Abstract: A component of an endoscope is a flexible tube which is composed of a helical coil, a reticular tube formed of a braided thin wires and provided over the helical coil, and an outer cover provided over the reticular tube. The outer cover is formed of a resin material containing TiNxOy (where, 0.1?x?1.0, 0?y?1.9) which is a color developing agent to be colored when irradiated with laser light. The flexible tube is provided with scale formed by the colored portion. The outer surface the outer cover is black or dark color before the irradiation with laser light, but thus formed scale is white or blight color having a whiteness of 60% or more.

Abstract: An optical device for viewing an object at a range of working distances. The device comprises a slender tube of a certain length and having a distal end and a proximal end. The device further comprises an imaging system disposed at the distal end and having a wide viewing angle. The device also comprises a telescopic system associated with the proximal end and having a narrow viewing angle. The imaging system is designed to form an image of the object at an image plane located on the device's optical axis and within the tube closer to the distal end than to the proximal end. The telescopic system is designed to enable viewing of the image of the object. The device is especially adapted to function as an endoscope in medical applications and may be disposable.

Abstract: An attachment mechanism for attaching a component to a cylindrical instrument having a centerline. The attachment mechanism includes legs having respective first and second ends. The legs are pivotally connected relative to each other at the first ends such that the second ends of the legs can be pivoted away from each other and toward each other. The legs are configured to be connected to the component. Each leg has an engagement piece at its second end. The engagement piece is configured to engage around the cylindrical instrument. Each engagement piece is oriented toward its corresponding leg at a fixed angle. The orientation of each of the engagement pieces to its corresponding leg positions the engagement pieces to contact the instrument at contact points in order that the component is located at a known and constant distance from the centerline regardless of the diameter of the instrument.

Abstract: A heating pad includes an envelope containing a heating unit and a phase change material which encloses the heating unit. The heating unit includes a metal plate and a resistance heating element attached to the metal plate. Flexible strips are disposed within the envelope by attachment to the envelope, and the metal plate is positioned within the envelope through the strips. A pair of electrodes are connected to the heating element and extend outwardly of the envelope. The phase change material can undergo a phase change process through the heating unit so that no external heat source is needed to heat the phase change material.

Abstract: A cryosurgical system adapted for treatment of fibroadenomas within the breast of a patient. The system includes cryoprobes and a control system which operates the cryoprobes to accomplish freezing in two stages, including a high power freeze and a low power freeze.

Abstract: An endoscope hood comprises a cap section which has A cap section which has a nail section inside of an inner surface of a tip margin, an attaching section which is disposed to a base terminal of the cap section to be attached to a tip of an inserting section of the endoscope, a soft tube 16 of which tip aperture connects to an inside of the cap section so as to insert the snare sheath therethrough, a snare wire which is inserted in the cap section via the soft tube 16, and a snare wire feeding section which is formed by making a notch section in a part of the soft tube in the nail section in a corresponding position to the tip aperture, such that the snare wire can be spread in the cap section so as to be disposed inside of the nail section, and the center axis of the soft tube is disposed so as to pass through a range of the snare wire feeding section.

Abstract: A surgical instrument assembly for the treatment of hemorrhoids includes an anoscope and a hemorrhoid occlusion device. The anoscope includes a hollow body closed at a distal end and at least partially open at a proximal end to define a longitudinal channel. The hollow body has a sidewall provided with a window spaced from the distal end and the proximal end. A shutter member is slidably attached to the hollow body for selectively covering the window during an insertion operation and for opening the window to allow hemorrhoidal tissues to protrude through the window into the anoscope. The hemorrhoid occlusion device includes an instrument shaft provided at a distal end with two jaws, at least one of the jaws including a C- or U-shaped clamping member movable alternately away and towards the other of the jaws for clamping and occluding hemorrhoidal tissues protruding through the window into the anoscope.

Abstract: A micromanipulator comprising a tubular structure and a structural compliance mechanism that are formed from a tube made of an elastic and/or superelastic material. Fabricated with laser machining and has no mechanical joints, the micromanipulator can be manipulated in various motions and degree-of-freedoms without permanent deformation. Shape Memory Alloys (SMAs) in one embodiment are implemented as main actuators of the micromanipulator. The micromanipulator can be implemented with multiple SMAs to manipulate the mechanism with multiple degree-of-freedom. In another implementation, multiple segments of the mechanisms are formed and arranged in various configurations, including a “double-helix”-like configuration, for enabling intricate motions of the micromanipulator. The micromanipulator is useful for intravascular interventional applications and particularly ultrasonic imaging when coupled with an ultrasound transducer.

Abstract: The present invention provides an endoscope comprising an elongated insert portion having flexibility, the insert portion being inserted into a space targeted for inspection, a connector portion linked with a proximal end side of the insert portion and having a unit which controls flexible bending and image acquisition of the insert portion mounted thereon, an apparatus main body which controls the connector portion, and an endoscope housing case which houses the insert portion and connector portion and the apparatus main body therein, the endoscope apparatus having an insert portion housing member in which the endoscope main body having the connector portion and apparatus main body assembled with each other is attachable to/detachable from the endoscope housing case, and which is attachable to/detachable from the endoscope main body while the insert portion is held.

Abstract: An endoscope surgery system is provided, as a medical system, to be easily used by a user who is not used to the operation. An endoscope operation system includes a trolley and a remote controller. The trolley includes a plurality of medical devices (having a TV camera for an endoscope, a light source device, pneumoperitoneum equipment, an electric knife, and a VTR). Further, the trolley includes a system controller for radio communication with the medical devices, and an operation panel and a display panel for operating the system controller. The system controller detects operation states of the plurality of medical devices, determines the medical device to be operated next based on the detection result, and displays, on the operation panel or the display panel, an operation screen of the medical device or a screen for information on the operation state based on the determination result.

Abstract: In this invention, a drum around which an insertion portion is wound is integrally housed in a carrying case, and a cylinder for supplying a fluid to a hydropneumatic actuator and a solenoid valve unit for controlling the application of a hydropneumatic pressure are housed in the carrying case or drum. In addition, a joystick for operating the controlled variables of the solenoid valve unit can be housed in the carrying case.

Abstract: An improved antenna for microwave ablation uses a triaxial design which reduces reflected energy allowing higher power ablation and/or a smaller diameter feeder line to the antenna.

Abstract: A method of selectively treating microbiological pathogens which are implicated in the advancement of periodontitis is disclosed. Preferably, the microbiological pathogens are phorphyromonas gingivalis (Pg) and prevotella intermedia (Pi) which are known to colonize in dental plaque, cementum, gingival sulcus epithelium and surrounding periodontal tissues. The microbiological pathogens can also include pigmented fungi such as Histoplasma and Aspirgillus Niger. The microbiological pathogens are selectively irradiated with high-energy antiseptic laser pulses which are strongly absorbed by the microbiological pathogens and which are substantially transparent to the periodontal tissues. Preferably, high-energy antiseptic laser pulses eradicate a portion of the microbiological pathogens within the periodontal tissues without requiring aggressive debridement procedures.

Abstract: A sensing and ablation electrode includes bifurcated sensing limbs separated by an ablation web. The electrode is disposed on the distal end of a catheter. The sensing limbs each support an array of sensors that are individually wired for mapping and post ablation efficacy testing. The web includes a pair of pliable membranes that define a lumen and are adapted to collapse the cross-section of the electrode. One membrane defines a plurality of apertures for dispersing a conductive fluid medium as a virtual electrode. The sensors and the apertures all lie within substantially the same plane.

Abstract: In general, the disclosure presents techniques for control of a cooling garment in response to a signal that is a function of a patient parameter such as body temperature. In particular, a cooling garment that receives a coolant and a carrier gas is placed in contact with the body of a patient. A sensor within the cooling garment may generate a signal as a function of a patient parameter. A controller receives the signal via communication link, and may send a signal to a regulator that may regulate delivery of the coolant and/or carrier gas, for example.

Abstract: A gastrointestinal system including a carrier including an actuator in operative communication with at least one traction member, the actuator moving the at least one traction member relative to the carrier, wherein the at least one traction member is movably supported across supports extending from the carrier, and wherein a portion of the at least one traction member between the supports is sufficiently compliant so as to deform in conformance with a shape of a gastrointestinal tract during traction therealong.

Abstract: An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane that carries a recessed central portion. In another embodiment, the controller coupled to the Rf source is adapted to switch from a power control operational mode to a voltage controlled operational mode at a selected transition impedance level.

Abstract: The present invention is a method and apparatus for quantifying nerve and neural-muscular integrity related to pelvic organs or pelvic floor functions. In one embodiment, the invention is a method and device to measure muscle or nerve activity in the pelvis or pelvic floor. In a modification of this embodiment, the invention includes means for inducing an efferent nerve signal in the spinal cord or sacral nerves and then measuring the resulting nerve activity of the nerves of the pelvic floor region. In a preferred embodiment, the invention includes placing a probe in the anal canal or vagina, the probe having proximal recording electrodes along its outer surface. In one possible embodiment, the probe has a distensible sheath having recording electrodes located on its outside surface. In another embodiment, the probe has an inflatable balloon at its distal end with recording electrodes located on the outside surface of the inflatable balloon.

Abstract: Delivery elements, including needle electrodes and sheaths of tissue ablation devices, containing a conductivity-enhancing agent are discussed. The delivery elements contain a body member and optionally one or more coating layers. The conductivity-enhancing agent is disposed on or in the body member and/or at least one of the one or more coating layers. The conductivity-enhancing agent is capable of eluting from the delivery element when the delivery element is contacted with bodily tissue or fluid and increases conductivity of the tissue, making tissue ablation more efficient.

Abstract: One of a first endoscopic treatment instrument setting state and a second endoscopic treatment instrument setting state is selectable. In the former state, when a first diathermic snare is removably inserted in a flexible tube, a loop portion is circumferentially broadened and disposed along a first projection portion. In the latter state, when a second diathermic snare is removably inserted in the flexible tube, a loop portion is circumferentially broadened and disposed along a second projection portion.