Abstract: A system includes Adapter, Clip, Member, Wire and Mechanism. Adapter includes a proximal portion mounted over a distal end of an insertion device and a distal portion extending distally from the proximal portion. Clip includes Jaws to move between insertion configuration, in which Jaws extend about Adapter and are separated to receive tissue, and initial configuration, in which Clip is moved distally off of Adapter so that Jaws grip tissue. Member is releasably coupled to Clip and movably connected to Adapter. Member extends from a proximal portion to remain, in an operative configuration, outside body to a distal portion to be coupled to the distal end. Wire is received within Member and extends to a distal end releasably coupled to Clip via Link when predetermined force is applied. Mechanism selectively locks the distal portion of Member against proximal movement relative to Adapter during release of Link.

Abstract: Devices, systems, and methods for applying an elongate member to a shaft of an endoscope. The system may include a flexible elongate member and a tool for applying the elongate member to the shaft of the endoscope. The tool may include an elongate support and a plurality of connectors. The plurality of connectors may be longitudinally spaced apart along the elongate support(s). The plurality of connectors may be releasably coupled with the flexible elongate member at two or more locations along the flexible elongate member when the flexible elongate member is in a helical configuration.

Abstract: Devices, systems, and methods for coupling an elongate member with a shaft of an endoscope. The device for coupling an elongate member with a shaft of an endoscope may include a first contoured portion configured to mate with an outer surface of the shaft and a second contoured portion configured to couple with the elongate member. When the first contoured portion is mated with the outer surface of the shaft and the second contoured portion is coupled with the elongate member, the elongate member may be secured relative to the shaft. When secured relative to the shaft, the elongate member may be able to move longitudinally relative to the shaft.

Abstract: An endoscope (e.g., a duodenoscope) includes a bifluidic valve for controlling the flow of water and air through a flexible tubular probe to respectively irrigate or insufflate an internal cavity of a patient. Some examples of the bifluidic valve include a flexible valve seal that allows air to flow in one direction but not in reverse. Different examples of the valve seal include various features, such as a set of overlapping flexible flaps arranged in a spiral, a rubber-like disc with an array of cross-slit perforations that open in response to a positive pressure differential across the disc, a resiliently expandable cone with multiple concentric ridges, a valve spool encircled by an elastic tubular piece that can expand radially to open an air passageway in the valve spool, and an elastic tube that in reaction to being compressed or otherwise shortened bulges radially outward to block an annular air passageway.

Abstract: A device for tube management includes a base. The base includes a structure configured to transition the device between an extended configuration and a coiled configuration upon receiving an application of a force to the device. The device also includes a coating applied to the base. In the extended configuration, the device includes a channel configured to receive a tube. In the coiled configuration, the device is configured to circumferentially surround a medical device shaft to removably couple the tube to the medical device shaft.

Abstract: A valve may have a fluid inlet and a fluid outlet. The valve may include a valve stem having a lumen extending from a first opening at a proximal portion of the valve stem to a second opening at a distal end of the valve stem. A plurality of seals may be positioned relative to the valve stem. The valve stem and seals may be configured so that a fluid entering the inlet is prevented from flowing to the outlet in a first position of the valve stem and relative to the inlet and the outlet. The valve stem and the seals may be configured so that a fluid entering the inlet flows to the outlet in a second position of the valve stem relative to the inlet and the outlet, the second position being more distal than the first position relative to the inlet and the outlet.

Abstract: A tissue treating device includes a handle with an actuator; a control cable; and a cap. The cap includes a mounting structure removably coupled in an operative configuration on a distal end of an insertion device. The cap includes a part movably coupled to the structure for movement between a retracted position in which a distal end of the part is received over the distal end of the device and an extended position in which a distal end of the part extends distally beyond the distal end of the device. The part includes a wall defining an internal channel so that, when the part is in the extended position, the wall surrounds a space contiguous to the distal end of the device. The part is coupled to a distal end of the cable so that, actuation of the actuator moves the part between the extended and retracted positions.

Abstract: A valve may have a fluid inlet and a fluid outlet. The valve may include a valve stem having a lumen extending from a first opening at a proximal portion of the valve stem to a second opening at a distal end of the valve stem. A plurality of seals may be positioned relative to the valve stem. The valve stem and seals may be configured so that a fluid entering the inlet is prevented from flowing to the outlet in a first position of the valve stem and relative to the inlet and the outlet. The valve stem and the seals may be configured so that a fluid entering the inlet flows to the outlet in a second position of the valve stem relative to the inlet and the outlet, the second position being more distal than the first position relative to the inlet and the outlet.

Abstract: A clip includes first and second jaws, first and second hinges, and a connection portion. Each of the jaws extends along a curve from a first end to a second end. The first hinge connects the first ends and the second hinge connects the second ends so that the jaws are movable between at open configuration, in which the jaws are separated from one another, and a closed configuration, in which the jaws are drawn toward one another to grip tissue therebetween. The first and/or second hinges is/are biased to draw the clip toward the closed configuration. The portion connects an end of each of the hinges to a corresponding one of the first and second ends. The connecting includes an engaging feature engaging via a through-the scope device to extract the clip from a tissue over which it has been clipped upon a deployment thereof.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to devices, systems and methods for air/water and flushing valves. For example, an endoscopic valve of the present disclosure may include a valve stem with contiguous first and second channels and with first and second ports formed within a sidewall of the valve stem. A series of seals may be disposed around an outer surface of the valve stem proximal and distal to the first and second ports. A gating member may be slidably disposed within the proximal channel and a valve insert may be disposed between the proximal and distal channels.

Abstract: A device is for facilitating an over-the-scope application of a tissue treating element and includes an end cap and control members. The cap includes a proximal portion mounted over a distal end of a scope device and a distal portion including flaps. The proximal portion extends along a longitudinal axis from a proximal end to a distal end and includes a proximal channel extending therethrough. A proximal end of each flap is pivotally connected to the distal end of the proximal portion so that the flaps are movable between a closed configuration and an expanded configuration. A distal end of each of the members is connected to a corresponding flap so that a longitudinal movement of the members relative to the proximal portion of the cap moves the flaps relative to the proximal portion between the closed and expanded configurations.

Abstract: This disclosure relates generally to medical tubing assemblies and methods for fluid delivery from a single fluid reservoir. In one example, a tubing assembly may be configured to couple to an endoscope for distributing fluid between the endoscope and a fluid reservoir during an endoscopic procedure. The assembly may comprise a tubing manifold, a cap configured to be removably attached to the fluid reservoir, a portion of gas supply tubing and lens wash supply tubing in fluid communication between the manifold and the endoscope, a portion of gas supply tubing in fluid communication between the cap and the manifold, and a portion of lens wash supply tubing in fluid communication between the fluid reservoir and the manifold. Further examples may include portions of irrigation supply tubing and portions of alternate gas supply tubing selectively connectable in fluid communication between the manifold, fluid reservoir and endoscope.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to devices, systems and methods for air/water and flushing valves. For example, an endoscopic valve of the present disclosure may include a valve stem with contiguous first and second channels and with first and second ports formed within a sidewall of the valve stem. A series of seals may be disposed around an outer surface of the valve stem proximal and distal to the first and second ports. A gating member may be slidably disposed within the proximal channel and a valve insert may be disposed between the proximal and distal channels.

Abstract: A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

Abstract: A medical cleaning valve (or cleaning valve) may be configured to provide cleaning functionality to fluid (e.g., air and water) channels of an endoscope. Many embodiments described herein may include a cleaning valve (or valve) that is appropriate for single-use and therefore may be disposable. Accordingly, the valve may be made from a limited number of parts and materials, e.g., to limit its cost and/or manufacturing complexity. For example, multiple seals may be integrally formed with a valve stem. In another example, the valve may have an interface member, which may combine and simplify the functionality of a number of components, such as by connecting the valve stem to a valve well, sealing an opening to a lumen in the valve stem, and/or biasing the valve stem into a position relative to the valve well.

Abstract: This disclosure relates generally to a container and tube set and methods for fluid delivery, and particularly an integrated container and tube set suitable for use with an endoscope to supply liquids and/or gases to the endoscope. The integrated container and tubes may include a container (e.g., water reservoir) containing a fluid and a gas, and a plurality of tubes integrally formed with the container. The integrated container may include an irrigation supply tube having a first lumen in fluid communication with the fluid, a lens wash supply tube having a second lumen in fluid communication with the fluid, a gas supply tube having a third lumen in operative communication with the gas, and an optional alternative gas supply tube having a fourth lumen in fluid communication with the gas. The lens wash supply tube and the gas supply tube may be formed as a single, multi-lumen tube.

Abstract: A stent delivery device is provided that includes an inner member defining a distal tip and a stent holding region, and an outer tubular member slidingly disposed over the inner member and configured to engage the distal tip. Seal members may be disposed on one or more of an outer surface of the inner member, the distal tip, and the outer tubular member. The seal members define a liquid-tight sealed chamber surrounding the stent holding region.

Abstract: A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

Abstract: A medical cleaning valve (or cleaning valve) may be configured to provide cleaning functionality to fluid (e.g., air and water) channels of an endoscope. Many embodiments described herein may include a cleaning valve (or valve) that is appropriate for single-use and therefore may be disposable. Accordingly, the valve may be made from a limited number of parts and materials, e.g., to limit its cost and/or manufacturing complexity. For example, multiple seals may be integrally formed with a valve stem. In another example, the valve may have an interface member, which may combine and simplify the functionality of a number of components, such as by connecting the valve stem to a valve well, sealing an opening to a lumen in the valve stem, and/or biasing the valve stem into a position relative to the valve well.