Abstract: Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. the catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

Abstract: The invention is a method and apparatus in which student EEG measurements are made during the videotaped presentation of training materials. Alpha (8-12 Hz) and beta (16-24 Hz) activity present during segments of the material directed to a learning objective are used to determine attention and cognitive activity during the training material. An increased level of attention relates to increased understanding of the material. An increased level of cognitive activity relate directly to incorrect understanding of the material. Evoked potential responses are also measured in response to multiple choice questions on the learning objections presented subsequent to the training materials. A difference between midterm responses for correct and incorrect answers measures correct understanding of the subject matter of the multiple choice question. Comparing the alpha, beta and evoked potential results for a learning objective validates the indication of effectiveness if the results correlate.