Abstract: There is provided a flexible guide tube which guides an endoscope or a therapeutic device into an abdominal cavity through the mouth and stomach to conduct an observation or a therapeutic treatment in the abdominal cavity. The guide tube includes an insertion section which has a distal end, a peripheral section, and a central axis, and which is capable of being inserted into a body through the mouth, and two expandable and shrinkable balloons arranged in the vicinity of the distal end at a predetermined distance from each other in the axial direction on the periphery of the insertion section. The predetermined distance is preferably set to 3 to 8 mm, and the length of the insertion section is preferably set to about 600 to 1000 mm.

Abstract: An imaging system comprising an imaging device assembled on a carrier tube, and a first outwardly expandable element and a second outwardly expandable element mounted on the carrier tube, wherein the second expandable element is expandable both radially and axially, the imaging system comprising a mode of operation, wherein during expansion of the second expandable element, obstruction of the radial expansion of the second expandable element causes the axial expansion of the second expandable element to propel the carrier tube and the imaging device axially.

Abstract: The invention provides an apparatus and methods for depositing materials on a substrate, and for performing other selected functions, such as material destruction and removal, temperature control, imaging, detection, therapy and positional and locational control. In various embodiments, the apparatus and methods are suitable for use in a tabletop setting, in vitro or in vivo.

Abstract: A surgical element carrier and method for use is provided, wherein the surgical element carrier includes a housing dimensioned to contain therein a plurality of surgical elements, and dimensioned for insertion through a surgical port used in minimally invasive surgeries. The housing further includes a first housing portion and a second housing portion movable relative to the first housing portion between a closed position wherein the surgical elements are substantially surrounded by the housing, and an open position wherein the surgical elements are at least partially exposed and removable from the housing.

Abstract: A method detects proper connection of fixtures to one or more channels in an endoscope during a cleaning or disinfection procedure. The endoscope has a first opening into one of its channels. The method includes the steps of placing the endoscope at the first opening in a liquid while leaving a gas within the channel, drawing a vacuum on the gas through a second opening into the channel and thereby drawing some of the liquid into the channel, and detecting for air leaking into the channel.

Abstract: A system and method for maneuvering a device in vivo, wherein a tube has a longitudinal axis, a distal end and a proximal end, and an in vivo sensing device is changeably connected to the distal end of the tube. Typically, the sensing device may be moved from one position where it is, for example, within the axial profile of the tube or along the longitudinal axis of the tube, to a second position, where it is not.

Abstract: An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

Abstract: A handgrip for a colonoscope shaft capable of measuring and presenting to the operator of radial and longitudinal forces applied by the operator during the manipulation with the colonoscope. The handgrip includes an internal sleeve positioned over the shaft of the colonoscope so that it can be released and repositioned by depressing a release button. And external sleeve covers the internal sleeve and provides for a convenient grip by the operator. The only means of transmission of force applied by the operator from the external sleeve to the internal sleeve is the engaging means such as a flexible rectangular bar or a set of engaging plates imbedded between the external sleeve and internal sleeve. The engaging means are equipped with a set of sensors such as strain gages positioned on all sides of the bar to measure the forces between the sleeves, which correspond to the forces applied by the operator to the shaft of the colonoscope.

Abstract: An apparatus for locating morphological features within a body cavity includes a catheter including proximal and distal ends, a transparent balloon carried on the distal end, and an optical imaging assembly carried on the distal end for imaging through the balloon. The balloon includes a channel extending therethrough to a lumen extending through the catheter. A guidewire or other localization member is received in the lumen that is extendabe through the channel. During use, the catheter is inserted into a right atrium of a heart, and the balloon is expanded and placed against the wall of the heart to locate the coronary sinus. Sufficient force is applied to clear blood between the surface and the wall and clear the field of view of the imaging assembly. The catheter is manipulated to locate the coronary sinus, whereupon the localization member is advanced into the coronary sinus.

Abstract: A handle for a medical device is provided. The handle includes an inner handle member and first and second outer handle members slideably disposed on the inner handle member. An elongate sheath is attached to the inner handle member and extends axially beyond a distal end of the inner handle member and a stylet is attached to one of the outer handle members and disposed in a lumen of the sheath. Slideable movement of the outer handle members relative to the inner handle members controls relative positioning of various components of the handle.

Abstract: An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

Abstract: A bipolar endoscopic device is provided having a detachable power cord with a plug capable of forming a sealed connection with the endoscopic device. The plug is connected at a back face of a movable guide member of the endoscopic device and can be oriented in different orientations to accommodate different operators. The detachable plug forms a sealed connection with the endoscopic device so that the electrosurgical connection cannot be short-circuited by the outside environment such as a saline irrigation fluid.

Abstract: A self propelled, endoscopic apparatus formed of a flexible, fluid-filled toroid and a motorized or powerable frame. The apparatus may be used to advance a variety of accessory devices into generally tubular spaces and environments for medical and non-medical applications. The apparatus when inserted into a tubular space or environment, such as the colon of a patient undergoing a colonoscopy, is advanced by the motion of the toroid. The toroid's surface circulates around itself in a continuous motion from inside its central cavity along its central axis to the outside where its surface travels in the opposite direction until it again rotates into its central cavity. As the device advances within the varying sizes, shapes and contours of body lumens, the toroid compresses and expands to accommodate and navigate the environment. The motion of the toroid can be powered or unpowered and the direction and speed may be controlled.

Abstract: A dual-instrument resectoscope which includes an outer sheath having a distal portion that is inserted into a body cavity, a proximal portion that remains outside the body, and a longitudinal axis, referenced X; an optical system, for viewing the body cavity from said proximal portion, said optical system including an optical tube, located within said outer sheath and extending throughout the length of said outer sheath, an eye piece and a light source at said proximal portion, in communication with said optical tube, and an endoscope at said distal portion, in communication with said optical tube; first and second surgical instruments, located at said distal portion, for performing surgery in the body cavity; a first transmission mechanism, in communication with said first surgical instrument, and a second transmission mechanism, in communication with said second surgical instrument, each of said first and second transmission mechanisms providing its respective surgical instrument with independent motion, sa

Abstract: An apparatus for withdrawing a tissue specimen being held by a grasping instrument through an endoscope includes an endoscope having an endoscopic shaft with proximal and distal ends and a lumen extending therebetween. The apparatus also includes first and second hoop-like support members which are selectively slideable within the lumen from a first position to at least one second position. Each of the hoop members includes a diameter which is variable from a first diameter to at least one different diameter. The apparatus also includes a pouch having first and second ends which attach to respective first and second hoop members. The pouch defines a container therein for retaining the tissue specimen. A pair of drawstrings are attached to the first and second ends of the pouch, respectively, and are remotely operable to close the ends about the tissue specimen.

Abstract: A device for holding and positioning an endoscopic instrument introduced through a body surface of a patient has a holder for the instrument, which holder is designed in such a way that the instrument can be positioned relative to the body surface in different spatial tilt positions. The holder has a first bow-shaped element whose two end portions are arranged directed towards the body surface, and whose middle portion is directed away from the body surface, the first bow-shaped element being pivotable about a first pivot axis which extends through both end portions.

Abstract: The tab on the blade of a laryngoscope presents a flexible hook and an elastically-flexible wall for being inclined towards the hook when it engages a stationary abutment situated on the handle of the laryngoscope while the hook is engaged on a bar present in a cavity of the laryngoscope.

Abstract: The present invention includes systems and methods for decreasing the pain and discomfort commonly associated with endoscopic procedures, where such procedures may be performed with lower dosage levels of sedative and analgesic drugs. The invention includes use of an anesthetic collar coupled to an endoscope with a flexible shaft. The anesthetic collar allows lubricants, local anesthetics, dyes, and/or other desirable fluids to be passed through the existing lumen of the flexible shaft into an annulus, where the fluid may be distributed through expulsion pores into the gastrointestinal tract.

Abstract: An obturator tip for a trocar is disclosed. The obturator comprises a shaft having a distal or penetration end for insertion into a patient and a handling or proximal end for gripping by a surgeon. The penetration end of the shaft comprises a tip having an upper flat face and a lower flat face which taper away from the shaft toward the distal end. The tip further comprises flat side faces which also taper or slope from the shaft toward the distal end. A glide tip has a rounded end and extends outwardly along the side faces.

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 disposed within a hydrophilic sheath, and 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 sheath may be disposable to permit reuse of the overtube. Fail-safe tensioning mechanisms may be provided to selectively stiffen the overtube to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The fail-safe tensioning mechanisms reduce the risk of reconfiguration of the overtube in the event that the tension system fails, and, in one embodiment, rigidizes the overtube without substantial proximal movement of the distal region.