Abstract: An endoscope comprises a handle and a shaft with an optical housing at the distal end of the shaft enclosing a camera sensor positioned so that its optical axis is at an angle with respect to a rotational axis of the shaft. The camera sensor is rotatable with the shaft relative to a proximal housing of the handle. A rotation sensor in the handle detects the rotational angle of the camera sensor with respect to the proximal housing. A processor can correct the angular orientation of an image from the image sensor, converting of a rotating variable field of view to a translating variable field of view. A processor can apply variable smoothing of the rotation of the displayed image so that smoothing during rotational deceleration is greater than smoothing during rotational acceleration. The shaft may be enclosed in a trocar that allows for a space between the shaft and trocar that can be used to carry irrigation fluid to or from a space at the end of the shaft.

Abstract: A single access method of repairing an aneurysm in a bifurcated vascular lumen is described. A primary graft portion is configured in the bifurcated vascular lumen before a guide wire is configured through the primary graft portion and into a contralateral vessel of the bifurcated vascular lumen from the access opening. The guide wire may be a directed into the contralateral vessel and around the bifurcation in the primary graft portion by steerable sheath, a directional sleeve or a sheath having an aperture and secured to the primary graft portion by a balloon. The contralateral limb is then advanced through the access opening in the ipsilateral vessel, around the bifurcation and into the contralateral vessel.

Abstract: A single access method of repairing an aneurysm in a bifurcated vascular lumen is described. A primary graft portion is configured in the bifurcated vascular lumen before a guide wire is configured through the primary graft portion and into a contralateral vessel of the bifurcated vascular lumen from the access opening. The guide wire may be a directed into the contralateral vessel and around the bifurcation in the primary graft portion by steerable sheath, a directional sleeve or a sheath having an aperture and secured to the primary graft portion by a balloon. The contralateral limb is then advanced through the access opening in the ipsilateral vessel, around the bifurcation and into the contralateral vessel.