manipulator according to an example embodiment may include a proximal portion, a plurality of joint portions drivably connected from an end of the proximal portion with respect to a longitudinal axis, a distal portion connected to an end of the plurality of joint portions, a pair of drive wires passing through the plurality of joint portions in parallel along the longitudinal axis, the pair of drive wires configured to drive the plurality of joint portions in a rotational direction of rotation with respect to a transverse axis perpendicular to the longitudinal axis, and a fixing wire passing through the plurality of joint portions in a shape of converging along the longitudinal axis, the fixing wire configured to adjust rigidity of the plurality of joint portions.

Abstract: The disclosed technology is directed to a bendable tube bendable by a bending wire that comprises a plurality of bending pieces configured to be joined together. The bending pieces including a distal-end bending piece disposed at a foremost end of the bendable tube. The distal-end bending piece includes a flat portion forming a flat surface. An attaching portion is disposed on the flat portion. The attaching portion having a first insertion region and a second insertion region. The bending wire is inserted from within the distal-end bending piece outwardly of the distal-end bending piece through the first insertion region. The bending wire is inserted from outside the distal-end bending piece into the distal-end bending piece through the second insertion region. The bending wire disposed outside the distal-end bending piece between the first insertion region and the second insertion region being attached to the distal-end bending piece by the attaching portion.

Abstract: Provided is a cable carrier apparatus with a power supply function. The apparatus includes a chain unit, where the chain unit includes a bottom plate, a side plate is provided on each of both sides of the bottom plate, a slot is provided on the side plate; a detachable plate is mounted in the slot, the chain unit is provided with a mounting hole and a mounting pillar, where a conductive layer is provided on each of both sides of the side plate of the chain unit, and an insulating layer is attached to an upper side of the conductive layer. In this way, the cable carrier can have a power supply function, and strong electricity and weak electricity are separated so as to reduce interferences.

Abstract: A medical suctioning system includes a device for insertion into an intubated patient's bronchi, the device including a controller end having actuating components that include a control mechanism coupled to a plurality of cables at the controller end, the controller end having a suction control button engaged with a plunger to allow for activation and deactivation of suction through the controller end; a control lever in communication with an articulating lever housed within the controller end, the articulating lever to engage with one or more cables disposed through the controller end and to engage with an articulating tip portion at a distal end opposite the controller end; and a catheter extending away from the controller end to the distal end.

Abstract: In one aspect, the present invention is an articulation joint for use in a low cost medical device such as an endoscope intended for a single use. In one embodiment, the articulation joint comprises a plurality of interconnected segments. In another embodiment, the articulation joint comprises an elongated tubular body. In another aspect, the present invention provides methods of manufacturing an articulation joint for use in a medical device.

Abstract: An endoscope includes a handle connected to a flexible, steerable, kink-resistant insertion tube. An endoscope insertion tube may include a shaft, a lower durometer section proximate to a distal end of the shaft, and a higher durometer section positioned between the lower durometer section and a medium durometer section. The endoscope insertion tube may further include a fourth thermoplastic laminate section proximate to a proximal end of the shaft and having a higher durometer. A method of making an endoscope insertion tube may include inserting a mandrel with one, two, or more lateral slots and a liner into a shaft, wherein the liner is positioned between the mandrel and the shaft, bonding a bonded portion of the liner to an inner surface of the shaft, separating other portion(s) of the liner from the shaft, and inserting a first deflection wire in a gap between the shaft and the unbonded portion(s) of the liner.

Abstract: A bendable tube segment includes annular members and wire insertion portions. The wire insertion portion is provided on the annular member to shift by a third angle, which is an obtuse angle smaller than a first angle, in the same direction as the first angle. The wire insertion portion is provided on the annular member to shift by a fourth angle, which is an acute angle larger than a second angle, in the same direction as the second angle.

Abstract: A sensor line for detecting an external influence on a cable is described. The sensor line comprises: a capacitor, a first dielectric, which has a first compressibility and a first permittivity, and a second dielectric, which has a second compressibility and a second permittivity. The first compressibility is smaller than the second compressibility. The first permittivity differs from the second permittivity. The sensor line is configured so that at least the second dielectric is compressible or extensible in the event of a movement of the sensor line, so that a total permittivity, which is composed of the first permittivity and the second permittivity, is variable in the movement of the sensor line. Due to the change in total permittivity, a change in the capacitance of the capacitor can be produced, which is detectable, in order to detect the external influence on the cable.

Abstract: An axial support structure for a flexible elongate device includes a plurality of rigid links. each link comprises a shaft, a pair of male joint connectors comprising a male tab coplanar with the shaft extending from a first end, and a pair of female joint connectors comprising a female tab coplanar with the shaft extending from a second end. Each of the male joint connectors includes a pin extending from the male tab in a direction perpendicular to an axial direction of the shaft and each female tab defines an aperture. Each of the plurality of rigid links is rotated by 90 degrees with respect to neighboring links among the plurality of rigid links, thereby aligning each pair of male joint connectors with a neighboring pair of female joint connectors to form pin joints in which each aperture encircles a corresponding pin.

Abstract: A joint portion in the bending portion for use in the insertion portion of an endoscope joints bending pieces with slide surfaces parallel to the rotation axis of bending and with slide surfaces perpendicular to the rotation axis. Since the slide surfaces receive external force exerted in the direction of the rotation axis in a direction perpendicular to the surfaces, they are resistant to displacement or twisting.

Abstract: Embodiments are directed to thermal leak detection. An apparatus according to the embodiments has a hollow probe having a proximal and a distal end. A hollow insulated handle is attached to the proximal end of the hollow probe. A measurement head is attached to the distal end of the hollow probe. An electronic thermometer is electrically-connected to the measurement head.

Abstract: An endoscope includes: a bending portion; a flexible tube portion provided on a proximal end side with respect to the bending portion; a plurality of bending wires inserted through the flexible tube portion and configured to bend the bending portion; a plurality of coil pipes through which the bending wires are respectively inserted; a connecting member provided on a distal end side of the flexible tube portion; and a coil pipe retaining member provided on a distal end side with respect to the connecting member, and including a plurality of holes for bending wires which respectively allow the bending wires to pass through, the coil pipe retaining member being configured to retain distal end portions of the plurality of coil pipes.

Abstract: The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism.

Abstract: There is provided a bending portion for an endoscope and the endoscope which can prevent the piece fall of bending pieces without enlarging the diameter of the bending portion and raising the filling rate of built-in components in the bending portion. In the bending portion, one bending piece of adjacent bending pieces is formed so that a cross-sectional shape is, for example, an elliptic shape whose major axis direction or minor axis direction corresponds to a first direction. The other bending piece of the adjacent bending pieces is formed so that a cross-sectional shape is, for example, a circular shape in which a length in the first direction differs from the first bending piece; and an abutting portion in which their end portions facing each other of the adjacent bending pieces abut on each other in at least two points when the bending portion is bent.

Abstract: In one aspect, the present invention is an articulation joint for use in a low cost medical device such as an endoscope intended for a single use. In one embodiment, the articulation joint comprises a plurality of interconnected segments. In another embodiment, the articulation joint comprises an elongated tubular body. In another aspect, the present invention provides methods of manufacturing an articulation joint for use in a medical device.

Abstract: An elongated surgical manipulator apparatus and method of operating enables determination of the shape of a flexible portion of the elongated surgical manipulator and/or the location of an arbitrary point thereon, as well as a measure of a contact force exerted on a distal portion of the manipulator. A plurality of fiber optics are operatively coupled with the manipulator, each of the fiber optics including a plurality of fiber Bragg gratings for determination of the shape and/or position. Each of the fiber optics further includes a fiber optic strain gauge such as a Bragg grating or a Fabry-Perot resonator at a distal portion of the elongated surgical manipulator that is isolated from the strain associated with the bending of the manipulator. The fiber optic strain gauges at the distal portion may thus be used to detect a force vector (magnitude and direction) imposed on the distal portion.

Abstract: The present invention relates to a minimally invasive surgical instrument having a bent shaft, and more particularly to a minimally invasive surgical instrument in which at least a part of a shaft includes a bend. According to one aspect of the invention, there is provided a minimally invasive surgical instrument comprising: a shaft; an end effector connected to one end of the shaft; a joint unit interposed between the shaft and the end effector; and a plurality of wires connected to the joint unit to enable the end effector to carry out joint motion, wherein the shaft comprises at least one bend, and the at least one bend may transmit therein force to operate the end effector in a roll direction, independently of the shaft. The present invention relates to a minimally invasive surgical instrument having a bent shaft, and more particularly, to a minimally invasive surgical instrument in which at least a portion of a shaft is curved.

Abstract: A stylet assembly for performing a nasal endotracheal intubation of a patient is disclosed. The stylet assembly includes an elongated tube as a stylet for the intubation defining a longitudinal axis, a proximal end, and a distal end for entering the trachea of the patient. The elongated tube includes (i) a rigid section adjacent the proximal end, (ii) an articulation section adjacent the distal end and adapted to curve into the patient's trachea upon actuation, and (iii) a flexible section between the rigid section and the articulation section, the flexible section being adapted to curve to an internal shape of at least one of the patient's nose, nasal cavity, pharynx, and larynx during nasal intubation. The stylet assembly can further include an actuator housing, a control wire for actuating the articulating section, and a hand grip for maneuvering the stylet assembly.

Abstract: A steerable laser probe may include a handle, an actuation mechanism of the handle, an optic fiber, and a housing tube. The housing tube may include a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness. The optic fiber may be disposed within the housing tube and within an inner bore of the handle. A portion of the optic fiber may be fixed to an inner portion of the housing tube.

Abstract: A bending tube for an endoscope, which is provided inside a bending portion of an insertion portion of an endoscope and includes a plurality of bending pieces covered by a flexible tube body, the bending tube including a distalmost end bending piece connected to a distal end portion of an insertion portion, a proximalmost end bending piece connected to a flexible tube portion of the insertion portion, and a net-like tube covering an outer periphery of the plurality of bending pieces except the distalmost end bending piece and the proximalmost end bending piece and including a distal end part fixed to a first bending piece joined to the distalmost end bending piece and a proximal end part fixed to a second bending piece joined to the proximalmost end bending piece.

Abstract: Provided is a manufacturing method of a bending module that forms a plurality of joint members by press-processing sheet material, with each joint member having a joint member body, a connection protrusion and a wire guide protrusion having a wire guide hole formed at one side corner of the joint member body, and one connection protrusion is formed at another side corner of the joint member body. The wire guide protrusions are folded with respect to the joint member bodies; a joint member assembly is formed by arranging the plurality of joint members in parallel and connecting neighboring connection members to connect the joint members together; the joint member assembly are bent to a ring shape; and each joint member is connect to each other by welding corners thereof.

Abstract: The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument includes an elongate shaft haying a working end, a proximal end, and a shaft axis between the working end and the proximal end; and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall f the flexible tube includes a plurality of lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector.

Abstract: The invention relates to a method of creating a curvilinear cavity within a vertebral body or other body structure. The invention also relates to devices that may be used to perform the steps to create the curvilinear cavity. One such device is a curved drill including a spring assembly that controls the curvature of the drill. The spring assembly can cooperate with a feed screw to assist in curving the drill. The curved drill can be provided through a cannula.

Abstract: A steerable laser probe may include a handle, an actuation lever, an optic fiber, and a housing tube. The housing tube may have a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness. The optic fiber may be disposed within the housing tube and within an inner bore of the handle. An actuation of the actuation lever about a pivot pin of the handle may gradually curve the optic fiber. An actuation of the actuation lever about the pivot pin of the handle may gradually straighten the optic fiber.

Abstract: The invention relates to a method of creating a curvilinear cavity within a vertebral body or other body structure. The invention also relates to devices that may be used to perform the steps to create the curvilinear cavity. One such device is a curved drill including a lever and cam sub assembly. The curved drill can include a spring assembly that controls the curvature of the drill. The lever and cam sub assembly can be provided to allow tension to be reduced in the spring assembly.

Abstract: In one aspect, the present invention is an articulation joint for use in a low cost medical device such as an endoscope intended for a single use. In one embodiment, the articulation joint comprises a plurality of interconnected segments. In another embodiment, the articulation joint comprises an elongated tubular body. In another aspect, the present invention provides methods of manufacturing an articulation joint for use in a medical device.

Abstract: A serpentine robotic crawler having multiple dexterous manipulators supported about multiple frame units. The frame units are connected via an articulating linkage at proximal ends wherein the articulating linkage is capable of positioning the frames into various configurations. Dexterous manipulators are coupled to distal ends of the frame units and are positionable via the articulating linkage and articulating joints therein into various positions about the frame ends. The configurations and positioning of the dexterous manipulators allows the robotic crawler to perform coordinated dexterous operations.

Abstract: A surgical tool having proximal and distal ends and adapted to transverse a curved passageway comprises an end effector disposed on the distal end of the surgical tool, the end effector having a first body section and a second body section and a releasable connector joining the end effector first body section with the end effector second body section. The connector is operable to reversibly engage the first and second end effector body sections in a first fixed position and in a second movable position. The surgical tool further comprises an actuation device for moving the first and second end effector body sections from the first fixed position to the second movable position. The end effector is adapted to maneuver through a larger radius of curvature in the second movable position than in the first fixed position.

Abstract: In an endoscope flexible tube and an endoscope device of the present invention, an endoscope flexible tube which exhibits flexibility to be inserted into a body cavity includes a bending portion formed at a distal end side, a first flexible tube portion connected in series to a proximal end of the bending portion, and a second flexible tube portion connected in series to a proximal end of the first flexible tube portion. When the bending portion and the first flexible tube portion pass a flexed portion of the body cavity, a curvature radius of the first flexible tube portion which is passively bent under a predetermined force is set to be larger than a curvature radius of the bending portion in a maximum bent state.

Abstract: The claimed subject matter provides systems and/or methods that facilitate improving visualization associated with intubation. A dynamically articulating laryngoscope blade can be controlled to configure to normal anatomic variants and pathologic abnormalities to facilitate placing of an endotracheal tube into a patient's trachea. Further, cameras can be integrated into and/or mounted upon the dynamically articulating laryngoscope blade. The cameras can enable stereoscopic visualization of the laryngeal aperture allowing for depth perception. Moreover, the cameras can be moved independently of the blade allowing for optimal viewing of the laryngeal opening.

Abstract: A steerable imaging catheter is provided, including an elongated catheter tube, at least one steering cable extending along the catheter tube to control the movement of the distal end thereof, and a fiber optic cable extending along the catheter tube. The fiber optic cable transmits illumination light from its proximal end to its distal end and transmits an image from its distal end to its proximal end. In one embodiment, two or more steering cables are used, and the catheter tube is configured to have greater flexibility near its distal end than its proximal end so as to concentrate the movement (flexing) of the catheter tube at its distal end. The use of two or more steering cables, together with the catheter tube having varying flexibility, permit better control of the distal end of the catheter tube while reducing undue twisting of the remainder of the catheter tube.

Abstract: A flexible tube for medical instrument includes tubular bodies, one of the tubular bodies relatively turnably connected to an adjacent one of the tubular bodies by a hinge structure. Each of the tubular bodies includes a pivotal section provided at a connecting-directionally first end edge forming the hinge structure, a turning support section provided at a connecting-directionally second end edge and supporting the pivotal section of the one of tubular bodies connected to the adjacent one of tubular bodies, a projection which is provided at either one of the first and second end edges, and is projected in the connecting direction from a position different from the position of the pivotal section or the turning support section, and a recess provided at the other of the first and second end edges and engaged with the projection of the one of tubular bodies connected to the adjacent one of tubular bodies.

Abstract: A shaft element for an endoscopic instrument includes a first, proximal shaft segment and a second, distal shaft segment, such that the second shaft segment is connected with the first shaft segment by three connecting elements, such that the connecting elements each include a first two-axis joint, such that the first joints form a triangle and such that the first connecting element is connected with the first shaft segment in such a way that it cannot slide with respect to the latter in a longitudinal direction, and a second and third connecting elements can each be slid with respect to the first shaft segment in a longitudinal direction independently of one another. The invention also relates to an endoscopic instrument, in particular an endoscope with such a shaft segment.

Abstract: A medical apparatus includes a distal end portion provided at a distal end of an insertion portion that has functions of performing inspection, treatment or observation, a bending portion provided with first and second ends and configured so as to bend in two or more directions by connecting the first end to the distal end portion and connecting a plurality of bending pieces, a bending portion operation unit provided in an operation section connected to a proximal end of the insertion portion that causes the bending portion to perform bending operation and a neutral position restoring elastic member fixed to the first end side and the second end side that generates elasticity for causing the bending portion to restore to a neutral position.

Abstract: A highly articulated robotic probe (HARP) is comprised of a first mechanism and a second mechanism, one or both of which can be steered in desired directions. Each mechanism can alternate between being rigid and limp. In limp mode the mechanism is highly flexible. When one mechanism is limp, the other is rigid. The limp mechanism is then pushed or pulled along the rigid mechanism. The limp mechanism is made rigid, thereby assuming the shape of the rigid mechanism. The rigid mechanism is made limp and the process repeats. These innovations allow the device to drive anywhere in three dimensions. The device can “remember” its previous configurations, and can go anywhere in a body or other structure (e.g. jet engine). When used in medical applications, once the device arrives at a desired location, the inner core mechanism can be removed and another functional device such as a scalpel, clamp or other tool slid through the rigid sleeve to perform.

Abstract: A highly articulated robotic probe comprises an outer sleeve and an inner core. The outer sleeve and inner core include a plurality of links. The links of the outer sleeve and inner core are configured to pivot relative to one another. Various characteristics of the links determine the overall pivot angle of the articulated probe. Each of the plurality of links may have one or more channels. The channels form a semi-continuous passage from link to link and are configured to receive an elongated member such as an inner core, tool or cable. One or more cables may be used to control the outer links of the outer sleeve and the inner links of the inner core. Various characteristics of the cables determine the overall performance of the articulated probe.

Abstract: A surgical instrument extends through a guide tube and exits at an intermediate position of the guide tube. The instrument includes a parallel motion mechanism that changes the position of a distal end of the surgical instrument without changing the orientation of the distal end. An image capture component is at the distal end of the guide tube, and a joint allows the image capture component to move while the intermediate position remains stationary. The configuration allows a cross section of the guide tube to be oblong. In some aspects, a joint for the image capture component is placed between exit ports for surgical instruments, which allows the guide tube cross section to be further reduced.

Abstract: A path-following robot, such as for creating a path to a target surgical site, includes a series of interconnected elements including a lead element at one end thereof, and a plurality of actuators each operably coupled to one of the plurality of elements. Each actuator is capable of effecting rotational and spherical motion of one element with respect to another element. The actuators are arranged to receive commands which individually control the relative position of one element compared with another element, where a position of the lead element determines a path and corresponding positions for all subsequent elements to create a path-following motion.

Abstract: An actuatable joint is disclosed having a transmission member, for example a ring gear, associated with a member of a joint and rotatable about a longitudinal axis through the member. In particular a two degree of freedom actuatable joint is disclosed comprising tendon driven joint arrangements having a transmission member disposed around or inside a body of the joint arrangement, to provide transmission of a force from a driving means to two tendons actuating a rotational degree of freedom of the joint arrangement. Further disclosed is a segmented device, for example an endoscope, comprising a plurality of such joints, for example to define a flexible and steerable conduit for an instrument.

Abstract: A joint-ring for an endoscope-bending-tube that fits with and is fixed to a rigid-member on a distal end side, the joint-ring being formed by plastically deforming a tube-material, the joint-ring including a joint-ring-convex portion provided in the tube-material before the plastic deformation, configured to fit with distal end rigid concave portions of the distal end rigid-member to perform positioning, and protrudingly provided to the distal end side, a plastically deformed shape portion provided in the joint-ring such that an axial direction position thereof overlaps the joint-ring-convex-portion and formed by force of stretching along a circumferential surface in the plastic deformation, and joint-ring-convex-portions provided in the tube-material before the plastic deformation near both sides in the circumferential direction of the joint-ring-convex-portion to interrupt the force of stretching along the circumferential surface to keep the force from reaching the joint-ring-convex-portion to thereby preve

Abstract: An element for transmitting pushing and pulling forces as well as torque having a straight configuration and a bent configuration comprises a base plate, an end plate and bellows arranged between the base plate and the end plate. The base plate and the end plate are connected with a connecting element. A plurality of washers is arranged within the bellows, the washers having a tronconical shape at at least one of their major surfaces. The washers are in mutual contact with each other or with the base plate or the end plate respectively, both in the straight configuration and the bent configuration, such that element can transmit pushing and pulling forces both in the straight configuration and the bent configuration without substantially changing the length of the element.

Abstract: An insertion device and an endoscope which are inserted and extracted through a small incision and have multiple functions. A device body has grip forceps as a treatment means. A first folding back section and a second folding back section are provided at a distal portion of the device body such that the first and second folding back sections are aligned in a row in the longitudinal direction of the device body. The first folding back section and the second folding back section respectively have image obtaining means. An operation means can move the first folding back section to a folded back position in which the first folding back section is folded back relative to the second folding back section, and can also move the second folding back section to a position in which the second folding back section is folded back relative to the device body.

Abstract: Each of the first hinge portions includes a first central planar portion, and first both-sides planar portion, and each of second hinge portions includes a second central planar portion, and second both-sides planar portion which is arranged on the same plane as the first both-sides planar portion. At least one of each first hinge portion and each second hinge portion includes/include an axial step portion which is provided between the first central planar portion and the first both-sides planar portion and/or between the second central planar portion and the second both-sides planar portion over the entire length of the nodal ring in the longitudinal direction and allows/allow the first central planar portion to be arranged to an outer peripheral side than the second central planar portion by a distance corresponding to a wall thickness of the nodal ring.