Abstract: Apparatus and methods for endoscope assemblies having working channels with reduced bending and stretching resistance are disclosed. In one embodiment, an endoscope assembly includes a sheath having a body portion adapted to at least partially encapsulate an endoscopic insertion tube, and a working channel attached to the body portion and extending along at least a portion of the body portion. The working channel includes a component for reducing the resistance of the assembly to bending and stretching. In alternate aspects, the working channel may include a cut, a gap, a sliding portion, or an expansion section. Endoscope assemblies having a working channel in accordance with the invention advantageously reduce the articulation and stretching resistance of the assembly during articulation of the endoscope assembly.

Abstract: Endoscopic apparatus, including a probe (9) having an anterior component (12) and a posterior component (14), and a flexible dual-sleeved tube (31). The flexible dual-sleeved tube consists of a flexible external sleeve (26) and a flexible internal sleeve (36) within the external sleeve. The sleeves are coupled between the anterior component and the posterior component so as to define an enclosure (37) between the sleeves, which enclosure is inflated in order to propel the anterior component within a lumen (49).

Abstract: The present invention relates to an illuminated airway product that will allow visualization of the airway of a patient during intubation. The illuminated airway product includes a light source such as an LED disposed at its distal end. The LED shines axially, radially, or in both directions from the airway intubation device. The airway product includes an on-board voltage source. Hence, no additional or external voltage sources or components are necessary to light the device. The airway device may further include one or more lumens or tubes for delivering air, suctioning debris or fluids, delivering medicine, radio-opaqueness, etc. An inflatable cuff may be associated with the endotracheal tube such that collateral flow of air is prevented. An inflation lumen or tube is fluidly coupled to the inflatable cuff. The shape of the endotracheal tube may be adjusted either by use of a stylet or suction trocar made out of a malleable material such as aluminum or by inclusion of a malleable wire within the tube.

Abstract: Various embodiments of a medical device having a deflecting shaft and related methods of manufacture and use are disclosed. For example, the device may include a proximal handle, a distal assembly for performing a medical procedure, and a wire coil connecting the proximal handle to the distal assembly, wherein actuation of the proximal handle may cause the distal assembly to perform the medical procedure. The wire coil may have a proximal portion comprised of a first wire and a distal portion comprised of a second wire. The second wire may have a diameter less than a diameter of the first wire so that the distal portion of the wire coil may have a flexibility greater than a flexibility of the proximal portion.

Abstract: A surgical access device is adapted to facilitate access through an incision in a body wall having an inner surface and an outer surface, and into a body cavity of a patient. The device includes first and second retention members adapted to be disposed in proximity to the outer surface and the inner surface of the body wall, respectively. A membrane extending between the two retention members forms a throat which is adapted to extend through the incision and form a first funnel extending from the first retention member into the throat, and a second funnel extending from the second retention member into the throat. The throat of the membrane has characteristics for forming an instrument seal in the presence of an instrument and a zero seal in the absence of an instrument. The first retention member may include a ring with either a fixed or variable diameter. The ring can be formed in first and second sections, each having two ends.

Abstract: A probe vibrating assembly for endoscopic procedures includes a base unit having a rotatable spindle. A drive member is eccentrically mounted to the spindle. The drive unit is secured to a slide plate to move the slide plate back and forth while the spindle is rotating. A clamp mechanism is secured to the slide plate and is used for clamping a probe so that the probe also moves back and forth. The probe is mounted to a medical scope.

Abstract: A flexible tube for an endoscope includes a tubular core member, and an outer cover provided around the core member, the outer cover being formed of a material containing as a major component thereof polyolefin-based thermoplastic elastomer and polyolefin, wherein the amount of the polyolefin contained in the material is 5 parts by weight with respect to 100 parts by weight of the polyolefin-based thermoplastic elastomer. The polyolefin is mainly constituted from polypropylene, and the average thickness of the outer cover is 0.08 to 0.9 mm.

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 that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

Abstract: The present invention relates to the field of medical devices used in the procedures of orotracheal or nasotracheal intubation. Oral or nasal endotracheal intubation procedures are commonly employed to secure a controlled airway and to deliver inhalant oxygen, anesthetic gases, and other therapeutic agents into the trachea and lungs of human and veterinary patients. Such intubation procedures carry a significant risk of dental injury resulting from contact between the laryngoscope blade used for visualization during intubation. The present invention provides an apparatus to reduce dental injury including a modified laryngoscope blade and a disposable insert which is designed to be received and retained in a single step by the modified laryngoscope blade. The disposable insert may be quickly secured by the user, and reduces both direct pressure and shear forces on the maxillary incisor teeth when the laryngoscope blade is placed in a patient's mouth during intubation.

Abstract: A combination laryngoscope and video display for providing images of the area ahead of the laryngoscope to facilitate insertion without damaging the surrounding tissue; the laryngoscope having a detachable blade and a rigid, detachable light and image guide attachment device for providing illuminating light ahead of the blade and for detecting the reflected light.

Abstract: An improved mechanism for an automated self-propelling endoscope. The system augments the conventional “proximal-push” mechanism commonly used in colonoscopy with an innovative “distal-pull” mechanism. The distal-pull mechanism includes external application of a force at the proximal end of the endoscope that is translated into force that is exerted upon and moves the distal (leading) end of the scope further into the colon.

Abstract: An improved surgical dilator extractor is introduced into the abdominal cavity through a trocar cannula and expanded, forming a tissue receiving space, at the distal end. The tissue receiving space is enlarged by passing a grasper through a lumen of the dilator extractor to interact with a guide surface on the interior of dilator extractor to expand a dilator portion having a single leaf beyond the natural resiliency of the leaf. The tissue being extracted is then manipulated into the space with the grasper. The tissue is then removed from the cavity by the surgeon applying a force onto the dilator extractor that insures the elongation of the tissue and temporarily dilates the entry wound to the extent necessary for the tissue to be removed. Alternative embodiments of the surgical dilator extractor and related instrument tool sets and methods for the use thereof also are disclosed.

Abstract: An endoscope is provided with a centering control section and a centering button. The centering control section is configured to control a bending mechanism in such a manner as to return a bendable portion to a neutral position where the bendable portion is substantially linear. The centering button is used for entering an instruction for controlling the centering control section. The endoscope is also provided with a personal computer configured to change the bend the bendable portion should have when the bendable portion is returned to the neutral position. The bend is changed in accordance with a bending characteristic variance the bendable portion may undergo in each bending 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 surgical system comprising a cannula for an elongate surgical tool that enables a physician to operate on a surgical site within a body from outside the body is described. The cannula supports a pin that is locked and unlocked from a J-shaped channel provided in the sidewall of a sheath for a surgical tool. The sheath prevents the surgical tool, such as a scalpel, from cutting the cannula as it is moved there through to the surgical site. The surgical tool, in turn, is provided with a second J-shaped channel that engages with a pin supported by the sheath for locking and unlocking the tool there from to enable a physician to perform the surgical procedure. One surgical tool is interchangeable with another for performing different tasks at the surgical site during the procedure.

Abstract: A method of altering the appearance of a region of skin is disclosed. The method includes applying a sensitizing wavelength of light the region, and applying a treatment wavelength of light to the skin, wherein the treatment wavelength is a shorter wavelength than the sensitizing wavelength. The application of the sensitizing wavelength of light and the treatment wavelength of light results in a change in a physical property of the skin.

Abstract: An endoscope having a sheath having a plurality of lumens, an imaging bundle received in a first lumen in the sheath, and a lighting bundle received in one or more second lumens in the sheath. A distal tip connects to a distal end of the sheath and includes an objective lens disposed in the distal tip, wherein the objective lens is spaced apart from the distal end of the imaging bundle.

Abstract: An apparatus including a handle; a first tubular body coupled to the handle and a second tubular body comprising a polymer material coupled to a distal end of the first tubular body and the distal end defining a guide face, wherein the first tubular body and the second tubular body are co-linearly aligned and collectively define a first lumen therethrough extending from an entry port to the guide face; wherein the second tubular body has a dimension adequate for insertion into a uterus of a human subject, and wherein the guide face comprises an outside diameter less than an outside diameter of the second tubular body. Also, a method of using a hysteroscope having a single operating channel.

Abstract: An endoscopic instrument has a portion having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the instrument by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. Where fins are used, the fins are preferably quite small and only have a minimal effect on the fluid flow cross sectional area between the interior of the working channel and the endoscopic instrument. The resulting instrument has significantly reduced backlash while maintaining adequate fluid flow in the working channel. According to a second embodiment of the invention, a portion of the interior of the working channel of the endoscope has an interior surface having a non-circular cross sectional shape by the inclusion of a plurality of radially spaced and inwardly directed ribs or by being polygonally shaped.

Abstract: On the side at hand of an optical probe, a whole rotation transfer connector rotates while being supported by a ball bearing and a slide bearing and, therefore, rotation is transferred to a flexible shaft. The relative position between the flexible shaft and an optical sheath is changed in accordance with the amount of screwing of a sheath stopping member on the side at hand into an outer cylinder by an external thread portion and an internal thread portion. When the optical sheath is moved furthermore, the flexible shaft is elongated due to elastic deformation because the length of the flexible shaft is regulated by the interval between a locking part of a locking member at the tip and a shaft stopping member. A tip housing is made to contact with the locking member while tension is applied to the flexible shaft by the rear end surface in the direction of the side at hand.