Abstract: An ultrasound transducer array includes: a transducer group including a plurality of ultrasound transducers aligned, the transducers being configured to transmit and receive ultrasonic waves; a signal line configured to electrically connect the transducer group and an external device and transmit a signal communicated by the transducer group and the external device; and a relay board that is a bendable relay board and that has a first end and a second end, the first end being branched, the first end being connected to each of the ultrasound transducers, the second end being connected to the signal line to relay transmission and reception of the signal between the ultrasound transducers and the signal line, branched portions of the first end of the relay board extending in a direction of alignment of the ultrasound transducers.

Abstract: An image pickup unit includes an image sensor, a first circuit board on which a first land is disposed around four first side surfaces, a second circuit board on which a second land is disposed around four second side surfaces, a movement detection sensor housed in a recess of the first circuit board, and a rectangular tube bonded to the first land and the second land and sealing the recess in an airtight manner.

Abstract: A voltage generation circuit includes a booster circuit, a control buffer circuit, and a driving buffer circuit. The booster circuit includes a capacitance element and a transistor. The booster circuit generates a higher first voltage than the power source voltage, and the control buffer circuit controls the transistor by using a third voltage that is lower than the first voltage and is higher than a ground voltage. Alternatively, the booster circuit generates a lower second voltage than the ground voltage, and the control buffer circuit controls the transistor by using a fourth voltage that is higher than the second voltage and is lower than or equal to the ground voltage.

Abstract: A phototherapy device includes: a treatment light emitter configured to emit treatment light for causing a reaction of a drug; a narrow band light emitter configured to emit narrow band light having part of wavelength band of a visible light range; an imager configured to obtain a narrow band light image which is formed using the narrow band light applied onto an application position of the treatment light; a narrow-band-light image variation calculator configured to calculate a time variation between the narrow band light image obtained before an application of the treatment light and the narrow band light image obtained after the application of the treatment light; and a display image generator configured to generate a display image including information based on the calculated variation.

Abstract: An accommodating container accommodates a medical instrument. A sensor unit acquires environmental information obtained at the time transportation of the accommodating container. A recording unit records the environmental information acquired by the sensor unit. A control device controls the functions of a medical instrument. The control device restricts the functions of the medical instrument based on the environmental information recorded in the recording unit.

Abstract: A processor comprises a receiver including a recess. The recess includes a channel, and an inflatable body located in the channel. The inflatable body has an outer periphery surface and an inner periphery surface. The inner periphery surface defines a central opening in the inflatable body. The inflatable body is reversibly inflatable between a deflated state and an inflated state.

Abstract: A transport trolley including at least one receiving compartment configured to receive an instrument tray; and one or more of: a pre-cleaning device configured to pre-clean a surgical instrument in the instrument tray, the pre-cleaning device is configured to be connected to the surgical instrument by a coupling; and a pre-cleaning apparatus configured to pre-clean an outside of the surgical instrument.

Abstract: A method for detecting an image irregularity in one or more still images or video images produced by an endoscopic instrument. The method including: producing the one or more still images or video images; transmitting the one or more still images or video images to a processor comprising hardware; detecting, with the processor, a presence or an absence of the image irregularity in the one or more still images or video images; and where the presence of the image irregularity is detected, issuing a notification to a user about the presence of the image irregularity.

Abstract: An ultrasound probe includes: an ultrasound transducer that includes a piezoelectric element configured to transmit and receive ultrasound waves to and from a subject; and an adjustment layer that is laminated on the piezoelectric element, the adjustment layer being provided with a cut surface that is cut by a blade configured to cut the piezoelectric element, the adjustment layer including an adjustment material configured to improve cutting performance of the blade.

Abstract: An illumination device including an illumination source having a light source; a sensor; and a processor; and a light guiding cable having main and secondary fiber bundles. The light guiding cable comprises a first end coupled to the illumination source and an opposite second end configured for coupling with a surgical instrument such that the light source provides the surgical instrument with light from the light source. The first end is coupled to the illumination source such that light from the light source is coupled into the main fiber bundle and light guided in the secondary fiber bundle is directed to the sensor. The processor receives a signal from the sensor indicative of an illumination level at the sensor and generates a control signal if the illumination level of the sensor is above a predetermined threshold value.

Abstract: An insertion apparatus includes: an insertion portion including, a first conduit having a first opening, an illumination chamber having a second opening, an optical fiber configured to guide and radiate an illumination light, and an illumination lens. The first conduit is in fluid communication with an outside of the insertion portion via the first opening. The illumination chamber is configured to fluidly communicate with a peripheral part of the first conduit via the second opening. A distal end of the optical fiber is located inside of the illumination chamber. The illumination lens is configured to radiate the illumination light to the outside of the insertion portion.

Abstract: An endoscope system includes a light source apparatus to generate an illumination light including a first light in a red to near infrared region, a second light in a green region, and a third light in a blue region, an image pickup device to pick up an image of an object and output an image pickup signal, and a processor to generate a first to third color components corresponding to the first to third lights based on an image generated according to the image pickup signal. The processor generates two of three color components that are blue, green, and red included in an observation image by using a second color component, and generates one remaining color component by using a first color component, and generates respective color components of red, green, and blue included in a white light observation image by using the first to third color components.

Abstract: A method for monitoring a high resistance condition at an instrument terminal of an electrosurgical generator, which includes current and voltage measuring devices for determining a current and a voltage at the terminal to determine the high resistance condition, and includes a calculation device connected to the measuring devices which is configured to evaluate the determined current and voltage, including: determining a crest factor value from the current and/or voltage, wherein the crest factor value describes a ratio of a peak value to an effective value of the current and/or voltage; comparing the determined crest factor value with a comparison value by means of a comparison device, wherein the comparison value is stored in a data storage device; and signaling a high resistance condition with a signaling device when the determined crest factor reaches or exceeds the predetermined crest factor comparison value. Also, an electrosurgical generator and electrosurgical generator system.

Abstract: The invention relates to a system (1) comprising a medical technology device (10) controllable via a foot switch (20), and a foot switch (20), wherein the foot switch (20) comprises a transmitter and the medical technology device (10) comprises a receiver for the wireless transmission of unambiguously assignable signals for the control from the foot switch (20) to the medical technology device (10), and wherein the receiver of the medical technology device (10) is designed to measure the signal strength of signals from the foot switch (20), and the medical technology device (10) is designed to emit a warning if the measured signal strength or the signal-to-noise ratio lies below a predefined threshold value.

Abstract: A calibration device includes a processor configured to process a stereo image which is taken by a stereo camera disposed in front end portion of an endoscope, the processor being configured to superimpose an imaging guide onto the stereo image to generate a calibration image that is to be displayed in a display, and calibrate a camera parameter of the stereo camera based on the stereo image taken by the stereo camera is state in which a plurality of marks included is a chart representing a photographic subject image in the calibration image fall into a specific positional relationship with respect to the imaging guide.

Abstract: A light source device includes: a first and second light sources respectively emitting a first and second light beams spectra of which are different from each other; an element guiding the first and second light beams to a common optical path; a first and second sensors respectively detecting light quantities of the first and second light beams; and a controller controlling, on the basis of the detected light quantities, the light quantities of the first and second light beams. The element guides the first light beam to the path by reflecting the first light beam, the first sensor is disposed in the path, the device further includes a first and second members respectively blocking a first and second regions respectively corresponding to portions of the first and second light beams, the first sensor is disposed in the second region, and the second sensor is disposed in the first region.

Abstract: An endoscope insertion method and an overtube are disclosed. The method is for inserting an endoscope into the vicinity of a duodenum using an overtube equipped with a raising member, and includes: adjusting an orientation of the distal end of the endoscope protruding from the overtube by the raising member to direct the distal end of the endoscope toward a pylorus; and inserting the distal end of the endoscope into the vicinity of the duodenum. The overtube includes: a tube body; and a first balloon provided on a distal end side of a distal end opening of the tube body. A center of the first balloon in a contracted state and a center of the first balloon in an expanded state are on opposite sides of a central axis of the tube body in an attaching direction of the first balloon to the tube body.

Abstract: A surgery system includes: an imager capturing an image of a treatment target; a display having a screen displaying the image of the treatment target captured by the imager; and a processor configured to control a display area of the treatment target on the screen, wherein the processor is configure to: calculate a position of a resection end section of the treatment target on the basis of the image of the treatment target acquired by the imager; cause the display area of the treatment target to be moved to a position at which the resection end section is disposed at a prescribed reference position on the screen; calculate an orientation of a marking added to the treatment target on the screen; and cause the display area of the treatment target to be rotated to an orientation in which the marking is disposed in a prescribed reference orientation on the screen.

Abstract: A shaft and an Albarran, which can be produced in a particularly simple way and can be cleaned particularly easily and time-efficiently. This is achieved by a shaft, or an optical guide tube, and at least one pull wire tube guide being formed in one piece. Owing to this one-piece configuration of the shaft, the long closed pull wire tubes can be eliminated by design. Because of the open construction of the shaft, the shaft can be cleaned particularly easily and time-efficiently. Furthermore, the production of the shaft is particularly straightforward.

Abstract: A medical insertion equipment system comprises a capsule including an outer shell and an interior space, a disinfectant that is located in the interior space of the capsule, and a medical insertion instrument that includes an operation section, an insertion section configured for insertion into a subject, an insertion conduit located in the insertion section, and a fixture located in the operation section, the fixture including a body having a receiver space for holding at least a portion of the capsule, and wherein the insertion conduit extends along an insertion axis from a distal end side of the insertion section to a proximal end side of the insertion section, and wherein the fixture includes an opening in a surface of the receiver space, and wherein the opening is in fluid communication with the insertion conduit via a connecting conduit.

Abstract: A substrate connection structure includes: a rigid substrate that includes a plurality of electrodes and a plurality of wiring patterns that are electrically connected to the plurality of electrodes; a flexible printed board that includes a plurality of flying leads formed on one end of the flexible printed board, the flying leads being electrically connected to the plurality of electrodes; and second protrusions that are arranged on the plurality of electrodes and on which the flying leads are arranged.

Abstract: A surgical generator configured to output a high-frequency alternating voltage to a surgical ultrasound instrument. An oscillator generates a driving oscillation for an inverter generating high-frequency voltage being for the surgical instrument. A matching-coil emulation device includes a correction device acting on the driving oscillation. The correction device includes a mixing unit and a feedback circuit, modifying the driving oscillation supplied to the inverter. An estimator calculates a virtual current which would flow in the emulated matching-coil if it were present, based on this and a measured output voltage an artificial phase shift is determined for steering of the oscillator. Thereby, the transfer function is reshaped mimicking that of a physical matching coil. Accordingly, a bulky matching coil that must be precisely tuned to the ultrasound instrument and restricts use of newer and different ultrasound instruments is no longer needed.

Abstract: A shaft and a handheld surgical device with which an optical unit and an access article may be positioned in a simple and reliable way in the shaft. This is achieved in that at least one web, through which an optical unit is directed from the proximal end of the shaft into a bore of a shaft tip, is arranged on an inner wall of a shaft. The at least one web is configured in such a way that the distal tip of the optical unit is guided into the bore when the optical unit is inserted into the shaft, specifically regardless of the shape of the cross section of the shaft.

Abstract: An endoscope including: a handle, an elongated shaft, and a video camera disposed in the shaft. The elongated shaft having a unit including a plurality of nested tubes. The plurality of nested tubes including a first tube and a second tube at least partially disposed within the first tube, the first tube and the second tube being fixed to one another through adhesive bonding. The first tube having a first bore formed in the first tube, the first bore communicating with a first gap between the first tube and the second tube, and an adhesive is provided in the first gap.

Abstract: Electrosurgical generator for providing a high-frequency alternating voltage to an electrosurgical instrument, including a control unit and an inverter for high voltage that generates a high-frequency alternating voltage fed to an output socket for the instrument. A detection unit is provided that includes a capacitive detector configured for detecting a capacitance of a plugged-in cable of the instrument. Thereby a parasitic capacitance induced by the instrument's cable can be detected. The capacitance is however low picofarad range and difficult to detect, further complicated by the requirement of galvanic separation for patient safety. However, the invention realized that just a qualitative detection is sufficient to determine whether the instrument's cable is being plugged in. The invention provides simple and efficient measurement circuit for such detection. Thereby, a safe and cost-effective plugging-in detection is realized.

Abstract: Provided are a forceps including: a shaft; a wire that is movable in a longitudinal direction inside the shaft; and a first arm and a second arm, each of which has a first jaw or a second jaw, that are connected to each other in a pivotable manner by means of a third joint. The first arm is connected to a distal end of the shaft in a pivotable manner by means of a first joint, and the second arm is connected to a distal end of the wire in a pivotable manner by means of a second joint. The third joint is provided between the first jaw and the first joint and between the second jaw and the second joint, and is disposed lateral to the wire in a state in which the first and second jaws are open. The first and second jaws are closed while the third joint is moving outward in the lateral direction with respect to the shaft.

Abstract: A vibration transmitter includes: a first rod including a fitting hole extending along the longitudinal axis thereof; and a second rod attached to a distal end portion of the first rod by a fitting portion fitted into the fitting hole in a state where a compressed surface pressure is received from the inner surface of fitting hole. The first rod includes: a first region in which the fitting portion is fitted into the fitting hole; and a second region positioned proximal of the first region. In the first region of the first rod, a crystal grain diameter is larger than that in the second region of the first rod.

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: 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: 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: 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 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 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 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: 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: 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: 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: 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 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 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: 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: 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: 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: 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 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: 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: 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.