Abstract: The present invention relates to a mounting adapter for releasably securing accessories, tools, or their medical instruments to the distal end of an endoscope. The adapter is compatible with endoscopic accessories that have a cylindrical mounting surface, which becomes positioned over a length of the distal end of an endoscope. The adaptor is preferably provided in two components to support both ends of a cylindrical accessory on the endoscope surface. The adapter is configured to hold the accessory on the endoscope shaft by frictional engagement and is configured to maintain the accessory concentric with the shaft along its length. The adapter also is configured to mount an accessory to a wide range of commercially available endoscope diameters.

Abstract: A connecting device is designed releasably to connect a control section of an endoscope and a catheter control portion in a manner such that a channel opening portion in the control section of the endoscope and the catheter control portion are located close to each other.

Abstract: A target tissue localization assembly includes a radially expandable tissue anchor connected to the distal ends of an anchor assembly and an elongated anchor actuator element. A lock, engageable between the actuator element and the placement element, may be used to prevent collapse of the anchor from its radially expanded state. A sheath may be slidably mounted over the anchor assembly. The sheath and the anchor assembly may be configured to permit the sheath to move in a proximal direction, relative to the anchor assembly, past a chosen location while preventing the sheath from moving past the chosen location in a distal direction.

Abstract: Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.

Abstract: A wire-stranded hollow coil body (1) has a multitude of coil line elements (2) stranded along a predetermined circular line to form a flexible wire tube having a central axial hollow portion (3), the flexible wire tube is stranded under a strand-turn resistant load and heat treated to remove a residual stress upon formation so as to provide a high rotation-following capability and a high straightness. Further, a method provides a way to strand the coil line elements (2) under a strand-turn resistant load while heat treating the coil line elements (2).

Abstract: An endoscopic accessory medical device is provided. The device can include a handle, a flexible shaft, and an end effector. The handle can include an actuator for operating the end effector through a wire or cable pulling member that extends through the flexible shaft. The handle and actuator can be operable with a single hand, such that the operation of the end effector can be accomplished with the same hand that is used to hold the handle and advance the end effector through an endoscope. The handle can include an actuation mechanism that is decoupled from operation of the end effector when the actuator is in a first open position, which becomes operatively coupled to the end effector when the actuator is moved to a second position, such as by squeezing the actuator, and which operates the end effector when the actuator is moved further to a third position.

Abstract: Guide wire fixing means is provided for an insertion portion of an endoscope, and a guide wire is releasably engaged when inserting/removing a therapeutic instrument running on the guide wire with a distal end portion of the guide wire inserted into a therapeutic instrument insertion channel of the endoscope being led out from a distal end opening portion of the channel.

Abstract: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body allowing it to negotiate tortuous curves along a desired path through or around and between organs within the body.

Abstract: There is disclosed a living tissue harvesting apparatus according to one aspect of the present invention, comprising a sheath which can be inserted in a body through a cut skin portion, an endoscope inserted through the sheath, a cutting device which is disposed at the sheath and which can cut a living tissue, and a holder which is disposed at the sheath to hold a harvesting object tissue in the body and which includes a press discharge portion to press-discharge the harvesting object tissue in a direction detached from the cutting device, wherein the holder includes a hook portion to catch the living tissue in a position disposed opposite to the cutting device, and the cutting device and hook portion can move with respect to each other.

Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

Abstract: The present invention provides a system and single or multi-functional element device that can be inserted and temporarily placed or implanted into a structure having a lumen or hollow space, such as a subject's abdominal cavity to provide therewith access to the site of interest in connection with minimally invasive surgical procedures. The insertable device may be configured such that the functional elements have various degrees of freedom of movement with respect to orienting the functional elements or elements to provide access to the site from multiple and different orientations/perspectives as the procedure dictates, e.g., to provide multiple selectable views of the site, and may provide a stereoscopic view of the site of interest.

Abstract: An endoscopic system for internal inspection of an object includes an endoscope extending along a longitudinal axis between a distal end to be inserted into the object and a proximal end and an illumination assembly attached to the proximal end of the endoscope. The illumination assembly includes a solid-state light source. The endoscopic system also includes an optical system positioned distally from the solid-state light source to receive and convey light to the distal end.

Abstract: An endo-therapy accessory is used in combination with an endoscope which has a forceps elevator. This endo-therapy accessory has an insertion portion of the endo-therapy accessory to be inserted into the endoscope. The insertion portion of the endo-therapy accessory has a forceps elevator fixing section set in a range of passing the elevator, and fixed when the elevator is lifted, and a main index for use in determining whether a part of the elevator fixing section, which is more proximal than a far end of the fixing portion, is located on the elevator.

Abstract: The present invention describes a magnetic targeting system suitable for guiding a biocompatible device to a target area within the body (in vivo) and method of using the same. The system includes a targeting member having a steering material and is attached to the biocompatible device. The system also includes at least one anchoring member constructed and arranged for the inclusion of a magnetic material effective for influencing the traversal of the steering material, in vivo. The magnetically influenced anchoring member interacts with the targeting member such that the biocompatible device is positionable relative to the target area.

Abstract: The present invention describes a magnetic targeting system suitable for guiding a biocompatible device to a target area within the body (in vivo) and method of using the same. The system includes a targeting member having a steering material and is attached to the biocompatible device. The system also includes at least one anchoring member constructed and arranged for the inclusion of a magnetic material effective for influencing the traversal of the steering material, in vivo. The magnetically influenced anchoring member interacts with the targeting member such that the biocompatible device is positionable relative to the target area.

Abstract: A system and method for forming acoustic beams is disclosed. One embodiment is an acoustic system configured to generate a plurality of beams non-orthogonal to a transducer array simultaneously with a vertical acoustic beam orthogonal to the array. The acoustic system includes a plurality of transducer elements arranged to form a two-dimensional array and electrically connected into rows in a first dimension and columns in a second dimension.

Abstract: A carpeted, automotive vehicle, load floor including a compression-molded composite panel is provided. A cover of the load floor covers a storage area of the vehicle and is pivotally connected to the composite panel. A substantially continuous carpet layer is bonded to the top surface of the panel and the top surface of the cover to at least partially form the carpeted load floor having a carpeted cover. A living hinge allows the carpeted cover to pivot between different use positions including open and closed positions. A decorative, noise-management covering layer is bonded to the bottom surface of the cover to reduce the level of undesirable noise in a passenger compartment of the vehicle in the closed position and to provide an aesthetically pleasing appearance to the bottom of the cover in the open position.

Abstract: The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.

Abstract: A hip distractor includes a pair of distractor members and a support configured to be fastened to a surgical table. The support includes at least two mounts for coupling to a pair of joints that couple the distractor members to the support. Another hip distractor includes a pair of distractor assemblies that are configured to apply a distraction load to a patient. Each of the assemblies includes a joint for coupling the corresponding assembly to a surgical table. The joint permits vertical and horizontal angular adjustment of the corresponding assembly. A method of distracting a hip includes coupling a patient's legs to a pair of distractor assemblies and simultaneously adjusting a vertical angle and a horizontal angle of at least one of the distractor assemblies.

Abstract: A flow guide directs a fluid flow across a surface of a device, for example a lens surface of an endoscope, in a controlled manner to facilitate flow attachment to the surface. Embodiments include features that impart a non-uniform velocity profile and/or include guide surfaces for facilitating flow attachment and/or coverage.