Abstract: A processing apparatus includes a processor. The processor acquires an image in which region marker information of a lesion is set with respect to an ultrasonic image of an ultrasonic endoscope with a biopsy needle, and calculates an angle of the biopsy needle for inserting the biopsy needle into the lesion based on a movable range of the biopsy needle and the region marker information.

Abstract: A stent delivery system includes: a stent delivery device configured to carry a stent to a stenosis and indwell the stent; an observation device configured to observe the stenosis; and one or more processors, each comprising hardware, the one or more processors being configured to: acquire an observation image from the observation device; and determine a target placement position for placing the stent in the stenosis based on the observation image.

Abstract: Systems, devices, and methods for providing a computer-assisted endoscopic procedure guidance are disclosed. A procedure planning system can generate an endoscope navigation plan for a patient scheduled for an endoscopic procedure performed by an operating physician. The system comprises a processor that can access an endoscopic procedure database, identify therefrom physicians substantially matching the experience level of the operating physician, and retrieve reference procedure data of the past procedures performed by the matching physicians. The reference procedure data can be further selected from past procedures performed on patients with similar medical information to the scheduled patient. The processor can generate an endoscope navigation plan for the scheduled patient using reference procedure data. The endoscope navigation plan can be displayed along with the live endoscopic image to guide the operating physician in performing the procedure.

Abstract: Systems, devices, and methods for integrating images from various sources and using the same to guide endoscopic procedures are disclosed. An endoscopic system comprises an endoscope to be positioned and navigated in a patient anatomy, and a processor configured to reconstruct a three-dimensional (3D) image of an anatomical target based on at least two images of the anatomical target. The at least two images can be calibrated and registered using respective landmarks. One or more secondary images can be integrated with the reconstructed 3D image. The reconstructed image or the integrated image, along with the endoscope navigation plan, can be displayed to a user. Based on the reconstructed or the integrated image, the processor can generate an endoscope navigation plan for use in an image-guided endoscopic procedure.

Abstract: An endoscopic system includes a steerable elongate instrument configured to be robotically positioned and navigated in a target anatomy of a patient via an actuator; and a controller configured to: receive patient information including an image of the target anatomy; apply the target anatomy image to a trained machine-learning (ML) model to recognize the target anatomy and to estimate one or more cannulation or navigation parameters for maneuvering the steerable elongate instrument; and provide a control signal to the actuator to robotically facilitate operation of the steerable elongate instrument in the target anatomy in accordance with the estimated one or more cannulation or navigation parameters.