Abstract: A surgical device system, and methods for operating a surgical device system, includes: at least one surgical instrument, a surgical generator for providing surgical energy to at least one surgical instrument, and at least one supplementary device for providing a supplementary function to at least one of the surgical generator and/or the at least one surgical instrument; the surgical generator being configured to wirelessly communicate with the at least one supplementary device, wherein the surgical generator and the at least one supplementary device are configured to establish a first communication channel for exchanging operational data, the first communication being defined by a number of first communication channel parameters; and wherein the surgical generator the at least one supplementary device are configured to establish a second communication channel for exchanging first communication channel parameters.

Abstract: A medical apparatus comprises an insertion section inserted into a subject, a treatment instrument channel provided in the insertion section along an insertion axis extending from a proximal end to a distal end of the insertion section, a treatment instrument being inserted through the treatment instrument channel, an elastic member provided in at least a part of the treatment instrument channel, and a channel operation member for transmitting an operation force to the elastic member, and wherein the elastic member changes, according to the operation force, a sectional area of an inside of the treatment instrument channel in a direction crossing the insertion axis.

Abstract: An insertion device comprises an insertion section, the insertion section including a distal portion, an operation section located on a proximal end side of the insertion section, a channel located in the insertion section and communicating with the distal portion, the channel including a transformable member on a distal end side of the channel, and a transformation unit, wherein a shape of the transformable member is changeable by operation of the operation section.

Abstract: An electrosurgical generator for operating an electrosurgical instrument, wherein the electrosurgical generator includes a data storage device coupled to the control device for storing a warning time and a switch-off time, the warning and switch-off time each being assigned to a detected instrument in order to assign an instrument-specific warning and switch-off time to each detected instrument, a time tracking device for determining an instrument-specific activation duration, wherein the activation duration is a duration of time detected from a first connection or first activation of an electrosurgical instrument connected to the instrument terminal to an actual time value, and wherein an activation duration is detected for each detected instrument, and the activation duration is recorded continuously and independently of the electrosurgical instrument operating state, and the control device triggers warning indication by triggering the signaling device when the determined activation duration exceeds the ins

Abstract: An electrosurgical generator includes a control unit, an electrosurgical function unit, and a user interface unit, wherein the electrosurgical function unit is configured to provide an electrosurgical therapy signal to one or more electrosurgical devices, the control unit is configured to control operation of the electrosurgical function and user interface units, and the user interface unit is configured to receive status information data from the control unit and to output that information to a user and allow input of user input data and to communicate that data to the control unit; wherein the user interface unit includes a proximity sensor configured to detect the presence of a user within a predetermined proximity of the user interface unit and to output a detection signal to the control unit, and the control unit is configured to switch the electrosurgical generator between first and second operational modes in response to the signal.

Abstract: A surgical equipment socket for a surgical generator for connecting surgical instruments, a surgical system and a method for detecting the use of a surgical instrument in a surgical system, wherein the surgical equipment socket includes a first indicator assembly having a first movable element, and a first detection element; wherein the first movable element is movable from a free position to a mated position, and wherein the first detection element is adapted to detect whether the first movable element is in the mated position.

Abstract: An endoscope comprising an insertion section including a distal end portion, a distal end opening in a distal end surface of a distal end portion, a side opening in a side surface of the distal end portion, a suction channel located in the insertion section and extending proximally from the distal end portion, and a valve switchable between an open state and a closed state. When a first suctioning flow through the distal end opening is less than a minimum suctioning flow, the valve is in the open state and a second suctioning flow through the side opening is present, and when the first suctioning flow is more than the minimum suctioning flow, the valve is in the closed state and the second suctioning flow is absent.

Abstract: A main body for a manual surgical instrument and a manual surgical instrument, in which tools or access articles can be guided in a straightforward way through a channel, and by means of which at the same time a sufficiently large irrigation flow can be delivered through the channel. This is achieved in that two irrigation bores, which extend through a wall of a main body of a manual surgical instrument, are directed onto an upper region of a cross section of a channel running axially through the main body. In this case, the bores are arranged transversely with respect to the channel.

Abstract: A deflection prism assembly for an endoscope having a lateral viewing direction. The deflection prism assembly including: a prism holder; a deflection prism which is received in the prism holder; and at least one electrical heating element for heating the deflection prism. The prism holder includes a reception component and an adjustment component. The deflection prism is attached to the reception component and the adjustment component provides a stop for the deflection prism in an axial direction. Wherein the at least one electrical heating element being disposed in or on the reception component; and the at least one electrical heating element at least partially extending in one or more of a circumferential direction or longitudinal direction of the reception component.

Abstract: An endoscope optical connector includes: a sleeve which houses an end portion of an optical fiber inside the sleeve; an inward flange provided on an inner circumference of the sleeve; a glass member arranged inside the sleeve so as to face an end surface of the optical fiber; a cap member which is attached to the sleeve and which fixes the glass member between the cap member and the inward flange; a first O-ring interposed between the cap member and the glass member; a second O-ring interposed between the glass member and the inward flange and having a glass transition point lower than a glass transition point of the first O-ring; and an inert gas filling the inside of the sleeve.

Abstract: An image pickup unit includes: an image pickup substrate; a first wiring plate bonded to the image pickup substrate; and a second wiring plate having a fifth principal surface, a sixth principal surface, and a second side surface, a fifth electrode on the fifth principal surface and a sixth electrode on the second side surface being bonded to a fourth electrode on the fourth principal surface of the first wiring plate by using solder, the sixth electrode being extended from the fifth electrode. A first conductor block is embedded in the second wiring plate, an exposed surface of the first conductor block on the fifth principal surface being the fifth electrode, an exposed surface of the first conductor block on the second side surface being the sixth electrode. The solder bonding the fourth and sixth electrodes forms a fillet.

Abstract: A perfusion target internal pressure estimation method includes, at a time of a first operation for feeding liquid and not suctioning the liquid, acquiring a liquid feed flow rate in a liquid feed passage and pressure in a suction passage, at a time of a second operation for feeding the liquid and suctioning the liquid, acquiring a liquid feed flow rate in the liquid feed passage and a suction flow rate in the suction passage, subtracting the suction flow rate from the liquid feed flow rate to acquire a flow rate difference, and acquiring, based on a regression formula of the liquid feed flow rate and the pressure in the suction passage at the time of the first operation, an estimation value of an internal pressure of a perfusion target at the time of the second operation from the flow rate difference.

Abstract: A substrate laminating apparatus includes: a first holding mechanism configured to hold a first substrate; a second holding mechanism configured to hold a second substrate and change a distance between the first substrate and the second substrate; a load detecting mechanism configured to detect a load originated from a surface tension acting between the first substrate and the second substrate; and a driving mechanism configured to control a distance between the first substrate and the second substrate based on a detection value of the load detecting mechanism.

Abstract: Clip delivery device has a sheath, a wire inserted into the sheath, and a clip detachably connected to the wire and having arms movable between an open position and a closed position. A tube is adjacent the sheath along a longitudinal axis and contains at least part of the clip and has a convex portion on an inner surface. A connector provided in the sheath has a hook detachably connected with the convex portion. The hook is movable between a first position, in which the hook engages the convex portion and is at a first radial distance from a central axis of the sheath, and a second position, in which the hook is disengaged from the convex portion and is at a second radial distance from the central axis of the sheath, where the first radial distance is greater than the second radial distance, by moving the wire.

Abstract: A distal end cover includes a cover body having a cylindrical shape. The cover body includes first and second body portions, a first opening formed in the first body portion and the second body portion, a second opening that can receive a distal end portion of an insertion portion of an endoscope and is formed on a side opposite to the first body portion with respect to the second body portion, a finger hook portion forming a portion of the first opening, a first thin wall portion forming a portion of the first opening, and a second thin wall portion. When a load is applied to the finger hook portion to expand the first opening, a force in a tensile direction is applied to the first thin wall portion, and a force in a shearing direction is applied to the second thin wall portion.

Abstract: A therapeutic light irradiation device including a reflecting surface disposed on a path of a therapeutic light emitted in a first direction from an insertion section of an endoscope, and configured to switch an irradiation direction of the therapeutic light between the first direction and a second direction intersecting the first direction, and a connector configured to detachably connect the reflecting surface to the insertion section.

Abstract: A clip unit comprises a clip and a tube. the clip includes a plurality of arms movable between an open position and a closed position. The tube includes a tube main body configured to contain at least a part of the clip, a first wing, and a second wing. The first wing is connected to the tube main body and the second wing is connected to the first wing. The first wing is elastically deformable relative to the tube main body in a radial direction of the tube main body, and the first wing is biased radially inward toward an inner region of the tube main body. The second wing is elastically deformable relative to the first wing in the radial direction of the tube main body, and the second wing is biased radially outward toward an outside of the tube main body.

Abstract: An endoscope system of the disclosure includes an endoscope including an insertion section, and a coupling thread extending along the insertion section. The coupling thread includes a coupling portion at a distal end of the coupling thread, and a thread portion extending proximally from the coupling portion. The endoscope system includes a distal end cover on a distal end portion of the insertion section. At least a part of the distal end cover moves on an outer surface of the distal end portion. The distal end cover partially covers the coupling portion.

Abstract: A tissue closure method comprises grasping a first portion of a tissue between a first arm and a central arm, restricting a sliding of a first slider while grasping the first portion, the first slider configured to open and close the first arm relative to the central arm, grasping a second portion of the tissue between a second arm and the central arm while restricting the sliding of the first slider, indwelling the first arm, the second arm, and the central arm in a body.

Abstract: A phototherapy method comprising: irradiating an affected area that is administered with a phototherapeutic agent with therapeutic light in a first period; and irradiating the affected area with the therapeutic light in a second period after the first period, wherein the second period is a period after the intensity of a first light that is emitted from the phototherapeutic agent has significantly decreased by irradiation with the therapeutic light in the first period, and an irradiation energy dose of the therapeutic light in the second period is determined based on a state of the affected area.

Abstract: An ablation device comprises a sheath, a balloon attached to the sheath and being expandable and an electrode located on an outer surface of the sheath. The balloon is located longitudinally adjacent to the electrode.

Abstract: An endoscope system, comprising: an endoscope including an insertion portion, an operation portion, and a connector configured to be connected to an external apparatus, wherein the insertion portion includes a bending portion and wherein the operation portion is connected to the insertion portion; a packaging material, wherein the packaging material contains at least the insertion portion or the operation portion in a sterile environment; and a dome-shaped portion formed in the packaging material, wherein the dome-shaped portion defines a space, and at least a distal section of the bending portion is located inside the space, where in a maximum bent position, the distal section of the bending portion does not contact an inner surface of the dome shaped portion, and wherein the connector is disposed outside of the packaging material.

Abstract: An Albarran deflector can be cleaned or reconditioned particularly thoroughly. This is achieved in that at least one flushing port is arranged on a drive body of the Albarran deflector. During cleaning or reconditioning, a flushing line can be connected to this flushing port. This defined access to the interior of the drive body or gear space allows targeted introduction of the flushing fluid.

Abstract: An endoscope including an insertion portion including a distal end structure and an active bending section, an image sensor located in the distal end structure, and the image sensor has an optical axis in a first direction, and the first direction intersects a central longitudinal axis of the distal end structure, a treatment instrument channel located in the distal end structure and adjacent the image sensor, and a distal end opening of the treatment instrument channel opens in a second direction, and the second direction intersects the central longitudinal axis, and a suction channel located in the distal end structure, wherein a distal end opening of the suction channel opens in a third direction, and the third direction is different from the second direction.

Abstract: A control device, comprising: a processor including hardware, the processor being configured to: control a laser light source to emit a first instance of a laser light, calculate an overlap information related to an overlap area of an irradiation area of an irradiation target that is irradiated with the first instance of the laser light, and control the laser light source to emit a second instance of the laser light based on the overlap information.

Abstract: An objective optical system includes a front group FG, an aperture stop S, and a rear group RG in order from an object side. The front group FG includes a first lens L1 having a negative refractive power with a concave surface facing an image side, a meniscus-shaped second lens L2 having a negative refractive power with a convex surface facing the image side, and a third lens L3 having a positive refractive power. The rear group RG includes a fourth lens L4 having a positive refractive power and a fifth lens L5 having a positive refractive power. The fifth lens L5 is a cemented lens. The following Conditional Expression (1) is satisfied: 2.3<f3/f5<20 (1), where f3 is a focal length of the third lens L3, and f5 is a focal length of the fifth lens L5.

Abstract: A suction attachment includes a plug including a plug conduit, a first tube including a first conduit having a first end portion and a second end portion, a second tube having a second conduit including a third end portion and a fourth end portion, and a pressure regulator including a body with an interior cavity, a first opening, a second opening, and an actuator. The pressure regulator is connected to the fourth end portion and the interior cavity is in fluid communication with second conduit via the first opening in the body, and the second opening in the body connects the interior cavity to atmosphere. The actuator is movable between a first position and a second position, when the actuator is in the first position, the second opening is open and, when the actuator is in the second position, the second opening is closed.

Abstract: The treatment tool including: a tube including a lumen extending in a longitudinal axis of the tube; a wire inserted into the lumen and extending along the longitudinal axis of the tube; a first handle connected to a proximal end portion of the wire; a second handle attached to a proximal end portion of the tube. In a first configuration, the first handle is rotatable relative to the second handle about a rotation axis. In a second configuration, the first handle is non-rotatable relative to the second handle when an applied force applied to the first handle in a rotation direction is equal to or less than a predetermined amount. The first handle is rotatable relative to the second handle when the applied force is greater than the predetermined amount.

Abstract: An endoscope system includes an endoscope and a suction unit. The endoscope includes an insertion portion configured to be inserted into a subject, an operation portion provided on a proximal end side of the insertion portion, and an angle knob provided on the operation portion for operating the bending portion; and an opening provided in the operation portion, wherein the opening is connected to a lumen provided in the endoscope. The suction unit includes a suction conduit, a protrusion inserted into the opening, and a suction button. In a side view perpendicular to an axis of rotation of the angle knob, a center of a top surface of the suction button, a center of the opening, and the angle knob are arranged along an imaginary straight line with the center of the opening located between the center of the top surface of the suction button and the angle knob.

Abstract: A sterile medical device package includes a packaging member having an interior space, and a disinfectant solution package located in a first section of the interior space. A second section of the interior space is configured to contain a sterile medical device. The disinfectant solution package is configured to contain a disinfectant solution. The packaging member is configured to form a first opening and the disinfectant solution package is configured to form a second opening. A part of the disinfectant solution package is fixed to the packaging member such that the second opening is formed in conjunction with forming the first opening.

Abstract: An endoscope includes an insertion portion configured to be inserted into a subject; a channel tube forming a first portion of a channel in the insertion portion, and a coil wound around at least a portion of the channel tube. The channel tube includes a first magnetic material, and the coil generates a magnetic field in response to a supplied electric current to magnetize the first magnetic material.

Abstract: The information processing system includes: a memory storing a first trained model and a second trained model; and a processor. The first trained model is trained to perform a detection process on a first training image at a normal magnification. The second trained model is trained to perform a diagnosis process on a second training image at a greater magnification. To the processor, magnification change information acquired by an operation device of an endoscope system that changes magnification of a target image is input. When the magnification change information indicates the normal magnification, the processor performs the detection process of detecting a lesion from the target image through processing based on the first trained model, and when the magnification change information indicates the greater magnification, the processor performs the diagnosis process of diagnosing a type of the lesion from the target image through processing based on the second trained model.

Abstract: A fluid feeding and suction apparatus includes a common conduit including an endoscopic connection end and a second end, a fluid feeding conduit in fluid communication with the common conduit via the branching connector, a fluid suction conduit in fluid communication with the common conduit via the branching connector, a fluid feeding container connected to the fluid feeding conduit, a fluid suction container connected to the fluid suction conduit, a gas feeding conduit connected to the fluid feeding container, a gas suction conduit connected to the fluid suction container, and a pump connected to the gas feeding conduit and the gas suction conduit. The second end connected to a branching connector. The pump is configured to feed a supply gas to the gas feeding conduit and to suction a suction gas from the gas suction conduit.

Abstract: An ultrasonic treatment tool comprises: a blade including a treatment portion at a distal side of the blade, the blade configured to transmit an ultrasonic vibration from a proximal side of the blade to the treatment portion and the treatment portion configured to treat a body tissue, a grasper movable relative to the treatment portion between an open position and a closed position to grasp the body tissue between the grasper and the treatment portion, a coating provided on the grasper, the coating is formed by a first resin, when the grasper is in the closed position, the coating contacts the treatment portion.

Abstract: An endoscope system includes a controller configured to receive a detection result relating to insertion of an insertion section of an endoscope into a subject, and record information indicating use of the endoscope based on the detection result in the memory.

Abstract: An ultrasonic treatment tool comprises: a blade including a treatment portion, the treatment portion is configured to treat a treatment target and the blade is configured to transmit an ultrasonic vibration to the treatment portion, a pattern on at least part of an outer surface of the treatment portion, the pattern including a plurality of protrusions, each protrusion includes at least one side surface intersecting with a vibration direction of the ultrasonic vibration, the at least one side surface defining a cavitation surface, at least one cavitation surface is located within a pitch width in the vibration direction, an amplitude of the ultrasonic vibration defines the pitch width.

Abstract: A medical device includes: a medicinal agent storage device connected to the catheter, a flow control device, and a package. The medicinal agent storage device includes a storage part and a second channel, the storage part is configured to store a medicinal agent, and wherein the second channel provides fluid communication between the storage part and the first channel. The package encloses the catheter, the medicinal agent storage device, and the flow control device in a sterilized state. In a first state, the flow control device is configured to prevent the medicinal agent from flowing from the storage part into the first channel. The flow control device is included in the catheter or included in the medicinal agent storage device.

Abstract: A flexible-manipulator guide member is provided in an inserted portion of a flexible manipulator including the elongated flexible inserted portion, the movable portion disposed at the distal end of the inserted portion, a drive portion disposed at the base end of the inserted portion, and the elongated driving-force transmitting member that transmits motive power of the drive portion to the movable portion, and is provided with a lumen through which the driving-force transmitting member passes in the longitudinal direction, wherein the lumen has a twisted shape about the longitudinal axis of the inserted portion.

Abstract: An imaging system includes: an optical system configured to form a subject image; a driver configured to drive the optical system; an imaging element configured to capture the subject image and generate image data; and a processor configured to control the imaging element and the driver. The imaging element includes: a first imaging portion configured to capture an image of a first light beam that travels through a first optical path in the optical system; a second imaging portion configured to capture an image of a second light beam that travels through a second optical path shorter than the first optical path; and plural phase difference pixels for phase difference autofocus, the plural phase difference pixels being arranged in at least one of the first imaging portion and the second imaging portion, the plural phase difference pixels being configured to output phase difference signals.

Abstract: A computer aided assistance system for use in endoscopic colonoscopy procedures. The computer aided assistance system including: at least one videoendoscopic instrument configured to capture image data; a controller comprising hardware, the controller being connected with the at least one videoendoscopic instrument; and a display connected or integral with the controller, wherein the controller being configured to automatically select a treatment guideline based on a combination of both a size and a classification of a lesion shown in the image data and to display the selected treatment guideline on the display.

Abstract: A method of handling medical equipment status information. The method includes: receiving status information data from two or more pieces of medical equipment, wherein the status information data is received in a data format specific for each of the pieces of medical equipment; determining that the status information data indicate an error state of the pieces of medical equipment; assigning to each error state one or more global error categories of a predetermined list of global error categories, the global error categories not being specific to a certain piece of medical equipment among the pieces of medical equipment; and outputting error information data. The error information date including: identification data identifying a specific piece of medical equipment among the pieces of medical equipment, status information data received from the specific piece of medical equipment, and the one or more global error categories assigned to the detected error status.

Abstract: An insertion device includes an insertion portion having an outer peripheral surface and configured to be inserted into a subject, and a suction pipeline provided on the outer peripheral surface of the insertion portion. The suction pipeline is switchable from a first state to a second state and the suction pipeline is configured to maintain the second state. In the first state, a distal end of the suction pipeline is folded, and in the second state, the distal end of the suction pipeline is unfolded.

Abstract: An endoscope of the disclosure includes an insertion section including a conduit having an inner surface. The inner surface comprises a first projecting portion provided at a first position, and a second projecting portion provided at a second position. In a longitudinal direction of the insertion section, the first position is different from the second position.

Abstract: A medical device includes: a first sterilized insertion device including an insertion portion configured to be inserted into a subject, and a cover surrounding a distal end portion of the insertion portion. The cover is configured to be teared by receiving external force so as to make an opening in the cover for exposing the distal end portion.

Abstract: An endoscope includes: a connection member that has an attaching and detaching direction defined to be orthogonal to a central axis of a distal end rigid portion in a longitudinal direction and is engaged with a wire connection portion of a movable member: and a rigid guide including a wire insertion path that guides a pulling wire, a distal end opening of the wire insertion path being disposed on a proximal end side of the movable member. The distal end opening of the wire insertion path of the rigid guide is disposed at a position closer to the central axis of the distal end rigid portion in an attaching direction of the connection member than a position in a plane formed by a rotation trajectory of the connection member.

Abstract: An endoscopic treatment device includes a hollow tube; an electrode; and an insulative support member. In a radial direction relative to a longitudinal axis of the hollow tube, the insulative support member is radially outward of the electrode and the hollow tube is radially outward of the insulative support member.

Abstract: A light irradiation probe comprising: a catheter having an elongated shape, the catheter being configured to emit light from an emission region arranged on a side surface on a distal end side of the catheter; and wherein the catheter includes an outer sheath having a tubular shape, the outer sheath comprising an outer surface of the catheter; an optical fiber extending in a longitudinal axis direction of the catheter, the optical fiber including a core forming an optical waveguide; and a filling material disposed at a longitudinal position corresponding to the emission region of the outer sheath such that the light emitted from the emission region passes through the filling material, the filling material having a refractive index higher than a refractive index of the core.

Abstract: An energy radiation treatment method comprises: administering a medicinal agent to an affected part; performing energy radiation with a predetermined energy on the affected part; and confirming therapeutic effects by the energy radiation on the affected part, wherein in the administering, a determination based on at least one ultrasound image based on ultrasound waves reflected from the affected part is performed.

Abstract: An assistant device includes a processor configured to: generate a first image including one or more characteristic regions requiring excision by a surgical operator; generate a second image including one or more cauterized regions cauterized by an energy device; generate information regarding presence or absence of a first region that is included in the characteristic regions and that is not included in the cauterized region based on the first image and the second image; and output information indicating the presence of the characteristic regions that requires to be cauterized when the first region is present.

Abstract: A treatment method includes: inserting a first closure and a second closure into a tubular organ, wherein the tubular organ includes at least one affected site; contacting an inner wall of the tubular organ with the first closure and the second closure to close the tubular organ with the at least one affected site located between the first closure and the second closure; with the tubular organ closed by the first closure and the second closure, aspirating a gas located in the tubular organ between the first closure and the second closure; and with the tubular organ closed by the first closure and the second closure, delivering a liquid medicine into the tubular organ between the first closure and the second closure.