Abstract: A hand held endoscopic viewing system including a viewing assembly, an eyepiece assembly, and a handle is disclosed. The components are releasably mounted for ease of use and cleaning. The viewing assembly incorporates a fiber optic image bundle for carrying an image to the eyepiece assembly. The proximal end of the image bundle terminates in a coupling assembly that couples the eyepiece assembly to the viewing assembly such that the proximal end of the image carrying bundle is held against a window on the eyepiece assembly. The eyepiece assembly includes focusing optics that define a focal plane at the distal plane of the window for focusing and magnifying the image that is carried to the proximal end of the image bundle. The handle includes a light source and a power source and supports the eyepiece assembly and the viewing assembly at two points.

Abstract: A viewing system for use with a breathing tube such as an endotracheal intubation tube or a tracheostomy tube and a viewing assembly having a viewing conduit for indirectly viewing the tracheal area of a patient into which the breathing tube is being inserted and for guiding the tube into place within the patient's trachea is disclosed. The viewing system also incorporates an adapter handle which allows the viewing assembly to be used with breathing tubes of varied lengths.

Abstract: A hand-held viewing system for use during medical procedures including endotracheal intubations or tracheostomies is disclosed. The viewing system includes an endoscope assembly having a fiber optic bundle for indirectly viewing the tracheal area of a patient into which the breathing tube is being inserted and a malleable sheath on the endoscope assembly for guiding the tube into place within the patient's trachea. The viewing system also incorporates an adapter stop which allows the endoscope assembly to be used with breathing tubes of varied lengths. A handle is included to which the endoscope assembly and a viewing means are removably connected.

Abstract: The present invention is a surgical instrument for use with a viewing system and, if desired, an irrigation fluid supply system. The surgical instrument can be readily assembled and includes an elongated shaft and a flexible endoscope or optical assembly that can be readily and removably secured along substantially the entire length of the shaft by a mounting tube or other mounting means.

Abstract: A surgical instrument incorporating visualizing optics is disclosed. The instrument comprises a handle supporting a rigid hollow shaft, an expanded tip is located on the distal end of the shaft providing a surface that will not tear or easily penetrate tissue. A fiber-optic assembly, containing at least one illumination transmitting fiber, a plurality of image-carrying fibers and an objective lens mounted near the distal end of the image fibers runs the length of the shaft. The objective lens is positioned relative to an opening in the tip allowing viewing. Light for illuminating the surgical site passes through one or more illumination fibers and through the opening in the tip of the probe. Light reflected from the tissue at the tip of the probe is focused onto the distal face of the image bundle by an objective lens and is then transmitted to the proximal end of the image bundle.

Abstract: A surgical instrument for improved viewing of a surgical site by a surgeon from the perspective of a working element of the instrument. The surgical instrument includes an elongated shaft with a distal operating portion extending at least about one-fourth of the length of the shaft. A working element is disposed on a distal end of the shaft. An elongated fiberoptic assembly is included, having image fibers with a distal end with an objective lens for defining a predetermined field-of-view, and a coupling device at a proximal end for coupling same to a viewing system. A mounting device is utilized for mounting the fiberoptic assembly to the shaft along the length of the distal operating portion thereof. The distal end of the image fibers is positioned with a predetermined portion of the working element within the field-of-view of the fiberoptic assembly.

Abstract: A kit is provided including at least one fiber-optic bundle of the type including a plurality of flexible image fibers having an objective lens attached to one end and a connector attached to the other end. The connector is adapted to mate with a viewing device. A coating of a pressure-sensitive adhesive is also provided to secure the fiber-optic bundle to a selected one of a variety of instruments with the fiber-optic bundle conforming to the profile of that instrument over substantially the entire length with the objective lens positioned so as to include the working element of the instrument in the field-of-view. A positioning device is used to position the objective lens to ensure proper focus. The components of the kit are contained in a sterilizable enclosure which includes a bottom tray and a top cover which may be formed of a spun-bonded polyolefin fiber material.

Abstract: A surgical instrument for improved viewing of a surgical site by a surgeon from the perspective of a working element of the instrument. The surgical instrument includes an elongated shaft with a distal operating portion extending at least about one-fourth of the length of the shaft. A working element is disposed on a distal end of the shaft. An elongated fiberoptic assembly is included, having image fibers with a distal end with an objective lens for defining a predetermined field-of-view, and a coupling device at a proximal end for coupling same to a viewing system. A mounting device is utilized for mounting the fiberoptic assembly to the shaft along the length of the distal operating portion thereof. The distal end of the image fibers is positioned with a predetermined portion of the working element within the field-of-view of the fiberoptic assembly.

Abstract: A flexible endoscope have a force limiting coupler. The endoscope comprises an elongated tubular member having a proximal end, a distal end and a wall defining a lumen extending there through. A handle member is fixed to the proximal end of the tubular member. The handle member has a slidable knob member which is coupled to a force limiting means to limit the travel of the knob member. A deflection wire is coupled at one end to the force limiting means and a second end to the distal end of the tubular member. The force limiting means has a predetermined spring constant. The distal end of the endoscope can be deflected in finer increments and acts to preclude potentially damaging forces to be applied to the endoscope or to tissue.

Abstract: A handle device for an endoscope incorporates controls for adjusting the degree of curvature of the distal tip portion of the endoscope as well as the degree of extension of the surgical instrument beyond the distal end of the endoscope's working lumen. The handle member comprises a generally hollow body which is dimensioned to be readily grasped by the surgeon and it incorporates a thumb-slide having a ratchet surface thereon, the thumb-slide being joined to a pull-wire extending the length of the endoscope and fastened at its distal end to the body of the endoscope. By depressing and longitudinally sliding the thumb-slide, the curvature of the distal end of the steerable endoscope is controlled. The degree of extension of the working instrument beyond the distal end of the working lumen is controlled by a rotatable threaded rod which is designed to produce only translational motion to the instrument without any twisting thereof.

Abstract: An improved endoscope having a flexible tip portion with both a selectable angle of deflection, and a selectable radius of curvature to provide a more maneuverable endoscope for use by a physician. It includes a body member receiving a rigid tube within a lumen thereof. The tube extends toward, but short of the distal end of the body member to define a deflectable tip portion. A pull-wire is positioned within the rigid tube and lumen and extends from the body member's proximal end to the body member's distal end. By selectively retracting the pull-wire in the proximal direction, the distal end of the flexible tip portion is deflected about the distal end of the rigid tube. In an alternative embodiment of the invention, a second rigid tube is telescopingly received within the first rigid tube. The second tube is selectively extendable beyond the distal end of the first rigid tube into the lumen of the body member.