Abstract: The present invention discloses an insertion unit, a bending section and an intubation system for use in a body lumen of a patient. The insertion unit comprises an inner elongated shaft structure being capable of torque transmission around its length axis and having spring-like and flexibility properties and an outer elongated shaft structure at least partially surrounding the inner elongated shaft structure and having spring-like properties and a continuous and flat outer surface. The inner elongated shaft structure has a distal end, and is capable of being connected to an optical head. The insertion unit is configured to transmit pushing and rotation forces along a length of the insertion unit. The integral insertion unit is configured and operable to bend the distal tip in all directions and to fully rotate the distal tip.

Abstract: An endoscope with a folding mechanism for foldably or bendably holding an endoscopy head at the distal end of the endoscope, preferably an endoscope shaft, having a number of axially successive segments that are adjustable via an actuating element. The segments define at least one channel for the passage of minimally invasive surgical instruments, flushing media, supply lines and the like. The segments are in the form of wedge-shaped cylinder sections having end faces oriented relative to each other in a wedge-shaped manner. Each cylinder section receives a cylinder jacket portion having a minimum axial length and an opposite cylinder jacket portion having a maximum axial length. Two directly adjacent segments are mutually oriented such that they are axially supported on or axially abut the relevant cylinder jacket portions of maximum axial length, which results in hinge- or joint-contact occurring on the support or placement point.

Abstract: The invention relates to a method for manufacturing an insertion tube of an endoscope from a tubular element, wherein the insertion tube includes a proximal passive flexible portion and a distal deflecting portion, wherein, in the proximal passive flexible portion, cuts are provided to enable the proximal passive flexible portion to be bent. In the method, the cuts are configured in the proximal passive flexible portion such that adjacent cuts do not have the same distance. The invention further relates to an endoscope including such insertion tube.

Abstract: An endoscope cleaning instrument detachably attachable to an insertion section of an endoscope from a distal end portion side of the insertion section includes a covering member having a tubular shape and being capable of covering, on an outer circumferential surface of a bending section connected consecutively to a proximal end of a distal end portion in the insertion section, a distal end side adhesive section disposed on a distal end side of the bending section and formed from an adhesive and a proximal end side adhesive section disposed on a proximal end side of the bending section and formed from the adhesive.

Abstract: An endoscope includes: an endoscope operation unit; an insertion observation unit that extends forward from the endoscope operation unit in a longitudinal direction; and a protective cap that covers the insertion observation unit and is detachably attached to the endoscope operation unit. The protective cap includes a color index portion that adjusts white balance. The color index portion is disposed inside the protective cap at a position facing a tip of the insertion observation unit, and the color index portion includes a curved surface in a sectional view in the longitudinal direction of the insertion observation unit.

Abstract: A stopcock for a liquid channel of a medical endoscope, having a housing, a spring element and a plug rotatably mounted in the housing, wherein the plug in a working position lies with its conical surface against a seal surface of the housing and can be placed in a medium access position in which the conical and the seal surface have no contact and the housing and the plug remain connected, characterized in that the plug includes one or more transverse grooves, in the outer wall of a conical piece, running transversely to the longitudinal axis of the conical piece and having straight groove bottoms, and the spring element in the medium access position engages with one or more transverse grooves. A medical endoscope having at least one liquid channel, characterized in that it includes at least one stopcock, by which the liquid flow through the channel can be regulated.

Abstract: A cleaning device for a surgical tool includes a housing having at least one opening for accessing an interior of the housing; a sponge and a heater assembly positioned in the interior of the housing; and a connector. The connector includes a first arm and a second arm extending from an outer surface of the housing. An inner surface of the first arm and an inner surface of the second arm define at least a first recess sized to receive a sidewall of a first tubular body having a first diameter, and a second recess sized to receive a sidewall of a second tubular body having a second diameter, different than the first diameter. The connector is configured to removably attach the housing to the sidewall of the first tubular body or to the sidewall of the second tubular body to supporting the housing relative to the tubular body.

Abstract: A device for visualizing and providing suction for a surgical procedure in an ear may include a handle, a main shaft extending from the handle, an imaging sensor at a distal end of the main shaft, a light source at the distal end of the main shaft, and a suction shaft extending from the handle. The device may also include a spring coupled with the suction shaft and/or the handle, such that when the suction shaft is advanced in a distal direction and then released, the suction shaft retracts automatically. The suction shaft may have a distal curved portion, and the device may have a thumb depress portion that allows a user to spin the suction shaft to suction in different directions. Some embodiments may include a suction shaft with a sharp distal tip that is configured for placing an ear tube in the tympanic membrane.

Abstract: The present disclosure relates to the field of medical devices. Specifically, the present disclosure relates to devices, systems and methods for extending a working channel of an endoscope, such as for delivery of a stent.

Abstract: An endoscope includes: an outer cylinder including an outer cylinder distal end portion held by a distal end holding portion provided inside an insertion section and an outer cylinder proximal end portion held by a proximal end holding portion provided on a proximal end side relative to the distal end holding portion; and an inner cylinder provided inside the outer cylinder, the inner cylinder including inside a wire coupled to a movable portion provided in the insertion section, an amount of stretch of the inner cylinder due to bending of the insertion section being larger than an amount of stretch of the outer cylinder due to the bending, the inner cylinder, in a stretch state where the inner cylinder stretches due to the bending, forming a gap in a longitudinal direction of the outer cylinder between the inner cylinder and the proximal end holding portion.

Abstract: The present invention relates to the technical field of endoscopes, and discloses a confocal endoscope with a fixing device.

Abstract: Methods and apparatus are disclosed for distracting tissue. The devices and methods may include insertion of first and second elongated members into the space between two tissue layers, with an augmenting elongated member inserted therebetween to form a distraction device between the tissues to be distracted. The distraction device defines a generally annular configuration, with a locking member secured to one of the elongated members at a plurality of locations to maintain the distraction device in the generally annular configuration. The augmenting elongated member may be shorter than the first and second elongated members such that a window is defined between the proximal and distal ends of the augmenting elongated member when the distraction device and the first and second elongated members are in the generally annular configuration. Bone graft material or bone filler may be introduced into the interior of the distraction device through the window.

Abstract: A pump assembly for dispensing flowable materials including a piston chamber-forming member providing an annular chamber about a center post and an annular piston-forming member reciprocally slidable in the annular chamber to dispense flowable material outwardly annularly about the center post.

Abstract: A device and method for cardiac pacing is disclosed in which anodal pacing of the left ventricle is provided. Anodal pacing occurs when an anodal surface area is sufficiently small to create an area of hyper-polarization of the myocardial cell membrane. This creates a virtual cathode at a location remote from the anode. The virtual cathode results in depolarization of the heart in a manner similar to the virtual cathode at the true fixed cathode. In addition a device and method for summation anodal pacing is provided in which one anode is common between two or more cathodes. This results in hyperpolarization of a larger segment of the myocardium as compared to non-summation anodal pacing and thereby forms a larger virtual electrode to enable capture of localized, discrete cardiac structures such as the bundle of His or the very proximal portions of the right and left bundles.

Abstract: Embodiments of the invention are directed to a vibrato tailpiece of a stringed instrument. The present invention provides a mechanism to lower the string plate, fulcrum plate, and vibrato apparatus beneath the base plate and thereby increase the downward pressure of the strings of the stringed instrument against the bridge.

Abstract: A wheel roller for a chain conveyor of an automated carwash has a more robust configuration due to a direction connection of the wheels to the carrier link. The wheel roller contains a carrier link forging having a main body with a carrier link formed as an unitary component, pins secured to the main body in a fixed, non-pivotable manner, and wheels attached to the pins.

Abstract: Herein disclosed is an asphalt roofing shingle, adapted to be laid up in courses on a roof, comprising an upper headlap portion, a lower tab portion, vertically spaced apart upper and lower edges, laterally spaced apart right and left edges and top and bottom surfaces. The bottom surface is configured to be laid up on a roof facing the roof and the tab portion of the top surface is configured to be substantially weather-exposed when laid up on a roof. The upper headlap portion is configured to be substantially covered by the tab portion of roofing elements in a next-overlying course of roofing elements when laid up on a roof. The upper headlap portion further comprises a plurality of parallel, evenly laterally spaced, first markings, the first markings being useful, at least, for aligning adjacent shingles, cutting books of shingles, forming starter shingles from full shingles and forming a grid of shingles without external measuring devices.

Abstract: A pedicle screw of the type used in spinal fixation surgery has integral structure for anchoring artificial ligament tape. A tape-receiving passageway is formed through the tulip assembly of the pedicle screw. The passageway has open ends and is configured to receive an artificial ligament tape threaded through the passageway. An opening is formed in the tulip assembly, transversely intersecting the passageway and opening to the exterior of the tulip assembly. A clamping member is movable along the opening into clamping engagement against a segment of the artificial ligament tape that is threaded through the passageway.

Abstract: An improved catheter atherector for shaving, cutting, and emulsifying accumulated plaque into fine particles, and removing the particles from blood vessel walls without cutting or permanently stretching the walls, and without substantially blocking the blood flow through the vessel during plaque removal operation. The catheter atherector includes an emulsification reduction sphere and extraction wire that rotate and move axially inside the vessel to engage the occlusive material. Emulsified occlusive reduced plaque material and blood only flow in a proximal direction into a catheter lumen. The operation of the device does not substantially disrupt blood pressure within the blood vessel.

Abstract: An image forming apparatus includes a fixing device, an ejection device and a conveyance guide. The fixing device is configured to fix a toner image onto a sheet. The ejection device is configured to eject the sheet having fixed toner image by the fixing device. The conveyance guide is configured to guide the sheet along a conveyance path from the fixing device to the ejection device. The conveyance guide is provided with a plurality of main ribs formed along a sheet conveyance direction so as to be located inwardly by a predetermined length from both side edges of sheets of a plurality of sizes in a sheet width direction intersecting with the sheet conveyance direction. The conveyance guide is provided with a sub-rib formed to be lower than the main ribs arranged at a space where the interval between the main ribs is wider than a predetermined interval.