Abstract: A sheath includes a sheath body, an inflow port at a proximal end of the sheath body, an outflow port at the proximal end of the sheath body, and a plurality of radially expandable flexible members which extend along a length of the sheath body. The plurality of radially expandable flexible members are attached to the sheath body at a plurality of anchor points along the length of the sheath body. The plurality of radially expandable flexible members expand during active fluid inflow. The radially expandable flexible members are spaced apart along the sheath body to define one or more isolated spaces that extend between adjacent radially expandable flexible members when the radially expandable flexible members are inflated within a body passage.

Abstract: An endoscope is provided with: a wire; a distal end nodal ring, in which the wire is arranged immediately below a first through hole including openings at predetermined positions on the inner circumferential face and an outer circumferential face of the distal end nodal ring; a distal end member including a small diameter portion arranged to be fitted in a distal end side inner circumferential face of the distal end nodal ring and a large diameter portion provided on a distal end side of the small diameter portion, the large diameter portion having a diameter larger than a diameter of the small diameter portion; an accommodating portion formed on an outer circumferential face side of the small diameter portion, the first end portion of the wire being accommodated in the accommodating portion; and a relief portion formed by the accommodating portion extending to the large diameter portion.

Abstract: A direct visualization catheter includes a handle, a balloon, an elongate shaft, and a camera assembly. The elongate shaft has a proximal end and a distal end opposite the proximal end. The proximal end is coupled to the handle. The distal end is coupled to the balloon and defines a longitudinal axis. The camera assembly is coupled to the distal end of the elongate shaft and is disposed within the balloon. The camera assembly includes a camera and an adjustment mechanism for varying a configuration of the camera relative to the distal end of the elongate shaft between a delivery configuration and a deployed configuration. The camera faces primarily in a radial direction in the delivery configuration and the camera faces primarily in an axial direction in the deployed configuration.

Abstract: Certain aspects relate to systems and techniques for an endoscopic system to access, visualize, and treat pathologies in various organs via natural orifices and lumens of various organs. In one aspect, the system includes an elongate shaft configured for insertion into a urinary tract of a patient. The elongate shaft can include a proximal section, a distal section, a tip portion, and a plurality of pull wires extending along the elongate shaft and terminating at the tip portion of the elongate shaft. The plurality of pull wires may include a first and second pull wire. The first pull wire may be configured to articulate each of the proximal section and the distal section in a first direction. The second pull wire may be configured to articulate the distal section in a second direction independently of the proximal section, the second direction being transverse to the first direction.

Abstract: Provided is a scope that can comprise a tubular casing, a proximal end, a distal end, an internal volume, a longitudinal axis of extension extending from the distal end to the proximal end, a vertical axis extending perpendicularly to the longitudinal axis of extension and one or more apertures along a length L of the longitudinal axis of extension; a handle having a proximal end and a distal end; and image capture devices each located within the internal volume of the tubular casing.

Abstract: A tip part for an endoscope has a vision receptor having a vision sensor for providing an image from received light, a first lens, and a casing, the casing supporting the first lens so that the casing substantially maintains a position of the first lens in relation to the vision sensor; a first light source; an exterior housing; and a light shield positioned between the vision receptor and the first light source so as to prevent ingress of stray light from the first light source into the vision receptor by optically shielding the vision receptor; wherein the casing is formed integrally with the exterior housing so that the casing also substantially maintains the first lens in a position in relation to the exterior housing.

Abstract: An assembly for aiding field use of an endoscopic probe is disclosed. The assembly includes a housing assembly for an endoscopic probe and a compatible holder for the housing assembly. The housing assembly includes a tubular conduit for receiving the endoscopic probe and a plug coupled along a distal end of the tubular conduit. The holder includes a pre-configured arm for facilitating an exploration of a pre-determined quadrant of an oral cavity. The explorer includes a plug receiver. Upon coupling the plug receiver with the inversely matching plug, the tubular conduit passes through the opening and into the third axial channel.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.

Abstract: A view optimizing assembly, method and kit for use in combination with a laparoscope having a lens located on the shaft tip of the laparoscope, and a source of insufflation CO2. The invention includes a multi-lumen sheath assembly, a deflector assembly in fluid communication with the lumens of the sheath assembly, wherein the flow of CO2 through the lumens forms a vortex when coming into contact with the deflector assembly, thereby preventing fogging of the laparoscope lens.

Abstract: A system comprises a waveguide apparatus comprising a plurality of input waveguides, a multimode waveguide, and a guided-wave transition coupling the plurality of input waveguides to the multimode waveguide. The system further comprises at least one light source configured to excite in turn each of a plurality of the input waveguides, or each of a plurality of combinations of the input waveguides, thereby generating a plurality of different light patterns in turn at an output of the waveguide apparatus. The waveguide apparatus is configured to direct each of the plurality of different light patterns to a target region. The system further comprises at least one detector configured to detect light transmitted, reflected or emitted from the target region in response to each of the different light patterns, and to output signals representing the detected light.

Abstract: Provided is an endoscope that can connect proximal ends of the first signal lines and a signal relay part together without securing an extra length for the first signal lines. An airtight casing is disposed inside an outer tube of an insertion part, an imaging device and first signal lines are accommodated inside the airtight casing, a distal end of the airtight casing is airtightly sealed by a cover glass, and a proximal end of the airtight casing is airtightly sealed by a partition wall part. The airtight casing is constituted of a first tubular body and a second tubular body, and the second tubular body is disposed in a nested shape with respect to the first tubular body. During the connection between the proximal ends of the first signal lines and the terminal part, the second tubular body is advanced toward the first tubular body.

Abstract: The present invention provides a lens unit having a cover member which does not cause deviation in precision and capable of being manufactured efficiently at low cost. In a lens unit 10A, side surfaces of a cover member 14a continuing from a front end surface 29 to a rear end surface located at a lens side are formed in a regular quadrangular prism, at least two of corners of the regular quadrangular prism are in contact with an inner peripheral surface 27 of a housing space 17 of a holder 11a for housing the cover member 14a, a gap 34 is formed between each of the side surfaces of the cover member 14a and the inner peripheral surface 27 of the holder 11a, and an effective area of a light beam is located inside a light receiving area having a regular quadrangular shape surrounded by an outer peripheral edge of the front end surface 29 of the cover member 14a.

Abstract: A device for preventing air escape and maintaining colonic air distension can include a body, a distal gasket coupled to a distal end of the body, a proximal gasket coupled to a proximal end of the body, and a diaphragm coupled to the proximal gasket. The distal and proximal gaskets can form a fluid-tight seal with a colonoscope positioned within central bores of the distal gasket, the body, and the proximal gasket, and the diaphragm can conform to and form a fluid-tight seal with at least one of an anus and a stoma of a subject.

Abstract: Endoscopic light refraction imaging techniques are described for configuring a viewing trocar and/or angled endoscope with a light refracting element, such as glass and/or plastic prism for instance. The light refracting element can be utilized in and/or with the viewing trocar to refract (i.e., bend) light passing into the trocar through the trocar's window. As a result, the angled endoscope's field of view can be substantially aligned with the field of view of the trocar's window, thus allowing the angled endoscope and viewing trocar to be used together to create ports in a patient, including initial ports of endoscopic surgical procedures.

Abstract: A surgical system can include a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument can include a second channel. A valve coupled to the first instrument controls fluid flow through the first channel. The valve has at least two positions and in one position, the impedance of fluid flow through the valve into the first channel (when the second instrument is not received in the first channel) is substantially the same as when the valve is the other position and the first channel partially blocked by the second instrument. In another aspect, a surgical system can include an outer member and the first instrument can be received within the outer member to define a second channel there between. The first instrument can include a visualization system and an illumination system.

Abstract: A remote control apparatus to remotely control a patient-side system including medical equipment and an endoscope to capture an image of a surgery site according to an embodiment includes: an operation handle with which an operator controls the medical equipment; and an operation pedal section. The operation pedal section includes: plural pedals configured to be pressed down to execute functions concerning the medial equipment; and a base on which the plural pedals are arranged, the plural pedals being arranged at locations not overlapping each other in a planar view. The plural pedals include first height pedals with upper ends thereof located at a first height position and second height pedals with upper ends thereof located at a second height position, which is different from the first height position. The first height pedals are arranged alternately with the second height pedals.

Abstract: An endoscope includes a handle operation unit. The handle operation unit includes: an outer ring; a cam ring accommodated in the outer ring to rotate in accordance with rotation of the outer ring about a central axis and having a pair of guide holes; a pair of slide members accommodated in the respective guide holes and fixed to a force transmission member; and a support portion having a pair of slide grooves extending along a longitudinal direction of the endoscope, the support portion being accommodated in the cam ring to support the pair of slide members. The slide members slide in the respective slide grooves in accordance with the rotation of the outer ring. The field of view of the image-capturing unit is changed in accordance with sliding of the pair of slide members.

Abstract: There is provided an endoscope that allows the distal end portion of a wire and a treatment tool-elevator to be easily connected to each other. An engaging portion (100) is provided at the distal end portion of a wire (60). An elevator (30) is provided with a contact portion (101) that applies a rotational moving force acting in a fallen direction to the elevator (30) in a case where the engaging portion (100) is in contact with the contact portion. The elevator (30) is provided with a housing portion (102) in which an opening (104) is formed. A wall portion (81) is provided at a position that faces the movement trajectory of the engaging portion (100) in a case where the elevator (30) is moved between an elevated position and a fallen position in a state where the engaging portion (100) is in contact with the contact portion (101).

Abstract: An endoscope includes an image pickup apparatus, and the image pickup apparatus includes an imager includes an external electrode, a stacked device, a top electrode on a top surface, and a bottom electrode on a bottom surface, a three-dimensional wiring board having a first zone to which the external electrode is bonded, a second zone to which the top electrode or the bottom electrode is bonded, a third zone to which the top electrode or the bottom electrode is bonded, and a fifth zone arranged on a side surface of the stacked device, wherein the top surface, the bottom surface, and at least two side surfaces of the stacked device are covered with the wiring board.

Abstract: A tubular connector for use with a spiral tube used on an insertion section of an endoscope. The tubular connector including: an outer surface; an inner surface; and a plurality of cams circumferentially spaced on the inner surface to project radially inward from the inner surface, the plurality of cams extending in a longitudinal direction of the tubular connector; wherein each of the plurality of cams have one or more cam surfaces configured to engage a rotating member to rotate the spiral tube. The plurality of cams can alternatively be formed directly on an interior surface of the spiral tube.