Abstract: An implant for efficient and gentle treatment of the urinary tract. This is achieved in that an implant has a pressure means structure, which is constructed from at least two pressure means. These pressure means are of rod-like design and exert a local ischemic pressure on the tissue of the urethra. In addition, the pressure means are secured with their distal ends on a common distal connecting body and with their proximal ends on a common proximal connecting body, wherein the distal connecting body is secured in a fixed manner to a tightening means and the proximal connecting body is movably mounted on the tightening means.

Abstract: An implant in which the Lobus medius (median lobe) can be treated in a simple and reliable manner. This is achieved by virtue of the fact that an implant for the treatment of a urinary tract has a wire structure. The wire structure has a loop wire, which can be expanded to form a loop, wherein at least two net wires can be stretched in this loop and the wire structure can be placed around the median lobe.

Abstract: A shaft and a handheld surgical device have an optimized shape for accommodating an instrument. This is achieved in that a peripheral border of a distal opening of a shaft for a handheld surgical device has a thickening facing outward at least in sections. Cut injuries can be avoided by this thickening due to the rounded borders of the distal opening.

Abstract: An implant with which a urinary tract can be treated in a simple and reliable manner is achieved in that a wire structure of an implant can be introduced into the urethra in a folded state with a distal end in the lead. The wire structure is unfolded inside the urethra for the treatment of the tissue. The ischemic pressure of the wires on the surrounding tissue results in denaturation. At least one further device for constricting or cutting into tissue is positioned on the wire structure. This at least one further device is designed in such a way that it exerts a local ischemic pressure on the median lobe in the unfolded state of the implant.

Abstract: A deflection prism assembly for an endoscope having a lateral viewing direction, the deflection prism assembly including: a prism holder; and a deflection prism accommodated in the prism holder; wherein the deflection prism has a light outlet surface and an opposite light inlet surface arranged obliquely to the light outlet surface, the deflection prism further having a lateral surface extending between the light inlet surface and the light outlet surface; and the prism holder accommodates the deflection prism such that the prism holder surrounds less than all regions of the lateral surface of the deflection prism.

Abstract: A prism holder for use with a surgical instrument, having a prism. The prism holder including: a casing for receiving the prism; and at least one prism pressure element configured to be brought into contact with a pressure surface of the prism; wherein the casing having an opening for arrangement of the at least one prism pressure element in the opening.

Abstract: An electrosurgical generator which outputs high-frequency AC voltage for an electrosurgical instrument includes a leakage current detecting device for the connected electrosurgical instrument. The leakage current detecting device is embodied as a voltage measuring device, the inputs of which are connected in each case via a capacitive coupling to an active and a neutral line of the output line and which has a bipolar voltage divider having a predetermined fixed ratio. An asymmetry detector connected via a capacitive coupling compares upper and lower voltage at the voltage divider, and outputs a fault signal for leakage current in the case of deviation of the ratio of upper to lower voltage from the predetermined fixed ratio.

Abstract: A medical endoscope including: an elongated shaft with a distal end region having a non-circular cross-section and a shaft main section arranged proximally from the distal end region, an at least one light guide having a plurality of individual fibres disposed longitudinally through the shaft, wherein at least a portion of the plurality of individual fibres in the distal end region are bonded over a length of at least 50% of the distal end region with an inflexible adhesive.

Abstract: An electrosurgical generator with a high-voltage power supply that supplies a DC output voltage receives the DC output voltage of the high-voltage power supply and generates a high-frequency AC output voltage. When generator is operating, a control unit receives signals from an AC output voltage measuring unit and current measuring unit. The control unit limits an increase of DC output voltage of the high-voltage power supply as soon one predefined maximum value is reached or exceeded. When the generator is operating, the control unit configured to receive signals from a DC output voltage measuring unit that represent a respective current value of the DC output voltage, and to compare a respective current value of DC output voltage with a predefined minimum value for DC output voltage, and to cause the DC output voltage of the high-voltage power supply to increase as soon as it falls below the predefined minimum value.

Abstract: High-frequency electrodes for handheld surgical devices are used above all in urology in electrosurgical work in the bladder, prostate, and urethra. These electrodes are known to be manufactured from a platinum-iridium alloy. The costs of these materials have proven to be particularly disadvantageous. A high-frequency electrode, an electrode instrument, and a resectoscope for which the production costs are reduced and the reliability of the electrode during the treatment is ensured. This is achieved in that the high-frequency electrode consists of a platinum-tungsten alloy, in particular is produced therefrom.

Abstract: A medical device with a power supply for connecting to an AC power grid in the range of >50 VAC to 264 VAC (wide range) features a circuit for only connecting at least one discharge resistor in parallel to at least one smoothing capacitor if no AC input voltage is present at the power supply. The power supply features a rectifier and at least one smoothing capacitor for smoothing a direct voltage to be supplied by the power supply, as well as at least one discharge resistor for discharging the smoothing capacitor. The power supply features a circuit electrically connected to the discharge resistor and the smoothing capacitor, designed to detect a switched-on state of the medical device with an AC input voltage present at its power supply, and to only connect the discharge resistor in parallel to the smoothing capacitor if the circuit does not detect a switched-on state.

Abstract: A method for reconditioning an endoscope in a reconditioning apparatus, the method including: connecting an interior of the endoscope to a leakage tester of the reconditioning apparatus; supplying the interior with a fluid at a predefined pressure; carrying out a reconditioning process using a rinsing liquid; monitoring the pressure in the interior of the endoscope during the reconditioning process; and identifying the endoscope as defective if a profile of the pressure deviates from a predefined pressure profile; wherein the predefined pressure profile is determined according to process parameters of the reconditioning process.

Abstract: An electrically conductive irrigation fluid for use in bipolar resectoscopic surgery, wherein the irrigation fluid being brought into contact with the electrode of a resectoscope and tissue being coagulated and/or resected by means of the electrode surrounded by the irrigation fluid, wherein the irrigation fluid includes metal ions. Moreover, the method relates to a resectoscopy system including a resectoscope and an irrigation system that is connected to the resectoscope, the resectoscope having a handle and a tubular shaft, and the shaft including an electrode instrument that is arranged so as to be longitudinally displaceable and has in its distal end region an electrode to which high-frequency current can be applied, wherein the irrigation system includes an irrigation fluid, which can be conducted through the shaft of the resectoscope to the electrode.

Abstract: A provisioning system for endoscopes in an application environment including one or more examination rooms and one or more reprocessing stations for endoscopes. The provisioning system including a processor including hardware. The processor being configured to: receive first information about scheduled procedures, receive second information about a status of one or more endoscopes, the second information including an indication of whether an endoscope is ready for use, currently in use, or currently being reprocessed, and control a display to display a user interface having a graphical user interface. Wherein the graphical user interface includes: a first presentation area in which data about ready-to-use endoscopes is displayed, a second presentation area in which data about scheduled procedures is displayed, and a third presentation area in which data about endoscopes undergoing a reprocessing process is displayed.

Abstract: A provisioning system for endoscopes in an application environment including one or more examination rooms and one or more reprocessing stations for endoscopes. The provisioning system including a processor including hardware. The processor being configured to: receive first information about scheduled procedures, receive second information about a status of one or more endoscopes, the second information including an indication of whether an endoscope is ready for use, currently in use, or currently being reprocessed, determine from the first information and the second information whether a ready-to-use endoscope is or will be available for each respective scheduled procedure, and control a display to display an indicator which indicates whether a ready-to-use endoscope is or will be available for the respective scheduled procedure.

Abstract: A method for operating a reconditioning apparatus for cleaning and disinfecting a medical instrument(s), the medical instrument having an internal channel(s). The method including: receiving the medical instrument(s) in a reconditioning chamber; connecting the internal channel(s) to a fluid connection of fluid connections in the reconditioning chamber; flushing the internal channel(s) with a reconditioning fluid; detecting an identifying feature of medical instrument(s) indicating a type of the medical instrument(s); comparing the detected type with data sets stored in a database and, of the fluid connections, provide an allocation of a fluid connection connected to the internal channel(s) on a basis of the identified type; and subsequent to the flushing, actuating a compressed air source to apply compressed air to the allocated fluid connection such that reconditioning fluid present in the at least one internal channel is blown out of the channel.

Abstract: A video endoscope including: an elongated shaft having an inner shaft tube and an outer shaft tube; and an electrical connecting element extending in a longitudinal direction of the shaft between the inner shaft tube and the outer shaft tube. Wherein the electrical connecting element is configured as a flexible printed circuit board with at least one conducting path which is routed substantially parallel to a longitudinal axis of the shaft, and the electrical connecting element is routed at an angle with respect to the longitudinal axis of the shaft at at least one location of the shaft.

Abstract: An electrosurgical generator for an electrosurgical instrument includes DC voltage supply and high-voltage inverter that generates high-frequency AC voltage having variable voltage and frequency. Inverter is multilevel inverter controlled by reference signal and having at least two groups of series-connected inverter cells, wherein each group is supplied with different DC voltage and wherein the voltages output by the two groups are summed to be output at output. Group supplied with higher voltage enables fast and large voltage changes with its inverter cells, while inverter cells of other group supplied with lower voltage allow fine setting with high change speed. Dynamic range is improved both from temporal viewpoint and in terms of increased voltage span. The number of HVC cells to be switched may furthermore be varied by way of modulator, wherein further number of LVC cells are switched in an opposing manner for compensation purposes. Switching losses may be reduced.

Abstract: An electrosurgical generator for generating a high-frequency AC voltage for an electrosurgical instrument, having a high-voltage inverter that generates and outputs a high-frequency AC voltage. A filter having a parallel capacitor is on an output line. A measuring sensor circuit having a current divider, which has a capacitive coupling to a series-connected shunt as bypass with respect to the parallel capacitor, and having a voltage detection circuit connected to the shunt. The shunt has a considerably lower impedance than the capacitive coupling. This gives rise to a proportional ratio between the current flowing through the parallel capacitor on the output line of the electrosurgical generator and the current through the shunt. This current is converted into a voltage, which is detected. The current at the output of the inverter is determined quickly and accurately thanks to the proportional relationship. This may be used for feedback and improved monitoring and regulation.

Abstract: A method including: upon or during the insertion of an endoscope shaft into a trocar sleeve, detecting first brightness values at a distal end of the endoscope shaft by an image sensor over time and detecting a first temporal brightness profile depending on the detected first brightness values and the time, and/or upon or during the withdrawal of the endoscope shaft from the trocar sleeve, detecting second brightness values at the distal end of the endoscope shaft by the image sensor over time and detecting a second temporal brightness profile depending on the detected second brightness values and the time.