Abstract: An endoscopic imaging system includes a reusable control cabinet having a number of actuators that control the orientation of a lightweight endoscope that is connectable thereto. The endoscope is used with a single patient and is then disposed. The endoscope includes an illumination mechanism, an image sensor and an elongate shaft having one or more lumens located therein. A polymeric articulation joint at the distal end of the endoscope allows the distal end to be oriented by the control cabinet. The endoscope is coated with a hydrophilic coating that reduces its coefficient of friction and because it is lightweight, requires less force to advance it to a desired location within a patient.

Abstract: A cannula assembly for use in laproscopic surgery includes a cannula having a proximal end for use in orientating the assembly into an abdominal cavity, a distal end for insertion into a patient, and a passage through which surgical instruments can be inserted. An expandable feature in the form of an anchor is located toward the distal end of the cannula and is selectively expandable and collapsible. The feature in its expanded state prevents withdrawal of the cannula. A collar is pushed distally until it releasably cinches to the outside of the abdominal cavity thereby creating an airtight seal and stabilizing the assembly. The collar has a friction fit with the cannula designed to prevent excessive force against the cavity walls.

Abstract: A medical instrument may comprise a first articulatable segment having a first diameter, and a second articulatable segment having a second diameter smaller than the first diameter, wherein the second articulatable segment is coupled to the first articulatable segment and extends in a distal direction past the first articulatable segment. The instrument may also comprise a first force transmission element coupled to the first articulatable segment and extending in a proximal direction from the first articulatable segment to a first connector portion, the first connector portion being configured to be releasably coupled with a first actuator, and a second force transmission element coupled to the second articulatable segment and extending in a proximal direction from the second articulatable segment to a second connector portion, the second connector portion being configured to be releasably coupled with a second actuator.

Abstract: The systems, methods, and apparatus disclosed herein are directed to an exchangeable working channel for a surgical instrument comprising a proximal portion, a distal portion, and an instrument channel configured to receive the exchangeable working channel. The exchangeable working channel may comprise a shaft comprising a proximal region and a distal region; an inner surface defining a lumen extending through the shaft; and an outer surface configured to interface with the instrument channel of the surgical instrument. The exchangeable working channel may further comprise one or more locking members configured to releasably couple to the proximal portion or the distal portion of the surgical instrument. The exchangeable working channel may increase a service life of the surgical instrument as a worn working channel can be exchanged with a new one.

Abstract: An integrated clot evacuation device having visualization for use in neurosurgical applications, particularly for the evacuation of clots formed as a result of intracranial hemorrhage (ICH). The device may further include an integrated camera and light for visualizing the interior of the brain and the clot itself. Further, the device is configured to evacuate clots through aspiration and irrigation.

Abstract: An improved system for attaching devices to the distal end of endoscopic instruments is described. An attachment adapter comprises a distal stop, such as a complete or partial loop or cylinder, which limits the penetration of an endoscope into the adapter. The adapter has at least one flange protruding proximally along the endoscope. The adapter is secured on the endoscope by a securing means, which compresses the flange or flanges sufficiently to provide a friction fit. The flexibility of the inventive adapter system allows the adapter to work reliably with endoscopes that are used, damaged or repaired. The adapter may further provide a slit or window allowing viewing of the vessel wall by a lens on an endoscope, thereby improving the operator's ability to understand the location of the endoscope during operation. The adapter may carry any of a variety of devices, including devices for closing a surgical incision, or treating or manipulating tissue.

Abstract: An imaging device for imaging a portion of a patient's vasculature with an imaging element may include a proximal portion having a relatively higher stiffness that provides rigidity for pushing the imaging device through a patient's vasculature, and may include a distal portion having a relatively lower stiffness that enables threading through a curved vasculature of the patient. The imaging device also may include a transition region disposed between the proximal portion and the distal portion.

Abstract: Catheter devices can include an elongate housing extending along a major axis, the elongate housing comprising a first end an opening. The catheter devices can also include an electrode assembly disposed in the elongate housing and including deformable electrodes with respective electrode distal ends, where the electrode distal ends each consist of respective member portions and respective tip portions. The electrode assembly is slidably movable within the housing along the major axis to allow the electrode distal end portions to transition between a first retracted position and a second extended position. The catheter device is configured such that an average distance between the tip portions in the second position is configured to be greater than an average distance between the tip portions in the first position the tip portions are positioned substantially in a same plane when the electrode assembly is in the second position.

Abstract: An insertion device includes a thin and elongated insertion section, a rotating body which is rotated to advance or retreat the insertion section, a driving force supply source which supplies a driving force to the rotating body, a variable stiffness section provided for the insertion section and permitting stiffness of the insertion section to be varied, a stiffness detector which detects the stiffness of the insertion section varied by the variable stiffness section, and a controller which controls the driving force supply source in accordance with the stiffness of the insertion section detected by the stiffness detector.

Abstract: A LUS robotic surgical system is trainable by a surgeon to automatically move a LUS probe in a desired fashion upon command so that the surgeon does not have to do so manually during a minimally invasive surgical procedure. A sequence of 2D ultrasound image slices captured by the LUS probe according to stored instructions are processable into a 3D ultrasound computer model of an anatomic structure, which may be displayed as a 3D or 2D overlay to a camera view or in a PIP as selected by the surgeon or programmed to assist the surgeon in inspecting an anatomic structure for abnormalities. Virtual fixtures are definable so as to assist the surgeon in accurately guiding a tool to a target on the displayed ultrasound image.

Abstract: A drive device includes a filter section that includes an optical filter, a transmission section that rotates around a rotation shaft, a first groove portion that is formed to the transmission section, a protruding portion that is formed to the filter section, in contact with the first groove portion, and that moves the filter section from a first position to a second position by moving along the first groove portion in coordination with rotation of the transmission section, and a second groove portion that is formed continuously with the first groove portion, and that is provided along a tangent line direction passing through the protruding portion that is on a circle having the rotation shaft of the transmission section at a center and a radius that is a distance between the rotation shaft and the protruding portion, when the optical filter section is moved to the second position.

Abstract: The cooling unit includes: an opening part through which the cooling media flow in; a first flow path; a second flow path; a first heat generation section; a second heat generation section; a first heat dissipation section that is thermally connected to the first heat generation section, and is disposed in the first flow path; and a second heat dissipation section that is thermally connected to the second heat generation section, and is disposed in the second flow path. The second flow path is disposed between the first and second heat generation sections and the first flow path, and the first heat dissipation section has a thermal resistance value smaller than a thermal resistance value of the second heat dissipation section.

Abstract: A medical device such as a catheter or endoscope device includes an illumination light source having one or more organic light-emitting diodes (OLEDs). The OLEDs are energized to produce illumination light that is received by an image sensor or camera to produce images of tissue within a patient's body. A heat conductive polymer conducts heat away from the illumination light source.

Abstract: An ocular device for a surgical instrument having an ocular mount for an optical assembly. The ocular device including: an optical flat; and a holder for accommodating the optical flat, wherein the holder is configured to be connected to the ocular mount; wherein the optical flat having a widened side edge provided with a first contact surface for the ocular mount and a second contact surface for the holder, and a surface normal of the optical flat and the first contact surface of the optical flat facing the ocular mount form an angle different than 0° relative to each other.

Abstract: This application presents to an endoscope having a compact distal tip, and to a method for constructing same. In some embodiments one or more optical and sensing elements are mounted directly on an internal surface of a lumen within an external housing, which housing comprises an outer wall of the endoscope tip. Space saved by eliminating intervening containing elements can be used to enhance endoscope performance and/or reduce endoscope size.

Abstract: A device and method for cleaning or defogging a surgical scope during minimally-invasive surgery, including a casing which houses a sponge and a heating element configured to be accessible to the surgical scope and the casing is configured to removably attach to a trocar during a surgical procedure.

Abstract: An image pickup apparatus includes an optical unit in which a plurality of lenses have relative positions fixed by a transparent resin that fills spaces among the plurality of lenses, and an image pickup substrate in which a light receiving section configured to receive light that is caused to be incident from the optical unit is formed on a principal surface, the optical unit being bonded to the principal surface via an adhesive, and the optical system includes an objective optical system including a plurality of lenses, and inter-lens distances of the plurality of lenses are defined by a spacer, a diaphragm, or the transparent resin.

Abstract: An ocular device for a surgical instrument, the surgical instrument having an optical window frame and an optical assembly arranged in an interior space of the surgical instrument, the ocular device including: an ocular window separated from the optical assembly by a space; a holder configured to be connected to the ocular window frame; and at least one elastic element, wherein in a connected state, the at least one elastic element transmits a clamping force from the holder to bias the ocular window towards the space.

Abstract: Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention may include an outer flexible tube and a positioning mechanism configured for rotating one portion of the flexible tube relative to another portion of the flexible tube.

Abstract: A multi-camera endoscope includes a the tip section comprising: a front looking camera and a front discrete illuminator to essentially illuminate the field of view of said front looking camera; a right side looking camera and a right discrete illuminator to essentially illuminate the field of view of said right side looking camera; a left side looking camera and a left discrete illuminator to essentially illuminate the field of view of said left side looking camera; and a multi-component cover configured to cover and seal said tip section such as to essentially prevent entry of fluids from the environment of said endoscope to inner parts of said tip section. The tip cover includes removable or repositionable window components which provide access to internal components of the tip for repair or removal, without removing the main tip cover.